A Doctor's Report for January-February 1815

Loretta reports:
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MEDICAL REPORT
AN account of the practice of a physician from the 15th of January to the 15th February, 1815.
Peripneumony, 3 ... Pleurisy, 2 ... Catarrh, 10 ... Sore-throat, 4 ... Fever, 3 ... Rheumatism, 8 ... Head-ach, 2 ... Palsy, 2 ... Mania, 1 ... Hysteria, 1 ... Asthenia, 6 ... Asthma, 2 ... Cough and dyspnœa, 18 ... Consumption, 5 ... Measles, 3 ... Small-pox, 1 ... Dyspepsia, 4 ... Diarrhœa, 5 ... Gastrodynia, 2 ... Jaundice, 1 ... Dropsy, 3 ... Palpitation, 1 ... Ischuria, l ... Leucorrhœa, 2 ... Menorrhœa, 3 ... Cutaneous affections, 5 ... Diseases of infants, 8.

Although during the recent mild weather pulmonic disease has abated, some severe cases have occurred. In a case of obstinate and long-continued head-ach, unconnected with disorder of the primæ viæ, cupping afforded great relief. This affection, however, often depends upon the state of the stomach, and is much influenced by the biliary secretion. By attending to the functions of the liver and stomach, and inducing a healthy action in these organs, the pain in the head frequently ceases. But it occasionally depends on too great a determination of blood to the head, or an impeded circulation, or an altered state of the brain; and is even sometimes much influenced by the greater or less density of the atmosphere. Of all these causes, the most difficult to remove is the altered condition of the brain itself, of which as an organic substance, notwithstanding the researches of anatomists and the discoveries of physiologists, we yet know very little. So intimate is the connection between the mind and the brain, that what affects the one influences the other ; there is constant action and reaction. Intense thinking will occasion head-ach, and a slight pressure on the brain, as is often witnessed in accidents, as well as an increased flow of blood to the head, will destroy the power of thinking, in fact annihilate every faculty of the mind . . . Were it possible to obtain more frequent dissections of the organ, with accurate histories of the cases, much more light would be thrown on the mental aberrations, as well as the disorders of the brain, which at present are involved in considerable obscurity.
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Rudolph Ackermann, The Repository of arts, literature, commerce, manufactures, fashions and politics, 1815.