. A treatise on headache and neuralgia : including spinal irritation and a disquisition on normal and morbid sleep . m theexploits of the older writers. In common with other neurologists, I have at timeshad occasion to apply cold to the spine and peripheralnerves. Sometimes I have employed Chapmans ice-bag, at others I have resorted to ether spray. Ineither case it has always seemed to me that I was un-able to produce in full measure the benefit of the coldapplications. This applies with special force to thosecases in which I have attempted to treat neuralgia bylocal freezing. The poverty of e
. A treatise on headache and neuralgia : including spinal irritation and a disquisition on normal and morbid sleep . m theexploits of the older writers. In common with other neurologists, I have at timeshad occasion to apply cold to the spine and peripheralnerves. Sometimes I have employed Chapmans ice-bag, at others I have resorted to ether spray. Ineither case it has always seemed to me that I was un-able to produce in full measure the benefit of the coldapplications. This applies with special force to thosecases in which I have attempted to treat neuralgia bylocal freezing. The poverty of effect sometimes wit-nessed in such cases I have been led to ascribe to the 136 HEADACHE AND NEURALGIA. antagonistic action of the local blood stream. By theantagonistic action of the blood, I mean the continualraising of the temperature occasioaed by the uninter-rupted accession of warm blood to the part. To overcome this difficulty, I have resorted to thesimple device shown in the figure. To the end of acurved handle, eight inches long, a ring, an inch anda half in diameter, is secured by an appropriate bifur-. FlG. 11. cation. This ring serves as the frame of a dome offine wire gauze, with its convexity directed employing the implement, the convex surface ofthe wire dome is pressed against that portion of theintegument which it is desired to refrigerate (or anaes-thetize). The instrument is held with a full grasp ofthe hand, and considerable pressure should be now a spray of ether, or, better, rhigolene is thrownupon the concave side of the gauze, anaesthesia may be OTHER REMEDIES FOR NEURALGIA. L37 in luced in from a second and a half to three rapid action of the spray is readily understood, ifwe bear in mind that the pressure of the gauze uponthe part effectually occludes the vessels below it, parti-cularly the cutaneous capillaries. As a consequence,there being no warm blood stream to neutralize theeffect of the spray, its refrigerating
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Keywords: ., bookcentury1800, bookdecade1890, booksubjectsleep, bookyear1894
