Neuralgia and the diseases that resemble itAnstie, Francis Edmund
Science
Neuralgia and the diseases that resemble it
Anstie, Francis Edmund
Neuralgia
CASE I. is that of a gentleman, aged forty-seven, the subject of
lumbo-abdominal neuralgia: no history of nervous disease in the family;
his mother, however, was of a "nervous" temperament.
CASE II.--A gentleman, aged sixty-four, suffering from angina. His
family nervous history is fearful. On the father's side it is not
possible to get a clear account. But on the maternal side there has been
a strong tendency to insanity and suicide; and in the patient's own
generation one brother committed suicide from insanity, and one sister
is still alive, insane. An interesting fact is, that the mother's family
have shown an extraordinary proclivity to erysipelas.
CASE III.--The young gentleman, whose single but extremely severe attack
of angina is previously described, comes of a family in whom the
tendency to neuralgia is undoubtedly very strongly inherited. His father
is frequently and very severely _migraineux_, and in early life suffered
cardiac symptoms not unlike his son's. A brother was also liable to
attacks of true migraine between puberty and the age of twenty-one.
CASE IV.--On the other hand, a case of angina which I saw in the
country, last year, occurred in a gentleman, aged fifty, whose family
presented no traceable neurotic history. But the damage inflicted upon
his nervous system by various external influences was quite
extraordinary. In some way or other he got some attacks of migraine at
the age of fifteen or sixteen; for these he was treated with bleeding,
and with a most savage antiphlogisticism generally. From that time he
never got free of the neuralgic tendency. He used to have not only
facial, but intercostal neuralgia; for this last he was repeatedly bled,
under the idea that it was pleurisy. Added to all this he habitually did
an immense deal of brain-work in his study, and for years had performed
clerical duties of the most exacting and exhausting character. It is not
much wonder that these combined circumstances had sufficed to generate
the neurotic temperament.
NOTE II.
THE INHIBITION THEORIES OF HANDFIELD JONES AND JACCOUD.
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