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and this removes the more urgent or prominent symptoms of
pain and stiffness most readily, and, at the same time, seems to
prepare the thus conditioned tissues for the better and more
thorough in-working primary current of galvanism, — say, from
twenty to thirty Darnell's elements subsequently brought to
bear for eradicating, as it were, the dregs of the disease, — that
discrasia that seems to be so prone to remain and act as a nu-
cleus for a more ready or easy return of the complaint from
slight causes. In fact, this should be kept constantly in mind
while treating this class of painful maladies, as it so greatly de-
termines the future condition of the patient.
As a rule to guide us as to how long we must wait for the
fever and active inflammation to be put out or subside, I find
that the larger are the bones and joints which are the scat of the
affection, the more boldly we may venture to proceed with our
electric treatments ; but this not to the exclusion of other means
indicated, nor yet neglecting the regimen.
Another rule I have also adopted, for being on the safe side,
at least, until we know more, and that is, never disturb old gouty
cases (as we are often solicited to do) while they remain at ease
from pain and swelling, but the instant the pain appears, be
notified, and that very hour attack it, and never leave until it is
subdued and quiet again, and so hold it in check by daily watch-
ing and vigilance. But if not so fortunate, if the call is later, or by
any means the fever and local inflammation have fairly set in and
rage, then other influences must be relied upon until the proper
condition is arrived at, that admits of the attempt of the cata-
lytical in-working of the primary current of galvanism.
Hysteria.
Hysteria has historically two significations: the one is symp-
tom atical, the other truly etiological. When examined under
the symptomatic point of view, it is any thing but a rigorously
determined pathological condition, so that, in practice, the
purely nominal diagnosis is often a deception, in part or in
whole, no one knowing exactly what is to be understood by the