Neuralgia and the diseases that resemble itAnstie, Francis Edmund
Science
Neuralgia and the diseases that resemble it
Anstie, Francis Edmund
Neuralgia
sometimes twice a day, for a fortnight; by this sole means, with rest,
quietude, and light nourishing food, the patient was brought to
comparative convalescence. The injections were then gradually
discontinued, and she got quite well.
In a second case, which presented itself in the out-patient room at
Westminster Hospital, a young man of markedly-nervous temperament, who
had been somewhat given to drink, complained of similarly deep-seated
intermittent pain, which he referred, however, to a point nearer the
back of the head. He suffered, also, from vertigo, especially after
unusually long paroxysms. Blisters to the nape of the neck, and a few
subcutaneous injections of morphia, removed the pain and the vertigo
completely.
A third example was that of a gentleman, aged thirty-four, who was sent
over from the neighborhood of Sydney, Australia, to see me. Here, also,
there was deep-seated intracranial neuralgic pain of the most severe
kind, which greatly alarmed his local medical attendants; and it was
only after a great many remedies had been tried that one medical man
gave the opinion that the disease was "neuralgia of the membranes of the
brain," and employed the hypodermic injection of morphia. This treatment
at once gave great relief, though the pain had been so severe as to
cause delirium on several occasions. In order to get thoroughly
re-established, he was sent to England, and desired to consult me. As
was expected, the voyage proved of the greatest service, as he hardly
suffered at all while on the water. On arriving in England he was at
first well, but in a week or two began to feel somewhat below par, and
one morning, feeling an attack of pain coming on, he came to me. He was
a tall and strongly-built man, with nothing peculiar in his appearance
except a certain languor and heaviness of the eyes. He appeared to have
lived somewhat freely and to have smoked decidedly to excess. His
description of the attacks left no doubt of their neuralgic character,
and in other respects they seemed quite analogous to the other cases
mentioned above, except in one thing, that there seemed a good deal of
evidence tending to show a bad local influence in the air of that part
of Australia where he usually resided. Almost any change from that had
always done him good, though nothing had done anything like so much as
the voyage to England. On the occasion of his first visit to me I
injected him with one-sixth grain acetate of morphia, thereby stopping
the pain. I prescribed muriate of iron and minute doses of strychnia,
which he took for some little time, but the pain never recurred during
his stay in England and on the Continent. Unfortunately, as he was
anxious to return to Australia, I permitted him to do so, after a stay
in the Old World of only three or four months; but, very shortly indeed
after his return to Sydney, his old complaint attacked him. This time,
unhappily, the hypodermic morphia has proved merely palliative, and I
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