James Esdaile
Encyclopedia
Dr James Esdaile the eldest son of the Rev. James Esdaile and Margaret Blair, was born on 6 February 1808 in Montrose
Montrose, Angus
Montrose is a coastal resort town and former royal burgh in Angus, Scotland. It is situated 38 miles north of Dundee between the mouths of the North and South Esk rivers...

, Angus
Angus
Angus is one of the 32 local government council areas of Scotland, a registration county and a lieutenancy area. The council area borders Aberdeenshire, Perth and Kinross and Dundee City...

, Scotland
Scotland
Scotland is a country that is part of the United Kingdom. Occupying the northern third of the island of Great Britain, it shares a border with England to the south and is bounded by the North Sea to the east, the Atlantic Ocean to the north and west, and the North Channel and Irish Sea to the...

, is a notable figure in the history of mesmerism. Esdaile married three times.

Education

Esdaile studied medicine
Medicine
Medicine is the science and art of healing. It encompasses a variety of health care practices evolved to maintain and restore health by the prevention and treatment of illness....

 at the University of Edinburgh
University of Edinburgh
The University of Edinburgh, founded in 1583, is a public research university located in Edinburgh, the capital of Scotland, and a UNESCO World Heritage Site. The university is deeply embedded in the fabric of the city, with many of the buildings in the historic Old Town belonging to the university...

, graduating M.D.
Doctor of Medicine
Doctor of Medicine is a doctoral degree for physicians. The degree is granted by medical schools...

 in 1830.

India

In 1830, he was appointed as assistant surgeon
Surgeon
In medicine, a surgeon is a specialist in surgery. Surgery is a broad category of invasive medical treatment that involves the cutting of a body, whether human or animal, for a specific reason such as the removal of diseased tissue or to repair a tear or breakage...

 to the East India Company
British East India Company
The East India Company was an early English joint-stock company that was formed initially for pursuing trade with the East Indies, but that ended up trading mainly with the Indian subcontinent and China...

, and arrived in Calcutta
Kolkata
Kolkata , formerly known as Calcutta, is the capital of the Indian state of West Bengal. Located on the east bank of the Hooghly River, it was the commercial capital of East India...

, Bengal (then the capital of British India), in 1831. Having suffered from chronic bronchitis
Bronchitis
Acute bronchitis is an inflammation of the large bronchi in the lungs that is usually caused by viruses or bacteria and may last several days or weeks. Characteristic symptoms include cough, sputum production, and shortness of breath and wheezing related to the obstruction of the inflamed airways...

 and asthma
Asthma
Asthma is the common chronic inflammatory disease of the airways characterized by variable and recurring symptoms, reversible airflow obstruction, and bronchospasm. Symptoms include wheezing, coughing, chest tightness, and shortness of breath...

 since his adolescence, Esdaile thought that India's different climate would be of benefit. He suffered a total breakdown and was given an extended furlough
Furlough
In the United States a furlough is a temporary unpaid leave of some employees due to special needs of a company, which may be due to economic conditions at the specific employer or in the economy as a whole...

 from 1836 to 1838.

He returned from his furlough to Calcutta, and was soon appointed to the small Hooghly Hospital; and, as a consequence of this, was also responsible for the local Jail hospital.

Mesmeric Analgesia

On 4 April 1845, Esdaile performed his first mesmeric procedure:
On 4th April 1845, [Esdaile] was treating a convict afflicted with double hydrocele
Hydrocele testis
A hydrocele testis is an accumulation of clear fluid in the tunica vaginalis, the most internal of membranes containing a testicle. A primary hydrocele causes a painless enlargement in the scrotum on the affected side and is thought to be due to the defective absorption of fluid secreted between...

. The drainage and injection of one side of the scrotum
Scrotum
In some male mammals the scrotum is a dual-chambered protuberance of skin and muscle containing the testicles and divided by a septum. It is an extension of the perineum, and is located between the penis and anus. In humans and some other mammals, the base of the scrotum becomes covered with curly...

 caused the patient such pain that Esdaile determined to try mesmerism upon him for the second operation…
he was successful in rendering the convict analgesic, and at once began to experiment with mesmerism both as a means of producing analgesia in surgical cases, and as a method of treatment for medical ones.


By his own admission, Esdaile had never seen a mesmeric act; but, given the level of pain of this specific patient, and the understanding that he had gained from what he had read, it occurred to him that mesmerism might be of great value:
Seeing him [the patient] suffering in this way, I turned to the native sub-assistant surgeon, an élève [student] of the medical college, and asked him if he had ever seen Mesmerism? He said, that he had seen it tried at the medical college, but without effect. Upon which I remarked, "I have a great mind to try it on this man, but as I never saw it practised, and know it only from reading, I shall probably not succeed."


Esdaile did succeed.

As performed by Esdaile, the mesmeric act was an exhausting procedure:
Esdaile's method was to make the patient lie down in dark room, wearing only a loin cloth, and [Esdaile would] repeatedly pass the hands in the shape of claws, slowly over the [patient's] body, within one inch of the surface, from the back of the head to the pit of the stomach, breathing gently on the head and eyes all the time [and] he seems to have sat behind the patient, leaning over him almost head to head and to have laid his right hand for extended periods on the pit of the stomach.


As a consequence, Esdaile, whose own health was far from good, soon began to delegate this exhausting work which, when necessary, would involve "[having] a patient magnetized for hours each day for ten or twelve days [to his] native assistants, saving his own strength for the performance of surgery".

In a short time, Esdaile had gained a wide reputation amongst the European and indigenous communities for painless surgery, especially in cases of the scrotal "tumours" that were endemic
Endemic (epidemiology)
In epidemiology, an infection is said to be endemic in a population when that infection is maintained in the population without the need for external inputs. For example, chickenpox is endemic in the UK, but malaria is not...

 in Bengal at that time due to filariasis
Filariasis
Filariasis is a parasitic disease and is considered an infectious tropical disease, that is caused by thread-like nematodes belonging to the superfamily Filarioidea, also known as "filariae"....

 (similar to elephantiasis
Elephantiasis
Elephantiasis is a disease that is characterized by the thickening of the skin and underlying tissues, especially in the legs and male genitals. In some cases the disease can cause certain body parts, such as the scrotum, to swell to the size of a softball or basketball. It is caused by...

) that was transmitted by mosquitoes. Esdaile's mesmeric anaesthesia was extremely safe:
I beg, to state, for the satisfaction of those who have not yet a practical knowledge of the subject, that I have seen no bad consequences whatever arise from persons being operated on when in the mesmeric trance. Cases have occurred in which no pain has been felt subsequent to the operation even; the wounds healing in a few days by the first intention; and in the rest, I have seen no indications of any injury being done to the constitution. On the contrary, it appears to me to have been saved, and that less constitutional disturbance has followed than under ordinary circumstances.
There has not been a death among the cases operated on.


In 1846, Esdaile's work with mesmerism-assisted painless surgery at Hoogly had come to the attention of the Deputy Governor of Bengal, Sir Herbert Maddocks. Maddocks appointed a committee of seven reputable (medical and non-medicial) officials to investigate Esdaile's claims. They submitted a positive report (on 9 October 1846), and a small hospital in Calcutta was put at his disposal in November 1846.

By 1848, a mesmeric hospital supported entirely by public subscription was opened in Calcutta especially for Esdaile's work. It was closed 18 months later by the Deputy Governor of Bengal, Sir John Littler.

In 1848, Lord Dalhousie
James Broun-Ramsay, 1st Marquess of Dalhousie
James Andrew Broun-Ramsay, 1st Marquess of Dalhousie KT, PC was a Scottish statesman, and a colonial administrator in British India....

, the Governor-General of India
Governor-General of India
The Governor-General of India was the head of the British administration in India, and later, after Indian independence, the representative of the monarch and de facto head of state. The office was created in 1773, with the title of Governor-General of the Presidency of Fort William...

, appointed Esdaile to the position of Presidency Surgeon; and, in 1850, whilst not supporting the continuation of the mesmeric hospital in Calcutta, Dalhousie had so much respect for Esdaile and his work, that he appointed him to the position of Marine Surgeon.

Esdaile retired from the British East India Company in 1853, upon the expiration of his 20 years' contract. After briefly returning to Scotland he settled in Sydenham
Sydenham
Sydenham is an area and electoral ward in the London Borough of Lewisham; although some streets towards Crystal Palace Park, Forest Hill and Penge are outside the ward and in the London Borough of Bromley, and some streets off Sydenham Hill are in the London Borough of Southwark. Sydenham was in...

 where he died on 10 January 1859. He is buried at West Norwood Cemetery
West Norwood Cemetery
West Norwood Cemetery is a cemetery in West Norwood in London, England. It was also known as the South Metropolitan Cemetery.One of the first private landscaped cemeteries in London, it is one of the Magnificent Seven cemeteries of London, and is a site of major historical, architectural and...

.

Connection with hypnotism

Esdaile is thought by many to have been a pioneer in the use of hypnosis
Hypnosis
Hypnosis is "a trance state characterized by extreme suggestibility, relaxation and heightened imagination."It is a mental state or imaginative role-enactment . It is usually induced by a procedure known as a hypnotic induction, which is commonly composed of a long series of preliminary...

 for surgical anaesthesia in the era immediately prior to James Young Simpson
James Young Simpson
Sir James Young Simpson was a Scottish doctor and an important figure in the history of medicine. Simpson discovered the anaesthetic properties of chloroform and successfully introduced it for general medical use....

's discovery of chloroform
Chloroform
Chloroform is an organic compound with formula CHCl3. It is one of the four chloromethanes. The colorless, sweet-smelling, dense liquid is a trihalomethane, and is considered somewhat hazardous...

. However, Esdaile had studied neither hypnotism nor Mesmerism himself.

Although some would trace the practice of hypnotherapy
Hypnotherapy
Hypnotherapy is a therapy that is undertaken with a subject in hypnosis.The word "hypnosis" is an abbreviation of James Braid's term "neuro-hypnotism", meaning "sleep of the nervous system"....

 back to Faria
Abbé Faria
Abbé Faria , or Abbé José Custódio de Faria, , was a colourful Goan Catholic monk who was one of the pioneers of the scientific study of hypnotism, following on from the work of Franz Anton Mesmer...

, Gassner, and Hell, it is conventional to trace what we now know as hypnotism back to the Scottish surgeon James Braid's reaction to a public exhibition of mesmeric techniques given by Charles Lafontaine
Charles Lafontaine
Charles Lafontaine was an early Swiss mesmerist.He lived in Geneva and published a journal called Le magnétiseur. Although he had failed as an actor, he became wealthy as a traveling mesmerist, or animal magnetiser, as it was then known.He wrote an autobiography, which may have influenced George...

 in Manchester
Manchester
Manchester is a city and metropolitan borough in Greater Manchester, England. According to the Office for National Statistics, the 2010 mid-year population estimate for Manchester was 498,800. Manchester lies within one of the UK's largest metropolitan areas, the metropolitan county of Greater...

on 13 November 1841.

There are some similarities between both the theory and practice of Victorian Mesmerism and hypnotism. Braid reported favourably upon the Government committee chaired by Atkinson's September 1846 report on Esdaile's use of Mesmerism in an Indian hospital, although only 30% of his clients actually exhibited no signs of pain during their operations. However, Braid also expressed reservations about Esdaile's claims of supernatural powers possessed by certain subjects, and the fact that his operations were yet to be demonstrated in British hospitals.


In theory I entirely differ from Dr. Esdaile. He is a Mesmerist – that is, he believes in the transmission of some peculiar occult influence from the operator to the patient, as the cause of the subsequent phenomena.


In fact, as this report shows, Esdaile did not generally "Mesmerise" the patients himself but employed native Indian boys to spend 2–8 hours per day with each patient in a darkened room, employing a technique that involved breathing on the patient's body. The resemblance to the conventional techniques of Mesmerism is therefore minimal.
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