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to those of the male. There, the superior branch supplies the
clitoris, while the inferior goes to the vulva and parts in the
perineum. (See Appendix E.)
The lesser ischiatic nerve passes out of the pelvis with the
internal pudic. One of its cutaneous branches curves around
the tuberosity of the ischium, ascends to the scrotum, and there
divides. One branch is distributed to the inner surface of the
scrotum, and to the testis. The external branch goes to its
outer side, and both terminate in the integument of the under
border of the penis, or, in the female, to the vulva.
To sum up, then, we find that the lumbar nerves give some
large posterior branches, which are distributed to the loins,
the sacrum, and nates; also, that the three musculocutaneous
branches give off those that go to the muscles of the lower
abdomen, to the folds of the groin, and to the scrotum or
pudendum; another branch to the integument of the lower
abdomen, and another to the skin of the upper and inner thigh.
A genito-crural nerve-branch also goes to the integument of the
scrotum, the groin, and the thigh. Then the sacral nerves give
branches to parts in the vicinity of the coccyx ; also posterior
branches to ramify the muscles and integuments of the nates.
Of these are the hemorrhoidal nerves to the rectum, the vesical
to the bladder, the uterine and vaginal nerve branches to the
vagina and uterus. A branch of the inferior gluteal goes to the
perineum, and the integuments of the posterior parts of the
thigh. Then there is the pudic nerve to the perineum, and to
the penis, or vulva.
The most important neuralgic spots in this region are, first,
a series of points along the side of the spinous processes, and
but a little removed from the median line where the posterior
branches of the lumbar and sacral nerves emerge from their
bony passage — the former pierce the lumbo-sacralis, to become
distributed to the integument over them; and again, a neu-
ralgic extent along and near to the median line over their
ultimate cutaneous distributions ; and again, a neuralgic spot
at the posterior part of the crest of the ilium, where some of
the lumbar branches pass over its edge very superficially, and
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