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while a current of equal or greater strength, directed in precisely
the same manner through the muscles themselves, shows no sign
of contraction. If, now, we place one electrode on the muscle
and the other electrode on the nerve trunk, then the lifting up
of the latter electrode will produce contraction, while the lifting
up of the other will leave the muscle still at rest; and this dif-
ference between the two will be the greater, the more care we
take to produce waving or staggering of the current, just as the
electrode is leaving the skin.
" Alternations of Ritter " may be understood by placing the
two electrodes, say the one on the nerve medianits, and the
other over the nerve raclialis, in the neighborhood of the
bend of the elbow where those nerves come nearest the skin,
and then make contact from a battery of some thirty to fifty
Daniell's elements, for there will appear, as a general thing, im-
mediate contraction for flexion, which may also last while the
current runs, producing a fair bending of the arm from the ac-
tion of the flexors. Sometimes, however, this appears rather in
the extensors. But if the direction of the same current is now
reversed by means of the metallic key of the key-board, and
that while the electrodes remain as they were upon the same
spots, then the previous contraction, after a momentary recess
occasioned by the turning of the current, appeal's again, (and
now with increased strength,') or even will show it in the antago-
nizing muscle groups. Now, in case this latter result obtains, if
the current direction be changed again very suddenly, as before,
then the previous contraction comes in again, and this "al-
ternation " appears so much the more readily in proportion to
the suddenness and frequency of the changed directions of the
current. Occasionally these results do not appear until after
the changing has been repeated several times. Sometimes,
moreover, these alternations of the current are attended with
contraction of the flexors from the up-running current, while
the down-running current produces contraction in the extensors;
and this order of events follows the regular turnings of the
current.
Labile icorkings of primary, and also of secondary elec-