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In 1795 was delineated to the medical world the first example
known. But we are often led to query what could have been
the nature of those cases of " withered hand " which received, at
the hands of Christ, the compassionate cure by miracle ? Says
Sir Charles Bell, " This is an obscure subject." To this day, it
is looked upon by physicians, that wasting palsy is owing to
" defective nutrition ;" but it is evidently more than this, for
there is a rapidly progressive diminution of both bulk and power
of the affected muscle, or muscle group. There is — there
must be — some Malnutrition, some perverted and devouring
action.
Says Dr. Roberts, of London, cases of excessive wasting palsy
of the muscles of one or more limbs, independent of any well-
defined cause, have, from time to time, been observed; and
records of these are found scattered in various medical works.
They have been, until recently, introduced as " extraordinary,"
or anomalous cases, and are referred to in systematic treatises as
" creeping palsy," or as " lead palsy without lead," " peripheric
paralysis," or " local palsy," or " progressive palsy."
This progressive wasting paralysis does not extend to neigh-
boring parts of the leg or arm, nor is it a kind of blight that
reaches so far up the limb, or so far down the limb, but it is a
morbid affection, of muscles acting under a law of election,
that limits the progressive wasting to those muscles only that
are naturally combined in action, although these muscles lie in
different parts of the extremity, and arc supplied by different
nerves, as they are also supplied by different arteries. For ex-
ample, the muscles of the thumb may be affected by this dis-
ease, but the wasting and palsy will not be confined to the short
muscles of the ball of the thumb, but will, rather, extend to
those long muscles of the thumb which lie upon the forearm;
and these wasted muscles are seen lying side by side with those
that are plump and powerful. In another case, all the exten-
sor muscles of a group, or of a limb, will waste away and lose
their power while the flexors will preserve it; and this usually
produces a characteristic position of the limb. I am inclined to
agree with the early views of Sir Charles Bell in attributing