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November 8, 1947

Les infiltrations du sympathique: Physiologie—indications—techniques

JAMA. 1947;135(10):678-679. doi:10.1001/jama.1947.02890100072027

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While, from a scientific point of view, this cannot have the blanket acceptance which the author demands, the work is not all bad. Well known disturbances of the sympathetic nervous system are included, though there is nothing new here. Sweeping claims are made for the injection treatment of hypertension (the splanchnic nerves), Buerger's disease, Raynaud's disease and the mega disorders, the causalgias and allied post-traumatic painful states.

The monograph, for the most part, is replete with fantasy. Many words are wasted describing the salutary effects of procaine infiltration of the splanchnic nerves for ptosis of the stomach, drainage of the gallbladder, anuria of unspecified etietisexual impotence in males and inflammation of the uterus and adnexa. It is emphasized that by infiltration of the superior cervical ganglion the hypophysis is so stimulated as to cause menstrual dysfunction to become completely normal. Painless childbirth is effected by procaine block of the

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