SIR,

THE following is what I can at present recollect, relating to the

effects of electricity in paralytic cases, which have fallen under my

observation.

Some years since, when the news-papers made mention of great cures

performed in Italy or Germany, by means of electricity, a number of

paralytics were brought to me from different parts of Pensylvania, and

the neighbouring provinces, to be electrised; which I did for them at

their request. My method was, to place the patient first in a chair, on

an electric stool, and draw a number of large strong sparks from all

parts of the affected limb or side. Then I fully charged two six-gallon

glass jars, each of which had about three square feet of surface

coated; and I sent the united shock of these thro’ the affected limb or

limbs; repeating the stroke commonly three times each day. The first

thing observed was an immediate greater sensible warmth in the lame

limbs, that had received the stroke, than in the others: and the next

morning the patients usually related, that they had in the night felt

a pricking sensation in the flesh of the paralytic limbs; and would

sometimes shew a number of small red spots, which they supposed were

occasioned by those prickings. The limbs too were found more capable of

voluntary motion, and seemed to receive strength. A man, for instance,

who could not the first day lift the lame hand from off his knee, would

the next day raise it four or five inches, the third day higher; and

on the fifth day was able, but with a feeble languid motion, to take

off his hat. These appearances gave great spirits to the patients, and

made them hope a perfect cure; but I do not remember, that I ever saw

any amendment after the fifth day: which the patients perceiving, and

finding the shocks pretty severe, they became discouraged, went home,

and in a short time relapsed; so that I never knew any advantage from

electricity in palsies, that was permanent. And how far the apparent

temporary advantage might arise from the exercise in the patients

journey, and coming daily to my house, or from the spirits given by the

hope of success, enabling them to exert more strength in moving their

limbs, I will not pretend to say.

Perhaps some permanent advantage might have been obtained, if the

electric shocks had been accompanied with proper medicine and regimen,

under the direction of a skilful physician. It may be, too, that a few

great strokes, as given in my method, may not be so proper as many

small ones; since, by the account from Scotland of a case, in which two

hundred shocks from a phial were given daily, it seems, that a perfect

cure has been made. As to any uncommon strength supposed to be in the

machine used in that case, I imagine it could have no share in the

effect produced; since the strength of the shock from charged glass is

in proportion to the quantity of surface of the glass coated; so that

my shocks from those large jars must have been much greater than any,

that could be received from a phial held in the hand.

Philosophical transactions, Vol. L. Part II. For the year 1758. Giving some account of the present undertakings, studies, and labours, of the ingenious, in many considerable parts of the world. · 第 3 / 119 题