NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
6
The cases of dysentery and diarrhoea comprise a large pro-
portion of the admissions to hospital for sickness. There were
328 cases with 53 deaths, as compared with 442 admissions and
114 deaths for the period 1918—20, 44 cases of pneumonia were
treated with 20 deaths as compared with 75 and 29 deaths dur-
ing the previous triennium. As stated in a previous para-
graph, more cases of tuberculosis are being diagnosed and treat-
ed each succeeding year. In 1923, 72 patients have been treat-
ed in the Tubercular Section, while the numbers of patients
under treatment for this disease in 1921 and 1922 were 38 and 52.
9. A public institution such as this is very like a machine.
It cannot run smoothly and satisfactorily unless every indivi-
dual portion of the mechanism does its fair share of work. I
desire to express my thanks to the whole-hearted and devoted
support given to me by all the members of the staff and person-
nel ; and in particular, for the loyal co-operation and assist-
ance I have at all times received from the Rev. Mother Superior
and the Francisan Sisters, from Dr. Thomas, the Deputy Super-
intendent, and from Lala Ram Saran Das the Head Clerk. I
must acknowledge also the help I have frequently received from
the Professor of Pathology in the diagnosis of many cases
by the Wasserman Reaction and other laboratory tests.
C. J. LODGE PATCH, CAPT., I.M.S.,
DATED, LAHORE :
Superintendent,
The
1924.
Punjab Lunatic Asylum, Lahore.
STATEMENT
SHOWING THE ADMISSIONS, DISCHARGES, ETC.,
LAHORE, DURING THE YEAR 1923.
1
YEARS.
1921 ...
1922 ...
1923 ...
2
REMAINED ON
1ST JANUARY.
Males.
708
670
692
Females.
147
176
188
Total.
850
846
880
3
ADMITTED.
Males.
214
204
233
Females.
71
56
46
Total.
285
260
279
4
RE-AD-
MIT-
TED.
Males.
47
45
26
Females.
22
17
12
Total.
69
62
38
5
TOTAL
POPULATION.
Males.
964
919
951
Females.
240
249
246
Total.
1,204
1,168
1,197
NOTE.—Obervation cases are not
The capacity of the Punjub Asylum is, at 50 superficial feet per patient for—
Males
...
...
...
...
Females
...
...
...
...
Total ...
672
190
862
iii
No. 1.
OF LUNATICS IN THE PUNJAB LUNATIC ASYLUM,
AND TWO PREVIOUS YEARS.
6
Discharged.
A
CURED.
Males.
120
91
109
Females.
18
22
14
Total.
138
113
123
B
TRANSFERRED TO FRIENDS.
Improved.
Males.
69
73
59
Females.
19
21
20
Total.
88
94
79
Not Improved
Males.
14
17
23
Females.
6
3
4
Total.
20
20
27
C
OTHERWISE.
Males.
15
3
5
Females.
...
...
...
Total.
15
3
5
D
TOTAL.
Males.
218
184
196
Females.
43
46
38
Total.
261
230
234
included in the figures for 1922 and 1923.
The maximum number of lunatics confined on any one night was—
Males
...
...
...
...
Females
...
...
...
...
TOTAL
...
...
732
198
930
iv
STATEMENT
SHOWING THE ADMISSIONS, DISCHARGES, ETC.,
LAHORE, DURING THE YEAR 1923.
1
YEARS.
1921 ...
1922 ...
1923 ...
7
DIED.
Males.
76
43
69
Female.
21
15
23
Total.
97
58
92
8
REMAINING ON
31ST DECEMBER.
Males.
670
692
686
Females.
176
188
185
Total.
846
880
871
9
DAILY AVERAGE
STRENGTH.
Males.
702.68
682.89
709.92
Females.
161.90
184.28
189.61
Total.
864.58
867.17
899.53
10
DAILY AVERAGE
SICK.
Males.
23.82
31.55
39.65
Females.
12.31
9.06
12.18
Total.
36.13
40.61
51.83
NOTE.—Observation cases are not included in the figures for 1923.
The capacity of the Punjab Asylum is, at 50 superficial feet per patient, for—
Males
...
...
...
...
Females ...
...
...
...
TOTAL ...
672
190
862
v
No. I—CONCLUDED.
OF LUNATICS IN THE PUNJAB LUNATIC ASYLUM,
AND TWO PREVIOUS YEARS-CONCLUDED.
11
Percentage to
DAILY AVERAGE STRENGTH.
A
CURED.
Males.
17.08
13.33
15.35
Females.
11.12
11.94
7.38
Total.
15.96
13.03
13.67
B
DIED.
Males.
10.82
6.30
9.72
Females.
12.97
8.14
12.13
Total.
11.22
6.69
10.23
* ADMISSIONS.
C
CURED.
Males.
22.99
15.66
23.94
Females.
16.13
16.44
10.34
Total.
21.19
15.84
21.45
D
DIED.
Males.
4.60
3.61
3.86
Females.
4.30
5.48
5.17
Total.
4.52
4.04
4.10
*Calculated only incurred and died among the admissions during the year.
The maximum number of lunatics confined on any one night was—
Males
...
....
...
...
Females
...
....
...
...
TOTAL ...
732
198
930
vi
STATEMENT No. I-A.
SHOWING CASES ADMITTED FOR OBSERVATION IN THE PUNJAB LUNATIC ASYLUM,
LAHORE, DURING THE YEAR 1923 AND TWO PREVIOUS YEARS.
YEAR.
1921 ...
1922
...
1923
...
REMAINING
ON 1ST
JANUARY.
Males.
4
8
2
Females.
...
...
...
Total.
4
8
2
ADMITTED.
Males.
103
89
101
Females.
63
44
38
Total.
166
133
139
RE-ADMITTED.
Males.
30
24
15
Females.
6
16
12
Total.
36
40
27
CERTIFIED AND
ADMITTED
INTO ASYLUM.
Males.
52
60
44
Females.
44
32
26
Total.
96
92
70
CERTIFIED
AND
RELEASED UNDER
SECTION 14,
ACT IV OF
1912.
Males.
54
45
57
Females.
24
24
21
Total.
78
69
78
RELEASED
AS
UNCERTIFIED.
Males.
16
13
5
Females.
1
3
1
Total.
17
16
6
DIED.
Males.
7
1
6
Females.
...
1
2
Total.
7
2
8
REMAINING
OF 31ST
DECEMBER.
Males.
8
2
6
Females.
...
...
...
Total.
8
2
6
REMARKS.
vii
STATEMENT No. II.
RETURN OF CRIMINAL LUNATICS IN THE PUNJAB LUNATIC ASYLUM, LAHORE, FOR THE
YEAR 1923 AND TWO PREVIOUS YEARS.
1
YEARS.
1921 ... ...
1922 ... ...
1923
...
...
2
REMAINING
ON 1ST
JANUARY.
Males.
159
153
152
Females.
3
3
4
Total.
162
156
156
3
ADMITTED.
Males.
31
34
32
Females.
2
2
...
Total.
33
36
32
4
RE-ADMITTED.
Males.
2
6
5
Females.
...
...
...
Total.
2
6
5
5
TOTAL.
Mal es .
192
193
189
Females.
5
5
4
Total.
197
198
193
6
DISCHARGED,
TRANSFERR-
ED, ETC.
Males.
32
31
22
Females.
1
...
2
Total.
33
31
24
7
DIED.
Males.
7
10
12
Females.
1
1
1
Total
8
11
13
8
REMAINING
ON 31ST
DECEMBER.
Males.
153
152
155
Females.
3
4
1
Total.
156
156
156
9
DAILY AVERAGE
STRENGTH.
Males.
164.74
15712
156.27
Females.
3.39
2.99
1.98
Total.
168.13
160.11
158.25
The figures exhibited in this statement exclude " under observation" cases.
viii
STAT
RETURN SHOWING THE RELIGION, SEX AND RESIDENC
ASYLUM, LAHORE, DURING THE YEAR
1
DISTRICT.
Ambala ... ... ...
Amritsar ... ... ...
Attock ... ... ...
Bannu ... ... ...
Delhi ... ... ...
Dera Ghazi Khan ... ...
Dera Ismail Khan ... ...
Ferozepore ... ... ...
Feudatory States ... ...
Gujranwala ... ... ...
Gujrat ... ... ...
Gurdaspur ... ... ...
Gurgaon ... ... ...
Hazara ... ... ...
Hissar ... ... ...
Hoshiarpur ... ... ...
Jhang ... ... ...
Jhelum ... ... ...
Jullundur ... ... ...
Kangra ... ... ...
Karnal ... ... ...
Kohat ... ... ...
Lahore ... ... ...
Ludhíana ... ... ...
Lyallpur ... ... ...
Mianwali ... ... ...
Montgomery ... ... ...
Multan ... ... ...
Other Provinces ... ...
Peshawar ... ... ...
Rawalpindi ... ... ...
Rohtak ... ... ...
Shahpur ... ... ...
Sheikhupura ... ... ...
Sialkot ... ... ...
Simla ... ... ...
Unknown ... ... ...
Total for 1923 ...
Total for 1922 ...
Total for 1921 ...
2
HINDUS.
Males.
5
10
2
...
4
1
...
4
12
2
4
5
...
1
3
4
...
2
4
2
1
...
13
1
...
...
4
1
9
1
2
3
1
...
5
...
4
110
135
127
Females.
...
1
...
...
1
1
...
...
1
3
...
4
...
...
...
1
...
1
...
...
...
...
5
1
1
...
...
1
...
...
...
...
...
...
3
...
1
25
34
42
Total.
5
11
2
...
5
2
...
4
13
5
4
9
...
1
3
5
...
3
4
2
1
...
18
2
1
...
4
2
9
1
2
3
1
...
8
...
5
135
169
169
3
MUHAMMADANS.
Males.
...
4
2
4
3
...
3
2
6
3
7
3
1
5
2
1
...
5
2
...
6
2
22
2
1
2
3
3
4
5
3
...
1
4
5
1
9
126
102
120
Females.
1
1
...
...
1
...
...
...
1
2
1
...
...
...
...
...
1
...
1
...
...
...
8
1
3
...
...
1
1
...
..
...
...
1
1
...
3
28
32
36
Total.
1
5
2
4
4
...
3
2
7
5
8
3
1
5
2
1
1
5
3
...
6
2
30
3
4
2
3
4
5
5
3
...
1
5
6
1
12
154
134
156
NOTE.—Figures exhibited in the statement
ix
MENT NO. III.
OF PATIENTS ADMITTED INTO THE PUNJAB LUNATIC
1923 AND TWO PREVIOUS YEARS.
4
CHRISTIANS.
Europeans and
Anglo-Indians.
Males.
...
...
...
.
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
5
...
...
...
...
1
...
..
...
...
...
...
...
1
...
7
2
4
Females.
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
1
...
...
...
2
...
...
.
...
...
...
...
...
...
...
...
...
...
3
4
7
Total.
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
1
...
...
...
7
...
...
...
...
1
...
...
...
..
...
1
...
10
6
11
Indians.
Male.
...
...
...
...
1
...
..
...
...
...
...
...
...
...
...
..
...
...
...
...
...
...
2
...
...
...
...
...
...
...
...
...
...
...
...
...
...
3
4
3
Females.
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
1
...
...
...
...
...
...
...
...
...
...
...
...
...
...
1
1
6
Total.
...
...
...
...
1
..
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
3
...
...
...
...
...
...
...
...
...
.
...
...
...
...
4
5
9
5
OTHER CASTES.
Males.
1
1
...
...
...
...
...
2
2
...
.
...
...
...
1
1
...
...
1
...
...
..
1
...
...
...
1
...
1
...
...
1
...
...
...
...
...
13
6
7
Females.
...
...
...
...
...
...
...
...
1
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
1
2
2
Total.
1
1
...
..
...
...
...
2
3
...
...
...
...
...
1
1
...
...
1
...
...
...
1
...
...
...
1
...
1
...
...
1
...
...
...
...
...
14
8
9
6
TOTAL.
Males.
6
15
4
4
8
1
3
8
20
5
11
8
1
6
6
6
7
7
2
7
3
43
3
1
2
8
5
14
6
5
4
2
4
10
2
13
259
249
261
Females.
1
2
...
...
2
1
...
...
3
5
1
4
...
...
...
1
1
1
2
...
...
...
16
2
4
...
...
2
1
...
...
...
...
1
4
...
4
58
73
93
Total.
7
17
4
4
10
2
3
8
23
10
12
12
1
6
6
7
1
8
9
2
7
2
59
5
5
2
8
7
15
6
5
4
2
5
14
2
17
317
322
354
exclude " under observation " cases.
x
STATEMENT No. IV.
RETURN SHOWING THE PREVIOUS OCCUPATION OF
PATIENTS ADMITTED INTO THE PUNJAB LUNATIC
ASYLUM, LAHORE, DURING THE YEAR 1923
AND TWO PREVIOUS YEARS.
1
OCCUPATION OF PATIENTS.
Artizans ... ...
Beggars ... ...
Cultivators ... ...
Domestic servants ...
House wives ... ...
Labourers ... ...
Land owners ... ...
Military ... ...
Paiests ... ...
Professional ... ...
Prostitutes ... ...
Public servants ... ...
Sadhus and Fakirs ... ...
Shop-keepers
... ...
Teachers and students ...
No occupation ...
Unknown ... ...
Total ...
2
1923.
Males.
12
4
43
9
...
33
4
5
2
14
...
21
1
27
12
39
33
259
Females.
...
...
...
...
43
3
...
...
...
...
...
...
...
...
1
10
1
58
Total.
12
4
43
9
43
36
4
5
2
14
...
21
1
27
13
49
34
317
3
1922.
Males.
10
11
39
9
...
26
2
12
1
17
...
20
5
22
12
24
39
249
Females.
...
1
...
3
46
3
...
...
...
...
1
1
...
...
1
13
4
73
Total.
10
12
39
12
46
29
2
12
1
17
1
21
5
22
13
37
43
322
4
1921.
Males.
1
6
34
4
...
19
4
25
3
30
...
29
2
24
6
39
35
261
Females.
...
1
2
...
55
...
...
...
1
1
1
...
...
...
2
18
12
93
Total.
1
7
36
4
55
19
4
25
4
31
1
29
2
24
8
57
47
354
NOTE.—Figures exhibited in this statement exclude " under observation "cases.
xi
STATEMENT No. V.
RETURN SHOWING THE AGES OF PATIENTS ADMITTED INTO THE PUNJAB LUNATIC ASYLUM,
LAHORE, DURING THE YEAR 1923 AND TWO PREVIOUS YEARS.
1
YEARS.
1921 ... ... ... ...
1922
...
...
...
...
1923
...
...
...
...
2
UNDER 20.
Males.
26
20
25
Females.
14
10
9
Total.
40
30
34
3
20 TO 40.
Males.
187
166
171
Females.
55
38
32
Total.
242
204
203
4
40 TO 60.
Males.
39
58
57
Females.
20
21
14
Total.
59
79
71
5
UPWARDS OF 60.
Males.
9
5
6
Females.
4
4
3
Total.
13
9
9
6
TOTAL.
Males.
261
249
259
Females.
93
73
58
Total.
354
322
317
NOTE .— Figures exhibited in this statement exclude " under observation " cases.
xii
STATEMENT
SHOWING THE TYPES OF INSANITY OF THE LUNATIC
THE YEAR
1
CLASS.
*Remaining on 31st December
of the preceding year.
Admitted during the year ...
Total treated ...
Discharged ...
Recovered ...
Improved ...
Not improved ...
Otherwise ...
Escaped ... ...
Died ... ... ...
Remaining on 31st December ...
2
I.—ERRORS OF DEVELOPMENT.
IDIOCY.
Males.
31
14
45
...
...
...
...
...
3
42
Females.
26
6
32
...
1
...
...
...
3
28
Total.
57
20
77
...
1
...
...
...
6
70
IMBECILITY.
Males.
18
8
26
...
2
...
...
...
2
22
Females.
12
2
14
...
...
...
...
...
2
12
Total.
30
10
40
...
2
...
...
...
4
34
NOTE.—Observation cases are
*Revised types
xiii
No VI.
IN THE PUNJAB LUNATIC ASYLUM, LAHORE, DURING
1923.
3
II.—DISORDERS OF FUNCTIONS
MANIA (ACUTE, INTERMITTENT, CHRONIC) ASSOSIATED WITH
Pregnancy.
Males.
...
...
...
...
...
...
...
...
...
Females.
...
1
1
...
1
...
...
...
...
...
Total.
...
1
1
...
1
...
...
...
...
...
Parturition and
Lactation
(Inerperal.)
Males.
...
...
...
...
...
...
...
...
...
...
Females.
1
1
2
...
1
1
...
...
...
...
Total.
1
1
2
...
1
1
...
...
...
...
Epilepsy.
Males.
46
11
57
...
2
1
...
...
6
48
Females.
13
4
17
...
...
...
...
...
3
14
Total.
59
15
74
74
2
1
...
...
9
62
Old age.
Males.
...
...
...
...
...
...
...
...
...
...
Females.
...
...
...
...
...
...
...
...
...
...
Total.
...
...
...
...
...
...
...
...
...
...
Other forms.
Males.
65
56
121
38
14
3
...
1
10
55
Females.
41
13
54
7
4
...
...
...
7
36
Total.
106
69
175
45
18
3
...
1
17
91
excluded from this statement.
of insanity.
xiv
STATEMENT
SHOWING THE TYPES OF INSANITY OF THE LUNATICS
THE YEAR
1
CLASS.
*Remaining on 31st December of the
preceding year.
Admitted during the year ...
Total treated ...
Discharged
Recovered
...
Improved
...
Not improved
...
Otherwise
...
Escaped
...
...
...
Died
...
...
...
Remaining on 31st December ...
4
II—DISORDERS
MELANCHOLIA (ACUTE, INTERMITTENT
Agitated.
Males.
2
...
2
...
...
...
...
...
...
2
Females.
1
1
2
...
1
...
...
...
1
...
Total.
3
1
4
...
1
...
...
...
1
2
Stuporous.
Males.
...
...
...
...
...
...
...
...
...
...
Females.
...
...
...
...
...
...
...
...
...
...
Total.
...
...
...
...
...
...
...
...
...
...
Hypochon-
driacal.
Males.
1
...
1
...
...
...
...
...
...
1
Females.
...
...
...
...
...
...
...
...
...
...
Total.
1
...
1
...
...
...
...
...
...
1
Associated
with
pregnancy.
Males.
...
...
...
...
...
...
...
...
...
...
Females.
...
...
...
...
...
...
...
...
...
...
Total.
...
...
...
...
...
...
...
...
...
...
*Revised types
xv
No. VI—CONTINUED.
IN THE PUNJAB
LUNATIC ASYLUM,
LAHORE, DURING
1923—CONTINUED.
5
6
7
OF FUNCTIONS—CONCLUDED.
CHRONIC.)
Associated
with
parturition
and lactation
(puerperal).
Males.
...
...
...
...
...
...
...
...
...
...
Females.
...
2
2
...
2
...
...
...
...
...
Total.
...
2
2
...
2
...
...
...
...
...
Associated
with
old age.
Males.
...
...
...
...
...
...
...
...
...
...
Females.
...
...
...
...
...
...
...
...
...
...
Total.
...
...
...
...
...
...
...
...
...
...
Other forms.
Males.
39
14
53
8
4
2
...
1
3
35
Females.
5
6
11
1
1
1
...
...
1
7
Total.
44
20
64
9
5
3
...
1
4
42
CIRCULAR
INSANITY
ALTERNATING
INSANITY.
Males.
26
21
47
11
5
1
...
...
4
26
Females.
18
9
27
4
2
...
...
...
1
20
Total.
44
30
74
15
7
1
...
...
5
46
STUPOR.
Energic
Males.
2
...
2
...
...
...
...
...
1
1
Females.
...
...
...
...
...
...
...
...
...
Total.
2
...
2
...
...
...
...
...
1
1
Delu-
sional.
Males.
...
...
...
...
...
...
...
...
...
...
Females.
...
...
...
...
...
...
...
...
...
...
Total.
...
...
...
...
...
...
...
...
...
...
DELUSIONAL-
INSANITY
(ACUTE OR
CHRONIC)
PERANOIA.
Males.
19
11
30
2
5
1
...
...
...
22
Females.
2
...
2
...
2
...
...
...
...
...
Total.
21
11
32
2
7
1
...
...
...
22
of insanity.
xvi
STATEMENT
SHOWING THE TYPES OF INSANITY OF THE LUNATICS
THE YEAR
1
CLASS.
*Remaining on 3lst December
of the preceding year.
Admitted during the year ...
Total treated ...
Discharged
Recovered ...
Improved ...
Not improved ...
Otherwise ...
Escaped ... ...
Died ... ...
Remaining on 31st December
8
9
10
11
III.—INSANITY OF INFECTIVE TOXIC
ACUTE DE-
LIRIUM
Males.
...
...
...
...
...
...
...
...
...
...
Females.
...
...
...
...
...
...
...
...
...
...
Total.
...
...
...
...
...
...
...
...
...
...
INSANITY
ASSOCIATED
WITH ACUTE
INFECTIVE
DISEASES.
Males.
...
...
...
...
...
...
...
...
...
...
Females
...
...
...
...
...
...
...
...
...
...
Total.
...
...
...
...
...
...
...
...
...
...
CONFUSIONAL
INSANITY.
Males.
8
4
12
2
3
...
...
...
6
1
Females.
7
3
10
1
2
1
...
...
2
4
Total.
15
7
22
3
5
1
...
...
8
5
SYPHILITIC
General
paralysis of
the insane.
Males.
...
...
...
...
...
...
...
...
...
...
Females.
...
...
...
...
...
...
...
...
...
...
Total.
...
...
...
...
...
...
...
...
...
...
*Revised types
xvii
No. VI—CONTINUED.
IN THE PUNJAB LUNATIC ASYLUM, LAHORE, DURING
1923- CONTINUED.
12
13
14
15
AND OTHER CENERAL CONDITIONS.
INSANITY.
Dementia from
local cerebral
syphilis.
Males.
...
...
...
...
...
...
...
...
...
...
Females.
...
...
...
...
...
...
...
...
...
...
Total.
...
...
...
...
...
...
...
...
...
...
INSANITY DUE
TO ALCOHOL.
Males.
...
...
...
...
...
...
...
...
...
...
Females.
...
...
...
...
...
...
...
...
...
...
Total.
...
...
...
...
...
...
...
...
...
...
INSANITY DUE TO
CANABIS INDICA OR
ITS PREPARATION OR
DERIVATIVES.
Males.
37
69
106
44
15
...
1
...
5
41
Females.
...
...
...
...
...
...
...
...
...
...
Total.
37
69
106
44
15
...
1
...
5
41
INSANITY FROM
OTHER CAUSES.
Males.
...
...
...
...
...
...
...
...
...
...
Females.
...
4
4
1
2
...
...
...
...
1
Total.
...
4
4
1
2
...
...
...
...
1
DEMENTIA
PRÆCOX.
Males.
64
33
97
4
9
7
1
...
9
67
Females.
27
4
31
...
1
1
...
...
1
28
Total.
91
37
128
4
10
8
1
...
10
95
of insanity.
xviii
STATEMENT
SHOWING THE TYPES OF INSANITY OF THE LUNATICS
THE YEAR
1
CLASS.
* Remaining on 31st Decem-
ber of the preceding year.
Admitted during the year
Total treated ...
Discharged
Recovered ...
Improved ...
Not improved
Otherwise ...
Escaped ... ...
Died
...
...
Remaining on 31st Decem-
ber.
16
III.—INSANITY OF INFECTIVE TOXIC AND OTHER
DEMENTIA (PRIMARY OR
Secondary or
terminal
dementia
Males.
330
9
339
...
...
5
1
...
19
314
Females.
34
...
34
...
...
...
...
...
2
32
Total.
364
9
373
...
...
5
1
...
21
346
From organic
cerebral diseases
other than
syphilitic.
Males.
...
...
...
...
...
...
...
...
...
...
Females.
...
...
...
...
...
...
...
...
...
...
Total.
...
...
...
...
...
...
...
...
...
...
From
arterial diseases,
senile.
Males.
1
9
10
...
...
3
...
...
1
6
Females.
...
2
2
...
...
...
...
...
...
2
Total.
1
11
12
...
3
...
...
1
8
From epilepsy.
Males.
3
...
3
...
...
...
...
...
...
3
Females.
1
...
1
...
...
...
...
...
...
1
Total.
4
...
4
...
...
...
...
...
...
4
*Revised types
xix
No. VI—CONCLUDED.
IN THE PUNJAB LUNATIC ASYLUM, LAHORE, DURING
1923—CONCLUDED.
1
GENERAL
CONDITIONS-
CONCLD.
SECONDARY)
From injury.
Males.
...
...
...
...
...
...
...
...
...
...
Females.
...
...
...
...
...
...
...
...
...
...
Total.
...
...
...
...
...
...
...
...
...
...
17
DECLARED TO HAVE
RECOVERED OR NOT
YET DIAGNOSED.
Males.
...
...
...
...
...
...
...
...
...
...
Females.
...
...
...
...
...
...
...
...
...
...
Total.
...
...
...
...
...
...
...
...
...
...
18
TOTAL.
Males.
692
259
951
109
59
23
3
2
69
686
Females.
188
58
246
14
20
4
...
...
23
185
Total.
880
317
1,197
123
79
27
3
2
92
871
of insanity.
xx
STATEMENT
SHOWING ÆTIOLOGICAL FACTORS AND ASSOCIATED
LUNATIC ASYLUM, LAHORE,
Ætiological Factors and Associated Conditions.
A. Heredity —
1.
Insane
...
...
...
...
2. Epileptic
...
...
... ...
3. Neurotic ... ... ... ...
4. Marked eccentricity ... ... ...
5. Alcoholism ... ... ... ...
B. Mental instability, as revealed by—
1. Moral deficiency ... ... ...
2. Congenital mental defect ... ... ...
3. Eccentricity ... ... ... ...
4. Previous attack
...
...
...
...
C. Deprivation of special senses—
1. Smell or taste ... ... ... ...
2. Hearing ... ... ... ...
3. Sight
...
...
...
...
D. Critical periods—
1. Puberty and adolescence ... ... ...
2. Climacteric
...
...
...
...
3. Senility
...
...
...
...
E. Child bearing—
1. Preguancy ... ... ... ...
2. Puerperal
...
...
...
...
3. Lactation
...
...
...
...
F. Mental stress—
1. Sudden
...
...
...
...
2. Prolonged
...
...
...
...
G. Diseases due to disorders of nutrition or metabolism—
1. Malnutrition (in early life)
...
...
...
2. Privation and starvation
...
...
...
3. Over-exertion (physical)
...
...
...
4. Sexual excess
...
...
...
...
Carried over ...
PREDISPOSING CAUSES.
Males.
8
...
...
...
...
...
16
..
34
...
...
...
...
...
...
..
...
...
...
...
...
...
...
...
58
Females.
8
6
...
...
...
...
...
...
11
...
...
...
...
...
1
...
...
1
...
...
...
...
...
...
27
Total.
16
6
...
...
...
...
16
...
45
...
...
...
...
...
1
...
...
1
...
...
...
...
...
...
85
xxi
No. VII.
CONDITIONS IN THE PATIENTS ADMITTED IN THE PUNJAB
DURING THE YEAR 1923.
EXCITING CAUSE.
Males.
...
...
1
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
14
8
...
...
...
...
23
Females.
...
...
...
...
...
...
...
...
...
...
...
...
...
...
1
1
3
1
7
3
...
...
...
...
16
Total.
...
...
1
...
...
...
...
...
...
...
...
...
...
...
1
1
3
1
21
11
...
...
...
...
39
TOTAL.
Males.
8
...
1
...
...
...
16
...
34
...
...
...
...
...
...
...
...
...
14
8
...
...
...
...
81
Females.
8
6
...
...
...
...
...
...
11
...
...
...
...
...
2
1
3
2
7
3
...
...
...
...
43
Total.
16
6
1
...
...
...
16
...
45
...
...
...
...
...
2
1
3
2
21
11
...
...
...
...
124
xxii
STATEMENT
SHOWING ÆTIOLOGICAL FACTORS AND ASSOCIATED
LUNATIC ASYLUM, LAHORE
Ætiological Factors and Associated Conditions.
Brought Forward
...
H. Infective and Toxic—
1. Alcohol
...
...
... ...
2. Opium and morphia ... ... ...
3. Cocaine ... ... ... ...
4. Canabis Indica ... ... ...
5. Acute infective diseases ... ...
6. Tuberculosis ... ... ...
7. Syphillis, acquired ... ...
„
congenital ... ... ...
8. Plague ... ... ... ...
9. Influenza ... ... ... ...
10. Other toxins ... ... ...
I. Traumatic—
1. Injuries ... ... ... ...
2. Operations ... ... ...
3. Sunstroke ... ... ... ...
J. Diseases of the nervous system—
1. Diseases of the brain ... ... ...
2.
„ of spinal cord and nerves ... ...
3. Epilepsy ... ... ... ...
4. Other defined neuorses ... ... ...
K. Other bodily afflictions—
1. Diseases of the blood ... ... ...
2.
„
„
Circulatory system ... ...
3.
„
valves of the heart ... ...
4.
„
„
digestive system ... ...
5.
urinary organs ... ...
6.
„
„
generative system (excluding syphilis)
7. Other general affections ... ... ...
Total
L. No cause assignable. ... ... ...
M. No cause ascertained— History defective ...
GRAND TOTAL ...
PREDISPOSING CAUSES.
Males.
58
...
...
...
3
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
..
...
61
...
...
61
Females.
27
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
27
...
...
27
Total.
85
...
...
...
3
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
88
...
...
88
NOTE.—Figures exhibited in this statement
Males
In 21 cases (12 males and 9 females) the
xxiii
No. VII—CONCLUDED.
CONDITIONS IN THE PATIENTS ADMITTED IN THE PUNJAB
DURING THE YEAR 1923—CONCLUDED.
EXCITING CAUSES.
Males.
23
13
3
...
71
...
...
1
...
...
1
3
...
...
...
...
...
13
...
...
...
...
...
...
...
...
128
...
...
128
Females.
16
...
...
...
...
...
...
...
...
...
...
5
...
...
...
...
...
5
...
...
1
...
1
...
2
1
31
...
...
31
Total.
89
13
3
...
71
...
1
...
...
1
8
...
...
...
...
18
...
...
1
...
1
...
2
1
159
...
...
159
TOTAL.
Males.
81
13
3
...
74
...
...
1
...
...
1
3
...
...
...
...
...
13
...
...
...
...
...
...
...
...
189
...
82
271
Females.
43
...
...
...
...
...
...
...
...
...
...
5
...
...
...
...
...
5
...
...
1
...
1
...
2
1
58
...
9
67
Total.
124
13
3
...
74
...
...
1
...
...
1
8
...
...
...
...
...
18
...
...
1
...
1
...
2
1
247
...
91
338
exclude " under observation " cases.
9.
causes are both predisposing and exciting.
xxiv
STATEMENT
SHOWING THE CASH ACCOUNT OF THE PUNJAB
PREVIOUS
RE-
Years.
1
1921 ...
1922 ...
1923 ...
Received from
Treasury.
2
Rs.
2,30,910
2,30,011
2,27,873
A.
12
5
8
P.
10
9
9
Received from
paying
patients.
3
Rs.
13,299
7,516
9,723
A.
0
8
3
P.
5
10
4
Value of stores
received from
the Manufactur-
ing
Depart-
ment, 1 ss cost
of raw material.
4
Rs.
11,084
16,582
17,344
A.
8
15
0
P.
2
11
2
Book receipts,
i.e., the total
of expenditure
entered in
columns 19,
20 and 21.
5
Rs.
9,694
14,030
3,84,814
A.
14
4
3
P.
9
0
0
Miscellaneous
receipts.
6
Rs.
1,240
875
1,238
A.
7
10
0
P.
3
3
0
Years.
1
1921 ...
1922 ...
1923
...
CHARGES—
Contingencies.
Contingencies
proper.
13
Rs.
16,351
15,559
17,798
A.
3
7
7
P.
7
0
6
Repairs and
maintenance.
14
Rs.
1,421
1,326
846
A.
12
3
2
P.
2
6
2
Rate
and
15
Rs.
596
882
760
A.
15
11
10
P.
0
0
0
Remitted to
Treasury on
account
of paying
patients, &c.
16
Rs.
14,539
8,392
10,961
A.
7
3
3
P.
8
1
4
Miscellaneous
items.
17
Rs. A. P.
...
...
...
NOTE.—The value of stores must be