NEURALGIA LEADING INDICATIONS.--

-RUDDOCK.E.H,

Arsenicum.-- Burning or tearing intermittent pains having a tendency to periodicity; pain aggravated by the continuous application of cold; increased at night or during rest,but lessened during exercise; generally first occurs on the left side, it may be of the face involving the same side of the head, the eye, and the ear. There are generally associated with this form of Neuralgia,excessive restlessness, anguish and irritability a general exhausted or debilitated condition small pulse, cold extremities, etc. Influenza, malaria, overwork, or, more generally come constitutional cachexia, may have caused the disease. Pure Sciatica. Hemicrania in paroxysms; with coldness or soreness of the scalp; wrenching pains at root of nose, bottom of orbits, in the ear or teeth; viscid sweat; sometimes dizziness, nausea, retching,and even vomiting of bile; rheumatic or arthritic hemicrania; intercostal pain from debility. Constipation does not preclude Ars.

The judicious employment of this potent mineral is often attended with the most marked success in neuralgic affections. The Homoeopathic law, indeed, leads us to expect that it would be so, for immoderate doses of Arsenic cause true neuralgia. Persons who have attempted top poison themselves with it are said to have suffered excruciating pains along the course of the nerves.

Phosphorus.-- in Neuralgia from debilitated conditions of the nervous system, this remedy is equal or even superior to Arsenic, especially when due to mental overwork, or if associated with Megrim.

Aconitum.-- Facial Neuralgia from cold, anxiety, or night- watching, the pains are severe, recur in paroxysms, are worse at night; and are accompanied by congestion in the head, lungs, or heart. Recent acute Sciatica.

Belladonna.-- Burning, creeping, cutting, tearing, lancinating, and stinging pains, or throbbing intermittent pains, with one or both cheeks flushed, and sometimes swollen; eyes red and watering, pain around the orbit, with twitching of the muscles, sometimes irritation and inflammation of eyeballs; sensitiveness to sight and sound; illusions of sight and noises in the ears; congestive (not dyspeptic) headache; throbbing pain in the head, sense of undulation in the forehead, frontal headache, worse on stooping,also tearing, boring, lancinating, and jerking pain in the head.

Tic-douloureux. Rheumatic Neuralgia. Ovarian Neuralgia, with clawing, griping pain, much thirst and vomiting. Epileptiform Neuralgia. Neuralgia of the fifth pair, and hemicrania, are the varieties chiefly curable by Bell. in most cases the appearance of the patient strongly contrasts with that described under Ars., the Bell. habit being plethoric.

Kalmia Latifolia.-- Facial Neuralgia. Pressing pain with nausea; pressing headache, top of the head feels as if bound with a cord; muscles of eyes and eyelids feel stiff; dyspnoea with palpitation. Gastrodynia, coming on suddenly in paroxysms, moving from side to side, worse from motion, relieved by sitting up (especially in females) . Dr. Ockford informs us that he has relieved more cases of general Neuralgia with kalm. than with any other remedies; he mentions no special indications.

Spigelia.-- neuralgia headache and faceache, especially when the eye is affected; radiating in every direction; daring through from front to back; coming and going suddenly; running from eyes and nose; twitching of facial muscles; dyspnoea, palpitation of heart, and sleeplessness, worse in cold., damp weather, and from touch and motion.

Staphysagria.-- Neuralgia of lower jaw, gnawing ; toothache with swelling of cheek, increased by cold; aching, throbbing in whole face from teeth to eye; teeth and mouth symptoms resemble mercurial ptyalism; nervous constrictive boring headache. Sciatica of the right leg; sharp pains during motion; constant aching of the whole limb, especially in the nates and pelvic region, while sitting; great general prostration.

Colocynthis.-- Severe paroxysms of cutting pains, chiefly on the left side of the body; the lancinations are sudden violent, and often extend from the point of origin to a distance; better in perfect rest, and from warmth and rubbing, worse by motion and touch. Facial Neuralgia, Enteralgia, and Sciatica, having these symptoms are curable by this remedy.

China or Quinine.-- Neuralgia from malaria, or from loss of blood or other animal fluids. Brow-auge from these causes comes within the range of this remedy.

Natrum muriaticum.-- In malarial cases where Quinine has been given to excess. Left side most often affected. In patients who are inordinately addicted to salt.

Mag.-- Generally right-sided, Paroxysmal pains, relieved by heat.

Rhus Tox.-- Chronic Sciatica , especially if associated with Rheumatism, stiffness, and lameness; the pains are worse on first moving the affected part, and at night.

Rhododendron.-- Neuralgia of the extremities.

Gelsemium.-- Of little service in pure Neuralgia, but useful in allaying nervous with disordered vision,dim or double; thirst for light; dizziness; semi-stupor; periodicity. Acute myalgia from long-continued exertion. not adapted to Pleurodynia.

Coffea.- Hemicrania coming on in the morning and lasting all day; increased sensitiveness, wakefulness, and nausea. Neuralgia of lower jaw. Megrim. Mental work excites pain. See also Section on Toothache.

Mercurius.-- neuralgia of the face and head; pain proceeding from bottom of orbit,m with sense of coldness round the eye; generally occasioned by carious teeth. See also Section on Toothache.

Aurum Met.-- Neuralgia of the testes. Mercurial cachexia with syphilitic complications. Megrim. Great depression of spirits. Bone pains.

Phytolacca.-- Prosopalgia and Cephalalgia in syphilitic and rheumatic subjects; mercurial and syphilitic toothache; rheumatic neuralgia of back and shoulders; Sciatica; Proctalgia; with pain along the penis.

Ranunculus Bulb.-- True intercostal Neuralgia.

Cimicifuga.-- ovarian or uterine Neuralgia. Neuralgia of limbs.

Pulsatilla.-- Neuralgia with bearing-down pain; spasmodic pains in lower part of the abdomen; toothache of pregnant women; toothache from cold, with pain over the whole side of head, and especially at the ear.

Hamamelis.-- Testicular and ovarian Neuralgia; pains shifting suddenly to stomach causing nausea am faintness.

Veratrum.-- Neuralgia of one side of face and head, with sensation of icy coldness in the part affected; Neuralgia of fifth pair; stabbing pain in the brows; dull aching pains, worse by movement, and atonic contraction of muscles. Enteralgia, as if knives were cutting the bowels, chiefly on the left side; intense agony at very frequent intervals.

Sulphur.-- To-douloureux. Intermittent pain, especially on right side; pain in maxillary region, with chilliness in the evening; followed by heat perspiration in the night, weariness, and inclination to lie down; pain aggravated at night, gradually increasing and subsiding.

Ign., Nux Mosch., Bry., Caust., Iris., Chelid., are useful in some neuralgic conditions.

EXTERNAL APPLICATIONS.-- when the pain is excessively severe, and does not yield promptly to internal remedies, an Aconite lotion, may be tried, and is often quickly successful. It is prepared by adding about a dozen drops of the strong tincture of Aconitum to four tablespoonfuls of water, and may be applied hot or cold, as found most agreeable to the patient, by means of two or three folds of linen. Or Bell. may be used in the same way. Painting the course of the nerve from the root, or where the nerve emerges from the deep fascia, with the pure tincture of Acon., or Bell. is often even more prompt in its action. Plantago major O is often successful when used in the same way. Under various names they are sold as Homoeopathic nostrums for Neuralgia.

Chloroform liniment is also recommend as a local remedy.

ACCESSORY MEANS- The Diet is an important part of the treatment, and should be as nutritive and abundant as the condition of the digestive organs will permit. It is especially necessary that animal fats should enter largely into the diet, and any aversion from them on the part of the patient, or inability to digest them, should be overcome; well-directed efforts of this nature are nearly always successful. The particular form of fat is not important, and that variety may be adopted which can be best tolerated. Cod-liver oil, butter, cream, or even olive oil, should be used in quantities as large as the digestive organs can bear. In some way or other, fat must undoubtedly be applied to the nutrition of the nervous system if it is to be maintained in its organic integrity, since fat is one of the most important, if not the most important, of its organic ingredient. To Dr. Radcliffe belongs the merit of having been chiefly instrumental in bringing forward this therapeutical fact in this country, and it is one which I have had repeated occasions to verify. It is a very singular circumstance, also pointed out by Dr. Radcliffe, that neuralgic patients have, with rare exceptions, a dislike to fatty foods of all kinds, and systematically neglect its use. And it has several times occurred to me to see patients entirely lose neuralgic pains, which had troubled them for a considerable time, after the adoption of a simple alteration in their diet, by which the proportion of fatty ingredients in it was considerable increased (Dr. F. E. Anstie). The Author has repeatedly found the administration of Pulsatilla helpful in removing the objection to fatty kinds of foods.

Protection from cold is another important element in the treatment. Exposure to a cold, damp atmosphere, with sufficient clothing, often acts as an exciting cause of Neuralgia, and should be avoided, as every recurrence of the disease tends to develop the constitutional cachexia, and to strengthen its hold on the system. Warm clothing, including flannel, is a great protection from atmospheric changes, and should be adopted by all neuralgic patients. Bathing, including salt-water baths, sponging followed by friction, or the manipulations of a clever masseur; moderate and regular out-of-door exercise sufficient to favour nutrition without causing fatigue. A change of air, and sometimes entire change of habits, are necessary to insure a cure. Lastly, Rest is an important item in the cure of Neuralgia, especially in the case of hard-working and overtaxed patients.

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