383. At what period of life is a lady most prone to Hysterics, and what are the symptoms?
The time of life when hysterics occur is generally from the age of fifteen to fifty. Hysterics come on by paroxysms—hence they are called hysterical fits. A patient, just before an attack, is low spirited: crying without a cause; she is "nervous," as it is called; she has flushings of the face; she is at other times very pale; she has shortness of breath and occasional palpitations of the heart; her appetite is usually bad; she passes quantities of colorless limpid urine, having the appearance of pump water; she is much troubled with flatulence in her bowels, and, in consequence, she feels bloated and uncomfortable. The "wind" at length rises upward toward the stomach, and still upward to the throat, giving her the sensation of a ball stopping her breathing, and producing a feeling of suffocation. The sensation of a ball in the throat (globus hystericus) is the commencement of the fit.
She now becomes partially insensible, although she seldom loses complete consciousness. Her face becomes flushed, her nostrils dilated, her head thrown back, and her stomach and bowels enormously distended with "wind." After a short time she throws her arms and legs about convulsively, she beats her breast, tears her hair and clothes, laughs boisterously, and screams violently; at other times she makes a peculiar noise; sometimes she sobs, and her face is much distorted. At length she brings up enormous quantities of wind; after a time, she bursts into a violent flood of tears, and then gradually comes to herself.
As soon as the fit is at an end she generally passes enormous quantities of colorless limpid urine. She might, in a short time, fall into another attack similar to the above. When she comes to herself she feels exhausted and tired, and usually complains of slight headache, and of great soreness of the body and limbs. She seldom remembers
