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Injuries of nerves and their consequences - Reflex Sympathetic ...

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346 INJURIES OF NERVES.<br />

they are unaffected by the onset <strong>of</strong> a thunderstorm, or<br />

<strong>of</strong> southerly rains, although as to the latter point some<br />

<strong>of</strong> them feel doubtful.<br />

I have never had the chance <strong>of</strong> absolutely testing the<br />

power <strong>of</strong> any such patients to predict a storm, but the<br />

intelligence <strong>and</strong> character <strong>of</strong> a few <strong>of</strong> my witnesses lend<br />

force to statements like <strong>their</strong> own comins^ from less<br />

responsible persons.<br />

Aching pains <strong>and</strong> twitching <strong>of</strong> the stump muscles, with<br />

sensations <strong>of</strong> various kinds, motor or sensory, referred to<br />

the lost part, are the symptoms which are described as<br />

preceding an east wind,* <strong>and</strong> in<br />

many cases as persisting<br />

until <strong>their</strong> sudden cessation foretells an impending change<br />

<strong>of</strong> weather.<br />

Many stumps are liable to slight pain during the performance<br />

<strong>of</strong> certain normal reflex actions. I have seen<br />

one person who has a sharp pang in the arm -stump<br />

suffer more<br />

when he (left)<br />

yawns, <strong>and</strong> others who always<br />

or less in leg- stumps (thigh) during defecation. The<br />

most common <strong>of</strong> such referred sensations is the pain<br />

which is felt in thigh-stumps during micturition. A<br />

hio;hlv intellio-ent o-entleman first mentioned this to me,<br />

<strong>and</strong> assured me that it was quite frequent among the amputated,<br />

with numbers <strong>of</strong> whom his business had brought<br />

him into relation. Since then I have had repeated evidence<br />

<strong>of</strong> the truth <strong>of</strong> his statement. The pain comes on<br />

at the beginning <strong>of</strong> the act <strong>of</strong> passing water, <strong>and</strong> is felt in<br />

the stump, <strong>and</strong> sometimes down the lost leg. Pr<strong>of</strong>essor<br />

Gross, in his Surgery, speaks <strong>of</strong> incontinence <strong>of</strong><br />

urine as apt to follow for a time thigh amputations. I<br />

have only seen two persons in whom there was any such<br />

symptom at a later date. Both were high amputations.<br />

* As every physician knows, these feelings are common to many sufferers<br />

from rheumatic disease or maladies <strong>of</strong> the bones.

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