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September 7, 1889


JAMA. 1889;XIII(10):340-342. doi:10.1001/jama.1889.02401070016003

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The Treatment of Insomnia.  —In his concluding remarks in his paper on this subject (read in the Society of Internal Medicine), Iastrowitz, of Berlin, considers the following remedial applications: Alcohol may be employed in the form of beer, wine, cognac, etc., and it may be used especially in cases where the other soporific remedies would occasion considerable weakness of the heart. In patients subject to chronic insomnia alcohol should only be used in the light forms of psychical excitement, thus a few glasses of beer may be given at bedtime. Alcohol should be avoided in lypemania and hypochondria, because it increases the morning depression common in these cases.Opium and morphine. I regard the alkaloids as the true soporifics, contrary to the general sentiment, which regards them as simply calming remedies. In spite of the useful action which antipyrin, phenacetin, etc., exert in pain, we cannot ignore the claims of

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