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January 7, 1888

LOCAL MASSAGE FOR LOCAL NEURASTHENIA.Read before the Section for Clinical Medicine, Pathology, and Hygiene, of the Suffolk District Medical Society, November 9, 1887.

JAMA. 1888;X(1):11-15. doi:10.1001/jama.1888.02400270021002c

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Neurasthenia, as I understand it, may be either general or local, affecting the nerves or nerve-cells of all, or any part of the cerebro-spinal or sympa thetic system. Its manifestations are those of exhaustion or too easy exhaustibility of nerve-force; and its pathology, malnutrition of the nerve.cells, in volved with concomitant instability of their circulation in the form of anaæmia or hyperaæmia, or alternations of these. It predisposes to, it accompanies, it results from disease; the nervous shock and the tedious recovery from injuries point to other.sources, and it may be caused by overwork, worry or sheer laziness. The agreeable fatigue after a satisfactory day's work, that insures sound sleep, may be regarded as a healthy form of neurasthenia, if the Hibernianism may be pardoned.

It is a matter of common observation, that those who are compelled to hard manual labor, seldom suffer from nervous prostration; and amongst the more

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