is it necessary here), I have of late been in the habit
of administering in this disease, baths calculated to stimulate as much
as possible the circulation of the blood. The best manner of applying
the baths to this end will be found further on, under "Inequalities of
the Circulation." In addition to this I cause the galvanic (anode) as
well as strong faradic currents to be applied to the affected parts by
means of the surface board. Where there is any thickening, effusion or
other similar concomitant of the disease, iodine may be added, as
hereinbefore directed.

In chronic rheumatism it is not necessary to use the baths daily. Two
or three times a week is quite sufficient. Indeed, the daily use of
strong currents, as employed here, might in some instances be productive
of evil rather than good. Although transient benefit may be experienced
from a few baths--sometimes even from one bath, permanent progressive
improvement need never be looked for from less than about a month's
treatment--more or less, according to the nature etc. of the case.

I regret that I have no cases of acute rheumatism to offer. As a rule, a
person suffering from this disease is not in a condition to leave the
house; and in the cases that have occurred to me in private practice,
the difficulty of introducing an electric bath at the patient's
residence has been in every instance sufficiently great to induce me to
forego this plan of treatment. While I have thus had frequent occasion
here to employ local electrization, I have had but one case of acute
rheumatism where I had the opportunity to employ the baths. The local
symptoms in this case being limited to one arm and shoulder, the patient
was enabled to locomote, and thus became an office-patient. At present
the case is still under treatment; and although the results thus far
have been eminently satisfactory, it would yet be premature to cite it
before I shall be able to state the final result.[12]

CASE I.*[13]--SUBACUTE RHEUMATISM. Mr. F., from the _clientele_
of Dr. Alexander Murray, about 32 years of age, of robust
appearance, large, vigorous frame, had an attack of acute
inflammatory rheumatism in the spring of 1873, from which he
recovered in a short time. In the winter of 1874 he experienced
a second attack, for which he had had treatment for about two
months prior to coming under Dr. M.'s care. After treating him
by other methods, including local galvan