hard cash-第62部分
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d; he has; for a considerable time; experienced persistent headache of a kephalalgic or true cerebral type; and has now advanced to the succeeding stage of taciturnity and depression; not* unaccompanied with isolation; and probably constipation: but as yet without hallucination; though possibly; and; as my experience of the great majority of these cases would induce me to say; probably he is not** undisturbed by one or more of those latent; and; at first; trifling aberrations; either of the intelligence or the senses; which in their preliminary stages escape the observation of all but the expert nosologist。〃
*Anglice; 〃accompanied。〃 **Anglice; 〃disturbed。〃
〃There; you see;〃 said Osmond; 〃Dr。 Wycherley agrees with me: yet I assure you I have only detailed the symptoms; and not the conclusion I had formed from them。〃
Jane inquired timidly what that conclusion was。
〃Miss Hardie; we think it one of those obscure tendencies which are very curable if taken in time〃 Dr。 Wycherley ended the sentence: 〃But no longer remediable if the fleeting opportunity is allowed to escape; and diseased action to pass into diseased organisation。〃
Jane looked awestruck at their solemnity; but Mr。 Hardie; who was taking advice against the grain; turned satirical。 〃Gentleman;〃 said he; 〃be pleased to begin by moderating your own obscurity; and then perhaps I shall see better how to cure my son's disorder。 What the deuce are you driving at?〃
The two doctors looked at one another inquiringly; and so settled how to proceed。 Dr。 Wycherley explained to Mr。 Hardie that there was a sort of general unreasonable and superstitious feeling abroad; a kind of terror of the complaint with which his son was threatened; _〃and which;_ instead of the most remediable of disorders; is looked at as the most incurable of maladies:〃 it was on this account he had learned to approach the subject with singular caution; and even with a timidity which was kinder in appearance than in reality; that he must admit。
〃Well; you may speak out; as far as I am concerned;〃 said Mr。 Hardie; with consummate indifference。
〃Oh; yes!〃 said Jane; in a fever of anxiety; 〃pray conceal nothing from us。〃
〃Well; then; sir; I have not as yet had the advantage of examining your son personally; but; from the diagnostics; I have no doubt whatever he is labouring under the first fore…shadowings of cerebro…psychical perturbation。 To speak plainly; the symptoms are characteristic of the initiatory stage of the germination of a morbid state of the phenomena of intelligence。
His unprofessional hearers only stared。
〃In one word; then;〃 said Dr。 Wycherley; waxing impatient at their abominable obtuseness; 〃it is the premonitory stage of the precursory condition of an organic affection of the brain。〃
〃Oh!〃 said Mr。 Hardie; 〃the brain!* I see; the boy is going mad。〃
* What a blessing there are a few English words left in all our dialects。
The doctors stared in their turn at the prodigious coolness of a tender parent。 〃Not exactly;〃 said Dr。 Wycherley; 〃I am habitually averse to exaggeration of symptoms。 Your son's suggest to me 'the Incubation of Insanity;' nothing more。〃
Jane uttered an exclamation of horror; the doctor soothed her with an assurance that there was no cause for alarm。 〃Incipient aberration〃 was of easy cure: the mischief lay in delay。 〃Miss Hardie;〃 said he paternally; 〃during a long and busy professional career; it has been my painful province to witness the deplorable consequences of the non…recognition; by friends and relatives; of the precedent symptoms of those organic affections of the brain; the relief of which was within the reach of well…known therapeutic agents if exhibited seasonably。〃
He went on to deplore the blind prejudice of unprofessional persons; who choose to fancy that other diseases creep; but Insanity pounces; on a man; which he expressed thus neatly: 〃that other deviations from organic conditions of health are the subject of clearly defined though delicate gradations; but that the worst and most climacteric forms of cerebro…psychical disorder are suddenly developed affections presenting no evidence of any antecedent cephalic organic change; and unaccompanied by a premonitory stage; or by incipient symptoms。〃
This chimera he proceeded to confute by experience: he had repeatedly been called in to cases of mania described as sudden; and almost invariably found the patient had been cranky for years; which he condensed thus: 〃His conduct and behaviour for many years previously to any symptom of mental aberration being noticed; had been characterised by actions quite irreconcilable with the supposition of the existence of perfect sanity of intellect。〃
He instanced a parson; whom he had lately attended; and found him as constipated and as convinced he was John the Baptist engaged to the Princess Mary as could be。 〃But;〃 continued the learned doctor; 〃upon investigation of this afflicted ecclesiastic's antecedent history; I discovered that; for years before this; he had exhibited conduct incompatible with the hypothesis of a mind whose equilibrium had been undisturbed。 He had caused a number of valuable trees to be cut down on his estate; without being able to offer a sane justification for such an outrageous proceeding; and had actually disposed of a quantity of his patrimonial acres; _'and which'_ clearly he never would have parted with had he been in anything resembling a condition of sanity。〃
〃Did he sell the land and timber below the market price?〃 inquired Mr。 Hardie; perking up; and exhibiting his first symptoms of interest in the discussion。
〃On that head; sir; my informant; his heir…at…law; gave me no information: nor did I enter into that class of detail。 You naturally look at morbid phenomena in a commercial spirit; but we regard them medicallyand all this time most assiduously visiting the sick of his parish and preaching admirable serious。
The next instance he gave was of a stockbroker suffering under general paralysis and a rooted idea that all the _specie_ in the Bank of England was his; and ministers in league with foreign governments to keep him out of it。 〃Him;〃 said the doctor; 〃I discovered to have been for years guilty of conduct entirely incompatible with the hypothesis of undisordered mental functions。 He had accused his domestics of peculation; and had initiated legal proceedings with a view of prosecuting in a court of law one of his oldest friends。〃
〃Whence you infer that; if my son has not for years been doing cranky acts; he is not likely to be deranged at present。〃
This adroit twist of the argument rather surprised Dr。 Wycherley。 However; he was at no loss for a reply。 〃it is not Insanity; but the Incubation of Insanity; which is suspected in your intelligent son's case: and the best course will be for me to enumerate in general terms the several symptoms of 'the Incubation of Insanity:'〃 he concluded with some severity。 〃After that; sir; I shall cease to intrude what I fear is an unwelcome conviction。〃
The parent; whose levity and cold reception of good tidings he had thus mildly; yet with due dignity; rebuked; was a man of the world; and liked to make friends; not enemies: so he took the hint; and made a very civil speech; assuring Dr。 Wycherley that; if he ventured to differ from him; he was none the less obliged by the kind interest he took in a comparative stranger: and would be very glad to hear all about the 〃Incubation of Insanity。〃
Dr。 Wycherley bowed slightly and complied:
〃One diagnostic preliminary sign of abnormal cerebral action is Kephalalgia; or true cerebral headache; I mean persistent headache not accompanied by a furred tongue; or other indicia significant of abdominal or renal disorder as its origin。〃
Jane sighed。 〃He has sad headaches。〃
〃The succeeding symptom is a morbid affection of sleep。 Either the patient suffers from Insomnia; or else from Hypersomnia; which we subdivide into sopor; carus; and lethargus; or thirdly from Kakosomnia; or a propensity to mere dozing; and to all the morbid phenomena of dreams。〃
〃Papa;〃 said Jane; 〃poor Alfred sleeps very badly: I hear him walking at all hours of the night。〃
〃I thought as much;〃 said Dr。 Wycherley; 〃Insomnia is the commonest feature。 To resume; the insidious advance of morbid thought is next marked by high spirits; or else by low spirits; generally the latter。 The patient begins by moping; then shows great lassitude and ennui; then becomes abstracted; moody; and occupied with a solitary idea。〃
Jane clasped her hands and the tears stood in her eyes; so well did this description tally with poor Alfred's case。
〃And at this period;〃 continued Dr。 Wycherley; 〃my experience leads me to believe that some latent delusion is generally germinating in the mind; though often concealed with consummate craft by the patient: the open development of this delusion is the next stage; and; with this last morbid phenomenon; Incubation ceases and Insanity begins。 Sometimes; however; the illusion is physical rather than psychical; of the sense rather than of the intelligence。 It commences at night: the incubator begins by seeing nocturnal visions; often of a photopsic* character; or hearing nocturnal sounds; neither of which have any material existence; being conveyed to his optic or auricular nerves not from without; but from within; by the agency of a disordered brain。 These the reason; hitherto unimpaired; combats at first; especially when they are nocturnal only; but being reproduced; and becoming diurnal; the judgment succumbs under the morbid impression produced so repeatedly。 These are the ordinary antecedent symptoms characteristic of the incubation of insanity; to which are frequently added somatic exaltation; or; in popular language; physical excitabilitya disposition to knit the browsgreat activity of the mental facultiesor else a well…marked decline of the powers of the understandingan exaggeration of the normal conditions of thoughtor a reversal of the mental habits and sentiments; such as a sudden aversion to some person hitherto beloved; or some study long relished and pursued。〃
* Luminous。
Jane asked leave to note these all down in her note…book。
Mr。 Hardie assented adroitly; for he was thinking whethe