APHONIA. (_Loss of voice._)

This affection requires treatment variously, as it depends on one or

another procuring cause.

If it be the result of recent "cold," inducing acute catarrhal

irritation in the larynx, treat _first_ as for _common cold_, and

_close_ the sitting as follows: Place N. P., _long cord_, of A D

current, in good medium force, upon back of neck or in the mouth, and

treat three to five minutes, twice a day, with P. P., over the front

parts of the air pipe in the neck; mostly over the _larynx_--Adam's

apple.

If it be from paralysis of the larynx, treat with B D current, rather

strong force; placing P. P., _long cord_, on back of neck or in the

mouth, and work with N. P. over the _larynx_, and somewhat over the air

tube of the neck generally. Treat three to five minutes, daily.

If, as is sometimes the case, the difficulty proceeds from a relaxation

of the diaphragm, with general sagging down of the thoracic and

abdominal viscera, so as to draw upon the trachea, then treat the whole

trunk tonically, using the B D current. Place the N. P. low on back of

neck, and treat with P. P. over the abdomen and thorax, and especially

all around the edge of the diaphragm--along the lower line of the false

ribs. Treat with medium strength of current, ten minutes, three times a

week. The aim is to contract all the relaxed parts, so to relieve the

larynx from the strain upon it.

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