RT Journal A1 Hervey JW T1 THe necessity of a more careful study of the pulse. JF Journal of the American Medical Association JO Journal of the American Medical Association YR 1889 FD February 16 VO XII IS 7 SP 250 OP 251 DO 10.1001/jama.1889.02400840034014 UL http://dx.doi.org/10.1001/jama.1889.02400840034014 AB Dear Sir:  —There are many reasons why a careful study of the pulse demands the attention of the general practitioner of medicine at this time. Among these permit the writer to name the following:1. The pulse is disturbed by almost every departure from a normal state of health.2. The pulse is recognized as a symptom in every abnormal manifestation.3. To examine the pulse and determine its value as a symptom is one of the first duties of the physician at the bedside of the sick.4. The large number of deaths from heart disease have alarmed the public, and magnified the importance of every means for diagnosticating diseases of this organ, and intensified the necessity for every man who practices medicine to understand the different modes of examining the pulse, and how to apply the information derived therefrom in determining the condition of the great central organ