JOHN W. MACY, M.D.; EDGAR V. ALLEN, M.D., F.A.C.P.
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"Chronic Nervous Exhaustion," a term synonymous in the minds of many persons with neurasthenia, psychasthenia, or neurocirculatory asthenia, lacks the clear-cut connotation of terms such as duodenal ulcer or pulmonary tuberculosis. The symptoms of chronic nervous exhaustion are protean; they may appear to originate in any or all bodily structures and systems. In its most common meaning, chronic nervous exhaustion indicates a long-present, subjective sensation of tiredness, disproportionately exceeding the effort which produces it and which cannot be accounted for by organic disease. Weakness, lack of energy and ambition, nervousness, unrestful sleep or insomnia, melancholia, tachycardia, and pains and aches
MACY JW, ALLEN EV. A JUSTIFICATION OF THE DIAGNOSIS OF CHRONIC NERVOUS EXHAUSTION*. Ann Intern Med. 1934;7:861–867. doi: https://doi.org/10.7326/0003-4819-7-7-861
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Published: Ann Intern Med. 1934;7(7):861-867.
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