Paria
GULF imaginary magnificence, either anticipatory or retrospective. Meanwhile his physical condition is lowered, and he becomes increasingly unable to attend to his own wants. His irritability may lead him into unrestrained profanity of language or indecency of behavior. There are strong emotional periods. His limbs and features tremble, articulation becomes impaired, as well as the power of writing. Finally, after a period seldom extending over five years, paralysis and convulsions bring death from exhaustion, though a complication of diseases is apt to hasten the process.
The disease is much more frequent in men than in women, and is apt to first show itself in the late thirties or the forties. The almost invariable cause is now believed to be syphilis, aggravated by alcoholic or similar excess, sunstroke, and injury to the nervous system. In the early stages rest, diversion, diet and hydropathic treatment will help the patient. In the later stages constant attendance at home or in a hospital becomes imperative.