An excerpt from the original text.(complete · 1205 words)
n receiving news of Natásha’s illness, the countess, though not quite
well yet and still weak, went to Moscow with Pétya and the rest of the
household, and the whole family moved from Márya Dmítrievna’s house to
their own and settled down in town.
Natásha’s illness was so serious that, fortunately for her and for
her parents, the consideration of all that had caused the illness,
her conduct and the breaking off of her engagement, receded into the
background. She was so ill that it was impossible for them to consider
in how far she was to blame for what had happened. She could not eat
or sleep, grew visibly thinner, coughed, and, as the doctors made them
feel, was in danger. They could not think of anything but how to help
her. Doctors came to see her singly and in consultation, talked much in
French, German, and Latin, blamed one another, and prescribed a great
variety of medicines for all the diseases known to them, but the simple
idea never occurred to any of them that they could not know the disease
Natásha was suffering from, as no disease suffered by a live man can be
known, for every living person has his own peculiarities and always
has his own peculiar, personal, novel, complicated disease, unknown to
medicine—not a disease of the lungs, liver, skin, heart, nerves, and so
on mentioned in medical books, but a disease consisting of one of the
innumerable combinations of the maladies of those organs. This simple
thought could not occur to the doctors (as it cannot occur to a wizard
that he is unable to work his charms) because the business of their
lives was to cure, and they received money for it and had spent the best
years of their lives on that business. But, above all, that thought
was kept out of their minds by the fact that they saw they were
really useful, as in fact they were to the whole Rostóv family. Their
usefulness did not depend on making the patient swallow substances for
the most part harmful (the harm was scarcely perceptible, as they
were given in small doses), but they were useful, necessary, and
indispensable because they satisfied a mental need of the invalid and
of those who loved her—and that is why there are, and always will be,
pseudo-healers, wise women, homeopaths, and allopaths. They satisfied
that eternal human need for hope of relief, for sympathy, and that
something should be done, which is felt by those who are suffering. They
satisfied the need seen in its most elementary form in a child, when it
wants to have a place rubbed that has been hurt. A child knocks itself
and runs at once to the arms of its mother or nurse to have the aching
spot rubbed or kissed, and it feels better when this is done. The child
cannot believe that the strongest and wisest of its people have no
remedy for its pain, and the hope of relief and the expression of its
mother’s sympathy while she rubs the bump comforts it. The doctors were
of use to Natásha because they kissed and rubbed her bump, assuring her
that it would soon pass if only the coachman went to the chemist’s in
the Arbát and got a powder and some pills in a pretty box for a ruble
and seventy kopeks, and if she took those powders in boiled water at
intervals of precisely two hours, neither more nor less.
What would Sónya and the count and countess have done, how would they
have looked, if nothing had been done, if there had not been those pills
to give by the clock, the warm drinks, the chicken cutlets, and all the
other details of life ordered by the doctors, the carrying out of which
supplied an occupation and consolation to the family circle? How would
the count have borne his dearly loved daughter’s illness had he not
known that it was costing him a thousand rubles, and that he would not
grudge thousands more to benefit her, or had he not known that if her
illness continued he would not grudge yet other thousands and would take
her abroad for consultations there, and had he not been able to explain
the details of how Métivier and Feller had not understood the symptoms,
but Frise had, and Múdrov had diagnosed them even better? What would the
countess have done had she not been able sometimes to scold the invalid
for not strictly obeying the doctor’s orders?
“You’ll never get well like that,” she would say, forgetting her grief
in her vexation, “if you won’t obey the doctor and take your medicine at
the right time! You mustn’t trifle with it, you know, or it may turn to
pneumonia,” she would go on, deriving much comfort from the utterance of
that foreign word, incomprehensible to others as well as to herself.
What would Sónya have done without the glad consciousness that she had
not undressed during the first three nights, in order to be ready to
carry out all the doctor’s injunctions with precision, and that she
still kept awake at night so as not to miss the proper time when the
slightly harmful pills in the little gilt box had to be administered?
Even to Natásha herself it was pleasant to see that so many sacrifices
were being made for her sake, and to know that she had to take medicine
at certain hours, though she declared that no medicine would cure her
and that it was all nonsense. And it was even pleasant to be able to
show, by disregarding the orders, that she did not believe in medical
treatment and did not value her life.
The doctor came every day, felt her pulse, looked at her tongue, and
regardless of her grief-stricken face joked with her. But when he had
gone into another room, to which the countess hurriedly followed him, he
assumed a grave air and thoughtfully shaking his head said that though
there was danger, he had hopes of the effect of this last medicine and
one must wait and see, that the malady was chiefly mental, but... And
the countess, trying to conceal the action from herself and from him,
slipped a gold coin into his hand and always returned to the patient
with a more tranquil mind.
The symptoms of Natásha’s illness were that she ate little, slept
little, coughed, and was always low-spirited. The doctors said that
she could not get on without medical treatment, so they kept her in the
stifling atmosphere of the town, and the Rostóvs did not move to the
country that summer of 1812.
In spite of the many pills she swallowed and the drops and powders out
of the little bottles and boxes of which Madame Schoss who was fond of
such things made a large collection, and in spite of being deprived of
the country life to which she was accustomed, youth prevailed. Natásha’s
grief began to be overlaid by the impressions of daily life, it ceased
to press so painfully on her heart, it gradually faded into the past,
and she began to recover physically.
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Let's Analyse the Pattern
When facing helplessness, people create elaborate rituals that give everyone roles to play, even when these actions don't address the core problem.
Why This Matters
Connect literature to life
This chapter teaches how to recognize when elaborate care rituals serve the helpers more than the person who's hurting.
Practice This Today
This week, notice when someone's struggling and ask yourself: 'Does this action actually help them, or does it just make me feel like I'm doing something?'
Now let's explore the literary elements.
Key Quotes & Analysis
"They could not know the disease Natasha was suffering from, as no disease suffered by a live man can be known, for every living person has his own peculiarities and always has his own peculiar, personal, novel, complicated disease."
Context: Tolstoy explaining why the doctors can't actually help Natasha
This reveals Tolstoy's insight that human suffering is always unique and personal. Medical science tries to categorize and treat, but real healing often comes from time and human connection, not prescriptions.
In Today's Words:
Doctors can't really understand what you're going through because everyone's pain is different and personal.
"The simple idea never occurred to any of them that they could not know the disease Natasha was suffering from."
Context: Describing the doctors' arrogant certainty about Natasha's condition
Tolstoy criticizes medical arrogance - the doctors are so busy appearing knowledgeable that they can't admit their limitations. This blinds them to the real nature of healing.
In Today's Words:
None of the doctors were humble enough to admit they had no clue what was actually wrong with her.
"She could not eat or sleep, grew visibly thinner, coughed, and, as the doctors made them feel, was in danger."
Context: Describing Natasha's physical symptoms from emotional trauma
This shows how heartbreak and shame can manifest as real physical illness. Tolstoy understood the mind-body connection long before modern psychology.
In Today's Words:
She was so heartbroken that her body was actually shutting down - she couldn't function at all.
Thematic Threads
Class
In This Chapter
The Count's wealth allows him to hire multiple expensive doctors, transforming economic privilege into the illusion of control over his daughter's emotional crisis
Development
Continues the pattern of aristocrats using money to manage problems that money cannot actually solve
In Your Life:
You might throw money at problems (expensive therapy, premium services, costly solutions) when the real issue requires time, patience, or emotional work that can't be purchased
Human Relationships
In This Chapter
Each family member finds their own way to demonstrate care through the medical routine—the Count pays, the Countess manages, Sonya nurses, creating roles that bond them in shared purpose
Development
Builds on earlier themes of how families create meaning through shared rituals, even artificial ones
In Your Life:
You might recognize how your family creates busy work during crises to feel useful, or how you take on caretaking roles that make you feel needed even when they don't help
Social Expectations
In This Chapter
The family must be seen doing everything possible for Natasha—hiring doctors, following prescriptions, showing proper concern—to meet society's expectations of devoted parents
Development
Extends the theme of performing appropriate roles rather than addressing underlying realities
In Your Life:
You might find yourself going through the motions of what looks like proper care or effort because it's what people expect, even when you know it won't work
Personal Growth
In This Chapter
Natasha's healing happens naturally through time and youth, not through any external intervention, suggesting that some growth cannot be forced or accelerated
Development
Introduced here as a counterpoint to the family's frantic activity
In Your Life:
You might recognize times when you tried to rush your own healing or growth instead of allowing natural processes to unfold at their own pace
Identity
In This Chapter
Each person's identity becomes tied to their role in Natasha's care—the devoted father, the worried mother, the faithful friend—giving them purpose during a purposeless time
Development
Continues exploring how people construct identity through their responses to crisis
In Your Life:
You might notice how your sense of self becomes wrapped up in being the helper, the fixer, or the one who 'does everything right' during family emergencies
You now have the context. Time to form your own thoughts.
Discussion Questions
- 1
Why does Natasha's family hire multiple doctors when they know medicine can't cure heartbreak?
analysis • surface - 2
How does the elaborate medical routine serve each family member's psychological needs, even though it doesn't help Natasha?
analysis • medium - 3
Where do you see this pattern of 'healing theater' in modern life - families, workplaces, or communities creating busy rituals when they feel powerless?
application • medium - 4
When someone you care about is suffering and you can't fix their problem, how do you resist the urge to create meaningless busywork and instead offer genuine support?
application • deep - 5
What does this chapter reveal about why humans need to feel useful during crisis, even when our actions don't solve the real problem?
reflection • deep
Critical Thinking Exercise
Identify Your Healing Theater
Think of a recent situation where you or your family faced a problem that couldn't be quickly fixed. List all the activities, purchases, or rituals that emerged around this crisis. Then categorize each action as either 'genuine solution' or 'healing theater' - something that made people feel useful but didn't address the core issue.
Consider:
- •Notice how healing theater often involves spending money, creating schedules, or assigning roles to family members
- •Consider whether the theater served important emotional needs, even if it didn't solve the problem
- •Think about what genuine support might have looked like instead of the busy rituals
Journaling Prompt
Write about a time when you were suffering and someone offered you genuine presence instead of trying to fix you. How did that feel different from when people tried to solve your problems with advice or activities?
Coming Up Next...
Chapter 184: Finding God in the Darkness
As Natasha slowly begins to recover, the outside world intrudes with news that will shake the entire Russian empire. Napoleon's forces are advancing, and the war that has seemed distant is about to arrive at Moscow's doorstep.




