Dr. Robertson stated that the patient had been admitted under his care on the 10th of January last, when she had been ill for about seven weeks. She was a girl of 24 years of age, and her occupation was a linen-dresser. There was no known cause, and her family history was good, except that her father had been subject to some sort of “fits.” She had become gradually weaker, both in body and mind. At first there had been hallucinations both of sight and hearing, and she had complained of headache; but it appeared that these had passed away or been superseded by the advancing stupor. Menstruation had been quite regular, but on the last occasion her mental state had been worse while it continued. When admitted she had a vacant expression of countenance and seemed unable to understand any remark, however simple. She was of filthy habits and required to be fed by the nurse. She was quite passive in every respect. There was marked emaciation; the heart's action was very weak, the pulse was very feeble, and there was coldness and blueness of the extremities. The tongue was coated and brown, the lips were blackish, and there were sordes about them and the teeth. The bowels were constipated, but had been acted on by medicine before admission.
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