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in electro-puncture, that the steel needles should always he
superseded by those of zinc; or rather, by needles covered by a
layer of this metal.
The " galvano-puncture " should then be practised in the fol-
lowing manner : A certain number of needles, connected with
the positive pole of a galvanic battery, are inserted into the tu-
mor, whether the sac of an aneurism, or the cavity of an aneu-
rismal varix. The negative pole should be supplied with a
plate of platinum, which must be put upon the skin adjacent to
the aneurism, after having augmented the conductibility of the
epidermis by moistening it with a saline or acidulated solu-
tion.
Aneurisms of large arteries have been successfully treated by
galvanic currents, and there are some such cases which must
otherwise prove fatal, fur they can be cured only by this means,
if at all. Even these desperate cases present some chances of
success, although not without some pain, and some little danger;
and yet I believe not necessarily so, if carefully performed.
The electric treatment here is based, then, upon the property
given to living blood while being traversed by an electric cur-
rent, i. e., of its coagulating at the positive pole. This, it is
known, also takes place with albumen, in or out of living tissues,
as Dr. De la Rive says, " probably by a secondary effect of an
acid, liberated only by a law of action at the same electrode,
from the decomposition of a salt, one of the constituents of the
blood, and of albumen."
In this operation, it is necessary to introduce the electro-
puncture needle well into the centre of the aneurismal sac. I
say needle, for one is sufficient, although heretofore two have
almost always been employed. That needle must connect with
the positive pole of the battery, while the other electrode may
be a sponge, or a metal covered with wet wash-leather, which
should be applied to the skin very near to the former pole, but
on the opposite side of the aneurismal tumor from the place
where the needle enters. Then the continuous primary current
from about twenty elements of Daniell's battery is required to
produce the coagulum; and to this end, the current should be