This monograph of the American Lecture Series on the management of the patient with severe bronchial asthma is an interesting and provocative one. The author makes it clear that asthma is a composite disease consisting of physiologic, pathologic, and psychic disturbances and demonstrates the ineffectiveness of attempting to treat the many facets from a single approach. His emphasis on the fact that the finding of a single remedy for so complex a syndrome is remote is most laudable.
The complicating factors of disturbed physiology and secondary pathologic sequelae make it obvious that little real benefit can accrue to the patient from treatment that does not focus upon them. Dr. Segal does an excellent job in making the reader cognizant of the multiplicity of conditions that have to be continually borne in mind when treating the severe asthmatic. The section covering psychotherapy is to be commended.
The entire gamut of therapeutic