Excerpt from The Treatment of Neurasthenia
To those who have read the work of Professors Proust and Ballet in the original, a translation will need no apology - except for its own defects. The most striking features of the book are its eminently practical nature and its clearness of exposition; in addition to these qualities, the work shows wide experience and great precision of observation on the part of the authors, who have succeeded in drawing a vivid picture of the complaint and in laying down the details of treatment with fulness and lucidity.
If a few words of my own may be allowed here, I should like to point out another exciting cause of neurasthenia besides those mentioned by the authors, viz, life in certain climates, that, from their effect on the nervous system, are called "relaxing." There is no doubt that, other things being equal, cases of neurasthenia are much more frequent in these than in more bracing regions. In cases occurring in the one relaxing climate that I know well, the complaint is very commonly accompanied by "bilious attacks" and by shallowness of respiration. How far the disordered metabolism and imperfect oxygenation of the blood are the cause, and how far the effect of the nervous exhaustion, I am not prepared to say.
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