How to Use a Galvanic Battery in Medicine and Surgery: A Discourse Delivered Before the Hunterian Society, Third EditionTibbits, Herbert
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How to Use a Galvanic Battery in Medicine and Surgery: A Discourse Delivered Before the Hunterian Society, Third Edition
Tibbits, Herbert
Electrotherapeutics
The stimulant effects of electricity are occasionally beneficial
in the treatment of paralysis of the nerves of special sense,
especially of the optic and auditory nerves, while its use has been
advocated in a multitude of diseases to which I shall not further
refer, than by saying that a clear comprehension of the principles of
electro-therapeutics will prevent the occurrence of difficulty in any
special application of them; and let us shortly recapitulate the most
important of these principles. [SN: Résumé of general principles of
Electro-therapeutics.] We have seen that electricity is a stimulant, a
sedative, a restorative, and an absorbent. Its stimulant properties are
chiefly of use in diseases of debility, and notably in paralysis--its
sedative properties in the alleviation and removal of pain and spasm,
and notably in neuralgia--its restorative properties in fatigue
diseases, notably writer’s cramp--and its absorbent properties in
exudation diseases, and notably in gout and rheumatism. The dose of
electricity consists of the addition of two factors--firstly, the
strength of the current, whether Voltaic or Faradaic; secondly, its
duration. It is of essential importance that we do not overdose our
patient, but we are little likely to do this if we adhere to the two
cardinal rules--to use the _minimum_ power which will produce the
results we desire, and not to unduly prolong our application: and
really this question of “dosage” forces us to consider how far it is
advisable for the medical practitioner who prescribes electricity to
sanction its administration by the patients themselves. While there is
no doubt that the most explicit directions will often be misunderstood,
or fail in being correctly carried out, yet it would be practically
impossible (to say nothing of the expense to the patient) for any
medical man to himself apply electricity daily for a lengthened period;
and we are compelled, in certain cases, to do our best in instructing
_some one attendant of the patient_ how to carry out the treatment,
making her do this a few times in our presence, _and looking sharply
after her afterwards_, and in addition explaining everything as fully
as possible to the patient, or the patient’s friends. Moreover, we
must not lose sight of the fact that, with electricity as with other
remedies, the skill of the physician is shown in determining how, when,
and in what dose to administer it, and his judgment in selecting those
cases in which its administration may be wisely committed to others.
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