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October 1, 1898


Author Affiliations


JAMA. 1898;XXXI(14):757-761. doi:10.1001/jama.1898.92450140011001e

Insomnia is, of course, only a symptom but, like many other symptoms, it occasionally stands alone as representing some functional disturbance of which we have no other means of information. When we speak of the treatment of insomnia as such, we ought not to include the treatment of the pains or discomforts from various known sources which may keep the patient awake, or of many forms of insanity, of delirium tremens or other kinds of poisoning.

This narrows our limits very much, but at the same time makes the problem more precise. The practitioner or writer, however, does not get rid of its difficulties by these exclusions, for many of the cases which present no other important symptoms, so that the patient has nothing to tell as to his bodily condition except that he can not sleep, are more difficult to manage successfully than one where we can put a

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