Electro-physiology and electro-therapeutics : showing the best methods for the medical uses of electricity / By Alfred C. Garratt.

and warm. From this time he took less frequent sittings to confirm the restoration, while he was also initiating himself again into his accustomed business. Second Class. — Case of hemiplegia, showing "exalted" elec- tro-muscular excitability of the paralyzed muscles, and tints diagnosticating " irritative disease of the brain." An Eng- lish woman, some twenty years of age, first seen by me in the cast wing of the Massachusetts General Hospital, at that time xmder the care of my excellent friend, Dr. H. I. Bow- ditch. She had the summer before suffered repeated attacks of " fits," which was followed by a hemiplegia of the left side. Since that time she has been subject to epileptic fits, which, however, have become very seldom since her entrance into the hospital. Besides, under the judicious treatment and good care she received while here, her general health improved, and the paralysis of the right lower limb was mostly recovered from, but that of the arm remained complete. There was also rigid contraction of the left fore finger and thumb, and the whole hand remained flexed upon the wrist. She suffered much from pain in that shoulder and arm, and was sleep- less and irritable, yet manifested the greatest disinclination to move about the room ; and still much less was she inclined to walk out, as she was somewhat able to do. It was requested that the case should be tested by electricity: accordingly the ordi- nary electro-magnetic machine was provided, and a medium cur- rent was applied to the median nerve and the depending muscles of the paralyzed arm. The results, at first, were doubtful, and for this reason the case is introduced here. Her general aspect was certainly promising, and, strange to say, I could not learn that there ever had been any ptosis of the upper eyelid, nor paralysis of the face ; yet I felt doubtful as to the character or state of this case, as did also the physicians of the hospital. In this state of things, although she had slight epileptic attacks from time to time, it was thought advisable to repeat the electric test or treatment every few days, in a cautious way, until there should be improvement, or manifested contra-indications for its employment. In the course of a few days it was discovered