Neuralgia : its various forms, pathology, and treatment : being the Jacksonian prize essay of the Royal college of surgeons for 1850 : with some additions / by C. Toogood Downing.

  • Downing, C. Toogood (Charles Toogood)
Date:
1851
Catalogue details

Licence: Public Domain Mark

Credit: Neuralgia : its various forms, pathology, and treatment : being the Jacksonian prize essay of the Royal college of surgeons for 1850 : with some additions / by C. Toogood Downing. Source: Wellcome Collection.

Provider: This material has been provided by the Francis A. Countway Library of Medicine, through the Medical Heritage Library. The original may be consulted at the Francis A. Countway Library of Medicine, Harvard Medical School.

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    experienced down tlie outside of thetliigli, and has continued up to this time with more or less severity. It is described as an aching, gnawing pain, as if the bone were being scraped, and gives him a sudden kitch when walking. It takes the course of the sciatic nerve as far as the knee, and is pretty well during the day, while he is moving about, but disturbs his rest sadly at night, by the increased acces- sion of suffering. The general health is a good deal disturbed by febrile excitement. In addition, the temperature of the outer part of the hip and thigh is somewhat increased, and there is con- siderable tenderness on pressure between the tuber ischii and great trochanter; the urine is high in colour and turbid. A mixture containing iodide of potassium, magnesia, and colchicum, was ordered, with a view to allay the rheumatic diathesis. When this was effected, blisters were applied to the hip with perfect success. Case.—Rheumatic Sciatica. T. P., Esq., a country gen- tleman of robust frame and florid complexion, consulted me in the early part of the year 1849. Patient is excessively devoted to field sports, and caught a severe cold the pre- vious autumn, by wading through the bed of a trout stream while angling. For some time afterwards he suffered from severe rheumatic pains in the back and loins, which finally settled in'the right hip and leg as regular sciatica. From this he has experienced excruciating agony all the winter, in spite of various internal medicines and several blisters to the part. The limb is somewhat wasted, and drags considerably in walking. Three points along the course of the sciatic nerve