existed a year. The resulting symptoms were periodical attacks of distressing vertigo, and a condition of nervous exhaustion that unfitted her for the slightest mental or physical exertion. The Faradaic current was alone used, and, as in the two preceding cases, the applications were quite general. The menses reappeared after the twelfth séance, resulting in approximate relief of the vertigo and a decided increase of nervous strength.

At the present time-six months since the function was restored-she continues regular.

Faradization localized externally is as a rule but slightly efficacious in the disease under consideration. The electro-muscular contractility of the abdominal muscles is so great that a current of but little tension can be used, and neither by reflex nor direct action can the great sympathetic in this way be decidedly influenced.

Faradization localized internally, however, is a very effective method of treatment, and frequently succeeds when general electrization seems to be entirely inoperative.

Formerly I was accustomed to use, for applications directly to the os, a metal ball the size of a large marble and neatly covered by chamois skin. This was mounted on a long insulated stem, and could be readily introduced. The chamois covering was used to render the current less painful, but lately I have discarded it. The application of electricity to the skin through metal electrodes is extremely irritating; but all mucous membranes, especially that of the os uteri, vagina, and rectum, are remarkably insusceptible to currents of

ordinary tension, and bear metal electrodes as well as those of cloth or sponge.

Better than the round ball is a cup-shaped metallic extremity, into which the os can be made to fit very snugly.

I find that, by this form of electrode, the uterus can be more thoroughly and powerfully electrized than in any other way. I have seen amenorrhoea yield to the application of either pole internally, but the cathode is without doubt to be preferred. It is possible that the ascending currents, since its effects are more irritating than the descending, might in certain conditions prove most serviceable. The recomposition of the current at the negative pole or cathode is, however, far more powerfully manifest than at the positive pole or anode, consequently the uterine tissues are most decidedly influenced when the cathode is applied directly to the parts, and, practically, I am confident that it yields the best results.

Amenorrhoea associated with Spasmodic Contractions of the Muscles of Deglutition-Recovery follows two Applications of Internal Faradization.

CASE IV.--Mrs. H., aged 35, a patient of Dr. C. P. Tucker, of New York, had for several years suffered excessively from a form of nervous prostration, partly hysterical in character, and which seemed in a measure to depend on an almost complete deafness which occurred suddenly after a season of excitement while she was yet an invalid from confinement. General electrization had, during the early part of 1870, very materially lessened these symptoms, and she had remained

permanently better. In March, 1871, her menses ceased, resulting in a return, although in a less degree, of her old nervous symptoms. In October she began to be afflicted with vertigo and spasmodic contractions of the muscles controlling deglutition, which latter symptom progressively increased in severity until at times the patient could with difficulty take sufficient nourishment to satisfy hunger. I employed general electrization on two or three occasions, but, becoming satisfied that it was impossible to obtain any immediate result by this method, I resorted to internal Faradization, using the cup-shaped metallic electrode alluded to above, and thus localized around the os a powerful current of negative electricity. On the following day I repeated the operation, and in a few hours after the patient was rewarded by a flow somewhat scanty, and of a darker color than normal.

It was attended also by considerable pain in the uterus and excessive itching all along the course of the vagina. The distressing spasmodic symptoms about the throat ceased immediately and completely, and have not yet shown any evidence of returning. General applications were continued every other day for a month, markedly relieving her nervous condition. At the next menstruation the flow was quite normal, and to the present date the patient continues regular.

Amenorrhea existing two and a half years-A copious Flow follows twelve Internal Applications of the Faradaic Current.

CASE V.-Miss E., aged 23, suffered from cold

hands and feet, and a feeling of great fulness about the head, with vertigo, which symptoms depended, doubtless, on long-continued absence of the

menses.

Aside from the above-mentioned symptoms, her general health and strength were unimpaired. As general electrization and galvanization localized externally gave no evidence of being of service, with the consent, and in accordance with the desire, of both the patient and her mother, I applied the current directly to the os by means of an exceedingly small ball-shaped electrode. Four such applications repeated at intervals of three days resulted in a copious flow, lasting forty-eight hours. Greatly to my surprise, the associated symptoms were not relieved to any very great extent, and, as the patient ceased her visits before the time for the second return of the catamenia, I was unfortunately not able to judge concerning the ultimate effects of the treatment.

In regard to the effects of purely central galvanization in retention and suppression, I am unable to speak with any degree of certainty, since in every successful case peripheral electrization was used. Considering the recognized effects of the galvanic current on the spinal cord and sympathetic system, I should say that we might, on theoretical grounds, reasonably expect this method to be of occasional service.

External galvanization has been successfully tried. The following, however, is the only case in which I have successfully used it after internal Faradization and general Faradization had failed:

Amenorrhoea existing five months-Recovery under Peripheral Galvanization (External).

CASE VI.-Mrs. S., a widow, aged thirty. The patient suddenly ceased menstruating five months previously, and, accompanying the cessation, she was almost immediately annoyed by a sease of fulness about the head with vertigo. When she applied for treatment, she stated that these abnormal symptoms had continued without abatement, and had rather increased in severity. A number of internal applications of the Faradaic current having been given without appreciable result, I localized as nearly as possible a galvanic current from twelve small-sized zinc-carbon cells through both ovaries and the uterus itself.

The catamenia returned twelve hours after the second application, which was given the day following the first. Just before the next menstrual period, the application was repeated, and was followed by the usual flow. The menses appeared the third time, preceded by no application of electricity. As to further results, I am uninformed.

I can refer to but a single instance where the current was applied successfully to the cavity of the womb.

It has been used as an illustrative case in another place, but, as it completes the illustration of the different methods of application that have been mentioned, I will venture to give it again.

Amenorrhoea by intervals for several years-Relief of

Suppression by Intra-uterine Faradization with a