This man was not nervous, and was certainly not an
idiot. He had done active work as a physician, and called himself
in perfect health. He was something of an epicure, and never
suffered from indigestion. After a hearty meal the regurgitation
was more marked. Food had been regurgitated, tasting as good as
when first eaten, several hours after the eating. If he attempted
to check the regurgitation he sometimes had a slight feeling of
fulness in the stomach. Lloyd said that these cases were forms of
neuroses, and were types of hysteric vomiting. There was no
gustatory satisfaction connected with any form of hysteric
vomiting that he had seen. In some of these cases of hysteric
vomiting the food does not appear to enter the stomach, but is
rejected by a sort of spasm of the esophagus. This has been
called "esophagismus," and is apparently closely allied to this
neurosis, which some have called "merycism." The President of the
Association said that this would seem to be an affection common
among physicians. A student friend of his who had been affected
in this way, had written an elaborate monograph on the subject.
He was disgusted with the habit, and finally overcame it by the
exercise of his will-power.
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