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Wc can scarcely ever see a case of acute chorea, therefore,
without at least carefully examining for a rheumatic history.
If there be no fibrile state present, but if the urine is found
highly loaded with lithates, though not of itself sufficient, yet it
is highly presumptive of the co-existence of rheumatic discrasia,
and perhaps of acute pericarditis also. A great number of
examples might be delineated here, to show the success of a
weak primary or a very gentle secondary current, directed for
five minutes per day down the whole spine. Dr. Dupee, of this
city, sent a little boy, Charles C, under a dozen years old, to me,
for this treatment, whose heart was not only affected, but together
with chorea, the saliva drooled from his mouth, his speech was
nearly gone, and his right arm was quite paralyzed. I gave
him daily sittings for the first month, (Sundays excepted,) then
two sittings per week, for the next month, which quite com-
pleted the cure. This fine little fellow is now well and at school.
According to M. Becquerel, too, this affection is susceptible of
receiving a happy and permanent influence, if we employ the
primary current of some ten Daniell's compound battery, gently
applied and directed down the whole length of the spine, by
placing one electrode at the base of the occiput, while the other
is at or under the coccyx; or we may employ negative sparks,
drawing them from along the spine. The former, he says, where
the chorea is not still the consequence of worms, nor yet of some
existing organic disease, as of the heart, &c, has a most rapid
catalytical in-working, much as in cases of rheumatism, and
resulting in most complete success, alike in cases of local, gen-
eral, and hemiplegic forms.
It ought to be mentioned here, likewise, that where " stutter-
ing " occurs in childhood, or if the patient is still in youth, elec-
tricity can restore poiver to the muscles and dominion to the will,
which, together with muscle drill and muscle education to break
up the old and bad habits of the muscles, will constitute a radi-
cal cure. For these cases we can employ the negative sparks of
static electricity directed daily to the muscles under the chin
and about the throat, or the Faradaic currents run from the
posterior cervical ganglia to the throat and roots of the tongue,