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plegia, but was also of late threatened with immediate amau-
rosis,— I say, I said to him, that if lie did not desist from his
prolonged or too frequent sexual intercourse, at least for a few
months, and until his nervous system could rally and recover
its vitality, he certainly would not be benefited, but, on the
other hand, was liable to become more seriously paralytic, and
a blind man ; and, therefore, it was only on these conditions
that I would attempt to treat him. Such being my deepest
convictions, he, the next day, after consulting with his wife,
came into my office, stated his perplexity, and pleaded for
easier terms. He finally concluded, however, to return home
again, to give up all treatment, and "go it blind."
We know also, that, on the other hand, it is a great fact, a
very physiological laiv, that whenever muscles are but slightly
used, or lie long inactive, they become soft, fatty, and weak, or
else they waste or degenerate; and this, whether the inactivity
depends on paralysis, through affection of the nerves or nervous
centres, or from simple inaction, or fixation of the parts they
should animate and move. The degenerative process may be
so rapid that, in a fortnight even, muscles paralyzed by some
hemiplegia may present a manifest change of color.
Now, according to the views of Dr. James Paget, Professor
of Anatomy, the course of events in these cases appears to be,
that the want of exercise of the muscle, whether paralyzed or
fixed, makes its due nutrition impossible ; and the atrophy
thus brought about is the cause of the loss of irritability of the
muscle— i. e., of the loss of its capacity for contracting. For
the experiments of Dr. John Reid plainly show that loss of
contractile power in a paralyzed muscle is due, directly, to its
imperfect nutrition, and only indirectly to the loss of connection
with the nervous centres. When he divided the nerves of the
hind legs of a living frog, and then left one limb inactive, but
gave the muscles of the other frequent and regular exercise by
electrizing with the primary current the lower end of its nerve,
he found (to state the case very briefly) that at the end of
two months the exercised muscles retained their weight and
texture and their capacity of contraction, while the inactive