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September 22, 1883

On the Pathology and Treatment of Certain Forms of Nerve Weakness.

JAMA. 1883;I(11):342-343. doi:10.1001/jama.1883.02390110022007

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This is a pamphlet of twenty-eight duodecimo pages, reported from the Medical Reeord of July 21, 1883. The author includes under the head of" Nerveweakness " the following divisions or varieties of nervous disorder:

I. "Nervousness.—Characteristics: A general irritable weakness of brain, cord, etc., special neuromechanisms not seriously and chronically affected so as to react and increase the general trouble.

II. "Neurasthenia (nerve-enfeeblement proper). —Characteristics: 1, irritable weakness of nervecenters and mechanisms; 2, or absolute weakness of same; 3, a localization of the disease in various neuro-mechanisms, causing special (gastric, sexual, etc.) forms of neurasthenia, which react to keep up the disease. The phenomena of lessened resistance, of enfeebled controlling centers enter into the disease more or less.

III. "Hysteria (a neurosis and psychosis combined, but more the latter).—Characteristics: 1, a ' shelving-off ' of higher controlling powers; 2, greatly increased irritability (with weakness) of lower centers, especially (a) emotional, (b) spinal

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