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February 1923

THE NATURE OF CERTAIN FUNCTIONAL NERVOUS DISTURBANCES AND THEIR TREATMENT ALONG METABOLIC LINES

Arch NeurPsych. 1923;9(2):208-217. doi:10.1001/archneurpsyc.1923.02190200073005
Abstract

It is my purpose to attempt to outline some of the pathologic conditions concerned in certain functional and possibly a few organic disturbances within the field of neurology; and to direct attention to some forms of treatment based on these.

In the course of observation on about 1,000 cases of arthritis, a great many associated clinical disturbances were found. Among the chief of these, so far as the neurologic field is concerned, are fatigue, mental lethargy, headache and migraine, vertigo, tinnitus, neuritis, practically the whole complex of neurasthenia in its many phases and mental depression. In the process of treatment of the arthritic patients, many of the associated neuropsychiatric symptoms disappeared wholly or in part. It is obvious, therefore, that the same underlying causes exist in both groups to a large degree.

To focal infection as the cause of disease has been ascribed too generic a rôle, but there is

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