How to Use a Galvanic Battery in Medicine and Surgery: A Discourse Delivered Before the Hunterian Society, Third EditionTibbits, Herbert
Science
How to Use a Galvanic Battery in Medicine and Surgery: A Discourse Delivered Before the Hunterian Society, Third Edition
Tibbits, Herbert
Electrotherapeutics
It follows from these experiments that we may, at pleasure, arrest
electricity in the skin, and that without puncture or incision we may
make the current traverse the skin, and concentrate its action upon
subcutaneous organs. It was at one time objected that the muscular
contraction was the result--not of irritation limited to the muscle or
its motor nerves--but of reflex action; but Duchenne demolished this
objection by a vivisection. Having removed the skin from the face of a
living rabbit--to whom chloroform had been administered--he divided the
facial nerve of one side only, in order that the muscles supplied by
it might be cut off from all connection with the cord. He then applied
electric excitation to each muscle of the face, alternately, on the two
sides. The muscles contracted separately and equally on both sides.
He then destroyed the brain of the same animal, in order to place the
cord in a condition favourable to the production of reflex action, and
again excited the muscles as before. The results were absolutely the
same.[11]
Muscular electrization may be produced either--as I have just shown
you--by placing the conductors upon the muscle itself, a procedure
termed _direct_ or _intra-muscular_ electrization, or by exciting only
the motor nerve trunk, which is termed _indirect_, or _extra-muscular_
electrization, and which we shall consider presently.
[Illustration: FIG. 13. Cylindrical Sponge-holder.]
[SN: Different kinds of Rheophores.]
For direct excitation of the larger muscles it is convenient to use
well-moistened sponges, contained in cylinders of different sizes,
or metallic disks, covered with wet leather and having conveniently
shaped handles. A useful size of cylinder is one such as this (see
Fig. 13), having a depth of about 1-1/2 by 1-1/8 inches, which allows
the sponge to fairly fill it, while in such forms as this--6 inches
by 1--when the sponge is inserted the lower three-fourths of the
cylinder is empty, and the conduction of the current liable to become
imperfect. Such a cylinder as this, without any insulating handle at
all, is worse than useless, and is a still persisting relic of the
barbarous time when the patient was invariably electrized by causing
him to hold the conductors one in each hand, a proceeding extremely
dangerous in certain pathological conditions, and in other cases not
likely to be of benefit to him. The insulating handles should be well
hollowed out, that they may be used, lying comfortably between the
fingers, when holding two in the same hand. The disk rheophore (see
Fig. 14), a metallic button covered with wash-leather, is extremely
useful; it has the advantage over the sponge of allowing firm pressure
to be made without the inconvenience of water being squeezed out, while
by using its edge it may be made to answer in the majority of cases
for a pointed conductor, which is fitted chiefly for application to
very small muscles, such as the interossei and some of those of the
face.
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