NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
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Use of hhcDnj.
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Opium-eating.
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. . .
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All other intoxi-
cimts.
Fever.
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i' aiM5ni:C'- t wn
CIM.
• t*> ■ cc to • c>
I" 3
Hereditary.
Epilepsy, &c.
c-nio-iwa i: -: to
to-
, - M*-. • *•.
»: : : «:
*.: M M-,: : -i
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: K-: : M
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,-: : : : : ,-: : _
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Total physical.
Grief.
*j
Anger.
o ■ otMOictaoMwi^
CMM. M • tt IO • to
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t_> . ci • WftWOt-m
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Fear.
Jealousy, &c.
•n
*j
Total moral.
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.
-1 —'
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00 — CO •
-^ OC CO -1 tO »**
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Total known.
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i
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CO
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Total unknown.
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5S
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ca
a
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5r-
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e 3
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Si
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CO
CO
Grand total.
?,l
a
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t-5'=3
Pi*
D- r'SB2S.c-cr2
"* B 8 § & £'" E
*a. tcw^csjc^if
li . OH 10 TA CZ. ti O
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fa
:-;
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f
trl
Mania, 12H.
M( lancliolin, 1*10.
Dementia,
In-
oladinK acquired
imbecility, 131,
i-3
Idiocy, 132.
Epileptic insan-
ity, 186.
•■
OS • M- " - »o ►-
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Insanity associat'
ed with obvious
mot bid change
or changes in
the brain, 141.
Consecutive in-
sanity
from
fevers, visceral
inflammat ion,
&c, 142.
ftj
H
Otlier forms of
insanity to be
specified in foot
notes.
Not yet diag-
nosed.
Total.
^3
e3
^
90
^
Co
05
«<
^
01

.
X* '
9
CO
si
C5>
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CO
80
i
08
Statement No VIII.—Return of Sick in the Hospital of the Lunatic Asylum at Tezpur for the year 1893.
l
3
3
4
S
6
7
8
Remaining from
prcvior.s year.
Admitted during
the year.
Results.
Disease*.
Total.
discharged cured.
Discharged other-
wise.
Died.
Remaining
sick .
M.
F.
T.
M.
F. j
T.
1
M.
F.
T.
M.
F.
T.
M.
F.
T.
M. F.
T.
M.
F.
T.
22a Dysentery
...
... I i
1
3
1
4
3
2
5
1
2
3
1 ...
1
1 ...
1
...
22b Ditto
...
... ...
...
3 ...
3
3 ...
3
1 ...
1
1 ...
1
1 ...
1 ... ...
...
23 Ague
,
... ...
...
4
4
8
4
4
8
3
4
7
1 ...
1 ...
...
...
... ...
...
51 Scurvy
.
... ...
...
1 ...
1
1 ...
1 ... ...
...
1
...
1 ... ...
...
... ...
...
55 Debility
.
... ...
...
5
4
9
5
4
9
4
2
6
1
1
2 ... ...
...
...
1
1
73 Aneemia
.
1
1
2
6
4
10
7
5
12
3 ...
3
1
3
4
1
2
3
2 ...
2
122 Epilepsy
.
... ...
...
1 ...
1
1 ...
1 ... ...
... ...
...
1 ...
1 ... ...
...
322 Asthma
.
...
1
1 ...
1
1 ...
2
2 ...
1
1 ...
...
...
...
...
1
1
338 Bronchitis
...
...
...
...
3 ...
3
3 ...
3
2
2 ...
...
1 ...
1 ... ...
...
343 (Edema
.
...
...
...
...
1
1 ...
1
1 ... ...
...
1
... ...
..-
... ...
...
357 Phthisis
...
... ...
...
2 ...
2
2 ...
2 ... ...
...
...
2 ...
2 ... ...
...
378 Cancrnm oris
.
... ...
...
1
1
2
1
1
2 ... ...
... ...
...
1
1
2 ... ...
...
452 Dyspepsia
.
... ...
...
1 ...
1
1 ...
1
1 ..,
1
...
...
... ...
...
462 Tyuipanites
... ...
...
1 ...
1
1 ...
1
1 ...
1 ...
...
... ...
...
... ...
...
473 Diarrhoea
.
2 ...
2
4
1
5
6
1
7
5 ...
5 ...
...
1« 1
2 ... ...
...
551 Bright'* disease
...
... ...
...
...
1
1 ...
1
1 ... ...
... ...
...
...
1
1 ... ...
...
677 Prolapse of rectum
...
... ...
...
1 ...
1
1 ...
1 ... ...
...
...
...
... ...
...
1 ...
1
685 Ulcer of gum
...
... ...
1 ...
1
1 ...•
1
1 ...
1 ...
...
... ...
...
... ...
...
693 Menorrhagia
...
... ...
...
...
1
1 ...
1
1 ...
1
1 ...
...
... ...
...
... ...
...
1043 Wounds
...
... ...
...
9
...
2
2
2
2 ...
2 ...
...
... ...
...
... ...
...
Suicide
...
...
B
...
1
40
...
1
1
43 22
1 ...
10
34
...
...
1 ...
1 ... ...
...
Total
o
r,
19
59
G5 24
6l 5
11 10
5 J
15 I
3
~ 1
5
Statement No. IX.—Showing the Cash Account of the Tezpur Lunatic Asylum for the year 1893.
l
i
1
2
3
4
ft
6
7
8
9
i.
li
ia
£»
s?
so
ft
Sr
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01 M P
e ;-
i •>
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5 c ' p.
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« «•
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C ri-
ff C*
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a' .
S
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B
55
s
a
B
Contingencies proper.
i Repairs and maintenance.
p
s
Pi
Rates and taxes.
n a
a
a
?
•a
_i a
•a
C a
Received from treasury,
Received from paying patients.
Remitted to treasury on account of
paying patients.
£
Q gf
?
•a
Miscellaneous items.
Total of columns 8-17.
Charges on account of
work done by the
Public Works Depart-
ment.
I
«o
T»
a
o>
s p
00
JS
Cost of printed forms
and stationery.
Cost of English stores,
medicines, &o.
a
Total of columns 18 to 21.
O
cr
p
53
8
o p
£ •a
»
CD
a
M
CO
iK
p
O
•a
h3
a
o
o
o V
u a
M
."
Value of stores received from the
manufacture department.
Book receipts, Le., the total of
expenditure enured in columns
1»,"20, and 21.
a o o
2.
•a"
Miscellaneous receipt*.
Total.
Establishment proper.
Superintendence.
a
a-
B
Diet.
o
a
•a
Clothing and bedding.
Bazar medicines.
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£ 2.
to
;
;
ot.
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.
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£ cs.
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to
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51
Statement No. X.—Showing the sanctioned Establishment of the Tezpur Lunatic Asylum as it stood on the 3lst December 1893.
Establishment,
Number.
Monthly wages.
Bnperintendent
Overseer
Jemadar
Compounder
Male keepers*
Female keepers
Chankidar
Ditto
Sweeper
Barber
Gardener
Rs. u. p
1
ICO 0 0
1
65 0 0
1
18 0 0
1
12 0 0
8
80 0 0
3
30 0 0
1
9 0 0
1
8 0 0
1
12 0 0
1
4 0 0
1
10 0 0
Daily average number of males ...
Ditto
ditto
females
f Jemadars to males ...
Jamadarins ^o females
J Male keepers to males
Female keepers to females
Proportion of {
I
73-42
28-88
7342
28-88
9-17
9-62
OS
• One temporary male keeper discontinued to be borne on the establishment owing to decrease of population.
—
A
>
in
y
P
G
r.
b
I
10
a
9!
1
1
i
c
I
— —
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w
§
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*1
CO
CO
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1
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►9
c%
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CO
w
w
o
p
>3
Cash paid into treasury for articlca sold.
w
M
o
w
M
f
Value of manufactured goods in store at the
CO
p
end of the year.
o>
•d
.
Valne of raw materials in store at the end of
the year.
o
Bi
:
Value of manufactured goods in store at the
end of the year.
.
Value of plant and machinery in store at
'
tho end of the year.
o
w
at
OS
p
Total Credits.
n
-4
•a
.
Value of manufactured goods in store on
1st January,
«0
Valuo of raw materials in store on lBt
January.
O
Value of plant and machinery in store on
1st January.
W
o
IP
fc)
•»
?
Raw materials purchased.
cr
to
o
"P
Contingencies of manufacture.
'
All other charges.
Mk
i P
~1
F
Total DebitB.
o
«d
o
»
to
p
ExceBS of credits or profits.
>q
"?
$
1
c
;
Excess of debits or loss.
to
«
Mk
W o
*?
>*}
Average number of inmates employed on
I
1
M
5
garden work (manufactures).
co
CD
s
s
11
ft
c-s.
a
ft.
g
k
s
&<
lS>.
o
r>
c&
•*?
CO
ft
I
ft.
8 s
c-f.
Co
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ft
*8
ft,
CO.
cr
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•8
1
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ct
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a
Resolution on the Report of the Tezpur Lunatic Asylum for the year 1893.
Extract from the Proceedings of the Chief Commissioner of Assam, in the Judicial
Branch, No. 2344^., dated the iSth April 1894.
Read—
Letter No. 103T., dated the 1st February 1894, from the Officiating Pr ; xipal Medical Officer
and Sanitary Commissioner, Assam, to the Secretary to the Chief Commissioner of Assam,
forwarding the Annual Report of the Tezpur Lunatic Asylum for the year 1893.
RESOLUTION.
THERE were no inmates at the Asylum at the beginning of 1893. Thirty-two
were discharged during the year, 13 cured, ^improved, and three not improved. There
were two escapes. The daily average number at the Asylum was 102. The number
of inmates at the end of the year was 98, of whom 71 were males and 27 females. Of
these, 20 males and three females were criminal lunatics, and the rest non-criminal
lunatics. Fifty-four of the patients remaining at the end of the year were natives
of the Province, and 44 belonged to the immigrant classes.
2. The health of the inmates was not satisfactory. Although the daily average sick-
rate (7*40) was somewhat below that of the preceding three years, the death-rate, 14*66
per cent, on the daily average strength, was high. The Chief Commissioner has no doubt,
that the continued attention of the Principal Medical Officer and Sanitary Commissioner
and of the Superintendent of the Asylum will be directed to ascertaining and remedying
any preventible causes prejudicially affecting the health of the patients. It is reported
that the returns of mortality do not include the whole number of inmates who died
during the year ; for it is said to have been the practice, in some cases, to send sick
inmates to the charitable dispensary for treatment, and to exclude from the Asylum
returns those who died there. This is the first time that this practice has been reported
to the Chief Commissioner ; and he agrees with the Superintendent and the Principal
Medical Officer and Sanitary Commissioner that it must be discontinued at once, and
that sick inmates must be treated at the Asylum hospital only.
3. In his inspection remarks, the Principal Medical Officer and Sanitary Commis-
sioner has made proposals for revising the establishment attached to the Asylum, and
for making certain sanitary improvements. These proposals are under separate
consideration ; and some of the improvements recommended have already been
sanctioned.
4. The cost per head of inmates increased from Rs. 88-13-10 in 1892 to Rs. 94-7-10
in 1893, chiefly on account of the higher cost of rations. The tables given in paragraph
23 of the Report show, however, that, making allowance for the expensiveness
of this Province, the expenditure, on the whole, compares not unfavourably with that
of the other Asylums named.
5- It has not been found possible yet to take any substantial step in the direction
of introducing manufactures into this small Asylum, but the Chief Commissioner
understood, when he inspected the Asylum in February last, that an attempt would be
made during the current year to give the non-criminal lunatics some light work to do.
A workshed has been erected for sheltering the lunatics so employed.
6. The Asylum has recently been visited by the Principal Medical Officer and
Sanitary Commissioner for Assam, who was accompanied by the Surgeon-Genera[
with the Government of India. The Chief Commissioner observes that Dr. Warburton
reports that the condition and management of the Asylum reflect the highest credit on the
Superintendent, Surgeon-Major Macnamara. The Chief Commissioner himself on the
occasion of his recent inspection expressed himself well satisfied with its internal
arrangements.
By £rder of the Chief Commissioner of Assam,
P. G. MELITUS,
Ofg. Secretary to the Chief Commissioner of Assam.
A. S. P O. (Judl.j No. 48S-'13S—19-4-94-
ANNUAL REPORT
ON THE
TE2PUR LUNATIC ASYLUM
T
FOR THE YEAR
1893,
SHILLONG:
PRINTED AT THE ASSAM SECRETARIAT PRINTING OFFICE.
1894.
Price One Rupee.
ANNUAL REPORT
UM
0> T THE
TEZPUR LUNATIC ASYLUM
FOR THE YEAR
I 8 94
SHiLLONG •
PRINTED AT THE ASSAM SECRETARIAT PRINTING OFEICli,
1S95.
Price One Rupee.
TE
PI
ANNUAL REPORT
ON THE
TEZPUR LUMTIC ASYLUM
FOR THE YEAR
I894.
SHILLONG :
PRINTED AT THE ASSAM SECRETARIAT PRINTING OFFICE.
1895.
Price One Rupee.
FROM
ST
To
T
SIR,
SHILLONG :
PEINTED BY THE STJPEEINTENDENT OF THE ASSAM SECRETARIAT
PEINTING DEPARTMENT.
1
Lunatic A$
the Asylun
These remi
January hi
Asylum di
2. Tl
Home Der.
practice of
the deaths
with this (
3. Tl
additional
with phen
with eartl
ward. II
the in mat
No. 313C.
FHOM
SURGEON-COLONEL A. STEPHEN,
Offg, Principal Medical Officer and Sanitary Commissioner', Assam,
To
THE SECRETARY TO THE CHIEF COMMISSIONER OF ASSAM.
Camp Dhulri i the 8*/i February 1895.
SIR,
1 HAVE the honour to submit the Annual Report and Returns of the Tezpur
Lunatic Asylum for the year 1891, together with a copy of my inspection remarks on
the Asylum, written on the 18th of October 1894 and on the 17th of January 1895.
These remarks contain all the points requiring action, the note made on the 17th of
January having special reference to the excessively high death-rate that occurred in the
Asylum during the last quarter of 1894.
2. The explanation called for from Surgeon-Major S. Borah, in Government of India,
Home Department (Medical) letter No. 355, dated the 8th June 189i, regarding the
practice of sending moribund inmates to the charitable dispensary and of excluding
the deaths of those who died there from the asylum returns, was submitted to you along
with this ofhee letter No. 1651C, dated the 12th September 1894.
3. The ventilation of the criminal ward was improved during the year by putting
additional ventilators in the ceiling, and the practice of washing out the floor of this ward
with phenyle has been discontinued, and the floor is now covered to a depth of four inches
with earth. The Superintendent has not as yet introduced separate beds in the criminal
ward. He considers it essential to have every bed fixed in that ward, so as to prevent,
the inmates making use of them as weapons.
I have the honour to be,
SIR,
Your most obedient Servant,
A. STEPHEN, Surgeon-Colonel,
Ofg. Principal Medical Officer and Sanitary Cowmissioner, Assam.
jopy of INS.
Sanitary
1895.
I visite'
|jurgeon-Maj«
The cor
[supply of veg
The deal
Icauses of dea
ihief cause qi
floors should
or 3 inches o
three days ai
should be st<
The ini
be made for
9 o'clock wli
to the inmat
Jopy of INSPECTION REMARKS made by the Principal Medical Officer and
Sanitary Commissioner, Assam, on the Tezpur Lunatic Asylum on the 17th January
1895.
I visited the Lunatic Asylum to-day accompanied by the Superintendent,
jurgeon-Major Macnamara.
The compound and buildings were very clean and tidy, and there was a large
supply of vegetables in the garden.
The death-rate during the last quarter of 1894 was enormously high, the principal
causes of death having been phthisis pulmonalis and other diseases of the lungs. A
hief cause of this high mortality is, 1 believe, dampness of the sleeping barracks. The
loors should be leeped as seldom as possible. The experiment of covering them with 2
or 3 inches of dry sand should, I think, be made, the sand being removed every two or
three days and replace 1 by fresh sand, and a shed should be provided in which the sand
should be stored.
The inmates do not get their morning meal till 11 o'clock. Arrangements should
be made for giving them this meal at 10 o'clock in the cold weather and not later than
9 o'clock when the days are long. The water in which the rice is boiled should be given
to the inmates, as most of the salts of the boiled rice are contained in this water.
Tezpur
Tl
(1
No. 14, dated Tezpur, the 21st January 1895.
From—Surgeon-Major J. W. MACNAMAKA, M D., Superintendent of the Tezpur Lunatic
Asylum,
To—The Principal Medical Officer and Sanitary Commissioner, Assam.
I HAVE the honour to forward herewith the Annual Report and Returns of the
Tezpur Lunatic Asylum for the year 1894.
The report has been delayed for the following reasons :
(1) The Annual Eeport for 1893 for Asylums in Bengal, which is required for the
preparation of the comparative statement of the expenditure of this Asylum and
those in -Bengal (vide Principal Medical Officer's letter No. 2665C, dated
the 13th September 1892), has not been received from the Inspector General
of Civil Hospitals, Bengal, although he had been requested to send it by
this office telegram dated the 31st December 1894.
(2) The certificate of cash drawn from, and remitted to, the Tezpur treasury during
1894 has only just been furnished by the treasury officer, though he had
been requested in this office letter No. 1, dated the 1st January 1895, to
supply it early.
ANNUAJ
1. Asi
the entire y
2. Imj
during the
although it
and bucket
substantial
(b) Tl
ventilators
(o) Tl
discontinue
4 inches de
Dr. Warbu
good benea
in the rain;
are differen
over night'
If we ever
(d) i
bit of land
door now s
work or re
separate th
comfort of
3. Ac
female lun
23 females
for the use
4. 67
as heretofc
Dhotis and
nature of
third blan
5. D\
place duri
6. 11
7. W
There is n
described
8. d
to work SJ
9. A,
admission
Remained
Admitted
Re-admittod
Total
Average pop
Discharged
Died
Escaped
Remaining
There were two re-admissions during the year under review ; both patients were
previously discharged from this Asylum.
10. Escapes.—Three non-criminal male lunatics escaped during the year. They are
still at large. One of these lunatics (Binswari coolie) escaped while bathing in the Mora
Bharali river, and the other two ( Bhonsa coolie and Birbal alias Budhi Kolita) escaped— one
while cutting ikra in the jungle, and the otlier while cutting bamboos in a village. The
keepers in charge were dismissed for neglect of duty. Notice of these escapes was duly
given to the police and the Deputy Commissioner of the district from which the lunatics
were received, but no trace of them has yet been found.
The following statement shows the duration of the diseases of the patients admitted
during the past two years with the average of those admitted during the past ten years,
together with the result of treatment as shown by the mode of discharge :
Under six months.
over six months.
Total,
Male.
Female.
Total.
•
Male.
Female.
Total.
Male.
Female.
Total.
1894
...
...
32
3
35
11
2
13
43
5
48
1893
...
11
8
19
13
3
16
24
11
35
Average of previous ten years .
13-6
4-8
18-4
12-8
3-4
16-2
26-4
8-2
34-6
Since the opening of the Asylum in 1876 there have been 691 admissions including
re-admissions. The following statement shows how the persons admitted were disposed
of:
1894.
1893.
Average af previous ten years.
Male.
Female.
Total.
Male.
Female.
Total.
Male.
Female.
Total.
Cured, total
8
2
10
11
2
13
8-5
2-5
11-0
Cured, per cent, of total popula-
tion
...
7-01
6-25
6-84
14-98
6-92
21-90
14-24
1285
13-94
Cured, per cent, of admissions ..
18-60
40-00
20-83
45-83
18-18
37-14
33-17
36-77
36-56
Made over to friends—
'
Improved
8
6
14
4-0
1-2
3-2
Not improved
3
3
21
0-5
2-6
Died, total
20
8
28
10
6
15
6-7
2-3
9-p
Died, per cent, of average popu-
lation
...
24-48
33-07
26-44
13-62
17-31
14-66
16-34
12-65
11-06
Died, per cent, of admissions ...
46-51
160-00
58-33
41-66
45-45
42-85
24-63
1
34-77
25-98
11. The following statement compares the nationality of the inmates for the past two
years with the average of each class of the previous ten years :
1894.
1893.
Average of previous ten years.
Male.
Female.
Total.
Male.
Female.
Total.
Male.
Female.
Total.
Natives of AsBam ...
...
10
10
8
3
11
12-5
2-8
15-3
Imported coolies ...
...
20
4
24
8
6
14
8-4
4-3
12-7
Free immigrants ...
...
13
13
8
2
10
4-9
0-7
6-6
Unknown
...
1
1
L
0-6
0-4
1-0
Total
...
43
5
48
24
11
35
26-4
8-2
346
Ofth.
321 were i
At th
Natives of,
Otlier prov
Total
Ofth
12. (
who rema
Grievous h
Arson
Murder ...
Culpable h
Theft ...
Total ...
2 and -1 o
the 13th
13.
of the pal
14.
the year.
Of the 619 inmates admitted since the Asylum was opened, 283 were natives of Assam>
321 were foreigners, and of 15 the birthplace was unknown.
At the end of the year under review there remained—
•
Male.
Female.
Total.
Natives of Assam
C Imported coolies
Other provinces
... <
(.Free immigrants
38
27
18
10
10
2
48
37
20
Total
83
22
105
Of the 48 admissions for 1894, 24* were tea garden coolies.
12. (a) The following statement sho.ws the crimes committed by the criminal lunatics
who remained under treatment at the close of the year :
Male.
Female.
Total.
Grievous hurt
...
...
...
4
4
Arson
• • •
...
...
...
3
3
Murder ...
...
...
...
6
0
Culpable homicide ...
...
...
...
2
1
3
Theft
...
•.•
I..
...
...
3
3
Total
...
18
1
19
(b) The 19 criminal lunatics classified are distributed as follows, vide paragraphs
2 and 4 of Government of India, Home Department Resolution No. SMedl.—398, dated
the 13th July 1893 :
Male. Female. Total.
(1) Those tried and acquitted on the grounds of insanity .
.7
...
7
(2) Those insane on admission and found to be incapa-
ble of making a defence
...
...
8
(3) Those who became insane during imprisonment
...
3
9
3
Total
18
19
13. Statement No. Illshows the religion, sex, and distribution according to nationality
of the patients admitted during the year.
14. Statement No. IV gives the previous occupation of the patients admitted during
the year. The figures, since the opening of the Asylum, were—
Agriculturists
Coolies
Beggars
Sepoys
Servants
Other occupation
207
222
28
25
20
117
uc
Total
• •»
619
4
15. Age of lunatics (see Statement No. V).—The ages of the lunatics admitted since
the opening of the Asylum were—
Under 20 years.
20 to 40 yours.
40 to 60 years.
Upward B of 60.
1
Male, j Female.
Total,
Male.
Female,
Total.
Male
Femalo.
Total.
Male.
1 Female.
Total.
18
8
26
892
116
508
64
18
82
2
1
S
16. Types of insanity.—(See Statement No. VI.)
17. Alleged causes of insanity.—(See Statement No. VII.)
18. Sickness and mortality—(See Statement No. VIII.) Out of a total population of
140, 37 were admitted to hospital during the year. Of these, 31 were admitted once, and 6
were admitted twice. The percentage of admissions and deaths to average strength has
been—
1894
1893
Average of previous ten
years ...
.
... 375'13
Admissions.
Deaths.
r
Male.
Female.
Total.
r
Male.
Female.
Total.
36*72
53-74
40-61
24-48
33-07
26-44
54-48
65-78
57-67
13-62
17-31
14'66
450-30
380-55
16-34
12-65
11-06
The daily average sick for the past two years is compared with the total of the past
ten years in this statement :
Male.
Female.
Tctal.
i oyi
...
...
...
...
*
lOoO
...
...
...
...
Average of previous ten years
2-83
2-41
5-24
3-75
3-65
7-40
3-55
2-12
5*67
The average rate of sickness this year has been less than last year ; but, owing to an
unhealthy year, the bad health of the new admissions and a death from . an accidental
cause (suicide by hanging), the mortality of the Asylum during the year has been
absolutely high ; but relatively there is not much difference between it and other years,
as the custom of sending moribund patients from the Asylum to the dispensary was
discontinued. •
The deaths were 28 in number :
(1^ Phthisis and old age.—Musammat Romoni, non-criminal, aged 66 years, received
in good health in May 1885 from Goalpara; health began to fail in January
1890, and was recorded in the case book as bad in December 1892. She was
shown as sixty years of age on admission to the Asylum, and was melancholic.
On 20th January 1894 she died of phthisis with cavities in her lungs, the
diagnosis having been verified by post mortem examination.
(2) Apoplexy.—Boga Ahom, aged 46, was admitted only on 27th December 1893, and
having died on 22nd January 1894, was only 26 days in the Asylum. He was
in bad health on admission ; was dirty in his habits, and violent. He tore his
cloths, ate bricks, and refused his food. Autopsy revealed cerebral inflammation*
(3) Cirrhosis of the liver.—Khuda Kachari, aged 42, was in the Asylum since 1st
December 1889 ; admitted in indifferent health. His health somewhat
improved till August 1893, when it failed. He died of cirrhosis,of the liver,
verified post mortem. I am unable to ascertain from the records whether he was
addicted to habits of intemperance before admission.
(4) Lung disease.—Din a Nath, criminal male, aged 52 ; admitted on 18th March
1887 in good health ; was melancholic. Health shown by the case book to
have varied from time to time. Tubercles were found in the upper part oi
right lung on post mortem examination.