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May 18, 1918


Author Affiliations

Associate in Medicine, George Washington University Medical School WASHINGTON, D. C.

JAMA. 1918;70(20):1442-1444. doi:10.1001/jama.1918.02600200008003

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Of all the diseases of the digestive system, the diagnosis and treatment of the so-called functional disturbances are the most unsatisfactory. This is true from the standpoint of both physician and patient. To the physician they present a clinical picture of such complex composition and vague outlines that diagnosis requires unusual care and study. To the patient the variable course and prolonged duration are exhausting, both financially and physically.

Recent accurate work in diagnosis and treatment of the organic diseases of the stomach has been so fruitful that attention has been focused on that class of disseases to the relative neglect of the equally important functional disturbances. The neglect of the functional diseases by both physician and patient is due to the fact that life is rarely threatened, and acute symptoms are not common; but the importance of such diseases is nevertheless great, because of the prolonged impairment of the

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