A system of practical medicine. By American authors. Vol. 4 : $b Diseases of the genito-urinary and cutaneous systems. Medical ophthalmology, and otology
Science
A system of practical medicine. By American authors. Vol. 4 : $b Diseases of the genito-urinary and cutaneous systems. Medical ophthalmology, and otology
Medicine -- Practice
Electricity is the most reliable emmenagogue, and has such an amount of
testimony in its favor as not to permit a doubt as to its value. It is
the only direct uterine or menstrual stimulant except permanganate of
potassium. Statical electricity is now but little used, although
Golding-Bird published striking instances of its efficacy in
amenorrhoea at an early day in its therapeutic history. Faradization is
now most frequently resorted to. One pole is to be applied to the
sacrum and the other above the pubes or over either ovary. The internal
application of the current is much more powerful as well as less
painful. It is administered by applying a cup-shaped electrode to the
cervix, or by introducing an insulated sound into the uterus, the other
electrode being external as before. The séances should be repeated
every second or third day, and should be more frequent just before the
periods when their time is known. Beard and Rockwell insist that
general electrization should be administered at the same time, and Mann
passes the constant current through the organs during the intervals and
the faradic at the periods. Simpson originated {192} a galvanic
intra-uterine pessary, which Thomas has modified. It is doubtful
whether the feeble current generated by these instruments produces any
effect, or whether they act simply as mechanical irritants. When they
are used, it should be borne in mind that there is eminent and high
authority against the use of intra-uterine pessaries of any kind, and
that all agree that a patient to whom one is applied should be kept
under careful observation.
It must be stated that good results have been obtained with this class
of local remedies in cases which would seem extremely unpromising--even
in those in which amenorrhoea depends upon partially-developed organs.
There is most positive testimony of the highest character as to good
effects obtained in increasing development and promoting the flow.
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