Related article: now under treatment at the hospial, but cannot speak posi-
tively of the result.
3. Finally, it is imperative to say something of the
"neurotic" theory 500mg Cipro of the disease, though the problem is so
complex that I approach it with diffidence, Cipro Online Pharmacy the more so that
I Order Cipro Online must condense into a few sentences an argument which
should occupy a volume.
It is obvious that if satisfactory conception of this sort
can be framed it would have the great advantage of bring-
ing Cipro Xr 500mg Graves's disease into line with the other members of
the vast neuropathic family of diseases, the psychoses, the
neuroses, the degenerative affections with which it is clini-
cally so closely related.
The first question is, what do we mean by a neurosis?
Is it a "functional " or an " organic" disease, to use Buy Cipro Xr the cur-
622 MODERN VIEWS OF THE NATURE AND
rent terms? In this connection, I would call attention to
a valuable paper by Prof. Obersteiner of Buy Cheap Cipro Online Vienna, published
in the WeinerKlin. Woche?ischr., April 25, 1895, though
I do not wholly agree with his reasoning or conclusions.
Obersteiner points out, what is certainly true, that many
conditions which have been called "functional," that is,
have been supposed to be without anatomical basis, are
being classed, thanks to our better methods - of research,
among the diseases of known pathology. At the same
time, he believes that there are and probably always will
be a certain number of affections, or symptoms (which
may exist either independently of the so-called organic
nervous diseases or in conjunction with them), having the
peculiarity that they are due to a quasi-physiological Cheap Cipro Online dis-
order, if the expression may be allowed, of the higher
functions of the brain ; that they are in short allied to the
psychoses. Many hysterical symptoms are of this character.
This is a useful generalization and akin to the explanation
which I have to offer, but should approach the problem in
a somewhat different way.
Speaking broadly, one may divide the diseases of the
nervous system into three principal classes : a, those
where certain nerve elements degenerate, mainly because
of inherent weakness ; b, those dependent on a toxic cause
or on impairment of the circulation, that is dependent in a
general sense upon their blood supply ; c, those which arise
because from one or another cause the harmony which
should exist between Buying Cipro Online the different portions of the nervous
system is broken. It is in this latter class I think that the
neuroses belong, though I may say, in passing, that the
same disease should often be classed under more than one
heading, the classification here suggested being merely
offered to show the different etiological tendencies which
are at work.
Much needless discussion has been spent on the question
TREATMENT OF EXOPHTHALMIC GOITRE. 623
whether in the neuroses and psychoses there is any demon-
strable change in the elements of the nervous system.
In one sense the answer Cipro Xl 500mg is a simple one. The current
terms, namely, are meaningless. There is no such thing
as a functional disease of the nervous system, if by that is
meant one that has no correlate in change of structure.
Even fatigue leaves a mark in nerve-cells, which, as we
may recognize with pride, a student of Clarke University,
Mr. Hodge, was the first to note. The only sense, so far
as I know, in which we may not expect to find a structural
correlate for a manifestation of disordered function, Buy Cipro 500mg is where
the disorder is adopted, as it were, by the organism, so that
it is no longer proper to speak of it as a disorder at all. It
is not to be supposed, for example, that such a trick as
biting one's finger-nails or scratching one's head, nor even,
necessarily, all of the habitual symptoms Buy Cheap Cipro of such an affec-
tion as Graves's disease, would inevitably be registered by
any mark transcending those of normal activity and fatigue,
though in the end such changes would be likely to occur,
and in the case of Graves's disease it is quite probable that
by finer modes of research lesions will be found, especially
in the medulla oblongata. We know that other affections
presumably referable to cerebral or spinal disease, such as
diabetes, progressive muscular atrophy, tabes, are occasion-
ally met with in association with Graves's disease. The
decisive investigations in this direction must be left for the
future, but it may safely be predicted that when lesions are
found they will be discovered not only in the medulla ob-
longata, but in higher and related centres as Purchase Cipro Online well, and
CD 7 CD
probably in the peripheral nervous system in addition, as
Maude has justly assumed.
The essential characteristic of the neuroses and psychoses
is, to my mind, that in their origin, and at first, they are
quasi-physiological, though morbid, manifestations of cere-
624 MODERN VIEWS OF THE NATURE AND
As one observes the smooth flow of life in a healthy man,
all his functions seem so firmly harmonized, so absolutely
subordinated to the interests of his conscious personality,
that it is difficult to conceive what organized riots, what
complex displays of independent action will make their ap-
pearance when once this harmony, this healthy interde-
pendence of function is disturbed by disease.
The laws under which these outbreaks occur are the laws