The plaintiff seeks to recover damages for an injury claimed to have been received by her by reason of a rear-end collision between cars of the defendant. No question arises of the due care of the plaintiff or negligence for which the defendant is liable. The main contention is whether the plaintiff’s injury was caused wholly by fright and nervous shock or from force applied directly to her in such a degree as to entitle her to recover the damages caused as the direct result of the collision, and also those resulting from nervous shock and mental disturbance.
In this Commonwealth it is settled beyond doubt that, in actions for injury by negligence such as is here involved, there can be no recovery for “fright, terror, alarm, anxiety, or distress of mind, if these are unaccompanied by some physical injury” from without to the person; but in case there is such injury damages, are assessed with reference to the results immediately arising' therefrom and from those “attributable to the mental shock or disturbance.” Spade v. Lynn & Boston Railroad, 168 Mass. 285. Mullin v. Boston Elevated Railway, 185 Mass. 522. Driscoll v. Gaffey, 207 Mass. 102. Such physical injury need not be indicated upon the surface of the body by bruises or otherwise. Driscoll v. Gaffey, supra. It may be caused by a fall when by reason of fright one faints. Conley v. United Drug Co. 218 Mass. 238. It may be slight so far as the physical injury is concerned. Hunnewell’s Case, 220 Mass. 351. Megathlin v. Boston Elevated Rail*32way, 220 Mass. 558. McCarthy v. Boston Elevated Railway, 223 Mass. 568. See also Berard v. Boston & Albany Railroad, 177 Mass. 179; Cameron v. New England Telephone & Telegraph Co. 182 Mass. 310. While under the decisions above cited, mental suffering or other injury akin thereto does not constitute an independent cause of action, largely because of the “remoteness of such damages and . . . the metaphysical character of such an injury,” if there was an actual invasion of the plaintiff’s rights by the appreciable and wrongful application of violence to her body causing mental suffering or like injury as its proximate result, such elements may be considered in assessing damages. See Stiles v. Municipal Council of Lowell, 233 Mass. 174, 185; Warren v. Boston & Maine Railroad, 163 Mass. 484, 487; Steverman v. Boston Elevated Railway, 205 Mass. 508. As said by Holmes, C. J., in Homans v. Boston Elevated Railway, 180 Mass. 456, 457: “It is an arbitrary exception, based upon a notion of what is practicable, that prevents a recovery for visible illness resulting from nervous shock alone.” See Driscoll v. Caffey, supra. In the Homans case, it was recognized that the ultimate basis of the rule was whether there had been a wrongful application of force to the plaintiff. The opinion states; “But when there has been a battery and the nervous shock results from the same wrongful management as the battery, it is at least equally impracticable to go further and to inquire whether the shock comes through the battery or along with it. Even were it otherwise, recognizing as we must the logic in favor of the plaintiff when a remedy is denied because the only immediate wrong was a shock to the nerves, we think that when the reality of the cause is guaranteed by proof of a substantial battery of the person there is no occasion to press further the exception to general rules.”
In the case now to be decided it is necessary to consider this question broadly, as the judge, after instructing the jury specifically and in detail that unless there was a physical injury the plaintiff could not recover for fright, further said that to constitute physical injury there need not be “a bruise or a break” or any injury showing objectively. He defined physical injury as follows: “What is an injury? It is a wrong, it is the violation of a legal right. Now to come home to this case again, with the definition or statement of a simple principle, the injury, the physical *33injury is the violation of a legal right. What was the legal right of this woman? It was to be carried safely so far as her person was concerned. Is there any evidence that her person, which she had a right to hold sacred against the unlawful touch of anybody, that her person was interfered with? As I recall, and yet I want you to bear in mind that it is for you to say, there was some testimony that when that bump took place she was thrown over against her neighbor at one side and perhaps back against her neighbor at the other, although I am not at all certain about the latter, I want you to bear in mind about both; that she had something in her lap which fell or dropped upon her, . . . bear in mind just what the testimony was therein, if there was testimony to that fact, and you believe that, so that this bump or collision which you have found was an unlawful bump or collision, a thing that they had not right to do, taking into consideration the safety with which they ought to carry their passengers, if you find that there was a wrongful interference with the freedom and. the safety with which that woman had a right to ride, you may say that that was a physical injury, a physical violation of her rights in the case, and infringement of the right to safety which she had when she became a passenger on the car. . . . Now in this case the law says that for the fright the woman shall not recover damages unless that is accompanied with physical injury, with the deprivation or the violation of a physical right which she had as a passenger there, that right being the safe carriage, the immunity of her person from any touch, even, that should come wrongfully to her by any wrongful act on the part of the defendant. I don’t want to make that so long or so involved as to conceal the real principle that lies at the base, and perhaps it may be summed up in this way, which is largely a repetition; that for fright alone the woman cannot recover unless that fright be accompanied with a physical injury, and if you should find the fact that she was thrown over against her neighbor one way or the other, or both, and suffered enough of a shock from the bump of the cars that she was caused to drop the packages that she had into her lap, you may find that that in itself was a physical injury, and that is sufficient to lay a basis for the fright, the nervous disturbances which followed. If you find that it was not, then the defendant would be entitled to ■ *34your verdict on the ground that whether or not it was negligent it had not caused a legal injury.”
Among the defendant's requests for rulings were the following:
“2. The plaintiff cannot recover for any injuries caused by fright unless at the time of the occurrence of the fright there was a substantial battery to her person.
“3. There is no sufficient evidence to warrant the jury in finding that at the time of the collision there was a substantial battery to the person of the plaintiff and she cannot recover. ”
“5. There is no sufficient evidence which will warrant the jury in finding that there was at the time of the collision any physical injury from without inflicted upon the plaintiff and she cannot recover.
"6. If this plaintiff received only a sense of fright, if she remained in her seat where she was sitting and there was no physical injury imposed upon her body, and the only thing that she has suffered from was the mental shock, the nervous shock as the result of fear, she would not be entitled to recover. -The jury must be satisfied that there was some physical injury imposed upon her at the time of the collision.”
These rulings were not given. The defendant excepted to their refusal and to the part of the charge relating to “injury ” or “physical injury. ” The sixth request was given in substance. The third and the fifth could not properly be given because the evidence well warranted, although it did not require, a finding of substantial physical injury. The plaintiff who was pregnant testified that she was “thrown over;” "when the bump occurred it threw me forward against the lady next to me;” that she was “pushed up against the woman” in front of her and that "the woman sitting on the other side bumped” into her; that she felt "a pain on the right side of . . . [her] abdomen” at the time and “had pains all over and was very dizzy.” Homans v. Boston Elevated Railway, supra. A doctor who attended her on the night of the accident testified that she found her in bed “flowing large clots” of blood and suffering great pain; that there was a slight prolapsus of the womb which was “caused solely by the accident;” and that these conditions continued until the premature birth of a child.
*35It could not be said as matter of law that the plaintiff’s condition was due solely to fright and was not caused by physical injury from without; such injury may be internal. Megathlin v. Boston Elevated Railway, supra.
The second request directly presents the question whether the plaintiff could recover for injuries caused by fright if physical force were wrongfully applied to her, but not causing a substantial battery. This request was pertinent to the facts as the defendant claimed, and as the jury may have found them to be. Witnesses called in its behalf testified that the jar of the collision was no more than some cars get in starting; that all that happened was a slight bump; that persons standing up were not moved by the collision to any appreciable extent or thrown from their balance; and that those in the seats were not moved at all. The doctors who examined the plaintiff testified that in their opinion the accident did not cause the flowing and the pains suffered and that the birth was not premature; and in other respects gave testimony which if believed was inconsistent with the plaintiff’s description of her condition after the accident. But the weight of this evidence was for the jury. In our opinion the instructions given were not open to the objection made thereto. There was no error in refusing to give the second request.
The plaintiff, who had testified in chief, was called in rebuttal and on direct examination testified as to what had happened when she was examined by the doctors employed by the defendant. In the course of her cross-examination she said that she told one of these doctors how the accident occurred; that she was frightened and nervous. The court excluded, subject to the defendant’s exception, a question then put to her in cross-examination, whether she knew of any other cause for her trouble except the fright and nervousness. If it be assumed that the answer would have been "No,” and hence favorable to the defendant, there was no error. The plaintiff had been a witness in her own behalf and had then been cross-examined in such detail as the defendant desired. On rebuttal she had not been examined as to anything relating to her case in chief. Under these circumstances, it was within the discretion of the judge to exclude the question in cross-examination which related to liability and to the measure of damages. The defendant having *36rested cannot as matter of right reopen the case on these points. Ashworth v. Kittridge, 12 Cush. 193.
The other exceptions need not be considered. None of them is argued, and they are treated as waived.
Exceptions overruled.