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Now I can fancy a person who hears all this objecting hastily ‘What a fuss about giving a man a dose of medicine!’ But the fact is, there are many preliminaries to be gone through; the ground has to be prepared; the body must first be made susceptible to treatment; the patient’s whole condition has to be studied; he must be purged, reduced, dieted, properly exercised, enabled to sleep, coaxed into tranquillity. Now other invalids will submit to all this; but mania robs its victims of self-control; they are restive and jib; their physicians are in danger, and treatment at a disadvantage. Constantly, when we are on the very point of success and full of hope, some slight hitch occurs, and a relapse takes place which undoes all in a moment, neutralizing our care and tripping up our art.
