In “cold sores” there is often some gastro-intestinal disturbance,
especially intestinal stasis, cold in the head and other infections
that supply toxins which irritate the nerves. No doubt there are
underlying osteopathic lesions that lower the local nerve resistance or
block the impulses such as vertebral and inferior maxillary lesions.
The predisposing disturbance is probably due to the Gasserian ganglion.
Cold winds and excessive exposure to the sun’s rays will effect the
tissues over the mental and infraorbital foramina, tensing the muscles
and irritating the nerves at these points. On palpation they will be
found sensitive. Frequent rotary motion by tip of finger over foramina
will open them and allow congestion to drain.
=Herpes Zoster=, or shingles, is an acute inflammatory disease
characterized by groups of small vesicles, usually along the course of
the intercostal nerves on one side of the body. Before the vesicles
appear there is more or less severe neuralgia. The eruption is
unilateral, very rarely bilateral. The nearby lymphatics are usually
enlarged.
Though the intercostal nerves are the ones most frequently involved,
still the lumbar, thigh, trifacial and other cutaneous nerves may be
affected.
The most common lesion is an inflammation of the posterior spinal
ganglion which usually involves the fibers of the entire nerve.
Inflammation of the nerve outside of the ganglion will cause the
disorder. Toxins from various infectious sources are often exciting
causes. Vertebral and rib lesions are always found; and where the
Gasserian ganglion is involved lesions of the inferior maxilla and
upper cervical vertebræ are predisposing factors. Thus osteopathic
lesions from traumatism, cold and wet, and imbalance of muscular
tension are important. Exudates, tumors, pleuritic and pulmonary
affections are to be considered as possible sources.
=Treatment.=—Adjust vertebral lesions and carefully raise and separate
ribs if intercostals are affected. Look after vertebral origin of any
other nerve or nerves if otherwise. Local application of talcum or
starch or boric acid will generally be sufficient.
=Urticaria=, hives or nettle rash is a common affection often due to
some derangement of the digestive tract. This may be a mechanical
irritation or of a toxic nature. Every one is familiar with the various
foods that are apt to cause the hives, shell fish, strawberries,
cheese, pork, oatmeal, mushrooms, etc.
The irritation may be a reflex one from the visceral disturbance;
also, there may be irritation of the pelvic organs that would give
rise to the trouble. It is well known that certain drugs will produce
urticarial eruptions. There are cases where the irritation is simply
local due to the nettle, mosquito bites and wasp stings.
In chronic cases intestinal stasis, nervous exhaustion and nephritic
diseases are important.
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