IMPAIRMENT OF SPEECH
Wm. T., aged 23 occupation clerk, consulted me, complaining of an impairment of speech, which had lasted seventeen years. No cause could be learned, although his mother and others had been interviewed.
The case as taken presented the following :
February 16. Mentally he is weak indifferent for the most part, with times of irritation and petulance. Aphonia < between 4 and 5 P. M., at which time the voice is the merest whisper ; < in hot weather ; < in winter, > by expectoration of a lump of black mucus. Three and a half years ago he had typhoid fever under allopathic treatment, since which time he is “nervous” with trembling of both arms. This is quite independent of whether or not he works.
Voice lost in the evening, Brom., Carb. v., Phos.
< in winter, Carb. veg., phos.
< in wet weather, carb. v., Phos.
< 4 and 5 P. M., Carb. v.
Indifferent, apathetic mentally, Carb. v., Phos.
> by expectoration of black mucus disregarded, as this is Pittsburgh.
February 18. Gave Carbo veg. 1 m. single dose.
February 25. Improving, has some voice P. M., S. L.
March 27. Improvement continued until a week ago. Repeated Carbo veg., this time 40m.
April 25. Practically well. Thinks it is wonderful since time and money had been spent.