Front matter
NEURO-DYNAMIG MEDIOmE,
PART VII:
NEURALGIA.
Chapter I. Phenomena Of Neuralgia
PAGE
The usual meaning of the ■word Neuralgia ... ... ... 1
The various kinds of Neuralgia ... ... ... ... 2
The character of the Pain ... ... ... ... 2
Premonitions of Neuralgia ... ... ... ... 3
The Paroxysms cf Neuralgia ... ... ... ... 4
Inter-paroxysmal Neuralgia ... ... ... ... 5
Non-paroxysmal Neuralgia ... ... ... ... 5
Morbid appearances at the Seat of Pain ... ... ... 6
(a) Disorderly Muscular Action ... ... ... 6
(5) Disorders of the Sense of Touch — Anaesthesia, Hyperaesthesia ... 7
(c) Disorders of the Nutritive Processes ... ... ... 7
(d) Excessive Activity of the Secretory Glands ... ... 9
The Extent of Neuralgic Attacks ... ... ... ... 10
Tenderness of the Segments of the Spinal Cord related to the Affected
Occasional Concomitants of Neuralgia ... ... ... 11
The Aspect or Physiognomy of Neuralgic Patients ... ... 12
The General Health of Neuralgic Patients ... ... ... 13
XIV CONTEUJS.
Chapter II. Pathological Theories Of Neuealgia
PAGE
Neuralgia a result of the Cancerous Diathesis (Fothergill) ... ... H
A mode or variety of Intermittent Fever (MaccuUocli) ... ... 14
A result of the Local Irritation of Nerves (Pinel) ... ... 15
A result of Local Congestion and Arterial Hyperaemia (Bichat, Descot,
Montfalcon, and others) ... ... ... ... 16
Connected with a Preternatural Grovs^th of Bone (Halford) ... 17
Due to morbid infliiences of the Abdominal Sympathetic (Sir C. Bell) 17 Due to opposite conditions of the Peripheral Circulation — -AnEemia and
Due to an abnormal irritability of the Nervous Fibre (Downing) ... 19 A sign of Defective Vital Power in general, and of Defective Nerve
Power in particular (Eadcliffe) ... ... ... 20
Due to Atrophy, which is usually non-inflammatory in origin, of the
Posterior Pvoot of the Nerve in which the Pain is felt (Anstie) 20
Chapter III. The Pathology Of Neuralgia And Its Complications
What a True Theory of Neuralgia implies ... ... ... 21
Obstacles to the development of a True Theory of Neuralgia ... 22
Summary Statement of the Author's Theory .. . ... ... 23
Proof that the Algic Nerve-centre is Hyperjemic ... ... 24
Classification of the several kinds of Neuralgic Disorder ... 24 Group I. : Cases without any Complication or discoverable Eccentric
Gmip IT. : Cases without any Complication, but having a discoverable
Group III. : Cases presenting Morbid Phenomena of the Voluntary
Muscular System ... ... ... ... 23
Group IV. : Cases presenting Morbid Phenomena of the Involuntary
Muscular System ,., ... ... ... 27
Pallor and Coldness of the Neuralgic Area ... ... 27
Anaesthesia of the Neuralgic Area ... ... ... 27
Partial Paralysis and Atrophy of the Painful Nei've ... 27
Paralysis of other Nerves, both Cerebral and Spinal ... 28
CONTENTS, XV
PAGE
Dilatation of the Pupil, when of an active character ... 32
Enfeeblement and Partial Atrophy of Voluntary Muscles ... 32
Constii^ation of the Bowels ... ... ... ... 34
Deficient Menstruation ... ... ... ... 34
Whitening, and Falling off of the Hair ... ... ... 34
Arrest of Secretion ... ... ... ... 35
The Proximate Cause of the Phenomena constituting Group IV. ... 35
Ch'oup v. : Cases presenting Morbid Phenomena of the Glandular
The Innervation of Glands ... ... ... ..■ 36
The Modus-operandi of Secretory Nerves ... ... 37
The Positive Motor Nerve Force ... ... ... 38
The Proximate Cause of Excessive Secretion ... ... 38
Examples of Excessive Secretion ... .. ... 38
Group VI. : Cases presenting Phenomena of Local Inflammation ... 39
Trophic Nerves : Evidence of their Existence ... ... 40
The Proximate Cause of Local Inflammation ... ... 42
Inflammation, Hypertrophy, and Points Bouloxwcux of the
Inflammation and Hypertrophy of the Neuralgic Area ... 43
Hyperaemic and Inflammatory Diseases of the Eye ... ... 46
(a) Redness of the Conjunctiva .. ... ... 46
(e) Inflammation of the Cornea ... ... ... 48
Inflammation of the Ear ... ... ... ... 48a
Inflammatory Disorders of the Skin ... ... ... 48a
HjTDcrtrophy of the Hair ... ... ... ... 48b
Exostoses and other Morbid Developments of Bone ... ... 48c
The Development of Tumours associated with Neuralgia . . . 48f
Anesthesia or Paralysis associated with Swelling at the Seat of
Hyperaemia and Hypertrophy induced by Sleep ... ... 48h
Anaesthesia or Paralysis unassociated with either Anaemia or Hyper-
£emia at the Seat of Pain ... ... ... ... 4Sh
Epileptiform Neuralgia ... ... ... ... 48 J
XVI
CONTENTc!.
Chapter IV. The Pathology Of Visceral Neuralgia
I
The nature of tlie difference between Neuralgia of tlie Viscera and that of other parts of the body
Intermediate character of Intercostal Neuralgia
Essential identity of the Cere bro -spinal and Sympathetic Nervous Centres
The Sympathetic Centres secluded reservoirs of force
Effects of their seclusion
Cramp of Involuntary Muscle the cause of Visceral Neuralgia
Persons most liable to Visceral Neuralgia
Supposed Secondary Origin of certain Positive Motor-nerves in Sympathetic Centres ...
Fundamentally intimate relations b3tween the proximat3 cause of Visceral Neuralgia and that of its Complications
llCU of the Centripetal Nerves especially affected in cases of Visceral Neuralgia
Modes of Origin of Cramp causing Visceral Neuralgia
46 46
47 47 47 48 48
49 50
Chapter V. The Several Kinds Of Superficial Neuralgia
Facial Neuralgia
... 51
(a) Frontal
.. 51
[h) Infra-orbital
... 52
(c) Mental
... 53
Cranial Neuralgia
... 54
Cervical-occipital Neuralgia
... 55
Brachial
.. 56
Dorsal
... 58
Intercostal
... 58
Ilio-hypogastric
... 63
Gluteal
... 63
Pudic
...
.. 63
Crural
... 63
Sciatic
... 64
Neuralgia of the Leg and Foot
... 66
Knee- ache
.. 67
Cramp of the Leg and Foot
... 69
Mode of production
of the pain
incident to Cra
mp
.. 70
CONTENTS. XVll CHAPTER VI.
THE SEVERAL KKvDS OF VISCERAL >TEURALGIA.
PAGE
Neuralgia ot the Bladder ... ... ... ... 102
Neuralgia of the Urethra ... ... ... ... 103
Neuralgia and HyperiBsthesia of the Testicle ... ... ... 104
CHAPTER VI r.
PAINFUL EXCITABILITY OF THE SPIRAL CORD.
Difficulty of naming the disease correctly .. .. ... 126
History of its recognition and description ... ... ... 127
(b) Dorsal Hyperajsthesia ... ... ... ... 129
(c) Tenderness a.long the Spine ... ... ... 129
(d) Mobile Neuralgias ... ... ... ... 129
(e) Excessive Susceptibility to External Impressions .. 129 (/) Difficulty in Walking and maintaining the Erect Position. ... 129
(h) Disturbed and Insufficient Sleep ... ... ... 130
(i) Proneness to Disorder of the Lungs, Stomach, and Bowels .. 130
[J) Functional Disorders of the Kidneys, Bladder, and Womb ... 130
(Z) Pk-apid alternations of Bodily Temperature ... ... 130
(7«) Sudden outburst of Persfiiration ... ... ... 130
(?i) Morbid Phenomena of the Muscular System ... ... 131
The disease chiefly experienced by Women, and why ... ... 131
Pvomberg's opinion of the Doctrine of Spinal Irritation ... ... 132
Summary statement of the Observations, and of the inferences from
them, by the Brothers Griffin .. ... .. 133
The Pathology and Etiology of Painful Excitability of the Spinal Cord 135
XVIU COi^TENTS.
CHAPTER VIII.
DR. C. B. RADCLIFPE'S THEORY OF THE GENESIS OF PAIN.
PAGE
Summary Statement of the Theory ... ... ... 140
Reasons for adverting to it ... ... ... ... 141
Dr. Radcliffe's Main Propositions :
(a) Pain of a Neuralgic character may be associated witli a very
depressed condition of the Circulation ... ... 141
(b) Pain of a Neuralgic Character would seem to be antagonised
rather than favoured by an over-active condition of the Circulation ... ... ... ... ... 143
(c) There is reason to believe that pain of a Neuralgic Character
is antagonised rather than favoured by Inflammatory Excitement of the SxDinal Cord ... ... ... 149
Spinal Tenderness, it Nature and Cause ... . . , ... 157
CHAPTER IX.
PREDISPOSINa CAUSES OF NEURALGIA.
The Causes of Neuralgia very numerous and various ... ... 161
Their Effectiveness diiferent in different persons ... ... 161
Their division into two principal groups — Predisposing and Exciting
The Cancerous Diathesis ... ... ... ... 164
Pulmonary Tubercles ... ... ... ... ... 164
Congenital Arterial Weakness resulting in Temporary Aneurismal
Dilatations witb in the Nervous Centres ... ... 165
Vascular Degeneration resulting in Permanent Aneurisms within the
Alternations of Temperature ("Malaria") ... ... ... 167
Diurnal Variations of Liability to Neuralgic Attacks ... ... 170
Over-exertion and Fatigue, bodily and mental ... ... 173
Constitutional Condition ... ... ... ... 175
Hereditarj^ Predisposition ... ... ... ... 177
CONTENTS. XIX
CHAPTER X.
THE EXCITING CAUSES OF NEUBALGIA,
PAGE
Disorders of the Bowels ... ... ... .. 188
Menstrual Disorders ... ... ... .. ... 190
Uterine Displacements of various kinds ... ... ... 192
Sexual Intemperance ... ... ... ... ... 193
Concussion and Shock ... ... ... ... ... 195
Atmospheric Electricity ... ... ... ... 196
Psychical Influences ... ... ... ... ... 197
Compression of Nerves ... ... ... ... 19S
Aneurismal Tumours ... .. ... ... ... 199
Cancerous Growths ... ... ... ... ... 20O
Abnormal Growths and Diseases of Bone ... ... .., 203
Complete Division of Nerves ... ... ... ... 206
Incomplete Division of Nerves ... ... ... ,,, 207
Incised Woiinds of Nerves ... ... ... . . 208
The Modus Operandi of the Causes of Neuralgia ... ... 211
All the Varieties of Pain due to one and the same proximate caiise ... 212
XX CONTENTS.
CHAPTER XI.
OBJECTIONS ANSWERED : DR. ANSTIE's PATHOLOGY AND ETIOLOGY
OP NEURALGIA.
PAGE
The principal object of Dr. Anstie's book ... ... ... 213
Its Cardinal Doctrine concerniug Neuralgia ... ... ... 214
And concerning " Pain in general " ... ... ... 217
Arguments in support of that Doctrine derived from a consideration of
{a) Neuralgia " as a hereditary neurosis " ... ... 217
{b) The pains of Locomotor Ataxy ... ... ... 218
(c) The pains associated with the commencement and recession of
Spinal Paralysis ... ... .. ... 221
(d) The pains occasionally associated with Chronic Alcoholism ... 221 (c) The occasional inter-changeability of Migrahie with Epilepsy 224 (^j Mental Influences productive of Neuralgia ... ... 226
(/() Peripheral Influences which in a more obvious manner become
factors in the production ef Neuralgia ... ... 229
[ft] The agency of Cold as Causes of Neuralgia ... ... 230
[fZ] Irritations proceeding from the Genito-urinary Organs ... 235
Dr. Anstie's virtual surrender of his Doctrine .'.. ... 236
Significance of the Pains of Locomotor Ataxy... ... ... 238
"Convulsive Action of Muscles," and "Tonic Spasms of Various
Portions of the Alimentary Canal " ... ... ... 238
Paralysis of Muscles ... ... ... ... ..239
HyperEEsthesia of the Surface ... ... ... ... 239
Lrs points douloureux, and the more widely diffused soreness remaining
after attacks of Pain ... ... ... ... 241
Excessive Secretion ... ... ... ... ... 242
Disorder of Local Nutrition ... ... ... .. 243
Summary Statement of Conclusions derived from an examination of the Facts and Arguments adduced by Dr. Anstie in support of
CHAPTER XII.
DIAGNOSIS AND PROGNOSIS.
Diagnosis : —
No real distinction between Neiar.algia and other kinds of Pain ... 248
Alleged practical convenience of such a distinction ... ... 248
Medical Practice should be founded on Medical Science ... 249 Dr. Anstie's rules for distinguishing " True Neuralgia" from other
kinds of Pain shown to be fallacious ... ... 250
The doctrine that Neuralgia is radically distinct from other kinds
of pain practically injurious ... ... ... 252
CONTENTS. XXI
Prognosis: — paos The Pathology of Neuralgia still the suhjecfc of Conflicting
Treatment generally adopted Empirical .. ... ... 253
Prognosis of that kind of Pain commonly regarded as Neuralgia
vague and unsatisfactory ... ... ... 253
Eulenberg's remarks on the subject ... ... ... 254
The prognosis suggested by Dr. Anstie's Doctrine ... ... 255
Prognosis according to the Author's experience ... ... 255
CHAPTER Xlir.
THK TREATMENT OP NEDEALGIA.
Methods of Treatment primarily divisible into two classes ... 256
Empirical Methods : Remedies used ... ... ... 257
Bromide of Potassium ... ... ... ... ... 258
Chloride of Ammonium ... ... ... ... 259
Opium and Hydrochlorate of Morphia ... ... ... 262
Spirits of Turpentine ... ... ... ... ... 26S
Chloroform and Ether ... ... ... ... ... 263
Acu-puncture and Electro-iJuncture ... ... ... 271
Cyanide of Potassium ... ... ... ... ... 272
Opium and Morphia applied locally ... ... ... 273
Aconite applied externally ... ... ... ... 273
Chloroform applied externally ... ... ... ... 273
Hydrate of Chloral applied externally ... ... ... 273
Belladonna and Atropia ... ... ... ...274
Electricity— the Constant Current ... ... ... ...276
Division of the Chief Artery at the Seat of Pain ... ... 281
Division or E.Kcision of Nerves, and Amputation ... ... 231
XXll CONTENTS.
The Neuro-Dyxamio Treatment of Neuralgia paob
Neuro-Djpmmic Medicine — meaning of the name ... ... 283
General Pi'inciples of Neuro-Dynamic Medicine ... ... 283
Effects producible by Modifying the Temperature along tlie Spine 285
Sensibility can be lessened and Pain can be abolished ... 285 Disorders of the Voluntary Muscles of a spasmodic or convulsive
character may be counteracted ... ... ... 285
Disorders of the Involuntary Muscular Str^^ctures may be counteracted ... ... ... ... ... 286
Disorderly and excessive action of the Glands or of Glandular
Surfaces may be coianteracted ... ... ... 286
Disorders of the Nutritive Processes may be counteracted ... 288
Sleep-inducing power of the Neuro-Dynamic Method .... 289
Peculiar applicability of this Method in the Treatment of Neuralgia ... ... ... ... ... 291
The Removal op the Causes of Neuralgia :
Morbid Deposits in the Lungs ... ... ... 292
Inequalities in the distribution of the Blood .;. ... 292
Periodical Recurrence of Neuralgic Paroxysms ... ... 293
Functional Disorders of the Stomach or of the Bowels ... 294
Displacements of the Womb ... ... ... ... 297
Morbid S exual Excitement .. ... ... ...298
Muscular Movements ... ... ... ... 298
Chronic Alcoholism ... ... ... ... 298
Concussion and Shock ... ... ... ... 298
Alternations of Temperature ; Electric Disturbances of the Atmosphere ... ... ... ... ... 299
Pressure or Irritation of the Affected Nerve ... ... 299
Syphilitic Deposits ... ... ... ,.. 299
Neuro-Dynamic Counteraction of Pain itself ... ... ... 300
Special Neuro-Dynamic Treatment of certain kinds of Neuralgia :
Brachial Neuralgia ... ... .. ... .. 306
Intercostal Neuralgia and Backache ... ... ... 307
Ilio-hypogastric, Gluteal, Pudic, Crural, and Sciatic Neuralgia ... 368
Gastralgia, Enteralgia, Hepatalgia, Nephralgia, Neuralgia of the
Bladder, Urethra, Ovaries, and Testes ... ... 310
CONTENTS. XXlll
CHAPTER XIV.
THE SOOTHIXG AND AGREEABLE EFFECTS OF THE SPINAL ICE-BAG.
PAGE
Ptemedies which are needed are generally agreeable ... ... 314
The Spinal Ice-bag designed not for the healthy but for the sick ... 315 And only for such of those whose Maladies can best be treated by
In all such cases the Spinal Ice-bag is agreeable ... ... 315
Evidence that sufferers from Sea-sickness find the Spinal Ice-bag
Evidence that sufferers from Diarrhoea iind the Spinal Ice-bag agreeable 316
Evidence that sufferers from IsTeuralgia find the Spinal Ice-bag agreeable 317
Evidence that the use of the Spinal Ice-bag makes the patient warm 318
CHAPTER XV.
NEURO-DYNAMIC MEDICINE EXEMPLIFIED : AN ANALYTICAL EXPOSITION OP ITS EFFECTS.
Principle according to which the Reports of Cases constituting
Chapter XVI. are presented ... ... ... 322
Advantages of the Method adopted ... ... .. 322
Order of Classification of the Cases ... ... ... 323
Cases Exanvplifying the Ncuro- Dynamic Treatment of
Cervico-occipital Xeuralgia ... ... ... ... 325
Neuralgia of the Lower Extremities ... ... ... 326
Backache or Lumbago ... ... ... ... 326
General IsTeuralgia ... ... ... ... ... 327
Neuralgia of the Testicle ... ... ... ...329
Cerebro-spinal Fever ... ... ... ... 332
Cramps and other Disorders of Voluntary Muscles ... ... 334
Epilepsy: U grand et le ;petit mal ... ... ... 335
XXIV CONTENTS.
Cases Exemplifying the Neuro-Dynamic Treatment of
PAGE
Fainting Fits
... 336
Tinnitus Aurium ...
... 336
Subjective Spectra ...
... 337
Giddiness
... 337
Sleeplessness ... ...
... 337
Talking during Sleep
... 339
Tendencies to Insanity
... 339
Impairment of Memory
... 340
Impairment of Sight
... 340
Numbness, or Impairment of Sensibility ...
... 341
Partial Paralysis ...
... 341
Disorders of Local Nutrition (Trophic Phenomena
Swelling and
Tenderness) ...
... 341
Ineqxiality of the Mammte
.. 343
Globus Hystericus ...
... 344
Shortness of Breath
... 344
Cough ...
... 344
Expectoration
... 344
Nausea and Vomiting
... 346
The Sickness of Pregnancy
... 347
Diarrhoea
... 347
Flatulency
... 348
Constipation of the Bowels
... 349
Deficient Menstruation
... 349
Petarded and Excessive Mensti'uation
... 350
Petarded and Scanty Menstruation
... 350
Intermittent Menstruation
... 351
Leucorrhcea
... 351
Prolapsus PFteri
... 351
Excessively frequent Micturition
.,. 352
Albuminuria with Anasai'ca
... 352
Diabetes Mellitus ..
,.. 3.52
Coldness of the Extremities ...
,.. 353
Coldness of the general Surface of the Body
... 353
Tenderness along the Spine
.,. 353
The Correlations of Different Diseases
... 354
CHAPTER XVI.
KEURO-BTNAMIC MEDICINE EXEMPLIFIED : A SERIES OF CASES ILLUSTRATING ITS PRINCIPLES AND PRACTICE, postsckipt ...
List of Ereata Index
NEURALGIA:
ITS NATURE, CAUSES, AND TREATMENT.
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