i» Dr. Mac CuUoch on Fevers, 



order, it is especially common for this action to become 

 dermanent, instead of transitory, in which case the inflam- 

 mation is established, and is known by the term rheumatism 

 of the face. 



To this peculiar inflammation the term neuralgic is here 

 applied : founded on the following facts, and for the follow- 

 ing reasons. It is connected with the causes of marsh fever 

 and neuralgia, and also with marsh fever itself, inasmuch as 

 the febrile state appertaining to it is paroxysmal under the 

 same modifications and types. In some cases, such as that 

 of the eye conspicuously, a decided neuralagic pain attends 

 it. In this case also, as in some others, the very inflamma- 

 tion is paroxysmal under all the types of intermittent : 

 ceasing, to be again renewed, and also changing from one 

 place to another^ in the manner which is sometimes termed 

 metastasis. Though it resembles common inflammation to 

 the senses, it is aggravated by blood-letting, and cured by 

 bark and tonics. Such is a sketch of the argument, which 

 we have not space to give in more detail, and with more of 

 the proofs here adduced : but we must add that the author 

 considers the neuralagic inflammation, and those which attend 

 intermittent or marsh fever generally, in whatever organs 

 situated, as of the same nature ; since those inflammations 

 also possess the very same characters in all respects. And 

 hence is explained the confusion which has hitherto attended 

 the subject of inflammatory affections in those fevers, and 

 very particularly the inefiicacy or evil consequences of blood- 

 letting, and the cures effected by bark. Our readers will 

 perceive that we thus come back again, under another form, 

 to the case of rheumatism, as formerly pointed out : and we 

 can only venture further to add, that in a summary and 

 theoretic view which terminates this work, the author 

 suggests the necessity of applying some term to this kind 

 of inflammation for the purpose of distinguishing it from 

 common phlegmasia ; as much pernicious practice and injury 

 are the consequences of confounding them, or of mistaking 

 this inflammation for phlegmasia. 



Though we cannot venture to take room for all the 

 general views of an analogous nature which relate to this 

 subject, we must still say a few words on the paralytic 

 consequences of neuralgia ; while here also another analogy 

 is discovered with the mere marsh fevers^ in which palsy is 

 a mode or a symptom, or a consequence. We may com- 

 mence with the familiar fact, that palsy is not an unfrequent 

 consequence of sciatica, and also of the common tic dou* 



