urate diagnosis is as
a rule readily made, and will enable the physician to separate the
suitable from the unsuitable cases.
As to the mode of administration of the baths in cases of the class
under consideration, the use of both currents is requisite; the galvanic
as a nutrient, the faradic as an excito-motor agent. Where, as is
sometimes the case, faradic irritability is extinct, or so slight as to
be practically unavailable, the (slowly) interrupted galvanic current
must take the place of the faradic, until faradic irritability has
become re-established. As to the intensity, direction, etc., of the
currents, each individual case has its own laws, which must be
recognized by the supervising physician.
CASE XVI.--_Infantile paralysis._ Albert Pichl, aet. 22 months,
was sent me by Dr. LILIENTHAL, October 3d, 1874. Had complete
paralysis of right leg (of four weeks standing), with
considerable atrophy of the entire leg as well as the gluteal
region of the corresponding side. The temperature of the leg was
much lower than that of the healthy limb. _Faradic irritability
was entirely extinct._ The treatment was begun by galvanizations
of the lower (lumbar and sacral) portion of the spinal cord, and
the use of the interrupted galvanic current on the affected
muscles. This was at first done daily. The contractility of the
muscles gradually but slowly improved, but neither the atrophy
nor temperature of the limb appeared visibly affected by the
treatment. With a view to favorably influencing these
conditions, I ordered him galvanic baths. He had a bath every
alternate day. The result was favorable and rapid. The leg
became sensibly and permanently warmer after each bath, and
commenced steadily to increase in bulk. Faradic irritability
soon returned. The local applications were continued several
times a week for some time, and then gradually abandoned, the
baths being meantime continued regularly. The boy very soon
began to walk, and in December active treatment was
discontinued. At that time, faradic irritability having long
since become completely re-established, I caused the child's
father to purchase a faradic battery to use at home. The limb
was eventually entirely restored in every respect, with the
exception of a slight abduction of the foot, for which I
referred the patient to Dr. GIBNEY. I saw the child rece
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