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

the adductors, then the abductors, then the bending of the hand, first by flexion, and then extension; but the crooked fingers remain greatly so yet. Left treatment for the present, while absent at Washington. In about two months after, this patient came again for treat- ment ; bad retained the improvement he gained while here before, and there were new motions appearing about all the hand from the thumb to the little finger; patient, in great courage, and better health. I now instituted a series of local galvanic baths, immers- ing only the hand and wrist, and using forty to fifty elements for five minutes, and in the usual manner : this always produced a prickling and warm sensation, particularly in the fingers, but the effects were not so decided and lasting as were produced by directing the current definitely through given nerves and mus- cles, or muscle groups. Next, the current was directed especially through the interossei and lumbricales for ten days; still more life-like appearance, and some more freedom of movements in the fingers; but the wrist continues quite stiff; while, on the other hand, the outrageous and persistent pain in the metatar- sal bones is banished; and the boy can open the band so wide that the inner surface of the hand and fingers can be seen, and he is able to take my hand in his and compress it not a little. His friends were then advised to take him to a surgeon, that he might receive surgical aid while under the influence of ether, for the remaining partial anchylose of the wrist joint, (p. 477.) Facial Paralysis — Two Classes. Under the head of isolated lesion of the nerves, we have the simple facial paralysis; for of all the cerebral nerves, the portio dura or facial nerve is the one far more frequently attacked with palsy than any other. The first thing to be done here is to diagnosticate this simple affection of the facial branch of the seventh pair, (which is also called the portio dura,) from that other paralysis which in most respects resembles this, but which is rather a symptomatic disease of actual brain lesion. For this reason we must set out with the distinct understanding that