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February 28, 1903


Author Affiliations

Clinical Assistant in Neurology, Columbia University; Visiting Neurologist, City Hospital. NEW YORK.

JAMA. 1903;XL(9):571-574. doi:10.1001/jama.1903.92490090019001h

Insomnia and pain are the banes of existence of the patient with any nervous affection, and from his stand-point are in themselves the maladies from which he is suffering. He prays his physician for relief from one or both, knowing, alas too well, that the market is full of drugs that will bring him relief. It does not often occur to him that the physician has any more complicated mental process to go through than merely to choose the right drug to bring healthful sleep and to banish pain. Insomnia and pain may each be the cause of the other, or they may be the outward symptoms of an exceedingly complex condition of derangement.

CLASSIFICATION OF INSOMNIA.  In trying to study the causes of sleeplessness I have found it helpful to remember the classification of insomnia that Sir James Sawyer lays down in his "Contributions

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