Atony of the _muscularis_ of the intestine is admittedly the direct
cause, in most instances, of constipation. It is the condition known as
“torpor of the bowels.” It is ordinarily due to abnormal innervation of
the parts. The inefficient innervation may be—and in females frequently
is—reflex, or its cause may be sought for in the central nervous
system. The condition of the voluntary abdominal muscles is likewise a
factor in the alvine process. Sluggishness of the abdominal (portal)
circulation is a not infrequent etiological concomitant of constipation,
and, finally, the conditions grouped as “dyspepsia” may form the
causative feature of a case. I have mentioned these different causes
simply in order to account to some extent for the almost wonderful
effects in this condition of electric baths. When we consider that in
every one of the morbid conditions here enumerated, electricity is a
very efficient remedy, and that for the resulting muscular atony it may
be called a specific, it will not appear surprising that a mode of
application which brings the electric influence to bear on both cause
and effect—often on a combination of several of the causes enumerated,
should be attended with such brilliant results. I have thus far met with
no failure in the electro-balneological treatment of constipation.
In the majority of cases the following method has proven the most
efficient. The first ten minutes of the bath should be devoted to the
administration of a galvanic current, as intense as can comfortably be
borne by the patient. The one pole should be connected with the
head-electrode, the other, by means of the surface board, applied
alternately, to the epigastrium, chiefly, and to the hypogastric region.
The current should a portion of the time be ascending, the rest
descending. Occasionally the current should be rapidly reversed by means
of the commutator, the intensity however having been previously reduced,
in order to avoid too severe a shock; this will cause efficient
contractions of the abdominal _parietes_, and probably also of the
intestinal _muscularis_. The second ten minutes of the bath should be
devoted to faradization, employed in the same manner as the previous
galvanization, only that here the direction of the current is
immaterial, and no reversals are requisite. The current should be of
sufficient intensity to produce energetic but not painful contractions
of the abdominal parietes.
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