4
Moonia, a female in the asylum 8 years, wasted away from cancerous disease
of the uterus. A melanotic tumour found at the upper and posterior part of that
organ.
Rambhut, admitted in 1874, died from pulmonary consumption, the right
lung full of cavities. Membranes of the brain thickened with old deposits of
lymph.
Seeta, a female, admitted in 1877, died from extensive valvular disease of
the heart with dropsical and plueritic effusions. Bones of the skull thickened.
Dura mater thick and adherent, old deposits of lymph over the convolutions of
the brain, which was smaller and softer than natural.
Kunkuram, died from general tuberculous, both lungs full of tubercles, which
were also found studded over the peritoneum, and within the liver and other organs.
This man persistently refused medicine and food which had to be given in the
form of enema.
14. Besides treating those in hospital, for what may be considered as acci-
dental or' uncurrent diseases, efforts were invariably made to cure or improve
the condition of those amongst the insane who offered any hope.
The violence
of maniacs was restrained by cold douches and full doses of Hydrate of Chloral.
One epileptic was cured by a long course of Bromide of Potassium, and the condi-
tion of other epileptics improved by the employment of the same drug. No res-
traint has been allowed beyond shutting up in a separate but open ward or cell for
short periods individuals temporarily excited. The exception being in the case
of the criminal Mahso after his last escape, who was hand-cuffed every
night for security until removed to the Central Jail, but this cannot be considered
as any portion of the treatment of insanes, as this man is not insane. One of the
commonest symptoms noticed in new comers is filthiness in habits, and this is one
of the first corrected, and the instances are rare where, except in the case of
incurable idiots, it has not been more or less completely overcome after a time.
All who will work have some simple employment found for them, from pulling
up weeds and carrying water, to spinning and weaving cloth for the inmates; none
are forced to work; but the industrious are rewarded by a little extra tobacco
or a handful of parched rice, whilst the lazy may have a few grains of their
tobacco kept back. After working hours, the men are allowed to sing, dance and
play simple native instruments, provided they do not become too noisy. With few
exceptions the inmates are happy and contented, three only being always clamor-
ous for release.
15. Statements 9, 10 and 11, referring to finance, will, I believe, be con-
sidered favorable. There has been an increase of Rs. 108 under the head of
Establishment, explained by the employment of a 1st class Hospital Assistant
at Rs. 75 a month since April 3rd in the place of a 2nd class Hospital Assistant at
Rs. 55, as Deputy Superintendent, but there was no extra allowance for dearness
of provisions as in 1879, and the services of a barber and of a dhobee have been
dispensed with during the whole year. As the average number of inmates has
diminished during the year, but not sufficiently so to admit of reduction of estab-
lishment, the cost for each must of necessity be higher, and the excess charge under
this head is Rs. 3-8-0 for each.
16. The average cost of diet has been less by Rs. 10-14-6 grain being much
cheaper.
The purchasing of grain &c., in the open bazar has been continued, and certainly
he supply has been better, and there has been a saving of Rs. 476, calculated upon
the monthly rates furnished by the Deputy Commissioner. Rs. 283-12-9 is the
value of food received from the asylum, farm and garden.
The cotton clothing was entirely supplied from lunatic labor, from the sow-
ing of the seed, to the making up into garments, and was valued at Rs. 97-2-9.
Blankets and tat bedding were obtained from the Central Jail at an interdepart-
mental expenditure of Rs. 292-8-0, the cost for the year being on an average
Rs. 3-1-11 per head. The wear and tear in the asylum is always great, but the
cost for the current year will be much less than in 1880.
The cost of European medicines was Rs. 67-12-3, giving an average of
9 annas 4 pies.