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December 21, 1901


JAMA. 1901;XXXVII(25):1656-1658. doi:10.1001/jama.1901.62470510012001c

In inviting your attention to a brief consideration of the treatment of this disease, I do not hope to present anything especially new, with the possible exception of the application of prolonged cold, the marked beneficial effects of which I have noted in two patients.

Everything in the treatment of neurasthenia depends upon the diagnosis. In too many instances the conception of neurasthenia in the physician's mind is very like that which obtains in hysteria, namely, that it is a term which is to be applied to any anomalous symptom for which there is no other explanation. Again, many practitioners do not clearly differentiate between hysteria, neurasthenia and hypochondria, grouping them all together under the first or second of these terms. To be sure, they all belong to the functional nervous group, but the treatment of these different conditions varies greatly, and the successful handling of an individual case depends

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