In the routine treatment of 500 neuropsychiatric patients with hyperpyrexia produced by baths, it became apparent that certain types of pain were especially amenable to such therapy. In this favorable group were cases with vascular lesions and vasoneuroses. The symptoms complained of ranged from the more trivial discomforts on vigorous exercise to crippling incapacity on any exertion. In the early and less typical cases a definite classification was doubtful. In severe cases the diagnosis was obvious, but all cases could be included under the symptom complex of intermittent claudication.
Intermittent claudication is a term now rarely considered as descriptive of a clinical entity. It should be restricted to a combination of symptoms observable in a number of pathologic conditions. While such a symptom complex may result from many forms of arterial lesions, two varieties, arteriosclerosis and endarteritis obliterans, will include far the larger proportion of cases. Hunt1 has emphasized
MEHRTENS HG, POUPPIRT PS. TREATMENT OF INTERMITTENT CLAUDICATION WITH HYPERPYREXIA PRODUCED BY BATHS. JAMA. 1930;95(25):1910–1911. doi:10.1001/jama.1930.02720250032009