Neuralgia and the diseases that resemble itAnstie, Francis Edmund
Science
Neuralgia and the diseases that resemble it
Anstie, Francis Edmund
Neuralgia
As a general rule, it may be said that electricity, like other local
measures which tend to concentrate the patient's attention on the parts,
is only to be applied to the genital organs as a last resort. This is,
of course, especially true in the neuralgias of these organs in women.
In concluding what will doubtless seem to some English readers an
over-long and over-favorable estimate of the employment of galvanism in
neuralgias, I must carefully guard myself against the supposition that I
consider it a remedy to be applied in all cases, or likely to meet with
uniform success, even in the forms of the disease to which it is most
appropriate. It is a weapon which I seldom employ in the first instance,
for many reasons; the principal of which is the costliness of the
proceeding to the patient. Either the physician must personally
administer the remedy, daily, often for a considerable period, or he
must make the patient provide himself with an expensive battery; and in
the latter case there is, after all, the unsatisfactory consideration
that the application (even after the most careful directions have been
given) will perhaps be unskilfully and inefficiently made. On the other
hand, it is not desirable to delay the employment of galvanism too long,
if other remedies have been fairly tried; and the practitioner will do
well to remember the distinctions above laid down as to the varieties of
neuralgia in which it is specially likely to prove decidedly and quickly
beneficial. More especially in sciatica it would really, with our
present knowledge, be a decided neglect of duty were we to allow the
disease to run any considerable length without giving the constant
current a thorough trial. [I can only briefly refer, here, to the novel
mode of galvanization introduced by Dr. Radcliffe, and based upon his
ingenious theory, according to which the true effects of the voltaic
current upon nerve are the result of the charge of free electricity
which it sets up, and not of the current directly. The reader will find
the whole argument elaborately worked out in Dr. Radcliffe's recent work
on "The Dynamics of Nerve and Muscle," Macmillan & Co., 1871. It will be
enough to say, here, that the object to be attained, according to this
view, is to replace the neuralgic nerve in its healthy physiological
state, by charging it with free positive electricity. The manner in
which this is done is as follows: In a case, _e. g._, of
cervico-brachial neuralgia, we place the positive pole as near as may be
to the central origin of the affected nerve; the negative pole is held
in the hand of the same side, which is immersed in a basin of warm salt
and water. In this same basin is another electrode, the wire from which
is put in communication with the earth--most conveniently by putting it
in contact with a gas-pipe. The patient, and the battery, ought properly
to be insulated. The result of this arrangement is, that the free
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