PARIS

Myalgic Asthenia  M. Turries uses the term asthénie myalgique à répétition to designate a rather frequent group of symptoms, which he distinguishes frankly from the multitude of asthenias that develop without any immediately discernible cause. The dominant symptoms are muscular pains and a sensation of general fatigue. These two manifestations appear at somewhat irregular intervals. Secondary symptoms vary the clinical picture somewhat in different cases. The sense of fatigue is chiefly physical and it affects all the groups of muscles. Its onset is in the morning; those affected find it difficult to get up. During the day, the patients feel, from time to time, often after a slight effort, an urgent need of rest, either seated or in a reclining posture. The lassitude may continue only a few minutes or it may extend over several hours; then the subject may resume his employment. Turries gets the impression from this clinical