It was not until Apostoli, a French physician, greatly modified the methods of employing electricity in the treatment of fibroid tumors, and sheared it in a great measure, not only of its dangers, but also of pain, that the medical profession took the question of electrical treatment in real earnest. The practice of Apostoli and his results were published in a monograph by Carlet, entitled, _Du traitement electrique des tumeurs fibreuses de l’uterus, Paris, 1884_. Apostoli evidently started out with a view to modify the most objectionable features of the electrical treatment. This consisted in reducing the number and size of the punctures and to lessen the painful sensation of the electric current to its minimum, so that the main points of difference are the shape and size of electrodes, and the site that is chosen for the puncture. In the first place he uses only one piercing or needle electrode, which is much smaller than that of Cutter, this may be attached to either the positive or negative cord of the battery, according to the accompanying symptoms. When hemorrhage is a symptom, the positive pole is used internally or carries the needle on account of its anti-hemorrhagic property, otherwise the negative pole carries the piercing electrode. This electrode is always used internally to puncture through the vagina or through the cervical tissue into the tumor; this is not nearly so painful as piercing the abdominal walls, nor does it wound the peritoneum. The other electrode is called the _dispersing_ electrode, because its purpose is to so disperse or scatter the current of this pole that it is hardly felt by the patient, much less produces any electrolytic or chemical effect on the skin. This electrode is made from a sheet of lead or copper nine by ten inches and covered with a layer of wet absorbent cotton; it is applied over the abdomen. This method is much safer than that formerly advocated by Dr. Cutter, and the results are much better. Dr. Engelman, who has accepted this method, says: “In electrolysis an intensity of 50 to 250 milliampères may be used for from three to eight minutes. All possible precautions must be taken in the first sitting in order to discover any idiosyncrasy of the patient, and a current of 50 milliampères will suffice, attained by slow increase. The patient should lie down quietly for several hours after the application. If an intensity as high as 100 milliampères is used at the first sitting, it is preferable that she remain in bed for the first twenty-four hours, and that a cold compress or an ice bag be placed upon the abdomen, to overcome any tendency to inflammatory reaction which may occur; hence the attention to details which is necessary, and the precautions desirable in a first puncture, until the sufferance of the individual patient is tested. The application is repeated, according to the demands of the case and the severity of the treatment, once or twice a week.”