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upper fibres. Fifth, a neuralgic spot quite on the side of the
chest, and just by the anterior edge of the serralus muscle,
where the long thoracic nerve trunk (external respiratory
of Bell) is superficial on its way to the farthest serrations of
this great respiratory muscle. Sixth, a neuralgic spot imme-
diately at or beloiv the insertion of the deltoid, muscle into the
humerus, where the spiral cutaneous nerve emerges to become
superficial. Seventh, a neuralgic spot over the border of the
sub-scapularis muscle, extending to the posterior portion of the
deltoid, where the terminal branches of the axillary or circum-
flex nerve are lost in the integuments and superficial fleshy
fibres of that region. Eighth, a neuralgic spot on the middle
of the posterior aspect of the upper arm, where the lesser cuta-
neous nerve of Wrisberg emerges and becomes superficial.
Ninth, a neuralgic spot along the inner border of the whole
upper arm, but more particularly at a point just above the bend
of the elbow, and by the inner side of the tendon of the biceps
muscle, where the great medianus nerve trunk becomes most
superficial. Tenth, a neuralgic spot on the dorsal and radial
aspect of the wrist and hand, where the dorsalis carpi, which is
also known as the dorsal branch of the radial nerve, mounts
obliquely upon the extensor muscle of the thumb, and runs
along superficially to the back of the thumb and fore finger.
There is another liable to be a painful spot at the back of the
wrist joint, over the nerve ganglia there; but this is not so
frequently neuralgic, as rheumatic. _ (See p. 477, Note B.)
Superficial Nerves in the Dorso-Inlercoslal Region.
There are twelve dorsal nerves on each side of the body: the
first or upper one leaves the spine between the first and second
dorsal vertebra?; the last or lowest one from between the twelfth
dorsal and first lumbar vertebra?. These are distributed to the
back, sides, and front portions of the body, both supplying the
muscles and skin from the shoulder above, to the crest of the
ilium below. This maps out the whole field of what is desig-
nated as Dorso-intercostal Neuralgia.