Neuralgia and the diseases that resemble itAnstie, Francis Edmund
Science
Neuralgia and the diseases that resemble it
Anstie, Francis Edmund
Neuralgia
That which I have thus observed in the case of epilepsy, and which Dr.
Blandford more particularly affirms concerning chronic mental diseases
and the large number of neuroses that hover on the verge of insanity,
has been most distinctly verified in my experience of the treatment of
neuralgia. It is, unfortunately, by no means a frequent occurrence that
the sufferer from this malady is inclined to eat largely, but the few
patients of this type that I have seen were, in my judgment, distinctly
the better for it. Far more common in neuralgia is a disposition of the
patient to care little for food, to become nice and dainty, and in
particular to develop an aversion--partly sensational and partly the
result of morbid fear about indigestion--for special articles of diet.
Dr. Radcliffe pointed out the special tendency of neuralgics to neglect
all kinds of fat; partly from dislike, and partly because they believe
it makes them "bilious;" and I have had many occasions to observe the
correctness of this observation. In fact, by the time patients have
become sufficiently ill with neuralgia to apply to a consulting
physician, they have already, in the great majority of cases, got to
reject all fatty foods, and have cut down their total nutriment to a
very sufficient standard. Young ladies suffering from migraine are
especially apt to mismanage themselves, to a lamentable extent, in this
direction: this is natural enough, because the stomach disorder seems to
them the origin of the pain, instead of being, as it is, a mere
secondary consequence of the neurosis. But it is not only the sufferers
from sick-headache in whom we find this tendency to insufficient eating,
especially of fat; not to mention that all severe pain usually tends to
disorder appetite and make it fastidious, there is nearly always some
wiseacre of a friend at hand, ready to suggest that neuralgia is
something very like gout, that gout is always aggravated by good living,
and, _ergo_, that the patient should be "extremely cautious as to diet;"
the end of which is that the poor wretch becomes a half-starved
valetudinarian, but, so far from his pain getting better, it steadily
becomes worse. I cannot too strongly express the benefits that I have
seen accrue, in the most various kinds of neuralgic cases, from
persistent efforts to remedy this state of things, and to convert the
patient from a valetudinarian to a hearty eater; and I wish particularly
to say that this success has always been most marked when I have from
the first insisted on fat forming a considerable element of the food.
Cod-liver oil is the form in which I much prefer to give it, if this be
possible; there can be no mistake about the relatively greater power of
this than of any other fatty matter, I believe simply from its great
assimilability. But the very cases in which we most urgently desire to
give fat are often those in which the patient's fantastic stomach openly
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