ot stand, and become bed-ridden.
Under sudden excitement they may walk again, becoming "miracles of
healing". These _spinal symptoms_ are common in neurasthenia following
accident.

3. Headache is more often an abnormal sensation than an intense pain.
Pulsations, feelings of distress, of lightness, fullness, heaviness and
pressure are common, or a band may seem to be drawn tightly round the head
across the forehead.

The sensations are usually located in the back of the head, and may be
accompanied by dizziness, noises in the ears, or dimness of sight. There
may be a feeling of unsteadiness when walking, or a sense of being in
motion when at rest. The headache varies in intensity; it is worst in the
morning, is increased by thinking, diminished after eating, often improves
at night, and never keeps the patient awake.

4. Stomach and Bowel Disorders. The victim is indifferent to food, though
dainties often tempt him, when he cannot face a square meal. He has a
feeling of general well-being after a meal, but within an hour signs of
imperfect digestion arise; he feels oppressed, and has flatulence. Later,
there are flushes of heat, palpitation, drowsiness, and a craving for food.
Constipation is usually obstinate, while diarrhoea may cause great
weakness.

5. Sleeplessness. Some patients go to sleep readily, but after some
instants wake suddenly, in a state of excitement that persists despite
their efforts to calm themselves, and only at an early hour in the morning
do they sleep again. Other patients go to bed with the conviction they will
not sleep, and are kept awake by incessant cogitation, their minds being
harassed by a rapid flow of images, ideas and memories. In some cases the
person is calm, his mind is at rest, yet he cannot sleep.

6. Circulatory Disturbances. More blood flows to an organ at work than to
one at rest. In health we do not notice these changes, but in neurasthenia
these internal tides are exaggerated as rushes of blood to the head,
flushings of various parts, and coldness of hands and feet.

Heart palpitation is alarming but not dangerous, and the distended
blood-vessels of the ears may set up vibrations in the drum, so that at
night when the head is on the pillow, every beat of the heart is heard as a
thump, which banishes sleep, and works the victim into a state of high
tension. A pain in the chest, arms and elbows is often felt, limbs may
swell (shown by the tightness of rings, collars, e