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At the present day there exist, not only in the mind of the general practitioner, but even in that of the specialist, the most vague and ill defined notions concerning neurasthenia. Not only do we hear from physicians of the highest standing allusions made and views expressed in regard to neurasthenia which disclose that this all important affection has never received serious study or attention by them, but this is true to a very large extent of neurologists and especially alienists. A striking illustration of this proposition is furnished by the treatise on the pathology and therapy of neurasthenia, by Binswanger, which has recently made its appearance in Germany. This writer does not hesitate to say that under neurasthenia we are to group all neuropathic appearances which rest on a basis of a general functional disease of the nervous system but which can not be placed in the same category
DERCUM FX. NEURASTHENIA ESSENTIALIS AND NEURASTHENIA SYMPTOMATICA. JAMA. 1898;XXX(15):827–831. doi:10.1001/jama.1898.72440670015002b
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