Notes of a Case—Mania followed by Hyperesthesia and Osteomalacia, Singular family tendency to excessive constipation and self-mutilation

J. C., a mason's wife, æt. 26. First admitted to the Montrose Asylum 6th March, 1855, labouring under acute mania. No special cause alleged, except a feeble constitution inherited from a mother mentally and physically weak. Had been ill for some days before admission. Imagined that God ordered her to mutilate herself. Attempted to pull out her tongue, and on being restrained, she pushed it out of her mouth, and suddenly clenching her teeth, bit a large portion off.