3
observation. The three cases of acute mania have all exhibited true maniacal
symptoms. One committed murder whilst under excitement, the other two have
had fits of excitement,— biting and striking others, and being very destructive.
The two cases of melancholia are charcteristic, the patients being profoundly
silent and careless, sitting apart from others, requiring to be fed and otherwise
attended to. Three are put down as not insane, one being Birsha sent from
Chanda after acquittal on the ground of insanity from a charge of murder com-
mitted in 1877. The second, Sahodra, not having shown any symptoms what-
ever during the 7½ months she was in the asylum, and the third Musst.. Seetee,
sent to the asylum by mistake and discharged after a few days.
12. The classification of the old cases, however, has been altered. The
large majority of these have been in the asylum for many years ; acute
symptoms have become chronic, and many cases of mania have developed into
chronic dementia, little removed from idiotcy, not congenital. During the past
month I have gone through each case on the list, and changed the class of seve-
ral, showing that in which they should be entered at the present time, whatever
may have been their condition on admission.
13. Statement VII is the most unsatisfactory one. The causes of one-half
of the cases remaining at the end of 1881 are put down as unknown. The pro-
portion is diminishing, but they are mostly old cases, with very imperfect histo-
ries, and were in the asylum before I took charge, and it is impossible for me
to assign any cause. With every care it is difficult from the very imperfect
histories received with new cases, even after special reference, to positively assign
any one cause, but I believe those given to be fairly accurate. Ramchundra
and Sheodyal were inveterate ganja smokers. Dena has to be constantly watched
to keep him from self abuse Sakhia suffered from the delirium of fever. Shaik
Kulloo is a confirmed epileptic. Dehra's uncle is reported to have died mad, and
he has suffered for 25 years. Bukkie first showed signs after the death of two
children, and is now profoundly melancholy. Govind is firmly persuaded that
his Deo is angry with him ; Kitty is much excited on the subject of religion
and became so at not being admitted to Communion. Yenkama is first heard
of as insane, after desertion by a Faqueer, with whom she had been travelling,
but nothing is known of her before arrival at Nagpur, and when recovered she
could assign no reasonable cause beyond her trouble at being left alone so far
from her country. Of Jumia, no history was received, and so the cause is
returned as " unknown."
14. Statement VIII.—There is little to be said in reference to the diseases
of the year. The number of admissions, 104, was less than in 1881 when it was
130, and of these 104, four had the disease under which they were registered,
changed during treatment. Agues were the most prevalent, all did well ; one man
had pneumonia supervening, but recovered. One case of phthisis had a painful
abscess of the ear, and was afterwards released. Three suffered from round
worms ; one from teniæ, a large quantity discharged under treatment, but the
woman was made over to her friends before it could be ascertained if she were
cured. One case of diarrhœa turned into dysentery, and three cases of hœmorrhoids
were relieved rather than cured. Two very old and feeble men are kept under
observation, and specially fed. They make a constant factor in the daily average
sick. Of the fatal cases, one was that of Davoo, aged 53, who had been in the
asylum since 1865, for some time had been feeble and weak, so noted in register
since May 1876, would not take medicine and constantly drank his own urine
instead, fed badly ; had an abscess of the thigh on March 28th, with diffuse
cellular inflammation of the whole extremity, and died on April 6th. Wallee
Bux aged 52 had been in the asylum since April 1867, passed some round
worms in March ; in April became dropsical, and died on 22nd May ; the liver
was small, weight 1¼ lbs., contracted, and very hard, the cavities of the body
contained large quantities of bile-stained serum. Rhuki, aged 66, a very old
woman, admitted into the asylum in December 1876, then very feeble and weak,
bed ridden, and had been unable to stand for many months, probably years ;
knees quite contracted, walked for the first time on 9th August 1879, and since
then had been able to get about, at last without even the assistance of a stick.
In February had a severe attack of dysentery, and died in a few days. The
intestines, both small and large, were much congested, almost gangrenous, with
many circular ulcers over mucous surface of the large intestine, especially the
descending colon and sigmoid flexure. Ramgir, aged 31, had been in the asy-