Review of the further enquiries by Brigade-Surgeon-Lieutenant-Colonel y. B. Gainey, Superintendent, Lunatic Asylum jubbulpore, dated 22nd March 1894.

Case No. 1.—Rathi Ram Singh, Hindu, Cultivator, age 20.

This case has been investigated by Mr. Bose, ist class Magistrate, who examined four witnesses at Saronda in the Sehora Tahsil, Jubbulpore.

All that has been ascertained is that Rathi Ram Singh was born and lived at Saronda until he was about 17 years old. He was never known to have smoked ganja, but having left his village for three years, nothing was known of him till he came to Jubbulpore shortly before his admission to the Asylum on the 28th January 1892. On 19th December 1891 he was passed as candidate for police service as a constable, but on 14th January 1892 he was found wandering about the cantonment in an insane state.

The only evidence of his having smoked ganja was his own statement to that effect whilst in the Asylum.

His recovery having taken place within about three weeks of his admission to the Asylum would show that the disturbing cause was of but temporary duration, and so dis-pose to the conclusion that his statement that he smoked ganja was probably correct.

[Note—The man has never been found since his escape.]

Report of District Superintendent of Police, Busti, is attached. No light is thrown on the case. Three of his brothers are sane. It is not said if they use ganja. Dalthaman Singh denied having smoked ganja or bhang, and had no recollection* of having admitted the habit when he was in the Asylum.

Case No. 2.—Dalthaman Singh, age 32, caste Chattri, occupation Police Constable, residence Busti, North-Western Provinces.

His recovery, like the last case, commenced in about three wekse.

* NOTE..--" He states that he does not remember doing so ; and he may have done so while he was insane."

In this case the report    of an Inspector of Police shows that on enquiry he learned that Umrao was given to the use of both liquor and ganja, which he indulged in daily ; also that the uncle of Umrao was insane and had been a ganja-smoker.

Case No. 3.—Umrao, caste Gond, age 32, occupation Cultivator, residence Chhindwara.

The proceedings of the trial of Umrao are attached. The Civil Surgeon, Chhindwara, gives it as his opinion that "the cause of his reason having become affected was intemper-ance and the use of alcohol and ganja."*

Heredity may have been the primary cause, and the use of alcohol and drugs only seconxiary. The man was admitted to the Asylum in March 1892, and now (March 1894) is in no way improved. He has not spoken a word since admission.

* NOTE.—The Civil Surgeon said, " I should conclude from the history of the case given me by others that the cause of his reason having become affected was intemperance and the use of alcohol and ganja. His people say that the insanity came on after an attack of measles. It does happen sometimes that measles are followed by insanity. Possibly insanity was coming on gradually and measles accelerated it. It may be hereditary as his grandfather was insane."

Case No. 4.—Udai Ram, age so, caste, Hindu, occupation Jamadar, residence Nimar district, Central Provinces.

Attached is a report of the Civil Surgeon of Khandwa. No local enquiry seems to have been held. The report states that " there is no here-ditary history of insanity or nervous disease. _The most important point elicited was that the man had been a ganja-smoker for many years, and latterly to excess. He was also addicted to bhang-drinking and majum-eating."

There is also history of syphilis. This man died of general paralysis of the insane on September 7th, 1893.

Note.—A full account of this case is given in the following extract.]

From the evidence of Surgeon-Major Quayle (C.P. witness No. 37).

"Udai Ram, age 47, Tahsil Jamadar, Burhanpur, in which place he has lived for 2o years; caste, Chhipa.

History.—He was brought to Khandwa in February 189t suffering from simple mania. His first symptoms were an increased excitability and irritability, he becoming very angry about trivial matters, abusing people without reason in the bazaars and in-terfering with their property, neglect of his duties. He commenced riding about the country on a pony, which he eventually lost. He was foolishly extravagant, purchasing useless articles at high prices. At Khandwa he was excitable and in-dignant at being kept under restraint and not allowed to go home. He was con-stantly in motion, walking round the station two or three times a day with his atten-dant, and at other times performing rather ludicrous gymnastic 'exercises. He was loquacious, talking to every one he met, sometimes incoherently, but at other times sensibly enough. One of his delusions was that he had been appointed " diwan" to a certain raja, and that he had boundless wealth at his disposal.

The man was transferred to the Jabalpur Lunatic Asylum at the end of March 1892. The Civil Surgeon writes that he died there on the 7th September 1893 of gene-ral paralysis of the brain, but that no post-mortem examination was made.

Case No. 5.—Gulbia, age 45, caste Hindu, Labourer, Nimar district, Central Provinces.

In this case there is no hereditary history of insanity or nervous disease. The most important point elicited was that the man had been a ganja-smoker for many years, and latterly to excess. He was also addicted to " bhang" drinking and " majun" eating, and of the latter substance about half a seer was found in his house. This majum he usually obtained from Ujjain.

The two causes, singly or combined, that are chiefly said to produce general paralysis of the brain among Europeans are sexual excesses and intemperance, especially if impure and bad alcoholic drinks are used ; and there is no reason to suppose that Indian hemp consumed in excess might not play the part of alcohol in the produc-tion of the disease among the natives of India.

The Civil Surgeon of Khandwa made inquiries into this case. Gulbia's brother-in-law states that Gulbia, who worked with him as kotwar in
the village, was accustomed to drink liquor whenever he could obtain it, but that previous to his becoming insane he did not smoke ganja or use Indian hemp in any form. He further states that even now he often remains days without smoking ganja. He is still insane. It seems unlikely that he should have contracted the habit of ganja-smoking after leaving the Asylum, had he not been accustomed to the use of g-anja before his admission.
The man being now insane and using ganja,* after being discharged from the Asylum would go to show that the use of ganja was the cause of his insanity in the first instance, and the return of insanity on his resuming ganja-smoking.

Case No. 6.—Hari, age 32, caste Bania, residence Saugor District, occupation Shopkeeper.

* [Nte.—Superintendent ignores liquor. The brother-in.law said : " Even now he often remains days with. out smoking ganja. His usual dose is two chillums per diem. Mohwa liquor he also drinks whenever obtainable."]
In this case no local enquiry could be made as stated by the Deputy Commisssioner of Saugor, as the man is a resi, dent of Tikamghur State, where he now resides.

The Civil Surgeon of Saugor reports that there was no history of ganja-smoking whilst he was under observation in the Jail. He remembers the case well. He adds that " evi-dence as to ganja-smoking, &c., is always sought for by me" when lunacy cases are brought for observation to the Jail.

There is in this case no history whatever of the use of ganja or hemp drugs except-the statement of the man himself. The man was discharged cured from the lunatic Asp-1,um on the 29th November 189_3.