JAMA. 1912;LIX(20):1775-1777. doi:10.1001/jama.1912.04270110189005.
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At the Washington meeting of the American Neurological Association in 1910, I read in part a paper on this subject. But on account of the press of papers it was greatly curtailed and never published. Since that time analysis of a larger number of cases has deepened the conviction that the simple test there suggested has a definite value in the physical examination of patients in all cases of nervousness not dependent on organic disease. For the past nine years accurate notes of this class of cases have been kept and certain features having a definite bearing on the causation of functional disorders of the nervous system have been noted, to which I shall refer later.

For the past twenty years it has been my habit to make routine examination of the urine of practically all patients under my care and this examination is repeated at each office visit. I


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