persons, some of whom had lost their sight thirty, and others forty years and even more. By this method they were familiarised with the idea of its mechanical action, and learned to distinguish it from every other sensation. I then applied Galvanism to the lips, and to the tip of the nose, in a darkened apartment; but in three instances only the patients had a real perception of light, to which they had been so long strangers. I then applied it to cases of amaurosis, and at first had confident expectation of effecting a perfect cure. One of my patients was a woman, whom this disorder had deprived of the sight of one eye, while that of the other was much weakened. After administering the Galvanism different ways, I observed that the eye totally blind began to have a perception of light, and that the sight of the one which was weakened became much stronger. I then took a book, which I held at a considerable distance from her; and removing it gradually further as the Galvanism was administered, I observed, in consequence of this method, that the patient’s sight daily improved. But I must freely confess that the success obtained, though at first flattering, was not of long duration; and that when the Galvanism was discontinued a great deal of the benefit which had been obtained was again lost. On this account, I was discouraged from administering Galvanism any more in such cases. I am however of opinion, that by varying the method of administration it may be attended with some utility. I shall here observe, that having once had occasion to administer common electricity in a similar case of amaurosis, I was never able to
excite the perception of a flash in the eyes of the patient, though the electricity was applied directly to the eye itself.
I have had few opportunities of applying Galvanism in diseases of the organs of hearing. Besides, I thought it almost needless to try a method which had been already brought to a state of perfection by some of the most celebrated professors of Germany and Berlin. I admired in particular a very ingenious machine, invented for that purpose by a German philosopher, and lately constructed in England by Mr. John Cuthbertson, an eminent philosophical and mathematical instrument maker, and celebrated for having constructed the large electrical machine of Harlem. The apparatus consists of a metal lever, which by means of certain wheels and machinery rises and falls every minute or second, and at each time of falling forms a communication between certain parts of the patient and the pile. In consequence of this arrangement, the interrupted action of the Galvanism is renewed every time that the communication between the patient and the pile is re-established. Before my departure from London, I made several changes and improvements in the usual construction of this apparatus, in order to give it as much simplicity as possible. The following is the manner in which I caused it to be constructed lately for my own use. One extremity of the lever which forms the communication ([Plate III.] fig. 1.), is fixed to the base or negative end of the pile, and the other terminates in a small hammer, so placed as to strike a bell, which by means of a
bason of water is in communication with certain parts of the patient, while an arc extends from the patient to the summit or positive end of the pile. In consequence of this arrangement, every time that the small hammer strikes the bell the Galvanic action of the pile is repeated. In cases of deafness, I cause the patient to hold in one hand an insulated metallic arc, one end of which is brought into contact with the affected ear, and the other with the positive end of the pile; and to immerse the other hand in a bason of salt water placed above the bell. When this disposition has been made, the wheel-work is turned round, which gives motion to the lever; and every time that the hammer strikes the bell, a communication is formed between the positive and negative ends of the pile: consequently there will then be a circulation of the fluid, and the Galvanism will exercise a direct action on the organ of hearing. The apparatus, constructed in this manner, appears to me to be reduced to great simplicity: and therefore I propose to extend the use of it, by employing it to administer medical Galvanism to other diseased parts of the body.
Before I conclude this article, I must suggest a hint respecting the application of Galvanism to diseases of the teeth, founded on information communicated to me on this subject by Mr. Fowler, an eminent dentist of London. When the caries is concealed from the sight, Mr. Fowler employs the following method to discover the affected tooth. He first insulates the patient; and having put into his hand the electric
chain, he applies a small piece of wire to the dens sapientiæ, drawing it gradually over its surface: he then applies it to the next tooth, repeating the operation, and proceeds in like manner with the rest till he comes to the diseased tooth, which discovers itself by a violent pain producing an involuntary commotion in the body. It is always remarked, that when this tooth is extracted it exhibits a carious part not before visible. This method, therefore, is of great importance, as it frequently happens in such cases that the dentist, not being able to distinguish the diseased tooth from the rest, is obliged to draw some that are sound before he can discover it.
SECTION III.
Application of Galvanism in cases of asphyxia and drowning.
I mentioned in the second part of this work the great influence which Galvanism has in cases of asphyxia, and the preference which ought to be given to it in comparison of other stimulants. Though the observations offered in that part are sufficient to prove my proposition, I shall add to them the following experiments: