30. ~~ TURNBULL ON RANUNCULACES. 
paralytic affection of the levator muscle of the upper eyelid, and of 
the left side of the face, which had come on during the previous ex- 
istence of the disease. ‘This course was persevered in, until the 
convulsive twitchings, brought on by the medicine, became as strong 
as the patient could bear them, but without producing any effect 
upon the paralysis. | 7 : 
Her health was now much weaker, but her sufferings continued 
unabated ; and as it became a duty to call into use any means 
which might afford even the slightest prospeet of relieving the 
violence of the pain, she was directed, after the manner already 
stated, to rub over the forehead and on the side of the face, a por- 
tion of ointment, made with twenty grains of Veratria to an ounce 
of lard, till every uneasy sensation was gone. In about fifteen 
minutes this effect was produced ; but the paroxysm again made its 
appearance within two hours, and by a renewal of the friction for a 
few minutes it was again extinguished, instead of continuing two 
days, as usual. : 
To this there succeeded an interval of perfect ease for ten days, 
when the attack again returned, but not by any means so violently 
as before. On this occasion the same plan was pursued as in the 
preceding paroxysm, and the relief afforded was still more marked, 
for the pain was entirely removed by the first application. From 
this time the patient had only one or two very slight accessions, but 
these were at once cut short by the use of the ointment for a few 
minutes, and the disease entirely left her. | 
Not the least remarkable circumstance in this case was the change 
which took place upon the paralysis, for immediately after the first 
friction had been made use of, it was observed to have diminished 
considerably ; and by the time the patient was cured of the tic- 
douloureux, it had disappeared, and has not since in any degree 
returned. | 
CASE II. 
Mr. C., aged forty, has laboured for sixteen years under tic-dou- 
loureux over the right side of the face and forehead, but particularly 
along the lower jaw as far as the mesial line, where it terminated ; 
and when the paroxysms were severe, the pain also extended itself 
to the same side of the tongue. During the whole course of the 
disease, this patient has hardly ever been free from pain ; and when 
an interval of ease did take place, his sufferings were renewed by 
the slightest causes, and more especially by mastication, which 
seldom failed to bring on an accession : his general health and appe- 
tite have been good, so much so,.that he has frequently brought on 
an attack by inattention to proper rules for regulating his diet and 
regimen. : 3 | 
In the previous management of this case, under the supposition 
that the pain might depend upon decayed teeth, the patient had 
had several extracted without affording any relief. He was then 
