2
"of diagnosis. The Superintendent at Nagpur includes all his patients under 3—
"acute mania, chronic mania, and chronic dementia. The Superintendent at Jub
"bulpore has in addition to these 3, melancholia, acute dementia, idiotcy and in-
"sipientia. Since I have had charge of the Asylum at Nagpur I have added
" the following types to the list of those under treatment, melancholia, paralysis*
" of the insane and insipientia." Doubtless the recognition of a type of insanity
depends upon correct diagnosis, and on correct diagnosis would depend proper
remedial treatment, and there might be the danger, lest when doctors differ, as
they do in the present case, the insanes should run a risk of being experimented
on by a change in treatment. The danger is, however, remote as the Chief
Commissioner believes that in India the study and treatment of insanity has not
attained the dignity of a speciality, and that the insanes are pretty much left to
the care of nature. But it does seem as if the value of a statement could not
be great as to which such different opinions are openly acknowledged.
5. Statement No. 7, which shows the alleged causes of insanity, can also not
pretend to any great accuracy, and has little claim to trust. The immoderate use
of drugs is of course a fertile source of insanity, and the consumption of ganja has
always been credited as the chief cause of insanity, but when "moral causes' 5
are assigned for insanity, doubt must arise as to the belief which can be accorded
to them, and it is almost ludicrous to see that in the Nagpur return the insanity of
5 persons is set down to "grief," and the insanity of 11 more lumped down to
one heading—"loss of property and relations and religious excitement."
6. Statement 8 shows the admission of sick into hospitals during the
year. At Nagpur, sickness as exhibited by this return was much more preva-
lent than in the previous year ; at Jubbulpore it was less. The chief ailments
at Nagpur treated were during 1875 ague, dysentery and diarrhœa, and com-
paring these with the sick roll of the previous year the Chief Commissioner
observes that in 1874 there were no admissions for ague, against 29 in the pre-
sent year ; for dysentery there were 7 patients admitted in 1874, against 16 in
1875 ; and for diarrhœa the admissions were about the same. 20 and 22.
7. The Cash Account Statement shows that the amounts which each asylum
drew from the Treasury were about the same, viz., Rs. 10,193 at Nagpur, and
Rs. 10,159 at Jubbulpore, and the annual cost per head was Rs. 87-11-5 at Nagpur,
against Rs. 77-0-5 at Jubbulpore ; so that it will be seen that both institutions
have worked more economically than in the previous year.
Jubbulpore as compared with Nagpur shows a smaller annual expenditure
per head under establishment and diet, the figures being :—
Jubbulpore.
Establishment ...
Diet. ...
Rs.
40
27
a.
4
10
p.
5
0
Nagpur.
Rs.
46
36
a.
8
5
p.
6
4
but under clothing Jubbulpore this year shows a higher expenditure, viz.
Clothing ...
5 12 6 2
9 2
Under establishment the charges at neither institution are excessive, and the
Chief Commissioner thinks that the different circumstances of the two asylums
as set forth in the 23rd paragraph of the resumé may be accepted as explaining
differences in establishment. The local Medical Officer under the supervision
of the Committee of Management is the best judge of what warders and
menial servants are required. But as regards diet, the Chief Commissioner is
not able to say that as much care and economy are shown at Nagpur as at Jub-
bulpore, and this matter was gone into at some length in consequence of the re-
marks made in paragraph 2 of Home Department letter No. 523, dated August
16th 1875. Amongst other things it was found that at Jubbulpore supplies