NEURALGIA OR " TJODOULOUREUX " OF THE LIVER. 29 



assume an intermittent form. These exacerbations, 

 or return of the pains, are frequently traced to inordinate 

 mental emotions, derangement of the stomach or bowels, 



ue, irregularity of the catamenia, painful or other- 

 wise. The character of these pains, their severity, the 

 suddenness of their succession and rapidity of their 

 disappearance, their intermissions, and the general good 

 state of health during the intervals of such attacks, all 

 lead to the belief that they are the result of some morbid 

 sensibility, manifested in the nervous filaments, or plex- 



<>f the liver, supplied by the great sympathetic, or 

 the pneumogastric nerve. 



I)i A;NUSTI-ALLY. It is of the first importance that we 

 should be able clearly to define the symptoms of neu- 



i, in contradistinction to those of inflammation of 

 the liver ; an error, however, which many a physician of 



rience has committed, as recorded in the literature 



of the subject. 1 >r. \V. Stokes, of Dublin, in his treatise, 



case of a lady, of luxurious habits and 



nervous tern}- is attacked, while in India, 



with pain in ! -11 of the liver, which was attributed 



in; was largely bird and 



mercuriali/rd, with no relict' I'mm the pain. On her 

 passage to England she was a-jain bled several times, 

 and twice mercurialized. After her arrival, she was 

 1. 1. -relied, Mistered, and niercuriali/cd. These 

 sty means afforded temporary relief, but the. 

 vvards returned with in- 

 creased severity ; her constitution now became shattered ; 

 hysterical paroxysms were frequent and violent, and the 

 stomach irritable. Finding there was no fever, the right 

 hypochondrium supple, the lower part of the cheat 



