3.  If caffeine in first prescription causes nervousness, give this one: 

Antipyrine           30 to 60 grains
Citrate of Caffeine        10 grains
Bromide of Potash           3 drams

Mix and make ten powders.  Take one every half hour until relieved or until six doses have been used.

These are very effective prescriptions, but if a person has any heart trouble I would not advise their use except under a physician’s care.  (Sometimes a patient with neuralgia gets desperate, and he will even resort to morphine).  Antipyrine is one of the simplest coal tar remedies, and most persons can safely take it.  Persons who are subject to neuralgia or headaches need to take good care of themselves.  Get plenty of rest and sleep.  Neuralgia at first can be cured, but when it once becomes chronic, especially neuralgia of the face, it is hard to cure and frequently makes life a constant misery.  Plenty of outdoor life is essential.  In that way the system will be built up, and when the body is strong the disease can be thrown off much easier.  A great many people depend too much upon strong medicines.  Medicines are all right in their place, but all the medicine in the world cannot cure a person unless that person does his or her part.

[Nervous system 265]

Special diseases.  Facial Neuralgia. (Neuralgia of the fifth pair of Cranial Nerves.  Also known as Trifacial Neuralgia.  Neuralgia of the Trigeminus.  Tic doloureux, etc.).—­This form is more frequent than all other forms combined, this nerve being peculiarly susceptible to functional and organic disorders.  All three branches are very rarely affected together, the ophthalmic (eye) branch being most often involved.  The symptoms depend upon the branch involved.

1.  Ophthalmic Neuralgia Pain, (eye neuralgia pain).—­This pain is above the eye, or frontal kind, with a special painful point at the supraorbital (above the eye) notch.  Sometimes the pain is very severe in the eye-ball.

2.  Supramaxillary Neuralgia.—­In this the pain is along the infraorbital (nerve beneath the eye) nerve, and there is a marked tender point at the opening in the bone (infraorbital foramen) beneath the eye.  A toothache-like pain in the upper teeth is common in this variety.

3.  Inframaxillary (lower maxillary) Neuralgia.—­This is characterized by a scattered (diffused) pain along the inferior dental (teeth) branch, and extends from the temporal (side forehead) region over the side of the face to the chin, with pain in the lower teeth and side of the tongue.  The pain in this nerve may come on without any special cause, or it may come after excitement of a physical or mental nature.  Disorders of nutrition occur.  The circulation is interfered with and the face, at first pale, becomes red.  Eruptions may appear along the course of the nerve, while salivation and “running” (lachrymation) of the eyes are often prominent symptoms.  Spasms of muscles of the face (tic doloureux) may accompany the paroxysms and this is the most terrible form of nerve pain.  The attacks may be mild or very severe and sometimes sudden.  This is a terrible disease, especially when it has existed for some time.  A person with severe pain in the face should always attend to it immediately, before it becomes chronic.