. Local and regional anesthesia : with chapters on spinal, epidural, paravertebral, and parasacral analgesia, and on other applications of local and regional anesthesia to the surgery of the eye, ear, nose and throat, and to dental practice. er.) tion of medicinal doses cannot possibly prove harmful. It must, how-ever, further be remembered that its use for this purpose has nearlyalways been in pure water, as well as in the present case reported, as 494 LOCAL ANESTHESIA we know aquapuncture itself exerts this influence; it may, therefore,in this and other cases not have been the cocain at all
. Local and regional anesthesia : with chapters on spinal, epidural, paravertebral, and parasacral analgesia, and on other applications of local and regional anesthesia to the surgery of the eye, ear, nose and throat, and to dental practice. er.) tion of medicinal doses cannot possibly prove harmful. It must, how-ever, further be remembered that its use for this purpose has nearlyalways been in pure water, as well as in the present case reported, as 494 LOCAL ANESTHESIA we know aquapuncture itself exerts this influence; it may, therefore,in this and other cases not have been the cocain at all which accom-plished the cure. The case in question is one by Fitzmiller, whichis said to have been very severe and in which all other remedies hadfailed to afford relief (he does not state if aquapuncture had beenused): The patient a woman, aged thirty-two, had suffered almostconstantly with attacks often lasting a week in length; a per cent,watery solution, containing a few drops of adrenalin, was used; of thissolution a half Pravaz syringeful was injected at the points of emerg-ence of the supra-orbital, infra-orbital, mental, and occipital is stated that immediate relief was afforded, the pain being as if Lingual Marulibulacanal * • Mylohyoid n. Area supplied by Lingual aental n. Fig. 163.—Area of nerve supply of lingual section of mandible. Dotted area: in-ferior dental nerve. The mylohyoid nerve branches off at inferior dental foramen.(Fischer.) blown away, leaving only a temporary feeling of numbness in theareas of distribution of the nerves. During the next three weeks thereturn of the pain required nine other injections, after which there wasno further return when last seen six months later. This case is merelycited to call attention to its possible use in this way. Since the introduction of novocain this agent has been similarlyused, either in plain water or in salt solution with adrenalin, and therelief obtained from these injections
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