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as firm as could be borne was made above, but it was not suffi-
cient to stop pulsation in the tumor. The sensible effect of this
kind of electric current was, pain in the groin, and violent agi-
tation of the whole body. At the expiration of twenty minutes,
the needles were withdrawn. The tumor was still pulsating as
before. Strict quietude was enjoined. For three days after,
neither did the aneurismal tumor nor his general health give
indications that any effect had been produced. On the 8th it
is noted, ' Tumor painful; is in a nervous and depressed state;
cannot sleep.' This condition passed off, and nothing presented
worthy of notice until the 12th, when pain in the tumor recurred,
and he was again in a nervous and restless state. Leeches were
applied, and sedatives administered. September 16th, there was
much constitutional disturbance, with violent inflammation about
the hip. Treated with purgatives and refrigerants. On the 19th,
the inflammation was subdued. The tumor was now larger, but
the pulsation not so strong. Digitalis and morphia prescribed ;
27th, tumor sensibly harder, and the pulsation fainter. October
6th, pulsation to-day is very faint; 8th, the pulsation is scarcely
to be felt; 11th, no pulsation for the last three days; the tumor
is hard and diminishing ; no pulsation can be heard by the steth-
oscope for two inches above and below the sac; 20th, no return
of pulsation, and the tumor is gradually lessening; limb has lost
the numbness so long felt in it, and only complains of want of
power to walk. The remains of the aneurismal sac feel like an
enlarged inguinal gland, and are about the size of a nut. There
is oedema of the leg still.
" In the case whose treatment by galvano-puncture, led me to
try it in Sergeant H., the cure was effected by a continuovs and
primary current of electricity, producing immediate coagulation
of the blood in the sac. One may infer this by the rapid effect
in a case of sub-clavian aneurism: ' The tumor was felt to be
becoming gradually solidified ; and even before the withdrawal
of the needles it had become perfectly solid, and pulsation was
no longer felt in it.' In another case of popliteal aneurism, a
like rapid effect was not attained, (attributed to the agitation of
the patient;) still in twenty-four hours pulsation ceased, and in
seven days he left the hospital, walking quite well.