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tically sleepless on this account. In the day time felt too fatigued, tired 
out, to be inclined to exert herself physically, but the mind would per- 
haps be very active. Often had “bright thoughts” at night and wanted to 
get up and jot them down, for she was unable to recall them the next 
morning, but ker physician had told her not to do this, as it would ag- 
gravate her insomnia. When she came to me, I promptly advised her to 
jot down her thoughts, that with a little practice she could do this in the 
dark; at the same time I instituted measures to reduce the blood pressure 
—and when the pressure went down the automatic action of the brain 
ceased and sound sleep returned. Ilow to bring down a high blood pres- 
sure is a medical question that need not be discussed here. 
Mr. D. Middle aged man in whom a tendency to increased blood 
pressure gradually developed, along with much dreaming at night and 
subconscious mental activity, the thoughts coming at such times being 
utilized in his work. Problems and matters awaiting solution would be 
taken up and worked out at such times. This subconscious activity was 
always orderly, entirely different from that of dreams, for in the latter 
there were all sorts of incongruities and anachronisms. A change in 
environment caused the high pressure to subside and with it the subeon- 
scious mental activity, but the dreaming continued as formerly. Now and 
then there is a period, or it may be but a single night, of automatie ac- 
tivity, and the question is to find out the why and the wherefore of this 
activity. 
Mr. BE. The most literary man in a small community; past middle age; 
mind always at work. Came to me complaining of symptoms of ill health. I 
suspected cardio-vascular disturbance and on examination found a high 
blood pressure. IT at once proposed a systematic examination, with health 
supervision. But to be literary does not necessarily imply the possession 
of good common sense, and instead of following my advice, given him at 
length, he adopted an easier and simpler course; he changed doctors. Te 
went to a man who merely gave him a little medicine. A short time ago 
he died suddenly of cerebral hemorrhage.’ 
Ordinary people when they have a rush of thoughts at night may 
simply worry because they are not able to sleep, whereas the brain worker 
incined to believe there was none at the time he came to me. It should be kept in 
mind that in this paper I am excluding children and the aged, as well as those 
afflicted with well-defined diseases or pathologie processes. 
