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he had been assailed with pain, upon the philosophic princi-
ples of volcanic calculation, the force and data of whose de-
structive fires, are only to be ascertained by the situation
and extent of its extinguished craters ; as by the portions of
the teeth remaining in the immediate vicinity of the maxil-
lary sinus, I was soon enabled to account for, and explain the
extent of the malady, which had so long militated against his
health and happiness.
:—
I will give a part of the following case * The lady's
reply was, " it may be possible, for I have been much sub-
jected at times, to the pains you have described in the face,
but the tic douloureux with which I suffered was an agitation
and throbbing in the fingers, wrist, and arm :" finding my
suspicions verified at every step of my patient's descriptive
procedure, I begged, " if it lived in her memory," to state
the particular progress of the attack, which was kindly thus
described.
" The approach was always intimated by a numbness, and
tingling sensation down the inside ofmy arm, (describing with
her finger the course of the supinator longus muscle,) wrist,
and hand, with a violent agitation of my little finger." "And
was this of any long duration ?" " Two or three minutes, and
then the agitation ofthe finger ceased, and the sensations seem-
ed to retrace their steps up the arm, in a regular reverse to
their approach." " And thus, madam, happily ended your
attack of tic douloureux V " O yes, certainly, as far as re-
garded tic douloureux ! but I cannot say happily, for, most
remarkable, the attack I have described, was ever the pre-
cursor to a violent pain in the face !" at the same time placing
her finger on her cheek, in the situation immediately occu-

* By Charles Bevv. London, 1824.