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almost vertically, to be distributed to the skin and superficial
fascia of the gluteal region. Next, we find a neuralgic spot at
the highest and middle point on the crest of the ilium, where
the great musculo-cutaneous nerve gives off a large superficial
branch.
Next, there is a neuralgic point at the anterior superior
spinous process of the ilium, above the groin, where the
musculo-cutaneous nerve gives off its abdominal branch, which
is distributed to the mons pubis, the folds of the groin; and
near here, too, the scrotal branch anastomoses, which is very
liable to be a neuralgic spot. Another very liable point is at
the external abdominal ring, (which may extend along the
course of the spermatic cord,) where the scrotal nerve branch
emerges from under the crcmastcr muscle to accompany the
spermatic cord in the male, and the round ligament in the
female, then to be finally distributed in the integument of the
scrotum of the former, or in the external labium in the latter.
The i/io-scrotal nerve also is often neuralgic, and excessively
painful along the course of it from the abdominal ring to the
groin. But perhaps the most frequently neuralgic spot we find
in this region is that over the internal abdominal ring, where
the genito-crnra nerve comes out a very little beloiv Povparfs
ligament; from there this nerve descends to be ultimately dis-
tributed to the skin and fascia on the top and front aspect of
the thigh as far as half way down to the knee. (Sec B, E.)
Rule. — In treating these painful points and regions, begin the
seance with the positive electrode placed at or above the highest
painful point, while the negative is below or beyond the lowest
site of pain ; then move the positive, from minute to minute,
towards the negative, until it is below the lowest site of pain.
Nerves of the Sciatico-Femoral Neuralgic Region.
This simply embraces the lower limb. We have here then
but two great nerve trunks to consider, viz., the femoral nerve,
(crural,) on the inner and anterior aspect of the limb, and the
great ischiatic (sciatic) nerve, on the posterior and outer aspect
of the limb. The roots of these two great nerves are inter-
pelvic, arising from the lumbar and sacral plexuses; and as the