When sleeplessness can be directly traced to mental causes, the Emmanuel treatment, if experiments made both in Boston and Northampton are to be trusted, is as surely a specific as quinine for malaria. If in any instance medical diagnosis can find no physical reason for the sleeplessness, Emmanuel treatment is at once in order. The sufferer is admitted to the Rector's study. The very atmosphere encourages frank speaking. Concealment of any fact or circumstance which bears upon the case is prejudicial to improvement. I have once after three treatments refused again to see a patient who had failed to give me her whole confidence, until she was willing to speak out with greater freedom. The physical habits are invariably considered and corrected whenever there is need. Deep breathing is prescribed. Dr. Learned's method is sometimes suggested, and always Dr. Noble's. Drugs are from the first withheld. Tea, coffee, and all other stimulants which act directly on the brain are banished from the evening meal.

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