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April 16, 1904

That "Neurasthenia" Foolishness.

JAMA. 1904;XLII(16):1034. doi:10.1001/jama.1904.02490610044018

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Toledo, O., March 30, 1904. 

To the Editor:  —Your editorial of March 26 under the title "The Tyranny of Words in Medicine," wherein you refer to the unscience of the word neurasthenia as at present used in medicine, is in harmony with an extreme tiredness which has grown on me from the use of that word. The word started high in the medical profession and so was entitled to respectful consideration, but I believe that it long since had its full mete of attention, and I believe too that now both the physician and the sick man are better off without it.I feel relieved and grateful to any one who gives even a plausible cause, like "eye strain," for the conglomeration of nervous symptoms and their functional manifestation which are now bunched together under that alleged nosologic entity. Within my time this varying jumble of symptoms has been said

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