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240 REPORT OF THE INDIAN HEMP DRUGS COMMISSION, 1893-94. [CH. XII.

Hack Tuke's Dictionary of Psychological Medicine; article "Statistics of In-
sanity"). The author of this article points out that "the reluctance of the
relatives of patients to give information on this painful point leaves the propor-
tion undoubtedly far too low." In view of this, it cannot be denied that the
influence of heredity is in India practically neglected. The importance of
giving due weight to this factor becomes the more manifest when it is considered
that a cause which in a normally healthy brain would produce no effect is suffi-
cient to overthrow the mental equilibrium of a person with hereditary predis-
position.

Alcohol.

524. There are eighteen of these mixed cases in which alcohol has been ascer-
tained to be a possible factor. In view of the con-
nection between alcohol and insanity as established
in Europe, and in view of the clear evidence that brain lesions are directly caused
by alcohol, there seems certainly not less reason for ascribing these cases to
alcohol than to hemp drugs. The English statistics show percentages of 19.8
and 7.2 of cases as due to alcohol for males and females respectively. The
Commission are of opinion that such high percentages cannot be expected in
India; for, although the action of alcohol is more injurious in the tropics, the
people of this country are generally much more abstemious. The percentage of
cases attributed to alcohol in each province in 1892 is given below, and for
purposes of comparison the percentage of the accepted hemp drug cases (in-
cluding the "mixed" cases) is also shown:—

Province.

Percentage of
hemp drug
cases.

Percentage of
alcohol
cases.

Total of
columns 2 and 3.

1

2

3

4

Bengal

10.7

2.1

12.8

Assam

6.9

6.9

13.6

North-Western Provinces

7.7

3.5

11.2

Punjab

10.6

1.5

12.1

Central Provinces

8.0

8.0

Madras

2.8

2.8

5.6

Bombay

8.2

7.2

15.4

Burma

2.9

11.7

14.6

Total

7.3

4.4

11.7

The figures in regard to alcohol cannot be accepted as quite satisfactory,
because they have not been tested. But the tendency of the figures as they
stand is to show that in the provinces where hemp drugs are the less used,
alcohol is the more frequently assigned as the cause of insanity, and vice versá.
It is possible either that the figures to a certain extent reflect the facts, or
merely that those who have to account for insanity turn most easily to intoxi-
cants, and came that intoxicant which most readily occurs to them.

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