A treatise on neuralgia / By Richard Rowland.

  • Rowland, Richard, -1854.
Date:
1838
Catalogue details

Licence: Public Domain Mark

Credit: A treatise on neuralgia / By Richard Rowland. Source: Wellcome Collection.

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    outward indication of disease, but its colour, tem- perature, and form, remain unchanged; the skin, however, is sometimes covered with a slight blush, whilst in other cases it is paler than natural; oc- casionally also a moderate degree of swelling and increased heat aceompany the pain; and the nerve itself, when seated superficially, has some- times been observed to become prominent. during the paroxysms. The pulse is seldom sensibly affected, but in some cases it becomes slower at the commence- ment of an attack, and rises when the pain Js at its height. Lentin has recorded a case where he observed the pulse to become slower by fifteen beats in the minute during the whole time of the paroxysms.* In a case of Neuralgia of the oph- thalmic nerve, Van Swieten thought he felt the pulsations of an arterial branch at the inner canthus of the eye, to be quicker, and relatively stronger, than in other parts of the body.t In many cases no warning symptoms announce the approach of a paroxysm, the patient being struck suddenly with the most acute sufferings; in others, the attack is preceded by heat, cold, itching, throbbing, or some analogous sensation; and oc- casionally by a feeling similar to the aura epilep- tica. When the patient becomes aware by any of these feclings that an accession is at hand, the utmost horror is often manifested in his coun- * Blumenbach’s Medicinische Bibliotheck. + Van Swieten Commentar. in Aphorism. Boerhaav, vol. 2, sect. 757.
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