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distant part or limb, which, perhaps, shows itself repeatedly ; or
there is a glow, or even a perspiration, where the skin has before
been peculiar for its dryness. In other rare cases there are even
automatic movements of particular muscles, or groups of mus-
cles, that are repeated from time to time. Now, whenever any
of these phenomena occur, we can rest assured that, whether the
patient is benefited by our treatments or not, the needed degree
of profound electro-nervous excitability is certainly not wanting.
Messieurs Becquerel, Dubois-Reymond, and Remak, arc sever-
ally of the opinion that the properly managed primary constant
current of galvanism can produce good and effective service in
spasmodic diseases, not because of the paralyzing effects, nor
from that tendency, but, says the latter, " because in certain
cases it restores to the central organs their power of dominion
over the actions of the nerves and muscles, the want of which
produces or alloivs clonic spasms and cramps ; in other cases,
because it removes, by electrolytic in-workings, the peripheric or
central irritation, where such is possible, through which many
cases of spasmodic conditions are produced, and maintained,
often, until the organism is self-destroyed."
In some eminently practical observations, Dr. Remak further
says that, on account of the great variations in the excitement
of the motory and sensitive nerves of patients paralyzed from
central, or even local peripheric causes, it is absolutely necessary
for the physician who proposes to apply the primary current of
galvanism, as a remedy, to be first well equipped with every
facility necessary to give him a perfect command over the current
as to strength, the varying of its intensity, interruptions, re-
versing its direction, and as to electrodes of different sizes and
material, as also the simultaneous and similar command of an
ample induction or Faradaic current. He needs these, he says,
at least, to work up the sunken excitability of the nerves, so as
to produce powerful contractions, and, at the same time, not to
torment the sensitive nerves, nor yet to fatigue or exhaust the
muscles. He mentions that he has found the current-changer
of the key-board of great use in clearing away the tonic contrac-
tions of paralysis, and of old rheumatisms. He says such con-