Neuralgia and the diseases that resemble itAnstie, Francis Edmund
Science
Neuralgia and the diseases that resemble it
Anstie, Francis Edmund
Neuralgia
The preparations of phosphorus which I have employed in the treatment of
neuralgia are the phosphuretted oil, the hypophosphite of soda (five to
ten grains three times a day), and pills of phosphorus (according to Dr.
Radcliffe's recommendation) containing one-thirtieth of a grain, given
twice or thrice daily. Either of the two last will do all that
phosphorus can do, but its utility is not very extensive or reliable. I
have found it to do most good in cases where there was a high degree of
anæsthetic complication.
Preparations of zinc have, in my hands, done no particular good,
although I have tried them in all manner of doses.
Strychnia, on the other hand, is a remedy which I have learned to prize
much more highly during the last few years than previously. Its most
decided efficacy has been shown in some of the visceralgiæ, especially
gastralgia, and (to a less extent) angina pectoris. Its internal use for
these complaints is best effected by giving doses of five to ten minims
of tincture of nux-vomica three times a day; but a method which I have
several times employed with good effect is the subcutaneous injection of
very small doses of strychnia (one-eightieth to one-fiftieth of a grain)
twice daily. For the superficial neuralgias, on the other hand, I
generally administer one-fortieth of a grain, with ten or fifteen minims
of tincture of sesquichloride of iron, by the stomach, three times a
day; this is a very powerful prophylactic remedy to prevent the
recurrence of the attacks when once the sequence of them has been broken
through by other means.
Of iron generally, as a remedy in anæmic cases, I have only to remark
that, in order to get its full benefits, it is necessary to use large
doses. I give the saccharated carbonate in twenty-grain doses twice or
three times a day.
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