Faradic treatment may be employed in the
weakness and emaciation depending on any long illness, rickets, anaemia,
&c. For these cases it is best to use the electric bath, the patient
being placed in warm water, and the two electrodes, one at the patient's
back and the other at his feet, being connected with the secondary coil.
The patient's general metabolism is stimulated, he eats and sleeps
better and soon begins to put on weight. This is especially beneficial
in severe cases of rickets. In the weakness and emaciation due to
neurasthenia, especially in those cases being treated by the Weir
Mitchell method (isolation, absolute confinement to bed, massage and
overfeeding), a similar faradic bath is a very helpful adjunct. In tabes
dorsalis faradic treatment will often diminish the anaesthesia and
numbness in the legs, with resulting benefit to the ataxy. Perhaps the
most beneficial use of the faradic current is in the treatment of
chronic constipation--especially that so frequently met with in young
women and due to deficient muscular power of the intestinal walls. In
long-standing cases the large intestine becomes permanently dilated, and
its muscular fibres so attenuated as to have no power over the
intestinal contents. But faradism causes contraction at the point of
stimulation, and the peristaltic wave thus started slowly progresses
along the bowel. All that is needed is a special electrode for
introduction into the bowel and an ordinary roller electrode. The rectal
electrode consists of a 6-inch wire bearing at one end a small metal
knob and fitted at the other into a metal cup which screws into the
handle of the electrode. The only part exposed is the metallic knob; the
rest is coated with some insulating material. The patient reclines on a
couch on his back, the rectal electrode is connected, and having been
vaselined is passed some three inches into the rectum. A current is
started with the secondary coil in such a position as to give only an
extremely weak current. The roller electrode is then wetted with hot
water and applied to the front of the abdomen. At first the patient
should feel nothing, but the current should slowly be increased until a
faint response is perceptible from the abdominal muscles. This gives the
required strength, and the roller electrode, pressed well into the
abdominal wall, should very slowly be moved along the course of the
large intestine beginning at the right iliac fossa. Thus a combination
of massage and faradic current is obtained, and the results are
particularly satisfactory. Treatment should be given on alternate days
immediately after breakfast, and should be persevered with for six or
eight weeks. The patient can be taught to administer it to himself.
Public-domain text, read in full here on John Shaqi.
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