Electro-physiology and electro-therapeutics : showing the best methods for the medical uses of electricity / By Alfred C. Garratt.
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understand why the sensations produced by the induction cur-
rents increase in proportion to the velocity of the interrup-
tions, to a certain degree. So much for the immediate sensa-
tions. Generally speaking, if the continuous, smooth, or even
action of a moderate Galvanic or Faradaic current be directed
through a sentient nerve, in a direct or down-running direction,
then there is produced a quieting, diminishing, or down4oning
effect. If, on the contrary, the current be directed so as to flow
through the sentient nerve in an inverse or up-running direction,
then there is produced an increased, exalted, or tonvng-up effect;
that is, in the former case there is produced diminished sensa-
tion ; in the latter case, there is produced increased sensation.
This rule is even still more marked, when these currents act
upon sentient nerves that are sick and morbidly increased in
their sensibility, as in cases of true local neuralgia. But these
valuable " general principles" arc still further influenced by the
kind of electrodes that are used in the trials, and by the method
of managing them and the current. For quieting these nerves,
we should always choose broad, soft, warmish and moist elec-
trodes, as fine and soft sponges, which are to be gently applied
to the skin, within a few inches of each other, and kept in gentle
but ceaseless motion, with a careful and gradual letting on of the
current, and as gentle and gradual taking it off, after an appli-
cation of a minute or less. This may be repeated, after a recess
of a few seconds, for some half a dozen times, at the same
seance. If not successful, these seances, or sittings, may be
repeated every few hours. But for cases of anaesthesia, and
wherever we wish to arouse and ivake vp sensation, then not
only must the current be inverse in direction, but it may be
interrupted, or reversed, or alternated, from second to second,
and that through small, say one inch ball, electrodes, covered
with wet to ash-leather. The current, here, too, should be strong,
and it must be let on, reversed, and interrupted suddenly, but not
continued more than a minute at a time. One electrode may
be placed over the nerve-trunk, while the other is moving over
the palsied periphery, or border points of the palsied muscles.
According to the laws of Marianini, as they relate to the pbys-