NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
( 14 )
(b) Miajan, Mahomedan, aged 30 years, formerly a patwari, admitted for
mania. His brother has been in the Asylum for seven years, and his mother is
insane, but living at her home.
Fever.
28. The case in which fever is believed to have been the cause of insanity, was
in the person of a Brahmin widow, named Ramdhei, aged
about 26 years. This woman had been admitted into the
Dufferin Hospital for fever.
Whilst in the hospital, she suddenly developed symptoms of acute mania and
was transferred to the Asylum. After a residence of 52 days in the Asylum, she
recovered and became quite sane. The official visitors have ordered that she
be made over to her friends.
Pregnancy.
27. The case in which pregnancy is believed to have been the exciting
cause of insanity, was in the person of a woman named Gan-
goo, aged 35 years, who had been in the Asylum for about
two months in 1894, and who was discharged after her confinement and made
over to her friends. She was again admitted for mania on 29th May 1898.
28. The eight moral causes of insanity were:—
Religious excitement...
...
...
...
Loss of money
...
...
...
...
Over-study
...
...
...
...
Disappointment in love
...
...
...
...
Death of near relatives
...
...
...
...
Total
...
Cases.
3
1
1
1
2
8
29. In 7 of the 16 cases in which I have returned the causes of insanity as
" unknown," the patients were homeless and friendless wanderers, about whose
previous history and habits little or nothing was known; and in some of the re-
maining 9, there was a habit of using ganja or other intoxicating drug. With
regard to the latter, however, there was no evidence to show whether this habit
was the cause of insanity or the consequence of it.
STATEMENT VIII.
30. This statement shows the sickness and mortality during the year.
There were 205 admissions into hospital and 17 deaths, against 59 and 14,
respectively, in 1897.
31. The daily average number of sick was 5.74 males and 0.99 females,
total 6.73, against 7.01 in 1897.
32. The chief causes of admission were influenza, ague, debility and
dysentery.
One hundred and thirteen cases of influenza occurred in October. The disease
was of a mild form and was not followed by pulmonary or other complications, and
no mortality, directly or indirectly, resulted from it.
During the early part of 1898, a good many cases of influenza occurred in the
district, and some 20 cases occurred in the Asylum in May and June; but
in October, when the disease broke out in the Asylum in an epidemic form,
the district was free from it. Ague was most prevalent during September and
October, and dysentery in June.
33. The deaths occurred from the following causes :—
Dysentery ... ... ... ...
Debility ... ... ... ...
Epilepsy ... ... ... ...
Influenza
...
...
...
...
General paralysis of insane ... ...
Tubercle of lung ... ... ... ...
Empyema ... ... ... ...
Bright's disease ... ... ... ...
Pemphigus ... ... ... ...
Total ...
5
4
2
1
1
1
1
1
1
17
( 15 )
34. The subjoined statement shows briefly the particulars of each case:—
No.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
Names.
Dattawrie ...
Dena, Sonar ...
Pir Muhammad ...
Ramchandra ...
Bhowar Singh ...
Mohonia, Gond ...
Umrao ...
Keora (female) ...
Gangdeo ...
Channoo ...
Dolari (female) ...
Ramkrishnapuri ...
Rukmi (female)...
Peroo ...
Abdul Rahim ...
Vithoba ...
Sadoo ...
Age.
58
36
75
38
37
43
59
7
31
30
36
45
45
48
48
47
48
Type of Insanity.
Chronic Mania ...
Chronic Dementia
Chronic Mania ...
Traumatic Mania
Chronic Dementia
Epileptic Mania ...
Chronic Mania ...
Epileptic Mania...
Epileptic Mania ...
Acute Mania ...
Acute Mania ...
General Paralysis
of insane.
Chronic Dementia
Chronic Mania ...
Ditto ...
Ditto
Epileptic Mania ...
Disease.
Debility ...
Dysentery ...
Debility ...
Bright's disease,
chronic.
Debility ...
Empyema ...
Dysentery ...
Epilepsy
Epilepsy ...
Tubercle of Lung
Pemphigus ...
General Paralysis
of insane.
Debility...
Dysentery ...
Ditto ...
Ditto ...
Influenza
Time spent
in
Asylum.
Yrs.
23
16
15
14
10
8
21
2
1
0
1
0
13
10
7
7
3
M.
0
4
4
10
5
1
2
10
7
5
0
0
9
4
1
9
7
D.
16
17
15
19
8
26
25
1
1
6
23
21
6
19
6
25
2
REMARKS.
Died from exhaustion due to
repeated attacks of epilepsy.
Do.
do.
Admitted into Asylum greatly
emaciated and suffering from
tubercle of lung, refused all
food and had to be fed.
Was suddenly seized by an
epileptic fit on 23rd November,
which lasted one and half
hours. This was followed by
large blisters all over back,
buttocks and back of thighs.
The blistered surface became
gangrenous and she gradually
sank.
On admission to Asylum, was
anæmic, debilitated and suffer-
ing from partial paralysis of
both legs. Speech stuttering
and thick.
Was violent and restless, could
not be kept in bed, would
wear no clothes and refused
all food.
35. Of the 17 deaths that occurred during the year, 5 occurred in March,
2 in May, 3 in June, 3 in July, 1 in August, 1 in November and 2 in December.
The chief causes of mortality were bad health on admission, advanced age,
exhaustion from repeated attacks of epilepsy, and dysentery.
Of those who died, 1 was aged 75 years, 2 were close on 60, and 3 were close
on 50 years.
The details of the 5 fatal cases of dysentery and 4 fatal cases of debility, are
as follows : —
Dysentery.
(1) Dena, Sonar, aged 36 years, had been in the Asylum, suffering from
chronic dementia, for over 16 years. On 30th May 1898, was seized with in-
fluenza, and on 6th June 1898, whilst in hospital, developed dysentery, refused
all food, and died on 2nd July 1898.
(2) Umrao, aged 59 years, admitted into the Asylum three times for chronic
mania and spent over 21 years in it. In failing health since December 1896,
when he was put on extra diet, was seized with dysentery on 22nd February
1898, and died on 1st March 1898.
( 16 )
(3) Peroo, aged 48 years, spent over 10 years and 4 months in the
Asylum, suffering from chronic mania. In hospital for influenza from 27th
May 1898 to 8th June 1898, seized with dysentery on 17th July 1898 and died
on 6th August.
(4) Abdul Rahim, aged 48 years, admitted three times into the Asylum,
suffering from chronic mania, and spent over 7 years in it. Seldom spoke,
frequently refused all food and had to be fed by force. Contracted dysentery
on 2nd May 1898, and died on 12th June.
(5) Vithoba, aged 47 years, over 7 years and 9 months in the Asylum,
suffering from chronic mania. Health failing since October 1897. Seized
with dysentery on 23rd February and died on 22nd March 1898.
Debility.
(1) Dattawrie, aged 58 years, over 23 years in the Asylum, suffering
from chronic mania. Failing in health since 1896. Fed with great difficulty
during the last year of his life. Died on 16th July 1898.
(2) Pir Muhammad, aged 75 years, over 15 years and 4 months in the
Asylum, suffering from chronic mania. Blind and helpless since the beginning
of 1896. Died of old age on 4th November 1898.
(3) Bhowar Singh, aged 37 years, over 10 years and 5 months in the
Asylum, suffering from chronic dementia. Failing in health since 1895, when he
had an attack of dysenteric diarrhœa. Since then, had been almost continually
in hospital.
(4) Rukmi, female, aged 45 years, 13 years and 9 months in the Asylum,
suffering from chronic dementia. Frequently in hospital and forcibly fed since
1892. Admitted into hospital for debility in 1897 and died on 24th July 1898.
STATEMENT IX.
36. The total amount received from the Treasury was Rs.12,124-1-5 against
Rs.13,411-11-7 drawn in 1897.
The excess in 1897 was, to some extent, attributable to the higher prices of
grain which ruled during that year, and also partly to the compensation paid
to the establishment.
37. The amount received from paying patients was Rs.3,071-9-1, which in-
cludes a sum of Rs.2,520 adjusted by the Comptroller, Central Provinces, for
28 Berar lunatics, at Rs.90 per head.
The actual cash receipts from paying patients during the year, amounted to
Rs.551-9-1, against Rs.385-3-3 in 1897.
38. In column 4, the following items are shown :—
Diet supplied inter-departmentally ...
Value of clothing made in the Asylum ...
Garden and farm produce supplied to Asylum ...
Total ...
Rs.
1,389
59
49
1,498
a.
14
2
8
8
p.
7
0
3
10
39. The total given in column 5, namely, the total of book receipts, has
been arrived at as follows :—
Public Works Department charges ...
Jail clothing ...
Cost of printed forms ...
Total ...
Rs.
677
411
31
1,119
a.
7
4
1
12
p.
7
0
2
9
( 17 )
40. The column of miscellaneous receipts is made up as follows: —
Sale of linseed, juari, &c., grown on the farm ...
Dairy produce ... ... ...
Miscellaneous ... ... ...
Total ...
Rs.
280
4,095
308
4,684
a.
5
12
0
2
p.
7
0
11
6
41. The total receipts from all sources amounted to Rs.22,498-2-7, as
compared with Rs.22,913-6-4 in 1897.
42. The total expenditure amounted to Rs.22,498-2-7, as compared with
Rs.22,913-6-4 in 1897.
43 The expenditure on the dairy during the year amounted to Rs.2,032-12-1,
which includes Rs.198 expended on the purchase of fodder, Rs.132 on the cost of
new live-stock and R.s.100 spent on re-roofing the cattle-shed.
44. At the close of 1897, the live-stock on the farm consisted of 1 breeding
bull, 10 draught-bullocks, 30 cows, 10 buffaloes and 67 calves ; in all 118 animals,
valued at Rs.2,264.
45. During the year 1898, the following additions were made to the
live stock:–
Cows purchased ... ... ... ... ...
Calves
...
...
...
...
...
...
Calves born during the year ... ... ...
5
7
42
During the year, 31 calves were sold; and 1draught-bullock, 1 cow and 2
calves died.
46. The live-stock on the farm at the close of the year, consisted of—
Cows ... ... ... ...
Buffaloes ... ... ... ...
Bullocks ... ... ... ...
Calves ... ... ... ...
Breeding Bull ... ... ... ...
Total ...
36
10
14
76
1
137
47. The actual cash sales of dairy produce amounted to Rs.4,095-12-0, and
the expenditure on the dairy to Rs.2,032-12-1, or a net cash profit on the year's
transactions of Rs. 2,062-15-11.
In addition to this, 333 maunds of separated milk and 8 maunds of fresh
milk were supplied during the year to the Asylum inmates, the total value of
which was Rs.841. Credit must also be taken for the cow-dung used in the Asylum
as fuel and as manure, the value of which may be roughly estimated at Rs.121.
STATEMENT X.
48. This statement shows the sanctioned establishment of the institution.
STATEMENT XI.
49. Deals with manufactures.
The net profit, or excess of credits, amounted to Rs.6,054-0-7, against
Rs.6,278-3-0 in the preceding year.
50. The net profit at the Asylum during the past five years has been as
follows:—
1894
...
...
...
...
1895
...
...
...
...
1896 ... ... ... ...
1897
...
...
...
...
1898 ... ... ... ...
Rs.
749
1,358
4,650
6,278
6,054
a.
9
10
3
3
0
p.
2
1
3
0
7
( 18 )
STATEMENT XII.
51. The following table shows the average cost per lunatic under the various
heads during the past six years :—
Daily average
strength
Years ...
Establishment ...
Diet of patients ...
Clothing
and
Bedding ...
Medicines ...
Contingencies ...
Total ...
146.60.
1893.
Rs.
4,079
5,240
482
2
381
10,185
a.
1
4
8
6
9
14
p.
3
10
0
5
7
1
Rs
27
35
3
0
2
69
a.
13
11
4
0
9
7
p.
2
11
8
3
8
8
161.20.
1894.
Rs.
4,432
3,639
461
204
371
9,110
a.
6
15
6
15
9
4
p.
5
3
0
4
11
11
Rs.
27
22
2
1
2
56
a.
7
9
13
4
4
8
p.
11
4
9
4
11
3
170.87.
1895.
Rs.
4,491
4,958
499
74
974
10,998
a.
14
10
10
3
3
10
p.
11
3
0
10
4
4
Rs.
26
29
2
0
5
64
a.
4
0
14
6
11
5
p.
6
4
9
11
3
10
177.83.
1896.
Rs.
4,632
4,039
79
98
2,371
11,222
a.
8
1
14
10
15
1
p.
11
1
0
4
0
4
Rs.
26
22
0
0
13
63
a.
0
11
7
8
5
1
p.
10
5
2
10
5
8
167.15
1897.
Rs.
4,888
6,045
372
36
3,481
14,825
a.
12
15
12
11
2
6
p.
6
8
6
10
5
11
Rs
29
36
2
0
20
88
a.
3
2
3
3
13
11
p.
11
9
8
6
3
1
162.45.
1898.
Rs.
4,574
6,252
470
51
2,401
13,750
a.
6
11
6
8
13
14
p.
7
7
0
2
11
3
Rs.
28
38
2
0
14
84
a.
2
7
14
5
12
10
p.
7
10
3
1
7
4
Additions and Improvements
52. The usual annual repairs, white-washing, &c., were carried out, and three
of the cells in which noisy and refractory male lunatics are kept, were provided
with wooden ceilings. More cell accommodation is required.
53. Lieutenant-Colonel G. F. A. Harris, I.M.S., held charge from 1st
January to 10th June, and Major Silcock from 11th June to the end of the year.
54. With the exception of a period of about four months, when he was deputed
to act as Assistant to the Civil Surgeon, Nagpur, 1st Class Hospital Assistant
Khan Saheb Abdul Majid Khan held the office of Deputy Superintendent
throughout the year. He has held the responsible post of Deputy Superintendent
of the Nagpur Asylum for about 22 years, and his excellent work in connection
with the Asylum has frequently been brought to notice. During the year, in
recognition of his services, the Government conferred on him the well-deserved
title of " Khan Saheb. "
55. The Clerk and Compounder, S. M. Santio, performed his duties in a
satisfactory manner.
56. The Asylum was inspected by the Chief Commissioner, Mr. Ibbetson,
on 11th November. It was also frequently visited by the Administrative Medical
Officer.
A. SILCOCK, M.D., Ph D.,
MAJOR, I.M.S.,
Superintendent.
NAGPUR :
16th January 1899.
( 19 )
Annual Report on the Jubbulpore Lunatic Asylum for the
year 1898.
In addition to the ordinary annual repairs carried out by the D. P. W.,
a boundary wall was built, running from the female yard to the west gate near
the Omtee Bridge, at a cost of Rs.3,156-10-4.
2. It was suggested by the Administrative Medical Officer, on his visit to
the Asylum in July 1898, that the old building known as the Thaggi Hospital
and a piece of Nazul land adjoining, be obtained for the purpose of being converted
into an Asylum for European and Eurasian insanes.
An application to this effect has been made to the Chief Commissioner.
STATEMENT I.
3. This statement shows the total number of lunatics in the Asylum,
both criminal and non-criminal.
The total population during the year was 182, against 177 in 1897. This
was the highest number recorded during the past 11 years:—
Remaining on the 1st January 1898 ... ...
Admitted during the year ... ... ... ...
Re-admitted ... ... ... ...
Total ...
Discharged cured ... ... ... ...
Improved ... ... ... ... ...
Died ... ... ... ... ...
Remaining on the 31st December 1898 ...
Total ...
147
34
1
182
20
1
7
154
182
Of the number (154) remaining at the close of the year, 118 were males and
36 females.
4. The Asylum is constructed to hold 125 males and 38 females, or a total of
163 lunatics, allowing accommodation of 54 superficial feet per patient.
The greatest number confined on any one day was 121 males and 41 females ,
a total of 162, so that on the male side there was no overcrowding ; while on the
female side, for a short time, there was an excess of 3 over the authorised num-
ber.
5. The daily average strength was 152.89 (males 116.53, females 36.36)
against 150.64 (males 118.28, females 32.36) in 1897.
The daily average sick was 5.48 against 5.16.
6. The percentage of cured to daily average strength was 13.08 against
10.62 in 1897.
7. The percentage of mortality was 4.58 against 8.62 in 1897.
The percentage of cured to admissions and re-admissions was 57.44 against
50.00, and of mortality 20.00 against 40.63 in 1897.
8. The case of re-admission was one Dwarka Pershad, a Professor of
Persian in the Government College.
He was first admitted on the 27th November 1889. It appears that he
went to Patna on the 2nd November, to attend a social meeting of his caste. He
is said to have indulged freely in drink (country spirit) and on his return
to Jubbulpore, his manner was strange, he did not know his wife or child, believing
the former to be a goddess and the latter the son of god. At times, he was very
talkative, addressing an imaginary audience; at other times he was inclined to be
melancholic, saying, he was about to die. He would stand or sit for hours with
his arms stretched over his head, apparently in prayer, and became dirty in his
habits.
( 20 )
On waking up in the morning of the 29th November, he talked sensibly, saying,
he was quite ignorant of what went on at Patna, but had an idea that he had
committed some great crime and had been locked up for it. Later in the day he
again became excited.
On December 5th, he became quiet and answered rationally and afterwards
showed great improvement daily.
On the 28th December, on the application of his friends, the official visitors
recommended that he should be made over to them under the usual bond.
In July 1893, he was again sent to the Asylum, in a wildly excited state and
naked, and he refused food. It appears that he had gone to Mandla, and on return
became again insane. There is no history of his having indulged in drink, but
family troubles appear to have been the cause of the relapse. On the 28th
August he was again made over to his friends.
On the 10th February 1898, he was admitted a third time, was noisy, vio-
lent, abusive, and had most exalted ideas of his own importance, saying at one
time that he was a Raja, and at another, Ramchandra.
The mania daily put on different forms ; one day he would occupy himself
writing absurd petitions, another day he would spend in prayer, saying, he was
the founder of the Hindu religion, another day he would be melancholic and beg of
me to cut his throat with a knife.
This went on until May, when he gradually became quiet, and in July he was
again made over to his friends, having been rational since the end of May. The excit-
ing cause of his insanity this time was over-study. He had been translating a
Persian book in his leisure time, for he was still Professor of Persian.
He was handed over to his uncle, who gave the usual bond, and being afraid
that he would forfeit his bond if anything happened to his nephew, he used to
lock him up in his house ; this so enraged the man that he again became very
violent. I often saw him at his house and he would talk rationally and behave
himself until the uncle put in an appearance, when he would become very violent
and abusive. He still had an idea that he was a god. At the request of the
uncle, he was again sent to the Asylum in November 1898, and since last admis-
sion has been very violent.
I am certain that it is the life in the Asylum that is making him violent. If
any one but the uncle would take care of him and treat him kindly, I am sure he
would recover; but I doubt it if he remains in the Asylum.
His present state is not due to the Asylum treatment.
STATEMENT. II.
9. This statement refers only to criminal lunatics.
Remained on 1st January 1898—31, classified thus :—
(a)
(b)
(c)
Tried and acquitted on the ground of insanity ...
Insane and incapable of making a defence ...
Became insane during imprisonment ...
Total ...
M.
8
15
5
28
F.
1
2
0
3
Total.
9
17
5
31
Re-admitted.—Nil.
Admitted during the year—9.
(a)
(b)
(c)
Tried and acquitted on the ground of insanity ...
Insane and incapable of making a defence ...
Became insane during imprisonment ...
Total ...
M.
2
6
...
8
F.
0
1
...
1
Total.
2
7
...
9
( 23 )
enceinte, but that he has no doubt about her character. Is improving mentally
and physically, and I dare say that some more information will gradually be got
from him.
(9) Mussammat Bhury, charged under section 302, I. P. C.—Murder. The
history states that she was always of a happy disposition, until the day of her
return from worshipping with other women in a temple. On her return, she went
into the upper room of her house and remained there three days and nights without
food. On the fourth morning, she came down and noticed her little nephew, aged 2
years, crawling on the ground; she picked him up and fondled him and suddenly,
without apparent cause, dashed him to the ground. She picked the child up, and
seeing that it was dead, she laid it on the ground some distance from the house
and then went into her room and laughed and sang until the arrival of the parents.
She confessed having killed the child.
There is a motive; it appears that a day or two before, her sister threw as-
persions on her character. She is married, but has not lived with her husband.
On admission to the Asylum, she was very violent, threw her clothes away and
danced about naked, smeared herself over with filth and refused food. Is still
very indecent and talks filthy language.
STATEMENT III.
11. Of the 35 admissions and re-admissions, four districts of the Central
Provinces and two Native States sent in cases.
Central Provinces:—
Jubbulpore ... ... ...
Saugor ... ... ...
Mandla ... ... ...
Nimar ... ... ...
Total ...
Males.
13
4
3
1
21
Females.
8
1
1
1
11
Total.
21
5
4
2
32
Native States :—
Nowgong (Bundelkhand) ... ...
Nagode (Baghelkhund) ... ...
Total ...
Males.
1
1
2
Females.
1
...
1
Total.
2
1
3
Classification as regards religion and sex :—
Hindus ... ...
Mahomedans ... ...
Other castes ... ...
Total ...
Males.
16
5
2
23
Females.
9
1
2
12
Total.
25
6
4
35
There were no admissions of Christians, although there was a case (European)
for admission: there being no suitable accommodation, he could not be admitted.
12. Statement IV shows the previous occupations of the lunatics admitted.
The details are as follows :—
Learned professions ... ... ... ...
Tradesmen ... ... ... ...
Government servant ... ... ... ...
Private servants ... ... ... ...
Beggars ... ... ... ...
Cultivators ... ... ... ...
Labourers ... ... ... ...
No occupation ... ... ... ...
Unknown ... ... ... ...
Total ...
3
7
1
2
6
6
7
2
1
35