Dr. Mac Calloch on Fevers. 49 



panled by various ingenious arguments, that the -inflammatory 

 state of organs or parts in marsh fever is not the same as it 

 is in plilegmasia, and, very particularly, that it requires the 

 reverse remedies ; namely, the tonic system, or the remedies 

 of marsh fever, while it is aggravated by the evacuant one. 

 But as we find it absolutely impossible to abridge this im- 

 portant view so as to render it at all intelligible within our 

 limits, we must of necessity refer our readers to the work 

 itself. We can only permit ourselves to remark, that rheu- 

 matism is thus considered as nearly allied to marsh fever, 

 and that there is thus explained the utility of bark in that 

 disease : a question which has led to much controversy, as the 

 practice in this disorder is also of the most discordant and op- 

 posed kinds. We find ourselves, indeed, trenching so fast 

 on our alloted limits, that we must entirely omit the chapter 

 which relates to the cure of intermittent, as we nearly did 

 before that of marsh fever in its more continuous form ; re- 

 serving the little space which we can yet command for the 

 examination of the diseases arraved under neurakia. 



To elucidate this great disease, now first rendered gene- 

 ric, the author has given a tabular view of all the affections 

 of nerves which may be classed under it ; and we think it 

 expedient to invert the order of our analysis, by commencing 

 with a general view of what we originall}^ feared would 

 somewhat appal our readers : a fear which the contempla- 

 tion of this formidable list has not removed ; though, were 

 we asked for our objections in detail, and for the reasons 

 why, we should be very much troubled to produce them. 



In the first division of this table, we find the painful affec- 

 tions of assignable nerves. The common and well known 

 case of tic douloureux, being a pain in some branch of a 

 nerve of the face, will serve as an example of what is in- 

 tended by this list, and thus far it is not disputed. The 

 novelty here is, that the same term is assigned to that pain 

 in whatever nerve it may occur, while the reasons for thus 

 generalizing the disease are given ; and this chiefly from 

 his own observations, supported in a few cases by other au- 

 thorities. Dr. M. has given a considerable list of varieties of 

 tic douloureux, (if we may use this term,) which have not yet 

 been recognized as such, or have been mistaken for other dis- 

 eases. The places or nerves here named are, besides the 

 face, the spinal marrow or nerve, the optic nerve, those of 

 the teeth, producing toothach, the sciatic, causing sciatica, 

 the anterior crural, the spermatic, the radial, the fingers 



JAN.— MARCH, 1828. E 



