_The Symptoms of Neurasthenia._—The symptoms are essentially those of chronic fatigue, which has become exaggerated and pathologic. They may be classified as sensory, motor, psychic, and somatic. The sensory symptoms first noticed are those of generalized fatigue, with such localized sensations as headache, backache, and limbache. The motor symptoms are muscular fatigue, muscular weakness, and muscular exhaustion on slight exertion. The psychic symptoms are manifested by a diminution in the capacity for sustained mental effort and the spontaneity of thought and exhaustion after slight mental effort. The somatic symptoms show themselves in atony of the digestive tract and the circulatory apparatus, with disturbances of the secretions. Headache is one of the most common symptoms of localized fatigue, and, associated with this, may be a sense of constriction about the head, and there may be either a sense of lightness or fulness of the head. A woman who is chronically tired loses all her personal vigor, force, aggressiveness, and, above all, will power. Associated with this lack of will power are hesitation, indecision, a marked irritability, and timidity. Neurasthenic patients are subject to spontaneous attacks of fear, causeless in origin, and generalized in character. These attacks may be accompanied by pallor of the face and palpitation of the heart, just as in normal fear. The tired woman is a cross woman. The irritability shows marked impairment of the power of inhibition. _The Rational Treatment of Neurasthenia._—First of all, there must be a removal of the cause which has produced it. There are two distinct classes of cases—the overworked and the idle. The first class, and the most important to the world, are the overworked. We may have to deal with the intellectually overworked, in which the mental overwork was combined with financial anxieties, domestic difficulties, or lack of success in their work, or the cause may have been the tremendous responsibilities of their positions, which involved the lives or fortunes of many people. Added to this great strain and overwork, has been a lack of proper intervals for rest, recreation, and sleep, and the body has become a storehouse for various toxins, and so is suffering from both acute and chronic poisoning.