Annnnnrcntent tn the iOehirut Jrnfrssum 
Slttfnrmaitnn (Cnurrrituty 
Sr. 3nljtt JJriuatr ffinmi' 
for 
Nrronua dJintaltits 
alljirttttlj &imt aith ICtrbia Anrnur, Kansas (£itu, iHissnnrt DR. JOHN PUNTON'S SANITARIUM. 
Kansas City, Mo. Hr. JJuhii ymitmfn Sanitarium 
far -X'i'rmuw 3Jmtalibfi 
(0ffirrrs 
Jlnfat Jlmtiim 1H.1L SuprruttetiticnL 
Professor of Nervous and Mental Diseases University Medical College. 
Member American Neurological Association. 
Member American Psychological Association. 
Ex-President Kansas City Academy of Medicine. 
A. IE. lEitiUinrk, A.fH. fHJEL Winter Jhjysirian. iHiss Nut fHrlficttry. HHatrnn. 
(0. IE. MrKtllip. ill.EL (Eltntral Assistant. Uliss fHay fHartitt, (Clrrk. 
(Inusiilthuj Staff 
The Services of the Leading Physicians and Surgeons of Kansas City 
including the various Specialists are at our disposal and these 
comprise the Consulting Staff of the Punton Sanitarium. 4 
THE P UNTON SANITARIUM 
FRONT VIEW OF SANITARIUM. THE PUNTON SANITARIUM 
5 
the Uleiiiral 
The increasing demand by the members of the medical 
profession for information concerning the Punton Sanita- 
rium renders this announcement necessary. 
It is therefore presented with a great deal of satisfaction 
-inasmuch as it demonstrates a marked increase of facil- 
ities and scientific medical equipment, together with many 
other advantages than were heretofore possible, thus ren- 
dering the future usefulness of this Private Home for 
Nervous Invalids even more acceptable and adequate for 
the special purpose intended. 
The Punton Sanitarium is a solid brick and stone fire- 
proof structure, four stories high and contains, in addition 
to the private apartments of the superintendent and his 
family, spacious reception rooms, dining rooms, offices, 
dispensary, culinary departments, fifty separate private 
rooms for both male and female patients, as well as their 
sitting and recreation rooms, bath rooms, a fine treatment 
room and all other appurtenances belonging to a first-class 
modern sanitarium or psychopathic hospital. 
At great expense, it is equipped with the most approved 
system of hot water heating, besides a modern local tele- 
phone system, with a number of telephones stationed at dif- 
ferent parts of the building, all of which are in connection 
with the superintendents office. 
In the building of this magnificent structure at great cost 
and equipping it with all the modern conveniences and med- 
ical appliances, we feel that we have supplied not only a 
pressing need, but also provided the Middle West and 
Southwest with an institution the equal, if not superior in 
every respect, with similar hospitals of its kind in the North- 
ern and Eastern States. 
The growing popularity of the Punton Sanitarium with 
the members of the medical profession augers well for its 
continued success, besides illustrating the increasing confi- 
dence in the practical utility and value of such Homes or 
Sanitariums for the necessary care and successful treatment 
of the various forms of Nervous and Mental diseases. 
To the patrons and friends of the medical profession 
whose co-operation in the past has so generously contributed 
toward the support and success of the Punton Sanitarium, 
I desire to extend my best thanks. 
As heretofore, it is the desire to conduct and maintain an 
exclusive, high-class, Ethical Hospital or Sanitarium, where 
all the features of a comfortable Home-privacy and pro- 
tection, combined with modern medical, scientific methods 
of treatment-are furnished those suffering from the more 
common and presumably curable Nervous and Mental 
Disorders. 
As in the past, it will be the aim to deal courteously and 
honestly with all our patrons, believing that- 
"A good name is rather to be chosen than great riches." 
John Punton, M. D., 
30th Street and Lydia Avenue. Kansas City, Mo. 6 
THE P UNTON SANITARIUM 
UNSURPASSED ENVIRONMENTS. 
nervous invalids, became so very apparent that the pro- 
gressive medical practitioner, and especially the Neurologist 
and Psychiatrist, found himself unable to do the best for his 
patients without the advantages and conveniences of a well 
equipped private hospital. Indeed, such Homes and Sani- 
tariums became as necessary to the Alienist and Neurologist 
for his special work as the operating room for the Surgeon 
or the laboratories for the Chemist and Bacteriologist. 
This magnificent Home-Like Sanitarium was built ex- 
pressly for the accommodation and treatment of persons suf- 
fering from the various Diseases of the Nervous System. 
The privacy of the Sanitarium is unsurpassed, being 
delightfully located in the midst of the famous Troost Park, 
with all its natural advantages, and within easy access of 
magnificent Paseo, Kansas City's most elaborate boulevard. 
The surrounding topography combines to create the unusual 
features of a secluded, Home-like retreat, commanding all 
the facilities and conveniences of a large and growing city, 
thus making the Punton Sanitarium an ideal' retreat for 
nervous invalids. 
ADDITIONS AND IMPROVEMENTS. 
In order to meet the demand of the ever-increasing 
number of applicants, a large addition has just been com- 
pleted which nearly doubles our former capacity. More- 
over, a handsome veranda overlooking the Paseo has 
recently been finished, which greatly adds to the pleasure, 
convenience and comfort of the guests. 
Adequate fire protection is also afforded by means of 
iron fire escapes, thus allaying all fears of disaster from fire. 
DEMANDS OF THE AGE. 
In the progressive development of medical science the 
need of home-like sanitariums or psychopathic hospitals, 
especially designed for the accommodation and treatment of 
LADIES' PARLOR. CLINICAL CHART 
OF 1,200 CASES OF NERVOUS 
AND 
MENTAL DISEASES. 
DIAGNOSIS. 
No. of 
Applications. 
No. of 
Admissions. 
VARIETIES. 
Acute. 
Chronic. 
Male. 
Female. 
Married. 
Single. 
Recovered. 
Improved. 
- 
Unimproved. 
Deaths. 
REMARKS. 
1 
. Pernicious 
- 
1 
1 
1 
.. .1.. 
• •0| 
. .1 
.1 
.0 
.1 
•01 
.0, 
•il 
.0| 
.0 
Physician. 
Amyotrophic Lateral Sclerosis. 
....2..|. 
...2.. 
.Charcot's Disease 
,.1| 
. .1 
.11 
al 
1 
.11 
.11 
.01 
1 
.0, 
1 
.21 
.0 
Deficient vitality. 
Alcoholism 
...60.J. 
..30.. 
. Dipsomania, Delirium Tremens, 
etc. 
1 
.18, 
1 
.12 
1 
241 
•61 
1 
171 
1 
15; 
16, 
1 
.81 
1 
•61 
.0 
Includes all forms of inebriety. 
....2. J 
...2. . 
. Syphilitic, Mechanical 
..91 
. .2! 
.2! 
1 
.0, 
1 
,2| 
01 
1 
•0, 
1 
.2| 
1 
•0| 
.0 
...1.. 
. Landry's 
..1' 
1 
0| 
• i; 
01 
•0; 
01 
1 
• •11 
.0 
Exposure. 
Bell's Palsy 
....8..I. 
...8.. 
. xoxic and Exposure .. 
. .6| 
■ -0| 
•4| 
.2, 
■ 4; 
1 
.21 
1 
1 
• ll 
1 
•01 
.0 
Brain Tumors 
...16..|. 
I 
..16.. 
. a uoercuiar Glioma, etc. 
..2 
,14| 
Hl 
1 
..51 
1 
ill 
1 
1 
.0; 
1 
..61 
.101 
.0 
....2..[ 
...2.. 
. Simple . 
. .2 
,.0| 
1 
.2j 
.0; 
1 
. 1 
,2| 
1 
,0| 
.01 
.0 
Localized and considered in- 
I 
. . Syphilitic, Enuai teritis 
1 
operable but 4, which were re- 
Cerebral Hemmorrhage 
...10.. 
...9.. 
..4| 
•4| 
.e| 
■31 
,0| 
..3| 
fused by fiiends. See varieties. 
Cerebral Thrombosis 
...14 J 
..12. . 
.Atheroma 
• .0 
13| 
12, 
,.1| 
1 
.13, 
1 
•0| 
1 
•1| 
I 
H| 
I 
• •lj 
.0 
Cerebral Embolism 
....2.. 
...2. . 
. Endocarditis 
..2 
1 
.01 
..2, 
1 
.2| 
1 
.01 
1 
•2| 
,.0| 
..0, 
.0 
Operation 
Cerebral Abscess 
...1. . 
.Traumatic 
.1 
0 
.11 
1 
.01 
1 
•1| 
1 
01 
1 
• 11 
■ 1 
1 
.01 
1 
.01 
.0 
Cerebral Syphilis 
....4.. 
...1.. 
. . Gumata 
..0 
. .11 
. .0, 
•1| 
1 
■0| 
1 
• 0| 
1 
. .11 
. .01 
.0 
Endocarditis, Infection, etc. 
Cerebral Softening 
...12. . 
..12. . 
.Thrombotic, Embolic 
..2 
.101 
io| 
. .21 
.121 
0| 
1 
1 
. 1 
i 
1 
.0) 
1 
■■6i 
.5 
All ages. 
Chorea (St. Vitus Dance) 
...14. . 
...7. . 
. .Simple, Maniacal, Aphasic, etc. 
. .3 
..4] 
,.3| 
..4 
..11 
6j 
•41 
| 
1 
,.3| 
| 
..01 
.0 
Lethargy. 
Catalepsy 
...1. . 
. Stuporous 
. .0 
. .1) 
..0 
••1! 
..ol 
•11 
.0; 
..1| 
,.0| 
.0 
Majority physicians & druggists. 
.7« 
Mornhinism. Cocainism. Chloral. 
etc. 
1 
1 Q 
19 
j 11 
' I 
1 
i 
I 
1 
i 
.... ---- -H - 
'' Dementia Precox 
...24. . 
..32.. 
. .Hebephrenia, Paranoides, Simple 
CLv 
.17 
. 15| 
.15 
,17| 
. .2| 
| 
.301 
Hi 
. .51 
.16)1 
.0 
Dementia Terminal 
...20.. 
..16. . 
.161 
.11 
. .5] 
. 13i 
,.3| 
| 
..11 
,.4| 
• ''I 
.0 
Alcoholic. 
... .2. . 
...2. . 1 
.. Toxic 
. .1 
..1| 
..2 
..ol 
•■ll 
••1| 
..11 
• •0 
• 01 
.1 
Two operations; no result. 
..194. . 
. 48. . 
. . Gi and mal, Petit mat, etc 
.... 
.40, 
.21 
.271 
1 
.171 
.31! 
1 
.1 
.31, 
.16, 
| 
. .0 
Operation. 
....4. . 
...2.. 
. .2 
..0! 
1 
. .2 
1 
..o' 
,.2| 
| 
..o| 
.0 
1 
..21 
| 
,.o| 
. .0 
Feeblemindedness 
...50.. 
..27. . 
..Tic douloureux 
. .1 
.26). 15 
.12| 
..0| 
.271 
..0 
.17 
,12| 
. .0 
Congenital defects. 
Goitre Exophthalmic 
...10.. 
..10.. 
. .Imbecility, Incorrigibility, etc. . 
. .5 
. .5| 
..4 
..61 
..8, 
1 
. .0| 
..7 
..31 
. .0 
With and without eye symptoms. 
General Paresis 
...71.. 
...43.. 
. . Graves' Disease or Basedow's. 
.... 
.23 
1 
. 20| .43 
..0 
,28| 
1 
,15| 
. .0 
.20 
.21) 
. .2 
Nearly all referred to asylum. 
....2..) 
....2. . 
• • Syphilitic, Alcoholic 
. .0 
1 
..2 
..2 
..0 
..0) 
1 
.. .2) 
..0 
. .0 
..2| 
. .0 
Hereditary Cerebellar Ataxia. . 
. . Friederich's Disease 
. .0 
1 
..1 
1 
.0 
• 1 
..PI 
1 
• •11 
.0 
..0 
..11 
. .0 
Domestic trouble, worry, etc. 
...13.. 
...13.. 
.5 
• 
|..8 
I 
.10 
..3 
..9 
•4, 
-.4 
. .5 
..4 
. .0 
..141.. 
..101.. 
.81 
.10 
.91 
.41 
. 60| 
.71 
.20 
.10 
. .0 
Many post-operative. 
....2. . 
. .Major, Minor, Hemiplegic, etc 
. .1 
1 
I..1 
.1 
..1 
..1 
••11 
..1 
..0 
..1 
. .0 
....... 
....8.. 
,.Tubercular, Simple 
. . 5 
|..3 
..2 
..6 
..8 
. .0, 
..8 
..0 
..0 
. .0 
Constipation, tobacco, coffee, etc. 
....4.. 
....4.. 
.. Toxic, Reflex 
. .4 
|..O 
l 
..3 
..1 
..2 
..2 
. .4 
. .0 
..0 
..0 
Financial distress, grief, etc. 
Infantile Paralysis (Cerebral) . 
...16.. 
....3. . 
.Simple 
. .( 
|..3 
..2 
-.1 
. .0 
. .3 
. .0 
..0 
..3 
. .0 
Some complicated with epilepsy. 
. ...2.. 
. ...2. . 
. .Hemiplegic, Diplegic 
. .< 
1 
\..2 
1 
..2 
..0 
..0 
..2 
. .0 
. .0 
..2 
..0 
Crossed legged progression. 
Locomotor Ataxia 
...24.. 
...13.. 
. .Paraplegic 
. .2 
l.ll 
.10 
. .3 
.11 
..2 
. .0 
. .8 
..5 
. .0 
Four complicated with paresis. 
Meningitis 
....6.. 
....6.. 
. . Preataxic, Ataxic, Paralytic. 
. J 
1 
Ji..4 
1 
|..4 
1..2 
1..3 
..3 
..2 
1..2 
I..2 
Traumatic, toxic. All ages. 
Multiple Slerosis 
....6.. 
....6. . 
. .Pachy, Lepto, Tubercular, etc. 
. .0). .6 
|..6 
1-0 
|..6 
..0 
..0 
|..6 
I..0 
..0 
Only two Nystagmus. 
....3. . 
. ...3. . 
. .Toxic 
. .5 
il..l 
|..2 
'..1 
'..2 
..1 
..0 
I--1 
l.a 
.1 
....5.. 
. ...5.. 
..Traumatic, Syphilitic, Potts'.. 
l|..2 
1 
1..4 
l-.l 
I 
j..° 
.5 
..3 
|..2 
1- .0 
..0 
All children. 
Myoclonus Multiples 
....2.. 
....2. . 
. .Toxic, Idiopathic 
. .5 
J|..« 
1 
I..1 
1 
1 
l-.l 
I..1 
1 
..1 
..2 
1 
1. .0 
..0 
..0 
Emotional. 
..270. 
..258. . 
18 
l|.77|108|150|175|.88 
151 
1.62 
'.42 
..3 
All ages. 
..205. 
..138.. 
..Simple, Delusional, Puerperal. 
. 89j. 49 
1 
1.53 
{.85)102 
1-36 
.52 
1 
| .54 
1 
|. 26 
•6 
All ages. Causes various. 
' Mania Depressive Insanity...- 
...10. 
....9.. 
. . Simple, Agitated, Delusional, etc. .. 
1 
l|..5 
i 
!•■< 
|..3|..7 
|..2 
I..2 
'..4 
1 
[..3 
..0 
....3. 
| 
. .Recurrent. Circular 
1 1 
1 1 , 
|..3|..4 
l-.l 
|..5 
1 
1..0 
1 
|..O 
i 
|..O 
Neurasthenia Psychasthenia. 
..228. 
|. .185. . 
.75|11O|114 
i 1 
|.71112O 
| j 
1.651133 
1 
|.2« 
I 
1.24 
I 
|..O 
All Ages, Causes various. 
Nervous Dyspepsia 
...14. 
I...14.. 
. .Mysophobia, Agaraphobia, etc. 
D|. 14 
1.12 
1 
|. .2[.1O 
1 1 
I..4 
1 
1.12 
|..2 
1 
|..O 
1 
1..0 
j 
Errors of diet; constipation. 
....1. 
{. .. .1. . 
.Simple 
0|. J 
L|..0|..1|..0 
l-.l 
|..C 
l-.ll-.O 
|. .0 
....7. 
I....7.. 
1 
1 
4|..: 
1 
J|. J 
I 
1 
5|..£ 
| 
1 
1 
1 
|..O 
1 
1 
1-.' 
1 
1 1 
(|..0|..<J 
1 1 
1 
|..0 
1 
Exposure, traumatic, etc 
Neuritis 
. . .9. 
I....8.. 
..Local, General 
6|..l 
J|..' 
l|.J 
|..4 
I 
I.J 
1 
L|..| 
1 
5. .0 
I 
|..O 
1 
Exposure; toxic. 
Neuritis (Alcoholic) 
....4. 
...4. . 
. .Local, General, Traumatic... 
3|.d 
I 
1 
L|. J 
5|.J 
I 
}|..3 
| 
1 
1..1 
1 
|..S 
1 
5|..J 
| 
5|..t 
| 
|..O 
1 
Toxic. 
Paralysi s Agitans 
... 14. 
6. . 
. . Motor, Sensory 
0). J 
1 
Jl..< 
1 
J|..( 
)|..4 
l|..2 
| 
l..( 
)|..< 
| 
5|..t 
| 
|..O 
1 
Emotional; general we 
Progressive Muscular Atrophy. 
....2. 
2. . 
. . Simple, Complicated. 
0|.. 
J.. 
)|. J 
5|..( 
1 
)'. J 
1 
Jl..( 
1 
)|..o 
1 
Pseudo Hypertrophic Paralysis 
....2. 
2. . 
. . Upper and Lower Arm Type. 
0|.. 
81.. 
J. J 
1 
1 
>1. J 
1 
1 
)l..< 
1 
)|..2|..O 
1 1 
Children. 
Progressive Spastic Ataxia. . . 
....4. 
. ....4.. 
0|.. 
II. J 
ll..< 
)|..4 
L|..( 
))..< 
),. .c 
?1. J 
1 
5|..O 
1 
Combined scierosis. 
....1. 
.)....1.. 
. .Postero-Lateral, Sclerosis. .. . 
0|.. 
1 
ll.. 
1).. 
)!.. 
1 
L|..( 
>1.. 
1 
D;. • 
1 
)'..] 
1 
L|..O 
1 
Tubercular. 
....9. 
7. . 
. .Dorsal 
11.. 
B|.. 
5|.. 
2|.. 
1|..4 
ll.. 
Di. . 
3|..< 
l|..O 
Delusional. 
Rheumatoid Arthritis 
....2. 
1. . 
.Exalted, Depressed 
i 
1|.. 
o|.. 
1|..< 
I].. 
0|.. 
1)..( 
)|. .0 
Syphilis (Multiple) 
....2. 
2. . 
1 
2|.. 
0|.. 
11.. 
1|.. 
1 
L|.. 
I 
L|.. 
1 
1 
11.. 
1 
01. J 
1 
)|. .0 
1 
General. 
....2. 
2. . 
0|.. 
2|.. 
2'.. 
0].. 
1 
?|.. 
I 
)'.. 
I 
01.. 
1 
0|.. 
1 
JI. .0 
Senile Paraplegia 
....2. 
2. . 
0|.. 
2|.. 
2'.. 
0|.. 
1 
2|..( 
I 
)|.. 
I 
0;.. 
D.J 
I 
i.o 
j 
Old age. 
Toxic Exhaustion Psychoses. . 
....8. 
8. 
1 
.. Emotional 
6|.. 
2|. . 
5|.. 
3|.. 
I 
6|.. 
I 
2|.- 
I 
6|.. 
1 
0|.. 
1 
3|. .0 
I 
Infective fevers. 
Uremic Convulsions 
....2. 
.|....2.. 
.. Diphtheria, Measles, Scarlatina, etc 
0|.. 
2|.. 
| 
11.. 
1 
1.. 
1 
j].. 
1 
»!■• 
I 
0 .. 
j 
ll.. 
1 
ll. .0 
1 
Nephritis. 
Wry Neck or Torticollis 
....3. 
. ....2. 
1 
. .Toxic 
11.. 
1 
1.. 
2'.. 
1 
0'.. 
1 
2'.. 
1 
0'.. 
| 
1,.. 
1 
ll.. 
1 
0). .0 
1 
Exposure. 
Writers' Cramp 
....4. 
|...4. 
. .Right Sided • 
3|.. 
I 
11.. 
1 
4'.. 
0|.. 
2'.. 
1 
1 
3|. . 
I 
1'.. 
1 
0|. .0 
1 
Mechanical. 
Hemiplegia, Chronic 
....8. 
,|. . . .8. 
. .Right Handed 
ll.. 
7|.. 
61. ■ 
21.. 
1 
5|.. 
I 
3|.. 
1 
0'.. 
1 
7'.. 
1 
l'..0 
1 
Organic brain lesions 
Aorta Aneurism 
....1. 
. ....1. 
. Left and Right Sided 
o|.. 
ll.. 
1!.. 
0.. 
1|.. 
01.. 
1 
0|.. 
11.. 
j 
0|. .0 
1 
Bright's Disease 
....2. 
2. 
0'.. 
1 
2|.. 
I 
2|. . 
| 
0 
1 
ll.. 
1 
11.. 
1 
oj.. 
0'.. 
21. .0 
j 
Coliea Mucoso 
....1. 
1. 
o'. 
| 
01. 
I 
11.. 
1 
0|. ■ 
1 
1I-. 
1 
I1!.. 
1 
0'.. 
1 
0|. .( 
| 
Cancer Uterus 
....1. 
.'....1. 
.01.. 
1|.. 
0|.. 
ll.. 
ll.. 
0|.. 
0 
0'.. 
1|..C 
GRAND TOTAL 
~ 
. 1657 
628|572|638I562|747|453|562I365I249|. 24 
1 timlutimi 
nf 
Sr. Jlulni 
JB'atttiariunt 
from 
1390-1333 
1890 TO 1894. 
1894 TO 1900. 
1900 TO 1908. 8 
THE P UNTON SANITARIUM 
EVOLUTION OF NEUROLOGY AND PSYCHIATRY IN 
KANSAS CITY. 
actual, successful operation, and open to inspection at all 
times to members of the medical profession. 
During the past 6 years over, 1,200 persons have been 
received for treatment suffering from the various kinds of 
Nervousness and the results obtained have been most grat- 
ifying to all parties concerned which is evidenced by the 
increasing demand for admission to the Punton Sanatarium. 
Those who are familiar with the history, growth and 
development of the science of medicine in Kansas City 
during the past twenty years fully recognize the laborious 
task attending the pioneer efforts of Dr. John Punton to 
establish a Sanitarium or Private Home for Nervous In- 
valids in this section of the country. 
Like all similar enterprises, its mission was at first mis- 
understood by the citizens, causing much undeserved criti- 
cism and even censure. A more intimate acquaintance, 
however, with the scope of the work contemplated, which 
was duly emphasized by the more progressive members of the 
medical profession, soon led to merited approval, which was 
evinced bv practical, substantial suppo-t, until today the 
Punton Sanitarium is recognized bv not onlv the medical 
profession, but also the citizens of Kansas City and vicinitv 
as one of its well established and most valued ethical medical 
institutions. 
From a small, obscure beginning in t888, when pro- 
vision was made for but three nervous patients, the Punton 
Sanitarium has grown and developed in spite of all obstacles 
until today the magnificent, modern sanitarium, with suffi- 
city capacity to accommodate Fifty nervous invalids, is in 
PART OF THE NURSING STAFF. THE P UNTON SANITARIUM 
9 
SCOPE OF SCIENTIFIC WORK UNDERTAKEN. 
of this is sufficient at times to effect their recovery. When- 
ever the therapeutical armamentarium is limited in its range 
or insufficient to meet the varied demands by nervous 
invalids, the vacillating mental state which is so commonly 
present prompts those suffering from 7vervousness to seek 
aid elsewhere, or fall an easy prey to the wily methods of 
the fraudulent quack and charlatan. 
1 he varied therapeutic means and measures required in 
the treatment of Nervous and Mental diseases include the 
scientific application of the principles embodied in the study 
of neurology, psychiatry, chemistry, pharmacology, hematol- 
ogy, bacteriology, massage, electricity, hydrotherapy, calis- 
thenics, hygient, dietetics, surgery and, above all, moral and 
psychological therapeutics. In addition, the judicious use of 
amusements and employment of all kinds are absolutely 
necessary. When these various agents are skillfully com- 
bined they often produce results which are most astonishing. 
That the sufferers from Nervous Diseases belong to a 
special class which require for their best care hospitals de- 
voted exclusively for their demands, is now fully recognized, 
and the medical practitioner who fails to recognize the ad- 
vantages offered by such provision often deprives his pa- 
tient of the very best opportunity which modern medical 
science clearly indicates for their special individual care and 
successful treatment. 
The Punton Sanitarium was designed and built especially 
for the accommodation and treatment of persons suffering 
from the various forms of Nervous and Mental Diseases, 
such as neurasthenia, phrenasthenia, psychasthenia, hysteria, 
chorea, headache, migrain, neuralgias, certain forms of epi- 
lepsy, aphasias, neuritis, locomotor ataxia, paralysis agitans, 
Graves' disease or goitre, myoclonias, torticolis or wry neck, 
writers' cramp, the different forms of infantile and adult 
palsies, brain tumors, precocious dementia, melancholia, 
toxic and exhaustion, psychoses following acute and chronic 
diseases such as typhoid fever, pneumonia, malaria, la 
grippe, scarlet fever, defective forms of inhibition, sequella 
neuroses, and the various forms of impulsions, morbid fears 
doubts and drug addictions, together with many other 
mcipient and presumably curable nervous and mental 
disorders. 
In the care, management and treatment of Nervous ana 
Mental diseases every therapeutic resource known to medical 
science becomes at times a necessity, hence nervous invalids, 
by virtue of their mental and physical distress, appeal to 
every department of medicine for relief, and nothing short 
VAST THERAPEUTIC RESOURCES REQUIRED. 10 
THE PUNTON SANITARIUM 
PROBLEMS TO BE ANSWERED BY THE NEUROLOGIST. 
therefore appeals to all the elements which enter into the 
.science and art of diagnosis and upon this largely hinges the 
answer to the second and third questions, as this determines 
not only the Prognosis but also the Treatment of the case. 
The cost of treatment depends upon several factors, such 
as ability to pay-responsibility assumed-nature and char- 
acter of the disease as well as time involved in the care 
and treatment of the case. 
In consulting a Neurologist, there are 4 prominent ques- 
tions in the mind of every person suffering from some 
nervous malady which they very much desire to be answered 
favorable to them. Stripped of all their strictly technical 
phraseology, they consist of the following: 
1. What is the matter with me? 
2. Can you cure me? 
3. How long will it take? 
4. How much will it cost? 
Now, the correct solution and honest dealing with these 
apparently simple questions embody all the various knowl- 
edge embraced in the science of medicine, including its 
various general and special departments, as well as the skill, 
integrity and manhood of the physician in applying his pro- 
fessional art. 
They, therefore, appeal not only to his medical educa- 
tional acquirements, but also his moral virtues, as well as 
test his skill and ability in the practical clinical application 
of his special knowledge of the nervous system to its various 
diseases. 
In proportion as the physician can correctly solve and 
interpret the intricate pathological secrets associated with 
the more common nervous and mental diseases, is he not 
only better prepared to answer satisfactorily the above 
questions, but also prove his own worth as an able clinician 
and competent neurologist and psychiatrist. 
The simple queston, "What is the matter with me?" 
ELECTRO THERAPY. THE, PUNTON SANITARIUM 
11 
By universal consent Nervous Diseases are roughly 
divided into two great classes, viz.: 
(i) Organic and (2) Functional. 
As many diseases are found to affect more than one por- 
tion of the Nervous apparatus, a convenient classification 
recognizes their chief seat. According to this view we may 
have diseases affecting: 
(1) The Brain, (2) The Spinal Cord and (3) The 
Peripheral Nerves. 
The differential diagnosis of each, however, depends 
upon the physicians ability and knowledge of the structure 
and functions of the parts involved. 
When the causes of Nervous and Mental diseases are 
therefore studied in relation to their effects upon the brain, 
spinal cord and peripheral nerves we find that they are not 
only influenced by age, heredity and sex, but also, habits, 
occupation, climate, civilization and similar conditions. 
When they are studied in relation to their effects upon 
the brain, spinal cord, and the peripheral nerves the chief 
diseases they are responsible for in these situations are the 
following: 
1. Brain Diseases. 
In early life the chief diseases affecting the brain are 
the various forms of meningitis, epilepsy, infantile palsies, 
microcephalus, hydrocephalus, feebleminded conditions, 
idiocy and the various functional neuroses. 
Those of adult life are cerebral hemorrhage, embolism, 
thrombosis, softening, paralysis, syphilis and brain tumors, 
as well as the various insanities. 
CLASSIFICATION 
When we come to consider the spinal cord, we find that 
vascular lesions are very uncertain in the production of 
symptoms, hence such conditions as anaemia and hypersemia 
as well as hemorrhage of the cord are comparatively rare. 
Also new growths and tumors-hence the most common 
and consequently the more important diseases of the spinal 
cord are those which result from inflammations and degen- 
erations. These include myelitis, polio, myelitis locomotor 
ataxia and the combined scleroses. 
2. Spinal Cord Diseases: 
RECEPTION PARLOR. 12 
THE PUNTON SANITARIUM 
3. Peripheral Nerves: 
tion and perversion of others, it will readily be seen that 
the classes or kinds of symptoms belonging to morbid 
states of the nervous system pertain to (i) motion, (2) sen- 
sation, (3) reflex action, (4) changes in nutrition or tro- 
phic, (5) secretory, (6) mental or psychical, and (7) gen- 
eral systematic states, sometimes termed visceral. Combina- 
tions of these groups of symptoms may affect various or- 
gans and are consequently termed mixed neuroses. 
The peripheral nerve diseases furnish chiefly the various 
kinds of neuralgia, neuritis and paralytic states. 
Functional Neuroses. 
These include such conditions as neurasthenia or nervous 
prostration, hysteria, chorea or St. Vitus dance, epilepsy, 
catalepsy, paralysis agitans, the precocious dementias, para- 
noia, melancholia, manic depressive insanity, and toxic ex- 
haustion psychoses. Many of the latter may accompany, 
follow or become the sequella of the infectious fevers, like 
typhoid, la grippe, pneumonia, measles, scarlet fever, or they 
may be associated with alcolhol, syphilis and similar poisons. 
In other clinical syndromes they may present varying 
degrees of delirium, confusion and stupor. Such psycho- 
neuroses, as a rule, first come under the observation of the 
family physician, who, unfortunately, quite often fails to 
recognize their true psychological significance until some 
complicating obsession, impulsion, imperative, concept or 
fixed idea become so clear and distressing that the prog- 
nosis for recovery is thereby greatly reduced if not entirely 
beyond all hope of cure. 
Practical knowledge and experience demonstrates that 
the so-called functional nervous affections are, if recognized 
early, for the most part crirable, while the organic forms are 
well nigh incurable. 
Symptomatology. 
As symptoms consist in the derangement of the various 
functions involved, viz., the loss of some and the exalta- 
ONE OF FORTY BEDROOMS. THE P UNTON SANITARIUM 
13 
ETIOLOGY OF NERVOUS AND MENTAL DISEASES. 
The causes of nervous diseases are uniformly consid- 
ered as belonging to one of two classes, viz., predisposing 
and exciting, or intrinsic and extrinsic. These, however, 
usually blend in their pathogenic influence. 
The chief of the predisposing causes are hereditary 
defects. While, as physicians, we are not prepared to ex- 
plain all the intricate details concerned in the laws of 
heredity, yet the inheritable deviations of structure and func- 
tion are endless and these are the factors with which the 
medical profession have to deal. 
Modern medical investigation clearly demonstrates 
that abnormal conditions of inheritance form the basis of 
the vast majority of diseases of the nervous system, yet these 
are also greatly emphasized by dissipation, overwork, worry, 
syphilis, undue mental and physical strains, injuries and the 
presence of all forms of infections and other poisons. These, 
therefore, constitute the chief exciting factors, the general 
effects of which produce changes in the blood which lead to 
different forms of anemia and other congenital or acquired 
nutritional degenerative and structural neural lesions. 
A general knowledge of the causes of disease is very 
important as the basis of prophylaxis or its prevention, as 
well as an aid to its scientific management, for it is ob- 
vious that in proportion as we are able to trace diseases 
to their sources, we may expect to extinguish causes or 
obviate their morbific influence. 
Generally considered, the chief lesions affecting the 
nervous apparatus can be arranged under six groups, viz.: 
i, Vascular; 2, Inflammatory; 3, Degenerative; 4, Toxic 
States; 5, Congenital Malformation, and 6, Functional or 
Unclassified Lesions. 
Group 1 includes such conditions as anaemia, hyperaemia, 
hemorrhage, thrombosis, embolism, atheroma, aneurisms, 
etc., arterio sclerosis. The 2nd, all forms of meningitis, mye- 
litis and neuritis. 3rd. Locomotor ataxia, lateral sclerosis, 
progressive muscular atrophy, bulbar or nuclear palsies, 
infantile and other palsies, Freiderich's disease, muscular 
dystrophies, growths and tumors. 4th. Syphilis, alcoholism, 
lithaemia, morphinism, murcuria, and all other toxic states. 
5th. Hydrocephalus, microcephalus, spina bifida, kyphosis, 
scoliosis, rickets, idiocy, etc. 6th. Neuralgias, hysteria, mi- 
graine, epilepsy, neurasthenia, catalepsy, paralysis agitans, 
chorea tics, tetanus, exophthalmic goitre, occupation neu- 
roses, etc. 
The general effect of the lesions producing these patho- 
logic states, as before remarked, present a wide and varied 
range of symptomatology which conforms to their special 
seat. 
PATHOLOGY OF NERVOUS DISEASES. 14 
THE PUNTON SANITARIUM 
CLINICAL ANALYSIS OF 1,200 CASES OF NERVOUS AND 
MENTAL DISEASES. 
747 were married and 453 were single, which also includes 
children of both sexes. Moreover, no less than 562 recov- 
ered, or 47 per cent of the total admissions; 365 improved; 
249 unimproved and there were 24 deaths, or less than 3 
per cent of total admissions. 
The following tabulated report covers an analysis of the 
applications and admissions for diagnosis and treatment at 
the Punton Sanitarium during the past six years ending 
December 31, 1906, under the personal care and manage- 
ment of Dr. John Punton, the superintendent. 
It includes a great variety of diseases of the nervous 
system, together with their more serious complications. 
The report, however, does not include the large and varied 
number of cases examined at the down town office, college 
clinics, hospitals and free dispensaries, or those met in 
consultation with other physicians, both in and outside of 
Kansas City. A report including all this clinical material 
would not only be out of place in this announcement, but 
would exceed the limits of space at our disposal. It is 
hoped, however, that a study of its contents will prove not 
only instructive to the medical practioner, but others who 
may be interested in such information. 
It will be observed that no less than 1,657 persons 
applied for admission, but owing to lack of room, known 
incurability of the patient, or some other contingency, 457 
were not accepted, leaving a total of 1,200 persons actually 
admitted to the sanitarium during this period. Of this 
number 628 were in the acute and 572 were in the chronic 
stage of their illness; 638 were males and 562 were females; 
GENERAL SITTING ROOM. THE P UNTON SANITARIUM 
15 
As the marked tendency of the age in the treatment of 
nervous and mental disorders is toward procrastination and, 
therefore, postponed for a more convenient season or 
evasively denied until their chronicity renders the prognosis 
pot only unfavorable, but emphasizes their intractability to 
all kinds of treatment, too much importance cannot be 
attached to early diagnosis and the institution of prompt, 
appropriate, therapeutic measures. 
In view of this, it is with pride that we call especial 
attention to the comparatively large number of recoveries, 
more particularly in the acute or incipient classes, which 
establishes the accepted belief of competent authorities that 
nervous and mental diseases are extremely susceptible to 
curability, providing their progressive significance is early 
recognized and subjected to appropriate methods of treat- 
ment. Moreover, the necessity which exists for excluding 
from the Punton Sanitarium all noisy, violent and other 
objectionable persons, thereby protecting the inmates from 
all undue sources of annoyance, precludes the admission 
of a large and growing class of nervous invalids which, 
.while undesirable in many respects, would, if allowed 
admission, materially increase the good showing in the list 
of recoveries. Practical clinical experience proves that 
such disturbed persons, as a rule, recover far more readily 
than the more quiet, tractable and consequently desirable 
nervous patients, such as the neurasthenic, melancholic, 
hysteric, paralytic, or those suffering from the more com- 
mon organic nervous disorders. 
TENDENCY TO PROCRASTINATE. 
The vast extent of territory represented by those 
admitted to the Sanitarium is also worthy of remark, for 
not only are there found persons from nearly every state 
and territory of the Union, but also those from Mexico, as 
well as the Dominion of Canada. Hence many of our 
patrons come long distances, being recommended by their 
family physicians as well as the leading Alienists and 
Neurologists of America. 
WIDE ACQUAINTANCE OF SANITARIUM. 
STENOGRAPHER'S ROOM. 16 
THE, P UNTON SANITARIUM 
Many clinical facts relating to occupation, etiology, 
pathological findings and the details of treatment must of 
necessity be omitted on account of limited space. Sufficient 
data, however, is furnished to enable the physician to 
recognize the extent and purpose of the work accomplished 
and the results obtained in the Punton Sanitarium. 
In spite of all the difficulties encountered in dealing 
conscientiously with those suffering from the various 
neuroses and psychoses, attention is also directed to the low 
rate of mortality, which amounts to only 24 deaths in the 
six years, or less than 5 per cent of the total number 
admitted. When it is remembered that a large number of 
the patients when admitted are suffering from all degrees 
of nervous exhaustion and that many, by virtue of 
chronicity or the nature of their ailment, resent and even 
refuse all measures addressed to their relief, the significance 
of the facts embodied in this report are very apparent. 
RESULTS ACCOMPLISHED. 
In reporting these 1,200 cases which constitute the 
results of six years' work in the Sanitarium, the aim has 
been to simply present the clinical facts as they existed, in 
the hope that they may not only prove interesting, but also 
instructive, beside inspire in each person interested a more 
earnest zeal and enthusiastic love for the study of clinical 
neurology and phactical psychiatry. 
SUMMARY. 
In order to economize time the following tabulated report 
contains a brief summary of the principal features pertaining 
to each class referred to beside other important clinical 
information, the enlargement of which time and patience 
forbid. As a routine method, urinalysis was extensively 
employed and in most cases blood examinations were also 
made, besides the frequent use of the microscope, which 
proved very helpful in not only confirming the diagnosis, 
but also suggesting appropriate means of treatment. 
MUSIC PARLOR AND LIBRARY. THE PUNTON SANITARIUM 
17 
PERCENTAGE OF RECOVERIES. 
Christian Science and similar fallacies. Moreover, occupa- 
tions of all kinds are included, such as statesmen, railroad 
magnates, politicians, promoters, bankers, lawyers, doctors, 
.preachers, capitalists, artists, actors, educators, reporters, 
dentists, druggists, mechanics, nurses, farmers, housewives, 
stenographers, and many others. 
By birth the large majority of those admitted were 
Americans, although subjects of several other nationalities 
appear quite frequently. 
In certain conditions it will be observed that the per- 
centage of recoveries were much greater than the general 
average of 47 per cent. For instance, in neurasthenia the 
total admissions were 185 and of these no less than 133, or 
77 per cent recovered. In drug addictions, (including all 
forms) there were 55 admissions and 41 or per cent 
recovered. 
In hysteria there were 101 admissions and pi per cent 
recovered; while in melancholia there were 258 admis- 
sions and 151, or 58 per cent, recovered. Of the 638 cases 
that failed to recover, a large number, while greatly 
improved, left the sanitarium before sufficient time had 
elapsed to effect a cure, owing to their restless vacillating 
conduct or other circumstances beyond our control; hence 
the termination of many of these cases are unknown, but 
no doubt a considerable number finally recovered. 
Considered from an intellectual standpoint, this report 
represents persons of all grades of social and mental 
development, from the giant intellect of the precocious 
genius to rhe lethargic mental weakness of the degenerate 
dullard. Financially regarded, it includes persons of all 
degrees of wealth and social distinction; from the fortunate 
millionaire to the less favored laboring class. 
Every form of religious creed is also represented; hence 
we find the orthodox Methodist, Baptist, Presbyterian and 
Congregationalist, as well as the strictest adherent to Cathol- 
icism, besides those who believe in Spiritualism, Mormanism, 
SOCIAL STANDING OF NERVOUS INVALIDS. 
SECTION OF TREATMENT ROOM. 18 
THE P UNTON SANITARIUM 
Relatives and friends should afford the sanitarium 
management their full co-operation and support in the 
enforcement of all measures advised as necessary to meet 
the exigency of the case, and proper protection should be 
furnished those persons where detention becomes more or 
less necessary for the best results. 
The vacillating, nervous state of many such invalids 
often deprives them of fully realizing their true condition, 
as well as their need of leaving home for treatment, although 
such a procedure is usually not only necessary, but fully 
endorsed by practical scientific medical knowledge and 
experience. 
CO-OPERATION OF FRIENDS AND RELATIVES. 
A WORD OF CAUTION. 
Prospective patients suffering from nervous diseases 
should not be deceived by friends and relatives as to the 
nature of their malady, or their need of sanitarium 
treatment, as this leads them to believe that the doctors and 
nurses are responsible for their removal from home, or 
separation from relatives and friends. 
Inasmuch as our room is limited, it is best to make 
arrangements with the management before sending patients 
to the sanitarium, as we may be without a room upon 
arrival. By so doing the inconvenience and hardship of 
disappointment is avoided. 
The right to discharge a patient at any time is reserved 
by the management. 
THE LAWN. THE P UNTON SANITARIUM 
19 
PATIENTS SHOULD BRING WITH THEM THE FOLLOWING 
ARTICLES OF CLOTHING: 
Male. 
2 suits clothes. 
i pair shoes. 
i pair slippers. 
4 pairs socks. 
3 suits underwear. 
4 shirts. 
3 nightshirts. 
6 handkerchiefs. 
i brush and comb. 
i tooth brush. 
i clothes brush. 
i overcoat (winter). 
1 hat. 
6 collars. 
2 neckties. 
Female. 
i street suit. 
3 wrappers. 
4 underskirts. 
3 gowns. 
3 suits underwear. 
3 pairs hose. 
i pair house slippers. 
I pair shoes and rubbers. 
6 handkerchiefs. 
6 to 12 sanitary napkins. 
I hat. 
i clothes brush. 
i tooth brush. 
i cloak and winter wrap. 
I comb and brush. 
SECTION OF DINING ROOM. 20 
THE P UNTON SANITARIUM 
HOW TO REACH THE SANITARIUM FROM THE UNION 
DEPOT. 
Take street car at depot and ride to 8th and Wyandotte 
streets; transfer to Troost avenue car and ride to Thirty- 
first and Troost; again transfer to Thirty-first street car 
line and ride to Thirty-first and Lydia avenue, where you 
alight and walk one block north to Sanitarium, located at 
3001 Lydia avenue. 
Address all correspondence to Dr. John Punton, 30th 
and Lydia avenue, Kansas City, Missouri. 
The best and safest way is to secure a carriage at the 
depot and come to Thirtieth street and Lydia avenue. A 
carriage stand is established at the Union Depot and the 
office is near the ticket office, where carriages can be 
secured at reasonable rates. To those who prefer the street 
cars, take the electric car at the depot, ride to Eighth and 
Walnut; transfer there to the Rockhill or Electric Park cars 
going south and ride to Thirty-first street; transfer to the 
Thirty-first street car line and ride to Lydia avenue, where 
you alight and walk one block north to the Sanitarium 
located at Thirtieth street and Lydia avenue. 
The chief railroads represented at the Union Depot are 
as follows: Atchison, Topeka & Santa Fe; Chicago, 
Burlington & Quincy; Missouri Pacific; St. Louis & San 
Francisco; Missouri, Kansas & Texas; Kansas City & 
Northwestern; Chicago, Rock Island & Pacific; Wabash; 
Chicago & Alton; Union Pacific, and Chicago,- Mil- 
waukee & St. Paul. 
HOW TO REACH THE SANITARIUM FROM THE GRAND 
CENTRAL DEPOT. 
Located at Second and Wyandotte streets. At present 
there are four railroads using this depot, as they have no 
entrance to the Union Depot. They are: The St. Joseph 
& Grand Island; Chicago Great Western; Kansas City 
Southern; Quincy, Omaha & Kansas City. 
FRONT HALL AND STAIRWAY. Smarts ©nnrerning Kansas ©tig 
expenditure of no less than $1,000,000 annually for the next 
ten years. 
The finest and most elaborate of these is known as the 
Paseo. This magnificent thoroughfare, with its beautiful 
gardens, fountains and other adornments, is conceded by 
visitors to the city to be the equal, if not superior in point 
of grandeur, to anything of its kind found in any of the 
great cities of America. It stretches north and south 
through the central portion of the city, thus forming an 
artistic link between the business center and the aristocratic 
residential districts. On its way south it passes, in a 
tortuous manner, through the famous Troost Park, both of 
which face the Punton Sanitarium. This beautiful park, with 
its many acres of lawn, numerous shade trees, quiet nooks 
and lakeside walks, is owned and maintained by the city as 
a public park and pleasure resort, thus affording the guests 
of the Punton Sanitarium ample recreation grounds, as well 
as furnishing them a constant source of enjoyment and 
interesting, healthful diversion. 
Kansas City, Missouri, and Kansas City, Kansas, have a 
combined population of over 400,000 inhabitants. 
It is next to the largest railroad center in America, 
having no less than twenty-six trunk lines, besides several 
other associated railways leading to and from its railroad 
depots. 
Its street car facilities are unsurpassed for convenience, 
as well as up-to-date equipment. They permeate all 
portions of the city and come within one block of the Punton 
Sanitarium. 
Kansas City can boast of as magnificent a park and 
boulevard system as can be found in any city in the United 
States. No less than $4,000,000 have already been spent 
by the citizens in this form of modern improvement during 
the past five years, and future plans entail a continued 
Punton-Clark Press, Kansas City, Mo.