Neuralgia and the diseases that resemble itAnstie, Francis Edmund
Science
Neuralgia and the diseases that resemble it
Anstie, Francis Edmund
Neuralgia
(_a_) Opium and the remedies that resemble it are, for the treatment of
neuralgia, fully represented by the hypodermic use of morphia, which is
the only kind of opiate treatment that ought ever to be employed, save
in very exceptional instances. The great reasons for the preference of
the subcutaneous administration over the gastric are, the economy of the
drug which it affects and the much smaller degree of disturbance of
digestion which it causes. The hypodermic injection of morphia, if
conducted on correct principles, enables us, when necessary, to repeat
the dose a great number of times with but little loss of the effect, and
consequently with a much smaller rate of progressive increase of the
quantity required; and the absence of depressive action on digestion
enables us to carry out simultaneously that plan of generous nutrition
which has already been shown to be so important a part of treatment.
Indeed, the case is hardly expressed with sufficient strength, when we
say that hypodermic morphia is usually harmless to the digestive
functions; for in a great number of instances it will be found actually
to give an important stimulus both to appetite and digestion; and the
patient, who without its aid could hardly be persuaded to take food at
all, will not unfrequently eat a hearty meal within half an hour after
the injection.
The remarkable effects of hypodermic morphia have, however, caused it to
be rashly and indiscriminately used, and so much harm has been done in
this way that it is necessary to be exceedingly careful in the rules
which we lay down for its employment. Upon these grounds I must hope to
be excused if, in order to render this work complete, I repeat a good
deal of what I have already said in other places. In the first place, I
shall speak of the mode of administration, and then of the dose.
Public-domain text, read in full here on John Shaqi.
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