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or sympathetic nerves, or is it owing to increased vascular deter-
mination to the head, — or oiving to vascular turgescence from
sluggish circulation in the head ? I am more inclined to believe
it is both the former and the latter. In a word, I believe there
is a class of ganglionic neuralgias. (See p. 417, and F, Note 2.)
In like manner, and for the same reasons, we may find cases
presenting of neuralgia of the heart, as angina pectoris, and
other forms of nervous heart-pains; neuralgia of the stomach,
as gastralgia, or gastrodynia, and perhaps complicated with
other morbid conditions; neuralgia even of the liver, called
hepatalgia; of the spleen, and called by systematic writers sple-
nalgia; neuralgia of the duodenum, colon, and ileus, called ner-
vous colic, and more particularly lead colic; neuralgia of the
kidneys, and of the urinary bladder, called nephralgia, &c. A
neuralgic affection of the urinary organs is usually attended with
increased secretion of urine, as, indeed, augmented secretion is
characteristic of neuralgia of all secreting organs.
Neuralgia of the uterus is a fact; but these cases arc more
generally turned over to us as unmanageable cases of uterine
congestion, or of irritable uterus. The cauterizing the cervix,
the pessory support, the leeches, douches, and injections, fail to
relieve or restore, but rather aggravate these cases, because they
are in effect true irritants to this condition of the organ. There-
fore, from among all the painful affections of the uterus, we must
he careful to discriminate those that are truly and simply neural-
gic. Now and then we find distressing cases of true neuralgia
of the vagina. The patient more generally describes it as a
most acute burning or scalding, or as a heavy plunging pain,
occurring often, but not lasting long, and followed with a con-
tinued aching, throbbing, or soreness. There is usually found
no lesion of the vulva, vagina, nor of the uterus. But we should
recollect always, that this neuralgia may be, as it sometimes is,
merely symptomatic of serious organic lesion of the womb. (E.)
Visceral neuralgia, being an affection of the sympathetic sys-
tem of nerves, may therefore constitute the rrfbst severe and
protracted bodily sufferings under which mortals can so long
live. The source of sufferings, undefined, yet everlastingly com-