Last, but not least, I have some remarks to offer on the treatment by
the electric bath of certain affections of the sympathetic nerve. While
I do not in any such cases accord to the baths the rank of an exclusive
remedy or even a specific, their importance as an adjuvant is sufficient
to entitle them to special consideration in this connection. In those
neuroses of the sympathetic where electricity (galvanism) is indicated,
the _greatest_ benefit can be obtained from local applications. On the
other hand the baths, employed in addition to local applications, will
be found a very important factor in the treatment, possessing, as they
do, two advantages, viz: _first_, by their means, the electric influence
is brought to bear—in a much less concentrated form it is true—on the
entire sympathetic system, from the _ganglion impar_ to the _ganglion
cervicale supremum_, and, by derived currents, on the cephalic ganglia
also, at one and the same time; _second_, the rest of the body
participates in the general nutrient and tonic effects of the bath
equally with the sympathetic, the latter thus receiving a reflex benefit
which local applications fail to furnish. There are, moreover, cases
where hyperæsthetic conditions of the nerve do not admit of local
applications, and where yet electricity is urgently called for. Thus I
have at present under treatment a lad sixteen years of age, in whom both
supreme cervical sympathetic ganglia as well as the ganglion impar were
until recently so susceptible that the mere adjustment of the
electrodes caused him great pain, while on the other hand he bore the
baths exceedingly well. In such cases, electric baths, suitably
administered, frequently constitute in conjunction with proper
medication, the most useful treatment.
As to the mode of administration in sympathetic neuroses of the baths,
the most direct manner in which to influence the diseased nerve, is by
connecting one pole of a _galvanic_ battery (I consider the faradic
current next to useless here) to the head electrode, the other to the
surface board, the latter applied portion of the time to the epigastrium
(solar plexus), the balance to the coccyx (_ganglion impar_). This will
include in the direct circuit the main portion of the sympathetic, the
position in the tub of the bather bringing the cilio-spinal centre very
close to the head-electrode. The direction of the current must be
determined by the individual features presented by each case, as also
the duration of the bath.
Public-domain text, read in full here on John Shaqi.
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