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Fat and Blood - An Essay on the Treatment of Certain Forms of Neurasthenia and Hysteria by S. Weir (Silas Weir) Mitchell
page 46 of 166 (27%)
do this the more easily because the eliminative organs share in the
general defects. And these are some of the reasons why anæmic people are
always tired; but, besides this, all real sensations are magnified by
women whose nervous systems have become sensitive owing to a life of
attention to their ailments, and so at last it becomes hard to separate
the true from the false, and we are thus led to be too sceptical as to
the presence of real causes of annoyance. Certain it is that rest, under
proper conditions, is found by such sufferers to be a great relief; but
rest alone will not answer, and it is needful, as I shall show, to bring
to our help certain other means, in order to secure all the good which
repose may be made to insure.

In dealing with this, as with every other medical means, it is well to
recall that in our attempts to help we may sometimes do harm, and we
must make sure that in causing the largest share of good we do the least
possible evil.

"The one goes with the other, as shadow with light, and to no
therapeutic measure does this apply more surely than to the use of rest.

"Let us take the simplest case,--that which arises daily in the
treatment of joint-troubles or broken bones. We put the limb in splints,
and thus, for a time, check its power to move. The bone knits, or the
joint gets well; but the muscles waste, the skin dries, the nails may
for a time cease to grow, nutrition is brought down, as an arithmetician
would say, to its lowest terms, and when the bone or joint is well we
have a limb which is in a state of disease. As concerns broken bones,
the evil may be slight and easy of relief, if the surgeon will but
remember that when joints are put at rest too long they soon fall a prey
to a form of arthritis, which is the more apt to be severe the older the
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