APPENDIX. | al 
ated in the cheek and temple of the right side. The pain makes 
its appearance in regular paroxysms, varying in length from a few 
days to several weeks, and -is succeeded by intervals of partial 
relief, The state of the patient has been very distressing, and 
during the continuance of the attack her sufferings have been so. 
extreme, as to bring her into a condition almost bordering on dis- 
traction. 3 
Before she came under my care, she had been treated by active 
depleting measures ; she had been bled generally and locally, and 
had applied topical remedies of almost every description, including 
repeated blistering, but without experiencing any cessation of the 
pain. For some time I continued a similar course of treatment, 
along with the internal administration of various medicines, none 
of which, however, had a good effect, except preparations of iron ; 
these succeeded for a time in diminishing the severity of the affec- 
tion, but appeared to have no power in removing it. I now 
ordered the patient to rub the affected part of the face, for twenty 
minutes, with a portion of ointment made with a scruple of Vera- 
‘tria to one ounce of lard, when the paroxysm came on. Next time 
I saw her, she told me that when the pain made its appearance, she 
applied the ointment as directed, and that the attack was cut short 
immediately. After this period the paroxysms returned two or 
three times ; but were removed by the same means. I saw her a 
day or two ago; she was quite well, and is now free from the 
disease. | : 
June 10th, 1834. 
Notices of Cases in which the Veratria Ointment has been em-- 
ployed, communicated by S. Hood, Esq., M. D., Brighton. 
Tue first case in which I tried Veratrine, was in that of a lady 
who had laboured some considerable time under tic-douloureux, 
seated in the second branch of the fifth pair of nerves, on the left 
side of the face. Many remedies had been previously tried without 
effect, and it was at last determined upon to attempt the removal of 
the pain by means of friction over the affected part with the Vera- 
trine ointment of the usual strength. After this treatment had been 
continued for three days, the disease was apparently cured, but 
again returned with considerable violence ; the ointment was again 
had recourse to, and the patient is now quite well. It may be pro- 
per to state that latterly she had been in the habit of taking three 
grains of sulphate of quinine a-day ; I do not think, however, from 
previous trials of it in this case, that it would have been of the least 
benefit without the ointment. ae 
In two other cases of tic-douloureux, in the first branch of the 
fifth pair, the Veratrine was most efficacious: in one, the disease 
was removed by itin a single night; the other was relieved on the 
