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Dr. David Riesman, of Philadelphia, closes up a well considered article on neurasthenia in the University Medical Magazine, September, by a scheme of treatment that embraces medicinal, hygienic and dietetic recommendations.
1. Medicinal treatment can not be a matter of routine, but there are few remedies that are of benefit in a large number of cases.
At the head stand the bromids, of which he generally employs the sodium or potassium salt in doses of fifteen grains two or three times a day; strontium bromid, in thirty grain doses, has also given good results, particularly in lithemic cases.
The coal tar products, either alone or combined with the bromids, are often of value. A remedy, for which much has been claimed but which he has not used, is spermin. The animal extracts have been employed, but it is questionable whether the results achieved are not due to suggestion.
PHYSIOLOGIC TREATMENT OF NEURASTHENIA. JAMA. 1896;XXVII(18):963–964. doi:10.1001/jama.1896.02430960035004
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