( iv )
drank in solution as sherbet. The medical officer of the Dacca Asylum at first classified
123 cases under the cause ' gunja and spirit :' on a reference the present division was made.
But Mr. Cutcliffe still holds that the causes are not really separable—the gunja smokers
being all spirit drinkers, and the spirit drinkers all gunja smokers. This may be the
case in his patients under report; but as a general rule the habits of this class of people
can generally be attributed to one or other cause as a major excitant.
Among the recognised causes of insanity, the table shews that intoxicating drugs or
liquors formed, as usual, the principal excitant of disease. In 1868, 37.4 per cent. of the total
treated was recorded under this head, during the present year 35.2 is the proportion;
gunja and bhang alone forming 29.1 per cent. of the total in the preceding, 30.7 per cent.
in 1869.
Epilepsy and its sequelæ, most probably occasioned by actual brain disease, formed 2.8
per cent. to treated during 1868, 3.6 per cent. during the present year. Patna in this year's
report shews a larger proportion of such cases than Dullunda, which in the report for 1868
almost stood alone.
The division between physical and moral ascertained causes will be of interest if kept
up from year to year. During 1869 it represented treated under the former head in the
ratio of 41.7 per cent., under the latter 4.7 per cent.; the proportions for 1868 being under
the same headings 44.4, and 7.1. Of the total of moral causes, grief alone occasioned 80.7
per cent.
The average ratio per cent. of causes diagnosed this year is 46.47, against the average of
51.6 per cent. of known causes in 1868.
No. 5.
Showing the diseases under which mortality occurred.
Dullunda ...
Dacca ...
Patna ...
Cuttack ...
Moydapore ...
Total
...
I.—GENERAL
DISEASES.
A.
Ague.
15
...
1
...
...
...
1
Remittent fever.
16
...
...
2
...
...
2
Cholera.
18
9
6
3
...
...
18
B.
Scrofu-
la 49-1.
Phthisis.
4
7
1
...
...
12
Tubercular meningitis
...
1
...
...
...
1
Tabes mesenterica.
...
2
...
...
...
2
Anæmia.
55
16
...
...
...
...
16
General dropsy.
57
...
...
...
1
...
1
II.—LOCAL DISEASES.
DISEASES OF THE
Nervous system.
Inflammation of pia mater and
arachnoid.
60.2
...
11
...
...
...
11
Yellow softening of the brain.
63
1
...
...
...
...
1
White softening of the brain.
70
...
1
...
...
...
1
Tetanus.
90
...
...
1
...
...
1
Epilepsy.
83
1
...
...
...
...
1
Paralysis of the insane.
108
...
2
...
...
...
2
Circulatory
system.
Fatty and calcareous degen-
eration of aortic valves.
225.1.c.
......
......
......
1
......
1
Respiratory
system.
Pneumonia.
315
2
3
...
...
...
5
Digestive system.
Dysentery.
466
3
4
5
1
...
13
Diarrhœa.
484
...
...
4
...
...
4
Fistula in ano.
490
...
1
...
...
...
1
Splenitis.
524
...
...
1
...
...
1
Urinary sys-
tem.
Lardaceous kidney.
538.2.c.
......
1
......
......
......
1
III—CONDI-
----- NOT
GENERALOS
LOCAL.
Old age.
904
...
...
...
...
1
1
Debility from mania.
905.105.
a. & b.
10
......
3
......
......
13
V.—INJURIES.
General.
Asphyxia from drowning.
995.a.
...
...
1
...
...
1
Local.
Fracture of ribs and injury to
lungs.
1,050
...
...
1
...
...
1
Contusion and rupture of vis-
cera (colon).
1,066
...
1
...
...
...
1
Total number of deaths.
46
41
22
3
1
113