Neuralgia and the diseases that resemble itAnstie, Francis Edmund
Science
Neuralgia and the diseases that resemble it
Anstie, Francis Edmund
Neuralgia
There are, as yet, very considerable differences of opinion among
electro-therapeutists as to the principles which should govern us, both
in the localization of the effect and the direction of the current.
Benedikt, for example, recommends that the current should be directed
toward the supposed seat of the mischief. Thus, if we suppose a
neuralgia to depend on morbid action within the spinal cord, then we may
galvanize the spine, taking care to make the current come out through
any vertebra over which we detect tenderness. If we suppose the seat of
the disease to be in the nerve-root in the mere ordinary sense of the
word, then we apply the positive pole to the vertebra opposite the
highest nerve-origin that can be concerned, and we stroke the negative
pole down by the side of the spinous processes, some forty times in
succession. The proportion of cases of idiopathic neuralgia in which
this treatment succeeds is, according to Benedikt, very large. In other
cases, he sends the current from the cord to the apparent seat of pain.
On the other hand, Althaus[43] tells us that, whether the application
be central or peripheral, it is the positive pole, alone, which should
be applied to the part which we intend to affect: and that the
application of the negative pole in this situation is rather likely to
do harm than good, as proving too exciting. Eulenburg, also, says that
in general the positive pole should be applied to the seat of the
disease, the negative on an indifferent spot, or on the peripheral
distribution of the nerve.
Public-domain text, read in full here on John Shaqi.
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