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
In electrization of the central organs of the nervous system, the
Voltaic current is alone used, and in its application to the brain,
the sympathetic nerves, or the organs of the senses, especial
circumspection must be employed. As a general rule it should not be
had recourse to when central excitement is contra-indicated, and
in _all cases_ the minimum dose should be commenced with, and the
application discontinued upon the occurrence of giddiness, nausea, or
cerebral symptoms. With these precautions the brain may be electrized
by well-moistened sponges applied to each mastoid process, to each
temple, or to the frontal and occipital protuberances. The sponges
must be held immovable. To galvanize the superior cervical ganglion of
the sympathetic, one electrode of small size must be deeply pressed
into the auriculo-maxillary fossa, and the other with a good-sized
sponge applied over the sixth or seventh cervical vertebra, or to the
manubrium sterni, close to the border of the sterno-mastoid. The spinal
cord may be electrized by keeping one sponge, usually the positive,
stationary, and moving the other up and down by the sides of the
vertebræ, or one pole may be applied to the spine, and the other held
to a nerve or muscle. The retina by a moistened conductor to the closed
eye, and the second to the temple or to the mastoid process of the
same side. The auditory nerve by one conductor tipped with sponge and
inserted to the bottom of the meatus, the second being held in the hand
of the opposite side; or the meatus may be filled with tepid water, and
a metallic wire traversing the axis of a vulcanite tube may be immersed
in the water, the second conductor being a well-moistened sponge to
the nape of the neck. Direct application to the ocular muscles or to
the conjunctiva is usually inadmissible, but one pole may be placed
over the facial nerve below the ear, and the other applied to the
closed eyelid, or the operator may use the forefinger of his right
hand, covered by a finger-stall of wet linen as an electrode, passing
the current through his own body by holding a moistened sponge from
one pole in his left hand, the conductor from the second pole being
similarly held in one of the hands of the patient. This application
is not only convenient, but it is calculated to allay the fears of a
sensitive patient: or a pointed conductor, covered with wet leather,
may be connected with one pole, and its point held immovable and
firmly pressed down upon the orbital margin, as near as possible to
the position of the muscle it is desired to excite, while the patient
touches at intervals the sponge from the second pole held by its
insulating handle in the operator’s disengaged hand.
[SN: Electrolysis Needles.]
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