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April 23, 1887


JAMA. 1887;VIII(17):459-460. doi:10.1001/jama.1887.02391420011001d

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One of the lessons strongly impressed upon me by my experience in practice is that insomnia when due (as is most frequently the case) to brain exhaustion, is best cured by tonic or restorative treatment, rather than by narcotics. It has been a source of gratification, therefore, to see the same lesson strongly inculcated by Dr. W. G. Eggleston in The Journal for February 19. I desire to confirm emphatically all that he said in his paper.

It has been alleged by somebody that man is the only animal that can be taught to sleep on an empty stomach. But when suffering from brain-fag this teaching may fail even in man. Unquestionably a lunch at bedtime is wholesome and conducive to sleep, especially in brain-workers who sup early and retire late. But the lunch should be simple. Indigestible food taken at bedtime may easily disturb the sleep. The cold plunge

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