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health, and gives more firmness and vigor to the constitution,
and power of endurance to the nervous system. At least, so it
operates if taken while under repeated treatments by electricity.
Astonishing improvement have I seen, now and then, in such,
and by such means, as if the constitution were made anew.
But (mark !) where the tongue is coated, or is red at its tip or
edges, or where the urine is of a deep-red color, or is decidedly
scantily secreted, or frequently deposits the heavy lithates of
ammonia, then arsenic is not a good auxiliary, but will both
fail and do harm by aggravating the existing gastric derange-
ment and pains. Correct the stomach thoroughly first, and
often it can then do good service in the very same case. Dur-
ing the administration of arsenic, the patient should strictly
avoid the use of fruits, and all acids, as well as confectionery ;
but the occasional application of electric currents enhances its
alterative and curative effects.
Superficial Nerves in the Facial Neuralgic Region.
I wish now to pass in short review the exact anatomical rela-
tion of the nerves, or rather to examine such a portion of them
os might be seen, for instance, if the skin, fascia, and muscles
were all transparent,"and thus try quickly to refresh our mem-
ory by a bird's-eye view, as it were, of the geography of the
trunks and branches of the more superficial nerves.
We know that the tri-facial, or fifth pair, after leaving the
skull, spreads out into the most complex distributions and anas-
tomoses. There are three principal branches. The ophthalmic
branch passes forward through the outer walls of the cavernous
sinus, lying externally to the other nerves, penetrates the bony
orbit by coming out at the sphenoidal fissure, and then divides
into three branches ; and it is exactly at, or from this point
that neuralgia oftentimes radiates flashes of excruciating pains.
The lachrymal nerve, which is the smallest of the three branches
of the ophthalmic trunk, communicates with the fourth nerve,
passes along the upper border of the external rectus muscle,
traverses the lachrymal gland, and then divides into two cuta-
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