Electro-physiology and electro-therapeutics : showing the best methods for the medical uses of electricity / By Alfred C. Garratt.
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the exhauster of muscular irritability by the acts of its own
volitions," he could not deduce or arrive at any rule, because
such a position was not tenable. Much has been written since
that day upon this subject, by other able men who joined issue,
as Copeland, Todd, Perera, Duchenne, and many others.
The most recent, correct, and concise views we find on this
question are deduced from the very excellent work on Nervous
Diseases by Dr. Todd, of King's College, London. He concludes,
that Faradaic currents do serve as a test in the different cases
of hemiplegia, to distinguish between an irritating- and a de-
pressing lesion of the brain, but not as a means for distinguish-
ing between cerebral and spinal paralysis. He observed, that
in certain cases, the paralyzed muscles responded by contrac-
tions to the electric excitant very readily, even more so than the
sound side, and that in these cases the muscles of the palsied
limb always showed more or less degree of rigidity. The
degree of this response to the electric stimulus, he concludes to
be within certain limits, in proportion to the degree of rigidity;
and this latter is in proportion to the extent of the irritating clots,
or cysts, that stitl exist within the brain. But in another class
of these cases, this stimulus produced very little or no contrac-
tion at all; and these were noticed to be those cases usually
where the muscles are already more or less wasted. Then in
some other of these cases, he found that although the paralysis
was almost complete, yet the currents produced equal response
in the healthy limbs and palsied limbs of the same patient.
These he observed to be cases of true cerebral apoplexy, but
occurring in previously healthy individuals who were generally
in the prime of life.
He holds, therefore, that the state of the muscles has compar-
atively little to do in the production of these varied phenomena,
but that the peculiar effects of the applied artificial currents of
induction or galvanism are rather due to the state of nervous force
existing in the paralyzed limbs ; so that, where there is little or
no response by contraction, the nervous force in the nerves of
that limb is depressed, or is so far exhausted. If in other cases
the electric stimulus excites contractions of a still more lively