recovered. His general condition as well as the neuralgia had
been very favorably modified by the baths, and he is now in far
better health than he has been for many years.

CASE XXIII.--_Lumbo-abdominal neuralgia._ Mr. G., aet. 40, came
to consult me in October, 1875. He had suffered from neuralgic
pains, more particularly in the renal region of both sides, but
also in the neighboring parts, for only one week. The case being
so recent, I entertained a very favorable prognosis, which
subsequently was amply verified. A bath on the 12th of October
and one on the 16th sufficed to effect a complete cure.

ARTICULAR EFFUSIONS.

It would appear at a first glance as though local galvanization of
affected joints should be more directly and powerfully instrumental than
electric baths in promoting the absorption of morbid deposits. To
suppose so would however be a mistake--even where a single joint is
concerned. Where many joints are involved, the advantages over local
galvanization of the baths is sufficiently obvious. Where but a single
joint is involved, the current can by means of the surface board be
concentrated on the affected joint, while by the general galvanization a
stimulus is furnished to the absorbents, that in itself is probably
fully as important as any local treatment could be. In this manner
absorption is made to progress much more certainly and rapidly, and this
course is therefore to be given the preference in all cases where no
special contra-indication exists.

The ascending general galvanic current should be employed for from 5 to
10 minutes. The surface board, connected with the negative pole, should
then be applied for a few minutes successively to each of the affected
joints. Iodine in some form should be added to the baths.

CASE XXIV.* _Specific synovitis of knee-joint, with considerable
articular and peri-articular effusion._ Mr. C., from the
practice of Dr. SHEPPARD, aet. about 35. First saw patient at
his house on Nov. 9th, 1873, in consultation with Dr. S. and Dr.
HUTCHINSON, of Providence, R. I. Had been on mercury and iodide
of potassium for a long time. When I first saw him, he had been
incapacitated from work for about a year. Had been unable to
leave the house for three months. The affected joint was very
much enlarged, with little or no mobility, the condition being
practically the