' ^CTRaTHERAPEUTJ'CS. WOODWARD. TREATISES ON hElectroiTmerapeutics^ ^C•^NIC5L♦CaSES^ OF Diphtheria? with *Treatment^ BY J. H. WOODWARD, M. D. »* v Prof, of Materia Medica and Therapeutics, Representing the Electic School of Medi- cine in the Medical Department of the Nebraska State University. SEWARD, NEBRASKA: BLADE BOOK AND JOB PRINTING HOUSE, 1883. ^INTRODUCTIONS "Study books to get light, which illuminates the dark paths through the wilder- ness of untaught ways, so that whence the authors found knowledge, there, too, you may come in possession of like power." In preparing this treatise on general and special Electro-Therapeutics, I have endeavored to present some facts in electrical science which have been out of the reach of the general medical student. It has only been within the last decade that treatise of much value on electricity as a terapeutic agent have been presented to the medical profession, which now, engage the attention of some of the brightest intellects in the healing art. It has been my object to collate scattered facts here and there from authors of the past, and add to them the latest inquiries of authors of the present, with the results of my own experience, and ar- ranging them in such form as to clearly present the principles of electro- therapeutics as far as I have investigated the subject; the difficulty of rationally accounting for every electrical phenomena seen, will, I trust, be an excuse for all errors of omission and commission found in the pages of this book. It will be seen that our field of inquiry is large, embracing many of the facts in physiology, pathology and therapeutics. If I have so pre- sented these principles, as to awaken new interest in, and facilitate the study of electro-therapeutics, I will be abundantly rewarded for my labor. In the preparation of this work, several most excellent authors have been consulted, and, as the authors from whom much valuable mat- ter has been received, are not always quoted, I would call attention at this place, and acknowledge my indectedness to John Butler, M. D., J. B. Dodds, M. D., W. A. Tipton, M. D., Julius Althaus, M. D., J. M. Scud- der, M. D., John King, M. D., and Robert Bartholow, M. D. The Author. Copyrighted by J. H. WOODWARD, M. D. a TREATISE ON ELECTRO-THERAPEUTICS. As the Creator of the universe has endowed man with rea- son, and assigned him a noble and intelligent rank in the scale of intellectual and moral being-and as he has commanded him to use this faculty-so may I with justice remark, that he who cannot reason is a fool; he who dare not reason is a cow- ard ; he who will not reason is a bigot; but he who can and dare reason is a man. The realms of nature lie open in bound- less prospect above, beneath and around us. Order, harmony and beauty, are so perfectly woven together and blended throughout Nature, as to form the magnificent robe she wears, and with which she not only charms and even dazzles the eyes of the beholder, but conceals the overwhelming power and majesty of her person. As she moves, the most grand and awful impressions mark her footsteps on the globe's surface or center-in air or ocean. She smiles in the gentleness of the calm, and frowns in the fury of the storm. But whether silence reigns, earthquakes rumble, or thunders roll, she keeps her mighty course, unaffected by the revolution of ages. The truths that God has established inherent in nature, are not only infinitely diversified, but are at the same time immutable and eternal. No possible addition can be made to their num- ber, nor is it in the power of man to create or annihilate a single truth in the empire of nature. They exist independent of his belief or disbelief, and all he can do is to search them 4 ELECTRICITY WHAT IS IT? out and bring them forth from darkness, into the light of day. Men of science have nothing to fear from new discoveries in the shoreless ocean of truth. The volumes of nature and revelation both claim the same perfect Author, who had every- thing open and naked to his omniscient inspection, and'exer- cised infinite wisdom in producing and establishing the order and harmony of the universe. We are floating in an immen- sity of space that knows no bounds, like the mote in the sun- beam. These ideas of creative power and wisdom force upon us those amazing conceptions of the oppressive grandeur of his works under which the mind labors and struggles in its contemplations, but is borne down, lost and bewildered in the immensity of the theme. Order, variety and beauty in end- less succession meet us on every hand. All this has been ac- complished by the Infinite mind through Electricity. This subtle fluid is not only the connecting link between mind and matter, but is the grand agent employed by the Creator to move and govern the universe. There must, in the very ar- rangement of things, be in the universe an Infinite Mind; that inherent motion is not an attribute common to all substances in nature. This globe as a body, has no inherent motion per se, but is moved by the positive and negative forces of electrical action, and all the operations of nature are carried on by the same power, whether it be the growth of vegetation or its decomposition, motions and changes in air and wafer, or the crumbling particles of the mountain rock. And yet it is certain that Electricity does not possess inherent motion as its attribute. Inherent motion belongs to one substance only, and that is mind. Let us for a moment turn our attention to a few of the most obvious substances in nature, and then glance at her absolute perfection as a whole. Let us carefully notice the gradation these substances occupy toward each other in relation to motion. I will begin at the heaviest mat- ter that may first suggest itself to my mind, and leisurely pass on, rising higher and still higher, through its various grades, up to that which is more and more rarified, subtle and light, till we arrive at that which must necessarily possess inherent ELECTRICITY WHAT IS IT? 5 motion and therefore living power. The heaviest of gross substances in existence is the most difficult to move, and hence must be at the greatest possible distance from motion. Though there are solid substances heavier than lead, yet I choose to begin at this, as the idea I wish to convey is all that is worthy of attention in the present argument. Lead, then, on account of the density of its particles, is difficult to move; were it the heaviest substance in Nature it would take its position farther distant from motion than any other sub- stance. Rock being more easily moved than lead, takes its relative position nearer to motion. In like manner earth is more easily moved than rock. Air is more easily moved than water. The gaseous fluids are more easily moved than air. Electricity is more easily moved than the gaseous fluids. It will now be perceived that as we mount the rounds of the ladder in the magnificent scale of material substances there is a gradual approximation toward motion. Each substance as we arise, being more rarefied and lighter than the one below it, is of course nearer to motion than its grosser neighbor. And it will be perceived by every enlightened mind, that we cannot continnually approximate motion, without at last reaching mo- tion or that substance to which motion belongs. We have now mounted from lead up to Electricity; and though, as we rose, we found each successive substance more easily moved than the one below it, still we have not as yet found a single material substance that possesses inherent motion as its attri- bute. Lead, rock, earth and water are moved by impulse. Air is moved by rarefaction, and electricity is moved .by the positive and negative forces. I am fully sensible that Elec- tricity is a fluid most inconceivably subtle, rarefied and fine. It is computed to take four million particles of our air to make a speck as large as the smallest visible grain of sand, and yet Electricity is more than seven hundred thousand times finer than air. It is almost unparticled matter and is not only in- visible, but so far as we can judge it is imponderable. It can- not be seen by our most powerful magnifying instruments. It cannot be weighed. A thousand empty Leyden jars, capable 6 ELECTRICITY WHAT IS IT? of containing a gallon each, may be placed upon the nicest scale, and most accurately weighed. Then let these be filled with Electricity and so far as human sagacity can determine, they will weigh no more. Hence, to our perception a thou- sand gallons weigh nothing. The velocity with which Elec- tricity is propagated is greater than that of any other agent with which we are acquainted, light not excepted; for while light moves at the rate of one hundred and ninety-two million miles in a second, Electricity travels, according to Prof. Wheatstone, over a distance of two hundred and eighty- eight million miles in a second. This velocity, which is sufficient to make the circuit of the earth ten million times in a second, is so great that any artificial motion whjch can be produced appears to be at rest when compared with it. The following table, according to Prof. Althaus, M. D., shows the rate at which Electricity, Light, Earth in orbit round the sun, Cannon-ball, Greyhound and Race-horse are transmitted: Meters in the Second. Electricitv 464,000,000 Light-- 300,000,000 Earth in Or bit 30,000 Cannon-ball - 552 Greyhound.... 25 Race-horse 25 As Electricity, in regard to motion and imponderability stands upon the poise, being completely balanced by the posi- tive and negative forces, that equalize each other so it is easi- ly perceived, that if we mount one step higher we must come to that substance whose nature it is to move, and the result of that motion is thought and power. It is Infinite Mind. This Infinite Mind comes in contact with Electricity, gives to it motion, arms it with power, and, through this mighty unseen agent, moves the Universe, and carries on all the operations of Nature whether minute or grand. Mind is, therefore, the absolute perfection of all substances in being, and as it possesses self-motion as its grand attribute, so it is, in this re- spect, exactly the reverse of all other substances, which are, of themselves, motionless. Hence mind and its agent, Elec- tricity, are both imponderable and invisible. As deity wraps clouds and darkness round about him, and holds back the face of his throne, so many do not believe in his existence be- cause he is unseen, while all the visible objects of creation are to them so many realities. The very reverse of this is true. What is seen is not the reality, but is only the manifestation of the unseen, which is the reality. Let us look at this point for a moment. There is an apple tree, it is plainly seen, but is that tree the reality? No; but it is the result of an unseen cause, and that unseen cause is the reality. But what was it? I reply that it was not even the seed, but the life of that seed was the reality, and the unseen life possessed the embodied form of the tree. All its colors and shapes were there. By coming in contact with the soil and moisture, in a proper tem- perature of climate, it was enabled to throw out its own in- visible and living form. First, then, the life; next the seed in which it dwells; next the trunk of the tree appears, then its limbs and branches-its buds, leaves, blossoms and fruit again ending in living beauty. It began in life, and in seed or life it ended. It performed an electric circle. The tree then is nothing more than a visible outshoot-an ultimate of an invisible substance which is the reality. If we turn to man and investigate the secret stirrings of his nature we shall find that he is but an epitome of the Universe. The chemical properties of all the various substances in ex- istence, and in the most exact proportions, are congregated and concentrated in him, and form and constitute the very elements of his being. In the composition of his body are in- volved all the mineral and vegetable substances of the globe, even from the grossest matter, step by step, up to the most rarefied and fine. And lastly to finish this masterpiece of creation, the brain is invested with a living spirit. This in- comprehensible spirit, like an enthroned deity, presides over and governs through Electricity, as its agent, all the voluntary motions of this organized corporeal being, while its living presence, and its involuntary, self-moving powers cause all the involuntary functions of life to proceed in their destined course. Hence human beings and all animated existences are ELECTRICITY WHAT IS IT? 7 8 ELECTRICITY WHAT IT DOES. subject to the same grand electrical law that pervades the Universe, and moves the world under the superintendence ot the involuntary powers of the infinite spirit. On this princi- ple, it will be plainly perceived that as man is subjected to the same common law that pervades the Universe, so Elec- tricity is the connecting link between mind and matter. As it is co-eternal with spirit or mind, so it is the only substance in being that mind can directly touch, or through which it can manifest its powers. It is the servant of the mind to obey its will and execute its commands. It is through Electricity that the mind conveys its impressions and emotions to others, and through this same medium receives all its impressions from the external world. It is by Electricity that the mind con- tracts the muscles, raises the arm and performs all the volun- tary motions of this organized body. To bring this before the minds of my readers in the most plain and intelligible man- ner, I would first remark that the brain is the fountain of the nervous system, from whence it sends out its thousands of branches to every part of the body. Indeed the brain is but a congeries of nerves, and is the immediate residence of the living spirit. This spirit or mind is the cause of all motion. It wills the arm to rise and immediately the arm obeys the mandate. To establish the fact that Electricity is indeed the connecting link between mind and body, I would in the first place remark that mind cannot come in contact with gross matter. My mind can no more directly touch my hand, than it can the mountain rock. My mind cannot touch the bones of my arm, nor the sinews, the blood vessels, nor the blood that moves in them. In proof of this posilion let one hemis- phere of the brain receive a paralytic stroke; let the paralysis be complete, and one-half of the system will be rendered mo- tionless. In this case the mind may will with all its energies -may exert all its mental powers, yet the arm will not rise nor the foot stir. Yet the bones, sinews, muscles and blood vessels are all there, and the blood, as usual, continues to flow. Here, then, we have proof the most positive that mind can touch none of these ; for what the mind can touch it can move as easily as what the hand can physically touch it can move. Now then, it is equally certain my mind can touch some matter in my body, otherwise I could never raise my arm at all. The question then arises: What is that mysteri- ous substance which the mind can touch, as its prime agent by which it produces muscular motion? In the light our subject now stands, the answer is most simple. It is that very sub- stance which was disturbed and deficient in this paralysis, and that is the nervous fluid, which is animal Electricity. Mind is the only substance in the Universe that possesses inherent motion and living power as its primeval efficients. These two seem to be inseparable because there can be no manifes- tation of power except through motion. Hence mind is the first grand moving cause. It is the first link in the magnifi- cent chain of existing substances. This mind wills. This mental energy, as the creative force, is the second link and stirs the nervous force, which is Electricity, this is the third link. This Electricity causes the nerve to vibrate, this is the fourth link. The vibration of the nerve contracts the fibre of the muscle, this is the fifth link. The contraction of the muscle raises the bone or the arm, this is the sixth link, and the arm raises dead matter, this is the seventh link. So it is through a chain of seven links that mind comes in contact with dead matter. To be plain, it is mind that touches Elec- tricity, Electricity touches nerve, nerve touches muscle, muscle touches bone, and bone raises dead matter. It is therefore, through this concatenation or chain, link by link, that the mind gives motion to, and controls living or dead matter. Hence the proof is clear and positive that the mind can come in contact with and control the Electricity of the body, and collect this subtle agent with fearful power upon any substance with which it comes in contact. It is evident that the mind holds its residence in the brain, and that it is not diffused over the whole system. Were it so, then our hands and feet would think, and in case they were amputated we should lose part of our minds. If then the mind invested with royalty, is enthroned in the brain, and if the mind com- ELECTRICITY WHAT IT DOES. 9 10 mands the foot to move, or the hand to rise, then it must send forth from its presence an agent, as its prime minister, to execute this command. This prime minister is Electricity (nervous fluid as some called it, for a better understanding) which passes from the brain through the nerves as so many telegraph wires, to give motion to the extremities. On this principle how easy it is to understand the philosophy of palsy and all its allied diseases. The nerves as the grand conduc- tors of motive power, and the prime minister (Electricity) can- not pass the barrier that obstructs its path. I have now brought before you the connecting link between mind and matter, and through this have shown you the philosophy of the contraction of the human muscles through mental energy. Having in my mind established the truth, that Electricity, in the form of nervous fluid, is indeed the direct and immediate agent used by the mind to control material substances, the question now presents itself, If the mind continually throws off Electricity from the brain by its mental operations, and by muscular motion, then how is the supply kept up in the brain -through what source is it introduced into the system, and how conveyed to the brain ? I answer, through the respira- tory organs, and from thence into the blood. In order to have a better understandirig of this part of the subject it will be necessary for me to explain electrically the philosophy of the circulation of the blood. The cause of the circulation of the blood is one of the grandest themes that can be presented for human contemplation. While investigating this matter it will be clearly made to appear how Electricity is gathered from the surrounding elements, carried into the system and stored up in the brain to feed the mind with impressions. I desire it to be understood that I regard Electricity, galvanism, magnetism and nervous fluid one and the same thing. But before I proceed to notice the philosophy of the circu- lation of the blood, and the secretion of the nervous fluid. I will first make a few observations in relation to the nerves and blood vessels, so that I may be distinctly understood. I have already stated that the brain is the fountain of the ner- ELECTRO-PHYSIOLOGY. ELECTRO-PHYSIOLOGY. 11 yous system, and that both its hemispheres are made up of a congeries of nerves, they both pass to the cerebellum, and the spinal marrow, continued to the bottom of the trunk. In the spinal marrow, which is the grand conductor from the brain, is lodged the whole strength of the system. From this spinal marrow branch out thirty-two pairs of nerves embrac- ing the nerves of motion and those of sensation. From these branch out others, and others again from these; and so on till they are Spread out over the human system in a net work so infinitely fine that we cannot put down the point of a needle without feeling it, and we cannot feel unless we touch a nerve. In all these nerves there is no blood, (except in the neurilema covering these nerves). They contain the electric fluid, while the blood is confined to the veins and arteries. I am well aware that the blood vessels pass round among the convolutions of the brain, and through them the blood freely flows to give that mighty organ action, but in the nerves themselves there is no blood. They are the residence of the living mind, and its prime agent, the electric fluid. The air we breathe, as to its component parts is computed to consist of twenty-one parts of oxygen and seventy-nine parts nitro- gen. Electricity, as a universal agent, pervades the entire at- mosphere. We cannot turn the electric machine in any dry spot on earth without collecting it. Oxygen is that element which sustains flame and animal life. Neither can exist a moment without it, while nitrogen, on the contrary, just as suddenly extinguishes both. The atmosphere in this com- pound state is taken into the lungs. The oxygen and Elec- tricity, having a strong affinity for moisture, instantly rush to. the blood, while the nitrogen is disengaged and expired. The blood being oxydized and electrified, instantly assumes a bright cherry-red appearance, and by this energizing process has become purified and prepared for circulation. The lungs, and the blood they contain, are both rendered electrically positive, and we know that in electrical science two positives resist each other and fly apart. Hence the lungs resist the blood and force it into the left ventricle of the heart. The 12 ELECTRO-PHYSIOLOGY. valve closes and the blood passes into the arteries. Hence arterial blood is of a bright cherry-red hue. It is by the posi- tive force of electric action, propelled through every possible ramification of the arterial system till all its thousands of minute capillary vessels are charged. Along these arteries and all their thousands of capillary branches are laid nerves of involuntary motion, but no nerves attend the veins. Why is this so? Why is it that nerves like so many telegraphic wires, are laid along the whole arterial system in all its minute ramifications, but that none are laid along the venous system? I press this question-Why do nerves attend the arteries, while none attend the veins? I answer, that nerves are laid along the arteries to receive the electric charge from the positive blood that rolls in them, which charge the blood received from the air inspired by the lungs. But as the venous blood is negative, it has no electricity to throw off, and hence needs no attendant nerves to receive a charge for that very electric charge, which the blood receives from each in- spiration at the lungs is thrown off into the nerves, as it rolls through its destined channels in crimson streams. At the capillaries of the arterial system the last item of the electric charge takes its departure from the positive blood, escapes into the attendant nerves, through them is instantly conduct- ed to the brain, and is there basined up for the use of the mind. The arterial blood, having thrown off its electricity as above described, assumes a dark-a purplish hue. It enters the capillaries of the veins, which are as numerous as those of the arteries. The blood is now negative, and as the lungs, by new inspirations, are kept in a positive state, so the venous blood returns through the right ventricle of the heart to the lungs, on the same principle that the negative and positive forces rush together. There it is again electrified and oxygen- ized, changed to a bright cherry-red color, is again rendered positive, and is thus purified and prepared once more for arterial circulation. We now clearly perceive that it is elec- trically the blood that circulates, and electrically it recedes from and returns to the lungs through the two ventricles of the heart. 13 The heart does not circulate the blood at all. The heart is by this subtile force, Electricity, the supreme regulator of this sublime and constantly ebbing and flowing ocean of crim- son life with all its majestic rivers and frolicking streams, and determines with exactness how rapidly the whole shall flow. From what I have already offered, it will be clearly perceived by every philosophic mind, that the circulating system is in reality two distinct systems. The first is the arterial system that carries the positive blood, which is, as before stated, of a bright cherry-red color, and is ever flowing from the heart to the extremities. The second is the venous system, that carries the negative blood, which is of a purple color, and is ever flowing from the extremities to the heart. To these two circulating systems, the heart, with its two ventricles and valves, is exactly adapted so as to keep the positive and nega- tive blood apart, and to regulate the motion of both, and it will be perceived that the nervous system most perfectly cor- responds with what I have said of the circulating system. I mean that nerves of involuntry motion are laid along the ar- teries to receive the charge of Electricity from the positive blood that flows in them. These views of the circulation of the blood are strengthened by the fact that the blood contains a certain portion of iron ; and we well know that iron be- comes a magnet only by induction, and loses its magnetic power the moment the electric current passes from it. Hence the blood, through the agency of the iron it contains, can easi- ly assume a positive state at the instant it receives the electric charge from the air at the lungs. It can then pass into the arteries and throws off its electricity into the nerves and again assumes a negative state, as it enters the veins. I now con- sider Electro-Physiology philosophically and irresistably proved. The position which many assume, that the heart circulates the blood on the hydraulic or vacuum principle, is utterly un- founded in truth. The heart and lungs both receive their motions from the cerebellum, which is the fountain and origin of organic life and involuntary motion. Hence the involun- tary motion. Hence the involuntary nerves from the cere- ELECTRO-PHYSIOLOGY. 14 bellum throb the heart and heave the lungs, and the electrici- ty contained in the air they inspire circulates the blood and supplies the brain with nervous fluid. For the proof that the involuntary nerves from the cerebellum throb the heart and heave the lungs, insert, for instance, a surgical knife between the joints of the vertebrae and cut off the spinal marrow below the lungs and heart-all the parts below this incision will be so completely paralyzed and voluntary motion and sensation so entirely destroyed that we have no power to move the limbs by any volition we may exert, nor have we any power to feel, though the paralyzed limbs should be broken with a hammer or burned with fire. Yet in these immovable and unfeeling parts the blood continues to circulate as usual through the veins and arteries. It is evident therefore that the blood is not made to flow by any power whatever invest- ed in the cerebellum, but, as before stated, by the positive and negative forces of that electricity contained in the air in- spired by the lungs. But let the spinal marrow be severed above the lungs and heart, and both will be instantly paralyzed and cease their motions, yet the last inspiration taken in by the lungs will cause the blood to circulate till it floods the right ventricle of the heart with venous blood, and empties the left ventricle of its arterial blood. The lungs merely act as a double force pump to bring in the surrounding atmos- phere, extract from it a proper supply of the vital principle to feed the bright and burning flame of life, and to reject and expire the dregs unfit for that end. This is perhaps as much as it is necessary to say in relation to Electro-Physiology, and now I shall turn to the philosophy of disease and shah be as brief as possible. It is generally supposed by medical men that there are innumerable causes for the various diseases in existence, and that one disease may have many causes to pro- duce it. But I contend that the immediate cause is the dis- turbing of the "vital force" of the body. There is in every human being a certain amount of Electricity. This is the most subtle and fine material in the body-is the power that moves the blood, and is the agent by which the mind, through ELECTRO-PHYSIOLOGY. ELECTRO-PATHOLOGY. 15 the nerves, contracts the muscles, and produces motion. And as all the convulsions and operations in nature and in man invariably begin in the invisible and finest substances in being, and end in the most gross, so Electricity, when equal- ized throughout the nervous system, the blood will also be equalized in its circulation, and the natural result is health. But when it is thrown out of balance the blood will in like manner be disturbed, and the natural result is disease, and the disease will be severe or mild in the same ratio as the vital force is more or less disturbed. The blood becomes impure through a disturbed circulation. It can be purified by no other means than the taking in at the lungs oxygen and elec- tricity, and the elimination of effete matter from the body only through the excretory organs. The blood in the body must every few minutes be passed through the lungs to be purified and preserved from putrefaction. If the circulation, in any part of the body be obstructed, or thrown out of balance so that the blood cannot pay its timely visit to the lungs, it must become extravasted and impure. If in any part of the body there is a complete obstruction, so that the blood is entirely retained, then inflammation, ulceration and suppuration ensue (necremia). I now turn directly to the subject and call your attention for a few moments to the Philosophy of Disease. The operations of the mind and the nervous system of man have been too much overlooked by medical men, who have paid great atten- tion to the blood and more gross and solid parts of the body. But it is evident that disease begins by a disturbance of the electricity in the cells of the central nervous system which preside over all the grosser parts of the body. From thence it is communicated to the blood, from the blood to the flesh, from the flesh to the bones, which are the last affected. It begins in the finest and ends in the grossest particles of the system (and not in the grossest which ends in the finest as usually taught by medical men). The unseen are the starting powers of disease. Though there is but one grand cause of disease-which is the electricity of the system thrown out of 16 balance. Yet there are various things by which this may be done. Specific virus of any kind may be introduced into the blood primarily, which re-acts upon the nervous system, there- by deranging the equilibrium of its electrical forces. This equilibrium of the electrical forces may be disturbed also by mental and physical impressions. Thousands of our race have been swept from the light of life to the darkness of death by various diseases caused by mental impressions. Misfortune and distress have fallen upon many a father, a mother, and many a child. They have shut up in their bosoms all these mental woes and brooded over their misfor- tunes in secret, and concealed grief. Melancholy took posses- sion of the heart, the vital force was disturbed, the system was thrown out of balance, disease was engendered, and they went to their graves. A man accumulates a fortune of two hundred thousand dollars. He loses one-half ot it, and is hurled into distress ; he broods over his misfortune; the mind is in trouble; it shrinks back on itself; the electricity of the system, this servant of the mind, leaves the extremities and approaches the brain, the thorne of the master, the blood follows on ; the excitement becomes great, and he believes he shall die in an almshouse. He is a monomaniac. Suppose he now loses the other half of his fortune, and his mind will become involved in still greater distress ; this mental action calls an increased quantity of electricity, that is of nervous fluid, to the brain, and an equal amount of blood follows on. He is now entirely deranged, and his feet are incessantly cold, because the brain has robbed them of their due proportion of the vital force. Now, do you not perceive that if these forces are dispersed from the brain and the circulation equalized, that his reason will be restored? There is not too much of blood and electricity in the system, but there may be too much in any one department of the system. We will now suppose him once more in possession of his reason. Now bring him intelligence that his darling child is crushed to atoms. The mind suddenly shrinks back on itself; the electric or nervous fluid instantly darts to the brain, like a ELECTRO-PATHOLOGY. ELECTRO-PATHOLOGY. 17 faithful servant to see what distresses the master. The blood as suddenly follows the servant. The storm rages and a fit ensues. Let the news be more startling, and the congregated forces will in the same ratio be increased upon the brain to the rupturing of a blood vessel, and he drops a corpse. So we perceive that in all these instances there is only one cause of disease. The only difference we have witnessed in the effects produced, was a gradual increased action, occasioned by an increased power of the same cause, even from the slightest excitement, gradually up to that fearful point where it produc- ed instant death. I have thus far confined my remarks to effects produced upon the brain, by the electro-nervous fluid and blood, which were called there by the various emotions, passions, and sensations of the mind. But that these forces should invade the territory of the brain, and produce such results, depends however, upon the condition of the brain, as to its comparative physical strength with the other parts of the system. In this view of the subject, had the same misfortunes as to loss of property above stated, been visited upon this same individual when his brain was firm, a different disease would have been the result. Suppose that his brain had been strong physically, but that his lungs had been weak. Now let the same misfortune befall him. His mind again shrinks back on itself; the electro-nervous force, as before, starts for the brain but is not allowed to enter this palace of the soul's dwelling place, as it is in an electro-positive condition and it stops at the lungs, which being in an electro-negative condi- tion-the weakest and nearest post. The blood follows on in pursuit of the leader and takes up its abode with him. Infla- mation sets in, tubercles form, ulceration takes place, and death follows. It was consumption. But suppose that both the brain and lungs had been in an electro-positive condition; that the stomach had been by some trivial cause rendered electro- negatively. The electro-nervous fluid and blood, would, in this case have gone there and taken possession of that part. Inflammation, ulceration with morbid secretions would have ensued; the digestive organs weakened, and dyspepsia with all 18 ELECTRO-PATHOLOGY. its horrors of horrors, would have been the result. If the liver had been the weaker spot, the same forces under the same circumstances would have congregated there, and pro- duced Hepatitis, or some other morbid condition of this organ. If the stomach and liver had both been strong, and the spine weak, it would have been a spinal complaint. If all these had been in an electro-positive state and the kidneys in a neg- ative one electrically-the, same forces would have produced a disease of the kidneys. And if all in the regions of the brain and trunk had been in an electro-positive condition, and a mere blow had been inflicted upon the hip, knee, or any part of the lower limbs, rendering the part negative, the elec- tro-nervous force and the attendant blood would have gone there and produced inflamation, suppuration and ulceration. So we see that the same cause may produce any of these diseases. As to the character of the disease, it merely takes its name from the organ or place in the body where it may locate itself. Hence diseases differ one from another only as the various diseased organs, their motions, secretions and func- tions may differ. But the producing cause of all these dis- eases is one and the same. It is the unequalized electro-ner- vous fluid of the body producing an electro-positive condition in one part of the body, while in another there is a negative condition. When this electro-nervous fluid is equalized throughout the system it is the cause of health, for it controls the blood and every particle and molecule of the body, and when thrown out of balance it is the cause of disease. Hence the minister of health and sickness, of life and death, is with- in us, and is one and the same principle. As electricity is the efficient cause of all convulsions, calms and storms in nature, and all the pleasing or awful phenomena that transpire in earth, air or ocean, or in the vegetable or mineral kingdom, so as man is but an epitome of the universe, it is electricity in the form of nervous fluid that produces all the commotions, calms and storms in his own system. The fact is, that the electro-nervous fluid when disturbed at the extremities (periph- eries) always retires inward, and locates itself upon the ELECTRO-PATHOLOGY. 19 weakest organ, the blood follows and disease is the result. A sudden exposure to a damp air, sitting upon a cold rock, lying upon the damp ground and suddenly falling asleep, or sitting with the back to a current of air while in a prespiration; any of these may at times disturb the electro-nervous force, and arouse this disease-causing power from its slumberings. Or the nervous force may be disturbed by eating or drinking too much of unwholesome or poisonous substances, or by eating or drinking too little of wholesome substances ; and all these act as correspondent diseases produced. The whole elec- tricity of the nerves, is about one hundred per cent. Fifty per cent is under the control of the involuntary powers of the mind, and belongs to the involuntary nerves. Now, if the whole fifty per cent of either of these forces, which when equalized, is health, should be suddenly collected upon any one organ, it would be destruction to that organ. Hence it will be understood that all diseases originating under mental impressions are produced by fifty per cent of voluntary nervous force. But those diseases, originating under physical impressions are produced by the fifty per cent of involuntary nervous forces, and over which the mind has no control. If either of these electro-nervous forces, to a certain amount, should be called to a muscle, it would be pain. If called to a still greater extent it would be inflammation, and if the whole fifty per cent were called there it would be inflamma- tion and the ultimate and absolute destruction of the muscle. There are three kinds of pain: First, a pain produced by negative electricity, which attracts the blood to the spot, and is ever attended with congestion and inflammation. Sec- ond, a pain produced by positive electricity, which repels the blood, and, though equally severe, is never attended with in- flammation. Third, a pain produced by the confused mix- ture of these two electrical forces, and consists of a burning itching or prickly sensation, and is often very distressing. I do not mean to say that a cure can be effected in all cases by equalizing the electro-nervous force if there be any organ- ic destruction of the parts of any vital organ of the body. 20 ELECTRO-THERAPEUTICS. Consumption could not be cured if the lungs were ulcerated ; sight could not be restored if the optic nerve were destroyed. In these cases, even medical remedies, it must be granted, would be of no avail, because there is no foundation on which to build. In all I have said, or may say in regard to cures, I have reference only to curable cases. Nor do I mean to be understood that medicines should not be used as addenda to the administration of electricity in the cure of disease. It re- quires medicines to co-operate with it. As diseases are pro- duced through mental and physical impressions, so they are cured by these agencies. Medicines produce a physical impression on the system, but never heals a disease. If a disease was ever healed through medicines, it was healed by the same sanative power as though it had been done by an equal diffusion throughout the system of the electro-vital force. This is evident because the sanative power is in the individual, and not in the medi- cine. Medicines and salutary mental impressions only call the electro-vital nervous fluid to the right spot in the system, so as to enable it to do its work. Let me explain: You enter a garden and see a peach tree with its fruit not fully grown, but so heavily laden that one of its limbs is partially split from the trunk. The gardener is aware that if it be neglected till the fruit grows to maturity the limb will be entirely parted from the tree and die. He carefully raises the limb till the split closes and puts under it a prop to keep it to its place. He winds canvass around the wounded part, and over this he puts tar. Now there is certainly no healing principle in the prop; there is none in the canvass; nor is there any in the tar. The prop merely sustains the weight of the limb, and keeps the split together; the canvass is wound around it to prevent the tar from entering the split; and the tar was applied to protect the whole from the air, rains, and external elements; while the tree is left to the inherent operations of its own san- ative principles, it must heal itself. So the healing prin- ciple is in man as much as it is in the tree. The healing principle in the tree is the invisible electro-vegetative ELECTRO-THERAPEUTICS. 21 fluid. This moves and equalizes the sap, and the sap affects the wood. It is the electricity of the tree that does the work, and this electricity is under the control of its vegetable life. So the healing principle in man is the invisible electro-nervous fluid. This moves and equalizes the blood, and the blood affects the flesh. It is the electricity of the system under the control of the mind. Admitting it to be electricity, or what I call the electro-nervous fluid of the system, it is then easily seen that there is no healing principle in medicine, per se. It may now be asked, if medicine has no healing property in it then how can an emetic remove impurities from the stomach by vomiting the patient? In reply I would state that it had never done so-I mean that the emetic is not the vomiting principle. The vomiting principle is in the man. . It is the electricity of the system-the electro-nervous fluid of the brain-is the vomiting principle. Let us understand the phi- losophy of this : emetics, whether mineral or vegetable, possess those peculiar chemical properties that cause immense secre- tions. This effect is the whole secret of their power. It pro- duces secretions most freely from the glands of the stomach, from the mucous membrane ot the lungs, from the glands of the trachea and from the glands of the mouth and tongue. The parts being robbed of their moisture by this artificial action, the electricity of the nerves follows it, because elec- tricity has a strong affinity for moisture. When a sufficiency of electric force is drawn from the brain, and the blood, hav- ing in the same ratio followed it, the face becomes pale, and expansion and collapse of the stomach takes place, and vom- iting is the result. After all I have said of medicine and its operations, it may yet be supposed that it possesses some healing principle, and that the emetic does vomit the patient. Why, then, will it not vomit a deafiman? The answer is, because the vital force is gone, and the emetic is powerless. But why will it not vomit the man when he is worn out with disease, and near his end? I answer, because the vital force in the man, on which vomiting depends, is wasted, and as it does not exist in medicine, so the emetic, in its chemical and 22 ELECTRO-PHYSICS. mechanical action, having no material to work upon or call to its aid, is powerless. I will pursue the subject a little farther and see whether the vomiting principle is in the medicine or in the patient. Suppose while eating strawberries and cream you tell a sensitive lady that she has taken into the stomach a worm or fly, she stops eating, and in a minute she vomits freely. How is this, when she has swallowed, in fact, neither worm nor fly? I answer, the vomiting principle is in the brain. She believed that she had taken into the stomach what was stated; she kept her attention steadily and most intently upon it, and the mind threw the electro-nervous force from the brain to the stomach, until there was a sufficient quantity to produce alternate relaxation and contraction of the muscular walls of the stomach, and cause vomiting. Now, the vomiting in this case, and in the case of the emetic, was occasioned by one and the same thing, and that is by the electro-nervous fluid. The only difference in the two cases is that the emetic called it from the brain by a physical impres- sion, and the mind forced it from the brain by a mental im- pression. I have been thus particular upon the action and operation of emetics, as this one hint is sufficient to lead any reflecting mind to a correct impression of the relation in which medicines stand to the human system. They are the mere props and supports of some weak part, to aid nature in restoring herself to health and vigor. Perhaps there is no department of medicine in which there is such strides being made in the way of research as in elec- tro-therapeutics. Electricity belongs properly to the edu- cated physician alone, and yet, there are drawn to it more charlatans and ignorance of the land than any other medici- nal agent known to the medical world. But we are glad to state that much has already been accomplished by the more enlightened members of the medical profession, and its power to relieve and cure disease is acknowledged by all progressive minds, and its foundations are too broad and fixed to be over- thrown by ignorant and non-progressive men in the medical profession. Electricity, generated by means of two metals ELECTRO-PHYSICS. 23 and some acid solution, which acts on these metals, is called chemical electricity. Only one of the metals is acted on by the acid. To illustrate, a strip of copper and zinc united by a wire and immersed in a weak acid solution, constitutes a gal- vanic battery. The zinc is the metal which generates the electricity, and the copper serves as a conductor. The elec- tricity flows from the zinc to the copper through the liquid, and from the copper to the zinc through the wire, thus mak- ing a complete circle." To sum up, multum in parvo, the result of the immersion of a plate of zinc and a plate of cop- per (connected by a wire) in a vessel of dilute sulphuric acid is : the water, HO2, is decomposed and gives off its hydrogen, the zinc is dissolved and unites with the oxygen of the water, forming ZnO, which oxide is redissolved by the acid ZnSO4, at the same time the galvanic current is set free. The zinc plate, or the metal acted upon is called the positive plate, and the copper or the metal not acted upon, the negative plate. The wire connected with the negative plate is called the posi- tive pole, because the current flows from that direction, and the wire from the positive plate is called the negative pole. Chemical electricity is most conveniently generated by the re- actions which take place between two metals and some acid solution. As a matter of economy, zinc is the metal selected to be acted upon by the acid, which generates the electric force, the other metals acting merely as conductors. Many new batteries have been devised, but all are based on the same general chemical principles, that chemical action is at- tended by the evolution of electricity. We give a few illus- trations of simple and compound galvanic circles, to aid the reader to understand the terms used. In the formation of the galvanic circle two metals are necessary, viz: copper and zinc plates placed in dilute acid and connected by a wire. Elec- tric action takes place on the surface of the zinc, covered by the liquid. Positive electricity is generated at the zinc plate, and flows through the liquid to the copper, from the copper through the wires to the zinc, thus a constant current is es- tablished over the wires. The terminal end of the wire lead- 24 ELECTRO-PHYSIC'S. ing from the zinc plate is called the negative pole or electrode, and the one leading from the copper is called the positive electrode. When the wires are separated the circle is broken and the current ceases to flow. The compound galvanic circle or galvanic battery is com- posed of two or more simple cells or circles. They are so connected that the copper of one cup is joined to the zinc of the next, and so on through the whole series. This is the principle upon which all galvanic batteries are made which gives the simple galvanic current-the continuous current. FARADIC OR INDUCED CURRENTS. A current flowing from a battery cell, or cells made to traverse a wire which is coiled around and made to inclose a bar of soft iron causes a momentary current in the coil at each break of the circuit, infinitely more intense though less in quantity than that generated in the battery, and flowing in the opposite direction to that of the generating force, and if over this coil be wound another coil of finer wire, entirely insulated from the first, another current is caused to flow, at the break of the current, in an opposite direction, as that of the current from the first coil, and in the opposite direction to that of the battery, and so on, we may superimpose, coil over coil, and in each instance we induce a new current in the last added coil, infinitely more intense than the proceeding. Another effect of this experiment is, that the bar of soft iron, sometimes called the core, becomes magnetized during the continuance of the generating force, and loses its magnetism at each discontin- uance of the current. The magnetism varies in strength in the direct ratio of the turns of the wire around the core. In other words the longer the wire of the coil the more intensely magnetic the core becomes, and the more intense the cur- rent induced, although the resistence of a long coil is mani- festly greater than a short one. We must remember that we have an extra force generating the induced current, and that is the magnetism set free from the core, and, as I have ex- plained, the greater the magnetic force the more intense the BATTERIES. 25 current induced, but in order to make the magnetic force strong, the number of turns around the core must be many. So the resistance to the primary battery current becomes greater at every additional length of wire added to the coil, still the power added to the magnet more than makes up for it, for it is in reality to the core parting with electricity, when it is momentarily stored, that we are indebted for the current induced at the break of the circuit. These facts were dis- covered through the researches and experiments of Faraday, and after him, currents generated in this way are called fara- dic, and the use of this current, faradization. Much of what is useful in electrical science owes its origin to the facts just stated, and in therapeutics the induced current is used at least as often as the primary or galvanic. It is evident that upon the principles laid down, almost an endless variety of electro-magnetic machines might be constructed, differing from each other in quantity, intensity, density, magnetic force, etc. An induction machine must consist essentially of six parts : 1. The primary source of power, i. e., the galvanic cell or cells, which must be reliable, sufficiently constant, and must generate a current suitable in quantity and intensity to the size and length of wire composing the primary coil. 2. The poll or helix, which must be made in proportion to the quantity of the inducing current. The larger the wire the larger the quantity of current. 3. The next or secondary coil, and over this may be wound other coils in the same manner. 4. The core, made either of a bar of soft iron, or better still, of a bundle of soft iron wires. 5. The graduator, generally a non-magnetic metalic tube of a sufficient size to enclose, but move freely upon the core. When this tube entirely covers the core the current induced in the coil is almost at zero, and as it is withdrawn, the mag- netism from the core is exercised upon the coils in propor- tion as the core is uncovered by the withdrawal of this tube, as only the exposed part of the magnet acts in inducing. 6. The rheotome. This is generally an armature of soft. 26 BATTERIES. iron attached to a spring and included in the circuit, and as the current is closed the core becomes magnetic, attracts the armature towards it, and away from its connection in the cir- cuit ; this act breaking the circuit, causes the momentary in- duced current to flow, but it also demagnetizes the core, and the spring asserts its power and draws the armature back into its connection in the circuit, and the core becomes magnetized once more, and so the armature is made to move backwards and forwards, making and breaking the current automatically. The frequency of the interruptions can be regulated with pre- cision by the mechanical arrangements attached to this arma- ture. These with the stand or case may be called the essentials of a faradic battery. I will describe a few batteries which appears to me the best apparatus that is now obtainable, so that from what I have already written the physician will find no difficulty in selecting one to suit any definite purpose he may have in view. The batteries to which I refer are manufactured by Jerome Kidder & Co., New York, and McIntosh Galvanic and Faradic Battery Co., Chicago, Ill. I have fully tested the genuineness of these instruments and have found them to be entirely re- liable in all respects and fully up to what is claimed for them. The following is a description of the McIntosh combined galvanic and faradic battery. This battery is constructed on an improved plan. The zinc and carbon plates are arranged in couples and securely clamped to hard rubber plates with thumb screws. Thus any of the couples can be removed by simply loosening a screw. The thumb screws are also used for binding posts. By this manner of connecting, the plates are brought nearer together than in any other battery, thus giving less internal resistance. The cells are made in sections of six and a drip cup composed of one solid piece of hard rub- ber. By this arrangement one section can be handled, emp- tied and cleaned as easily and quickly as one cell. It also prevents the liquid from running between the cells, as is the case when single cells are used, and danger of breaking as is 27 the case with glass cells. The drip cup on the side of each section of'cells is to receive the zinc and carbon plates when removed from the cells. BATTERIES. r ig. 1 shows the hard rub- ber plate of a section (on the under surface of which is ce- mented a sheet of soft vul- canized rubber) and binding posts which project through the hard and soft rubber and screw into the brass piece holding the zinc and carbon couples. The faradic coil is secured on the upper surface of the hard rubber plate, and has polished hard rubber ends and cover. Fig. 2 shows a section of six cells and drip cup made of one piece ol hard vulcanized rubber. The drip cup is to receive the zinc and carbon couples when not in use. The rubber plate on which the couples are clamped projects over on one side enough to cover the cells when not in use. The rub- ber plate on which the couples are clamped projects over on one side enough to cover the cells when the zinc and carbon plates are reversed and placed in the drip cup. The under side of this projection is covered with soft rubber. When the cells are not in use this is clamped over them by means of thumb screws and spring bolts, the latter are fastened in the bottom of the box near the ends of each cell section and projecting above the hard rubber plates to receive the thumb screws. By this arrangement the hydrostat is made water tight. By the aid of a simple current selector any Fig. 2. Fig. 1. 28 number of cells can be used. The faradic coil from which the induced current is obtained is securely fastened on one of the rubber covers. (See cut.) An extra cell of large size is connected to the combined battery, for the purpose of run- ning the faradic coil. This renders the battery more perfect than any yet offered to the profession. This extra cell gives sufficient power for the faradic current, and the operator is not obliged to connect and exhaust the current from the gal- vanic cells. If greater strength is ever needed in an emer- gency than the extra cell gives, the galvanic cell can be con- nected with the coil. (See directions.) This combined bat- tery gives greater quantity and intensity than any ever offered BATTERIES. to the profession. It weighs less, occupies less space, and is perfectly portable. A battery of twelve cells gives a galvanic current of sufficient intensity for a majority of cases the physi- cian may be called upon to treat. With eighteen to twenty- four cells, a physician has at his command all the strength and intensity he will ever require. I would call particular at- tention to the cable conducting cord. This cable cord is made with spiral copper wires, each surrounding a strong thread, and these are twisted in an insulated bundle. The tips are securely fastened to a bundle of wires which make Fig. 3-MCINTOSH PHYSICIAN'S FARABIC BATTERY. the connection perfect. This feature alone recommends the battery to the professsion. McIntosh & Go. furnish each bat- tery with or without a faradic coil. When combined with a faradic coil a physician has at his command two first class bat- teries-a galvanic, giving sufficient quantity and intensity for treating any disease, electrolysis, etc., and a faradic giving an induced current of sufficient strength and intensity to treat any disease where it is indicated. fig. 3-m'intosh physician's faradic battery. This battery is put up in a neat polished black walnut case, seven inches in height and weighs less than six pounds charged. All the metal work is nickle plated. It has a hard rubber cell and drip cup. First class induction coil, with polished hard rubber ends and cover. The coil, binding post and rheotome are placed on the upper surface of a polished hard rubber plate, the under surface of which is covered with soft rubber and also holds the zinc and carbons. When the elements are removed from the cells and placed in the drip cup, this plate is securely clamped over them, and makes them water tight. The connections of the coil with the zinc and carbons are permanent. To use this battery it is only neces- sary to loosen the thumb screws and raise the elements from the drip cup and place in the cell, and the battery will com- mence to work at once; connect one end of the connecting cords with the binding post and the others with the sponge electrode, and it is ready to use. It is very convenient for a physician's visiting battery, as it is light and perfectly portable, and gives sufficient strength to treat any ordinary case. Price, $18.00. FIG. 4 EIGHTEEN CELL COMBINED GALVANIC AND FARADIC BATTERY. In a polished black walnut case with first class faradic coil, polished hard rubber ends and cover, extra large cell to run the coil, sponge electrodes, and cable conducting cord. This is the most convenient battery for a physician to use, as it gives a very intense galvanic current and a faradic current of sufficient strength to treat any case. It weighs fifteen pounds and is perfectly portable. Price, $52.00. BATTERIES. 29 30 BATTERIES. Fig, 1-EIGHTEEN CELL COMBINED GALVANIC AND EARADIC BATTERY. FIG. 5 TWELVE CELL COMBINED GALVANIC AND FARADIC BATTERY This style of case and finish is the same as the eighteen cell combined galvanic and faradic battery, with first class faradic coil, polished hard rub- ber ends and cover, extra large cell to run the coil, electrodes and new cable conducting cords. This battery gives a gal- vanic and faradic current of sufficient strength to treat any ease. We have used this com- bined galvanic and faradic battery, and know it to be just what it is represented to be in every particular. We desire to recommend such batteries to the medical profession as are practical, simple and that will not disappoint the physician when his services are most needed to relieve suffering and cure disease. Price, $40-00- PHYSIOLOGICAL QUALITIES OF ELECTRICITY. 31 PHYSIOLOGICAL QUALITIES OF ELECTRICITY. "Currents of different qualities have not only different characters of sensation, and different effects on muscular irritability, as recognized by all who have carefully scrutinized in regard to these varied electrical phenomena, but also one quality even when so weak in power as not to produce any pain, but rather a pleasant sensation, will show flashes of light when properly applied, as with large surface of wet sponge over the closed eye. "Secondary currents produce light to the eye, that is, they exercise the function of the optic nerve without producing pain, only when the tension of the current is increased to a certain degree in ratio *vith the diminished quantity. "Another quality of current, even when the current is made strong enough to produce pain, will show no light to the eye, will not exercise the vital function of the optic nerve. "The preceeding facts show conclusively that electricity can be varied in quality so as to produce different effects on differ- ent vital functions. It must not seem strange to find elec- tricity produced in many different qualities to have varied effects. "There are other facts recognized as true, and which might seem stranger still, for it is well known to all chemists that the same proportion and kind of atoms may form substances so different in their nature as to be recognized as entirely different substances. For example, spirits of turpentine and oil of bergamot are identical in composition, being composed of ten atoms of carbon, and eight of hydrogen, and the differ- ence is recognized as merely that of the allotropic condition 32 PHYSIOLOGICAL QUALITIES OF ELECTRICITY. and the arrangement of the atoms. Also light is recognized as the effect of vibrations or wave motions in the ether, which is everywhere, and the different colors result from the differ- ent length of these waves. (See Prof. Draper's chemistry.) And yet even the difference in the character of the vibrations, or wave lengths of the ether gives a difference in the chemical effects, for indeed, it is known to be chiefly the yellow ray which causes the absorption of the carbon from the carbonic acid gas in the atmosphere into the solid form of a tree by the influence of the sunlight falling upon its leaves. And it is the indigo ray which is chiefly concerned in causing hydrogen and chlorine to unite by passing light through a glass vessel con- taining the two gases. "Also sound results from vibrations in the atmosphere or other media, yet sounds may have differences in pitch, and also differences in qualities of tones having the same pitch. Its effects are what the spirit of man receives as jarring dis- cords, or sweet harmonies, and successions and qualities of tones that inspire the emotions of courage and hope, or pro- duce solemn and mournful feelings. "Considering the fact that mere variations or modifications in vibratory or wave motions produce differences in effect, we should not think it strange but should rather expect that the magnetic influence which excites the electricity in metalic helices, for by varying the helices, we vary the medium of vi- bratory or wave motions resulting from polarizations, whose phenomenon is electricity. "It is because the terms quantity and tension, as applied to electricity, do not express the real distinction in its qualities, that the terms are so generally misunderstood when thus used. The term intensity is often misused for power, but the difference is as plain as the difference between loudness and pitch in regard to sounds. A musical string conditioned for a given pitch does not change that pitch by a greater or less force of the blow causing it to vibrate-it simply changes its loudness. "And in regard to electricity, the magnetic force upon the ELECTRO-ALLOTROPIC PHYSIOLOGY. 33 helix determines the power or strength of the induced cur- rent, but the intensity or tension, that is, quantity, is deter- mined, not by the amount of magnetic force upon the helix, but by the construction of the helix itself." "The uses of different qualities of electricity to cure disease. -Exceedingly interesting as far as it can be understood, is the manner in which certain qualities of electricity advance vital processes, and so aid nature in the cure of disease. In examining this subject let us consider the great law of Allo- tropism, and (its allied term) Isomerism, the former expressing the difference between bodies identical in composition, and the latter predicating identity of composition between differ- ent substances. Thus, carbon occurs crystalized in octahe- drons and other related forms in a state of extreme hardness in the diamond, it occurs in hexagonal forms, and the little hardness in black lead, and again occurs in a third form, with entire softness in lampblack and charcoal. Oxygen exists in two allotropic states, in one it is ordinary oxygen, and in the other it is ozone, which is called active oxygen, as it more readily decomposes many substances. Iron exists in two allotropic states, in one of which it simulates the unoxydable character of gold or platinum, and in the other state it is com- mon iron, being very readily oxydable. Charcoal, plumbago and the diamond are only carbon existing in different allo- tropic states, causing them to differ as to their specific gravity, their conduction of heat and electricity, their power of ab- sorbing, reflecting and transmitting light, and also in their re- lations to oxygen, for there are varieties of charcoal which spontaneously take fire in the air, while the diamond can be burned only in pure oxygen. Influences change an element from one allotropic condition to another, and new chemical changes result therefrom. Sparks of electricity through the air change a portion of the oxygen to ozone. Oxygen set free from water by the galvanic battery is often in a similar state. The indigo ray by itself or existing in light changes chlorine from the passive to the active condition, as instanced by its causing chlorine and hydrogen to unite with an explosion. 34 Contact with spongy platinum has the same effect on these mixed gases. Pure chlorine gas expanded by heat, condenses again on cooling, but expanded by blue and violet light, re- tains its expanded bulk permanently. The expansion is not more than one-tenth as great when submitted to red rays, which shows that it is not the heat of the ray, but the quality of the ray itself that causes the expansion. Iron, by a simple process, which any one can perform, assumes the nature of gold or platinum as far as its oxidable character is concerned, and can as readily be thrown back to the nature of common iron. Thus, two pieces of iron may be conditioned so as to compose the elements of a galvanic battery, one answering to the platinum and the other to the zinc. The basis of the physiological vital processes are the chemical affinities with their allotropic variations, without which there could be no contraction of muscle, no action of the brain, no mental wake- fulness, nor even could there be sleep, for sleep is a condition in which the vital process of recuperation takes place-a restoration by means of a particular relation of the chemical affinities governed by special allotropic conditions of the ele- ments of repair. When the mind has been very active there is increased elimination of the products of waste of brain ma- terial, principally the oxydized compounds of phosphorous. Also, when there has been great muscular activity, there is in- creased elimination of the products of muscular waste-urea, the oxydized componds of sulphur, carbon, etc. To repair the wearing constitution, digestion, which is a regulated chem- ical action, takes place within the organs designed for this process. But digestion could take place, in a certain degree, without the agency of the nervous system, yet it cannot be denied that certain nerves preside over that function, for it is well known that a genial condition of the mind aids digestion, while fear or a depressed state of the nervous system inter- feres with nutrition, circulation and digestion. With regard to muscular contraction, this law also applies. For though motor nerves preside over the contraction of the muscles, yet this power of contraction exists in muscular fibre ^causing it ELEC'TRO-ALLOTROPIG PHYSIOLOGY. to contract from other external stimuli, independent of and without regard to the presiding influence of nerves. In some of the lower animals, muscular fibre is distinct, not connected with nerves, as in the vorticelli and infusoriae. This inherent irritability of muscular fibre is designated by different terms, viz: vis vitea, tonic power, vis insitae, vis vitalis, etc. "This power of inherent responsive movement of muscular fibre, when acted upon by external stimuli, is a vital property which belongs to all living animals. Notwithstanding the in- herent irritability of muscular fibre, it is still more familiar to general knowledge that the nerves, also influenced by the will, have the power to cause these contractions. As regards mental processes, the will, through the nervous system, to a great extent determines how great shall be the action of the brain, and therefore, to a certain extent, decides when those elements, phosphorous and oxygen, shall possess the allotropic condition, giving them affinities which cause them to go into that manner of union which determines processes of reason- ing and calculation. Also, the will, through the nervous sys- tem, determines how great, and of what character shall be the action of the muscles and therefore, through the nervous system, decides when those elements-sulphur, carbon, hy- drogen, nitrogen-oxygen, existing in the organized muscle, shall be modified in their allotropic conditions to 'have such affinities that their consequent unions contract the muscles, yielding urea, creatine, extractives, etc., which, in their further changes are resolved to urea, sulphuric and carbonic acids, etc. "Now let us make further reference to the substance of the nerves of a living body. Blood must be supplied to the nerve as one condition of its activity, and human blood con- tains iron, which is a substance highly susceptible of allotropic changes. Also the medullary substance myaline, or the white schwan. which surrounds the central axis or band as previous- ly stated, is an albuminoid body, which contains carbon, hy- drogen, nitrogen, oxygen, sulphur, phosphorous. All these exist in different allotropic states. Carbon, as we have seen, has three noted differences. The gases in chemical combina- ELECTRO-ALLOTROPIC PHYSIOLOGY. 35 36 ELECTIVE USE OF ELECTRICITY. tions are fluids or solids. Oxygen and nitrogen are the ele- ments of nitric acid, and both sulphur and phosphorous exist in different allotropic conditions. Oxygen and hydrogen com- bined are water, which by admixture readily changes the specific gravities, and so varies susceptibilities to rapid or slow action. "According to R. D. Thompson, the brain contains a pecu- liar acid, which he calls cerebric acid, which contains nitrogen and phosphorous ; this is mixed with an albuminous substance, with an oily acid, the oleophosphoric acid with cholesterine, and finally with small quantities of oleine and margarine and oleic and margaric acids. Anhydrous oleic acid is hydrogen, carbon and oxygen, having the formula C26 H33 03. Anhy- drous margaric acid is carbon, hydrogen and oxygen, having the formula C34 H33 037. Thus we find that brain and nerve substance are composed of elements susceptible of an exceedingly great variety of combinations and allotropic ex- pressions, capable of being exercised in the various duties they have to perform." ELECTIVE USE OF CERTAIN RANGES IN THE QUALITIES OF ELECTRICITY. "The vibratory movements excited in the molecular par- ticles of metalic wires, or in the ether contained in them, which movements are called electricity, have differences in their physical effects according to the character of those vibra- tions, and they are proved to have different physiological effects, also vibratory or wave motions in particle of air or of ether, giving sound, heat, light and chemical effects, have vast differences in their physical and physiological effects, and by way of comparison, before going farther, let us consider these : Very different effects are produced by merely different charac- ters of vibratory or wave motions in the same medium. Long waves in the air produce sounds of a low pitch, and short waves sounds of a high pitch, and there are waves so short as to produce no effect on the human ear. "So in regard to the waves in the ether; one character of wave will produce heat and not light, another, light and not heat; different characters of waves produce the different colors as shown in the spectrum, and still a different character of the waves produces certain actinic effects, which are quite different from the effects produced by heat. And these differ- ent characters of ethereal wave motions are principally differ- ences in the rapidity and lengths of the same, the rays of heat being produced by waves slower, but of greater amplitude, then as the rapidity increases, and the amplitude diminishes, we have red, orange, yellow, green, blue, indigo, violet and the actinic rays, which are also invisible. "The heat, the colored and the actinic rays, to a certain ex- tent, overlap one another in the spectrum ; also different kinds of refracting media give different degrees of refrangibility of the rays of heat compared to the other color rays-through a water prism it is found in the yellow; sulphuric acid it is found in the orange; plate glass it is found in the middle of the red; flint glass it is found beyond the red. A cell of alum intercepts the rays of heat, but allows the light to pass, while a cell of iodine dissolved in bisulphide of carbon inter- cepts the luminous, but allows the calorific rays to pass. The heat rays, if concentrated on a piece of platinum coated with platinum black, are accelerated so as to become visible; and likewise, rays passed through a solution of sulphate quina, and some other substances, are retarded so as to become visible-the visibility of the latter is called fluorescence. It is exhibited in an aqueous solution of horse chestnut bark, by many compounds of uranium ; a decoction of madder mixed with alum gives a yellow or orange yellow fluorescence. Light, heat and actinism are common to every ray, the difference being only proportional; a yellow medium gives most light and less actinism (power), while a blue medium gives more actinism (power) and less light. Light hinders the germina- tion of seeds ; actinism (power in the sun's rays) quickens germination. "Light effects decomposition of carbonic acid in growing plants, which absorb carbon and give off the oxygen. Light and actinism, independent of the calorific rays prevent the develop- ment of the reproductive organs of plants. The heat rays, ELECTIVE USE OF ELECTRICITY. 37 38 ELECTIVE USE OF ELECTRICITY. corresponding with the extreme red, facilitate the flowering of plants and the perfecting of their reproductive principles. Many bodies, under peculiar circumstances, are thrown into such a state of vibration that they admit light without per- ceptible heat, called phosphorescence. Decaying bodies, flowers of certain living plants, etc., exhibit this quality. Different rays of the spectrum differ as to their power of pro- ducing phosphorescence. Electric light produces phosphor- escence more actively than the solar rays. Very strange are all the foregoing varied effects when we consider that the calorific, luminous chemical and phosphorogenic rays are all substantially the same in their nature, being each and all pro- duced by movements of the ether, those movements differing principally in rapidity and degree. The functional activity, not only of muscles, but of nerves also, is influenced by cur- rents of electricity. And as a motor nerve electrically excited causes a muscle to contract, so also as is shown in standard works on physiology, regulated electrical excitation of the re- spective nerves presiding over the organs of digestion, secre- tions, circulation, etc., influences their functional activities. Now we should look also for electrical influence over the func- tional activities of other organs themselves without regard to presiding nerves, just as much as we look for electrical excita- tion to influence a muscle directly without regard to its pre- siding nerves. It seems that we must recognize this when we consider the fact that each element in the organism has its indi- vidual activity, which is evident from the comparison of vegetable and animal organizations. The independent devel- opment of tissues after the evolution of the germ, physiological dissections on the living animal, the mode in which poisons act, etc. A very important fact to consider is that the differ- ent organs of the body have their gradations as to suscepti- bilities to different qualities of electricity. An induced current on a coil of wire of a certain ratio as to length, thickness, number of convolutions, with certain other modifying condi- tions, electrically excited, will cause powerful muscular con- tractions, but will produce very little light to the eye. Now', ELECTIVE USE OF ELECTRICITY. 39 if we arrange another coil of wire so as to yield a current of much higher intensity and less quantity, this latter conditioned coil being excited in the same manner as in the former case, will have less effect on the irritability of muscular tissue, but will produce light to the eye, when the current is regulated to be so weak as not to produce pain, will, when properly used, have a more soothing effect upon the nerves-will better re- lieve nervous headache, and cause deeper inspirations by properly influencing the medulla oblongata and cevical spine, the negative, with large wetted sponge, being the preferable electrode on those regions. "Now, if another coil, conditioned for considerable greater quantity than the first mentioned, but far less intensity, rang- ing from A B to A C, in Kidder's improved apparatus, it will produce no light whatever to the eye, even when the current is strong enough to produce pain. It will not contract the muscles so powerfully-it will not so well soothe pains in the system, but by its influence, using the positive as the preferable pole, it will exercise a remarkable specific effect in restoring to their normal condition muscles that are sore from the effects of over use and strains and all allied conditions. In this re- spect a more special contrast in the differences of these quali- ties will be here presented. Placing the negative pole farther towards the extremities and using currents of sufficiently high intensity and low quantity, graded to the strong muscular contracting tendency, as in the current A D, Doctor Kidder's improved instrument, a strong power can make the muscles sore or lame. Now, using the current from A B or A C with light power, and using the positive pole upon the lamed muscles, the soreness and lameness will be almost immediate- ly cured, when otherwise it would not pass away for a con- siderable length of time. These results became known to Dr. Kidder first, by many trials upon himself. Inflammatory ex- citements, as burns, etc., will be better relieved by the nega- tive, using very large surface of sponge, or what is better, having the part in water with the negative electrode, and using especially currents of high intensity and low quantity as of the 40 DR. KIDDER & GO.'s ELECTRO-MEDICAL APPARATUS. A E of the improved instrument. Further considering this subject, we may contrast the two general processes, which are the opposite of each other, that take place in the living body. One is nutrition of the tissues of the various organs, and the other is the functional activity of those organs, which wears away the tissues, and they again call for more nourishment, without the supply of which their activity would soon cease. The assimilation of nourishment in the tissues takes place more during the night, while the body is at rest. The rising up of the tissues takes place more during the day, when the body is active. "Now the relations of electricity to these two conditions ap- pear to be these: Electrical currents, especially of the in- duced order of high intensity and low quantity, act compara- tively more in producing functional activity of the various organs of the body, though somewhat different range of the ratio of quantity and intensity of the current is best adapted for the different organs, which is shown by the different ratio required to best excite the motor and the visual functions. But currents of comparatively lower intensity and a higher quantity are the better to produce the allotropic changes that bring wearied organs almost immediately to a rested condition. In the former case it is better to excite the various organs with the negative pole, having the positive more central, to- ward the medulla oblongata, while in the latter case it is better to use the current in the opposite direction."-Dr. Jerome Kidder. DR. KIDDER & CO.'S ELECTRO-MEDICAL APPARATUS. I shall now describe a few kinds of machines manufactured by this much renowned and reliable company-pioneers, as they are, in the manufactory of electro-medical apparatus- which entitles them to rank first in the confidence of electri- cians, when it is known that they only manufacture and send out good machines. By means of the switch, 5, the second coil can also be 41 DR. KIDDER & CO.'s ELECTRO-MEDICAL APPARATUS. NO. 1-PHYSICIAN'S OFFICE ELECTRO-MEDICAL APPARATUS-Large size, having four coils and ten currents. thrown into the primary circuit at option. The current from any of the ten combinations is brought by the arms 3, 4, to the two front screw cups to which the conductors are attached. By moving the lever 6 to the right or left, the currents are momentarily reversed in their direction, and the pole that feels the strongest by changing when in the hands is always the negative. It is a polished walnut case with brass bound corners, and drawer underneath the helix. Size of case, 10J inches long, 9 wide, 7| deep. The brass works are nickle plated. Price, including handles, $50.00. Veneered rosewood case, bound and ornamented with German silver. Price $57.00. No. 2, is a four coil apparatus, producing ten currents of elec- tricity of compact form with an upright stopper battery con- stantly ready for use many weeks without any attention. The coil box stands upright in one end of the case where it is hinged. By springs underneath the hinges that fasten the coil box to the case, the battery is connected to operate the coils 42 DR. KIDDER & CO.'s ELECTRO-MEDICAL APPARATUS. when turned down to a horizontal position, as seen in the cut. If ever desired, the coil box can be detached, and connected with any other battery by the two screw cups on the back part. This machine is about 6 inches long, 3| wide, 6 inches deep, and has a metallic handle on the lid for carrying. It costs as much if not more to put the qualities of the ten currents in small machines as in large ones. This battery (No. 4) has three coils, and six variations of NO. 2-FOUR CELL APPARATUS-Price $27.00. NO. 4-OFFICE AND FAMILY MACHINE-Shown without lid. the qualities of the currents, and is operated by one open battery, which is for weeks and months constantly ready for use without changing the fluid, and a bottle accompanies, into which the fluid can be poured whenever desired. Price, with switch arranged to use the second coil in the primary circuit when desired, $20.00. Price without switch, $10.00. Dr. Jerome Kidder's electro-medical apparatus (No. 5, the lid not shown) has four differently con- ditioned coils, arranged to be used in various combi- nations producing ten dif- ferent qualities of electri- city. Patented in the United States, England and France. All the ad- vanced scientific practi- tioners use and recom- mend Dr. Kidder's im- proved apparatus, because of the genuine modifications of electricity developed on the differently conducted coils, and the means which command their perfect operation. Price, with hydrostat tip battery, $27.00; with open battery, $24.00. SPECIAL ELECTRO-THERAPEUTICS. 43 SPECIAL ELECTRO-THERAPEUTICS. All the manifestations seen in the organic and inorganic world are understood by scholars as being the result of force. The lines of which radiate in all directions, the difference of result is but the product of the same force acting through a different agency and differently conditioned. In the ultimate analysis we reach simplicity of cause and unity of force. But back of all this working energy of nature there exists an in- finite and all permeating power, which creates, directs and 44 controls these mysterious phenomena which we look upon in awe and wonder as they exhibit themselves in nature. What electricity is per se is incomprehensible to us. We can only watch its activities through the realms of nature. But how ever subtle and incomprehensible it may be to us, we are well convinced that it is the important factor, essential to the growth, development and vitalizing principle upon which life depends. It is conceded by men of superior medical knowl- edge that there are many diseases which cannot be cured by medicine alone, but when administered with electricity are cured in a very short time. The more this is studied, the clearer will be seen the value of electricity as a therapeutic agent. The strength of the electrical current to be used in the treatment of disease is not definitely fixed by any electrician. If the required dose of drugs taken into the stomach is still in a state of uncertainty, is it anything to be wondered at that the dose of electricity necessary to be administered in any given case cannot with any positive degree of accuracy be al- ways determined ; at least no absolute rule for the guidance of the profession can be given, leaving that to be discovered by individual experience, remembering it is always better to give too small a dose than too large a one, and that the ques- tion of dose is not how much a patient will bear, but how little it will cure. The frequency and duration of treatment, I would also leave an open question. But in the cases here- after related the notes generally, (not invariably) contain a full account of these, from which we may glean a proximate idea as to how frequently it is necessary to repeat the dose and also the length of the sittings ordinarily required. By such careful study of each individual case is the only way by which we can ever hope to make electro-therapeutics an exact branch of medical science. Before I begin a classification of special diseases, their symptomatology and treatment, it behooves me to give the statements of some of the authors in the medical profession, whose opinions of medical topics are received as true through- out the civilized world. These men, when they discover a SPECIAL ELECTRO-THERAPEUTICS. SPECIAL ELECTRO-THERAPEUTICS. 45 fact in the arcana of nature speak boldly in its defense with- out fear or favor. The following defenders of truth in medi- cal science have come to the front, who are advocating the use of electricity as a medical agent for the cure of disease. Golding Bird says : "I feel most anxious to press the employ- ment of electricity upon the practising physician, and urging him to have recourse to it as a rational, but fallible remedy, and not regard it as one expected or capable of effecting im- possibilities (it is to be looked upon and used in a rational manner as we would administer other potent remedies). Neither should a cure of a disease for which it is applied be anticipated in a miraculously short space of time." Prof. Francis E. Anstie, M. D., London, England, says: "I am now fully able to speak with far greater assurance of the positive value of electricity as a therapeutic remedy. I shall make bold to say that nothing but the general ignorance of the facts can account for the extraordinary supineness of the mass of English physicians with regard to this question." Dr. Hammon, of New York, says: "Many of our American physicians know almost nothing of the great benefits to be gained by this agent, and have a groundless scepticism of all that is said in its favor, being ignorant of all its principles." Prof. Bartholow says : "In morbid states involving sensi- bility, the power to relieve is the property of the galvanic cur- rent." Dr. Curtis says: "There is no fact in therapeutics better verified than the power of a low tension galvanic current to relieve pain. Galvanism will relieve pain independently of its effect on the cause of pain. In fact most pain remedies act independently of the cause. It must be, however, that when pain, like sciatica, depends upon disease of the nerve itself that the galvanic current acts more or less by catalysis, upon the cause of the pain in the relief of the disease." Dr. Wilson Phillips, of England, says: "That it has been demonstrated by actual experiment that the electrical current can be used as a substitute for nerve force. He severed the pneumogastric nerve of a rabbit after it had eaten some 46 SPECIAL ELECTRO-THERAPEUTICS. parsley, and after the death of the animal the contents of the stomach were examined and found undigested. A similar ex- periment was made upon another rabbit, but a current of galvanism was passed along the nerve and continued for twenty-four hours, breathing continued as long as the current was kept up. The animal was killed, and the stomach ex- amined, the parsley was completely digested, proving beyond a doubt that electricity supplied nerve force." It seems to be conclusive that after presenting the state- ments of such eminent authority, that a mere novice in medi- cine would see the intrinsic value of electricity as a medicinal agent. When such men as Hammon, Bartholow, Anstie, Wilson Phillips, Rosinthal, Tipton, Duchenne, Butler and Rockwell, whose statements are identical upon any one point in medicine, they must be regarded as being true and founded in fact. INFLAMMATORY DISEASES. Inflammation forms the principal part of so many diseases that to determine its nature is an object of the first importance. Inflammation is known by phenomena peculiar to itself, viz: heat, pain, redness, swelling and loss of function. It may be observed that the nearer the seat of inflammation approaches to the brain, lungs and stomach, the more considerable is the fever, and greater the danger. Inflammations of the head, we shall find are the more dangerous the nearer they approach the brain ; and inflammations of the trunk the nearer they approach the lungs and stomach. Inflammation of the oesopha- gus, occasions a greater degree of fever and is more dangerous than inflammation of the fauces; and inflammation of the duodenum than inflammation of the colon. Inflammations of the extremities are less dangerous than those of either the head or trunk, etc. Wherever there is fixed pain with de- rangement of function, and fever, we have reason to believe that local inflammation is present, which we cannot doubt if the pulse is hard. The arterial blood vessels possessing trans- verse muscular fibres, the effect of unusual action must be, that they embrace their contents more forcibly, and conse- quently feel harder, and the difference between a strong pulse and a hard pulse seems to arise from the artery in the latter case never being wholly relaxed, while in the strong pulse, 48 INFLAMMATORY DISEASES. however powerful the contractions may be during the systole, we have reason to believe that there is a complete relaxation in the diastole, the time at which it strikes the finger. In the case of the hard pulse, the end being to propel the blood into and through the debilitated capillaries of the inflamed part, the arteries in the neighborhood of these vessels, the better to effect this end, seem forcibly to embrace their contents, al- though in a less degree during the diastole; and at length the whole arterial system is affected in the same way, so that however debilitated the circulation becomes, while the in- flammation lasts the hardness of the pulse is still remarkable, and by this means we may detect inflammation when there is no other symptom to guide us. The foregoing symptoms not only leave no room to doubt the presence of inflammation, but also point out its seat. When we know the seat of the pain, as we know that of the different viscera, we conjecture which is affected ; but when we, at the same time, observe what function is affected the matter is generally placed be- yond a doubt. Thus, if the patient inform us that the pain is in the chest, we suspect the lungs to be the seat of the in- flammation, but if, at the same time he labors under cough difficulty of breathing and rust colored sputa, no other func- tion being more deranged than is usual, in the same degree of fever, we no longer hesitate in pronouncing the disease to be inflammation of the lungs. In like manner, when the patient tells us that the pain is in the region of the stomach, and he is distressed with thirst and incessant vomiting, we know he labors under inflammation of the stomach; and so on. But the manner in which we judge of the seat of the in- flammation is not always so simple as in these cases, for it often happens from the sympathy of parts, that although the inflammation is confined to one organ, the pain and even de- rangement of function extends to others. Thus, in inflamma- tion of the kidneys, pain is often felt in the stomach, and its functions are often as much deranged as those of the inflamed part. Nay, a pain is often felt in a distant part, while there is no pain whatever referred to the part affected. In inflamma- INFLAMMATORY DISEASES. 49 tion of the liver, for example, the pain is sometimes confined to the shoulder. It also sometimes happens that the function of neighboring parts are more obviously deranged than the part affected. The patient is often affected with dysponea and cough, or with vomiting, or with hiccup, when on dissec- tion it is found that the liver alone was the seat of inflamma- tion. In such cases it is often very difficult to precisely de- termine its seat; sometimes we shall find it is impossible, but fortunately it is not always necessary, and a person well ac- quainted with the symptoms of the inflammation will never find himself at a loss to determine the seat of the inflamma- tion with all the accuracy that is requisite in practice ; for al- though neither the pain nor leison of function is always ob- served in the part affected, yet both the one and the other are always the same or similar when the same part is affected, at least in the same degree, and in the affection of no other part does the same combination of symptoms occur. Thus, some difficulty of breathing, sickness at stomach, or hiccup, with pain in the right shoulder, and a hard and frequent pulse, as certainly denote inflammation of the liver as if the pain were referred to this organ. Inflammation terminates by resolu- tion, suppuration, or gangrene. The local symptoms indicat- ing the resolution of internal inflammation, are the gradual abatement of the pain, and the restoration of the function of the inflamed part. When suppuration takes place, the pain, for the most part, also abates. It is sometimes kept up by the distension which the collection of pus occasions. As in external inflammations, the throbbing often becomes more re- markable during suppuration, or supervenes where it had not previously been perceived. The patient also feels a sense of weight where the collection of matter is considerable, and if the part is not very deeply seated, fluctuation may be per- ceived through the integuments. The only local symptoms which indicates the termination of internal inflamation by gangrene, except the gangrene by destroying some consider- able vessel occasions hemorrhage, is the abatement of pain. When the pain and derangement of function are unusually 50 INFLAMMATORY DISEASES. obstinate, we have reason to fear suppuration ; when unusu- ally violent, mortification. We shall find that our judgment in this respect is influenced by the nature of the part affected, some of the internal organs, the stomach and intestines for example, being more liable to gangrene; others, as the lungs and liver, to suppuration. But in ascertaining the tendency of internal inflammations, as well as the manner in which they are actually terminating, we trust more to the general than the local symptoms. When the fever is moderate, and yields readily to the means employed, we may hope for resolution. During this termination the fever abates with the local symp- toms, and with them disappears. When the febrile symptoms, though not very considerable, are obstinate, and either yield little to the remedies employed, or soon suffer a new exacer- bation, we have reason to fear suppuration, especially if the inflammation has its seat in those organs which are most liable to this termination. When suppuration begins, the pulse gradually loses its hardness, but continues more frequent than natural, and at the same time more or less of a cold stage is formed, the chills often continuing or recurring for many hours or even days, sometimes followed by hectic fever. It is enough here to ob- serve that it is a fever consisting of evening exacerbations, and morning sweats which never bring complete or permanent re- lief. If the abscess, instead of healing, continues to form matter, especially if the discharge is of an unavoidable kind, this fever continues till the patient gradually sinks under it. In this way internal suppurations may prove fatal, or they may destroy life more suddenly by destroying some of the vital organs, or laying open some of the larger blood vessels, or by the abscess bursting into the cavity of the lungs and oc- casioning suffocation. When in the inflammation, the febrile, as well as the local symptoms are unusually violent, and yield little to the means employed, we dread mortification, especially if the inflamma- tion has its seat in the parts most liable to this termination. As soon as gangrene takes place, the pulse loses its hardness, 51 and becomes very feeble, frequent, and often irregular. The debility is extreme, and the surface bedewed with partial cold, clammy sweats. So sudden and complete in many cases is the relief from pain when mortification supervenes, that the patient, for a short time, often believes himself well. A person acquainted with the nature of his disease, however, knows that he has but a few hours to live, which is soon ap- parent by the rapidly increasing debility. "But such is the tranquility of this period, that many, being made aware of their situation, have made their wills, for unless the inflamma- tion has its seat in the brain it is unusual for coma or delirium to supervene." Mortification may take place without a cessa- tion of pain. When the mortification is confined to a small portion of the inflamed part, the pain may continue to the last. OF SOME OF THE GAUSES OF INFLAMMATION. AH parts of the body, if we except a very few, the cuticle, nails, hardest part of the teeth, and hair,'are subject to in- flammation. The strong, vigorous and plethoric are most liable to it. A peculiar strength and vigor of constitution in- deed seems independently of piethoria to dispose to this dis- ease. Too full a diet, particularly too free use of fermented liquors may be regarded as the chief predisposing cause of such diseases. All causes which check habitual discharges whether artificial or natural, excretion by the skin, and all causes which considerably increase the force of the circula- tion, predispose^ to inflammation, and if applied suddenly and to a great degree, may act as exciting causes. It is to be recollected that the effects of any temperature are not pro- portioned to its degree only, but to that, and the difference be- tween it and the previous temperature are apt to excite disease of an inflammatory character. We shall omit giving the treat- ment of inflammation, until we come to notice special diseases under this heading. INFLAMMATORY DISEASES PNEUMONIA. PNEUMONIA. Under this classification I shall give a view of Pleuro and 52 INFLAMMATORY DISEASES-PNEUMONIA. Typhoid Pneumonia, as they appear quite frequently as modi- fied forms of simple pneumonia during its progress. Simple pneumonia is met with most frequently during the winter and spring months. In some localities it is a very common dis- ease, in others it is seldom met with. It is mosf rife in locali- ties exposed to north and east winds, as on the prairies of Illinois, Iowa, Kansas and Nebraska, and in the great west and southwest. Symptoms-In the majority of cases the disease is preceded for a day or two by uneasiness referred to the thorax, dullness and languor, occasional sighing and more or less chilly sensa- tions, alternating with hot flashes ; the breathing is quick and hurried, a hacking cough, the pulse more frequent than natural, and the temperature is increased. But in general, however, this disease makes its attack in a less ambiguous way. Usually a severe pain and cough with much difficulty of breathing, and a full, hard and frequent pulse are often the first symptoms. The difficulty of breathing, the most common symptom of pneumonia, is more short, frequent and difficult as the disease advances, numbering from 30 to 50 respirations per minute. "Upon auscultation we find that the vesicular murmur is replaced by the crepitant rhoncus, yet there is no bronchial sound, and no dullness on percussion. As the disease pro- gresses day by day, for three or four days, the crepitant rhon- cus disappears and is replaced by a mucous rhoncus. Per- cussion gives increasing dullness over that part of the lungs involved in the inflammation, which condition is that of red hepatization of the lungs." Such are in fact an enumeration of all the objective symp- toms of pneumonia, which are less complicated than those of many other diseases. The pain is either acute, obtuse or ab- sent-if of the first the pleura is involved in the inflammation and the violence of the pain preventing a full inspiration ren- dering the breathing short and quick, where the pain is dull or absent, it is oppressed and laborious accompanied with anxiety and a sense of weight about the precordia. The pain is greatest during inspiration, and generally greater when the patient is in some particular posture. Sometimes it is great- est when he lies on the side affected, sometimes the contrary. In many cases he is easiest on the back or breast, and very often the erect posture is necessary. The pain in different cases has its seat in all the different parts of the chest. It is a belief among the vulgar that the pain in pneumonia is always in the left side, and it is a common error not to regard the case as pneumonia unless the pain be in the side. But in this they are in error, for the pain, however, is very frequently felt under the sternum, the clavicle, the spine, or the scapula. The pain, like the difficulty of breathing, is most felt in par- ticular postures, which are different in different cases. In most cases it is fixed; sometimes it shoots in different direc- tions; sometimes it only shifts its place from the side to the clavicle, scapula, or spine, which has been regarded as a favorable symptom. The kind and degree of the pain is not less various than its seat. Sometimes it is exquisitely acute and during inspiration almost intolerable, only differing in its greater severity, from the neuralgic affection called "stitch in the side." When there is inflammation of the parenchyma of the lungs attended with such acute pain, the complication is known as INFLAMMATORY DISEASES PNEUMONIA. 53 PLEURO-PNEUMONIA. Of this, Prof. Scudder, M. D., says: "The symptoms of pleuro-pneumonia differ from pneumonia proper in little more than the development of pain, and consequent increased dif- ficulty of respiration." In other instances the pain is not felt at all, and the practitioner is left to discover the nature of the disease by other symptoms. Cough is a very constant, and when the pain is severe, a very distressing attendant on all in- flammations of the thoracic viscera. In some cases it is dry and constant hacking; in others, attended with an opaque mucus, the sputa is tenacious and globular and of a rusty tinge. When discharged into a vessel it runs together and becomes so tenacious that the vessel may be inverted without removing it. Authors consider the rusty sputa as pathogno- 54 INFLAMMATORY DISEASES PNEUMONIA. monic of pneumonia. Although the cough may be dry at the commencement of the disease, it rarely continues so only for a few days, then the expectoration becomes more copious. It is an observation as old as Celsus that when there is no ex- pectoration in pneumonia the prognosis is bad. The matter spit up being greenish, of a dark brown color, or thin and acrid so as to excoriate the epiglotis, or sanious and fetid is very un- favorable. A bland, copious, free, white or yellowish expec- toration of a thick consistence is the most favorable. It has been an observation from the infancy of medicine, that much rattling in the lungs before the matter about to be expectorated is brought up is unfavorable. Upon the whole, the greater relief the expectoration brings, the better is the prognosis. If, on the other hand, the expectoration has been scanty, or ab- sent from the beginning, and still more if it fails during the progress of the disease, and what little is expectorated brings no relief, we dread suppuration, or gangrene. Suppuration is to be dreaded when the expectoration is scanty, or absent; gangrene, when the matter coughed up is livid and sanious. Such are the local symptoms of pneumonia; but no combina- tion of these constitutes pneumonia without the presence of fever. The fever often shows itself as early as any of the local symptoms, and the latter are never present for any consider- able length of time without being attended by the former. The range of temperature is never very high, being about one hundred and three, and rarely above one hundred and five degrees (105°), which continues at this until about the fifth or sixth day, and then it commences to decline until it reaches the plane of health on the ninth or tenth day. If we except the difficulty of breathing and cough we shall find no symp- tom of pneumonia so constant as a frequent, strong and hard pulse. The pulse, as in other inflammations, at the com- mencement, is usually frequent, strong and hard, arrest of se- cretion, skin dry and hot, appetite impaired, tongue coated white, thirst and restlessness. In short, all the symptoms of inflammation are superadded to the foregoing. Resolution is the only favorable termination of pneumonia, and is generally INFLAMMATORY DISEASES-PNEUMONIA. 55 attended with a copious expectoration. It appears a contra- diction in terms to say that the termination is by resolution when the matter expectorated is evidently purulent. It has long been taken for granted that the formation of pus is al- ways attended with the destruction of parts, so that the word implies not only the formation of pus but also the ulceration which frequently attends it. If we except a free expectora- tion, no evacuation more frequently attends the favorable ter- mination of pneumonia than a flow of sweat; any degree of general moisture appearing on the skin is favorable ; a sweat seldom fails to bring relief, and if it be universal and copious often carries off the disease-a sweat that brings no relief is to be considered as unfavorable. We have reason to suppose that suppuration will take place, if signs of resolution do not show themselves in five or six days. That suppuration has actually begun we know from frequent irregular shiverings following the symptoms enumerated without any manifest cause; from the pain being mitigated or removed, while the difficulty of breathing continues; from the pulse becoming fuller, softer, either slower or more frequent; from the cheeks and lips looking red, and from an increase of thirst and fever in the evening. Upon the whole, however, the ceasing of the pain, or the pain being changed into a sense of weight with- out any of the evacuations, which it was observed above, frequently attend resolution, while the cough, dysponea and fever still continue, the pulse losing its hardness and the fever assuming the form of hectic, leave no room to doubt the presence of an abscess in the lungs. When the abscess is large, and bursts into the substance of the lungs it often pro- duces immediate death. When the matter is discharged into the cavity of the chest the disease has been termed empyemia; the matter falls down upon the diaphram, when the patient is in the erect position, occasioning a sense of weight in the lower part of the chest. The difficulty of breathing, (now greatly increased by lying down, especially on the back), cough and hectic fever con- tinues, and gradually, exhausts the strength. In the empy- 56 emia we may often perceive the fluctuation of the matter in the cavity of the thorax. When the abscess is small its bursting into the substance of the lungs does not occasion suf- focation, but purulent expectoration; and ulcer of the lungs is generally the consequence, and consumption succeeds, which ends in death. The termination of pneumonia in gangrene (which is very rare) is always immediately fatal. The tendency to gangrene is known from the unusual violence and obstinacy of the symptoms. When gangrene takes place the pain ceases with- out any of the salutary evacuations above mentioned; the countenance becomes pale, the pulse still more feeble and in- termitting, cold clammy sweats appear on different parts of the body, hiccup, loss of sight, and general stupor supervenes and the patient soon expires. The fatal terminations of pneumonia are generally preceded by an evident increase of the whole, or part of the symptoms. The cough is more dis- tressing; the matter expectorated mixed with blood, or brought up with greater difficulty, either owing to the bronchia being clogged by the quantity of viscid fluid poured into them, or the increasing debility. Upon the whole, the less difficult the breathing, the less severe the cough, the more copious and free the expectoration, and the greater relief it brings, the more regular and firm, and the less frequent and hard the pulse, and the less the strength is reduced, the better is the prognosis. INFLAMMATORY DISEASES PNEUMONIA. This disease has been known by various names, but at present it is known as winter fever or typhoid pneumonia. If pneumonia has been improperly treated, or the patient has been neglected by any means, or at the time of the attack he was feeble in health, the disease is likely to take on a typhoid type. In this the inflammation goes on, but is of a lower grade with exudation of plastic lymph into the capillary spaces and into the air cells. This is the stage of red hepatization and if it continues for a few days, the molecular integrity of the parenchyma of the lungs is interfered with to that extent that gray hepatization is developed. If this condition of the TYPHOID-PNEUMONIA. INFLAMMATORY DISEASES PNEUMONIA TREATMENT. 57 lungs is allowed to progress on unchecked, the exudation be- comes converted into pus, this is extravasted and in time an abscess forms. The pulse is feeble and frequent, heat of sur- face very little greater than natural, coldness of the extremities. The difficulty of breathing is so urgent where a large portion of the lungs is involved, that the patient has to have the head and shoulders raised, cough with wheezing, and rattling in the chest, with expectoration. Pain in the side, dullness on percussion, the crepitant rhoncus is absent, the sounds of the mucous rhoncus is unusually distinct, the bowels tender and tympanitic, with a tendency to diarrhea. The disease may be protracted for days, or weeks, and the patient may die with consumption. TREATMENT. In the first stage of pneumonia proper I have adopted the following course of treatment, which gives better results than any other with which I am acquainted. In subduing the inflammation, removing capillary stasis of blood in the lungs, and causing the disease to pass off by resolution. First by the administration of electricity. I use either the galvanic current of McIntosh's battery, or the A B current of Jerome Kidder's electro medical machine. The patient is to place his feet into a vessel containing warm salt water with the negative pole of the battery. The positive pole is to be passed over that part of the lungs in which the inflammation is located. These applications ought to be made every three or four hours, and continued for fifteen or twenty minutes at each sitting, until the disease seems to be yielding to the treat- ment given, after which one or two sittings of fifteen or twen- ty minutes each will suffice. After the disease has progressed for several days, and the patient becomes much exhausted, the poles should be reversed, viz: positive to the feet and negative over the lung inflamed. The following I administer to aid the electrical treatment to arrest the inflammatory pro- cess going on in the parenchyma of the lung. If there is a fre- quent, hard and full pulse with pleuritic pain, indicative of 58 INFLAMMATORY DISEASES PNEUMONIA TREATMENT. pleuro pneumonia, the following I have found to be attended with good results : 9.-Norwood's Tr. Veratrum 5SS- F. Ex. Bryonia gtts xvi. Aquea 3 ij. M. Sig.-Teaspoonful every two hours until the pulse is re- duced in frequency and hardness. If the cough is very distressing: ty.-F. Ex. Ipecac gtts xx. F. Ex. Droseria gtts xx. Tr. Balm of Gilead Buds gss. Glycerine Ai- Aquea •- ^ss. M. Sig.-Teaspoonful every two hours. A mush poultice may be advantageous at this stage of the disease, but as the disease goes on day by day and symptoms of asthenia show themselves, all poultices of every kind are positively contra-indicated. We come now to the most important stage of pneumonia. You will remember that veratrum is the remedy for the fre- quent, hard, and full pulse, indicating sthenic inflammation. But when veratrum has for any reason failed to abort the dis- ease during the first stage, or if you have been called too late to receive its full therapeutic power and you find dullness on per- cussion, bronchial respiration, extreme dysponea, rust colored tenacious sputa, which indicates the presence of red hepatiza- tion ; all sedatives of every kind should be discontinued, for already arterial ischemia and over distension of the veins have set in, a state of things which can only be increased by car- diac sedatives. In red hepatization of the lungs there are no remedies more direct to increase absorption and to relieve the engorged lung than sanguinaria and hydrochlorate ammonia. These remedies in small doses and frequently repeated, will relieve the dysponea, render the sputa more free and less viscid, which will ameliorate all the symptoms. 9.-Nitrate Sanguinaria A gray. Aquea gij. Glycerine Ab M. Sig.-Teaspoonful every two hours. 9.-Hydrochlorate Ammonia grs xxiv. Aquea Ab- Syrup Prunus Virginica Aj. M. Sig.-Teaspoonful every two hours alternating with the Sanguinaria; and as the symptoms commence to yield lengthen the time for giving the medicine. After the symptoms have yielded to the above remedies, INFLAMMATORY DISEASES PNEUMONIA TREATMENT. 59 and the patient is much prostrated, phosphorous in some form with tonics and nutrients are very important adjuncts in this condition, and the administration of sanguinaria and am- monia should be omitted. In the treatment of typhoid-pneumonia great care should be taken to avoid all harsh and active depletory measures. We should always remember our motto, " Vires vitalis sus- tenere" and use means that will not exhaust nor interfere with the vital force in its battle to remove disease and hold the physiological processes in tact. Electrical Treatment-The galvanic current of medium strength should be prescribed by applying the positive pole to the cervical region of the spinal column, and the negative pole over the stomach, and coxyx wet with warm salt water for twenty or thirty minutes two or three times a day. Should there be much dysponea, and pain in the lungs, the positive pole may be applied to the lungs and the negative to the feet for ten or fifteen minutes at each sitting. Medical Treatment-It is evident that there are two forces at work in typhoid-pneumonia, both at the same time-de- structive and sepsis. To meet and overcome these two forces requires two classes of medicinal agents, viz: constructives and antiseptics. The first, to build up and renew the tissues as rapidly as they are being devitalized. The second to de- stroy or modify sepsis of the blood, so that the building up process may go on without being impeded. The following compound has, in my hands, done all I could wish for: ty.-Comp. Tr. Cinchonia 3jjss- Syrup Prunus gss. M. Sig.-Teaspoonful in a little sweetened water every two hours. Phosphorous in the form of syrup hypophosphites compound I have found to be a remedy par excellence. When the follow- ing indications present themselves for its use; feeble and fre- quent respirations, feeble and frequent pulse, doughy and opaque appearance of the skin, cold extremities, free flow of pale urine of low specific gravity, looseness and tympanitic 60 GROUP. condition of the bowels. Fellow's or Silley's hypophosphites is the preparation I use, in teaspoonful doses every four hours to an adult, or the tincture of phosphorous in some cases is preferable in small doses. This is the great constructive agent when combined with proper food. Arnica is another reme- dy that is worthy of being noticed. Scudder says, "It is a specific stimulant to the spinal nervous system, and will be found useful where there is want of innervation from this, feeble respiratory power, difficulty of sleeping from impeded respiration, evidences of impaired spinal innervation. Re- cently it has been employed in the treatment of pneumonia with good results." Baptissa is the remedy where there is sepsis marked by fullness of mucous membranes, tongue and fauces, moist, pasty fur on tongue. We give hydrochloric acid when there is a deep red beefy tongue, and redness of the mucous surfaces with sordes on the teeth. Other reme- dies equally valuable will suggest themselves to the physician when conditions arise requiring their use; eucalyptus, bella- dona, arsenicum, and alcoholic stimulents. These remedies are to be selected and prescribed in such doses as the judg- ment of the physician may seem to understand the relation which they sustain as to the nature of the leisons for which they are administered. The diet should be sustaining and composed largely of heat producing articles of food, so as to supply elements of combustion. INFLAMMATORY AFFECTIONS OF THE LARYNX AND TRACHEA-CROUP. We may divide this disease into three forms, viz: Mucous, Pseudo-Membraneous and Spasmodic croup. The first form is the most common, embracing^earl^ three-fourths of the cases met with. In it the basic consists in an inflamma- tion of the mucous membrane lining the larynx, with an irri- tation of the intrinsic larnygeal muscles, causing partial steno- sis of the larynx, as a result of which the metalic, hoarse ringing cough, and whistling breathing are present. The ac- CROUP. 61 cumulation of mucus, as a product of inflammation of the mucous membrane of the larynx seems to be in excess, known by the muco-rhoncus heard on auscultation. There is dif- ficult breathing, slight febrile symptoms, pulse full and fre- quent, and arrest of secretion. Usually there is a remission in the morning, but all the symptoms are increased in severi- ty towards evening. The child throws back its head and grasps at the neck, as though to remove some foreign sub- stance from the throat. If these symptoms continue for a few hours or a few days, the blood becomes so highly charged with carbonic acid gas, that the patient dies from asphyxia. Pseudo-membranous croup is the most fatal disease that can afflict us during the period of childhood. In this we find that there are more important structures of the larynx involved than in the former ; which is found to consist in an inflamma- tion, both of the mucous membrane and deeper structures of the larynx, with an active irritation of the intrinsic laryngeal muscles as well; causing partial stenosis, and the exudation of fibrous material upon the mucous membrane of the larynx and trachea, which still lessens the calibre of the already con- tracted larynx. This is to be considered the basic leison of croup, and all other phenomena which may arise are but out- growth of this condition, and when we direct our remedies to the removal of the basic leison our patient recovers. All the prodromal symptoms become more ominous from hour to hour, and day to day. There is great difficulty in breathing, the panting child throws itself forcibly backwards, respiration ceases for a moment, the face is cyanotic, the hands are clenched convulsively but after a few seconds the air labori- ously enters the larynx with a whistling sound, and the patient seems a little easier, until a new attack begins. These attacks are probably due to spasm of the glottis produced as a re- flexed action from the inflSfhmation. In this stage the stridu- lous respiration is often heard in an adjoining room. The croupy cough becomes less frequent with the increased loss of voice. The restlessness is greatly augmented. The terrified eyes of the patient plead for help, and this condition 62 GROUP TREATMENT. is interrupted only by short periods of slumber, during which the saw-like laryngeal whistling sound reaches its greatest in- tensity. In many, cases pseudo-membranous shreds and tubes are expelled, and this is to be regarded as a diagnostic sign of true croup. Great improvement for a time seems to follow after their expulsion. But no faith should be placed in such remissions, as these cases, with few exceptions, terminate un- favorably. The temperature of the body is not unusually high at any time. The pulse is full, strong and frequent. But as the disease progresses the originally strong pulse be- comes progressively weaker-often irregular and intermittent in the last stages, while the cyanosis increases in the same ratio as oxidation of the blood diminishes from the want of air into the lungs. The face, hands and feet are covered with cold perspiration. Finally, in consequence of deficient oxidation of the blood, and carbonic acid poisoning, the child becomes comatose, eyelids are half closed, respira- tions artificial, the stenotic sound becomes weaker, the lips and under the finger nails assume a deeper cyanotic hue, and the child dies in an asphyxiated state. Spasmodic croup is a milder form than either of the others. It is not attended with fever, or inflammation, but with irrita- tion of the mucous membrane of the larynx, sufficient to ex- cite muscular contraction of the larynx. This irritation may extend to the bronchial tubes. While the dysponea is prin- cipally owing to contraction of the laryngeal muscles, it may to a certain extent depend upon contraction of the bronchial tubes. This form of croup almost invariably terminates favorably. Medical Treatment-The objects we wish to accomplish in treatment are first, to relax the intrinsic laryngeal muscles which will remove the stenotic condition of the larynx, and give better respiration. Second, to lessen inflammatory ac- tion of the larynx and deplete the engorged blood vessels of the part, so as to prevent fibrinous exudations on the mucous membrane of the larynx. There is one thing we should re- member, in order to be successful practitioners, that isr every GROUP-TREATMENT. 63 disease has a basic leison, and we must know what it is, where it is, and how to remove it. So in croup ; it has a basic leison, which is an inflammation of the larynx, with irritation of the intrinsic laryngeal muscles, causing partial stenosis, which I have already referred to in a former part of this work. This condition is what we have to meet and remove with our remedies, that our patients may recover. The following will, if properly administered, accomplish all that may be hoped for by any class of remedies. But for this purpose they must be used in small and frequently repeated doses, so as to pro- duce relaxation and sedation of the part. If the inflamma- tion is of a sthenic character, and has involved the deeper structures of the larynx with full and strong pulse : ty.-Norwood's Tr. Veratrum gtts x. F. Ex. Aconite gtts v. F. Ex. Phytolacca - gtts xvi. Aquea gij. M. Sig.-Of this, a teaspoonful every one or two hours, which should be continued as long as the symptoms indicate a sthenic condition. Sanguinaria is a remedy that is extolled very highly in the treatment of croup. Dr. Payne, of Philadelphia, says of it: "The sanguinaria is one of the most valuable remedies known in the treatment of pseudo-membranous croup. It has proved as much of a specific for that disease as quinine has for ague. I have seen it used in a great number of cases and have never known a single failure. It should be made into an acetic syrup by adding ten grains of sanguinaria to four ounces of vinegar; steep, and add one ounce of sugar to form a syrup." Dr. Winterburn sayst "In these cases of croup, if the face is livid and swollen, the lips blue, and the dysponea extreme, sanguinaria will cure, but if the face is pale, the lips and ex- tremities cold, the pulse feeble, and the breathing, difficult al- though considerable, yet not intense, it will fail." The indica- tions for sanguinaria are a loose, rattling cough, which becomes dry, spasmodic and then croupous, and if sanguinaria be used the order is reversed, and from croupous it becomes first, merely spasmodic and then catarrhal. I have full confidence in this remedy in the treatment of pseudo-membranous croup 64 ACUTE RHEUMATISM. when the indications show themselves for its use. I prescribe it in the following manner : IA-Acetous Syrup Sanguinaria (10 grains to 4 oz.) gij. F. Ex. Arum Tryphillum 5j- M. Sig.-Of this, a teaspoonful every hour, alternating with the other mixture. These remedies should be continued until the disease yields; the dose to be varied in size and frequency, as the case seems to require. During the progress of the disease, if the patient is threatened with immediate asphyxia from the accumulated mucus in the larynx, trachea and bronchia, an emetic should be promptly administered, but under no other circumstances is an emetic admissable, for repeated efforts at vomiting throw the larynx into action, cause increased determination of blood to the part, and an increased irritation of the intrinsic laryngeal muscles, and consequently greater stenosis of the larynx. Electrical Treatment.-Place the feet of the patient, with the negative pole, in a basin of warm salt and water. The posi- tive pole, the sponge of which, wet with the same, applied to the throat, back of neck, and along the spinal column, for half an hour, the current of medium strength. Repeat the applica- tion every three or four hours until the disease, with all its ac- companying symptoms, begins to yield, then less frequent. The feet and surface of the body should be kept warm, and the temperature of the room raised to 65° or 75° Fahr., which is to be maintained by day and night. Nitrate of Potash dis- solved in water so as to fill the room with vapor highly charged with oxygen, is very essential. ACUTE (INFLAMMATORY) RHEUMATISM. Acute rheumatism is usually ushered in with feverish dis- turbances, followed by the local attack of inflammation about one or more of the larger joints-the elbow, knee and ankle- which are very painful, and have a red inflamed appearance ; movements of the affected limb cause great pain ; the tongue is coated with a thick, white fur; the urine is high colored and very scanty ; the bowels usually constipated.* The fever often precedes the local inflammation one or two days ; sometimes they occur simultaneously, while in others the inflammation of the joints precedes the fever. Pain is a more constant symptom than swelling, and swelling than redness. The pain has many degrees of intensity, is generally intermittent, abates somewhat during the day, but is aggravated at night, and in all cases is increased by pressure, so that even the touch of the medical attendant or nurse, or the weight of the bed clothes can scarcely be borne. The skin is hot, but covered with a sour, offensive sweat and so highly acid as to redden litmus paper. Rheumatism often suddenly quits one joint to appear in another, and then in another, until in some cases nearly every joint in the body may be attacked- Electrical Treatment.-Dr. Tipton says: "First ascertain if the kidneys be morbidly positive; urine scanty and too highly colored, as is commonly the case. Begin with positive B D current over the kidneys, and direct the negative pole to the feet by placing them in a basin of warm salt water. Treat in this manner fifteen or twenty minutes." Let this be the commencement of treatment, until this condition of the kid- neys is removed ; then treat with positive pole over inflamed joints for fifteen or twenty minutes. By this mode of treat- ment I have had the pain and swelling to subside sooner than any other. A centrifugal action is necessary to be established by applying the positive pole to the nerve centers and the negative to the peripheries. In severe cases this treatment should be given twice a day until the patient is entirely relieved. Medical Treatment.-If called in the early stage of this dis- ease, the following may be given with great advantage: -F. Ex. Jaborandi gj. M. Sig.-Oue-half to one teaspoonful every one or two hours until perspiration is induced. The success attending the use of this remedy justifies the belief that it may, ere long, become one of the foremost in the treatment of this affection. After the patient has perspired ACUTE RHEUMATISM. 65 66 CHOLERA INFANTUM. freely from the use of the Jaborandi, the following may be substituted: W-F. Ex. Cimicifuga ' 5ij. F. Ex. Aconite gtts v. Aquea §ij. M. Sig.-Teaspoonful every two hours. -Nitrate Pot 5j. Holland gin gij. M. Sig.-Teaspoonful in water every two or three hours to eliminate the products of metamorphosis, by stimu- lating the organs of secretion and excretion. The following liniment may be applied locally, to subdue inflammation of the parts : ty.-Tr. Arnica giv. Spts. Camphor gj. F. Ex. Hamamelis §j. M. Sig.-Wet a flannel cloth and apply warm. If malaria is a factor in connection with the rheumatism, quinine is to be administered in sufficient quantity to arrest its influence and tone up the system. CHOLERA INFANTUM. (Inflammation, or high grade of irritation of the stomach and bowels). This is a disease peculiar to childhood, and occurs princi- pally during the second summer, as there is at this age a change from the fluid food obtained from the mother, to the ordinary food of man. If, to these conditions of the mucous membrane of the intestines, which constitute feculent and ca- tarrhal diarrhea, we add a derangement of the liver, and an erythematic inflammation of the stomach, passing sometimes into a state of congestion, we shall be able to form a pretty accurate conception of cholera infantum. Symptoms.-Although the intestinal actions, in the beginning, may only indicate a diarrhea, which gives the child but little uneasiness and is scarcely noticed by the mother. But presently the child manifests an intense desire to drink, which is no sooner taken than it is ejected from the stomach. When the attack is violent, the vomitings and purgings are attended CHOLERA INFANTUM. 67 with such spasmodic action as to resemble cholera morbus of the adult. The fever, which soon follows the first symptoms, is irregularly remittent, having its highest excerbations in the evening. "The skin is harsh, dry and constricted, and in some cases seems to be drawn upon the patient like parch- ment. There is great irritability of the nervous system, the patient being restless and uneasy, and never satisfied." The brain is in a high state of irritation as shown by the delirium, convulsions and frenzy which attend it. The eyes, by their fierce or languid expression, when awake, and half closed condition when asleep, are indicative of the same. The pulse is generally small, quick and feeble, or irritated and corded, but rarely full or strong. The thirst is intense. With all this, there is an unequal distribution of temperature, while the ex- tremities are cold, the body is very hot. "Emaciation pro- gresses in this affection with great rapidity, the complexion be- comes pallid, the flesh flabby, and such is the demand of the respiratory function that the fat becomes entirely absorbed, livid spots appear on the skin. The eyes and cheeks become sunken, the lips shriveled, the integuments corrugated except on the forehead, and nose pointed." The color of the dis- charge is variable, being green, yellow, white or brown, in- odorous or very offensive, but generally being acid in reaction. Sometimes the alvine irritability is such that the food passes undigested through the bowels. The frequency of the dis- charges vary; in some there are three or four during twenty- four hours, in others there are from fifteen to twenty during the same period of time. There are cases in which the vomiting, in connection with the above symptoms, continues to the close of life; but more generally it ceases, leaving a diarrhea to wear out the patient. In still more advanced stages of the disease, several other fearful symptoms show themselves; the abdomen becomes tumid or sunken; the mouth becomes moist and aptheous ; petachiea and a small, vesicular eruption appear on the breast; the skin becomes of a dull and dirty hue, and the conjunctive appears bloodshot. The circulation has become exceedingly languid, the patient very restless and 68 plaintively moaning; coma comes on and terminates the suf- fering, but not always without symptoms of hydrocephalus. "The vesicular eruption on the breast, the discharge of living worms, and the thrusting of the fingers into the back part of the mouth, as though desirous of drawing something from the throat are regarded as invariably fatal symptoms, but the tenacity with which the infantile system clings to life, in this form of disease, most generally, is truly remarkable; the strug- gle seems to be one of time, and if the physician can stay, even to a small extent, the progress of the disease, to a more advanced season, the patient may recover, however improb- able it might appear from the exceedingly worn out condition of the patient." In duration, the disease varies from a few hours to weeks, and from weeks to months; and it may be truly said, "while there is life, there is hope." Medical Treatment.-The objects of treatment in the acute form of cholera infantum are to arrest the vomiting, to check the diarrhea and reconstruct that which has been torn down by these discharges. The following I have found to fulfill the first two objects of treatment with better results than any other with which I am familiar. These remedies control nausea, check alvine discharges and prevent morbid irrita- bility of the brain : B.-Bromide Pot Xj. F. Ex. Aconite gtts iv. F. Ex. Gelsemium $ssvel 3j- Aquea gij. M. Sig.-Teaspoonful every one or two hours; being gov- erned by the degree of fever and restlessness that may exist. Should there be an extreme degree of fever with a corres- ponding amount of restlessness, dry skin, flushed face, con- tracted pupils, head hot, this prescription may be given every half hour for a few doses until these symptoms are brought under subjection. To have a soothing and restraining action on the stomach and bowels, and act in connection with the above, the follow- ing I have used with good success : CHOLERA INFANTUM. Bl-Subnitrate Bismuth Jj. Pepsin 5 ss- M.-Ch. No. xv. Sig.-One every three or four hours in a little peppermint water. If there is great thirst, nausea and vomiting, a cold infusion of the bark of the twigs of peach tree is very good to slake it and check vomiting. Small pieces of ice may be given for the same purpose, or in absence of the ice a little salt may be add- ed to the water, which will quiet the stomach when all other remedies seem to fail. The patient should be kept perfectly quiet and not be handled nor jostled about more than is prac- ticable. In the non-febrile form of cholera infantum attended with emaciation, tumid or sunken abdomen, skin dull and dirty, the circulation feeble, cool extremities with feeble capil- lary circulation : ty.-Elix. Calysa, Iron, Strich. and Pepsine, in half tea- spoonful doses every four hours. Alternating with the above, the following may be given, provided the stomach will tolerate it: I* -Scott's Emulsion Codliver Oil, in teaspoonful doses. Electrical Treatment.-Electricity will be found a remedy of superior power to all others, in the successful treatment of these cases. It seems to act like magic as it were, so potent is it to arrest nausea, and alvine discharges, in atonic condi- tions of the alimentory tract. It seems to diffuse new life into the emaciated and cadaveric like form, improving thereby all the physiological processes. Apply positive pole to the back of the neck and down along the spinal column to the coccyx ; the negative over the stomach, liver and bowels for fifteen to twenty minutes. The operator and assistant may take the sponges in their right hands and apply their left to the patient, which will modify the tension of the current. These treat- ments should be repeated every six, twelve or twenty-four hours. If there is a soft compressible pulse, a relaxed skin and cold extremities, then quinine by inunction may be ap- plied to the skin two or three times a day with good results. Much will depend upon the administration of food in these cases. Milk mixed with a little bicarb, soda or lime-water will CHOLERA INFANTUM. 69 70 INFLAMMATORY SORE EYES. be found to suit the majority of cases. Horlick's or Liebig's food will be found excellent where either can be taken. Con- valesence must be watched, and all improper food avoided. If the child does not take a sufficient amount of nourishment, and is much prostrated, brandy will come in good play here. INFLAMMATORY SORE EYES. Inflammation of the eyes usually comes on with a sensa- tion of dryness and smarting of the eyelids as if sand had got into them, and it is with difficulty that the patient gives up this idea, he is so strongly impressed with it; which is followed by heat, redness, pricking, and with darting pains. Electrical Treatment.-It is often astonishing, the rapidity with which the galvanic current will reduce the hyperemia and redness of the eye attendant upon this affection, relieving the pain, and in fact dispersing all the symptoms. The little engorged blood vessels can almost be seen to empty them- selves, and at the end of three or four sittings of fifteen or twenty minutes each, the diseased organ looks as healthy as the unaffected one, and remains so, seldom needing any other applications of the current. Inflammatory conditions of other parts may be successfully treated by the galvanic current -it is a very potent remedy to disperse all inflammatory con- ditions, either acute or chronic. Mode of applying the elec- trical current-If the disease be acute, take an eye electrode, fill it up to the neck with warm salt water, attach positive conducting cord to it, apply, having the eye open in the water. Place the negative pole on the spine at the upper dorsal ver- tebra. Treat each eye three to five minutes twice daily with mild current. If the disease be chronic apply the negative pole to the eyes and place the positive pole to the spine. Use a mild current as in the acute form. Medical Treatment.- ty.-Sulphate Zinc grs viii. Sulphate Morphia grs iv. F. Ex. Aconite gtts iv. Rose Water •. gij. M. Sig.-Wet a small compress of linen or old muslin, and keep applied to the eyes. Keep the bowels open by means of sulphate magnesia. The diet should be non-stimulating. DIPHTHERIA. 71 DIPHTHERIA. After a period of incubation varying from three to seven days, during which the patient suffers from general malaise and depression, ,with occasional chilliness, the disease an- nounces itself by a definite constitutional disturbance, there is a rise in the temperature and pulse rate-the former often reaching 104° F. within a few hours-an increased feeling of chilliness, loss of appetite, nausea, and in some instances vomiting or diarrhea. If the patient is an adult, he complains of pain in the loins, of headache and often of giddiness. His attention is, however, soon diverted from these general symp- toms to his throat, which, in a very short time, begins to feel hot and dry, and to cause pain in swallowing whilst the neck feels stiff, swollen and tender. In a child these subjective symptoms are to a great extent lost. The physician, called to a case such as is here described, will at once proceed to in- spect the patient's throat, and will probably find the tonsils, the pillars of the fauces, the uvula, and the back of the pharynx red and swollen. But the false membranes which are characteristic of the disease will very probably have not made their appearance. If they have not, a few hours will probably suffice to develop them. The second stage will then be present. On carefully watching the progress of the case, a 72 viscid yellowish secretion will be seen gradually accumulating in the depressions on one or both tonsils. A little later the superficial layers of mucous membrane becomes infiltrated at certain points with a yellow substance, which raises them above the level of the surrounding normal tissue. The infil- trated patches, which are at first more or less translucent, soon become opaque, at the same time changing in color from yellow to a grayish white, extending at their periphery, and coalescing with similar adjacent patches. In this way a con- siderable surface of the fauces and pharynx becomes coated with false membrane, which, being constantly re-inforced by additions to its under surface, gradually assumes a leathery consistence and a lardaceous appearance. Strips of this mem- brane may now be torn off, and in some cases, with care, the whole of it may be removed in the form of a coat from the parts on which it is deposited. The mucous membrane beneath will be found robbed of its epithelium, of a vivid red color, and covered with numerous hemorrhagic points. Externally the neck is more or less swollen and brawny, whilst the parotid, submaxillary, and lymphatic glands are frequently en- larged, hard and tender. The temperature in most cases gradually subsides as the exudation extends, but sometimes it remains at a high point, and may even increase as the local process develops, but usually falls almost to normal by the third or fourth day. The patient still complains of difficulty in deglutition, and suffers from a constant "hawking" caused by his endeavors to get rid of the tenacious secretion which is poured out from the mucous membrane. Unless the mouth is repeatedly washed out with a disinfectant gargle the breath be- comes horribly offensive from the decomposition of the mor- bid secretions in the throat. The primary blood poisoning is shown by the extreme debility, the pulse being weak and compressible, and often either exceptionally rapid or very slow, while the first sound of the heart is muffled and devoid of tone, and by the albuminaria, which is almost a constant symptom in this disease, and which appears at a very early period. The urine itself is scanty and high colored, DIPHTHERIA. DIPHTHERIA. 73 containing an excess of urea and epithelial casts. It is at this period that the diphtheritic process, instead of limit- ing itself to the pharynx, may spread in the downward direc- tion, and attack the larynx, trachea and bronchia by continuity of structure. This extension, when it occurs, usually takes place within from three to five days of the invasion of the dis- ease, and is in most cases announced by unmistakable signs. The voice becomes hoarse, the breathing is more or less strid- ulous, and there is a constant dry and toneless cough. To these symptoms succeed those of embarrassed respiration ; distressing dysponea; gradually increasing cyanosis:; swelling of the face, and drowsiness, passing into fatal coma. The croupy cough, altered voice, and suffocation which are immi- nent from the first settles the nature of the disease beyond a doubt that we have a case of "diphtheritic croup"-the most fatal form of diphtheria known to the medical profession. The other extensions are of less importance, but are attended with great danger. The implication of the nasal cavity generally announces itself by the discharge of a fetid, dark colored watery fluid, which excoriates the margins of the nostrils and upper lip. This condition may remain till the pa- tient recovers or dies, or it may be followed by, the formation of false membrane on the schniderian membrane of the nose, and the discharge of fibrinous lumps through the anterior or posterior nares. It is sometimes accompanied by repeated and perhaps fatal epistaxis. Sometimes there is blocking up of the lachrymal duct, and consequent overflow of tears. Cases, indeed, occasionally occur in which the diphtheritic process extends by this route to the conjunctiva and a plastic exuda- tion takes place on that membrane. If the inflammation passes along the eustachian tube, complaint will be made of roaring noises in the ears; of darting pains and of deafness, which may be followed by perforation of the membrana tympani, and a discharge of a purulent fluid. The exudation of false membrane is an almost invariable phenomenon of diphtheria. There are only two classes of cases in which it may be absent, viz: those in which death from blood poison- 74 ing occurs before the exudation has time to form, and those in which the local process is not severe enough to result in the formation of a definite membrane. False membranes may form in the course of the disease upon any part of the mucous surfaces which are exposed to the air. As a rule, they attach themselves to the more prominent parts. They extend from the pharynx to the epiglottis, and ary-epiglotic and vocal cords into the trachea, and may only be arrested in the small bronchi. They may spread upward into the nasal passages, covering the whole cavity and following the wind- ings of the turbinated bones. They may appear at the ori- fice of the nares and attack the excoriated skin around them. They may extend up the lachrymal duct and show themselves upon the conjunctiva. In some rare cases they have been known to extend into the oesophagus, and they occasionally cover the tongue and mucous membrane of the lips. In both sexes it may attack the mucous membrane near the orifice of any of the internal passages. External wounds of any sort are liable to be covered by false membrane. In short, no part of the body which is at once open to the air and uncov- ered by a thick epidermis, is free from the liability of local in- fection and the consequent formation of false membrane. The fever in diphtheria may either be very marked or almost absent. In the severest and most malignant the temperature rising to 104° or 105° Fahr, and after two or three days fre- quently falls below the normal standard. There is never any tendency to extreme hyperpyrexia. In the usual run of cases it would appear that the variations of temperature follow a fairly definite course. One author states, "that there is a rather acute development of fever at the time of the attack, but that the febrile movements diminish on the second day to almost normal temperature" [which corresponds with my own observations.] Cutaneous eruptions are not uncommon in some epidemics, or even in sporadic cases of diphtheria, es- pecially among children. Their most common situations are the face, neck and chest; quite frequently they make their ap- pearance on the abdomen and thighs. A rash is most fre- DIPHTHERIA. DIPHTHERIA. 75 quently met with in the severest cases. The date of its ap- pearance is not definite, and its duration is very variable. Sometimes it disappears in a few hours, in other cases it per- sists for days. The rash of diphtheria generally more or less resembles the rash of scarlatina, and consists of minute red isolated spots, which disappears on pressure. It differs from scarlet fever in the fact that it is not followed by des- quamation. The cases in which diphtheria appears in an ex- ceptionally severe form may offer still greater difficulties in the way of differential diagnosis, than even mild cases. A patient is struck down by intense general blood poisoning and rapidly passes into what is named the "typhoid state." If in- spection of the fauces is neglected in such a case, the physi- cian may experience the greatest perplexity as to the nature of the disease. Even the fauces may appear healthy, and the case still be one of diphtheria, for the membrane may not as yet have had time to form, or may have formed beyond the range of sight. The dangers which are most to be dreaded at the outset of an attack are, on the one hand, extension of the disease to the larynx, and on the other the severe blood poisoning. In the former case the patient is exposed to immi- nent risk of death from asphyxia. In the latter a fatal result may occur from collapse, or the patient may rapidly sink with adynamic symptoms. At a later period a fatal result may be brought about by repeated attacks of syncope, by general prostration without manifest cause ; by constant and uncon- trolable vomiting, or from severe hemorrhages, or by inflam- matory complications, such as secondary pneumonia or acute nephritis. In the case of infants, death has resulted from inability to suck, owing to implication and consequent stop- page of the nasal passage. Death during convalescence most commonly results from paralysis of the heart or of the muscles of inspiration, or from intercurrent disease of the lungs or pleura or from general failure of nerve force and exhaustion. The most cursory study of the general pathology of diph- theria suffices to assure us that it is an acute general dis- 76 ease with certain local manifestations. The primary septi- cemia is due in the first instance to the specific poison, but absorption from the decomposing lymph is no doubt also a cause of secondary infection. In all cases the attack is asso- ciated with some degree of constitutional disturbance, while, in the severest forms, there is extreme disorganization of the blood and consequent implication of nearly every tissue in the body. There is the frequent derangement of the renal function, the marked prostration of strength, the functional de- rangement of the heart, and at a later period, the extensive implication of the nervous and muscular systems. If the dis- ease terminates favorably, a marked improvement in all the symptoms takes place generally, at the end of the first, or at the beginning of the second week. The swelling and injection of the mucous membrane steadily subside, the exudation ceases to extend, and portions become successively loosened and thrown off. All the local discomfort rapidly disappears, and the general symptoms improve. The temperature and pulse rate fall to a normal standard and remain so ; the appetite re- turns; the urine becomes of natural color and quality; the skin resumes its functions, and, with the exception of a certain degree of muscular weakness, the patient feels quite well. He is not, however, as yet, quite out of danger; it is not at all an unfrequent event for a relapse to occur, with a fresh forma- tion of false membrane, and a return of all the most serious symptoms, or the heart's action may show signs of failure, and he may die of syncope. Pathology-Diphtheria belongs to the asthenic class of dis- eases, and is a specific and infectious disease, setting up in the blood a process of sepsis. This impairs the normal molecular integrity of the tissues by exhausting the sympathetic nervous system. There is a change in the electrical condition of the blood, with imperfect oxidation ; the blood is surcharged with carbonic acid and effete matter, in which there is increased sepsis with loss of muscular irritability and rapid tissue change. We notice an asthenic spreading inflammation of the mucous membrane of the tonsils, uvula and pharynx, attended with DIPHTHERIA. DIPHTHERIA. 77 patches of gray exudations on the inflamed parts. If these patches are removed, the surface beneath is seen to be red and bleeding, and in a few hours becomes covered with a fresh layer of exudation. Diphtheria varies much in its gen- eral character. Sometimes the general and local symptoms are trifling, attended with little fever, little soreness of the throat, slight dysphagia, no nervous symptoms, nor yet any albumen in the urine. In others the disease is very severe. The mucous membrane may be dusky red ; the dysphagia ex- treme ; the fever great, but of a low adynamic form, intense muscular weakness ; the urine loaded with lithates, albumen, granular and sometimes tubular casts. Treatment.-I had been, for the past four years, reading ev- erything that I could get in my possession on diphtheria, with the hope that I might come across something that would rob this fell destroyer of some of its terrors, and not until three years ago did I believe that anything new could be added to the list of our remedies. As a dernier resort I was led to reason in this way: That there are in the human system, manifested, three actions, viz: Vital, Electrical and Chemical. So in all asthenic diseases there is minus the positive electri- cal action, known by nervous and muscular prostration (de- oxidation of the blood). Viewing it from this standpoint, I was induced to test the action of electricity in connection with my usual prescriptions, and,'after administering it in a num- ber of cases and observing its power for good over morbid processes, I was constrained to exclaim "Eureka!" so certain was it in arresting the disease. Soon after I had thus tested this potent agent in a sufficient number of cases to establish the fact of its superior qualities as a medicinal agent, I wrote an article, which was published in the March number of the In- dependent Medical Investigator for 1880; being the first I ever saw in print, extolling it as having a superior power over the system as a vitalizer, causing it to rid itself of zymotic poison especially that of diphtheritic. Since that time I notice, through the medical literature of the day, that many promi- nent physicians have dared to come to the front in this direc- 78 DIPHTHERIA. tion, and are using it in acute as well as in chronic diseases, with most excellent results. Electricity is a catalytic, stimu- lant and antispasmodic. Its power is to arrest and break up morbid processes by stimulating the cells of the central sym- pathetic nervous system, which action is carried to the peri- pheral nerves, carrying along the poison from the centers to the circumference, emptying them into the capillary blood vessels in the same manner that nature does in health. How does the system rid itself of uremic poison, other than by eliminating it through the depurators ? When there is sup- pression of urine with symptoms of "uremia" we administer such agents as will stimulate the depurative organs, whereby this accumulated poison in the tissues and blood maybe elimi- nated, and there is no other way by which this can be accom- plished, save in establishing a physiological action of the secre- tory and excretory organs. If the human organism thus rids itself of foreign subtances in these cases, will not the same principle apply to the elimination from the system of all poi- sons ? As nature's workings are in direct lines, she never goes "fooling round" and bending her operations to suit the theories of speculative minds. Where there is an active con- dition of the blood vessels (electro-positive) in any part of the body to which the positive electrode of a galvanic battery is applied, there is 'caused an anemic condition of these vessels ; for it is a law of electrical science 'that two positives repel each other. And since the blood-vessels of the part are in a posi- tive condition, we readily see the rationale how these engorged vessels have been depleted by the continuous galvanic current. The same analytical reasoning applies to parts of the body in an electro-negative condition. We thus change polarization of disease to that of health, by re-establishing an equilibrium of the electro-nervous fluid. Mode of Applying the Electrical Treatment.-In applying electricity in the form of the galvanic current, I direct the patient to have his feet placed in a vessel, containiiig warm salt water, with the negative electrode; then I moisten the sponge of the positive electrode and apply it to each side of the DIPHTHERIA. 79 throat, over the swollen glands for fifteen to twenty minutes, then to the cervical region of the spinal column from five to ten minutes. These treatments should in bad cases be given once in three or four hours, mild current only. Use the A B current of Kidder's battery, should it be preferred, in the same manner as in the others. This treatment is for adults and children from eight to fifteen years of age. For small children I usually apply the positive electrode to the glands of the throat, over the upper part of the chest and to the cervical re- gion of the spinal column, the negative to the dorsal and lum- bar regions of the spine. I have the little patient to take the electrode in the hand, and held there by an assistant, or apply it to the stomach, bowels and liver. These treatments should be repeated as ofterf as three or four times during the twenty- four hours. It should always be remembered that only mild currents are to be used on children-which should be con- tinued at each sitting twenty to thirty minutes, in order to get the full allotropic action of the current. It should also be re- membered that the positive electrode is to be applied to the parts where there is active inflammation, or congestion, and the negative electrode remotely, for this is the one that stimu- lates the absorbent vessels and causes poisons to be taken up as fast as the positive pole propels them into the capillaries at the peripheries. When adult patients are too much prostra- ted to have their feet immersed in warm salt water, give them treatment in the same manner that you would children. The A B current of Kidder's electro-medical apparatus is used in preference to either of the other currents as it is the most powerful catalytic of either of the others. McIntosh's com- bined galvanic and faradic battery, I have found to give entire satisfaction. I shall now present to my readers a few clinical cases of diphtheria, the history and treatment of which verify the statements which I made in a previous part of this work, as to the great vitalizing power of electricity over diseased pro- cesses, when used in connection with appropriate medicinal agents. Some may claim that these cases would have re- 80 DIPHTHERIA. covered as speedily without the administration of electricity as with it; so they might, but the fact of other similar cases dy- ing by the score under the treatment of other physicians who did not use electricity in their practice; this I urge as a rea- son for the necessity of the administration of electricity in the successful treatment of this most fell destroyer, diphtheria. Case I. Miss U., aged fifteen years, was taken sick on the 25th of January, with all the prodromal symptoms of diphthe- ria of the ataxic form; exudations on the pharynx, tonsils, uvula, with an extension up into the anterior and posterior nares, followed by considerable sloughing and hemorrhage. Electrical Treatment.-I directed the application of the electric current to be made. The positive electrode (the sponge of which wet in warm salt water) to be applied to the swollen glands of the throat; the negative to the feet, which were immersed in a basin containing warm salt water; the current continued from twenty to thirty minutes, and repeated every four to six hours, until she began to improve, then two or three times during the twenty-four hours. Medical Treatment.-The following was prescribed, to be used internally. -Quinine grs xv. Mur. Tr. Iron SM- Potassa Chloras --- $ss. Aquea Jj. Glycerine 3vi. M. Sig.-Teaspoonful every two hours in water. 9.-Hyposulphite Sodea 5ij. F. Ex. Phytolacca gtts xx. Aquea §j. Glycerine gj. M. Sig.-Teaspoonful every two hours; alternating with the other. When the patient commenced to improve, the medicines were given each every three hours. Whisky ad libitum, egg nog, and milk punch were administered frequently. The pa- tient was sick for ten or twelve days, but fully recovered. Case II. Eunice H., aged 3 years, was taken sick Feb. 1, with diphtheritic croup-hoarse, metallic cough; stridulous breathing: high temperature ; pulse 135 per minute. Dr. L. was called first, and diagnosed the disease as being pseudo- DIPHTHERIA. 81 membranous croup. The doctor and relatives became alarmed, and they had me called as counsel. I examined the little fellow's throat, and never saw a more marked case of diphtheritic exudations, which entirely covered the pharynx, tonsils, uvula, and an extension of the exudation of an inch up into the arch of the buccal cavity ; also involving the larynx, giving rise to the croupy symptoms. I gave an unfavorable prognosis of the case to the doctor and friends, but I concluded to see what science and direct medication would do for the case. I reasoned in this way : That there is an asthenic in- flammatory process going on in the throat, with an exudation of cacoplastic lymph there, and that electricity is a stimulant and catalytic, and breaks up morbid processes by stimulating the cells of the systemic central nervous system, which influ- ence is carried to the peripheries, thereby equalizing the cir- culation, increasing absorption, and all the physiological pro- cesses, and that the nervous and muscular irritability at the point to which the positive pole is applied is lessened (anemia of the blood-vessels) and that nervous and muscular irritability at the negative is increased (hyperemia of the blood-vessels). Believing these to be true principles of the action of the elec- tric current, I directed that the patient's feet be placed in a basin containing warm salt water with the negative pole of the battery, and the positive pole (the sponge of which being wet in the salt water, to increase the conductility), to the swollen glands of the throat and over the upper part of the chest. These applications were repeated every four to six hours until the symptoms seemed to be yielding, then twice a day. Medical Treatment.-The internal treatment was as follows: 9--Hyposulphite Sodea ST F. Ex. Jaborandi 3SS- F. Ex. Arum Tryphillum 5ij. F. E. Phytolacca --gtts xvi. Aquea and Glycerine quantum sufficit to fill a two ounce bottle. M. Sig.-Teaspoonful every two hours. 9.-F. Ex. Eucalyptus gss, F. Ex. Cinchonia co - gjss. M. Sig.-Of this a teaspoonful in a little simple syrup every four hours. Whisky was given quite often, and milk punch and egg nog 82 DIPHTHERIA. in such quantities as the patient would take. I was retained, and called to see the little patient often. In from six to ten hours after my first visit, the patient commenced perspiring profusely ; the alarming symptoms began to give way; the pulse fell from 135 to 110 per minute; the hoarseness and croupy cough commenced growing less alarming, and he gradually convalesced, and within a few days he was well. Case III. Dr. C's son, aged four years. On the 4th of February I was called by the doctor to see his little son, who, after making a careful examination, I found in a very danger- ous condition, but told the doctor that I would put forth my best efforts to save his boy. Electrical Treatment.-I directed that the electric current be used in the same manner as in Case II. The sittings to be repeated every four to six hours, until the inflammation and croupy symptoms began to subside. Medical Treatment.- W-F. Ex. Jaborandi 388- Arum Tryphillum 5b • F. Ex. Aconite gtts v. Aquea 3b- Glycerine 3b- M. Sig.-Teaspoonful every two hours. ty.-Tr. Iodine 3j. F. Ex. Phytolacca gtts xx. Glycerine 3.1- Water -_ 3j. M. Sig.-Teaspoonful every two hours, alternately with the other. In a few hours after the patient commenced taking the treat- ment he began to sweat freely, and continued perspiring for several hours, when the alarming symptoms commenced dis- appearing, and in six or «ight days he was comparatively well. Case IV. Age sixteen years, was taken sick on the 24th of March, with symptoms of malignant diphtheria; rigors, head- ache, and vomiting; very fetid breath; exudations in the throat, which extended up into the posterior and anterior nares, followed by sloughing and hemorrhage. The fever was of the adynamic type; the pulse frequent and feeble; great prostration of strength : anorexia, etc. DIPHTHERIA. 83 Electrical Treatment.-In that the patient was too weak to sit up and have his feet placed in warm salt water. I had the positive pole applied to the throat, upper part of chest, both anteriorily and posteriorily ; while the negative pole was applied to the stomach, liver and bowels. These treatments were given two or three times a day, and continued for fifteen to twenty minutes at each sitting. Medical Treatment.- l^.-Hyposulphite Sodea 5ij. F. Ex. Baptissa gtts xvi. F. Ex. Phytolacca gtts xx. Glycerine 3j Water £j. M. Sig.-Teaspoonful every two hours. Ik-Tr. Iodine 5j. Water ^ij. M. Sig.-Teaspoonful every two hours, alternately with the other. Whisky, egg-nog and milk punch were administered as free- ly as the patient would take them. After a few days of this treatment he commenced to improve, and in two weeks was able to be up, but paralysis of the lower limbs followed the diphtheritic attack, which soon disappeared by the use of the faradic current, phos. and nux vom. pills. By the continuous use of these measures he has entirely recovered, and I attri- bute his recovery more to the rational use of, electricity than to all the other means that were used. But, doubtless, elec- tricity would not have been sufficient alone ; his case required medicines and food in connection with it as well. Case V. Alice D., aged four years, was taken sick Nov. 8, with rigors, headache and vomiting; very fetid breath; exu- dations in the throat, which extended up into the posterior and anterior nares, followed by sloughing ; the temperature high; great nervous and muscular prostration; pulse feeble and frequent. Electrical Treatment.-I directed that the electric current be used in the same manner as prescribed in Case IV. Medical Treatment.- 84 USES OF ELECTRICITY IN OBSTETRICS AND GYNECOLOGY. ty.-Hyposulphite Sodea gjss. F. Ex. Baptissa gtts xvi. F. Ex. Phytolacca gtts xx. Glycerine ; gj. Water gj. M. Sig.-Teaspoonful every two hours. Bl-Tr. Iodine 3j. Water gj. Glycerine gj. M. Sig.-Teaspoonful every two hours; alternating with the other. Stimulants and nutritious food were given. This treatment was continued with slight variations for three or four days, at which time the patient commenced to improve slightly, and at the end of two weeks she had almost entirely recovered. Diseases of the generative organs has been a fruitful field as regards electrical treatment. This department of medical science has done much for electrology, and this in its turn has amply repaid the time and attention bestowed upon it. Of course in this work we shall only notice a few diseases and their treatment by electricity. UTERUS AND ITS APPENDAGES. "Besides its uses as a dynamic remedy, electricity is ser- viceable in many cases, on account of its chemical, mechanical, absorbent, and other physiological effects, for example, it is used in surgery to destroy, by its chemical action, morbid growths ; to promote the absorption of fluid accumulations ; to break up adhesions, and for many other purposes. In ob- stetrics it is used to produce vigorous contractions of the uterus, either with the design of hastening the expulsion of the foetus or placenta, or of checking a post-partum hemorrhage. It is often found useful in increasing the flow of milk or dis- USES OF ELECTRICITY IN OBSTETRICS AND GYNECOLOGY. USES OF ELECTRICITY IN OBSTETRICS AND GYNECOLOGY. 85 persing a mammary abscess, and in resuscitating a partially as- phyxiated foetus." We now, however, have to do with its uses in diseases of women. The conditions requiring the use of electricity in labor are: First. Inertia. The pains suddenly cease, after having been sufficient, or the pains are sufficient in frequency, but not strong enough. Second. A retained placenta. Third. Any case in which it is necessary to hasten the birth of the child. Fourth. Post-partum hemorrhage. It seems almost unnecessary to remark that in any of these conditions, where there is great mechanical resistance to the free passage of the child into the inferior strait of the pelvis; rigidity of the os uteri, or when the head of the child is too large or too un- yielding, electricity should not be used until all the impedi- ments to free exit of the child have been overcome. To illustrate a case : The patient, a multipara, has been in labor for several hours ; the pains have been regular in frequency and strength; the os uteri is fully dilated, or nearly so, it is at least dilatable ; the pains suddenly cease from some unascer- tainable cause; we have tried all the ordinarily indicated remedies, and failed. This is just the case for electricity, and I don't believe I extol it too highly by saying that in such a case it will never disappoint us. The patient should be placed on the back, and a cup-shaped electrode attached to one pole of an ordinary induction machine, which should be introduced into the vagina, placed in contact with the cervix, and held there by an assistant. The broad sponge electrode should now be moistened, held firmly on the abdomen at a point corresponding to the fundus uteri. The current may now be allowed to flow, commencing with a very weak current and gradually increasing the strength until strong bearing down pains are felt. After the pain has continued about as long as natural pain would under the circumstances, stop the current and allow a period of total repose, and thus imitate nature as nearly as possible, by producing contraction and intermission, until the close of the labor. Of course, if during that time the natural contractions spring up of themselves, we have no fur- 86 ther necessity for continuing faradization. The same method may be used to hasten the expulsion of a retained placenta. The galvanic current is never indicated in these conditions. In post-partum hemorrhage, the placenta having been removed, the method of procedure should be somewhat different. A ball electrode (as large as the uterus will admit) should be in- troduced into the cavity of the uterus, to the fundus, the other electrode (of suitable shape) applied directly to the cervix, the faradic current is introduced so as to complete the circuit. It makes but little difference in which direction the current travels, but it should be of such a strength as to cause the or- gan to contract vigorously, until it feels like a hard ball when the hand is placed on the abdomen, then the current should be diminished gradually, but the electrodes should not be re- moved from their places until all signs of hemorrhage have ceased, so that in case of a repetition of the flow, the elec- tricity can at once be called into action without unnecessarily disturbing the patient. I know of no remedy that will con- trol post-partum flowing, that is at all comparable with the faradic current. The late Alexander Murray, of New York City, stated that he obtained good results both in cases of inertia previous to delivery, and in post-partum flooding, by the use of the faradic current transmitted through the uterus transversely, that is, one pole is placed on the sacrum and the other on the abdomen. USES OF ELECTRICITY IN OBSTETRICS AND GYNECOLOGY. The absence of the menstrual flow cannot be considered as a disease per se, but rather as one of the results of structural or functional derangement, viz : of amenorrhea caused by atrophy of the uterus and ovaries, or by chlorosis and pregnancy; of the amenorrhea caused by atrophy of the uterus, or of any of its appendages, cannot be restored either by electricity or any other treatment known to the profession. The amenorrhea of pregnancy needs no physician. Chlorosis, or green sickness, as it is called, is one of the most common causes of amen- orrhea, and one in which electrical treatment alone and un- aided gives brilliant results. All the best authorities are AMENORRHEA (ABSENT MENSTRUATION). USES OF ELECTRICITY IN OBSTETRICS AND GYNECOLOGY. 87 agreed on this point. Onimus gives an account of a chlorotic girl "who had not menstruated for five months, in whom the menses appeared after six electrical treatments." They or- dinarily take much longer, and the duration of the attendance necessary is almost always proportional to the existence of the disease. UTERINE HEMORRHAGE (MENORRHAGIA). When excessive flowing is the result of polypi, fibroid tumors or cancer, the removal of these will cause it to cease, but when it is owing to metritis, sub-involution, or displace- ment, it can be relieved with electricity, ergot, digitalis, iron, cannabis indica, quina and hammamelis. Dr. Butler reports the following case, which is so much in keeping with my own views that I give it a place : "A lady, aged thirty-two, came to me about three years ago to be treated. She was feeble, pale and emaciated, and had oedema of hands and feet. About two years ago she had her last child, and three or four months after that she commenced to menstruate with considerable pain, the flow lasting at first five or six days, and very pro- fuse, each menses was more copious and lasted longer than the preceding one, up to the time I saw her. A physical ex- amination revealed the following condition of things : paleness of vagina, retroversion of the uterus, which measured four and a half inches in length, internal measurement, was soft and spongy to the feel, but perfectly moveable. A pale, sanguino- lent discharge was oozing from the os. She had been under the treatment of a number of physicians, and had been scari- fied, cupped, leeched, blistered, and dosed secundum artem without benefit, but she seemed to think was made worse. I commenced treating her at once with a mild faradic current, internally applied, which I used daily. The result was, that during the first month of treatment she menstruated three times; during the second month twice; during third month twice, which lasted only five days ; three times during the next two months, at the end of which time the measurement of the uterus had decreased by one inch, and was firmer and less patulous. She continued steadily to improve and I re- 88 duced the frequency of the applications gradually to once a week, continuing them for a year, at the end of which time the menses were nearly normal, that is to say, about every twenty-six or twenty-seven days, about the proper quantity, and occurred with very little pain. The measurement of the uterus was also about normal, so I discontinued the treatment perfectly satisfied with the result. She is now a healthy, ro- bust looking woman, some twenty-five pounds heavier than when she came under my care, and is about three months pregnant, all of which (except the last) I must attribute to the treatment, as the only remedy she used that had any bearing on her condition, was brotalus, which I prescribed for her when she was nine months under my charge, for a number of echymosed-looking spots on the skin, which, by the way, it cured very effectually." USES OF ELECTRICITY IN OBSTETRICS AND GYNECOLOGY. How often is this condition accurately diagnosed, and in what proportion of cases are other affections of the pelvic viscera mistaken for? Have we any symptoms (positive) whereby we can always, with absolute certainty distinguished this disease from every other? Yes ; there are two symptoms, however, generally present, which, when they both exist, re- move any doubt regarding the true character of the difficulty. They are: First. Extreme tenderness of the ovary or ovaries when pressed upon by the double touch; this act also pro- ducing nausea, and even vomiting. Second. Dysmenorrhea which precedes the catamenia many days, and often continues after the flow has ceased. When we also find that there is pain over either ovary, or both, pain on every atempt to move the bowels, and tendency to hysteria, we may feel convinced that we have a case of ovaritis to deal with. When we have used in our prescriptions such remedies as cimicifuga, conium, hamamelis, iodine, bromide pot., and have failed, then we may think of electricity. Some cases rapidly improve under care- ful electrical treatment, others more slowly. As a rule it takes from two to three months' treatment to effect perma- nent good. The galvanic current is the only form of electricity CHRONIC OVARITIS- 89 that should be used. The sensitive inflamed ovaries should not be faradized. As regards the absolute strength of current to use, I should say from five to ten cells of McIntosh's gal- vanic battery (or the A B current of Kidder's machine), is amply sufficient for most cases. The treatments must be frequently repeated, and it is well to commence immediately after the cessation of the menses, so as to have time to improve the patient as much as possible before the occurrence of the next menstrual period. Abscess of the ovary is not benefitted very materially by electrization. Mode of Applying the Electrical Current.-Attach positive pole to the vaginal electrode; introduce per vagina to the uterus; the negative pole at the coccyx and pass down over the lower extremeties, for fifteen or twenty minutes. Then withdraw vaginal electrode, and apply positive pole over the ovaries ten to twenty minutes. These applications should be repeated every day or second day, using mild galvanic current. USES OF ELECTRICITY IN OBSTETRICS AND GYNECOLOGY. DYSMENORRHEA. T. Gaillard Thomas, M. .D., divides this disease into five varieties, viz: Neuralgiac dysmnorrhea, Congestive dysmen- orrhea, Obstructive dysmenorrhea, Membranous dysmen- orrhea, Ovarian dysmenorrhea. In some of the vari- eties we can do much to relieve our patients with such remedies as belladona, viburnum opulus, cimicifuga, gel- semium pulsatilla, etc. But there are cases in which these remedies act only as palliatives, and electricity comes to our aid. The best mode of applying the current, so that it will do the greatest amount of good in the shortest time, is to use a sponge electrode of sufficient size to cover a large portion of the sacral region. This should be attached to the positive pole of a galvanic battery, and the other pole attached to a uterine electrode, and introduced up next to the os; the cur- rent should be thus passed for fifteen or twenty minutes, then the uterine electrode removed, and a sponge electrode attached to the conducting cord, and placed in alternation over each ovary for twenty to thirty minutes, moderate current. The following case of dysmenorrhea is reported by Dr. 90 USES OF ELECTRICITY IN OBSTETRICS AND GYNECOLOGY. Neftel, of New York City: "Miss E., aged twenty-nine, has inherited a neuropathic constitution-her father having died from softening of the brain. She always suffered from dys- menorrhea, and though well nourished and looking tolerably healthy, was frequently subject to headaches, flushed very readily and often had fainting fits, especially during the men- strual pains. The dysmenorrhea was always accompanied with a sensation of cold in the head, and other vaso motor phenomena. Dr. Sims found anteflexion of the uterus, and proposed an operation (incision of the cervix), as nothing else could relieve her dysmenorrhea. She was afraid of an opera- tion, and therefore Dr. Sims kindly referred her to me, for a galvanic treatment. As all the usual remedies had been tried without benefit for so many years, I concluded to observe the effect of the galvanic treatment, unsupported by any other medication, in order to obtain and demonstrate the uncompli- cated result of the galvanic treatment of dysmenorrhea. In the progress of this case there was nothing of particular in- terest which would require any special notice. Under the in- fluence of daily galvanic treatments, the menstruation appeared with considerable pain, which, however, lasted only a few hours. The next menstruations were entirely painless. More- over, she was relieved from headaches, fainting fits, coldness of the extremities, and other morbid symptoms within the vaso motor sphere, and left New York, January 12, 1875, in a perfectly healthy condition, which still continues. Last fall, on her way from the Centennial Exhibition, she visited New York, and called on Dr. Sims, whom she informed that she is permanently cured of the dysmenorrhea, and other morbid symptoms, by the galvanic treatment." Dysmenorrhea caused by obstruction calls for a remedy that will overcome such ob- structions in the shortest possible time, with the least amount of suffering to the patient, and at the same time promises the most permanent cure. Let us for a moment consider what the most frequent causes of obstructions to the menstrual flow are: First of all in frequency, comes cicatrical strictures of the cervix from powerful escharotics; next flexions, producing closure of the cervical canal; then fibroids, causing a like condition; congenital narrow cervix, and spasmodic contrac- tion of the os internum." These different causes require the gynecologist to study every case closely as they come before him, that he may know definitely how to proceed with his treatment. CHOLERA. 91 As this disease has invaded some of the eastern countries and is marching westward, and will soon have crossed over to this continent to begin its work of terror and death, it behooves every lover of humanity to set about and investi- gate its cause and nature, and suggest a line of treatment, which will stay the progress of this great desolating malady. Therefore, in view of these facts, I shall endeavor to present the opinions and observations made by medical men who have investigated this subject the most thoroughly. That cholera depends upon atmospherical electrical changes and con- ditions is conceded by those who have made a scientific an- alysis of the subject. Dr. Andruand, in 1849, in Paris, during the cholera there, which shows a striking coincidence between the amount of atmospheric elecricity and the virulence of the epidemic, in a letter to the president of the French Academy of Medicine, dated June 10, 1849, says: "The electrical machine I have used for daily observations is rather powerful. In ordinary weather it gives, after two or three turns of the wheel, brilliant sparks of five or six centimeters. I have noticed since the in- vasion of the epidemic that I have not been able to produce on any one occasion the same effect. This was a strong pre- sumption that I was on the track of the important fact I was endeavoring to find. Nevertheless, I was not convinced, be- cause one might attribute the fact to the moisture of the air, or to the irregularities of the electric machine. Thus I waited with impatience, the arrival of fine weather, with heat, to CHOLERA. 92 CHOLERA. continue my observations with more certainty. At last fine weather came, and to my astonishment the machine, though often consulted, was far from showing as it ought, an augmen- tation of electricity, but gave signs less and less sensible to such a degree, that during the days of the 4th, 5th and 6th of June, it was impossible to obtain anything but slight crackling without sparks. On the 7th, the machine remained quite dumb. This new decrease of the electrical fluid has perfectly accorded as is only too well known, with the renewed violence of the cholera. For my part, I was not more alarmed than astonished; my conviction was complete. I saw only the consequence of the fact already supposed. It may be im- agined with what anxiety I consulted the machine, the sad and faithful interpreter of a great calamity. At last, on the morning of the 8th, some feeble sparks reappeared, and from hour to hour electric intensity increased. I felt with joy that the vivifying fluid was returning in the atmosphere. Toward evening a storm announced at Paris that the electricity had re-entered its domain. To my eyes, it was the cholera dis- appearing with the cause which produced it. The machine, then, at the least touch, rendered with facility most lively sparks. And in six days following the 8th of June, the mor- tality fell regularly from 667 to 355." Prof. Newton, M. D., says : "In 1849, and on the day that the cholera was the most fatal in Cincinnati, he was confined to his chamber at the time ; that all the house flies about his house died on that day, undoubtedly of asphyxia for a want of oxygen in the atmosphere to support combustion. It has been observed by medical men that fat, or obese people are less liable than other persons to this disease, and the reason given is that they require less oxygen than persons who are more spare." Dr. Atkinson says: "I am desirous at the present time of calling the attention of the medical profession to a very inter- esting phenomenon, more or less present in the collapsed stage of cholera, which seems hitherto to have escaped the observation of medical men, viz: animal electricity or phos- CHOLERA. 93 phorescence of the human body. My attention was first at- tracted to the subject during a former visitation of that fear- ful disease. It was indeed singular to notice the visible quan- tity of electric fluid, which continually discharged itself on the approach of any conducting body to the surface of the skin of the patient laboring under the collapsed stage, more particu- larly if the patient had previously been envelopedin blankets ; streams of electricity, many of them averaging one and a half inches in length, could readily be educted by the knuckles of the hand, when directed to any part of the body, and these appeared in color, effect, crackling noise»and luminous in character, similar to that which we are all accustomed to ob- serve when touching a Leyden jar. I observed simultaneous- ly with the heat of the body passing off, the electricity was evolved also. Again, is not the whole of that which we call vital phenomena produced by certain modifications of electro- galvanic-magnetic matter and motions? And do we not find that these vital phenomena are continuously affected by the relative state of the surrounding electric medium? To what can we attribute the present fluctuating condition of the bar- ometer, if not to it? Chemistry has failed to point out any other material so ponderable as the cause of epidemic dis- ease." Prof. Bartholow, M. D., says, in all his autopsies made, he found considerable hyperemia and dilation of the vessels of the medulla oblongata. The constancy of this leison would seem to indicate a relationship between congestion of the medulla and cramp, which sets at rest the'fact that cholera is a leison of the nervous system, and not of the blood, per se, as many suppose. "To assist in the treatment of cholera, all are agreed that non-conducting substances on the surface of the skin aid es- sentially in the cure, and it should be further understood, dur- ing the disturbed state of the atmosphere, while the epidemic is raging, for the purpose of restraining the electricity in the system, we should wear woolen undergarments, gutta-percha 94 CHOLERA. soles, so as to insulate, as much as possible, the body, to prevent the heat and electricity from passing off." "The air in the room should be ozonized by the use of per- manganate potassa and oxalic acid, equal parts, mixed and put on a plate or saucer, add a few drops of water, and carry the same around the room, leaving it under the bed of the patient. Repeat the ozonizing three or four times a day, hold- ing the dish at arm's length, and walking so as not to inhale the fumes, excepting after it is mixed with the air. Or, the air may be impregnated with bromine mixed with water."-Dr. Tipton. * Whatever may be the difference of opinions as to the cause and nature of cholera, its symptoms and consequent treat- ment, two points will be conceded by most thinking men: First. That it is of the utmost importance to keep up the power of the systemic nervous system, as well as the diges- tive, so that the watery portion of the blood is restrained from being poured out through relaxation of the bowels. Second. That in the treatment of this disease, that remedy is the most effective which is the most directly applicable, and the most independent of the disturbed digestive functions. In sending a current of electricity from the spine (nerve centers) to the abdomen (peripheries), we vitalize, or keep up the power of the systemic nervous system and stomach, and keeping in ac- tion all the functions, we prevent the diarrhea from taking on an alarming character. If we cure cholera we must treat the spinal and respiratory nerves in order to equalize the circula- tion, and oxidize the blood, keeping in mind the important nerve center, the solar plexus, by a direct action on the great splanchnic nerve. To use electricity with the best results, the direction of the currents should be understood. The negative pole increases excitability and reflex action. The positive pole diminishes them by relaxing muscular fibre. Electrical Treatment.-The patient should remain perfectly quiet on his back. In the early stage, if cramping accompany the vomiting and purging, apply the relaxing current (positive) to the muscles of the stomach and bowels, which are in spasm, and the contracting current (negative) to the cervical region of the spinal column. Treat in this stage of the disease some ten or fifteen minutes at a time, and repeat the applications every half hour or hour until the symptoms improve, then re- duce their frequency as the case seems to require. In the stage of collapse, place the positive pole at the coccyx, and pass the negative along the spinal column and over the trunk and arms for five or ten minutes, then remove the positive to the feet and use negative pole as above stated. These appli- cations should be made once in every half hour, hour, or two hours, as the urgency of the symptoms seem to require. The faradic current is only to be used. Query.-If electricity acts as a stimulant to the systemic nervous system, producing contraction of the relaxed uterus, thereby arresting post-partum hemorrhage, when the woman seems to be in a moribund condition, will not the same action be manifested when other similar conditions exist ? It seems to me that there is only one answer to this interrogation. The following medicines may be used in connection with the electrical treatment : ty.-Tr. Capsicum gss. Tr. Opium gas. Tr. Rhubarb gss. Tr. Camphorated spts , gss. Sodea Bicarb 3SS- M. Sig.-One half teaspoonful for an adult every one or two hours until relieved. For children, five to ten drops. R.-Tr. Prickley Ash Berries gj. Compound Cajeput Mixture 3j- M. Sig.-Teaspoonful in a little sweetened water every one or two hours, or oftener, if the case requires it. During the active stage of the disease, nothing but the sim- plest drinks are allowed, and even of such liquids only small quantities are admissible at a time. Keep the extremities wrapped in warm flannels, etc. CHOLERA. 95 DISEASES OF NERVOUS SYSTEM. NEURALGIA. The word neuralgia is unfortunately made an equivalent oftentimes for any kind of pain, the pathology of which we happen to be ignorant. The pains of rheumatism, gout, syphylis, spinal irritation, myalgia, etc., are often mistaken for, and confounded with true neuralgia, even by those who know better. There is perhaps no term which describes the disease so well as that used by Hammond-Neural Hyperesthesia. It is indeed a hyperesthetic condition, sometimes involving the whole course of a nerve, from its origin to its ultimate rami- fications, in others only affecting a small portion, either of the trunk of the nerve, or one of the fibrillary terminations. "The pathological condition causing this hyperesthesia may be, atrophy of the posterior root of the spinal nerve in which the pain is felt."-Anstee. The essential characteristics of this condition are: First. Pain, in which intense acuteness is out of all proportion to the constitutional disturbance, is intermitting or remitting in character. Second. Severely tender points at different places along the affected nerve enters or emerges from a facia, bone or muscle, with often partial anesthesia between these points. The special symptoms varying acording to the location of the nerve and parts supplied by it. That trans- missions of a strong electric current produce a condition an- alagous to neuralgia, which has been observed by several authors. Duchenne speaking of faradization of the terminal branches of nerves, says: "Consecutive to the treatment, some of the patients experienced deep seated pains in the course of the nerves, the extremities of which had been ex- cited by the faradic current." In every work on therapeutics we find the treatment of neuralgia more dwelt upon than any other disease except par- alysis ; and it is in this affection that electricity, as a remedy, has earned most of its laurels. I will here give the statements of a number of eminent authorities. Anstie remarks : "The constant current, as I now estimate it, is a remedy for neuralgia unapproached in power by any other, save only blis- tering and hypodermic injections of morphia, and even the latter is often surpassed by it in permanence of effect; while it is also applicable in not a few cases where blistering would be useless. That in the milder cases of hyperesthesia all the different forms of electricity may be usefully employed, but in the severe forms of it only the continuous current (galvanic) affords relief." Hammond's opinion is: "Above all local means, not only for relieving the pain of any particular par- oxysm, but also for effecting a permanent cure, electricity stands first. I have employed it in every possible form, and am satisfied that the primary galvanic current is the preferable agent." Beard and Rockwell express their estimation of the remedy in the following language: "The success achieved by electrization in the treatment of neuralgia has been brilliant and remarkable." Erb says: "Electricity, and especially the galvanic current, has been found to yield the most gratifying results in the so called idiopathic neuralgia, in most of those cases which are due to a rheumatic or neuritic process, and which have become habitual, the results are sometimes as- tonishing, so quickly do they appear by the continuous cur- rent." "In other cases, however, it is necessary to persevere in this mode of treatment for a long time, and with great reg- ularity, before a cure is effected." Most of these authors, however, admit two great secrets of success. First. The whole of the trunk, or as much as possible of the affected nerve should be included in the circuit. Second. Regularity NEURALGIA. 97 98 NEURALGIA. of applications, which in all cases ought to be repeated daily. All the facts that we can possibly gather are, that a strong- current of electricity, transmitted through a nerve in any di- rection causes a condition similar to neuralgia, and a weak current will cure neuralgia when occurring idiopathically. "In my own practice," says Dr. Butler, "I have observed the fol- lowing : First. That whatever form of current is used, only the very mildest intensities are curative. Second. That a large percentage of cases are curable by strict attention to this rule. Third. That high intensities of either form of current produce serious aggravations. Fourth. That a cer- tain proportion of cases yield to the galvanic current, that cannot be cured by the faradic, and vice versa. Fifth. That it is impossible always to tell before hand, which form of electricity will cure any given case, any more than we can tell the reme- dies indicated in all pathological conditions. Sixth. That there are undoubtedly a small portion of cases that will yield to neither forms of current administered alone, that will rapidly improve under a judicious alternation of the forms. Seventh. That where the nerve is deeply seated, electro-puncture of the sheath, or even of the nerve itself, becomes necessary, as otherwise recomposition takes place in the more superficial structures, without the current reaching the nerve at all." T report the following case as reported byAlthaus: "The pa- tient, aged 74, at the time he came under treatment, had been a sufferer from neuralgia for twenty-nine years. In this case a host of external and internal remedies had been used without effect. M. Nelaton had refused to perform an opera- tion, and so had Prof. Bruns. The induced current had been used as an 'electric moxa,' but without producing any benefit. In July, 1867, Prof. Niemyer used the constant current, con- necting the positive pole with a moistened conductor and the negative with a wire brush. After twenty such applications the pain was gone, and only a slight increase of sensibility re- mained in the upper lip. Some months afterwards there was a relapse, but this yielded to galvanism." The same author mentions a case of facial neuralgia cured by the faradic cur- NEURALGIA. 99 rent, after bleeding, blistering, purging and dosing had entirely failed, all of whichi he says, was given a fair trial. Anstie re- lates a case treated by Dr. Russell Reynolds, of a lady who had been the victim, for twenty years, of an extremely severe neuralgia of the ophthalmic division of the fifth nerve, which attacked her daily, and had caused great injury to her health and nutrition, was not merely benefitted, but absolutely re- moved at any rate for a long period by a single application of the galvanic current. Dr. R. J. Curtis says: "There is no fact in therapeutics better verified than the power of a low tension galvanic current to relieve pain. A high tension cur- rent has less power in this direction, and still less if it is inter- rupted, while the high tension faradic current, most useful in anaesthesia, has very little power to relieve pain, and in some conditions will increase it." Galvanism will relieve pain inde- pendently of its effect on the cause of pain. In fact, most pain remedies operate independently of the cause. It must be, however, that when pain, like sciatica, depends upon the disease of the nerve itself that the galvanic acts more or less by catalysis, upon the cause of the pain in the relief of the disease. The method by which galvanism acts, or the changes of a physical, chemical, or so called vital character which are produced in the tissues in the relief of pain are probably un- derstood better than the same action of drugs. The first effect of the current is a physical one, and operates on the molecules of the tissues. These effects of galvanism are cata- lytic, and it is by this action that electricity is so potent in re- lieving pain in neuralgia." Mode of Administering the Electrical Current.-Treat the affected part, or parts with positive pole, placing negative pole upon some healthy point, a little lower down than the part in pain. These applications should be continued for twenty or thirty minutes, and be repeated two or three times during the twenty-four hours if it is a severe case. Medical Treatment.-The patient requires quinine, iron, aconite, phosphorous and nutriment. These remedies are to be selected and administered as the condition of the patient 100 CEREBRAL PARALYSIS. requires-whether he be plethoric or anemic. The object of the physician should be to understand the condition of his patient, and then only use those remedies which have an elective affinity for, and a direct action on the part or parts diseased. I have resorted to the inhalation of chloroform where other remedies did not seem to give speedy relief, especially when the pain was so intolerable that the patient was threatened with convulsions. The following I have taken from Butler's work on electro- therapeutics. "Hemiplegia, the most common form of this difficulty is the result of cerebral hemorrhage, embolism, or other mechanical interference by which the integrity of the great nervous center is impaired. The more profound the leison, the more complete will be the paralysis; and where the whole corpus striatum is destroyed, the hemiplegia of the opposite side of the body will be complete, permanent and in- curable. But in case of the rupture of a small blood-vessel, where a small amount of blood is effused, just sufficient by its pressure to interfere seriously with the functions of this part of the brain, without destroying it, then we may have com- plete hemiplegia, but not incurable. The clot of blood even- tually becomes absorbed, but before that much desired result has had time to take place, the paralysis continues to grow worse, and even though the primary leison be entirely re- moved, the paralysis remains, and the patient is unable to use his limbs. If, in a case of this kind, we find that the muscles do not respond to the stimulant action of the faradic current, but does to the galvanic, it is just the case to cure by electricity." "Commence with daily galvanic treatments, with just suf- ficient electro motive force to cause perceptible contractions, and soon the improvement will be apparent. The patient will begin to move the limb, at first slightly, and afterwards better CEREBRAL PARALYSIS. 101 and better. The faradic irritability now becomes restored, and as it does, we must substitute that current for the galvanic, until the cure is completed, which it will be in time, varying in length according to the extent of the leison and duration of the disease previous to commencing the treatment." "But we will suppose another case-instead of finding the muscles flabby and wasted, we find an amount of permanent contraction, and that the electric contractility to both forms of current is perfect, but the paralysis remains to the will the same, then electricity is not indicated and consequently will not cure, nor even ameliorate." "There is no use persisting in it; it will only harrass the patient. We cannot cure a fever with aconite when the symptoms call for gelsemium and vera- trurn, nor can we cure any disease with any remedy that is not indicated by the condition of the patient. Where great relaxation of muscular fibre is present it will not do to ad- minister lobelia, gelsemium and tartar emetic with the hope of seeing those muscles assume a condition of contractility, nor vice versa." The proper use of electricity requires much more thought and study than any other remedy, because it has a larger range of therapeutic action than any other. The electro-therapeutist should understand the pathology of dis- ease-the basic leison of diseased action, before it is possible for him to be a successful electro-therapeutist, and without this knowledge he is liable to make some fatal mistakes. The ownership of a scalpel does not make a surgeon, nor does the ownership of a set of electrical instruments make an eletrician -far from it-both must have acquired skill in their special departments, and skill, every one knows, is only acquired by special talent, special education and special experience. Mode of Applying Electricity.-Apply positive pole at base of the brain, on the healthy side ; negative pole over the dis- eased part of the brain, five to ten minutes-very mild cur- rent. These applications should be made every day until we see marks of improvement, then every second or third day. Medical Treatment.-Keep the bowels open by means of mild cathartics. Strich. and phos. may be given as a com- CEREBRAL PARALYSIS. 102 PERIPHERAL PARALYSIS. pound, or separately, as the condition of the patient requires. The patient should remain quiet, keep the head cool and the extremities warm. PERIPHERAL PARALYSIS. Perhaps the most important of all the paralysis coming under this heading is that known as facial paralysis. The portio dura is the nerve affected and when it is caused by ex- posure to cold, or rheumatism, or removable pressure, after the emergence of the nerve from the stylo mastoid foramen, it is curable by electricity provided very extensive atrophy has not yet taken place, and galvanic contractility is not entirely lost. But on the contrary, when the leison is in the aquaductus fallopii, or stylo mastoid foramen, and cannot be removed, then electricity will not benefit. The longer the disease has existed the greater will be the atrophy, the less response to the galvanic current, and the longer the treatment necessary. I say the galvanic current, as the faradic reaction becomes lost so early in the progress of the affection, that it cannot be taken into any practical account. The following case of Dr. Butler's is so much in harmony with my own observations that I will presentit: "A gentleman, aged 41, commercial traveler by occupation, had caught cold, which was followed by a face ache, with considerable swelling. When the acute symptoms subsided, he found that he was unable to close his left eye; that when he smiled, the mouth and whole face was drawn towards the right side ; that his food lodged between the gums and the cheek of the left side; he could not speak out or whistle. The alae of the left side of the nose was depressed, or, to use the patient's language, the left side of the nose had grown smaller. Even under these circumstance he was not alarmed, and did not apply to any physician, thinking his con- dition was only the result of the swelling of the face, and PERIPHERAL PARALYSIS. 103 would soon wear off. After the paralysis had continued six weeks he was sent to me for treatment. 1 found the con- tractility entirely gone, and the galvanic nearly so, and, not- withstanding that the disease had existed comparatively but a short time, all the muscles were considerably atrophied. 1 gave a favorable prognosis provided the patient would submit to daily treatments. I treated him for three months with mild applications of galvanism to the affected nerve, and to the affected muscles- separately. At the end of that time, the faradic contractility returned slightly, I then alternated the use of this with the galvanic, for a month longer, after which I instructed the patient in the use of -the faradic, and ordered him to make applications twice a day, and call every week. In April he could close the eye, draw the mouth somewhat to- wards the affected side; the alae of the nose resumed its for- mer appearance; the food discontinued to lodge outside the gums; he could spit without dribbling; but he could not frown, and when he smiled the mouth was still drawn towards the affected side, showing that paralysis of the corrugator supercillii still remained, and that the risorius and zygomatics of the diseased side were not as strong as their fellows. He, however, steadily improved, and little later I dismissed him cured. Two other cases of facial paralysis, under treatment at the same time, recovered, one in three weeks, and the other in about four months." Other paralysis caused by peripheral lesions are amenable to electrical treatment. A common form is paralysis of the muscles of the arm from pressure on the brachial plexus. I had one case occur in a man who had to temporarily use a crutch on account of a broken leg, yield to a few seances of faradism. It is impossi- ble in a work of this kind, to enter into the detail of the dif- ferent locations liable to be attacked by paralysis, and the dif- ferent causes that may produce it. It would necessarily fill a volume twice as large as this. As far as the electrical treat- ment is concerned, and that is what we are interested in at present, we will generally find that if the muscles are not corp- pletely destroyed by atrophy, that the electric contractility is 104 not lost, and the primary leison is capable of removal; that the paralysis is curable by a suitable form of electrization, and even in some cases where the contractility is lost, much good may be done by patient and long continued perseverance with the galvanic current alternated by the faradic. Always remembering in forming a prognosis that the probable length of treatment necessary is always proportional to the length of time the disease has existed. It is well, also, to recollect that each muscle and nerve must be acted upon separately. Shoot- ing into the bush to kill the bird will not do ; we may make a hit, but we are more likely to make misses. We should bear the motor points well in mind, and the attachment and inser- tion of the muscles, as well as their relative positions. Do not fatigue the enervated parts by long and protracted seances. We should always bear in mind the maxim of Duchenne, "Electricity, if applied to a nerve or muscle for too long a time or in too full a dose, may increase, or even produce paralysis or neuralgia, instead of curing either." In all cases, electricity constitutes the, and sometimes the only plan of treatment. Either the faradic or galvanic current may be employed ac- cording as the muscles respond to one or the other; and also according as the nerve centers be in a hypersemic or amemic condition (positive or negative). The cause of the paralysis is to be known before we apply such a potent agent as elec- tricity with the hope of receiving its full curative action. Treatment is of but very little avail when the paralysis is due to an inter-cranial or inter-spinal affection. If there should be irritation upon which the paralysis depends, the galvanic current is the only one from which we may expect to receive any benefit. The positive pole applied to the nerve centers, and the negative to the peripheries. But if there is anemia of the cord, the faradic current should be administered, the nega- tive pole to the nerve centers, and the positive pole to the peripheries. These applications should be repeated every day until there is some improvement, after which two or three times a week. To assist the galvanic current, we would administer such remedies that would deplete the blood- PERIPHERAL PARALYSIS. vessels of the part. But if aenemia of the cord exist, to assist the faradic current we would administer phosphorous, nux vom. and iron, with nutritious diet. Salt water baths are most excellent to stimulate the peripheries, and thereby increase the nutritive processes. SPINAL PARALYSIS. 105 SPINAL PARALYSIS. A case of paralysis consequent upon hyperemia or anemia of the cord, concussion of the spine or any cause that tempo- rarily interferes with the functions of the cord, where atrophy of the muscles has not progressed to absolute destruction, and where the primary cause of the paralysis has been to some extent removed, or is removable, is one in which we would expect a favorable result from electrization of the muscles and spinal cord itself. In cases occurring from the same causes in which but little atrophy has taken place, and in which elec- tric contractility is tolerably perfect, galvanization of the spine will speedily restore to a healthy condition without having to touch the affected muscles at all. But in cases of fractures, caries of the spine, tumors pressing upon the cord, or any dis- ease that destroys the cord, we have a paralysis that we may look upon as permanent, although in such a case we may do much to relieve the sufferings of a patient temporarily by the proper use of electricity. We may relieve, or even for a time entirely check incontinence of urine by faridazation of the par- alyzed bladder, or involuntary stools by applications to rectum and anus. "In infantile spinal paralysis, which is generally due to in- flammatory softening of the anterior portion of the gray spinal substance, the result of exposure to cold, damp, etc., electricity stands unrivaled as a remedy. This form of paralysis is gen- erally ushered by a chill, a convulsion or slight febrile condi- 106 tion with pain in the back at the seat of the primary leison. After a few days it is noticed that the child cannot stand or walk, and if the leison is high up in the spine, cannot use its hands. After this the disease rapidly progresses to atrophy unless checked by electricity and proper medication." RHEUMATIC PARALYSIS. RHEUMATIC PARALYSIS. Another large category of peripheral paralysis is that which is due to so-called rheumatic or atmospheric influence, and is known as rheumatic paralysis. The parts most com- monly attacked are the deltoid, trapezius and biceps, next the extension muscles of the forearm. It is usually unat- tended with pain or other sensory disturbances, and the duration of the disease generally varies according to the electrical reactions. Electrical Treatment.-Direct treatment with the faradic current to the affected muscles, even in old standing cases, repeated two or three times a week is the treatment given with entire success, that had resisted various kinds of meas- ures previous to their coming under the care of the electri- cian. Althaus expresses himself thus: "There is no kind of paralysis in which the therapeutical effects of faradization are so striking as in rheumatic paralysis, in which affection it cannot be replaced by any purely medicinal treatment. This applies to protracted and severe cases which have resisted a variety of energetic medicinal measures." FINIS. I ND EX Page. Acute (Inflammatory) Rheumatism 64 Amenorrhea 86 Arnica -- 60 Basic Leison of Croup , 61 Batteries J- 25 Cerebral Paralysis 100 Cholera -- 91 Cholera Infantum 66 Chronic Ovaritis 88 Diphtheria 71 Diseases of Nervous System 96 Dysmenorrhea 89 Electricity-What is It? 3 Electricity, Galvanism, Magnetism and Nervous Fluid one and the same thing 10 Electricity-What it Does 7 Electro-Physiology 10 Electro-Pathology - 14 Electro-Therapeutics 20 Electro-Physics 22 Electro-Allotropic Physiology , 33 Electricity-How it Removes Morbid Processes 78 Elective Use of Electricity , 36 Inflammatory Diseases 47 Inflammatory Sore Eyes ' , 70 Kidder's Electro-Medical Machines 40 Medicine Never Heals a Disease, 20 Mucous Croup 60 Men of Great Ability who are Defenders of Electricity as a Medici- nal Agent 45 Neuralgia 96 Of Some of the Causes of Inflammation 51 Peripheral Paralysis 102 Phosphorous - 59 Physiological Qualities of Electricity 31 Pleuro-Pneumonia ___ 53 Pneumonia 51 Pseudo-Membraneous Croup 61 Spasmodic Croup 62 Special Electro-Therapeuties 43 There is One Thing we Should Remember 62 Typhoid Pneumonia 56 Uses of Electricity in Obstetrics and Gynecology 84 Uterine Hemorrhage 87 Uterus and its Appendages 84 Velocity of Electricity 6 SEWARD COUNTY BANK SEWARD, NEBRASKA. J. N. EDWARDS, D. K. SPACHT, President. Cashier. Does a general banking business. Loans made for Eastern parties. Collections promptly attended to. Location.-Seward Countj' Court House, Seward St. Address, BOX 40, SEWARD COUNTY. SEWARD, NEBRASKA. C. M. LEIGHTON & COMPHNY,~ ■ LINCOLN, NEBRASKA. WHOLESALE DRUGGISTS, TIEALEBS IXT SURGICAL INSTRUMENTS AND APPLIANCES. Pure Wines and Liquors, bought Especially for Medical Purposes. OF ELEXIES. McIntosh galvanic and faradic battery co., MANUFACTURERS OF THE CELEBRATED McIntosh Combined Galvanic and Faradic Batteries Table, Office and Family Batteries, Electrodes, Electric Bath Apparatus, Statical Electric Machines, Stereopticons; Solar, Monocular and Binocular- Microscopes. Physicians or Hospitals wanting new Apparatus, will do well to favor us with correspondence and obtain estimate. Men of Scientific experience have charge of the manufacturing department. We employ the most skillful mechanics, and have the largest facilities in Amer- ica for manufacturing. We would call the Special Attention of the Medical Profession to our COMBINED GALVANIC AND FARADIC BATTERIES. STeries are recommended by the ty of both America and Europe, n adopted by the United States or use in Medical department of Navy. They are E FIRST AND ONLY BATTERIES EVER INVENTED SIGH GIVE BOTH THE LVANIC AND FARADIC CURRENT. TWO DISTINCT BATTERIES IN ONE CASE. NO PHYSICIAN CAN AFFORD TO BE WITHOUT ONE. This Celebrated Battery is constructed on an improved plan. The zincs and carbons are fastened to hard rubber plates in sections of six each; this manner of connecting brings the plates nearer together than any other battery, thus giving less internal resistance. The cells are composed of one piece of hard rubber, and are made'in sections of six each with a dip-cup, thus one section can be handled, emptied and cleaned as easily and quickly as one cell. The dip-cup Is to receive the elements when the battery is not in use. This is the only battery in which the zi^ic and carbon plates can be kept clean and always in order by simply rinsing them. An extra large cell (with a zinc and carbon element) is added to the combined batteries for the purpose of producing the Faradic current. This cell gives as much force as is ever needed, and avoids exhausting the current from the Gal- vanic cells. All the metal work is finely nickel-plated and highly polished, and every part is put together so that it can be easily replaced by the operator. Our batteries weigh less, occupy less space, than any other battery manufactured. Our Illustrated Catalogue, a handsome book giving full description of all our goods, and other valuable information, sent free on application. McIntosh galvanic and faradic battery company, 192 & 194 JACKSON STREET, CHICAGO, ILL. PRRKE OMIS COMPANY I MANUFACTURING CHEMISTS, Manufacture a full line of standard pharmaceutical preparations, including those that are officinal in the United States and Foreign pharmacopoeias, and such as are not thus recognized but whose value is attested by the experience of the medical profession. These preparations comprise: Fluid Extracts, Sugar-Coated Pills, Gelatin-Coated Pills, Solid Ex- tracts, Abstracts (Powdered Extracts,) Pink Granules, Concentra- tions, Effervescing Salts, Medicated Lozenges, Roll Plas- ters, Spread Plasters, Glyceroles, German Tinctures, Elixirs, Wines, Syrups, Collodions, Ointments, Cerates. These preparations are made after the latest and most approved methods and are in every respect up to the recognized standards of pharmaceutical excell- ence and medicinal strength. SPECIALTIES. NORMAL LIQUIDS. By this name are known assayed fluid extracts. They comprise such drugs as have a distinct active principle in the form of an alka- loid or resinoid, and are guaranteed to be of uniform strength and not subject to variations in the strength of the crude drug. They are as definite and con- stant in their strength as morphine, quinine or other alkaloids, and are a desi- deratum in medicine. EMPTY CAPSULES. These capsules are made of the finest French gelatin, and challenge comparison in all those particulars which commend this un- equaled device for the exhibition of bitter and nauseous drugs. SOLUBLE ELASTIC AND HARD FILLED CAPSULES. The former of these are so soft and elastic that their walls may be approximated without rup- ture and yet regain their original shape when the pressure is removed. As a means of administering nauseous oils, balsams, etc., these capsules are unequal- ed. The list comprises the majority of such balsams and oils in use, and range in size from 10 minims to a half ounce. NEW REMEDIES. The enterprise of introducing to the profession drugs, particularly from the vegetable kingdom, which had escaped attention, may be said to have been inaugurated by Parke, Davis & Co. They were the first to con- duct such introduction after a system, and are, indeed, still the only house thus intelligently and systematically engaged. They are, by common consent, the headquarters for all matters pertaining to the newer materia medica. For full information on this subject send to them for literature. Parke, Davis & Co's. list of specialties comprises, in addition to the above, the following: Pepsin, Pancreatin, Cascara Cordial, Chlor-Anodyne, Nitrite of Amyl Pearls, Sanguis Bovinus Exsiccatus, Pressed Herbs, Dialyzed Iron, Compressed Troches. WARBURG'S TINCTURE, OZONIZED AROMATIC LIQ UID, SOLUTION CHLORIDE OF BROMINE COMPOUND, ETC. Laboratory and Main Office, XJETEaOIT, HICHIG-A1T, XX. S. uA.. New York Branch: 60 Maiden Lane and 21 Liberty St., NEW YORK, N. Y. ATCHISON, - - - - KANSAS. TOEBEBSC~ DRUGS* AND* SURGICAL INSTRUMENTS!- fine SENT UPON RECEIPT OF TWENTY-FIVE CENTS TO PAY POSTAGE. CoixesponoLence Solicited.. COMPLETE STOCK. BEST GOODS. LOWEST PRICES. Jk. EZ. TOTTEK, ^DRUGGIST*AND*PMARMAeiST^ SEWARD, - - - - NEBRASKA. . xxr e©©0® ^©©eo $©0©° ®©0©o ' ALSO 3/VA/V CvVvX cV/WoW^JvL FOR MEDICINAL PURPOSES. Dr. JEROME KIDDER'S ELECTRO-MEDICAL APPARATUS. ■ For which he has receiv- ed Fetters Patent for mark- ed and decided improve- ments which render them /JlBi ilf i superior to all and any other /« ' apparatus, and also Highest renunm A warded by /American Institute, for the / l|! years 1872 to 1882 inclusive, /JflS§55&SBsSK^ and whenever and wherever ■ifSS If . ® Gold Medal to distinguish VrRmNI H 18 l|^ll■Btep his apparatus as "of the first U- P'.i 1 i S3 \'h'; 'I .'■ bji order of importance." Awar- W »B W ded, also the Highest Prem- ium at the Centennial Ex- __ AAV'1 iU/'-T7'' 1 'L/ A' . hibition, 187G, and 2 Silver . Upp Medals at Cincinnati Indus- f '4SS5*®* trial Exposition in the fall of 1881 and 1882, also Silver Medal at Charleston, S. C., Exposition fall of 1882. Highest awards given for Electric Machines. )g^"Please note the following names of the apparatus for which the Gold Medal was awarded to Dr. Kidder in 1875, to distinguish them as of the first order of importance. Dr. KIDDER'S IMPROVED No. 1, Physician's Office Electro-Medical Apparatus. Dr. KIDDER'S IMPROVED No. 2, Physician's Visiting Machine, with turn down Helix. Dr. KIDDER'S IMPROVED No. 3, Physician's Visiting Machine, another form. Dr. KIDDER'S IMPROVED No. 4, Office and Family Machine. Dr. KIDDER'S IMPROVED No. 5, Tip Battery, Ten Current Machine. (See Cut.) toj The latter discontinuing the action by tipping the jar, the solution falling away from the elements. This is the Ne plus ultra and the most perfect and con- venient Electro-Medical Apparatus ever made, and is the invention of Dr. Je- rome Kidder. Also Galvanic Batteries from 12 to 86 cells, various prices. Galvano Caustic Batteries, and an Improved Pocket Induction Apparatus. All other parties claiming highest premium for above mentioned are Fraud- ulent, being made to deceive the public. To distinguish these genuine send for Illustrated Catalogue. Address, JEROME KIDDER MANUFACTURING CO., 826 Broadway, NEW YORK. ALOE, BERNSTEIN & CO./ IMPORTERS OF MANUFACTURERS OF Surgical, Electrical and Optica -1 INSTRUMENTS H 300 North 4th Street, - St. Louis, Missouri. 1!^ IITai • HIMJ® WKf||J« ALOE & BERNSTEIN'S IMPROVED PHYSICIAN'S BATTERY, $25.00. We have the largest stock of any House in the West or South. Our Batteries are used by the Leading Profession in the Western Country. O^SEXD FOR ILLUSTRATED CATALOGUE.^ KIDDER'S EXTRA APPLIANCES. { J. / ' V 1 1 wrigy No. 1.-Improved Sponge Holder. i t rQ . £ q " X J 2 r q JX ® 2- M $ w /j W 'O S 1$ A <D A' u* W® | M S M ® II E S § w M £ 11 s« J < § W ■ M - 7 I ? » s W §■» 5 I I a | O uHhL UI ®1' No. 7.-Uterine Electrode. No. 8.-Vagina] Electrode. r™ / S t ! f No. 9.-Universal Handle. _ n >< I onT <11 1 ! No. 10.-Eustachean Ear Electrode. ©S ■ Ml 1 1 ' - I No. 13. w/ • ^''!U-L^=^™==.-__- No. 12. No. 11. Nos. 11, 12, 13.-Various forms of Holders of Needles for Electrolysis. The batteries and appliances for electro-therapeutic purposes, advertised in this work, iurnished at manufacturers prices, on receipt of price, or may be or- dered C. O. D. Address, T. H. "WOOZ2 w^xax), z^r. X)., Sewasd, XT eToxetslnab. CHARLES BAND, M. D,, CRETE, - - NEBRKSM. Wholesale and Retail Druggist, UEALEB TXT DRUGS, MEDICINES, SURGICAL INSTRUMENTS 1 APPLIANCES, Which will be furnished at wholesale prices as low as can be bought at the wholesale houses in the east, with freight added. Pure Wines and Liquors bought especially for Medical Purposes. Prescriptions Carefully Compounded Day or Night. Feeling grateful for such a liberal patronage in the past, I would ask a con- tinuance of the same in the future. «sCHSRLESlBKND«MtD>- PHYS1CIAN & SURGEON. A REGULAR GRADUATE OF TWO MEDICAL COLLEGES, Has been in the practice of Medicine twenty-six years, during that time he has successfully treated thousands of cases, and by his success and skill in these cases has won for himself a National reputation as a Medical man. He treats all Chronic Diseases, especially DISEASES WFtWOMENONDGCHILDRENH Curable cases guaranteed; where doubt exists it is frankly stated. Dr. Band will visit any part of the State in consultation. OFFICE IN BAND'S OPERA HOUSE, dSTST'E, -------- 1TEBSASKA. aOBMOK9! I©©® FOE INFANTS, DYSPEPTICS AND INVALIDS. Made according to Liebeg's Formula. THE ONLY PERFECT SUBSTITUTE FOR MOTHER'S MILK. Contains no Starch, requires no cooking. For sale by Druggists everywhere. Price, 8 oz. 40 Cents; 18 oz. 75 Cents. Sample can sent FREE to any Physician. Address HORLICK'S FOOD CO., Racine, Wis. ESTABLISKEID 1876. . «CYRUS*CMPIN^ PIANOS, ORGANS, SHEET MUSIC, STRINGS, AND EVERY VARIETY OF MUSICAL MERCHANDISE ALSO HEADQUARTERS FOR ALL KINDS OF ^SEWING MACHINES AND FINDINGS^ Including the Light Running "DOMESTIC," and SINGER. Agent for the celebrated Paganini Model Violin. Sent to any address C. O. D. subject to approval, with complete outfit, including wood case, Brazil wood bow, etc., for S15.00. / Corresporxa.ence Solicitea.. , „ Office and Salesroom North Side of Square, itebkaska. THE ■ ECLECTIC tMEDOI> J © U* H U @9 PUBLISHED AT INDIANAPOLIS, INDIANA, Prof. A. J. SMITH, M. D., 351 soTriia: ZDZErj-^-sxr-^iEaiE steeet. One of the most progressive Journals in the land. De- voted entirely to the wants of the practitioner throughout the country. Fearless and Independent. A medium through which Physicians of all schools may have an interchange of thought. Price $1.50 per Year. Send for Sample Copy. The Journal will be sent one year with Dr. Woodward's Electro-Therapeutics EOH $3.00. ECLECTIC medical department OF THE ^University of Nebrsskr^ - LINCOLN, NEB. ABOARD OF REGENTS^ HON. C. A. HOLMES, - Tecumseh HON. N. R. PERSINGER, - - - Central City HON. J. L. GANNETT, - Omaha HON. C. H. GERE, - - - Lincoln HON. L. B. FIFIELD, - - - - Fairmont HON. H. C. MERRITT, - - - O'Neil City OFFICERS OF THE BOARD. HON. CHAS. A. HOLMES, - - - President J. S. DALES, Esq., - Secretary FACULTY. W. S. LATTA, M.D., Dean, Professor of the Principles and Practice of Medicine. J. H. WOODWARD, M.D., Professor of Materia Medica and Therapeutics. IRA VAN CAMP, M.D., Professor of Obstetrics and Diseases of Women and Children. A. J. SHAW, M.D., Professor of Gynaecology. J. H. WOODWARD, M.D., Professor of Electro- Therapeutics. H. H. NICHOLSON, A.M., Professor of Chemistry. HON. O. P. MASON, Professor of Medical Jurisprudence. A. R. MITCHELL, M.D.,* Professor of Anatomy {Descriptive and Surgical.} H. B. LOWREY, A.M., M.D.,* Professor of Physiology. PAUL GROSSMAN, M.D.,* Professor of Surgery and Surgical Pathology. L. B. GRADDY, M.D.,* Professor of Diseases of the Eye and Ear. N. J. BEACHLY, M.D.,* Demonstrator of Anatomy. * Those marked with a star belong to the regular Allopathic school. The Board of Regents regarded it as unnecessary to appoint professors from the different schools to fill the chairs of Anatomy, Physiology, and Surgery, because of the uniformity of teachings in these branches; hence all the medical students are required to attend the same lectures. If, however, for any reason these lectures shall be deemed inadequate, adjunct professors will be appointed to supply the deficiency.