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Guislain's account of his visit to La Senavretta de la Porta Tosa, Milan (1838)

Location: nr. Porta Tosa, Milan, Kingdom of Lombardy-Venetia

Guislain wrote about his visit to La Senavretta de la Porta Tosa on pages 270-271 of his Lettres Médicales sur l'Italie avec Quelques Renseignements sur la Suisse: Résumé d'un Voyage fait en 1838, Adressé à la Société de Médecine de Gand (F. & E. Gyselynck : Ghent 1840).

Guislain reported that this private institution accommodated about seventy mentally disturbed men and women. He was not impressed by the building, which was not purpose-built and was consequently impractical. However, he found the hospital’s patients in good physical health, its rooms clean and its latrines free of odour. The treatment regime at La Senavretta was mainly medicinal in character, including cold and warm baths, and evacuative therapies employing leeches and laxatives. The institution boasted spacious courtyards and a large garden. During his visit Guislain did not have an opportunity to talk to the physician, Dr M. Lombardi, but he quoted observations of M. Brière de Boismont concerning the wide range of entertainments available to the patients, including: billiards, games, acting, and music-making.

Extract

La Senavretta de la porta Tosa est un autre établissement particulier… il renfermait 70 aliénés, hommes et femmes… N'ayant point eu l'occasion de voir le médecin de cet établissement, absent au moment de ma visite, je transcrirai ici ce que M. Brière-de-Boismont a dit… "Le traitement, dit-il, est presque entièrement pharmaceutique… Les sangsues… les purgatifs… les bains simples, les bains de vapeur"… J'ai, en effet, trouvé dans cet établissement beaucoup d'agents de distraction, un billard, des jeux divers… un lieu où l'on joue la comédie. Les malades y font de la musique… et tous m'ont paru contents et jouir d'une excellente santé physique. --- Nulle part je n'ai senti l'odeur des latrines… La maison du docteur Lombardi… a le désavantage de ne pas avoir été faite pour sa destination.