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Syphilis is common : we meet it under many
masks and in many unsuspected persons, but write
this down as axiomatic, that if symptoms occur in
a person you would least suspect, suspect that per-
son until the diagnosis is certain. I am often struck
with the great fear some family physicians fee!
when the diagnosis of syphilis is made ; they wish
at once to suppress the truth ratlier than realize
that a frank knowledge leads to careful and per-
sistent treatment. It may in fact be the ounce of
precaution. T am sure T state the fact moderately
PRICE: FUXCTIOXAL NERVOUS DISEASES
when I say that )w neurologist of block all gambling sites for free am? experience in
diagnosticating brain and cord diseases would pay
the slightest heed to the statement that there was
no histor}- of infection, and this applies with double
force to women, who often do not know of casino gambling in jacksonville florida its pres-
ence, and if they do are apt to prevaricate even
more than men. Remember that borderlands 2 sanctuary gambling machines a negative Was-
sermann reaction does not eliminate the question ;
a positive test settles it in my opinion.
Syphilis of the nervous system does not involve
the nerve tissue, but the bloodvessels, membranes,
and connective tissue (mesoblastic tissues), the im-
pairment of the nervous, online gambling an appreciation of legal issues being secondary. It is not
alwa\s curable; does best under most careful, gambling casino in orlando florida gen-
eral, and antispecific treatment.
I am wedded to the hypodermic use of mercury
and when necessary extremely large doses of the
iodides, well casino gambling in florida diluted with water. Hydrotherapeu-
tics and all forms of physiotherapeutics are valuable
aids. Its treatment is a broad subject, too broad to
stop and consider here.
11:5 \\'est Chestnut Street.
ETIOLOGY OF THE FUNCTIONAL NERVOUS
By G. E. Price, M. D.,
The three great functional neuroses, hysteria,
neurasthenia, and hypochondria, differ radically in
their nature and symptomatology, although they
have why is the state of massachusetts suddenly interested in casino gambling in common many predisposing and exciting
Neurasthenia, the fatigue neurosis, is character-
ized by exhaustion and imperfect nutrition of the
nerve centres. Experimentally, it has been shown
by Hodge, Lugaro, and ohio casino gambling addiction casino gambling age uk others, that the exhausted
ganglion cells of animals present definite changes.
The nucleus is decreased in size, irregular in out-
line, and reacts abnormally to dark stains, while the
cell protoplasm becomes shrunken and vacuo-
lated. These changes are not destructive, the
cells returning to the normal condition after rest,
although their recovery is slow. Neurasthenia is
not a condition which arises spontaneously, but can
always be traced to an underlying cause. Either
the individual has inherited a nervous system defi-
cient in strength which readily succumbs to the
stress of life's vicissitudes, or else we find that a
sound nervous system has been greatly overtaxed.
Inherent weakness of the nervous system is present
in the majority of cases as the result of a neuropath'c
liercditv. Direct heredity, the parents being neu-
rasthenic, is in mv experience, not as common as
iidirect heredity. Insanitv or nervous disease of
the parents, consanguinity, alcoholism, illness of the
mother while carrying the child, or conception oc-
curring when the parents were well advanced in
years, are recognized predisposing factors.
Exciting causes are numerous and varied. Ex-
haustion may follow prolonged mental or phvsical
overwork without sufficient sleep and nourishment.
Long continued worry and anxietv are often com-
bined with overwork and greatly reinforce the
■Riad htforc Hk- K-nsiiitrton Branch of iIk- Philadelphia County
Medical Society. March 3, 1911.
harmful effect of the latter. Alcoholic and sexual
excesses contribute their quota of cases, and in
many instances all of these factors are operative
in a given case. Neurasthenia often follows a pro-
longed and exhausting illness or free spells to stop gambling may accompan_\
and be the result of a chronic kidney, pelvic, gas-
rric, or other visceral disease ("neurasthenia symp-
tomatica" _). Trauma is responsible for a large online gambling usa 2013
group of cases, every physician being familiar with
the so called "traumatic neurosis." Profound men-
tal shock unaccompanied by ph\sical injury may
cause neurasthenic symptoms. Another group of
cases are gambling casino in san antonio texas the result of some form of constant reflex
irritation ("reflex neurosis"), of which eye strain
may casino gambling addiction stories be given as a type. Autointoxication from the
products of imperfect metabolism is assigned as a
cause, but this condition, I believe, is more often the
result of the exhaustion than a causative factor.
The literature written upon the question and the ar-
guments that have been advanced online gambling usa 2012 pro and con re-
call fallsview casino gambling addiction free gambling spells that work the query "Does the constitution follow the flag
or the flag the constitution"?
Neurasthenia affects males more than females,
and is a disorder of adult life, occurring at free gambling games online no download the full
tide of life's struggles and responsibilities. It is
rarely seen in free gambling helpline uk old age and seldom occurs before the
age of twenty, although one enthusiastic neurologist
recently reported what he believed to be a case of
neurasthenia in an infant of two years.
Americans are more prone to the disease than
their phlegmatic cousins of England and Germany,
although how any of the latter race escape the ex-
haustion psychosis while mastering the intricacies
of their language is difficult of explanation. He-
brews, especially of Russian birth or descent, are
also very liable to neurasthenia.
Neurasthenia must not be confounded with the
prodromal symptoms of the various psychoses to
which Dercum has applied the term "neurasthe-
noid." They are not the result of chronic fatigue,
and have only a superficial resemblance to the svmp-
toms of true neurasthenic states.
The term "psychasthenia" has of recent years
been applied to cases of neurasthenia presenting
•.narked cerebral symptoms. These patients invari-
ably have a neuropathic or psychopathic heredity.
Hysteria. The nature of hysteria is still a de-
batable subject, and our understanding of the cause
has not progressed as far as our knowledge of the
symptoms. Thus Charcot, to whom we are indebt-
ed for an illuminating exposition of the manifesta-
tions of hysteria, says: "Hysterical are those phv-
sical and mental processes of extraordinary charac-
ter and strength, which may be online gambling usa players brought into being
by ideas." Janet considers hysteria to be the result
of a .splitting ofT or separating of certain elements
of consciousness from the total consciousness. .-\t
the present time, the ideas of Babinski and Freud
are attracting the most attention ; Babinski considers
that the symptoms of hysteria are induced only bv
suggestion and auto-suggestion and removable bv
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