Neuralgia and the diseases that resemble itAnstie, Francis Edmund
Science
Neuralgia and the diseases that resemble it
Anstie, Francis Edmund
Neuralgia
The mildest degree of skin-stimulation is represented by the continuous
application of moist warmth, which is best effected by the simple
application of moistened spongio-piline; so far as I have observed,
however, it is rather in cases of myalgia than in true neuralgia that
this does good; in the latter it is probably little more than a mere
protector against cold.
(_b_) A variety of agents can be employed with the object of temporarily
interrupting the conductivity of the painful nerve; by this means a
period of rest is obtained during which the centres--sensory and
psychical--have time to regain a juster equilibrium, and the habit of
pain is, _pro tanto_, broken through.
There is one agent of this class which for general purposes I do not
think is worth retaining on our list of sensory paralyses--namely, cold.
Cold, to be of any value, ought to be of the degree which is represented
by ice allowed to melt slowly in contact with the skin; and for the
majority of neuralgias this is decidedly inferior to other remedies that
can be applied by painting or inunction. The one case in which ice is
supremely useful is in neuralgia of the testis; here I make no doubt
that it is almost, if not quite, the most useful remedy we can employ,
although of course other means must be taken to modify the neuralgic
temperament. It should be applied the moment an attack comes on.
Far more useful, in neuralgias generally, is the external application of
aconite or of veratrine. Aconite may be employed in the milder or the
stronger form; in the former case, we simply paint the ordinary tincture
on the skin over the painful nerves (avoiding any cracks or sores); in
the latter, we rub in an ointment containing one grain of the best
hydrate of aconitine to the drachm of lard, about twice a day, and to
such an extent as to maintain complete numbness of the parts
continuously, for two, three, or four days. I do not believe that this
will ever, by itself, cure a true neuralgia of any considerable
severity; but I have more than once known its intervention, at a crisis
in treatment when it seemed that other remedies might fail, produce a
striking change in the progress even of a very bad case.
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Elsewhere in the archive
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account