Neuralgia and the diseases that resemble itAnstie, Francis Edmund
Science
Neuralgia and the diseases that resemble it
Anstie, Francis Edmund
Neuralgia
It is possible to view the action of blisters in neuralgia in more than
one way. When applied in such a manner as to vesicate decidedly, and
especially if kept open and suppurating for some time, they cause
considerable pain of a different kind from that of neuralgia itself and
the mental effect of this, operating as a diversion of the patient's
thoughts from his original trouble, may be thought to assist in breaking
the chain of nervous actions by which he is made to feel neuralgic pain.
There may be something in this, but I confess that I do not believe this
kind of effect goes for much in genuine neuralgia. It is rather in the
pain of hypochondriasis, and the so-called spinal irritation (to be
described in the second part of this work), that such an action of
blisters proves useful.
Another action of blisters, which some authors hold to be perhaps the
most effective portions of their agency, is that which is produced by
the drain of fluid, specially when they are kept open, by which means a
kind of depletion is set up, and the morbid irritation that causes the
nerve pain removed. I cannot at all assent to this view. In the first
place, I believe that any one who has large experience of blistering in
neuralgia will ultimately come, as Valleix did, to believe that
prolonged drain from a blister is rarely or never useful, and that a far
better plan is that of so-called flying blisters, renewed at intervals
if necessary. The most genuine successes that I have procured from
blistering have certainly been got in this way. But I should go further,
and say that the prolonged drain and the peculiar kind of chronic
irritation produced by a suppurating blistered surface can very
decidedly aggravate a neuralgia; this is more especially the case when
the blister is applied immediately over the focus pain.
Public-domain text, read in full here on John Shaqi.
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