Neuralgia and the diseases that resemble itAnstie, Francis Edmund
Science
Neuralgia and the diseases that resemble it
Anstie, Francis Edmund
Neuralgia
often been noticed that such friction has completely rubbed off the hair
or whisker on the affected side: this happens the more easily, because
the neuralgic affection itself impairs the nutrition of the hair and
makes it more brittle, as we shall have occasion to show more fully
hereafter. The general appearance of a confirmed neuralgic of the type
now described is very distressing, and the history of his case fully
corresponds to it. He is moody and depressed, he dreads the least
movement, and the least current of air; he hardly dares masticate food
at all, more especially if the inferior maxillary division of the nerve
be implicated (as is generally the case sooner or later), for this
movement re-excites the pain with great violence. Nutrition is very
commonly kept up by slops, and is thus very insufficiently maintained:
this failure of nutrition is itself a decidedly powerful influence in
aggravating the disease. And there is a still further calamity which is
not unlikely to occur. The patient may fly to the stupefaction of drink
as a relief to his sufferings, and, if he has once experienced the
temporary comfort of drunken anæsthesia, is excessively likely to repeat
the experiment. But this is another and one of the most fatally certain
methods of hastening degeneration of nerve-centres, and the ultimate
effect, therefore, is disastrous in every way.
Although the neuralgias of the degenerative period are thus fatally
progressive, on the whole, there are some curious occasional anomalies.
Many cases are recorded, and I have myself seen such, in which the
attacks of pain, after reaching a very considerable degree of intensity,
have ceased for many months, whether under the influence of remedies or
not it is difficult to say with certainty, but probably far more from
independent causes. Whatever may be the reason of these sudden arrests,
however, certain it is that they are very seldom permanent, the pain
returning sooner or later, like an inexorable fate.
Public-domain text, read in full here on John Shaqi.
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