APPENDIX, 6y 
APPENDIX. 
CASES COMMUNICATED TO THE AUTHOR. 
Case of Tic-Douloureux cured by Veratria Ointment,communi- 
cated by J. Holme, Esq., Surgeon, Linton, Cambridgeshire. 
Miss L., a young lady ten years of age, has suffered from tic- 
doulovreux for about four years. In the winter of 1829-30, she 
first complained of frequent pains in the face, in the situation of the 
infra-orbitary foramen, attended by intermissions, and which at 
first were considered as probably connected with the teeth. In the 
winter of 1830-1831, her sutferings became much greater ; and on 
account of the intermitting nature of the pain, she was then treated 
with quinine; but having experienced no relief from it, she had 
three teeth extracted, yet without benefit. During the summer of 
this year (1831), she was not free from suffering, especially when 
exposed to chilly weather ; and if she happened to be out after sun- 
set the pain was brought on. 
In the commencement of the next winter I first saw her ; at that 
time she was under active medical treatment, and had taken carbonate 
of iron, arsenic, morphia, belladonna, quinine largely, purgatives, 
mercury, and had made use of topical applications, but all without 
advantage. The paroxysms of pain came on at regular periods, two 
and three times a-day, for the space of from two to five hours at 
each accession. | 
In February 1832, she was taken to London, and put under the 
eare of several eminent practitioners, but derived no benefit, except 
for three weeks in July, after which the pain returned with increased 
violence. Baths of various kinds were also tried, but without effect. 
She returned home, and six weeks since the Veratria ointment was 
first tried, and in about five days she experienced much relief. 
Within that time she had no attack of pain during the night, and in 
three days more, the daily paroxysms nearly ceased. We continued 
to rub the ointment for about twenty minutes before the expected 
time of the attack, and in one day, less than a fortnight from begin- 
ning to use the frictions, all recurrence of pain had left her, and she 
now continues quite free from any inconvenience. The only medi- 
cine she took during the use of the ointment, was four grains of pad. 
aloes et myrrhex, at bed-time. 
April 21, 1834. 
JANUARY, 1838.—G 7 
