A correct diagnosis usually narrows the treat-
ment endep 10mg down to a very few agents, and it is merely a
matter of expedience which particular method of
therapeutics we employ in any given case. Admit-
ting for the sake of argument that it was difficult,
nay, even impossible, to arrive at a correct diag-
nosis during the acute stage of the disease ; what,
then, are our order endep chances during the chronic stage?
Again, we must bear in mind that the patient dur-
ing the chronic stage is no longer suffering from
the acute disease ; but rather from some changes
that have taken place in the economy, as endep 10 the result
of the acute condition. In other words, the symp-
toms have entirely changed. Hence we speak of
symptomatic treatment, meaning therebv the ameli-
oration of the various symptoms as they mav be
complained of by the patient. If we give this so-
called symptomatic treatment a passing notice, we
must admit the absurdity of endep tablets it and our inability to
do better. Here we have a patient whose whole
-system has been more or less changed by the proc-
esses of disease and repair, whose manifestations
and interpretations are anything but normal. Let
us take, for instance, the neurasthenic, the hysteric,
and the hypochondriac. If we were to administer
treatment according to the interpretations of their
feelings, our already overcrowded therapeutic ar-
mamentarium would certainly be inadequate and
our results even more chaotic than they are now. In
refutation it might lie said that these three condi-
tions are not truly buy endep online disease conditions, bvU rather
psychic conditions ; let us bear in mind that the
man or women who thinks he or she is sick, and is
not, is sick indeed.
I venture to say there endep 25 mg is not a single symptom or
manifestation of disease without some underlying
cause. The first step in therapeutics is to remove the
cause, for no matter how often or how much we
may treat the symptoms, imles the underlying cause
is removed, the same symptoms must again appear,
though changed through the administration of our
symptomatic treatment. It is the cause of the symp-
toms, and endep tablets 10mg not the symptoms themselves, that require
our attention. To make it more clear, let us suppose
a patient complaining of nothing more buy cheap endep than a head-
ache, which may be due to toxemia from intestinal
origin, derangement of the gastric functions, changes
in the circulatory system, changes in the kidneys,
defects of the visual apparatus, frontal sinus disease,
nasal or middle ear lesions, uterine lesions, intra-
626
GEYSER: endep 10 tablets DIAGNOSIS OF CHROXIC CONDITIONS.
cranial tumors, congestion or anemia of the brain
or its coverings, syphilitic changes, constipation,
and a host of psychical impressions. Certainly,
with even a slight purchase endep online thought upon the subject, we
must become convinced that a cause must be dis- endep 25mg
covered and removed before any real benefit can
be expected endep 25 from our therapeutic applications.
As has been stated, in chronic diseases we are
more often endep 50 suffering from some obscure cause and
the symptom complex is frequently referable to
some undiscovered lesion bringing forth rather re-
flex manifestations than directly associated condi-
tions. Pain is an expression of some interference
with a sensory nerve, central or peripheral. With- buy endep
out the intervention of a nerve of sensation there
could be no sensory impression. Paralysis, or motor
inability, necessitates the interference with the func-
tion of a motor nerve, either the nerve itself cen-
trally or peripherally, or joint and purchase endep muscle changes
preventing the motor nerve from carrying out its
physiological function.
Changes in tissues or organs in general are pre-
sided over, not by order endep online the sensory or the motor nerves,
but by that third system of nerves, the sympathetic.
All growth and repair of tissue generic endep is under the direct
control of the sympathetic system. All injuries,
traumatic, chemical, or biological, aside from the
pain, loss or increase of motion, are under the direct
influence of the sympathetic nervous system. It is
this system that takes cognizance of the changes
which endep 50mg have taken place and, under its control
through the vasoconstrictors and dilators, the proc-
ess of repair is more or less perfectly carried out.
THE AUTONOMIC OR SYMPATHETIC SYSTEM.
For our purpose and for the sake of brevity we
will make no special distinction between the sympa-
thetic proper, the bulbar, and the sacral subdivi-
sions. Neither is it advisable to consider in too
much detail the anatomy of this system, but only
so much of it as is really necessary for the elucida-
tion of the problem of spinal reflex diagnosis. The
sympathetic nervous system is intimately connected
with the cerebrospinal system, endep 10 mg though it differs
from it in many ways, especially in its peripheraj
distribution.
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