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Related post:
WITH CERTAIN COMMON FORMS OF INSANITY*
By Topamax Online Order ALLAN M, LANE HAMILTON, M. I).,
ONE OF THE CONSULTING NEUROLOGISTS TO THE MANHATTAN STATE ASTLUM.
NEW TORE ; Topamax Xr
CORRESPONDING FELLOW OF THE MEDICAL SOCIETY OF LONDON, ETC.
Until quite recently the therapeutics of mental dis-
eases have been very primitive, in view of the patho- Topamax Yellow
logical advances that have been made in so many differ-
ent directions, and do not appear to have been seriously
influenced by the important researches that have marked
(he last decade, so Ear as deranged metabolism is Topamax Prices Pharmacy con-
cerned. Even to-day the management of Buy Topamax Weight Loss insanity nearly
everywhere consists chiefly in quelling excitement by
narcotics, overcoming depression by stimulants and ton-
ics, and Topamax Online No Prescription affording rest, isolation, and protection.
I have for several years been impressed with the so-
matic origin of various psychoses, especially those which
were first classified and defined by Erafft-Ebing as " ac- Generic Topamax
quired," and by others ascribed to Topamax Price 50 Mg certain epochs, and I
have looked for some more Topamax Price Canada direct and reasonable causes
than those which are ordinarily alleged lo exist, reach-
ing the conclusion that in very many instances the ex-
istence of defective oxidation will explain the clinical
features of numerous insanities which were formerly
Read before the Medical Society of London, Maj 11, 1896
roughly classified with regard to their mental character-
istics alone, as mania, melancholia, dementia, or still
further particularized by the names which defined their
periodicity, or the crisis at which they appeared, or the
element of hereditary predisposition; although in a few
exceptions, notably hepatic and rheumatismal insani-
ties, the somatic element has been recognized.
The defect of most classifications of an assigned aeti-
ology is that no serious attempt is made to satisfactorily
connect the alleged cause with the symptoms and sat-
isfactorily explain them. Granted Order Topamax Online No Prescription that intrinsic defects,
due to heredity, exist, no very clear or satisfactory ex-
planation is given of what initial physical and sec-
ondary psychic disturbances follow. A great deal has
been written about increased or diminished tension of
the cerebral arterial system, but to those familiar with
the exciting causes or pathology Topamax Discount Coupons of insanity the irregu-
larity of cerebral hyperemia or anaemia must be mani-
fest. Why a periodical mania should develop, subside,
and reappear, the Topamax Discount Card environment and other influences be-
ing unchanged during the entire course, has not been
definitely explained. Why a confusional insanity most
unexpectedly follows a surgical operation when there is
little or no shock, or a form of puerperal insanity ap-
pears weeks after parturition, and when the danger of
local sepsis has long disappeared, suggests the necessity
of some fresh explanation.
Before going further in this direction it may be well
to say that my desire for more exact knowledge in re-
gard Mail Order Topamax to the pathology and aetiology of such everyday dis-
orders as acute mania or melancholia was stimulated by
the experience Discount Topamax common to most of us, that, where psy-
chic causes exist, not only the mental but the physical
disturbance is usually entirely out of proportion to any
cerebral shock or demand upon the brain, and it seems
strange that where the most extreme kinds of mental
strain exist in some individuals, they are attended by
comparatively little or no general disturbance. I was
led to reason that if subjects who Can I Order Topamax Online are subjected to com-
paratively superficial mental strain rapidly develop great
physical derangement, disturbances of assimilation,
feebleness, Order Topamax Overnight and emaciation, and die in a few weeks, there
must be something beneath all this — something that Topamax Yellow Pill has
been simply lighted up or induced by the preparatory
condition into which, perhaps, hereditary influences en-
tered to some extent, or not at all. The observations of
Herter and Smith point to the fact that that protean
neurosis, neurasthenia, is closely connected with some
form of disturbed intestinal function, and Eccles and
Gautier clearly recognized the insufficient activity in the
oxidation process. 's with the presei I the products ol
incomplete metabolism, and with Topamax Online Buy an increase of the
combined sulphates in the urine. The exi ellBuy Topamax Cheap
577

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