Use the A D current, strong force. Place the N. P., long cord, upon the lower cervical vertebræ, and then treat, first, with the tongue instrument, P. P., in the mouth, as far back on the tongue as can be borne, three to five minutes. Next, manipulate with sponge-cup, P. P., or the tin electrode filled with sponge, over all the front parts of the neck and throat, down to the chest, five to eight minutes.
Treat as often as once in two or three hours.
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.
CROUP.
Treat croup, whether membranous or spasmodic, much the same as is prescribed for diphtheria, only, in the latter part of the form, treat less.