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tween the nerves of the under teeth and those of the upper
part of the face. I will continue a few cases of this kind
from Mr. Koecker's book, and Mr. Bew's work on Tic Dou-
loureux.
Mr. Koecker observes,* " Mr. J , a gentleman of great
respectability, a native of this country, but for many years a
resident of Smyrna, aged about thirty-nine years, had suf-
fered upward of ten years, from this distressing malady, at-
tended by all its torturing symptoms, in a most unparallelled
manner. His whole constitution, but particularly the gland-
ular system, was so much affected as to produce swellings
and indurations in the most distant parts, accompanied with
great pain and inconvenience ; but its effects on his head
were frequently agonizing ; indeed, he assured me, that so
great were his sufferings, that he had been so far driven to
despair, as to implore Heaven to relieve him by putting an
end to his miserable existence. He repeatedly applied for
the best medical and surgical advice that the country could
afford ; but the real causes of his sufferings were not detect-
ed ; and such was the character of his disorder, that it baf-
fled every exertion and all the remedies which were applied
for many years. At length the effects of a sea-voyage, and
a visit to his native country were proposed, and at the same
time a trial of such remedial measures as he might be able
to command in England.
Immediately after his arrival in London, this patient con-
sulted Mr. Lawrence. This sagacious and disinterested sur-
geon soon suspected his teeth to be the chief cause of his
malady, and recommended him to have my advice without
delay, and to submit to any treatment I should deem neces-
sary and proper.

* Koecker, pages 279 to 281.
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