TWO YEARS EXPERIENCE IN THE EMPLOYMENT OF , MMMCT(0)-ElLE(GfWOW3 AS A REMEDIAL AGENT IN DISEASE. BY DR. NELSON WALKLY, TUSCALOOSA, ALA. "T7'""> A ^<>v «■* Uii>j.U...j.W. -vV TUSKALOOSA: PRINTED BY M. D. J. SLADE, 1844. INTRODUCTION. The following pages contain, as the title indicates, a simple record of the effects of magneto-electricity, as a remedial agent in disease, during an experimental employ- ment of it for two years past by the author. No argu- ments are advanced to show the quo modo of its action, or upon what principle its remedial powers depend. These arc subjects for future investigation, and require for their correct determination, a mass of evidence yet uncollected, or, if collected, yet undigested. It is hoped,, however, that the facts here detailed may aid in the solution of these pro- blems. It is well known that electricity and galvanism have long been employed by the medical profession in the treatment of paralysis, muscular debility, amenorrhea, rheu- matic pains, and other complaints of a similar nature.— They have, at different periods, excited considerable atten- tion in the public mind, but from various causes have de- clined in favor of other and more fashionable remedies. Within a few years past, their use seems to have been re- vived, particularly in France, and many eminent physicians have zealously applied themselves to the elucidation of the rules which should govern us in their employment. The results of their investigations have been laid before the world in the various medical publications of the day. They have also in their communications endeavored to lay the claims of these agents before the profession, and have urged not only the importance, but the vast utility to be derived in U INTRODUCTION. medical practice, from their application in diseases arising from impaired nervous action. Magneto-electricity, however, has not until recently been known or employed as a remedial agent. Only two or three cases are on record, or at least have come to my knowledge, in which it has been used ; but these are suffi- cient to demonstrate that all the arguments in favor of the \ beneficial influence of other kinds of electricity, are. doubly applicable to this. The first magneto-electrical machine, known or introduced into this countiy, is described in Silli- man's American Journal, vol. xxx. p. 100, under the head of Clark's Electro-magnetic machine. About the time of the first presentation of this machine to the public, Prof. Locke of Ohio, Dr. C. G. Page of Boston, and myself, respectively , constructed ourselves one upon the same principle, but ( very dissimilar in structure. Since the fall of 1840,1 have been in the almost constant use of my machine as a reme- dial agent in disease, for which purpose it is, in its form and arrangement, especially adapted. In this time I have been much more successful in the treatment of-complaints orio-i- nating and depending upon depraved nervous action than physicians usually are, who confine themselves to other medicaments that are offered in the materia medica, as the ' cases submitted in this publication will, I think, fully sub- stantiate. In all these, the kind of electricity employed was magneto-electric,* and whenever mention is made of an *Note.—For machines constructed upon the principle embo- died in that of Clarke's, Dr. Page and others have suggested the name of magneto-electrical, as being more appropriate and to distinguish them from those electro-magnetic machines intended to be used as motive powers, and in which magnetism is induced by galvanic electricity. These are truly electro magnetic. in machines arranged on the principle of Clarke's, however, the reverse is true. In these electricity is generated from the magnetism and is consequently magneto electric. INTRODUCTION. V application, I wish this fact to be distinctly borne in mind. Without attempting to discuss the relative merits of the dif- ferent forms of electricity, I will simply remark, that in my cstimation this latter possesses advantages far more numer- ous and superior to those of any kind known at present. It has all the properties common to galvanic electricity, and by it a rapid succession of shocks, varying in intensity at the will of the operator, can be given, or a direct unbroken current, suitable for the endermic introduction of remedies into the system, when, from irritability of the stomach or other causes, this is desirable. It is always ready, without the trouble of daily preparation; is not easily deranged ; and no atmospheric condition or changes affect its action. Whether it has any peculiar properties to render it superior to, or to distinguish it from, other kinds is not yet determined; but we know that by means of the magneto-electrical ma- chine is evolved a vast amount of electricity, of high ten- sion, under perfect control, and applicable to all cases, where its employment is in any form indicated. Why this agent has heretofore been so little used, with so great a mass of testimony in favor of its beneficial influence, can only be accounted for on the grounds of the trouble and difficulty of generating and applying it according to the ordinary modes, and the constant liability of the batteries and ma- chines to become deranged. By the invention of the mag- neto-electrical machine, adapted as it is to the direct applica- tion of its power to the various forms of disease, in such mode, quantity or tension, as may be deemed most benefi- cial, these objections are entirely removed ; so that it is now in the power of every practitioner, who may desire, to em- ploy it in all that class of disorders whose symptoms indi- cate its use. To direct more attention to this subject than has hitherto vi INTRODUCTION. been bestowed upon it in this country, to show the success that may be rationally anticipated, the vast amount of suf- fering that may be alleviated, and impaired health that may readily be restored by its judicious application and combi- nation with other remedies, I have, in the subsequent pages, briefly enumerated the cases and results of my own limited experience, without other comment than perhaps a passing remark, or any claim to originality of invention or applica- tion. Nothing is novel except the method of generating and applying the electricity, which, beyond all dispute, is recent and of much practical importance. Whether the success consequent upon its employment has been sufficiently abun- dant to satisfy the expectations of the most sanguine, and to justify the importance that I, in common with many others, attach to it, is left for the intelligent reader to decide upon the perusal of the various cases here submitted. NELSON WALKLY. Tuscaloosa, January 4,1844. CASES. The first case which I shall mention, is that of Mr.---- This patient had suffered for a long time from a rheumatic affection of the left eye, which had resulted in a partial paralysis of the rectus externus muscle. This occasioned considerable strabismus, and the eye was also amaurotic. April 22d, 1843, a direct application of electricity was made to the nerves, as well as the affected muscle of the eye, and continued for three weeks, once a day, each ap- plication occupying about five minutes. At the expiration of that period, the paralyzed muscle was restored so as al- most entirely to remove the strabismus, and the sight was partially regained.* Case II.—Mrs. ——, a widow of nervo-bilious temper- ament and energetic habits, was seized with an attack of billious remittent fever in the summer of 1840, which after a few weeks assumed an intermittent form and continued with occasional intermissions until the spring of 1842. Du- ring the progress of the disease, her eyes became affected, and she suffered excruciating pains in the forehead and in the upper and posterior portions of the eyeballs. Various remedies were resorted to, which produced temporary re- lief; but upon recovery from the fever, her sight gradually failed until almost total blindness supervened. When I first saw her, which was on the 10th March, 1843, the pu- pils of her eyes were contracted to their utmost limits appa- *Note.—The extreme meagreness of many of the sketches here given, is accounted for from the fact, that, having no intention of ever making public the cases occurring to me, I at the first only noted down a general description of them. As my practice and success increased, I became, as will be observed, more particular in this respect. 8 AMAUROSIS. rently, and she could barely discover light by turning them directly towards the sun. The cervical glands were en- larged, and there was a constant discharge of purulent, ir- ritating matter kept up from the nose and eyes. I found her also laboring under a profuse leucorrhea and suppressed atamenia. Made a prescription to check the leucorrhea] discharge, and applied electricity to re-establish menstrual action. This was effected by the third application. From this period her general health improved rapidly, accompanied with corresponding amendment of the eyes. The ichorous discharge ceased and the pupil of the right eye began by degrees to dilate. On the twentieth day, this was expanded to about half the ordinary size, and she could dimly perceive objects of some magnitude. Five days later she could distinguish persons by the color of their hair and the articles of their dress. This improve- ment continued gradually, so that on the fortieth day she was able to count very distinctly the seams between the layers of bricks in the houses across the street. About this period she left the place. I was informed by her four weeks after her departure, that her sight was still improv- ing. No improvement was effected in the left eye. I di- lated the pupil by means of belladonna, and found the cry- stalline lens perfectly opaque. Case III.—Mrs.----, aged 24 ; has been married for three years, without issue. For four or five years has been subject to severe dysmenorrhea and violent pains in the head, apparently in the frontal sinus, or its immediate neighborhood. This had produced a very amaurotic con- dition of the eyes. By the use of actea racemosa, she suc- ceeded in removing the pelvic and lumbar pains at her monthly periods, but the other symptoms continued very AMAUROSIS. 9 severe and unabated. For the amaurosis she applied t< > me on the 3d September, 1843. I made both a general and local application, twice per day, for three days, when a profuse discharge of purulent matter took place from the nose, and continued at intervals for two days. With the commencement of the discharge the pain ceased and the sight improved. The electricity was continued three days longer, when she was discharged from my care entirely cured, in which condition she still remains. Instances sometimes occur of partial and even perfect blindness resulting from injury of the supra or infra orbital nerves, or their branches, without any apparent change in the structure of the eye. In these cases Beer advises a complete division of the injured nerve, and states that ho has practised this course with uniform success; but Dr. Hennen and Mr Guthrie, who tried it in several instances, failed altogether. Mr. Hey narrates a case of amaurosis following a wound in the forehead which was successfully treated by electricity, and Dr. Lichtenstadt another, from injury of the infra orbital nerve, which was similarly treat- ed with a like happy result. Several cases are also given by Lawrence of successful cures effected by the same agent, and the endermic introduction of strichnine into the system. The following confirms the importance of this remedy in such complaints. Case IV.—Mrs.----- received a blow from a small bucket that a cliild of hers was swinging with a string, which produced a bruise and slightly lacerated the skin about two inches above the right superciliary ridge and on the course of the supra orbital nerve. Three days after she found great difficulty in defining objects with the right eye, and felt frequent shooting neuralgic pains through the 10 AMENORRHEA. affected portion of the nerve. This condition continued for seven months, when I was called in. This was on the 20th of April, 1843. There was no perceptible change in the appearance of the eye from that of the healthy state. Applied electricity, with various degrees of power, every third day, throughout the course of the wounded nerve. After the second application she was relieved of the neural- gia and able to read and sew, which she had been unable to do from the date of the injury. The applications wrere continued semi-weekly for three weeks. She was perfect- ly cured. I have a record of eleven amaurotic cases, and of these seven were permanently relieved, one temporarily, and three none at all. In those that were not benefited, appli- cation was only made for a few times, and in one these were made but weekly. With the knowledge I now pos- sess of the effects of a continued and judicious use of elec- tricity, I have no hesitancy in saying that the failure was owing to want of perseverance in the employment of the remedy... AMENORRHEA. Of this complaint my journal shows a record of forty cases, all of which have been successfully treated by means of electricity, and in a much shorter time than under the usually prescribed course of medicines. Where the sup- pression was of recent standing, one or two applications just before the expected period, has generally proved effi- cacious in removing the obstruction and inducing the dis- charge. This is best effected by passing a rapid succes- sion of shocks through the uterus, until pain is felt in the AMENORRHEA. 11 lumbar region, and this is induced in from two to five min- utes by placing the negative electrode directly above the pubes and the positive to the spinal nerves of the lower lumbar vertebrae. The same object is, however, attained by placing one conductor in a warm bath with the feet of the patient, and the other to the back of the neck, or it may even be held in the hands ; but in this manner longer ap- plications are required, which in persons of plethoric habit produce considerable soreness of the muscles from the spasmodic action caused by the shocks, and the discharge is not so speedily established. It has been objected, that electricity would be much more likely to do injury, by pro- ducing abortion, in those cases where a natural cause might exist for the suppression of the catamenia than the usual remedies that are so often, and so ineffectually I may add, prescribed. I have, however, within the past year made application for several weeks in three cases where the sup- pression proved to arise from pregnancy, without the slightest injurious effects being observed. These were vi- gorous, healthy negro girls and possibly different results might have been produced upon pregnant white women of delicate health and excitable temperament. Still I have never known any injurious results to ensue from its em- ployment in any case, unless there existed acute inflamma- tion, which it seems to increase, or from an excessive and unwarrantable length of application, as in the instance of Mr. ----, described under the head of apoplexy.— Where uterine derangement is occasioned or attended with prolapsus, and inflammatory symptoms, no relief may be expected from this agent until these symptoms are reduced by other remedies. This being effected, I have employed it with great success in restoring strength and muscular power to .the debilitated and partially paralyzed parts.— 12 AMENORRHEA. No pain or injury will result from a direct application per vagina, though this mode is rarely, if ever, necessary, ex- cept in some obstmate cases of leucorrhea; but when thus applied, its effects are most salutary. In cases attended with chlorosis, the remedial effects of electricity seem much increased by an exhibition of such tonics as are calculated to improve and strengthen the nutritive powers of the sys- tem. Its action will be best illustrated and understood by a perusal of the following cases. CASE V.—A young lady, 17 years of age, attended a ball in a light thin dress, on the night of the 8th January, 1842, and during the period of her monthly course. The evening was damp and rainy, and the exposure brought on a violent cold, attended with cough, which immediately checked the catamenial discharge and confined her to her room for several weeks. On the approach of spring, her cough abated, and her health so much improved that she commenced attending school. She soon found, however, that the confinement of her sight to a book produced an acute pain in her forehead, and this became at length in- supportable whenever she looked at any object intently. On the 25th May I was called in. Her sight was then so enfeebled, that all objects appeared to her as if they were enveloped in^a thin mist. The menses had not returned since the night of her exposure, her bowels were much con- stipated, and the digestive functions considerably impaired. Prescribed the following mixture: Tinct. Apocynum, 4 oz., Tinct. Sanguinarii, 1 oz.; dose, a teaspoonful, 3 times per day, before eating. Applied electricity through the system for five minutes at each application, (semi-weekly,) and re- commended daily moderate exercise in the open air. The catamenia made its appearance on the sixth application.— AMENORRHEA. 13 Th's was followed up by directly applying the same agent to the frontal nerves, as described in amaurosis, daily for one woek, wh.ch entirely remaved the cephalalgia and restored her s.ght. Her subsequent health has been uniformly good. CASE VI.—Was a young lady, aged 13; has never menstruated, but instead is subject to a cutaneous eruption every fourth week. This commenced three years smce, and usually continues from four to six days. Has had an ep lept c attack, occasioned by a sudden d.sappearance of the eruption from the use of cold appl cations, and also a c'nroal nff ct.on of the left s.de from a sim.lar cause.— M ty llth; commenced the dady use of electricity, by pla- cing her feet m a vessel of warm water w.th one conduc- tor and apply.ng the other to the nerves proceed ng from the fir^t and second lumbar vertebrae. Th.s was four days previous to the usual appearance of the eruption. The fourth application was followed by the menstrual discharge in the place of the hab.tual cutaneous affection. No pain of the back preceded its appearance. S.nce then her gen- eral health has been good and her periods regular. CASE VII.—Miss -----, aged 13; was called to visit her the 20th September, 1843 ; found she had been attack- ed w.th intermittent fever in May preceding, from which she recovered upon the application of the usual mode of treatment. S.nce then, however, she has suffered from aim >st constant pain in the lumbar region, and was subject to frequent fa ntings, especially up an s.tting in an upright posture for any length of time. The catamenia had never made their appearance, and she was very pale and much debditated. On ascertaining these facts, I immediately 2 14 AMENORRHEA. applied electricity through the system, daily, for two weeks, which prevented the recurrence of the lipothymiae and induced the menstrual discharge. There has been no re- turn of the symptoms before complained of, and she is in excellent health. CASE VIII.—A colored woman, aged 23 ; stout, short and of plethoric habit; has suffered from irregular menstru- al action for several years. Digestion bad, and is habitu- ally subject to severe cephalalgia and vertigo. April 11th, applied electricity through the system, and made the fol- lowing prescription: R. Pulv. Ipecac, Pulv. Charcoal, a a 40 grains, honey q. s. pil. xl; take one 10 minutes be- fore each meal, increasing the dose by an additional pill each succeeding week. 14th. Repeated the shocks through the system, in rapid succession, and as severe as the patient could endure, until perspiration was produced. This was continued every third day, until the 21st, when the menses appeared of a proper character and quantity, and four days sooner than had been usual in a healthy state. The cepha- lalgia and vertigo ceased from the second application, and her digestion is improved. Continued the prescription &c. until May 18th. her second period, when she expressed her- self as being perfectly well. She has had no diminution of health since, and the catamenia is regular. CASE IX.—A negro girl, 11 years of age; has never menstruated more than two or three times. During the last period, two years since, she took cold from exposure, which entirely suppressed the catamenia, and she has ever since been subject to wandering rheumatic pains ; at first in the acute form, but these have gradually subsided into the chro- nic. Upon the clavicle, the anterior portion of the tibias, the radius and ulna of both arms, where these pains are ANGINA PECTORIS. 15 most generally felt, nodes of considerable size have formed. August 10th, 1843, made 4 successive applications through the whole system, in as many days, which completely re- moved the rheumatic affection. Prescribed hydriodate of potassa, 2 drachms; syrup sarsaparilla, 8 oz. misce; dose, a table spoonful, to be taken three times a day before meals, and continued the electricity for eighteen days, when the catamenia appeared. She left apparently cured, and has had no irregularity or pains since, and the nodes have nearly disappeared. A farther examination of these cases is needless, from their great similarity. Instances of this affection are chiefly confined to the females of our colored population, owing to their ignorance upon the subject and almost constant ex- posure. In these cases a direct application has been made to the lumbar and pubic region, and with much speedier success than by other modes. ANGINA PECTORIS. A few cases have occurred in my practice resembling angina pectoris. They were rather mild than otherwise, and I leave the reader to decide upon the peculiar nature and classification of the complaints, if he shall, after under- standing the symptoms, feel doubtful of their present assign- ment. CASE X.—This was a young lady, aged 17. In the summer of 1841, she had a severe attack of congestive fe-' ver, from which she had partially recovered, when from imprudence she relapsed. As it was late in the fall, the fever assumed a typhoid character, from which she did not entirely recover until the succeeding spring. Shortly after, 16 ANGINA PECTORIS. upon any unusual exertion, she experienced an acute pain just below the left mamma and extending up to the shoul- der of that side, attended by a sense of stricture and great oppression of the chest. These attacks were so severe as to cause her, if she was walking, to stop perfectly still until the pain and oppression of the thorax ceased, and this was invariably followed by a pricking sensation down the under side of the left arm, and a numbness of the little finger. No palpitations or other hysterical symptoms were present, except the oppression, and the complaint had continued for eighteen months, with increasing severity of the symptoms. Aside from this, her general health was good. During one of the attacks, I made application of magneto-electricity, by placing one electrode upon the seat of the spasmodic stric- ture and the other to the lower cervical vertebrae, which afforded almost instantaneous relief. Afterwards, for two weeks, daily applications were made by changing the elec- trode from the neck to the left hand. The first application was on the 8th July, 1843, and no other remedy was cm- ployed. She has had no return of the affection. CASE XL—A gentleman, aged 55, of an arthritic hab- it, and in his younger days well versed in the qualities of different liquors, came to me, three months since, complain- ing of a suffocating sensation, attended with severe pain in the left side whenever he attempted to walk fast, and espe- cially up an ascent. This prevented him frcm riding on horseback, and when exercising he was seldom free from pain in the side, though much less acute than under the circumstances above mentioned. Applied electricity, as in the case above, and relieved him for the day ; but the last symptom returned the next morn ng, and was removed as before. His business requiring ks presence, he left that APOPLEXY. 17 day, and has only experienced a few slight symptoms of the complaint since. CASE XII.—Was a woman of a robust form and a vigorous const.tution, and at the time of the affection was nursing her filth child. This patient complained of feeling a sharp pain d.rectly under the left breast upon walking fast or making any uncommon exertion. The pain was so acute as to cause her to drop whatever she held in her hands at the time, and to involuntarily clasp them upon the seat of pain untd the paroxysm passed off. There was no dyspnoea present and but slight palp.tation. General health apparently good. Electr.c ty was employed once per day, tor four days, by apply ng one canductor to the nerves of the lower cervical vertebrae and the other to those of the n nth and tenth dorsal on the affected side.— The first appl cation produced immediate relief. The rem- edy was d scont nued on the fourth day, and there has been no return of the paroxysms. I have successfully treated several cases of th.s latter kind in women disposed to hys- teria. APOPLEXY. There has occurred to me no opportunity for testing the merits of electric ty in a stroke of th s d.sease. The only one that makes any approaches towards it, is the following case of paralyses resulting from it. CASE XIII.—Mr.---- of Wetumpka, aged about 35, of plethoric habit and very short neck. Four years since he had a stroke of apoplexy. By prompt antiphlogistic treatment h.s Lfe was saved; but h.s lower extremities were left entirely paralyzed. Alter a long course of med- 2* 16 APOPLEXY. ical treatment, he obtained a slight control over the right leg, and there was partial sensation in the left only. Thin he could not raise from the floor, but managed to move from one place to another by the aid of a crutch and a tri- pedal staff. He was brought to me for the application of electricity on the 1st September last. I found him troubled with indigestion and cephalalgia for some hour or two after eating. He had an inordinate appetite, and no entreaties could induce him to forego its gratification. This evident- ly was one, if not the principal, cause of his situation. To obviate this I prescribed, in connexion with electricity, small doses of ipecac and charcoal, ten minutes before eating.— This checked the unnatural craving and removed the symp- toms of indigestion and also the cephalalgia. He remained a month without much apparent improvement. He, how- ever, declared he was much stronger and his faith was so much increased by its effects, that he procured a machine to use on his return home. On his departure, I gave him specific directions in reference to the subsequent applica- tion of electricity, that he should omit it in case of febrile or cerebral excitement, and the precautions to be observed in order to prevent another apoplectic attack. He wrote me on the 1st November, stating that he was much improved, could ride very well on horseback, and that sensation was nearly restored to one leg and motion without sensation to the other. On the 25th November, while laboring under an attack of influenza, he exercised much more than usual, rode abont considerably in superin- tending some drays, and at night ate a hearty supper, which produced a return of his cephalalgia. To remove this acute pain, contrary to my directions, he applied electricity directly to his head and continued it for nearly an hour. If he was not deUrious when he commenced making the ASTHMA. 19 application, he was upon its discontinuance. A physician was immediately sent for, who found him raving, pulse very quick and strong, breathing hurried, and eyeballs starting almost from their sockets. Bleeding him twice very ex- tensively reduced his pulse and corrected the delirium ; but his body was found completely paralyzed from below the dorsal vertebrae. The next day, the physician finding he had passed no urine, proposed the use of the catheter; but he was obstinate in his refusal, though admonished of the probable consequences. From some cause, fbrgetful- ness, distrust, or ignorance of its precise effects, no applica- tion of electricity was made. On the fourth day, when symptoms of inflammation wore apparent to his own sen- sations, he permitted the catheter to be used. A large quantity of urine, mingled with blood^and pus, followed its introduction, mortification ensued and he died upon the 1st of December. These last circumstances were detailed to me by the physician in attendance, Dr. Penick. Comment is unnecessary. ASTHMA. I have had but one opportunity of testing the benefits of magneto-electricity in this complaint. I have, however, learned from Dr. F. L. Merriwether, of Greene County, to whom I furnished a machine, that he has successfully treat- ed two very obstinate cases of long standing by its means. The following is a sketch of the one that occurred to me. CASE XIV.—Mr.---, aged about 28, called on me November 1st, 1843, whilst laboring under a severe attack of spasmodic asthma. His pulse was feeble and intermit- ting every sixth pulsation; eyes protruding; anxious, hag- 20 ASTHMA. gard look ; and could with difficulty speak so as to be un- derstood. He had labored under this complaint for many years and the attacks had become very frequent. Almost every exposure, change of weather, &c, were liable to pro- duce paroxysms wh.ch usually lasted for several days. I applied electr.c.ty first through h s system, to rectify the intermittent state of the pulse. Th.s was effected in about three minutes. I then placed the pos.tve electrode upon the spinal or'g'n of tiie nerves passing to the thoracic cav ty, and the other along the edge oi the d aphragm below the sternum, and passed a rap d success on of shocks for three m nutcs longer, which had the c filet to produce copi- ous pci sp.rat.on, relieve the difficulty m talk ng and the an- xious expression of countenance. November 2nd.—-"Found this morn'ng he had rested well during the n ght, which is very unusual, though the affect .on stdl cont.nues, but much reduced .n violence. Repeated the electr.c.ty, chang ng the negative conductor to the hollow of the neck above the sternum; and also m the evtnng, when I ascertained the asthma had ceased s nee the morn- ing. From this time daily apphcations were made until the 18th, without any symptoms of ts return. I heard trom him a few days snee, and although he was labor ng under a severe cold, he had as yet had no recurrence of the com- plaint, wh.ch formerly v.s.ted him upon all such occasions. In one other instance m wh ch I made a s.ngle appl ca- tion, the result was unknown to me until alter wr^t ng the above. It is deserving not ce, and I therefore append ,t.— Mrs.----, applied to me for an apple iLon of electr city for a rheumatic affection, as she was pass ng through the city on the 3rd of October last. Th s was confined chiefly to the shoulder. She was also at the same t me suffering from a spasmodic asthma, which she informed me had exist- GUOREA. 21 ed for two years past. ' For this, as well as the rheumatism, I made a particular application, as in case xiv, w.thout ap- parent benefit. As she was also laboring under indigestion and other dispeptic symptoms, I prescribed for her a mixture of tinct. apocyuum and syrup of sarsaparilla, each 4 ounces, with directions to take a teaspoonful ten minutes before each meal. Saw nothing more of her until the first week of December, when she called again and informed me that the asthmatic affection ceased a few hours after the appli- cation, and had never made its appearance since. Her rheumatism had also left, and her health was excellent. . CHOREA. I have treated eleven cases of this disease, all of winch were cured, with a single exception. No other remedy than electricity was used, except occasional aperients. Of the ten cured, seven were females under sixteen years of age. The remaining one was benefitted to a considerable extent, as the following sketch of his case will show. CASE XV.—A negro boy, 18 years of age, large, stout, and healthy looking; has a choreal affection of his entire left side, very much impairing speech and locomotion.— When awake the muscles of the deranged side of the face and neck are contracted, so as to flex his head towards the shoulder and distort his features. The hand and forearm are spasmodically coded upwards towards the axdla,and are perfectly useless. Has a partial control of the leg and walks with an awkward and ludicrous jerk. This has been his condition since an infant, and is now supposed to have been induced by the recession of an erysipelatous or syphilitic eruption that covered him at his birth. I made daily ap- 22 CHOREA. plications to the affected parts for six weeks, with gradual improvement. The distortion of his face and wry neck were removed, his speech and gait greatly improved, and he so far obtained the control of his arm as to straighten it out at will, and to use it to a considerable extent in cutting wood, carrying water, &c. During the last eight or ten days of his stay, his improvement seemed to remain station- ary, and thinking it might benefit him to work moderately, I sent him to his master. He remained in the same state apparently for two months after this, when he was attacked with a billions fever, and during its course the chorea seem- ed as bad as ewr ; but during his convalescence the affect- ed parts broke out thickly with small biles and he was then fast improving. I have not since heard from him. CASE XVI.—Miss----, aged about 14, was attacked with chorea of the right side in August, 1842. It was sup- posed to have been occasioned by fatigue, consequent upon watching in a sick family, and was of a very annoying char- acter. It was impossible for her to keep the affected side and limbs quiet in any position when awake, though the spasmodic action was not unusually violent. On the first of October, I commenced the employment of electricity, and continued it with but little success for twelve days. A marked amendment then ensued, which was maintained until the 18th, when she was dismissed from my charge entirely recovered. CASE XVII.—Mr.----, aged about 25, called on mc April 1st, 1843, for a choreal affection of the right arm and side of the face. These parts were unaffected with any involuntary action, unless he attempted to speak or was laboring under some excitement, when they immediately DEAFNESS. 23 became uncontrollable. Semi-weekly applications were made in this case for three weeks, which removed the com- plaint, and there has been no subsequent recurrence. CASE XVIII.—Was a lad about seven years of age; had a choreal affection of the left side, which had continued for two months. The affected limbs were in constant mo- tion, and the face was occasionally contorted. The disease was apparently caused from an excessive growth. Elec- tricity was applied daily to the choreal side for one week, commencing on the 27th June, 1843. The first three days he seemed to get worse, and his parents became much alarmed at the increased rapidity of the spasmodic action ; but after this he amended very rapidly. The second week application was made only on alternate days, at the end of which he was discharged from my care entirely cured, at least there has been no relapse since. Electricity was also employed in a case not considered among the eleven above mentioned. This was a lad about eight years old, a patient of Dr. II. 's of this city. The usual remedies had been prescribed by him for two weeks previ- ous without effect, and these were continued until the com- pletion of the cure. The lad evinced no improvement until the third days use of the machine, from which time he amended rapidly, and was dismissed cured on the tenth clay. The case was of recent standing. DEAFNESS. Of seventeen cases of this affection, in which I have em- ployed electricity, eight were relieved entirely. The others appeared to derive no benefit from its use, except in two 24 DEAFNESS. instances, where a slight improvement was manifest. Those cured were mostly affected in a smilar manner, With the cases described below. CASE XIX.—Mr.----,aged about 28. This patient herd an attack of billious fever m the fall of 1838. Hemi- plegia of the left side followed h.s recovery from th.s dis- ease. By jud cious treatment, he was in a few months cured of the paralysis, With the exception of the aud.tory nerves of that side. The left ear cont.nued perfectly deaf up to the time of his appl cation to me, and there was also entre loss of all sensation in the meatus cxternus. On the 2( th September, 1842,1 made a d rcct application of electri- city, by moans of a piece of wet sponge introduced into the external or dice of the ear. Appaix ntly but Lttle effect was produced from the application, which was made in the even- ing ; but the next morn.ng he called upon me w.th h.s hear- ing perfectly restored, in whxh condition it remans at pre- sent. CASE XX.—Mrs.----, aged about 36, has for several years been deaf in the left ear. The organ has been unable to djst.nguish any sound farther than a constant roaring, which in addit.on to the loss of hearing was excessively annoying. Marcli 12th, 1843,1 examined the ear and found the meatus cxternus presenting a dry,desquamating surface, and devoid of any secretion of wax. Electricity was passed through the organ by means of a moist inserted sponge., for about two minutes, without perceptible improve- ment. The next morning, however, I discovered a slight secretion of wax, and on putting a watch to the ear, the patent was sensble of the tick. The remedy was contin- ued for three days, when a copious secretion was induced, DEAFNESS. 25 and the functions of the organ entirely restored, in which state it yet remains. CASE XXL—Mrs.----, in the fall of 1840, had an at- tack of billious intermittent fever, recovery from which was followed with deafness in both ears. December 23d, 1842, she called on me for atrial of electr.c.ty. I made a direct application to the auditory nerves, twice a week for three months, which gradually restored the organs to their heal- thy state. This continued until September, 1843, when, from another attack of fever she again became deaf. She has been for a short time past under electrical treatment, and her gradual improvement now indicates an entire re- covery in a few weeks. In those instances in which I made an unsuccessful em- ployment of this remedy, there were impediments that did not exist in the eight that were cured. For instance, some were seemingly the result of old age and some had existed for twenty years. Others were caused by pressure upon branches of the auditory nerves from a swelling or enlarge- ment of the cervical glands, or a scrofulous affection of the tympanum and meatus auditorious. In two instances that were particularly examined, the Eustachian tube was found closed and resisted all efforts made with a view to re-estab- lish the communication. In the scrofulous patients tempo- rary relief was gained, but this was destroyed upon the first exposure. It is proper to state that in all these cases, except one, the remedy was only employed for a few days, and was discontinued then at the wish of the patients, owing to their want of confidence in its virtues. I do not, therefore, consider that its powers were fairly tested, though the results might have been the same if it had. If, however, it can be 3 26 DYSMENORRHEA. made efficacious in restoring lost hearing under any circum- stances, as I have shown it has been, the fact is most valu- able and cannot fail of being improved by the profession. DYSMENORRHEA.* In no complaint that has fallen under my treatment, has electricity proved more successiul than in tins. Nor is there any remedy in the materia med.ca, to winch fi male s may resort With greater faith, or physicians apply w.th more certainty in its results. True, the state of seme patents is often such as to require a sl.ght preparatory treatment be- fore this agent can exert its full beneficial power; but this condition may be easily ascertained by ord nary cllc-nt.cn on the part of the pract.tionc r, and the proper means em- ployed to prepare the system for its jud.c.ons cxlub.t en.— Twenty-two cases have happened in my pract.ee dur.ng the last two years, which have been treated successfully m the manner described in the following instances. CASE XXII.—Mrs.-----, aged 24, of a sanguine billious temperament, has been married for five years without off- spring. Has suffered greatly for six years past wlh dys- menorrhea. Her health has gradually failed ; is troubled with leucorrhea, and is much debilitated. March 13th, 1843, commenced a general application of electric.ty, upon alter- nate days, and prescribed of solution Iodide Fern, ten drops *The removal of amenorrhea or dysmenorrhea, in several instances that have occurred under my practice, where die pa- tients had been married for several years without issue, has been almost immediately followed up by the condition of preg- nancy, and this too when the cause of the previous sterility was entirely unsuspected. DYSMENORRHEA. 27 twice a day. This course was continued for two weeks, when the catamenia appeared, but still painful, though much less so than formerly. Discontinued the solution, from the ir- ritable' state of the stomach, kept up by it. Directed the occas.onal use of Sup. Tart. Pot. and Jalep, in small doses, to prevent constipation, and continued the electricity semi- weekly, until the 20th of April. The menses then made their healthy appearance, unattended with any dysmenor- rhea! symptoms. Her general health was also much amen- ded, and I ceased my visits. She has continued to improve in health, and has had no recurrence of the dysmenorrhea since. CASE XXIII.—Miss----, aged 16; was called to see lur on the 22d of May last, and found her suffering acutely from this complaint, it being her usual period. This had been the case during the three previous occasions. Her general health good. Placed the patients feet in a warm bath with the positive electrode and applied the other to the lumbar nerves, and continued the application for five min- utes, with much mitigation of the pain, which entirely ceased in about six hours. No other application was made, nor has there been any necessity for it since. CASE XXIV.—Mrs-----, has been married five years and is the mother of two children. From some circum- stance an abortion was produced sometime in the- fall of 1842. Menstruation returned two months afterwards, but attended with most excruciating pains in the lumbar region, which she declared were worse than those of labour. This happened for three successive periods, when her attending physician, being unable to afford her any relief, recommend- ed electricity. On the 18th of April, the day before her 28 DYSMENORRHEA. usual period, I made a general application, which induced an immediate return of the dysmenorrheal symptoms, but with great mitigation of their severity during the discharge. During the following week, however, I was called in tigain and found her suffering from violent rheumatism, as she termed it, in the soles of her feet. For. this I applied elec- tricity for five days, as usual, ineffectually. Being satisfied that there existed some cause for this obstinacy, other than ordinary, I made more particular enquiry into the case, and suggested to the family practitioner that there might be a pressure upon some of the nervous twigs of the sciatic plexus, arising from a prolapsus, which would account for the obstinate neuralgic affection. Upon examination this proved to be the case, and upon the introduction of a pes- sary, the rheumatism instantly ceased, nor has she since had any symptoms of it or of dysmenorrhea. CASE XXV.—Miss----, aged 17, has labored under violent dysmenorrheal symptoms for thirteen months past. These have been so severe as to confine her to her bed at least five days each period, and the discharge has been much coagulated and stinted in quantity; has resorted to various. remedies for relief, but hitherto ineffectually. On the 22nd of April, 1843, electricity was applied as in case twenty- third, during the first day of her period, which relieved her in about eight minutes, and the discharge took place freely and continued without farther pain. Electricity was con- tinued for the three succeeding days and then omitted until the 17th of May, when I again called and resumed it thro' the whole system only. The catamenia appeared on the following day of a healthy character and without pain.— There has since been no occasion for its employment. DYSMENORRHEA. 29 CASE XXVI.—Miss----, aged 30, has suffered from painful menstruation for several years; complains of an al- most constant dull aching pain in the small of the back.— June 3d, 1843, for the relief of this, made six applications ineffectually. Upon more particular enquiry,found she was subject to habitual constipation. To remedy this prescribed a mixture of tinct. sem. colchici, 2 ounces; tinct. apocyni, 4 ounces; a teaspoonful to be taken three times a day, alter- nating every three days, and discontinued the electricity. The daily use of this was, however, resumed on the 28th, and on the 1st of June the menses appeared without any dysmenorrheal affection. The further application of the remedy was omitted, nor has there occurred any occasion for its use since. CASE XXVII.—Mrs.----, aged 28. This patient has labored under painful menstruation for ten years. She has been married seven years and as yet has no issue. For several years- past she has been confined at her regular pe- riods for several days, with excessive pain in the lumbar ;* region and a most acute cephalalgia; and this last symptom has frequently continued from one period to another. Du- ring the last two years she has been affected with leucor- rhea, indigestion, and almost habitual constipation. Has been for long periods under medical treatment, without obtaining any thing more than a slight temporary relief.— She applied to me on the 1st of September, 1843. Upon ascertaining her situation, for the purpose of strengthening the nervous and nutritive systems, and to remove the ce- phalalgia and constipation, I applied electricity through the whole system daily, for ten minutes each application, and prescribed the following pill, to be taken daily also, Oxid< Silver, Sulphate Quinine, Extr. Apocynum, each 20 grain. 3* 30 EPILEPSY. ft. pil. xx, with Conserv. Roses. September 3d, found her- self free from the cephalalgia and leucorrhea subsiding.— From this until the 25th, she continued to amend rapidly, when the catamenia made its regular appearance unatten- ded with any painful symptoms; whereupon the electricity was discontinued. Her health has remained unimpaired, in every respect, since. EPILEPSY. Seven cases of this terrible disease have occurred in my last two years experience. Four of these were perma- nently cured, apparently, and the others were temporarily relieved. A complete cure in all of these last, except one, I am satisfied might have been effected, had they only re- mained and persisted in the use of the remedy. The results are sufficient to show that it has control of all ordinary cases of this disease. Those of long stand ng, or depend- ant upon organic disease oi the brain or skuil, are but little affected by it, and are pr.dia.bly hopeless under any treat- ment. CASE XXVIII.—Was a bright, nervous look ng lad, about 9 years old; has been subject to ep.lopsy tor two months past; has often bed as many as eight or ten fits a day. Has been -.aider the care of a regular phys cian for sometmo, who has oxubtoei the usual remod.es for the compla nt, and particularly anthelmintics, w thout affording any re 1 of. Apid 3eL I c acme need making stmi-dady ap- plications of electr.c.ty. Ait r the second eky he had one or two spasms dady, s,» s. giit s not to impa r lis cemscious- ness. Un tho fifth, h m.^soe! those; but on the e ghth day, from a quarrel with ,m tuer lad oi the street, he had a vio- EPILEPSY. 31 lent fit. He remained one day longer, when his parents left. I learned that for two weeks afterwards he had occa- sional, though mild, spasms; but at the expiration of this pe- riod they entirely ceased. CASE XXIX.—H----, a negro woman, 24 years of age; stout, plethoric, and apparently very healthy, with the exception of being subject to epileptic fits These have existed now for seventeen years. When first attacked, they were frequent and irregular; but, upon her arriving at puberty, they assumed the catamenial period, and so contin- ued until three years since, when they began to appear very violently every two weeks, and this character they have since maintained. She has also been subject to very severe dysmenorrhea for several years. On the 8th of December, 1842, the day before the usual epileptic fit, I applied elec- tricity through her whole system; but without preventing the attack. The remedy was continued each alternate day during this month. One fit happened on the 10th; but from this she was free until the 2d of March ensuing, when she experienced a series of five or six fits in three days.— Suspecting, from her appearance, that this attack was occa- sioned by the presence of worms, I administered, in connec- tion with electricity, an anthelmentic, which brought away large quantities of ascaris lumbricoides. The electricity was continued tri-weekly for a fortnight. She was after this hired out to work upon a plantation and sent to the country. She continued free from the epilepsy for several months; but, from excessive labor and exposure, it again returned. A physician was called in, who administered the usual remedies for the complaint, but without any success when I last heard from her. I may remark that previous to being placed under my charge, she had been sent to 32 HYSTERIA. Charleston and Augusta, where she had been under medical treatment without experiencing any relief whatever. Her dysmenorrhea was removed during the first employment of electricity. CASE XXX.—Mr.----, aged about 19, of an apoplec- tic form, applied to me in June, 1842, for epilepsy. Had been accustomed to have fits about every two weeks, or if delayed beyond that period, he had an almost constant, dull, heavy pain in the back of his head, and occasionally shooting acutely to the eyeballs. He informed me that he had been under the care of Dr. Jackson of Boston, for two months previous, without being at all relieved. I applied electricity through his system and each of his limbs, in suc- cession, which entirely removed the cephalalgia. As his digestive organs were somewhat impaired, I prescribed a pill containing a grain of ipecac and half a grain quinine, to be taken directly before eating. After the lapse of a week he left, having experienced no indications of a return of the disease, nor has he in any manner since. The case of the negro woman before cited, was the most severe and obstinate of any that came under my treatment. The others who, like her, were temporarily benefitted, have from similar causes relapsed. Proper care and a farther continuance of the remedy, I am confident, would have proved as successful in their cases as in the others. HYSTERIA. In this disease, as will be seen below, my experience has been extremely limited, yet as a vast proportion of the cases which I have observed in the course of my life, have HYSTERIA. -33 been attended with uterine derangement, and all are evi- dently dependant upon a vitiated condition of some portion of the nervous system^ I have no hesitancy in avowing my entire confidence in the ability of magneto-electricity, judiciously employed, to effect in most, if not in all instan- ces, a complete cure. The following embodies my experi- ence. CASE XXXI.—Mrs.----, aged 24, has been married five years and in tills time has given birth to two children, From the birth of tho younger, more than two years since, she ha.s been subject to frequent attacks of hysteria in all its protean forms. November 13th, 1842, I was called in, and found her in the following situation: she was confined to her bed, with a large blister drawn upon the lumbar re- gion, very excitable, and averring she had the congestive lover; had suff red much during the day from palpitation of the heart, the cessation of which had"been succeeded-by severe abdominal pulsatiems. I ascertained that menstrua- tion had been from before the first appearance of these symptoms exceedingly irregular, and had only occurred then from the use of medicine, and of very scant quantity. Also, that the hysterical symptoms were generally confined to the usual catamenial period, or were greatly aggravated by it, and that suppression had now existed for about seven weeks; her bowels were also in a very irregular, but gen- erally a constipated state. Applied electricity through her system until copious perspiration was produced, which required about four minutes time. This quieted her nerv- ous irritability and she soon fell into a profound sleep, not having had any before in the last forty-eight hours. Nov- ember 14th. The patient rested well during the night, is free from any appearance of hysteria, pulse weak and ir- 34 HYSTERIA. regular, and she feels very weak and debilitated. Prescri- bed of the following mixture,* comp. syr. sarsaparilla, tinct. apocynum, each 4 ounces, hydriodate potassa, ii drs.—one drachm to be taken just before eating each meal. Repea- ted electricity, and as the catamenia had not appeared, di- rected it directly through the pelvis. This, however, hap- pened during the night. I made one other visit and found her entirely relieved. She has remained well since. CASE XXXII.—Mrs. ----, aged about 45, has for many years labored under a complication of disorders, chiefly of a nervous character; has been treateel for hyste- ria, prolapsus uteri, and during the time has continued to be subject to gastralgia, indigestion, and other dyspeptic symp- toms. I was called to visit her April 1st, 1843. She was then suffering from the last named and excruciating uterine neuralgia, attended with active synocha. I immersed the patient's feet in a warm saline bath, containing one con- ductor ancl applied the other to the spinal origin of the ute_ rine nerves. The electricity was continued for five min. utes with great mitigation of the symptoms. This opera. tion was repeated semi-weekly for three weeks, and, with. out the aid of other remedies, appeared to remove her ano. malous nervous affection, and with most decided improve. * The professional reader may smile, perhaps, at the fre- quent prescription of the components of the above mixture, and from their simplicity may inquire wherein their great virtues consist. In answer, my only reply is, that these simple ingre- dients have proved more efficacious, in my experience, as adju- vants to electricity, than any others I have employed. As the tincture of apocynum is not usually found in the shops, and is of variable strength, I will state that I have made it by combi- ning a pound of the recent root, pulverized or ground, with a gallon of spirits.. HYSTERIA, 35 ment of her general health. On the 10th of December following, however, I was again sent for, and found her troubled with a severe neuralgia of the left supra orbital ■nerve, attended with other symptoms resembling angina pectoris, though they had been considered hystcrcal—for instance, she had a pamful stricture of the a3sophagus, op- pression of the chest, dyspnoea, and occas.onal pans shoot- ing from the cardiac reg.on to the left shoulder. Her at- tending phys.cian had proscribed frequent and full dose s of morphine, wh ch had kept her stomach m an irritable con- dition and nauseated. I made tho usual application to the cerebral and dorsal nerves, With but l.ttle mitgat on of those symptoms, except remov.ng the sesophageal stricture.— I) comber 9th. Found her vom.ting tins morning. She had taken a dose of charcoal, winch from the excessive irritab.l.ty of her stomach was rejected. Has passed a sleepless night. The neuralgia continues unabated—the other symptoms have greatly decreased. Repeated the application of yesterday with more effect, though acute pirn was produced by the operation along the course of tho aff.cted nerves. 10th. Symptoms mostly abated— cont nued the remedy. 11th. Found her up and entirely free from the complaint. Applied the electricity through her system generally, as well as locally. She has since remained well. As hysteria had been her most prominent complaint for several years before, and she is now wholly relieved from all symptoms of that affection, I have placed the above case under that head, though it more resembles those of neural- gia and angina pectoris. CASE XXXIIL—Mrs.----, aged 54, of a nervo-billious temperament, has been subject to frequent and most violent 36 INTERMITTENT FEVER. attacks of hysteric colic for several years; has resorted to the usual medical treatment, but without any permanent effect. August 21st, 1843, I was called in and found her suffering great pain in the op:gastric region, attended with rumbling of the bowels, frequent eructations, and globus hystericus. Immersing the patient's feet in a warm saline bath, along with the positive pole, I passed and repassed the negative pole along the spine, and particularly to the roots of the nerves supplying the parts chiefly affected, for ten minutes. This relieved her of every symptom of the complaint. On the lGth October, I was again called in for a similar attack, which was also relieved by a single ap- plication. I then prescribed one of the following pills to be taken three times a day: R. oxide argent, sulph. quinia, a. a. 30 grs., conserv. res. q. s. ft. pil. xxx. Continued electricity daily for a week thereafter. She has been in excellent health since. INTERMITTENT FEVER. In this disease I have not had sufficient opportunity to determine the precise effect of magneto-electricity. That it has great control over ordinary chills, is certain, from its results in several cases which I have applied it; but to what extent, generally, it may prove efficacious, is not yet demonstrated. Numerous persons, laboring under tertian or quartan ague, have often called and applied electricity on the day of its usual appearance, just before the time, or at the commencement of their chill, which it has generally either prevented or checked within a few minutes. In such cases perspiration is quickly produced, and little or no fever succeeds the operation. In a few instances it has failed of producing these effects, but the circumstances under which INTERMITTENT FEVER. 37 it was applied were unpropitious, nor was the application persevered in sufficiently, in my opinion, to test its virtues in these particular cases. But a single application was in most instances made, and though this generally, as was sta- ted before, either prevented or broke the chill for that time, it did not always prevent its return. That it possesses great remedial virtue, however, in chronic ague, or chills supervening upon the usual fevers of the country, is evi- denced from the cases appended below. The results in these, will at least warrant its employment in all similar in- stances. CASE XXXIV.—Mr.----, applied to me on the 27th November, 1842, for treatment of chills and fever. The paroxysms were at first tertian, and were for a time re- moved by the use of tonics and alteratives. They, how- ever, returned upon him in the quartan form, and showed no disposition to remove, although urged to do so by the exhibition of quinine, arsenic, and the various other reme- dies usually prescribed. They had now continued for three months. I applied electricity on the regular day of the •chill and a few minutes before its expected appearance, by placing in his hands one conductor and passing the other down the course of the spine. Copious perspiration was induced in five minutes and the chill did not make its ap- pearance. The same application was made on the next period for its recurrence with a similar effect. It was then discontinued, nor has the complaint ever returned. CASE XXXV.—Mr.----, aged 24; has been subject to a quotidian intermittent for a few days only. Electrici- ty was passed through his system, on the 8th December, 1842, during one of his chills. In ten minutes, perspiration 38 INTERMITTENT FEVER. was induced, followed by no fever. The application was made by putting his feet in a bath with one conductor and placing the negative electrode to the back of the neck.— The next period it appeared as usual. An immediate ap- plication was made with the same success as the day before upon the chill. From this he has had no farther attacks. CASE XXXVI.—Miss----, aged 10 years, has been subject to quartan ague for eight months past, which has obstinately resisted the ordinary remedies for the complaint. On the 12th March, 1843, applied electricity by simply pla- cing a conductor in each hand for five minutes, which pre- vented the chill. It however returned at the succeeding period; but was prevented on the next by an application similar to the first. For several periods this continued, but from taking cold the chills again made their appearance. My machine being absent in the country, I made a com- mon tonic prescription, which removed them altogether. It is probable the electricity had prepared the system for the beneficial influence of this simple prescription. Whether this agent can be made efficacious in the treat- ment of our ordinary fevers, especially of that class which seem more particularly to depend upon nervous prostration or depraved nervous action, may be inferred to some extent from its effects in two or three instances in which it has been employed. That it will in all diseases and under all circumstances prove an infallible specific, would be absurd to suppose: yet it will be seen in the following cases, that at least its preventive and salutary powers are worthy of notice. I regret that I have not had opportunities suffi- cient to determine its specific action and influence in these .diseases. INTERMITTENT FEVER. 39 CASE XXXVII.—Mr. ----, aged 24, of a sanguine billious temperament, was attacked June 20th, 1843, with billious fever. June 23d, I visited him and found him la- boring under the following symptoms: intense pain over the eyes and posterior part of the head, dull, heavy aching of back and limbs, tongue thickly coated, eyes tinged of a yellowish hue, skin dry and hot, and, pulse ranging at 103 strokes per minute. Electricity was employed at his re- quest, by placing his feet in a basin of cold water, along with the positive pole, while the negative was passed down beside the spine, and applied particularly to the origin of the nerves proceeding to the stomach and liver. This, within a few minutes, induced a most insupportable nausea, retching with slight emesis, and a profuse perspiration, followed in five minutes by an evacuation from the bowels. The aching of the bones, &c, was entirely relieved and the pulse soon moderated down to 85 strokes per minute. I then prescribed a cathartic dose of Cook's pills. In the af- ternoon, the fever rose and the pain of the head and back returned, though less violent than before. These were re- duced by the means employed in the morning. June 24th, found the patient free from fever, but complaining of con- siderable acidity of the stomach. The pills had acted free- ly during the night. Prescribed magnesia and applied electricity. The fever returned slightly during the even- ing, but soon subsided. In a day or two, without the use of other medicines, he was about eft able to attend to his usual occupation. CASE XXXVIII.—Mr.----, aged 32, was seized Au- gust 12th, 1843, with a sudden and severe chill, accompa- nied with the usual symptoms of the common or congestive fever of the country. During the continuance of the ague, 40 NEURALGIA. electricity was powerfully applied to the system and along: the course of the spine. In the course of ten minutes a free perspiration was induced and the chill checked. An active cathartic was administered and the use of quinine directed. An hour afterwards a high fever succeeded, attended with intense pain in the head and limbs. These gradually sub^ sided, and the next morning I found the cathartic had ope- rated properly and he was free from fever. There being symptoms of a return of the chill, electricity was again ap- plied, which removed them and produced perspiration. This was continued twice a day for four days, without the use of other remedies, when he was able to attend to his ordinary employment. It would appear from the above, that this remedy may be of valuable service, if employed in the commencement of fevers; but what influence it may exert in its advanced stage, I am unable to say. NEURALGIA. Ordinary affections of this character are often met with and readily yield to the influence of magneto-electricity. Severe paroxysmal cases of tic doloreux are, however, less manageable without the strictest attention to the habits of the patient and the aid of adjuvant medicines. Many cases have been treated by the, all of which were relieved, and those who made a fair trial entirely cured. Among the following are sketches of those least relieved and the treat- ment employed. CASE XXXIX.—Mrs. ----, some years since, in at- tempting to catch a falling sash, thrust her right hand NEURALGIA. 41 through a pain of glass, which partially severed the super- ficial palmar artery and accompanying nerves. The bleed- ing was staunched and the wound healed after the usual manner, but was soon after followed by an aneurism of the injured artery. This was reduced by compression. From the date of the first healing of the wound, there was an acute sensibility of the fingers, which produced such exqui- site pain upon touching any thing, that she frequently fain- ted. This was her situation when I saw her on December the 11th, 1842. Upon the first application, by means of a moist sponge, along the course of the nerves as in amauro- sis, syncope ensued from the severity of the pain. Daily employment of the remedy for three days resulted in the entire removal of the neuralgia, and she was able to make any ordinary use of the hand, to sew, &c. In March fol- lowing, she received an injury of the wrist, which provoked a return of the affection. This was promptly removed by the same agen-t, and she has remained until now entirely free from any neuralgic symptoms. CASE XL.—A young lady applied to a dentist of this city to extract a tooth, having suffered for several days, as she declared; from the toothache. He examined her teeth and finding them entirely sound, advised her to call upon me, which she immediately did. She complained of a throbbing pain, shooting upwards to the canine tooth on the left side of the under jaw. This she had drawn and replaced a few days previous, without any mitigation of the pain. As it was evidently a neuralgic affection of a branch of the inferior dental nerve, I placed my finger upon the mental foramen and passed a succession of shocks through it for the space of a minute and afforded her entire relief. She has had no recurrence of the attack. 4* 42 NEURALGIA. I have had a multitude of nearly similar cases of tooth- ache, as they are termed, and all are promptly relieved, unless they are attended with inflammation about the roots of the teeth. If so, little if any benefit is produced until this obstacle is removed. CASE XLI.—-Was that of a young lady, aged 17, of delicate constitution, but enjoying good general health, who was suffering under a neuralgic affection of the left infra orbital nerve, of two days standing, and which was com- pletely removed by two applications. From frequent trials, I have found that nervous kinds of cephalalgia, such as those commonly termed sun pains, periodical, sympathetic, or sick headache, are mostly re- lieved by one or two applications of electricity, unless there is considerable congestion of blood to the head, or indiges- tible food in the stomach. CASE XLIL—Mr. ----, aged 21, called on me for treatment of an anomolous neuralgia, affecting at various times his arms, legs, or scalp. This distressing complaint had continued with more or less severity for several years. It was located in the posterior portion of the left side of the scalp, on the 22d September, 1842, when I applied electri- city, by means of a moistened sponge, directly to the cer- vical nerves, supplying the affected part. Three minutes application was sufficient to effect a dislodgment of the pain. On the 29th, he called again. The neuralgia had now changed its locality to the right hip joint and appeared more of a rheumatic character. Ten minutes application to the limb and joint also relieved this attack. Slight symp- toms of the neuralgia, however, made their appearance on the scalp again, on the 10th of October, which another ap~ NEURALGIA--TIC DOLOREUX. 4& plication removed. This was now continued daily for a week afterwards, and chiefly through the spinal cord. So effectual was this continued use of it, that he has had no return of the complaint. CASE XLIII.—Mrs. -----. This patient, a married lady, aged 35, resides about twelve miles out of the city—■ is of robust constitution and enjoys good health, aside from a neuralgia of the glosso-pharyngeal nerve, which manifest- ed itself by shooting pains through the tonsils. The pain was generally most excruciating, and she was under ap- prehension lest it should prove to be the nucleus of a can- cer, from which disease her father had died, although phy- sicians had informed her to the contrary. The affection was of some two years standing. The act of deglutition, during the intermissions of the exacerbation, was attended with acute lancinating pains, extending in the direction of the external orifices of the ears. She had been under the usual medical treatment, but had derived from it no relief. Upon examining the palate and tonsils, no change indicating disease was apparent. Applied electricity during an exa- cerbation, which procured for her a speedy relief of the symptoms. As it was a case of long standing, I advised her to remain some weeks; but she thought it impossible to leave home, and so left town the same day. Four days afterwards she returned, suffering from another attack, which was removed as before. Returning home, on horse- back, after this application, she was overtaken by a heavy- shower and thor >ughly drenched. This produced a return of the neuralgia, and she called on me again two days after. I once more relieved her, but refused to do so again unless she would stay in the city and make a fair trial of the ben- efits of the machine. She left on the evening of the same 44 NEURALGIA-—TIC DOLOREUX. day, and I have seen her but once since. The neuralgia was much removed, and she only occasionally felt it in the palate, and declared her intention of coming to remain un- der my care until she was permanently cured. Her not returning, is evidence that the affection is either cured or greatly mitigated. CASE XLIV.—Mr.----. This patient was about 60 years of age, and for a considerable time had suffered from tic doloreux. For six weeks previous to my being called in, he had been under medical treatment in this city, and had obtained no apparent relief of the paroxysms. These wore periodical, occurring regularly at 2 o'clock in the morning and continuing six hours, then intermitting until 5 o'clock in the evening, and then returning for two hours. Narcotic medicines had been freely given to allay the pain, until the digestive functions were deranged to a considera- ble extent. After exhibiting the usual remedies relied upon in such complaints, without effect, the attending physician proceeded to sever the frontal branches of the fifth pair of nerves. This produced a temporary relief in the course of the divided nerves and somewhat mitigated the pain in the other branches, probably from the loss of blooel caused by severing the accompanying arteries. However, the attacks soon returned with undiminished violence, and I was sent for on the Gth of July, 1843. I found him in the midst of the morning paroxysm-. Shooting pains were constantly dart- ing in almost every direction through the scalp, forehead and eyeballs. Tears flowed freely; extremities cold, and the pulse feeble and intermitting every fourth stroke. (I have found this last symptom to be an almost invariable at- tendant in severe cases of tic doloreux.) I first applied electricity through the whole system, to equalize the circu- NEURALGIA--TIC DOLOREUX. 45 fation, and then by means of a moist sponge along the course of the affected nerves. The paroxysm was removed in about five minutes, and did not return until two hours later than usual on the 7th. This I also broke in the same man- ner as before, and to restore the nutritive functions of the system I prescribed a mixture of comp. syr. sars. 0 oz., hy- driodate potassa, 2 drs., to be taken in table-spoonful doses thrice a day, and enjoined the strictest quiet. July 8th. Has had no paroxysm. Continued the before mentioned adjuvant and the electricity. In the evening, contrary to my injunction, he rode out to a relative's, five miles in the country. On the 10th, he returned suffering very severely from the neuralgia. The exacerbations had now no regu- lar periods, but were induced by the slightest exercise.— Relieved him as usual by a single application. Prescribed the following pill: oxide argent. 10 grs., ext. apocyn. and sulph. quinia, aa. 20 grs., ft. pil. xxx; dose one, repeated ev- ery four hours. July 11th. Feels an occasional lancinating pain in the scalp. Continued the applications for two days, and as there was no pain, omitted it for three. On the 17th, contrary to my advice, he went up the country to his plan- tation. Was absent twenty days; when he returned the complaint having, renewed its appearance apparently with undiminished violence. On this occasion, the pain was more obstinate and refused to entirely cease its exacerbations until the fifth application. I then placed him under a course of tonics and mild alteratives, and again enjoined quiet. I did not again visit him. He shortly returned to his planta- tion, and for some weeks afterwards a slight paroxysm would be induced whenever he took any unusual and se- vere exercise; but is now apparently freed from all symp- toms of the complaint. From the history of these last two cases, it is apparent 40 PARALYSIS--HEMIPLEGIA--PARAPLEGIA. that as much care is requisite to prevent a relapse in this complaint, as would be in that of intermittent fever, especi- ally as regards active or severe exercise. t In all instances of intermittent neuralgia which I have observed, exercise has either induced a return of or much increased the inten- sity of the paroxysms. PARALYSIS. I have treated many cases of this complaint in its various forms of hemiplegia, paraplegia, and the partial or complete paralysis of one or more muscles of the body or limbs. That electricity is a most invaluable remedy, if not the only certain one, in this helpless affliction, may be strongly ar- gued from its general happy effects in the cases here sub- mitted, and also affords us just grounds for doubting whe- ther recovery from the horrors of palsy is as hopeless as we arc accustomed to consider it. CASE XLV.—Mr.----, a young man aged 25; histo- ry is as follows: From exposure to cold, damps, and vari- ous hardships, whilst travelling in company with some emi- grants to Texas, seven years since, he was prostrated In- complete hemiplegia of the right side, which destroyed his speech and much impaired his mind. By means of medi- cal treatment he was able to hobble about to some little extent and to mutter very indistinctly. He applied to me on the 25th September, 1842. He could not then articulate so as to be understood, except by his brother, nor manage to control and masticate his food without the aid of his hand; and complained of a constant heaviness and oppression over his eyes. The limbs of the affected side were much atro- phied and retracted, and entirely devoid of sensation. He PARALYSIS--HEMIPLEGIA--PARAPLEGIA. 47 had a slight control over the muscles of the leg, which was exerted in his attempts to hobble along. I made daily ap- plications through the affected side for two months, with a gradual and constant improvement; sensation was partial- ly restored to the whole side, he articulated much more dis- tinctly and ate with less difficulty, the limbs became nearly of their natural size, and the control over the affected leg- was increased so much that he walked with ease, but very awkwardly. He now left for home, but returned on the 20th of March following, without having lost any of his former improvement. Indeed, he had continued to gain, though slowly. Continued electricity during his stay, which was until the 10th of June. Result: the heaviness and oppression over the eyes entirely removed and intellect clear, increased improvement in his gait and partial control of his arm regained. He attended a school during the latter part of the time and manifested good improvement in wri- ting and arithmetic; but his articulation, though greatly amended, was still imperfect. CASE XLVI.—Mr.----, aged 38, received an injury in the back four years since, which produced an immediate and entire paralysis of the nerves of sensation and voluntary motion, below the last dorsal vertebra. His fecal and uri- nary passages were made involuntarily and without warn- ing, the palsied parts were wasted away, he suffered from dyspepsia, and from the point of paralysis a tumid and ex- quisitely painful ring surrounded his body. This was his deplorable condition when I commenced making applica- tions of electricity through the affected parts, on the 15th of June, 1842. These were continued for fifteen minutes, three times per day. June 18th. Sensation restored down to the upper third of the thighs. Discontinued the applica- 48 PARALYSIS--HEMIPLEGIA--PARAPLEGIA. tions from the soreness occasioned by the number and seve- rity of the shocks. June 25th. Resumed the use of the machine. July 10th. Found the limbs enlarged and exhi- biting the appearance of cellular dropsy. Prescribed a hy- drogogue cathartic. July 15th. Having neglected to fol- low my prescription, he was to-day seized with a violent diarrhea. Being absent myself, Dr. Guild was called in, who prescribed calomel and Dover's powders; this relieved him. July 18th. Has regained control over the sphincter ani, urinary passages, &c. Limbs have resumed their nat- ural size and sensation is gradually extending down the thighs, and digestion much improved. Shortly after this, by my aid, he made a machine and removed from under my care. I have, however, called on him occasionally since, and found his general health excellent and sensation restored to the whole paralyzed limbs. There his improve- ment seems to have ceased, and from several symptoms it is evident that there is a pressure upon the spinal cord, at the point of the original injury, which cannot be removed, as this point is continually very sensitive and liable to be in- flamed at every change of weather, or at least to become more irritable. CASE XLVII.—Mr.----, a painter by trade, from the effects of the white lead used in his occupation, had lost the use of both arms, or rather he had what is termed dropped arms. If any thing was placed in his hands, he could grasp it apparently as firmly as ever, but had no farther control over them. This situation had continued for several years. June 22nd, 1843, I commenced applying to the affected limbs continuous and powerful shocks, twice per day, for about ten minutes each application. The paralysis was gradually removed, and on the 14th day he was discharged from my care entirely restored. PARALYSIS. 49 CASE XLVIII.—Was a negro woman who called on me the 25th of July, 1843. Her right shoulder had been dislocated upwards and forwards, nearly three months be- fore, in which condition it remained for three weeks. She then applied to Dr. Haywood of this city, who reduced the dislocation. The arm, however, continued in a paralytic state after the reduction, and was consequently useless. I made six semi-weekly applications of about five minutes duration each, through the affected limb, as severe as she could well endure, which entirely removed the paralysis. CASE XLIX.—Mr. ----, aged about 55, formerly of intemperate habits. His right leg had been paralyzed for fourteen years, and was much atrophied ; the left had been in a similar condition for five years, and the right arm for seven. These were wasted to a considerable extent- Control and sensation of the genital organs and urinary passages were entirely lost. ILs bowels were constantly consLpatcd, and were regularly moved by means of laxa- tives. In this truly lamentable condition, 1 applied electri- city through the system, as well as the affected parts, on the 1st of December, 1842, and continued it semi-weekly for two months, with the following result. On the fourth application sensation and control were restored to the blad- der and genitals, and Ins constipation yielded. At the ex- piration of two months, his usual health appeared so good, and the paralysis was so far removed from the right arm and left leg that he determined to remove to his farm in the country, under the impression that the moderate exercise of superintending it would perfect their restoration. His ex- pectations, however, have not been realized, though he has slightly improved. He has since applied to me for a ma- chine, under the impression that its constant use will at length effect a cure. 5 50 RHEUMATISM. The most difficult cases are above described, that have come under my care, except the one under the head of apo- plexy. In several other instances of partial paralysis, elec- tricity was employed, and generally with complete success. Its beneficial powers in such complaints are undoubted. RHEUMATISM. During the last eighteen months, I have treated about forty cases of this complaint, of sufficient severity to deserve recording. The results in the majority of these cases were most satisfactory, and in some of them extraordinarily so. Enough at least has been demonstrated in these instances to warrant the assertion that in this affection magneto- electricity is a sovereign remedy; one that speedily and most effectually controls this distressing and painful affec- tion in all its common and in a vast majority of its uncom- mon forms. In recent cases of nervous rheumatism, unat- tended with inflammation, only a few applications have been found necessary to effect a cure, and in many instances but a single one has proved sufficient. Others of long standing and more deeply seated in the fibrous tissues, were more e>bstinate, requiring occasional applications for several weeks and a few adjuvant medicines. The instances cited are among the most difficult ones, and will serve to illustrate the general success and mode of treatment employed in the rest. CASE L.—Mrs. ---, aged about 35, and mother of four children, has been afflicted with a rheumatic affection since 1832. This has so affected the muscles of the back as to produce a great distortion of the spine, which led to the suspicion that it was a spinal, instead of a rheumatic affec- tion. I visited her first on the 10th of January, 1843, and RHEUMATISM. 51 found her suffering from acute lumbago. After ascertain- ing that this did not arise from uterine derangement, I had the patient's feet placed in a vessel of tepid water, contain- ing a conductor from the positive side, while I with the other passed a rapid succession of shocks along the whole length of the spinal cord and branches, but particularly through the lumbar region. By this means a profuse per- spiration was produced, and relief obtained within the space of five minutes. Jan. 11th. Found the rheumatic pain had returned, but was less violent, and confined entirely in its location to the left hip joint. Repeated electricity in the same manner as on the 10th, which afforded complete re- lief. This continued for several weeks, when the affection, from a sudden change of weather and exposure, returned and seated itself in her right shoulder. This was also re- lieved in the manner above stated. Since then she has oc- casionally used electricity as a preventive, and has had no farther symptom indicating a return of the complaint. CASE LI.—Mr.----, about 40 years of age, has suf- fered from a rheumatic affection for several years, which has been chiefly confined to his ancle joints. Applied to me on the 12th of November, 1842. He then complained of lumbago; his ancles were stiffened so as to entirely pre- vent the turning of the soles of the feet inwards, and he walked with considerable difficulty. The rheumatism was most severe in damp weather. He was dyspeptic and in the daily habit of resorting to aperients to relieve the con- stipated state of his bowels. Ten minutes use of electricity removed his lumbago. Two days afterwards, he again ap- plied, for a sciatic affection of the left hip joint. I now ap- plied electricity through the stiffened ancles, and the hip, with the usual happy effect. I found, upon enquiry, that 52 RHEUMATISM. the previous application had aroused the liver* from its tor^ pid condition, and superseded the use of aperients. The remedy was continued semi-weekly for several months-, which has resulted in the entire cure of his rheumatism.— His ancles are perfectly sound, the tone of his digestive or- gans restored* and his general health vastly improved* CASE LIL—Mr;----, called on me December 9th, 1842:. He had been attacked, six months previous, by an acut«; inflammatory rheumatism of the right arm and leg. The pain was soon removed by the usual course of treatment in such attacks; but the extensor muscles of both limbs were left entirely paralyzed. From this cause the leg was flexed towards the thigh, and when standing upon the other could not be brought within six inches of the floor. The hand and forearm was doubled inwards and drawn up towards the axilla. I applied electricity through the affected mus- cles for six weeks; but only semi-weekly. At the expira- tion of that period, he was able to straighten, and use his arm to some considerable extent, and to walk without the aid of crutches. At the expiration of this time he left. I have heard from him recently, and learn that he is- almost entirely recovered and in excellent health. BILLIOUS RHEUMATISM. CASE LIII.—Mr.----, a man of irregular habits; con- stitution impaired from the too free use of mercury in a ve- *I have observed that this effect is produced in a majority of the instances where the agent has been applied, especially upon its first and second employment. In several, cases of chronic hepatitis, it h&s proved highly beneficial, and seems particular- ly useful in giving effect to the ordinary remedies of this dis- ease. BILLIOUS RHEUMATISM. 53 nereal disease. Was called to visit him on the 14th Feb- ruary, 1843. He complained of excruciating rheumatic pains, affecting all his limbs and back, which were greatly aggravated upon the slightest motion. His pulse was rapid and full, and other symptoms of active synocha were pre- sent. I proposed the administration of a mercurial purga- tive; but he obstinately refused, declaring he would sooner die, nor would he permit venesection. I then placed one electrode of the machine, wrapped in a wet cloth to the soles of his feet, and the other in his clasped hand, and transmit- ted as powerful and hasty shocks through the system as he could endure, until moisture was produced in the palm of his hands, then shifting the electrode from his hands to his neck, I passed it down the spine. The pains were removed in about, ten minutes. Prescribed a mixture of equal quan- tities of tinct. apocynum and vinum colchici, to be taken in doses of a table-spooful three times a day, the quantity to be increased if nausea was not produced. Feb. 15th. Found the patient free from general fever, though the rheumatism had returned, but was confined to the right hip joint, which was somewhat tumid and extremely painful. Applied elec- tricity as before, and mullin leaves steeped in vinegar, to the inflamed hip. Continued the mixture. Feb. 16th. Tu- midity of the hip reduced, but some slight soreness remained, attended with a partial paralysis of the neighboring muscles. Applied the machine to the affected limb and muscles for five minutes, and as the mixture had operated freely upon the bowels, directed its discontinuance for two days. Feb. 17th. Free from most of his former symptoms; continued the electricity. Feb. 18th. Walked half a mile and called at my office for the usual application. This was made for eight days longer, and the mixture was also continued in half doses; when his perfect cure was effected. 5* 54 BILLIOUS RHEUMATISM. CASE LIV.—Mr.----, an Irishman, 35 years old, had an attack of billious remittent fever; became convalescent, but from imprudence relapsed twice. I was called in upon the second relapsa, March 7th, 1843, and found him labor- ing under a high lever, and rheumatic pans over h s entire body and l.mbs. These last were so violent as to produce spasms and short .nterrupt ens of cansc ousness. Pulse: quck and tense, sk n dry and hot, and h.s tongue thickly 1 coated, cxc.pt the cdgvS, wh.ch were intensely red. Had his feet placed n a foot bath of as h.gh a temperature as could be boriec, and employed elect r c ty through h s whole system, as powerful as ce>uld be c ndurcd. In e.ght m nutcs free perspratcn was nduced and the pans ceased. The nervous rrtab.Ity bong quelled, the patent .immediately dropped ,»to a qu.et sleep, and ten m nutes after the appli- t cat on lis pulse was reduced to eighty strokes per m nute. Directed a p ll centa n ng qu n ne, cxt. apocynum and pulv. rhei., each 1 gr., to be taken every hour dur ng the .ntcrmis- sion of the fever. Employed electr.c.ty for four days n the ma»ner dccscr.bed above, when he was able to walk about, and on the seventh day he returned to h.s ord nary occu- pation cnt.rcly c^red. CASE LV.—Mr.----, aged about 30, applied to me en the 16th March, 1843, hav ng suffered for several months with wander ng rheumatc pans, princ pally affect ng his spine, neck, shoulders and ancles. To rel eve the severity of these pains, he had made free use of op.ates. These had produced much derangement of h.s d gcst.ve organs, and he was consequently labor.ng under dyspeps.a. To restore these to their appropriate functions, I proscribed the daily .use of decoction sarsaparJla and hydriodate of potassa, in addition to electricity. This was continued for three weeks, RHEUMATISM. 55 when he left apparently cured. I have heard from him lately and he stll remains so. CASE LVI.—Mr.----, applied to me on the 9th June, 1843; had suffered for some months from sc.at.ci of the left hip, which was much stiffened. He walked w.th censider- able d.ffieilty by the aid of a cane, and wes totally unable to ride on horseback. I made one apple -ton through the affected part by patt ng the foot in a bath and piss ng shocks through te- the lumbar region. This single operation re- lieved h m in eight minutes. As a pree-f of his perfect cure I may add tint four months afterwards he rem away te> Texas, start ng in the n'ght on horseback, and evaded all pursuit. I have been equally sueeessful in several similar ce.s~s with a s.ngle appl.cation. CONCLUSION". From the preceding abstract of cases that have occurred^ »x> me during so limited a period as that embraced, it cannot be denied but that magneto-electricity is most efficacious in. the various diseases enumerated, and that too to an extent hitherto generally unknown. Both my means and advanta- ges have been circumscribed, so that it has in many instan- cies been impossible for me to pursue my investigations as far as was desirable;. consequently, a mass of facts has ac- cumulated upon my hands which will require much time, comparison, and classification, before they can be reduced to the harmony of a rational arrangement, and made the supporters of any existing, or the demonstrators of a new theory, respecting the remedial qualities of this agent, or the particular mode of its action. What is here crudely pre- sented to the public, is not for the purpose of an ostentatious and empirical display; but simply to induce an interest in favor of the remedy, among others, better qualified than the writer, by their talents, attainments and opportunities, to pursue inquiries upon so important a subject to their true and legitimate results. This is, now, a pursuit not unwor- thy the attention of the highest order of intellect of which the profession can boast, and the solution of. even one of the problems involved in its renovating action upon the diseased organism, will confer lasting honor upon the demonstrator, however humble his present station may be. Heretofore, there has existed* an unaccountable apathy upon the entire matter under consideration, on the part of the profession.. A vague idea that it was possessed of.some salutary pro-- 58 CONCLUSION. perties, seems to have been prevalent: but this has led to few if any practical results. Even where there is sufficient proof afforded of the remedial powers of magneto-electri- city, and its superior advantages over the old forms, there still seems to exist great incredulity and a manifest unwil- lingness upon the part of the majority to take any active measures to make themselves fully acquainted writh the truth, or in their practice to avail themselves of its ad wanta- ges. It is to be earnestly7 hoped that intelligent men will not permit themselves to be deluded into the idea that our ancestors have discovered all that is valuable in medicine, and that, consequently, there is nothing remaining for us to do, but to follow out their prescriptions. It seems to me that from the recent discoveries in organic chemistry, and the advancing state of other sciences, there is thrown open to the physiologist an almost unlimited sphere for the free scope of his entire.powers, the active employment of which cannot fail of evolving the most practical, beneficial, and highly important truths. Advancement in knowledge is characteristic of our age, beyond all others, and the rejec- tion of any facts, or salutary truths, simply because of their recent discovery or application, appears to me exceedingly irrational and unwise, aside, frequently, from its extreme folly and baneful effects. An undue precipitancy in the adoption of assumed premises, and of theories arising there- from, are equally injurious. It is, therefore, much desired that those who may peruse the writer's remarks, should en- deavor, by such means as may be in their power, to test, to their own satisfaction, the merits of this powerful agent by a personal employment of it in the various diseases in which it is here stated to have been successfully or unsuccessfully exhibited. That it is deserving of especial notice, at the hands of the profession, is my decided though humble opin- CONCLUSION. 59 ion. That this is also the opinion of others, distinguished for their efficient labors in behalf of medical science, I am happy to be informed. The following notice of the writer's efforts and experi- ence, from the able pen of Dr. Daniel Drake, the senior ed- itor of the Western Journal of Medicine and Surgery, is extracted from the editorial columns of that valuable peri- odical, page 472. It exhibits the favorable view in which he regards the subject, and is here submitted as an additional inducement in favor of its more extended consideration by the profession and the public. "Electro Magnetism.—In Tuskaloosa we were asked to look at a small electro-magnetic machine, which an inge- nious citizen of that place, Dr. Nelson Walkly, had con- structed, and was applying to the cure of diseases. Dr. Walkly was an inquisitive and scientific mechanic who turned his attention to medicine, which he studied for the purpose of making a systematic trial of electro-magnetism in the treatment of diseases. Within the last twelve or eighteen months, he has used it in chorea, epilepsy, neu- ralgia, palsy, chronic rheumatism, deafness, torpor of the liver with constipation, amenorrhea a, dysmenorrhea a, and several other complaints. Of his success and his failure, he gave us a detailed account, apparently with great can- dour; and we feel it a duty to say that he seems to have effected a cure, or afforded palliation in several cases of those very intractable affections. It must certainly be ad- mitted, that the profession has not yet made a full and fail- trial of this agent, and we take great pleasure in commend- ing Dr. Walkly's enterprise to the patronage of the physi- cians, and of the community in general, through this coun-