In considering the subject of constipation, I shall digress somewhat from the usual conventional discussion and present it essentially in a light that is regarded more often as incidental than fundamental.
I shall first emphasize what appears to me must eventually become the modern conception of constipation; namely, that the usual type (excluding mechanical and organic types) encountered today, in our city life particularly, is a functional nervous disorder. While an improper diet, consisting of foods too greatly refined and containing too few vitamins, sedentary habits and other current explanations of the condition are important, the fundamental idea always to be borne in mind is that constipation manifests itself only in a soil which has been prepared through the agency of an unstable nervous system. This may be congenital, or acquired through the unceasing combat with the demands of modern civilization.
In explanation of this contention, the following facts may
BOLES RS. CONSTIPATION: RÔLE OF THE NEUROGENIC FACTOR. JAMA. 1927;89(21):1766–1770. doi:10.1001/jama.1927.02690210032009
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