mpathetic 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.
CASE XXXIV. Mr. S., aet. 31, merchant, was referred to me April
3d 1874, by Dr. KREHBIEL. In January, 1874, Mr. S., until then
in the enjoyment of good health, woke up one morning to find, as
he expressed it, "everything dark before his eyes." He groped
his way to the window, in order to open the blinds. When at the
window, he felt as though about to fall out--probably vertigo.
He soon returned to an apparently normal condition, and went
about his business as usual. A week after, he had a much more
serious attack, which he describes as follows: "I had been
playing whist during the evening (several hours), when suddenly,
without premonition, I felt as though a champagne cork popped
against the top of my head, inside. Accompanying this was an
indefinable sensation about the heart as though the blood all
rushed thence down to the feet. I did not lose consciousness;
did not fall. I trembled all over, and a great fear came over
me. Felt very weak all night; my pulse was very slow." About two
months subsequently, patient was referred to me, as above
stated. He then had an uneasy look; an indefinable continual
sense of fear; was excessively nervous in the forepart of the
day; had brief attacks of tremor--usually every alternate
morning, but not typical as to time of occurrence. The history
exhibited neither syphilis, malaria nor intemperance. Had never
had headache. Sleep good; appetite likewise. The most
pathognomonic symptom, however, related to his pulse. This was
abnormally slow, ranging from 44 to 54 (the latter only when
standing or after walking) per minute. It was full and regular.
There was no organic heart trouble. In the absence
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