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nausea and vomiting. If the stomach has a great deal of food in it, vomiting relieves the pain sometimes. In the spasmodic form the affected side is painful, the skin is cool, the pupil is dilated, and the flow of saliva is increased. In the paralytic form the affected side is flushed, hot, the vessels are dilated and the pupils are contracted. There is great weakness, prostration and depression. The urine may be abundant or suppressed, temporarily. The results of treatment in this disease are uncertain, as the attacks are likely to occur in spite of treatment. They usually cease in old age, and in women they may stop after the menopause. The attacks in women are likely to occur at or near the menstrual periods.

First Thing to do in Sick Headache.—It is well to remain in a darkened room away from noise, etc. If the head throbs and beats very hard, either a cold ice bag or hot applications often bring relief. A mustard plaster at the base of the brain with a hot foot-bath often helps. Some people by stroking the forehead and temples have the power to ease the pain, producing quiet and sleep. If the bowels are costive, salts should be taken to move them, or they can be moved by an enema, if salts are not at hand. If the stomach is full, or tastes sour, drink a lot of warm water and vomit, or produce vomiting by tickling your throat with your finger, after having taken a large quantity of warm water for sometimes warm water thus taken fails to cause vomiting. If there is no food in the stomach, but there is sour and bilious vomiting, the warm water will frequently help. For a sour stomach or when it is full of gas, a teaspoonful of baking soda in some hot water will often feel very pleasant and grateful. The patient should keep absolutely quiet after these are done, and often they fall into a refreshing sleep.

[274 MOTHERS' REMEDIES]

EMERGENCY MEDICINES.—If anemia is the cause, give tonics such as iron and arsenic. If the patient feels faint and nauseated, a small cup of strong hot coffee gives relief, sometimes. Antipyrin, given early in doses of two and one-half grains often relieves. Take another dose in one-half hour if necessary. But such remedies are hard on the heart.

TREATMENT. Preventive in Sick Headache.—The patient is often aware of the causes that bring on an attack. Such causes should be avoided. A great many people who are afflicted with this trouble are not only careless in their eating, eating anything and everything and at all times—at meal time and between meals—but also careless in their habits of life. Patients should avoid excitement, like card parties, etc., staying up late, or reading exciting books. The meals should be regular, no food taken that is hard to digest. Pies, cakes, puddings, gravies, ham, pork, sausage, and fried foods must be avoided. Rich, greasy foods will not do for such persons to eat. Strong tea and coffee are bad. Plenty of water should be taken between meals. At meals it is better to take no water unless it is hot water. Every morning on arising it is well to drink a large quantity of either cold or hot water. This washes out the stomach, bowels and kidneys, and stimulates them to better perform their functions. The bowels must be kept regular, one or more passages a day and at a regular hour. Sometimes, especially in younger persons, the eyes are at fault and may need glasses. Frequently it is caused by overwork in school in young girls, especially during their menstrual periods. Social duties cause them in many women, and then strong tea or coffee, or headache powders, or tablets, are taken to keep up or to stop the pain, making the patient more liable to the attacks in the future; and then still more tea, coffee, and headache remedies are taken until the patient is a slave to the remedies taken to help her. A great many of these headaches can be helped by simple measures, and the time between the attacks, in about all cases, made longer if the patient will but work with the physician, not only at the time of the attack, but in the interval. The clothing should be comfortable. The feet should always be kept dry. This applies especially to neuralgia. In fact the above measures of prevention and care apply to all kinds of headaches and neuralgias. Prevention is worth more than the cure.

MOTHERS' REMEDIES. 1. Sick Headache, Hop Tea Will Relieve.—"Hop tea is very good if a good strong decoction is made. A wineglassful may be taken every half hour or hour until relieved." This is very easily prepared, as the hops may be purchased at any drug store.

2. Sick Headache, a Favorite Remedy for.—"Aconite liniment or aconite rubbed on the forehead will relieve the pain in the head almost instantly. One drop of the tincture of nux vomica in a teaspoonful of water every five or ten minutes will quickly relieve." Nux vomica is good only when the headache comes from constipation and stomach trouble and too high living.

[NERVOUS SYSTEM 275]

3. Sick Headache, Aromatic Spirits of Ammonia for.—"For a nervous headache there is nothing better for immediate relief than fifteen or twenty drops of the aromatic spirits of ammonia." This relieves the pain and quiets the nerves and stimulates the heart.

4. Sick Headache, Camphor Application for.—"A very simple but effective remedy is a cloth wet with spirits of camphor and sprinkled with black pepper applied to the head gives almost instant relief."

5. Headache, Soda and Peppermint for.—"One teaspoonful (level) of soda in two-thirds glass of hot water, add five or eight drops of oil of peppermint and a little sugar. Drink quite warm. This has been often tried and proven to be a success." The soda will relieve any gas in the stomach and the peppermint aids digestion and relieves sickness of the stomach.

6. Sick Headache, Lemon Good for.—"One lemon before breakfast will help to keep off sick headache. Have never found a remedy to cure sick headaches. A sack of hot salt will always help the pain." The lemon will help to tone up the stomach and the salt applied to the head will help the pain by relieving the congestion. It is always well to take a good cathartic after a spell of sick headache.

PHYSICIANS' TREATMENT for Sick Headache.—

1. Antipyrine 25 grains
    Citrate of Caffeine 10 grains
    Bromide of Potash 25 grains

Mix and make into five powders. One powder as needed. (You might take second one in three hours.) This is not good when it is bilious sick headache. In fact, it would make it worse. It is good for sick headache and neuralgia due to eye or nerve strain, but then the first remedy, antipyrine, can be left out. It is not needed. I would then put twice as much of the bromide of potash, fifty grains, and take a powder every two hours until better.

2. Citrate of Caffeine 1/2 dram (30 grains)
    Phenacetine 60 grains
    Bicarbonate of soda 60 grains
    Aromatic powder 12 grains

Mix and make twelve powders. Take one every three hours. This is good. Sometimes it is depressing on the heart for some people, due to the phenacetine. Acetanilid can be substituted in same dose.

(The homeopathic treatment is very successful in relieving spells of sick headache. See chapter on Homeopathy.)

3. Sodium Phosphate, taken every morning, about one-half to one teaspoonful in hot water. It is good for the bowels and liver.

4. Prescription for the Liver and Bowels in Sick Headache.—

    Sulphate of soda 30 grains
    Salicylate of soda 10 grains
    Sulphate of Magnesia 1 grain
    Benzoate of Lithia 5 grains
    Tincture of Nux Vomica 3 minims
    Distilled water 4 ounces

This mixture should be made up in large quantity and placed in a siphon by one of the concerns which charge soda water, and from one-quarter to one-half a glass of this water, at ordinary temperature, is to be taken every morning at least one-half an hour before breakfast; enough being taken to insure an adequate bowel movement during the forenoon. This ought to be a good combination to use regularly.

[276 MOTHERS' REMEDIES]

5. Dr. Hare gives the following recommendations. Probably no single source of pain compares in its frequency to headache, chiefly because it is essentially a symptom of diseases or functional disturbances.

It may come from constipation or eye strain, from brain disease, anemia, uremia, too much blood in the head, etc. In many cases a mild laxative to thoroughly empty the bowels is necessary. Sometimes the urine will be deficient in solids and liquids, so that the effete and poisonous material are retained in the blood, which produce headache. For such cases if the urine is acid, the frequent use of Vichy water, to which is added a little bicarbonate of potassium, about five grains to a drink, as a diuretic will prove of great service. If the urine is alkaline (and this you can tell by using a red litmus paper which will turn blue if it is alkaline) ten grain doses of benzoate of ammonium three (3) times a day are often useful.

NERVE TUMORS (Neuroma).—A morbid increase in the tissue-elements of the peripheral (the external surface) nerves.

Varieties. True and False Nerve Tumors.—True nerve tumors (neuromata) are composed of nerve-fibres provided with a medullary (marrow) sheath or of nerve tissue; false nerve tumors are composed of other structure than nerve tissue, are usually of secondary origin, extending to the nerve from nearby structures.

Symptoms.—The true nerve tumors may be hereditary or due to wounds or blows and amputation. They may give rise to no symptoms, or may cause intermittent pain. Pressure increases this pain, when the condition of the nerve fibre is interfered with. Loss of local sensation and power may develop. It is sometimes possible to feel the little nodular growths, and they can be seen when they are superficial. They may give no pain, or they may become very sensitive. They may become chronic and they are very liable to do so. Some of them may disappear.

PHYSICIANS' TREATMENT for Nerve Tumor.—The severe forms should be cut out; others can be let alone.

NEURITIS (Inflammation of the Nerves. Neura-Nerves; Itis-Inflammation. Inflammation of the Bundles of Nerve Fibres).—Nagel describes it as "an inflammation of the nerves of an acute or chronic nature, associated with more or less degeneration, change in the nerve fibrils of the affected nerves."

[NERVOUS SYSTEM 277]

Causes.—An injury to the nerves, frequent muscular strains, exposure to cold. Inflammation can extend to the nerve from adjacent inflamed structures. Pressure can cause it. Fractures of bones cause it by compression and it is also caused by infectious diseases, such as rheumatism, typhoid fever, syphilis, etc. In some cases it simply appears without apparent cause.

When the disease process involves the nerve sheaths and connective tissue structures in particular, an interstitial neuritis results; when the disease locates itself in the nerve fibrils it gives rise to "parenchymatous neuritis" (main part of the nerve is inflamed).

Simple Neuritis.—This means that a single nerve of a group of adjacent nerve trunks is affected. If a number of nerves are affected at the same time it is called Multiple Neuritis or Polyneuritis.

Causes.—(a) Exposure to cold. This is a very frequent cause, as for example, in the facial (face) nerve. (b) Traumatism,—that is, wounds, blows, injuries caused by fractures and dislocations; pressure from tumors, sleeping with the head resting on the arms. Pressure from crutches, "crutch paralysis." (c) Diseases involving the nerves due to extension of inflammation from nearby structures, as in neuritis of the facial nerve due to decay of the temporal bone.

Symptoms.—The constitutional or general symptoms are usually slight. The pain is the most important symptom, being of a boring in the parts to which it is distributed. This pain may be very distressing, or of a stabbing character, and is usually felt in the course of the nerve; or it may cause little inconvenience. Sometimes the skin is red and swollen over the affected parts. There is impaired nerve function and as a result of this the muscles supplied by these nerves become weak, and occasionally paralyzed. In

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