Eberhart's Manual of High Frequency
Noble M. Eberhart
Practical High Frequency Therapy, Diseases Alphabetically Arranged
with the Technique to Be Employed.
Explanatory. In the following pages no special
attempt has been made to distinguish between diseases in which the high
frequency current is the sole treatment required and those in which it
is of temporary value or useful merely as an adjunct to other methods;
therefore, including a disease in the list, does not imply that the author
necessarily considers high frequency the only, or even the best, treatment
for it. Where he has a pronounced opinion, however, he has not hesitated
to express it.
To avoid frequent repetition, where auto-condensation
is referred to, it is given according to the technique in Chapter VI; the
same with fulguration, etc., where special regional technique is advised,
as for the prostate, vagina, etc., the directions in Chapter VII are to
be followed unless otherwise indicated.
Where small Tesla coils are used with the vacuum
electrode, it should be remembered that the current is sharper than that
from Oudin or larger Tesla, and shorter sparks must be used than the average
stated, or the patient will complain.
Where two spark-lengths are given, for example,
one-quarter to one-half inch, the shorter would be for the machine giving
a "hot" spark and the longer for one giving a comparatively "cold" spark.
Bear in mind that this stating the strength of a
vacuum electrode in terms of a certain length of spark does not necessarily
mean that the tube is held away from the surface so that a spark of that
length actually passes, but means that enough current is passed through
the electrode to make such a spark possible. Usually the tube is kept in
contact with the skin and where it is not it is so stated in the text.
In any of the cases calling for the spark the indirect
spark may be used instead of the direct. See Chapter VI.
Where general treatment with the vacuum electrode
is given to take the place of auto-condensation or auto-conduction, the
treatment must be much longer than that for a purely local effect. The
average duration of local vacuum tube treatments is from five to ten minutes;
for auto-condensation or auto-conduction, ten to thirty minutes, and for
the general tube treatment referred to, from twenty to thirty minutes.
A number of symptoms or conditions have been indexed
for convenience as if separate diseases, such as paralysis, constipation,
Insulated tubes are preferable in treating the various
orifices of the body. In general, limit orificial treatments to seven minutes
to avoid possible burns.
In stating dose of auto-condensation I have employed
my new unit of measurement, the Eberhart, a full discussion
of which will be found under that heading in Chapter VI. It is based on
100 milliamperes meter reading per minute to each 1,000 volts of potential.
There are two types of apparatus employed, which
I will designate as Number One and Number Two. I wish to remain absolutely
neutral on the question of whether one type or the other is superior for
Type No. 1. High voltage, low amperage. I
assume that the voltage is about 50,000. This is not official, however.
The machine operates ordinarily at an average meter reading of 350 to 500.
In using it I never try to crowd it above 500, and usually employ it at
about 400. Where a larger dose is necessary I prefer to lengthen the time,
rather than increase the amperage. On the voltage stated the number of
Eberharts per 100 Milliamperes is 50.
Type No. 2. Low voltage, high amperage. I
assume, unofficially, the voltage to be about 25,000, average meter reading
700 to 1,000. I believe that majority of operators use it at about 1,000
and here again I prefer lengthening the time in giving a larger dose, rather
than to crowd the meter reading to a higher point. Based on 25,000 volts,
the apparatus delivers 25 Eberharts to each 100 meter reading, and although
the voltage is one-half that of No. 1, it is operated at twice the average
meter reading, which leaves the time of treatment the same.
The following table shows how the time coincides,
that average being about ten to fifteen minutes on either to give 2,500
|No. Eberharts per 100
||Minutes for 2.500 E.
The manufacturer should state in his instructions
for auto-condensation how many Eberharts per 100 of meter reading his machine
produces, when the time in minutes is easily calculated.
The average dose of auto-condensation is 2,500 Eberharts,
but where satisfactory results are not shown after six to ten treatments
it is my custom to increase the dose to 3,750, 5,000 or even 7,500 Eberharts,
doing so by lengthening the time. I first lengthen the time to about one-half
more, and if results after another ten treatments are not as expected,
I increase to double the original time, and so on. In the following pages
where the dosage is given as 2,500 to 7,500 E., this method is intended
to be followed. There is, generally speaking, no overdose of auto-condensation,
therefore, considerable latitude in dosage is allowed, only be sure and
dose enough. The only contra-indications I consider are high temperature
in the patient or a pulse pressure of 20 or less. In the first instance
I would start with about 1,000 to 1,250 E. And wait until the third day
before repeating, generally increasing dose and frequency as patient showed
toleration, as indicated by a correspondingly smaller rise in temperature
immediately following treatment.
In the latter case if patient was applying for first
treatment, I would not employ auto-condensation at all, but spinal sparks
instead. If patient had been under treatment for high blood pressure and
pulse pressure went to 20 or below, I would either stop the treatment for
a few days or give the small dose (1,000 to 1,250 E.), and if it still
stayed as low, I would abandon auto-condensation, even though the systolic
blood pressure was still abnormally high.
When the blood pressure of the patient is normal
or below normal, auto-condensation generally would be contra-indicated,
but in those cases where it is desired to use it for its effect in improving
metabolism, the dose should average about 1,250 Eberharts and should be
given at a low meter reading (200 to 250 for No. 1; 400 to 500 for No.
2). If this is shown to materially decrease the systolic blood pressure,
each treatment should be followed by sharp sparks to the patient's spine,
for five minutes.
Abscess. To prevent the formation of an abscess,
the use of a low vacuum electrode is theoretically indicated. The intensity
of current employed should be that capable of producing a spark of one-quarter
to three-quarters of an inch, but in employing the tube it should be kept
in contact with the skin. Use enough current to get the effect of the heat
generated. Duration of treatment ten to fifteen minutes, repeated daily
or twice a day if necessary. In those cases where an abscess already exists
the high vacuum tube is preferable, using the same intensity. Duration
of treatment, seven to ten minutes. High candle power lights are useful
in connection with high frequency.
Acne Rosaceae (Red Nose). To destroy the
enlarged veins in this disease, the spark must be employed to get a cauterizing
action. For this the best method is to use the fulguration electrode, regulating
the strength of spark in accordance with the toleration of the patient
and treating from two or three up to six or eight minutes at a sitting,
according to the amount of destruction required. A spark from one-quarter
to one-half of an inch in length from any vacuum tube may be employed in
place of a fulguration point. With the latter, the treatments should not
be repeated until the effect of the first has subsided, which will average
from six to ten days. The X-ray in connection with the high frequency current
is indicated, but I believe carbon dioxide snow, first suggested for this
purpose by me, is superior to either, and we must not forget the curative
effects of electrolysis.
Acne Vulgaris (Pimples). One of the best
fields for the employment of high frequency is in this form of acne. It
is used preferable in conjunction with the X-ray, and with this combination
a cure should be effected in practically every case. The vacuum tube is
used for the high frequency application,-the so-called body tube, Fig.
51, being that ordinarily employed, and a sufficient amount of current
passed through the apparatus to produce a spark of one-quarter to three-quarters
of an inch. The tube, however, is not raised from the skin, but kept in
light contact with it, dusting on talcum powder if the tube sticks to the
skin, or else treating through a single thickness of cloth, as through
a handkerchief. In place of the body tube, I have found that any of the
glass vacuum tubes ending in a vacuum not less than an inch in diameter
may be employed as easily as the body tube. For instance, the prostatic
tube, Fig. 21, No. 11, makes an excellent electrode for treatment of the
face, because the edges surrounding the depression on the surface of the
tube enable the operator to get a better contact about the nose or other
sharp angles than is possible with the body tube. The tube is kept moving
rapidly back and forth over the surface and is not allowed to remain stationary
over any point. Lately I have made considerable use of the indirect spark
with the patient on the auto-condensation pad. If the treatment is given
in connection with the X-ray, the duration of the high frequency treatment
should be from three to five minutes, but if given alone, a treatment of
seven to twelve minutes is indicated. Treatments may be given three to
six times a week with the high frequency, but not more than three seven-minute
treatments per week with the X-ray. The high frequency X-ray tube proves
very satisfactory for the treatment of acne, as little penetration is required.
Where pustules are forming, I have found it advantageous to raise the tube
for fifteen to thirty seconds and apply for that length of time a reasonably
sharp spark. This often aborts the pustules, and even if it does not, will
limit their size. I do not approve of deep lancing of pustules on account
of the consequent scarring. When a yellow head appears on the pustule it
should be opened with a sterilized needle, and then instead of using pressure
to evacuate the contents, the shaft of the needle should be passed across
the pustule, which will remove all of the pus that is ready, without bruising
the tissues and extending the focus of infection.
Fig. 51 - Body Electrode Applied to the Face.
Where scars are already present there is no more
efficient application for them than a sharp spark from the glass electrode,
or a very mild spark from the fulguration point may be employed.
Fig. 52 - Treating Alopecia (Lloyd).
Actinomycosis (Ray Fungus). In this disease
the high frequency spark is employed as an adjunct to the X-ray. The spark
should be from one-quarter to three-quarters of an inch in length, according
to the toleration of the patient, providing the vacuum tube is used. If
the fulguration point is employed, a shorter spark is required. Three treatments
Adenitis, Cervical (See Tuberculosis of Glands).
Adhesions. Where pelvic or other adhesions
follow operations or inflammatory conditions, the high frequency current
will be useful. The vacuum tube is employed, using an intensity capable
of producing a one-half inch spark and keeping the tube in light contact
with the abdominal wall, passing back and forth over the area involved
for from seven to ten minutes, or use the indirect spark with patient on
auto-condensation pad. In pelvic adhesions, the use of the vacuum electrode
in the vagina in connection with the surface application will hasten results.
Mechanical vibration is advised in connection.
Albuminuria (Nephritis; Bright's Disease).
Benefit in these diseases has been obtained from the application of high
frequency currents. The best method is the use of auto-condensation, 2,500
to 7,500 E. per day, in connection with the use of a vacuum tube over the
region of the kidneys. There have been many reports of the disappearance
of the albumen following this method of treatment. I have myself seen both
albumen and casts disappear, but do not wish to be understood as making
the statement that this treatment will cure Bright's Disease. That it is
of sufficient value to warrant its employment, if possible, in every case,
is my firm belief, particularly in cases where high blood pressure exists.
This is always the case in chronic interstitial nephritis, as high pressure
in the renal artery is apparently the primary cause of the disease. (See
Arteriosclerosis.) Auto-condensation in these cases will lower the blood
pressure and by relieving the pressure in the kidney, the strain is taken
off the filtering tubules and the result is at least beneficial even if
not necessarily curative. High frequency in this disease must be considered
solely as an adjunct to our usual routine treatment and should not be looked
upon as taking the place of these measures.
Alcoholism. Use of the vacuum tube over the
spine, solar plexus and to the extremities in connection with other means
to overcome the effects of alcoholism, has been advised by several operators.
If the blood pressure is high, the spinal application would be contra-indicated
and auto-condensation or auto-conduction should be substituted. The latter
forms are also specially sedative where nervous excitement is present.
(See Drug Addiciions.)
Alopecia (Loss of Hair). Where baldness occurs
as a result of faulty nutrition, the high frequency current naturally suggests
itself as an ideal remedy. The applications are made with the vacuum tube,
using either the tube shown in Fig.51 or that in Fig. 21, No. 11. Sufficient
current is to be sent through the apparatus to make it possible to draw
a spark of from one-quarter to three-quarters of an inch. A case being
treated with the spark from a portable outfit is shown in Fig. 52. The
tube is ordinarily in light contact with the scalp, but occasionally may
be raised slightly, giving a short but rather intense spark. It is to be
kept moving about over the scalp, for from five to ten minutes at a treatment.
If too sharp a spark is employed, the scalp will become sore and tiny little
places will appear where it has exerted an escharotic effect. To get the
best results a daily treatment is advised, and two short treatments per
day would not be too much. In connection with the high frequency a few
moments' use of the vibrator is strongly advised. In Alopecia Areata, the
X-ray is employed in connection with the high frequency current, using
a medium or high vacuum. The scalp is particularly sensitive to the X-ray.
Amenorrhea. That the high frequency current
when applied through the vagina sometimes has an emmenagogue effect has
been noted by several authors. I have occasionally observed the same effect,
although I cannot reconcile this action with the beneficial results we
obtain from the same current in menorrhagia and metrorrhagia; conditions
which are precisely opposite. As the current determines an increased amount
of blood to the area treated, its employment in absence of the menses would
appear reasonable. The technique is the use of the insulated vaginal tube
for seven minutes, three to six times a week, and in connection therewith,
the application of a spark to the lower part of the spine for from three
to six minutes. Another method is to use the bi-polar Tesla treatment with
one pole over the sacrum and the other over the tubes; two or three times
In those cases that result from anemia, the general
effect on metabolism of auto-condensation will call for its employment,
2,500 to 7,500 E. three to six times per week. Mechanical vibration is
very effective in amenorrhea, and should be employed in connection. In
virgins, where the menstrual function is irregular, a small tube, such
as shown in Fig. 20, No. 4, may be employed, or the treatment given through
the rectum with the insulated tube shown in Fig. 21, No. 8. Ozone inhalations
will still further assist in those cases caused by anemia.
Fig. 52a - X-Ray and High Frequency.
Anemia and Chlorosis. As high frequency currents
increase the oxygenation of the blood, thereby increasing both the reduction
of oxyhemoglobin and also the number of red corpuscles and the percentage
of hemoglobin, their employment in anemia, especially of the chlorotic
type, is quite as effective as iron tonics, and at the same time does not
interfere with the joint use of the latter. The method of administering
the current is by auto-condensation. If the blood pressure is normal or
above, give 2,500 to 7,500 E. three to six times per week. If the blood
pressure is below normal give 1,000 to 1,250 E. with meter reading about
250 for low amperage machines, and 500 for high amperage outfits.
Ozone inhalations are clearly indicated and are
of the utmost value in these cases. In one of my cases the percentage of
hemoglobin increased from thirty per cent to eighty per cent in eight weeks.
Intra-muscular injections of iron solutions are advised.
Aneurism. Auto-condensation, 2,500 to 5,000
E., three to six times per week gives relief but is, of course, not curative.
Under no circumstances should the vacuum electrode be employed locally
over the aneurism.
Appendicitis, Catarrhal. In catarrhal appendicitis,
the vacuum tube has been employed locally, using a tube capable of emitting
a one-fourth or one-half inch spark, keeping it moving in contact with
the skin over the region of the appendix. Both the monopolar application
from the resonator or Tesla, and the bi-polar Tesla current have been employed.
In the latter case, the other pole is placed over the lumbar region, or
grounded by attachment to gas or water pipe. It is my opinion that appendicitis,
in any form, is a disease which high frequency operators should not trifle
with, but turn over to their surgical friends.
Arteriosclerosis and High Blood Pressure.
Arteriosclerosis is a disease that is of the utmost importance, because
it is the primary condition which results in so many diseases of kidneys,
liver, heart and brain, which we are accustomed to classify according to
the organ more particularly affected. Arteriosclerosis, formerly looked
upon as the heritage of old age, is now very common and greatly on the
increase because of our present mode of life with its strenuous efforts
to gratify ambition; its excesses and indiscretions in eating, drinking,
etc. Today there are many men young in years whose arteries are those of
the octogenarian and forecast the probability of a sudden termination of
The most prominent and persistent symptom of arteriosclerosis
is high blood pressure. The circulatory system may be compared to an electrical
plant, in which the heart is the central station or dynamo and must necessarily
have a pressure sufficient to overcome the resistance in the circuit. Therefore,
we have the pressure decreasing in the arteries, less in the capillaries,
and still decreasing as the veins grow larger. Thus we have the complete
round of the circulation, the blood following the rule of water and of
electricity and flowing from a higher to a lower pressure. Normal pressure
of the blood in the arteries is sufficient to support a perpendicular column
of mercury of from 110 to120 millimeters. In arteriosclerosis it sometimes
increases to over 300.
The disease is usually divided into the functional
and organic stages. The first would be the stage previous to the real hardening
of the arteries and the latter that in which structural changes actually
In the functional stage there comes to be present
a contracted condition of the artery, producing thereby increased tension
and raising the blood pressure. At this time this is the result of irritation
and spasm on the part of the muscular fibres and no actual degeneration
or permanent change in structure has appeared. Thus the disease develops
gradually and without any particularly noticeable or alarming early symptoms.
The theory is that toxins in the blood first cause irritation, then contraction
or spasm of the arteries, which may be intermittent, but become a more
or less steady contraction, increasing the pressure by narrowing the caliber
of the artery and finally attaining the permanent changes of the second
stage. The causes producing the original irritation are gout, uric acid,
lead poisoning, syphilis, diabetes, excesses or abuses in eating, drinking,
tobacco, etc. There is faulty conversion of food products into living cells
with failure to properly eliminate poisons from the system and the absorption
of the products of imperfect intestinal digestion (auto-intoxication).
Of the errors in diet, the most common is the consumption
of too much nitrogenous food, especially red meats and substances rich
in proteids. Other causes of arteriosclerosis are worry; prolonged mental
or muscular strain, and the after effects of infectious diseases. Although
more common after the age of forty, no period of life is exempt; cases
occurring at the ages of eight, fifteen and twenty-eight years being on
record. Whatever the treatment undertaken for the disease, there must necessarily
be a regulation of habits to overcome the causes stated above. The diet
should be simple, all alcoholic beverages tabooed; tobacco should be prohibited
or used sparingly. Milk or buttermilk are allowed, especially the buttermilk
made with lactic acid ferments. Red meats are to be eaten sparingly, but
plenty of vegetables are advised.
There has been a tendency on the part of many physicians
toward the partial or complete elimination of salt from the diet. The individual
should take his time, and avoid all worry, haste and excitement. In addition,
strict attention should be given to personal hygiene and regular but moderate
exercise, baths, etc. It has been shown experimentally that in a normal
subject, the blood pressure may be raised from five to ten millimeters
by taking a cup of beef broth. Therefore, the necessity for curtailing
the amount of red meat is apparent.
One of our Chicago millionaires consulted two celebrated
German specialists, Dr. Grodel of Nauheim and Dr. Vogel of Ems. The directions
given by each were almost identical, and I herewith give the combined list:
"Two cigars daily, separately. Coffee, three-fourths
milk, or dekafa. Chocolate. No tea. No Turkish baths. Swimming all right.
Horse-back riding; slow horse. Slow golf. Automobiling all right. No stairs;
no strain; no hurry. Eat coarse graham bread like Nauheim. Never over-eat,
it kills! No sweets. No cabbage, fresh bread or foods causing flatulence.
Champagne and wines do the same (cause flatulence). Eat lightly and more
often if necessary."
Although high blood pressure is the rule, if the
heart is dilated and there is a tendency to dropsy and congestion, there
may be a low blood pressure. In these cases it is necessary to be sure
of the pulse pressure. (See Chapter VI under "Taking Blood Pressure.").
The most important and constant symptom, however, is high blood pressure.
In Figs. 44 and 44a the process of taking the blood pressure is illustrated.
(For the technique of taking the blood pressure, see Chapter VI.)
Fig. 53 - Cancer Treated by Fulguration. Three Weeks' Time Between
The electrical treatment of arteriosclerosis is
the use of the high frequency current by auto-conduction or by auto-condensation.
The preliminary dose is 2,500 E., and it should be given daily in the beginning,
and less than three treatments a week at the start are useless.
As the blood pressure approaches normal, the treatments
may be reduced to three a week, then to twice a week, and if there is no
tendency to a rise in pressure, then once a week. A treatment every week
or two should be maintained for some time in order to be sure of the permanency
of results. It is not enough to force the pressure down and then suddenly
abandon all treatment. It will require on an average about 40 to 50 treatments
to bring the pressure from 200 down to 140 or under, or to the point where
only one treatment a week is needed.
The pressure is taken before giving the treatment
and if taken after shows an average reduction of about 10 to 12 millimeters.
In a few hours the pressure is back nearly to where it was before, the
net reduction being from one-half to two millimeters, according to the
individual and the degree of pressure. When the pressure is over 200 I
expect to get a net reduction of two millimeters for each treatment. Between
200 and 160 I look for an average of one and one-half points, while below
160 it will be from one down to one-half millimeter. In some cases it goes
down steadily for 10 to 15 points, and then remains stationary for a week
or two, and then down another series.
Dr. John Ritter of Chicago has shown that the blood
pressure, like the pulse, varies with the position of the patient, whether
standing, sitting or lying down. Therefore, it should be taken on subsequent
occasions with the patient in the same position.
It should not be taken too often, say, once a week,
as otherwise the gain is not specially noticeable.
Occasionally, just as the pulse had been cut off
by the pressure on the brachial artery and I had noted the systolic reading,
the pressure would go up five, ten or twenty millimeters. This I have attributed
to a spasm taking place in the brachial artery from too frequent taking
of the pressure.
At the end of ten treatments, if the blood pressure
is not reducing in accordance with the rate given above I increase the
length of the treatments, about one-half (3,750 E.), but do not increase
the meter readings. After another ten treatments, if the reduction is insufficient,
I lengthen the time to twice the original (making 5,000 E.), and so I keep
crowding the dose until I get results or convince myself that it is impossible.
Many operators fail because afraid to push the dose.
When taking the pressure, take both systolic and
diastolic, and note their difference, pulse pressure.
In these cases we are only interested, as a rule,
in low pulse pressure, and this should never remain long under 20. If it
does we have carried auto-condensation as far as it will do any good, and
it must be stopped, as further treatment will entirely disturb compensation
and endanger the patient.
Ordinarily the systolic and diastolic pressures
go down simultaneously, though not always the same number of millimeters.
Occasionally the systolic goes down faster than the diastolic until the
pulse pressure reaches 20. I then lessen the dose to 1,000 or 1,250 E.,
or skip a treatment or two, and if after this it remains at 20, or possible
goes down to 18, I stop the treatment altogether, whether the systolic
is down to normal or not, and usually give some sharp sparks to spine to
raise the systolic, and thereby also the pulse pressure, until the latter
is above 20.
I have met with occasional cases in which no benefit
or only a very temporary reduction followed the use of auto-condensation.
Increased determination of blood to the surface
of the body lowers the blood pressure and, conversely, driving the blood
from the surface, raises it. Therefore, any remedy that increases peripheral
circulation lowers the blood pressure. In addition to the drugs employed
for this purpose may be mentioned electric light baths, oxygen baths, etc.
In advanced cases care should be exercised not to reduce the blood pressure
too rapidly at first.
We must not lose sight of the fact that either auto-condensation
or auto-conduction, if capable of lowering blood pressure, is equally capable
of preventing the development of arteriosclerosis when employed at the
first sign of increased pressure. In brief, the effects of old age may
I voice the view of many authorities when I state
that a man past forty, who is under considerable strain or carrying a heavy
load in his business or profession, and who finds difficulty at times in
concentrating his attention, awakens in the morning more tired than when
he went to bed; has occasional spells of dizziness or light-headedness,
or notices occasional tingling or numbness in the extremities, owes it
to himself to ascertain whether or not these symptoms are pointing toward
the development of arteriosclerosis. If his fears prove groundless, well
and good; but if evidences of arterial involvement are present, they will
be discovered in time to prevent their untoward effects.
Articular Rheumatism (See Rheumatism).
Asthenopia. Use the body electrode carrying
a spark of from one-fourth to three-fourths of an inch, according to the
sensitiveness of the patient, and keep the tube at full sparking distance.
Pass it rapidly up and down the spine for three minutes.
This treatment is satisfactorily applied through
some layers of clothing, as the latter insure a definite spark length.
In women the corset would be removed if any steels are where they will
be charged by the current. If a chain is worn around the neck it should
be taken off.
Follow the spinal treatment by an application of
the same tube to the back of the head and neck for three minutes longer,
then over the eyes for two or three minutes, keeping it in contact with
the skin. Finally use the double eye tube, Fig. 6, for three minutes. Three
to six treatments per week.
Ozone inhalations and vibration are useful adjuncts.
Asthma. The treatment of asthma may be by
vacuum tube applications over the chest or by placing a diaphragm so that
a powerful effleuve or fine sparks will fall upon the chest.
The vacuum tube should be used with as sharp a spark
as the patient will permit and is conveniently applied through the underclothing.
Mechanical vibration is especially useful in connection
with high frequency.
Direct D'Arsonval application with one sponge to
the back and the other moved back and forth over the chest is another method.
Daily treatments of about ten minutes' duration. A cure should not be expected.
Ataxia (See Locomotor Ataxia).
Atonic Dilation of the Stomach. In this disease
we have complete relaxation of the motor fibres of the stomach and the
treatment must be that which will cause them to actually contract and regain
their normal tone. The first cases treated by high frequency were those
reported by Chisholm Williams. He employed the vacuum tube for five minutes
locally over the stomach, followed by auto-condensation for ten minutes.
This treatment was repeated daily. In one case a cure resulted in six weeks.
This author also reported results in seventeen cases treated by Drs. Crobie
and Bokenham. The results were proved by skiagraphs.
One method that has been used in treating this disease
has been to localize the effects of auto-condensation by using the metal
electrode and placing a piece of plate glass between the electrode and
the stomach area. The plate glass is the di-electric. The electrode corresponds
to one layer of condenser, and the gastric area to the other, thus obtaining
the effect of auto-condensation.
I have found general auto-condensation treatments
(2,500 to 7,500 E.) Were entirely satisfactory for this disease often combining
with mechanical vibration. The sinusoidal current has proved of essentially
equal value. While applying the general auto-condensation on the couch,
it is possible to draw sparks from the body with the vacuum tube locally
over the stomach at the same time with benefit. The foregoing treatment
is equally effective in atony of the stomach when dilation is not present.
Atrophic Rhinitis (See Ozena)
Atrophy of the Optic Nerve. The method of
treating this disease with high frequency currents has been by the use
of the eye electrode, single or double, as required, the same being held
in contact with the closed eyelid and the current allowed to pass for from
five to ten minutes. The current is of a strength just short of producing
painful sparks on the lid. In place of the eye electrode, I have used the
form shown in fig. 21, No. 11, using a current that would not be capable
of producing a spark of more than one-sixteenth of an inch, and keeping
it in light contact with the lid while it is passed back and forth for
several minutes. Another author suggests at the same time an application
with a stronger current, keeping the tube in loose contact with the skin
over the temple for about the same length of time. Daily treatments are
Baldness (See Alopecia).
Barbers Itch (See Sycosis).
Bladder Disease (See Cystitis).
Bladder, Papilloma of. See Technique under
fulguration, Chapter VI.
Blepharitis. In a large number of cases of
blepharitis a cure has resulted from the use of a very mild spark from
the vacuum tube. Sometimes it has to be persisted in over a long period
on account of a marked tendency to relapse. One case referred to me by
Dr. Rager which had resisted all of the usual routine treatment improved
rapidly under three applications a week of the high frequency current in
connection with the high candle power light. Over sixty treatments were
given, however, before the case was essentially cured. Fox treated 100
cases with no failures.
The technique which I employ is as follows: I use
the electrode shown in Fig 21, No. 11, with just enough current to produce
a stinging sensation when applied to my own eyelid, the fine spark from
it being from one-thirty-second to one-sixteenth of an inch length. I raise
the upper lid by pressure with the thumb and apply this fine spark along
the edge for two minutes, and then pull the lower lid down and do the same.
Then while the patient closes the eye I pass the electrode over the whole
surface of the lids for two or three minutes longer. A daily treatment
is preferable, but three times a week will suffice.
Blindness from Inter-Ocular Hemorrhage. In
this condition the current is used to promote absorption, and as the blood
pressure is always high, there is an indication for the use of auto-condensation
or auto-conduction for the purpose of reducing it.
I report a most interesting case which occurred
in the wife of a Methodist clergyman. She became suddenly blind in the
left eye and applied to me for treatment. Not being an oculist I referred
her to Dr. Good for diagnosis, and he found on examination that a considerable
hemorrhage had occurred, thus obstructing the vision. An unfavorable prognosis
was given. I treated the case in the following manner: The patient's blood
pressure was 156 and there were abundant signs of arteriosclerosis, so
she was given first 2,500 Eberharts on the auto-condensation couch, after
which the vacuum electrode (Fig. 21, No. 11) was rubbed gently over the
closed eyelids, temple and supra-orbital region, using a mild current,
capable of giving a slight stinging sensation when passing in loose contact
with the skin, After this, very mild mechanical vibration was applied through
my fingertips to the closed eye for thirty to sixty seconds only. Daily
treatments were given and the result was little short of marvelous. Inside
of two weeks the sight returned to the eye and a few weeks later it was
stronger than before the hemorrhage occurred, as the patient had had some
difficulty with this eye for many years.
Blood Pressure. See Hypertension (High Blood
Pressure), also Hypotension (Low Blood Pressure), and Arteriosclerosis.
Brachial Neuritis. (See Neuritis.)
Brain Fag. "Brain Fag" has come to represent
a condition just one step removed from complete nervous prostration. It
is common in business men, especially where too close attention to business
has been accompanied by too little exercise. The favorite prescription
has been a complete change of scene, such as a sea voyage. This treatment
is not always possible, and much may be accomplished by the use of high
frequency currents, ozone, and mechanical vibration.
The nature of the high frequency treatments should
be in accordance with the patient's blood pressure. If the blood pressure
is high, auto-condensation or auto-conduction is clearly indicated, and
2,500 to 5,000 E. Should be applied daily, or even twice a day if the case
is urgent. Following this, the vacuum tube with a spark just strong enough
to have a good tonic effect should be applied to the forehead over the
eyes and to the back of the head and neck. The patient will nearly always
complain of pain in the back of the neck, the pain so common in neurasthenia.
In many of these cases the blood pressure is below
normal and in these the use of auto-condensation or auto-conduction is
distinctly contra-indicated. Instead there should be the application of
sharp sparks, say one-half inch or more in length, up and down the spine
for four or five minutes, then over the abdominal region for three minutes
more, finishing with the application over the eyes and back of the neck,
as outlined above.
In all cases, two or three minutes' inhalation of
ozone after the high frequency treatment is desirable, or if possible the
patient should install an ozone machine in his office and also in his sleeping
room so that he is constantly breathing air charged with a large amount
of ozone. (See Chapter IX.) When the blood pressure is low a mild stimulating
application of mechanical vibration along the whole spine is indicated,
dwelling somewhat longer over the back of the neck.
Bronchial Asthma. (See Asthma.)
Bronchitis. High frequency currents are useful
in acute bronchitis but circumstances usually render them unavailable.
If, however, the physician has a portable high frequency outfit and there
is electricity in the patient's room, he will find that a reasonable sharp
spark over the chest and back, until they are well reddened, will give
relief. This treatment may be repeated every hour until a sufficient moderation
of congestion is obtained.
An ozone generator should be placed in the room
to ozonize the air. This is really more important than the high frequency
In chronic bronchitis the vacuum tube may be used
over the chest and back, as in the acute form.
At the present time in connection with the vacuum
tube application general auto-condensation is employed (2,500 E.) or it
may be applied locally according to the "Plate-glass method" described
in Chapter VI: Here ozone is again clearly indicated, the preferable method
being ozonization of the air in the room where the patient sleeps or works;
this being superior to the temporary administration of ozone in the physician's
office. Treatments should be given daily at first, gradually dropping to
two ro three times a week.
Callouses. Callosities of all kinds, including
corns, are treated by the application of sharp high frequency sparks; either
from glass or metal electrodes or by means of the regular fulguration point.
Caustic fulguration is preferable.
Cancer. (See Carcinoma.)
Canities. (See Gray Hair.)
Carbuncle. In treating carbuncle the high
frequency currents are used as an adjunct to the X-ray, although they have
proved effective when used alone. Enough current should be sent through
the tube to produce a one-fourth to three-fourths inch spark and the tube
should be kept in loose contact with the inflamed area and passed back
and forth over it for ten or fifteen minutes. This should make an appreciable
difference in the pain and promote an early ripening of the carbuncle.
In cases where suppuration has already occurred
the progress of the case may be hastened by the same technique.
Carcinoma. (Cancer). The best treatment for
cancer is the use of the X-ray in connection with surgery, but in many
instances benefit is obtained from the local use of high frequency sparks.
The present method of utilizing these sparks is by means of caustic fulguration.
(See Chapter VI.) Anaesthesia may be necessary.
In Fig. 53 is shown a case of cancer treated by
Dr. Carreras by fulguration, a small portable coil being employed. The
middle picture was taken three weeks after commencing treatment and the
right hand picture in another three weeks.
Cataract. In the early stages of cataract
benefit may be expected from the high frequency current in a reasonable
percentage of cases.
It is applied according to the eye technique given
in Chapter VII. Five minute daily treatments with not too great an intensity
of current; tube in contact with closed lids.
Catarrh of Bladder. (See Cystitis.)
Catarrh of Bowels. (See Colitis and Enteritis.)
Catarrh of Nose. (See Nasal Catarrh; also
Catarrh of Womb. (See Endometritis; also
Cellulitis. The red vacuum is preferable
in treating cellulitis. After freely incising the parts to establish drainage,
apply wet dressings and then use the high frequency current through the
dressings, five to seven minutes, repeating frequently.
Occasionally in an early stage the application of
the high frequency in connection with a high candle power light may arrest
the progress of the trouble; but if it does not do so quickly, the above
method is advised.
In this instance the current is merely an adjunct
to our usual methods.
Cerebral Hemorrhage. Dr. L. M. Bowes, who
has had a wide experience in these cases, states:
The prophylaxis consists in treating the underlying
cause-arteriosclerosis, nephritis, chronic alcoholism or syphilis-which
is describe under the proper heading.
When there are prodromal indications of hemorrhage-headaches
or dizziness, in one whose arteries are liable to rupture-the patient should
be placed in bed with the head raised and feet lowered. If there is hypertension,
auto-condensation or auto-conduction is indicated.
Give a brisk purgative followed by an enema. During
the attack the patient should be kept absolutely in the position given
above, with an ice-cap on the head and heat applied to the extremities.
Hot baths should be absolutely forbidden.
The absorption of the extravasated blood is promoted
by the use of auto-condensation or auto-conduction, combined with the use
of small doses of the iodides.
For the paralysis the treatment should be the same
as outlined under the heading of paralysis, remembering that only the weak
muscles should be treated. If the strong muscles are treated the contractions
are liable to be increased.
Cervical Adenitis. (See Tuberculosis of Glands).
Cervicitis. In inflammation of the neck of
the womb, with or without hyperplasia, the use of the high frequency current
through the vagina is very effective.
The insulated vaginal tube is employed and care
is taken to be sure that it is in contact with the cervix. Seven minute
treatments, daily or every other day, using a current strength that would
be capable of producing a one-half or three-fourths inch spark if the tube
were not in contact with the body.
A small tube, such as the nasal tube, may be inserted
in the neck of the womb in cases accompanied by relaxation where the mouth
of the uterus is open. This tube must not come in contact with a metal
speculum or it will charge it with the current. It must be insulated with
rubber or sufficient dry gauze. A glass speculum of the old-fashioned tubular
type is preferable. The direct D'Arsonval current (diathermy), is also
useful in this disease. (See Chapter XI.)
Where the cervix is considerably enlarged mechanical
vibration is advised. I have devised a uterine vibratode which is very
convenient and serviceable in treating these cases, because the vibrations
may be limited to the desired area. It consists of a flexible uterine sound
with a section of rubber tubing between it and the attachment to the vibrator
to prevent undue force being used, and application is made directly to
the cervix through an ordinary speculum.
Chancroid may be treated with the spark from
the vacuum tube or by caustic fulguration. One treatment should suffice
and is superior to acid cauterization. Take care not to apply too long.
One-half to one minute is usually sufficient. Sometimes I place the vacuum
tube over the chancroid with two or three layers of gauze between, thus
utilizing short but rather thick sparks. In this instance keep in contact
for five minutes and repeat in eight to twelve hours.
Where a soft chancre exists just within the meatus,
treatment by means of the end of an urethral electrode is extremely satisfactory
for apparent reasons. Treat for seven minutes and repeat twice a day in
Chilblains. Use a vacuum tube with a current
strength capable of producing a quarter or half inch spark, but keep the
electrode in contact with the skin. It may be held steadily over the chilblain
or moved slowly about as desired. Treat for ten minutes or until relief
is manifest and repeat daily or very other day until cured.
In connection the soaking of the foot in a strong
solution of acctate of zinc (tablespoonful to the quart) is advised.
If a porcelain bowl is used the high frequency electrode
may be placed in the solution after the manner of using the faradic current.
Chloasma. (See Moles, Moth-patches, etc.)
Chlorosis. (See Anemia and Chlorosis.)
Chorea. In chorea general treatment with
a sharp stimulating spark to the spine, abdomen and extremities, taking
about 15 minutes for the treatment and repeating daily or every other day,
Auto-condensation alone, or in connection with the
foregoing, is indicated; also mechanical vibration and ozone.
Chronic Ulcers. Use at first a sharp spark
from the vacuum tube to get a stimulating effect, which is not only locally
germicidal, but also converts the chronic condition into an acute one which
will heal readily. Afterwards treat through two or three layers of gauze,
with a tube in contact, capable of giving a quarter-inch spark.
Fulguration, with mild spark may be employed.
Cicatrices. (See Scars.)
Cold Extremities. I have included this symptom
because it is so common and because the high frequency is really an ideal
treatment for the condition.
Vacuum tube applications to the extremities to the
production of redness give an immediate result.
In order that it may have a permanent effect, a
tonic dose along the spine and over the abdomen is advised; the treatments
to be repeated three times a week.
Diathermy is also indicated. (See Chapter XI.)
Colitis. (Inflammation of colon, mucous colitis.)
This is a condition which has not yielded to ordinary methods, but which
has proved singularly amenable to the high frequency current.
Several methods of employing it have been almost
equally effectual. They are:
1. The vacuum tube with a current intensity capable
of emitting a half or three-quarter inch spark may be passed lightly over
the bowel areas, either in contact with the skin or through the underclothing.
Duration, fifteen minutes. Repeat daily until improvement takes place,
and then continue three times a week until cured.
2. The Tesla current or the direct D'Arsonval (diathermy)
applied with one electrode over the bowel and the other in the rectum.
3. Auto-condensation, either general or local or
by the "Plate-glass" method. (See Chapter VI.)
Ten or fifteen minute treatments daily or every
Auto-condensation may be combined with any of the
other forms. It is my preference-3,500 E. daily.
Constipation. I believe mechanical vibration
and the sinusoidal current are superior to high frequency in these cases,
but the latter may be used advantageously.
A vacuum tube application over the abdomen is indicated.
The lower the frequency the more effective the treatment.
For this reason treatment with the small Tesla coils
is especially satisfactory; also the use of pulsatory currents, (tube attached
to one pole of X-ray coil).
Considerable current should be passing through the
tube, averaging an intensity capable of delivering a spark of from one-half
to one inch, but taking care to keep the electrode in close contact with
the abdomen and thereby avoid any sparking.
Ten minutes daily is advised first, later dropping
to two or three times a week.
Another method is to use the Tesla current or the
direct D'Arsonval (diathermy) with one electrode on the abdomen (stationary
or moved about), and the other in the rectum. Local auto-condensation commends
itself and the author's D'Arsonval surgings given with a pad or metal electrode
over abdomen, will give motor effects.
Convalescence. In convalescence the general
tonic effect of auto-condensation 2500 E., or a mildly stimulating vacuum
tube spark to the whole body, will aid the patient in regaining strength.
Corneal Opacity. Applications are made with
the eye tube through the closed lids or may be made directly to the cornea,
taking care to have perfect electrical contact. Three to ten minutes at
a treatment, frequently repeated.
Corns. (See Callouses.)
Coryza. For cold in the head a low vacuum
tube carrying enough current to produce a half inch spark is rubbed over
the outside of the nose, along the supra-orbital region, and the sides
of the face.
Ozone is inhaled directly from contact with the
tube or by means of an inhaler.
Intra-nasal application with the nasal electrode
(See Figs. 20 and 21) is also advised.
Two or three treatments a day may be employed if
Cystitis. The effect of vacuum tube treatment
through the rectum or urethra is remarkable in inflammation of the bladder.
In one case where many clots of blood were passing
with the urine, and had been doing so for some days, it was greatly lessened
after the first treatment and entirely disappeared after the second. The
urethra was too sensitive to admit the sound and the treatment was administered
The technique for urethral or rectal applications
will be found in chapter VII.
A seven minute treatment is given daily at first
and then every other day. Two treatments a day may be employed if the physician
thinks best. It is remarkable how fast the urine clears up in nearly all
of these cases.
In acute cases I always use the rectal technique
but in old chronic cases I alternate with the urethral method. In women
the vaginal technique is used.
Local treatment over the bladder with the body tube
is also beneficial, or diathermic currents with electrode in rectum and
pad over bladder. A bi-polar Tesla treatment may be given in the same manner.
Dandruff. (See Seborrhea.)
Deafness. In catarrhal deafness the high
frequency current in connection with mechanical vibration will yield remarkable
results in ninety per cent of the cases treated. Not that it may be expected
to cure so large a percent; but the degree of improvement will be so marked
that both physician and patient will be well satisfied. The ear tube is
used as outlined under ear technique in chapter VII, the duration of the
treatment being from two to seven minutes according to the toleration of
the patient. The current must not be too sharp.
The sensation of heat will become so marked that
the patient will tell you when to stop. If he does not, do not carry the
seance beyond seven minutes, for either ear.
Two treatments a day are not too many in the start,
but this is seldom practicable and we must content ourselves with from
three to six per week.
Diabetes. In the earlier use of high frequency
currents we were confronted by a variety of reports regarding the effectiveness
of this treatment in diabetes, but even those who gave adverse opinions
concerning the disappearance of sugar, admitted that there was improvement
in the patient's "sense of well-being."
I am willing to put myself squarely on record as
believing auto-condensation to be the best single remedy we have for diabetes,
and best of all it does not prevent us from using at the same time all
of the other measures which experience has shown us to be valuable.
In my first cases I used auto-condensation without
altering patient's diet, or prescribing any internal treatment in order
to determine exactly how much reliance might be placed on this method.
All specimens of urine were sent to a reputable laboratory for examination
so that no personal wish might influence my judgment of results.
In one of these cases the sugar and all accompanying
symptoms disappeared in the incredible time of six weeks. (There was six
per cent of sugar in the beginning). Three to six months has been more
nearly the average time required. The sugar has not disappeared in every
case, but in no case has there not been a perceptible decrease in amount
and a general improvement where the treatment lasted over two months.
One case died in four weeks, only ten treatments
being given. The acetone increased and I predicted death within two weeks.
A sudden and decided increase in acetone or its appearance when none has
been present, I regard as an unfavorable sign usually indicating a fatal
termination within two or three weeks.
One of my worst cases where the patient could scarcely
get to the office for treatment made such a steady improvement that in
five months the sugar had dropped from seven and a half per cent to one
and three-tenths per cent, he had resumed work and was gaining rapidly
in weight, and I was absolutely sure a complete cure would result, when
he died suddenly. The cause was apparently the result of an excess in drinking
(which had been forbidden), raising the blood pressure to the point of
rupturing one of the arteries in the brain.
Treatments should be given daily at first, starting
with 2500 E., and if improvement is not manifest within a week increasing
to twice that amount or even more. The only exception is where there is
an advanced case of arteriosclerosis with marked hypertrophy of the heart
muscle, when the blood pressure should not be diminished too rapidly.
When improvement is pronounced, decrease the dose
and treat three times a week.
In examining the urine the total amount for twenty-four
hours must be collected and measured and a specimen from this examined;
otherwise a test for the percentage of sugar will be valueless, for if
half a dozen separate specimens are examined in a day, there will be given
an equal variety of percentages.
As diabetes is apparently a disease resulting from
disturbed or impaired metabolism it is entirely reasonable to expect benefit
from the administration of auto-condensation.
I do not enforce a rigid diet, but a regulated one.
Other operators have employed in place of the auto-condensation
a vacuum tube spark over the abdominal area. Many find the X-ray of decided
value, exposing over the liver.
Diarrhea. One author says, "After preliminary
treatment of the canal or being assured that no foreign matter remains
in it, apply tonic dosage of high frequency current over the region of
the solar plexus, stomach, intestines, liver and spinal nerves." I note
that he advises essentially the same method for constipation.
As few cases of diarrhea come under the treatment
of the electro-therapist I am not able to give a definite opinion, but
would think a prolonged but soothing treatment over the abdominal organs
preferable. Inhibitive vibration I know to be effective and would advise
it in conjunction.
Drug Addictions. In drug habits I have found
more benefit from vibration than from high frequency currents, but the
latter may be used conjointly. In alcoholism, a sharp stimulating spark
over liver, solar plexus and fifth to ninth dorsal spinal centers is advised;
also auto-condensation, 2500 E. repeated three to six times per week, provided
blood-pressure is high. (It is usually.)
In the cocaine habit use mild vacuum tube
treatment to soles of feet; and to arms and legs to the point of marked
reddening. If blood-pressure is low use stimulating sparks to the spine;
if high give auto-condensation. In morphine or opium users give
sharp stimulating spark over liver and solar plexus, with auto-condensation
or spinal sparks according to whether the blood-pressure is high or low.
In all of these habits treat insomnia, constipation
or other accompanying symptoms as advised under those headings.
Drupuytren's Contraction. For the contraction
of the fascia in the palm of the hand known under this name, high frequency
currents have been successfully used by Herdman.
Auto-conduction or auto-condensation, 2500 E. Three
to six times per week with vacuum tube sparks locally for five minutes.
Mechanical vibration indicated.
Dyspepsia. The technique to be followed is
essentially that outlined under atonic dilatation of the stomach. The best
teatment is auto-condensation, 2500 to 5000 E. daily. It may be employed
locally by the "plate-glass" method (See Chapter VI), thus making it possible
to utilize the small coils for this purpose. D'Arsonval surgings (see Chapter
VI) are of equal value.
Vacuum tube applications over stomach and solar
plexus are advised if auto-condensation is not available. The general tonic
effect of ozone inhalations or of ozoning the air of room or office, makes
it a usual adjunct.
Earache. This symptom is frequently relieved
by the application of the ear tube using a mild current for from three
to seven minutes, the benefit being apparently due to the heat evolved.
Another method has been the use of a flat electrode
over the mastoid.
Ear Diseases. The principal diseases of the
ear which are benefitted by high frequency currents are: catarrhal deafness,
tinnitus aurium, and chronic middle ear affections. The method of treating
each of these is given under its appropriate heading.
Eczema. In the treatment of eczema the high
frequency is an invaluable adjunct to the X-ray, but may be used independently
of it with successful results. This disease reacts to the X-ray very quickly
so that care must be used in the number and length of exposures. The high
frequency is applied according to the technique described in Chapter VI,
under skin diseases, where the body tube or the tube shown in Fig 21, No.
11, is used with a sufficient amount of current to produce a spark from
one-fourth to three-fourths of an inch in length, but during the greater
part of the treatment it is kept in light contact with the surface, or
the treatment is applied through a layer of gauze.
Where there is intense itching it is found that
raising the tube to produce a moderately sharp spark proves quickly effective
and is very agreeable to the patient. As with the X-ray we must be careful
and not treat the case too long at one sitting. From two or three to eight
minutes daily or three times a week is advised; the shorter treatments
should be given when used in connection with the X-ray. One of the high
frequency X-ray tubes made to hold and apply to the surface in a manner
similar to that of the ordinary vacuum tube would undoubtedly be especially
satisfactory in these cases. An ozone spray (see Chapter IX) is recommended
Enlarged Prostate. (See Prostatic Diseases.)
Endometritis. Treat same as cervicitis.
Enteritis. In enteritis of a chronic character
high frequency currents may be expected to benefit in the same way that
they benefit all catarrhal conditions. In acute forms there is a question
whether the current is of sufficient value to warrant its employment when
there are so many other agencies of equal or greater effectiveness that
are more easily resorted to.
The treatment advised would be tonic applications
over the abdomen with the vacuum tube and a mild spark; or local auto-condensation,
three to six treatments pre week, of ten minutes each.
Epididymitis. In acute forms a vacuum electrode
applied with mild current and held in contact with the area involved or
the use of diathermy is advised. In either case a ten-minute application
repeated in two or three hours until relief is obtained. In the chronic
form the same method is employed. The treatments are then given daily or
three times a week.
The X-ray is very effective in these cases, but
on account of its tendency to produce sterility, it is sometimes objected
to. The surrounding parts should be protected by a lead shield or the treatment
may be applied through one of the narrow tubes or speculums connected with
a tube shield.
In my experience where there has been any considerable
inflammation of the epididymis, that side is already inactive, and there
is no special reason to hesitate about using the X-ray.
Epilepsy. The high frequency current in connection
with the X-ray has been used in treating epilepsy with a number of apparent
cures according to several authors. The method employed is the use of a
medium or high vacuum X-ray tube, placed at ten inches and used for five
or ten minutes, followed by vacuum tube application over the brain, and
along the spine for five minutes longer. Treatment is repeated three times
It is questionable in my mind whether there is sufficient
benefit in these cases to warrant the use of the high frequency current.
Epithelioma. In skin cancer our best non-operative
treatment is the X-ray, whether generated by high frequency apparatus or
with the ordinary machine. The high frequency in the form of fulguration
is also effective in the great majority of cases. Even the use of a very
sharp spark, say three-fourths of an inch in length from a vacuum tube,
has proved successful.
Where the X-ray is used it has been my custom to
give three exposures per week, of from seven to twelve minutes, with a
low or medium tube followed by two or three minutes' application of as
sharp a spark from the vacuum tube as the patient would tolerate.
We also have in carbon dioxide snow an excellent
remedy for these cases. After the glands have become involved the chance
of cure by any method is greatly lessened.
Erosions of the Cervix Uteri. These are treated
with the vaginal tube, the insulated form being used, according to the
vaginal technique described in Chapter VII, taking care to bring the tube
in contact with the cervix. The treatment should last for seven minutes
and may be repeated daily or every other day, as desired. Diathermy has
been used in these cases, the patient holding a metal electrode connected
to the other pole. No treatment should be given during menstruation.
Exophthalmic Goitre. (See Goitre.)
Eye Diseases. The specialist will find the
high frequency current a very valuable adjunct to his armamentarium. Fox,
in 1907, reported one hundred cases of blepharitis marginalis treated without
a single failure. My own experience in this disease dating back to 1902
will bear this out. Iritis, retinitis, atrophy of optic nerve, conjunctivitis,
trachoma, glaucoma, incipient cataract, paralysis of ocular muscles, intro-ocular
hemorrhage have all been treated by high frequency currents. The special
technique for each of these diseases is given under the appropriate heading.
Favus. This condition which yields so nicely
to the X-ray is also amenable to treatment by high frequency. A spark is
employed as sharp as the patient will tolerate for from three to five minutes,
three times a week.
Fissure (Anal). So many reports of successful
results in anal fissure have been made that there seems to be no doubt
of its efficacy. It has always been my opinion that as much benefit was
derived from the stretching of the parts as from the healing effect of
the current. The rectal vacuum tube is employed as directed in Chapter
VII and a seven minute treatment is given from three to six times per week.
Flabby Breasts. It is claimed by Monell that
a stimulating application with the vacuum tube to the relaxed nipple of
the flabby breast will immediately show its beneficial effect.
Frontal Sinusitis. (See Sinusitis.)
Furunculosis. In treating boils a mild spark
from the vacuum tube is employed over the affected area for ten or fifteen
minutes. The treatment may be repeated two or three times a day if operator
finds it advisable. It is well to cover a reasonable area surrounding the
boil in order to prevent recurrences, if the boil is discharging. Another
method is to use the fulguration point with a sharp spark for a few seconds.
This frequently aborts a boil if employed in the early stages. Operators
using the Tesla coil have told me that they obtain better results when
the patient is directly attached to one pole of the machine and the grounded
vacuum tube or metal point held within a short distance of the surface
treated, thus drawing the sparks from the skin (indirect sparks).
Open boils heal readily under an application of
the ozone spray.
Gastritis. In chronic gastritis the high
frequency treatment indicated is local or general auto-condensation, or
the methods may be followed which are given under atonic dilation of the
Genito-urinary Diseases. The genito-urinary
diseases in which these currents have proved useful include gonorrhea,
gleet, prostatitis, cystitis, orchitis, stricture, etc. The directions
for treatment will be found under these various headings.
Glaucoma. As this condition is usually associated
with high blood pressure as well as hypertension in the eye-ball, the use
of auto-condensation 2500 to 7500 E. daily to reduce blood pressure naturally
suggests itself and it was for this reason that I first employed high frequency
In conjunction with auto-condensation, I use the
eye tube applied to the closed eye for five to eight minutes, when a very
mild spark is employed over the eye-lid, eye-brow and temple with any flat
surfaced vacuum electrode.
I do not find any record of this condition having
been previously treated by anyone else. There is, of course, no reason
to omit any of the customary remedies used in these cases. The benefit
is noticed frequently after a single treatment.
Gleet. There are two methods that I have
found equally satisfactory in the treatment of chronic posterior urethritis.
The first is by employment of the urethral tube with the technique given
in Chapter VII, taking care in the introduction of the glass sound not
to break it and seldom extending the treatment over seven minutes at any
one seance. The treatments may be given daily or every other day.
The second method is to treat through the rectum
with the rectal or prostatic tube, which I have found quite as effective,
and much easier to employ and devoid of any danger from breaking of the
tube. I have treated a large number of these cases, beginning as far back
as 1902. The early cases were treated in conjunction with the X-ray, but
on account of the risk in using the latter, I have abandoned it of late
years and find high frequency currents even more effective.
Cases are cured frequently in from ten to twenty
treatments; occasionally it has taken more than twice the latter number.
Goitre. In simple goitre the high frequency
current is applied with the vacuum tube, using an intensity capable of
producing a half or three-quarter-inch spark.
The tube should be kept in light contact with the
surface of the skin, treating the sides of the neck as well as over the
goitre itself. After five minutes of this treatment, raise the tube and
use as sharp a spark as the patient will permit for two or three minutes.
The X-ray is used always in connection with the
high frequency and mechanical vibration also. About one-half of the cases
In exophthalmic goitre the results are much better
than in simple goitre.
The vacuum tube is employed in the same manner followed
by auto-condensation, 2500 E. X-ray and vibration recommended.
Gonorrhea. In acute gonorrhea in the male
the current is markedly beneficial. If the canal is not too sensitive the
urethral vacuum tube may be used, but this is seldom possible.
A method is to use a glass tube containing boric
acid solution and having a metal bottom to which the connecting cord is
A daily treatment should be given and I have not
hesitated to give as many as three in one day in some instances.
In the female the vaginal tube is used or the vagina
may be packed with moist gauze and a metallic electrode attached to the
Usual methods of treatment may be carried out in
connection with the high frequency.
In sub-acute or chronic forms the vacuum tube method
is preferable in either sex. In men, treatment through the rectum is effective.
The precise action of high frequency in these cases
is still in doubt. It may be the germicidal effect of the ozone liberated,
or the increased leucocytosis established. With tubes of high vacuum the
chemical rays emitted are entitled to credit.
Gout. Auto-condensation or auto-conduction
is the high frequency treatment for gout, as in all diseases resulting
from disturbed metabolism. The urine is found to have immediately an increased
amount of urea, while the excessive uric acid rapidly decreases to normal.
2500 to 7500 E. daily or three times a week is a
proper dosage. A slight aggravation of pain may be present after the first
few treatments, for which reason I sometimes start with a smaller dose
and gradually increase.
No treatments should be given during an acute attack.
Arc light or electric light baths are beneficial in any stage.
Where the vacuum tube is applied in these cases,
it should be kept in close contact with the skin, avoiding all sparking.
Indirect spark during auto-condensation is very beneficial.
Gray Hair. I discovered, accidentally, the
action which these currents have in restoring the natural color to gray
hair. This apparently is not limited to premature grayness.
The chief drawback to the treatment is that it may
have to be kept up for months and months.
Vibration of the scalp to aid in increasing nutrition
is desirable. The high frequency treatment consists in vacuum tube applications.
From my original article on this subject, published
in the American Journal of Clinical Medicine, November, 1909, I quote some
"As early as 1902 I began using high frequency currents
usually in connection with vibration, in the treatment of various conditions
of the scalp where the hair was thin or falling out rapidly.
"Vibration was employed because of its stimulating
effects on the circulation, and high frequency sparks because of this same
beneficial influence on the nourishment of the hair roots, and further
on account of its germ-destroying action where bacteria were responsible
for the falling hair.
"The possibility that high frequency currents might
be useful in restoring the original color to gray hair did not occur to
me, and had it done so I should have thought it impossible in consequence
of the fact that these currents have been used commercially in bleaching
flour and other substances.
"My first discovery of the 'restorative' effect
on gray hair came about in an accidental manner.
"I was treating a woman whose hair was falling out
very rapidly, employing both high frequency current and vibration. Her
hair was very black but sprinkled over her head were three or four dozen
gray hairs which were especially conspicuous by contrast. She asked me
if it would do any harm to pull out the white hairs, and I told here that
as long as she was losing so much hair, anyway, she might as well pull
out the objectionable gray ones.
"After about two months of treatment the hair had
practically ceased falling out and I noticed that there were scarcely any
gray hairs. I thought she had been pulling them out and said so. When she
replied that she had been afraid to do this despite my permission, I said
to her that the treatment must be restoring the color and proceeded to
investigate. The finding of a few hairs white at the upper end and dark
for a varying distance next the scalp convinced me absolutely that my surmise
was correct. From that time on I have employed high frequency currents
in all of these cases that have come under my care.
"For a long time I believed that only in prematurely
gray hair any improvement could be expected, but a recent case makes me
think that if patient and physician are sufficiently persevering, results
may be obtained in many instances where the gray hair is the natural result
of advancing years.
"The case referred to is one in which I have for
somewhat over a year and a half been treating a very stubborn case of lupus,
situated behind the left ear. The patient, a man in the fifties, has gray
hair which can scarcely be called premature.
"The treatment for several months consisted in an
application of high frequency sparks six days a week, preceded every other
day by exposure to the X-rays; and even now that the patient is nearly
cured he is still receiving two such treatments a week.
"Recently I noticed that around the ear where I
had been applying the sparks there was a band of dark-brown hair about
an inch in width. I thought possibly this was so all around the margin
of the hair, but found it did not exist except over the area receiving
the high frequency sparks, and a reference to the picture of the man taken
when treatment was begun shows that at that time where was no apparent
difference in the shade of the hair at this point.
"All of this brings me to the conclusion that gray
hair must be entirely a result of disturbed nutrition, preventing the carrying
into the hair of the pigment that gives it its color. This pigment-carrying
property, in all probability, depends largely upon the natural electrical
currents which traverse various tissues and which when interfered with
in the hair result in grayness.
"Laying aside theory, results tell, and it is easy
for anyone to prove the truth of my statements. The only drawback is the
comparatively long time required. Some cases show results in two or three
months, but six months is nearer the average.
"In the case of naturally gray hair I fear few patients
could be kept under treatment long enough, since in the instance cited,
a year and a half elapsed before the change was noticed.
"The method which I have employed is first to use
a rubber brush or soft rubber vacuum cup on a vibrator and for three or
four minutes thoroughly massage the scalp, stroking from the edge of the
scalp inward toward the center of the crown of the head, or else using
short circular strokes and gradually passing from the margin to the center.
Following this, a glass vacuum tube is employed and passed rapidly back
and forth over the scalp for five minutes, with as sharp a spark as the
patient can conveniently tolerate. This is usually one about one-half or
three-fourths of an inch in length. Too sharp a spark might make the scalp
sore and even have a slight caustic effect, which is to be avoided.
"Daily treatments are the best. I employ a similar
technique in falling hair. Keeping the tube in loose contact with the scalp
is equally effective."
Grippe. (Influenza.) In connection with the
usual medicinal treatment great benefit will be derived from the general
application of the high frequency current and the inhalation of ozone.
Fig. 54 - Areas Where Headaches Occur.
Ozone is particularly valuable in these cases, especially
where the patient can have an ozonizer in the room.
Otherwise inhalations by means of any of the several
generators, or in default of one, the vacuum tube held with the hand in
contact with the vacuum will give a sufficient amount if brought near the
The general treatment is by tonic spark to spine
and solar plexus; also mild treatment over eyes and sides of nose. (Intra-nasal
with special tube is advised in certain cases.)
Hair, Falling. The vacuum tube applied as
described under scalp technique in Chapter VII, especially in conjunction
with vibration, is very effective where the hair is falling out. (See Alopecia.)
Hay Fever. (Periodic Hyperesthetic Rhinitis.)
Many reports have been made of the favorable influence of high frequency
in these cases. Direct applications to the nose with the nasal vacuum tube
and mild current, also using any suitable tube to stroke over the nose
externally, as in nasal catarrh, is the customary technique with tonic
spinal treatment of auto-condensation as indicated.
Inhalations of ozone are of even greater importance
or still better ozonizing the air of the room. The patient should be examined
for enlarged turbinates or nasal polypi and if found they should be removed.
The hyperesthetic areas in the mucous membrane should
be destroyed. Fulguration sparks may be used for this purpose, although
I see no advantage over customary measures.
Headaches. Frontal or congestive headaches
are relieved by using the vacuum tube with an intensity capable of producing
a half or three-quarter inch spark and by passing the tube back and forth
over the seat of pain.
Keep the tube in loose contact and prolong the treatment
until relief takes place, which will be five, eight or occasionally ten
Fig. 54a - Portable Outfit.
Inhibitive vibration in connection is advised, being
fully as effective as high frequency.
Only temporary relief may be expected in toxic headaches
or in reflex headaches from organic diseases unless the underlying cause
is ascertained and treated.
In Fig. 54, taken from my "Vibratory Technique,"
the areas where headaches occur are outlined. This will be useful in suggesting
the probable line of treatment.
Headaches as A or B are congestive or frontal. At
A they may come from errors in refraction; frontal sinus disease or nasal
disease. Stomach diseases also frequently cause pain at A. Constipation
A-B. Decay of front teeth A-B. Anemia; endometritis; bladder disease, C.
Middle ear disease; throat disease; eye disease; decayed teeth, D-E. Womb
disease; spinal irritation; nervousness, E. Ovarian reflex pains usually
at C and E. Neurasthenic headaches involve the back of the neck.
Heart Disease. One author says; "Tesla currents
are often of great value in organic heart disease in assisting nature to
establish compensation. In later stages when compensation fails the current
is palliative through its action on the vaso-motor system and its tendency
to disperse dropsical effusion."
Treatments are given according to the indications
shown by the patient's blood pressure. If the latter is high auto-condensation
is called for; if low sparks to the spine and solar plexus.
Hemorrhoids. Outside of the use of fulguration
for the removal of hemorrhoids, I am not impressed with the value of high
frequency currents in these cases, despite a number of favorable reports.
Of course they are palliative and relief may result from their treatment
with the rectal electrode as directed in Chapter VII, under Rectal Technique.
For well-marked cases my advice is operation. Whether
they are removed by the knife or scissors, or whether by the electro-cautery,
or by fulguration sparks, is a matter for individual choice.
Local anesthesia will suffice for fulguration in
these cases and the spark need not be a very long nor sharp one. More than
one application may be necessary.
Herpes Zoster. (Shingles.) Application of
the vacuum tube discharge to the eruption in herpes is almost uniformly
serviceable in hastening a cure.
The tube should be capable of delivering a quarter,
half or three-quarter inch spark, but should be used in loose contact with
the surface or through a layer or two of gauze. Treatment should be applied
to the nerves supplying the area. Repeat the application daily as long
as required. Two to four treatments ordinarily are sufficient.
Mechanical vibration advised and ozone inhalations
for their tonic effect.
High Blood Pressure. (See Hypertension.)
Hyperesthetic Rhinitis. (See Hay Fever.)
Hypertension. (High Blood Pressure.) This
symptom is the most common one accompanying arteriosclerosis, and the technique
of treatment is given under that heading.
The technique of taking the blood pressure is described
in Chapter VI.
High blood pressure always calls for auto-condensation,
or auto-conduction. It also contra-indicates the application of sharp stimulating
sparks to the spine, as these tend to raise it still more.
Hypotension. (Low Blood Pressure.) In this
condition we have the opposite to the preceding heading, and the treatment
indicated is sharp stimulating sparks to the spine and solar plexus, while
auto-conduction or auto-condensation is theoretically contra-indicated,
although with low pressure it does not seem necessarily to lower it, depending
on the pulse pressure (See Chapter VI).
Hysteria. Many operators have reported successful
results in hysteria. Auto-condensation should be used if blood pressure
is normal or above.
Fig. 54b - New Type of High Frequency Coil.
If the pressure is below normal, as is often the
case, sharp vacuum tube sparks to spine and abdomen are advised.
Impetigo. Treat according to the technique
given for acne vulgaris.
Impotence. The method of treating this condition
is by means of the vacuum electrode. Use the body or prostatic tube with
enough current to produce a spark one-quarter or one-half inch long or
Keep the tube in loose contact with the surface
while it is passed back and forth over genitals, inguinal and bladder region
and to the lower half of the spine.
With the spinal application raise the electrode
to get reasonably stimulating sparks.
Sometimes a special electrode is used which takes
in the genitals, or they may be immersed in boric acid solution or water
in a glass or porcelain vessel, and one pole of the D'Arsonval current
(diathermic) in contact with the fluid, while the other electrode is in
the patient's hand or applied to his back. Ten minute treatments daily.
Rectal applications for seven minutes are often beneficial.
Incontinence of Urine. (Enuresis.) Apply
a tonic spark to the lower part of the spine and also over the bladder
In selected cases treatment through the rectum to
influence the neck of the bladder is desirable, and were it not for the
fact that these cases occur in children the methods outlined under cystitis
would be indicated.
Infantile Paralysis. (Anterior Poliomyelitis.)
These cases call for the daily application of stimulating sparks to spine
and over all of the paralyzed muscles. Use a spark one-fourth or one-half
an inch in length, with body tube.
Interrupted galvanism and vibration are of equal
value and should not be omitted. The tonic effect of auto-condensation
makes it desirable.
D'Arsonval surgings (See chapter VI), with the connection
made directly to the ankles when the legs are affected, is of marked benefit
because of the muscular contractions produced.
Influenza. (See Grippe.)
Insomnia. (Sleeplessness.) There are few
cases of insomnia that cannot be cured by high frequency currents.
The technique which I have found to be most satisfactory
has been the use of a vacuum tube with sufficient current to produce a
quarter or half-inch spark, which is kept in light contact with the back
of the head and neck for about five minutes, followed by three or four
minutes' application over the eyebrows.
After this auto-condensation, 2500 to 7500 E. I
always use vibration in connection with high frequency and ozone is indicated.
Patients often fall asleep while taking auto-condensation;
in fact, when using this method for other conditions you will often find
your patients asking what it is that makes them so sleepy.
I have cured so many aggravated and severe cases
of insomnia with these measures that I am inclined to believe there should
be no failures.
One of the worst cases I have encountered was that
of a man who found it necessary, on account of the sudden death of his
brother, to work night after night until two or three o'clock in the morning
in order to get through with his business. This and the shock of his brother's
death (he was killed by a car) caused such a state of mind and body that
when it became possible for him to take plenty of time to sleep it was
found that sleep was impossible.
At the time I undertook his treatment all of the
customary measures had been exhausted and powerful narcotics only gave
a transient respite; in short, grave fears for the man's mind were entertained.
I refused to take the case unless the patient agreed to take daily treatments
for six weeks. It was within three or four days of the end of this time
before any improvement was manifested, but the second course of treatments,
covering the same length of time, entirely cured him.
Fig. 54c - Portable Outfit with Two Inductors.
Intestinal Indigestion. With imperfect intestinal
digestion we have indican present in the urine.
Auto-condensation, either general or local, will
cure these cases. The technique outlined under atonic dilatation of the
stomach is equally useful here. The sinusoidal current also has cured many
The administration of suitable drugs does not conflict
in the least with the electrical treatment. The diet should be regulated
Intra-ocular Hemorrhages. The high frequency
current is applied through the eye electrode in contact with the closed
lid for five minutes.
The blood pressure is always high in these cases
and calls for auto-condensation, 2,500 to 7,500 E. Daily treatments.
Iritis. Treat as outlined under eye technique,
Chapter VII. The current relieves the pain and reduces the inflammation.
In syphilitic iritis I have had especially satisfactory
results in breaking up the adhesions which had formed.
Keloid. Keloid may be destroyed by sharp
sparks from the vacuum tube or caustic fulguration. The X-ray should be
used in connection with high frequency.
Drs. Frater and Frater, Shreveport, La., have reported
remarkable results in one severe case.
Laryngitis. In the acute form the application
of a vacuum electrode to the throat externally for five or ten minutes,
either by loose contact or by a mild spark will greatly aid the customary
medical measures. Ozone inhalations and diathermy advised.
Leucorrhea. The treatment is by means of
the vaginal vacuum tube according to the method outlined in Chapter VII.
Three to six treatments a week in connection with
antiseptic and astringent douches will cure these cases.
Tonic spinal sparks are advisable, frequently; also
Leukemia. Prior to 1910 I believed high frequency
currents were contra-indicated in leukemia because they increased leucocytosis.
This I still consider true of vacuum tube applications
(except orificial), but some experiments with auto-condensation have convinced
me that in it we have a valuable aid in this disease. 2500 E. is the dose.
The following case of splenic leukemia in an early
stage, as shown by the blood count at the beginning of the applications
and again a short time later, is one of the arguments that won my advocacy
of the treatment.
January 29, 1910, blood examination showed 3,360,000
red cells (89%); hemoglobin, 60%; white cells, 9,580 (135%; color index,
.9. Besides variations in the proportion of normal white cells there were
many poikilocytes and 1½% of myelocytes.
June 3, 1910, the red cells had increased to 4,200,000
(97%); hemoglobin, 90%; white cells, 7,860 (100%); color index, 1, Poikilocytes
and myelocytes entirely absent.
I believe X-ray is the best remedy we possess in
alternation with arsenic, and there is no reason why auto-condensation
should not be employed with both.
Lichen Planus. Use a vacuum tube in loose
contact with the lesion, following the general technique outlined under
Skin diseases in Chapter VI. X-ray in connection.
Lichen Rubra has yielded to the same treatment
as that for lichen planus.
Lithemia. (See Gout.)
Locomotor Ataxia. (Tabes Dorsalis.) Relief
of pain and improvement in gait is accomplished in many cases of locomotor
ataxia. I always employ heavy spinal vibration in connection with high
frequency. Apparent cures in occasional cases where even the pupillary
reflex has returned has caused me to believe that we sometimes diagnose
cases of multiple neuritis as tabes.
In multiple neuritis we have absence of the knee-jerk,
and if the nerves of the eye were involved less of pulpillary reflex and
diplopia might be present, which would apparently indicate locomotor ataxia,
as the latter is the more frequently met with. This would also account
for cases in which no evidences of syphilitic infection are obtained.
In genuine cases of tabes a cure need not be looked
for by this or any other method that we are at present acquainted with,
but marked relief is not unusual.
I use as sharp sparks as the patient will tolerate,
along the spine, over buttocks, abdomen and to the back of the legs, followed
by ten or more minutes on the auto-condensation couch or pad, 2500 E.
Anesthetic areas call for short stimulating applications
of the spark and also of mechanical vibration, while hyperesthetic places
will call for prolonged applications of mild sparks and vibration.
Daily treatments at first; gradually decreasing
to three times a week.
Low Blood Pressure. (See Hypotension.)
Lumbago. Immediate relief follows the use
of either high frequency or vibration in this form of muscular rheumatism.
With the muscles "on the stretch" apply sharp sparks
over the painful area. As the pain eases have the patient assume a different
position in order to again excite pain and proceed as before until any
posture may be assumed.
Customarily I precede the high frequency with prolonged
(inhibitive) vibration, but the order is of no importance.
Localized auto-condensation is a good method to
employ; also direct D'Arsonvalization, that is, diathermy.
In an acute case the treatment may be repeated every
three or four hours if necessary. In chronic cases three to six treatments
per week. The length of each treatment is regulated by the time required
to afford relief. Do not stop until you do give relief.
This may be ten minutes or it may be half an hour.
The use of high candle power lamps producing a great
deal of heat will be found effective in conjunction with the above method.
Lupus. In lupus the Finsen light and the
X-ray are probably superior to high frequency, but it has been so successful
that it should be employed in connection with the X-ray.
The technique consists in the use of a sharp spark
to get its escharotic effect. Caustic fulguration may be used, as this
is essentially the action of a sharp vacuum tube spark.
Nodules are successfully destroyed by this method.
Sometimes it is desirable to keep a tube of considerable
intensity in light contact with the lupus instead of employing the sharp
When fulguration is employed await the result of
one treatment before another is given.
When a short application of the spark is made it
may be used after each X-ray treatment.
The use of carbon dioxide show is a quick and satisfactory
method of treating lupus.
Mastoiditis. (Mastoid abscess.) Ordinarily
I would consider it unwise to resort to any method outside of surgery for
I have succeeded in a few cases with the X-ray,
and in a good many have employed the ray after operation, where the later
was not wholly successful and obtained excellent results and in these cases
I made use also of the high frequency current in connection with the ray.
A special tube for the mastoid is illustrated in
Fig. 22 (the upper tube).
The following quotation from Strong is pertinent:
"In a severe case of mastoid abscess with cerebral
and pyemic symptoms, a vigorous thirty-minute treatment with the white-vacuum
electrode applied externally and a metal electrode in the mouth of the
patient, produced an absolute dispersion of the acute manifestations, the
patient sleeping naturally inside of five hours. The next day the pus was
withdrawn, and although cover-glass preparations showed countless numbers
of streptococci and staphylococci, but a few scattered colonies were obtained
in a plate culture on nutrient gelatin."
Menopause. High frequency currents are particularly
suited to alleviating the various nervous symptoms that accompany "change
Fig. 54d - Portable Outfits.
The most satisfactory method is auto-condensation,
2,500 E. three times a week.
In the absence of an auto-condensation couch make
application with a mild spark along the spine; to the back of the head
and neck; and over the abdominal organs, taking fifteen or twenty minutes
for the treatment.
Special symptoms that are present call for the treatment
outlined under the appropriate heading, such as constipation, headache,
Menorrhagia. (See Metrorrhagia.)
Metrorrhagia. Treatment of this condition
has been successfully accomplished through the introduction of a copper
electrode into the cavity of the womb, protecting the vagina by means of
a rubber tube.
As these currents have shown an emmenagogue effect
it is to be presumed that their opposite action in this case is due to
the electrode being used within the uterus.
The cases cited were reported by Franchon-Villeplee
in the Bulletin of the French Electrical Society, February, 1905.
The direct D'Arsonval (Diathermy) current seems
best suited to metrorrhagia or menorrhagia.
Migraine. Temporary relief in "sick headache"
may be obtained by prolonged treatment over the seat of the pain, which
usually involves one-half of the head.
Use a tube capable of producing a half or three-quarter
inch spark, but keep it in light contact with the surface. When treating
through the hair, in women it may be necessary to let the hair down or
to reduce the strength of the current because the thickness of the hair
may cause too sharp a spark.
Migraine is probably a toxic headache due to imperfect
metabolism (sub-oxidation). This clearly indicates the advisability of
Long treatments, fifteen to twenty minutes or even
longer, if during the attack; if between attacks, fifteen minutes three
times a week. Dose, 2,500 to 7,500 E. or more.
Moles, Moth Patches, Etc. Caustic fulguration
is used for moles or moth patches (chloasma).
Use care and avoid destroying too much tissue. See
technique for fulguration, Chapter VI.
The indirect Tesla spark with the fulguration tube
is preferred by many for the removal of moles and warts.
Molluscum Contagiosum. The method of treating
this skin disease is with the vacuum tube, following the general technique
outlined in chapter VI.
Muscular Rheumatism. (See Rheumatism.)
Myxedema. On account of its effect on metabolism
auto-condensation has been used in the treatment of myxedema.
Daily treatments of 2,500 E.
Nasal Catarrh. For this condition the nasal
tube is used within the nose with a mild current, treating for three or
four minutes on each side, followed by an application to the nose externally
with one of the surface electrodes.
Inhalations of ozone are of the greatest importance.
Nasal Diseases. Many diseases of the nose
are benefitted by the use of high frequency currents.
The technique is given under the appropriate heading,
as ozena, etc.
A number of different nasal vacuum tubes are shown
in Figs 20-24.
Fig. 54e - Portable Outfit with Cautery and Diagnostic Lamp.
Nephritis. (See Albuminuria.)
Nervous Debility. (See Neurasthenia.)
Neurasthenia. Numerous cases of nervous exhaustion
have been reported cured by high frequency currents. When the blood pressure
is high, auto-condensation, 2,500 E. daily, is usually sufficient. The
average number of treatments required is from twenty-five to forty.
When the blood pressure is low auto-condensation
is contra-indicated and tonic sparks to spine, back of head and neck and
over solar plexus are appropriate.
Ozone is a desirable adjunct, and in selected cases,
Neuralgia. Application for the relief of
neuralgia are made with a vacuum tube carrying current sufficient to produce
a one-half or three-quarter inch spark.
Ordinarily it should be passed back and forth over
the painful area, in light contact with the skin. At times it is advisable
to raise the tube and apply a sharply counter-irritant spark which will
quickly redden the surface.
I remember the old definition of neuralgia, as "the
cry of starved nerve for blood," and certainly the high frequency will
supply this want.
In addition to the local treatment, auto-condensation
or spinal sparks should be applied in accordance with the state of the
The diathermic currents on account of the heat generated
are advantageously employed. See Chapter XI.
Various names have been given to indicate the different
forms of neuralgia as facial neuralgia, ovarian neuralgia, etc.
Fig. 54f - Portable High Frequency.
The treatment is essentially the same for all varieties.
High candle power lamps may be used in connection
with high frequency.
Neuritis. In neuritis we have an inflamed
condition of a nerve, the pain simulating that of rheumatism or neuralgia.
Any nerve may be involved. Brachial neuritis is a common form.
The high frequency current is positively curative
in all cases, but must be used judiciously.
Sharp sparks must not be employed at first, but
a mild sedative current should be applied. This means that the tube should
not carry more than enough current to produce a quarter-inch spark and
should then be kept in comparatively close contact with the surface.
It should be explained to the patient that the first
few treatments sometimes aggravate the pain.
After this stage is passed mild or medium sparks
may be used, but if employed in the start the pain often will be so great
that the patient may abandon the treatment.
I always give auto-condensation, 2,500 E., in connection
with the local application, unless the blood pressure is quite low. Many
cases have been reported cured by this general treatment alone.
Recently the diathermic or heat currents have been
shown to be very satisfactory in the treatment of neuritis, and the use
of the ultra-violet ray.
Obesity. The treatment for obesity is auto-condensation,
2,500 to 7,500 E., or more. Patients lose from four to fourteen pounds
per month in some instances.
In those that do not show as great an actual reduction
in weight there seems to be a re-distribution, so to speak, of the fat,
which greatly increases bodily comfort.
Superfluous fat is a result of imperfect metabolism
and that is why auto-condensation is beneficial.
Cormelles has noted a greater tolerance of thyroid
extract after auto-condensation has been employed.
Vibration is indicated and the method of Bergonic
with special faradization chair.
Opacity of Cornea. (See Corneal Opacity.)
Orchitis. In the acute form we seldom have
an opportunity of employing these currents, although with a portable coil
it may be possible to do so if there is electricity in the patient's home.
In sub-acute orchitis the vacuum tube is used with
a mild effleuve or spark.
Guilleminot recommends the diathermic current, one
pole over the testicle and the other over the spermatic cord. The X-ray
is advised, protecting the other testicle with lead-foil or treating through
a speculum attached to a protective shield.
Otitis. In all forms the application of a
mild current through a vacuum tube inserted in the ear will be found beneficial,
alone or in connection with other methods.
In chronic suppurative otitis the X-ray is advised,
also an ozone spray. This latter is sometimes administered through an eustachian
Ozena. Atrophic Rhinitis. Application with
the nasal tube, and the inhalation of ozone, summarize the methods of treating
this disease with high frequency.
Papilloma. The technique of fulguration for
the destruction of papillomata is given fully in chapter VI.
Paralysis. In general the treatment of this
symptom calls for the application of the vacuum tube along the course of
the paralyzed muscles, employing a current strong enough to produce a half
or three-quarter inch spark. Part of the time keep the tube in contact
with the skin and part of the time raise it above the surface to get the
effect of the spark.
Bi-polar Tesla treatment is excellent and also D'Arsonval
surgings (See Chapter VI).
The value of galvanism and faradism must not be
forgotten and vibration is certainly useful.
Paralysis Agitans. Cases of paralysis agitans
benefitted by auto-condensation or auto-conduction have been reported.
2,500 to 7,500 E. or more.
Two cases which I treated for a short time did not
show any perceptible improvement.
Paralysis, Infantile. (See Infantile Paralysis.)
Paralysis of Sphincter Ani. Tousey reports
marked improvement produced by fifteen treatments. Rectal applications
and sparks to spine.
Pelvic Abscess. Use the vaginal vacuum tube
for seven minutes, repeating daily or twice a day; also mild applications
externally over pelvic region.
Diathermy advised. See Chapter XI.
Pelvic Adhesions. Intra-vaginal vacuum tube
treatment and mild spark over abdominal area. Three to six treatments per
week. Vibration advised in conjunction. The D'Arsonval current is preferred
by some operators either by the direct method or by auto-conduction, while
others prefer the bi-polar Tesla current.
Pelvic Exudates. The same technique is followed
as in pelvic adhesions.
Periostitis. The vacuum tube carrying a medium
intensity of current is passed lightly back and forth over the diseased
area for from five to ten minutes, three times a week, followed by a few
minutes' application of the X-ray, or the high candle power light.
Condenser electrodes are preferred by some operators.
Pharyngitis. In the acute form diathermy
is useful in combination with customary remedies, or the vacuum electrode
may be employed.
In the chronic form the spark may be used to destroy
the follicles in the throat. See fulguration, Chapter VI, for technique.
Phlebitis has been relieved by mild vacuum
tube applications, keeping the tube in light contact with the skin. Customary
methods should be kept up at the same time.
Fig. 55 - Special Prostatic Electrode.
Piles. (See Hemorrhoids.)
Pityriasis. Follow the general technique
given for skin diseases in Chapter VI.
Pleurisy. Treat through a layer of two of
clothing, using a medium intensity of current (one-quarter or one-half
inch spark) and apply over both the front and back of the chest, keeping
up the treatment for a long time until marked reddening of the skin indicates
a proper degree of counter-irritation, three treatments a day if necessary
in the beginning, in conjunction with usual medicinal methods. Chronic
forms call for ozone and usually for the X-ray.
Pneumonia. The high frequency treatment of
pneumonia is the same as that employed in pleurisy, as given in the preceding
section. In addition the inhalation of ozone by ozonizing the air of the
room is absolutely essential and always should be employed from the start.
It is much more sensible to administer this form
of oxygen throughout the disease than it is to administer oxygen as a last
hope in extremis.
Post-fracture Conditions. The local application
of the vacuum tube discharge in conjunction with vibration is of great
benefit in restoring a normal condition of the parts. Its physiological
action clearly indicates its value here.
Post-operative Conditions. Here the current
may be applied as given in the preceding section or it may be employed
by means of auto-condensation or a general vacuum tube application for
its tonic effect.
2,500 E. Daily at first; later two or three times
Proctitis. In the chronic forms of this disease
the direct D'Arsonval current (diathermy) is advised, using a metal electrode
in the rectum, while a metallic electrode is held by the patient. Ten minutes,
three to six times per week.
Vacuum electrodes with Tesla or Oudin currents may
Prolapse of Rectum. Use a mild spark over
the prolapsed tissue which almost always will cause an immediate contraction.
If it does not, replace and follow with a seven-minute intra-rectal treatment.
Three to six applications per week.
Prostatic Diseases. The results following
the high frequency treatment of all forms of prostatic disease are extraordinary.
One authority found in a large series of cases over
85% were cured. In my own experience the apparent cures have been over
90% with no case in which perceptible improvement was not present.
In enlarged prostate I was of the opinion that recent
cases and those with an inflammatory infiltrate were all that could be
reduced, but I have had positive reduction take place in a few cases of
senile hypertrophy and I believe the possibilities in these cases are worthy
The technique is described in Chapter VII. In Fig.
55 is shown a special form of insulated vacuum tube for prostatic treatment
originated by Dr. Samuel Stevens. My spatulate tube is shown in Fig 27.
I use vibration in conjunction with high frequency in nearly all of my
cases, and diathermy is advised in acute cases.
Pruritus (Itching). This annoying symptom
ordinarily is relieved by the high frequency effleuve or spark. Generally
speaking the vacuum tube spark is employed as sharp as the patient will
tolerate, but not for a long time. In other cases light contact with the
tube is desirable, giving longer treatments than with the spark.
In itching skin diseases the spark is very grateful
to the patient and relief is immediate though often temporary.
Pruritus ani. Treat with spark for 30 to
60 seconds and then use rectal tube for a six or seven minute treatment.
Three to six applications per week.
Pruritus vulvae. The vaginal vacuum tube
is used first for seven minutes, followed by a medium spark externally
over the itching surface. Daily treatments if possible.
These cases frequently are caused by irritating
vaginal or uterine discharges or by too acid urine. For the first use alkaline
douches and for the latter give alkalies internally and see that plenty
of water is drunk.
Psoriasis. This is treated by the same technique
as that employed in eczema.
Purpura rheumatica. This form of purpura
has been successfully treated by auto-condensation.
Pyorrhea alveolaris. (Rigg's disease.) In
this common but intractable disease of the gums the current is locally
applied by means of special tubes. See chapter XII.
The disease is very difficut to cure and high frequency
is beneficial because germicidal in character as well as nutritional.
Seven-minute daily treatments with tube in contact
with the gum, using adjustable socket handle so that the patient may hold
the tube in place.
See complete discussion of technique in chapter
These cases always call for general treatment usually
of an antacid character.
Auto-condensation is suitable on account of its
constitutional effect and its marked influence on elimination.
Ozone by inhalation or by means of the local use
of an ozone spray is directly indicated.
Pyosalpinx. Intra-vaginal applications of
the current have proved effective in some cases of pyosalpinx. Seven-minute
treatments three or more times per week.
Raynaud's disease. I have had no experience
with this disease, but French operators report successful treatment. Auto-condensation
was employed 2,500 E. or more.
The number of seances varied from twelve to one
hundred and twenty-five, an in the longer cases the treatment required
about two years.
Rectal diseases. Many diseases of the rectum
have been treated with apparent success, by means of these currents. The
general technique is given in Chapter VII.
Among the diseases are included proctitis, fissure,
hemorrhoids, prolapse of rectum, pruritus ani, paralysis of sphincter,
etc. the method of treating each is given under its appropriate heading.
Renal calculus. Dr. J. O. Chase reports the
dissolving of renal calculus by means of auto-condensation. A metal electrode
was placed over the abdomen, instead of the patient holding the handles.
2,500 to 7,500 E. daily. Diathermy relieves the pain.
Retinitis. The method employed is the use
of the double eye tube as in Fig. 47, or using a tube with a mild amount
of current in light contact with the eye-lids, eye-brows and temple.
In 1902-4 I treated successfully a number of diseases
of the eye with high frequency and X-ray, in connection with Dr. G .F.
Suker, at whose suggestion these methods were employed. Among these was
one case of retinitis pigmentosa.
Rheumatism. High frequency currents are of
exceptional value in muscular and in chronic articular rheumatism.
In the acute articular form the results have not
been so satisfactory.
Articular rheumatism, also known as inflammatory
rheumatism or rheumatic fever, is known at the present time to be an infectious
disease. Ordinarily the attack is ushered in by a sore throat and the infection
enters by way of the tonsils. It affects fibrous and serous tissues in
particular and one reason for believing the disease infectious is the similarity
between the symptoms and those of gonorrheal rheumatism where a known infection
causes the pain, etc. Frequently abscessed teeth are the foci of infection.
Rheumatism is often confounded with rheumatic gout.
It quickly produces impoverishment of the blood (anemia), and this is one
reason why auto-condensation has proved so beneficial.
In the acute form, both articular and muscular,
the application of high candle power lamps is advised in connection with
high frequency, and in the chronic type, vibration is a valuable adjunct.
In muscular rheumatism, of which lumbago, stiff
neck, etc., are common types, the vacuum tube is used with either a mild
or sharp spark and during the application the patient changes position
frequently to keep the muscles on the stretch and to ascertain whether
this posturing causes pain. The treatment is persisted in until relieved
whether it be ten or thirty minutes.
In chronic rheumatism the best treatment is auto-condensation,
2,500 to 7,500 E. daily, and vaccines.
During the first treatments the symptoms may be
somewhat aggravated, but after the second or third week improvement is
steady and rapid.
Vacuum tube treatment over the painful area may
be used in connection with auto-condensation if desired, but a cure will
result without this aid.
Where the operator has no couch or pad prolonged
mild treatments with the vacuum tube may take the place of auto-condensation.
In this case the application should last at least twenty minutes.
The amount of uric acid in the urine is immediately
increase by auto-condensation, which probably accounts for the aggravation
of symptoms in rheumatism and gout where long treatments are given in the
Dr. J. P. Sutherland, Dean of Boston University
school of Medicine, furnishes the following report: "The patient commenced
treatment Dec. 24, 1905, but the first analysis was not made til Dec. 31,
||Per cent. of Urea to Total Solids
||Total Uric Acid.
||Ratio of Uric Acid to Urea
|Dec. 31, '05
||29.8 per cent.
||1 to 13.5
|Jan. 4, '06
||1 to 21.3
|Jan. 9, '06
||1 to 26.96
||1 to 35.7
|Jan. 19, '06
||1 to 39
||(Normal about) 45 per cent.
||(Normal 1 to about 35 to 40)
Williams reports one case in detail where the ratio
of uric acid to urea was 1 to 51.5 before treatment. At the end of one
week it had increases to 1 to 63.5; and at the end of the second to 1 to
70.3, from which point it rapidly decreased, being 1 to 64.8 at the end
of the third week; fourth, 1 to 46.7; fifth, 1 to 41; sixth, 1 to 34.5.
Patient's weight increased six and a quarter pounds during this time.
Both of the cases cited show the remarkable effects
of auto-condensation in increasing elimination.
Rhinitis (Atrophic). (See Ozena.)
Riggs Disease. (See Pyorrhea alveolaris.)
Ring-worm. (See Tinea.)
Rodent Ulcer. The method of treating rodent
ulcer is the same as that employed for epithelioma, (q. v.).
Scars. (Cicatrices.) Vacuum tube sparks have
a softening effect on scar tissue. Even contact with the tube without sparking
has a similar tendency (as in treating strictures).
If the spark is made very sharp and therefore caustic
or escharotic, or if caustic fulguration is used, the scar tissue will
be destroyed and pliable new tissue takes its place.
For small scars about the face the application of
a medium spark (one-fourth to one-half inch) is recommended, the treatment
repeated in five to eight days if fulguration is employed. (See Chapter
VI for technique.)
If a vacuum tube spark is used the treatment may
be repeated daily or every other day until a sufficient degree of irritation
has been set up.
Sciatica. Apply the vacuum tube along the
course of the nerve and over the lower part of the spine. Use enough current
to produce a spark from one-half to one inch in length, but ordinarily
do not raise the tube from the skin. Give a ten or even fifteen minute
application, repeating daily or every other day.
I nearly always follow this with auto-condensation,
Seborrhea. For dandruff or any seborrheic
condition the vacuum tube is used, carrying enough current to give a quarter
to a half-inch spark. It is then kept in light contact with the surface
treated and passed back and forth about ten minutes; repeating three to
six times per week.
Seminal Emissions. For nocturnal emissions
sparks to the lower part of the spine are advised, followed by a seven-minute
treatment of the seminal vesicles by means of the rectal tube.
Sinusitis. In frontal sinusitis I have on
a number of occasions applied the vacuum tube over the sinuses, keeping
it in light contact, although employing a medium intensity of current.
This was always in connection with vibration.
Ths first time I gave this treatment it was for
the purpose of affording temporary relief until the patient could arrange
to consult a specialist as I believed operative interference necessary.
I almost questioned my diagnosis when informed the following day that the
pain had practically disappeared.
Subsequent experience shows that this result may
be obtained in a fair proportion of cases that are seen early in the disease.
If relief is not afforded by one or two treatments,
the sinus should be drained by a competent rhinologist.
Skin Diseases. The vacuum tube effleuve or
spark is one of the most useful agents in treating a number of skin diseases.
The general technique is outlined in chapter VI.,
while special methods are indicated under a number of the diseases, to
which reference may be made.
The high frequency current should be in the office
of every dermatologist. It benefits practically the same class of skin
diseases that the X-ray has been employed in.
Sore Throat. (See Pharyngitis and Laryngitis.)
Sprains. Use a vacuum electrode and with
a moderate intensity of current. Keep the tube in light contact while rubbed
gently back and forth over the sprain. A long treatment; fifteen or twenty
minutes; repeating in two or three hours if necessary.
Sterility. General tonic treatment by auto-condensation
or by the vacuum tube is to be employed together with local treatment with
the mild spark over the region of the ovaries or testicles. In women intra-vaginal
treatments are indicated, and in men the use of the glass urethral tube
has seemed to exert a beneficial influence, although results in these cases
Stiff Neck. (See Torticollis; also Rheumatism.)
Stricture of the Urethra. I have had excellent
results in a large number of cases of stricture treated by means of the
urethral electrode. The general technique is given in chapter VII.
Three to six treatments a week are advised.
This method will not cure every case and galvanic
electrolysis; dilation under anesthesia; or operative measures may be required.
Sub-involution. The use of an intra-uterine
electrode with the direct D'Arsonval current (diathermy), as explained
under metrorrhagia, is the method which gives the best results in sub-involution,
although vaginal vacuum tube applications have proved efficacious.
Suppuration. Vacuum tube applications always
tend to limit suppuration.
Where a suppurating area is accessible the ozone
spray is the best application which can be made to it.
Sycosis. In barber's itch and other forms
of sycosis the X-ray is our best method, but it may be advantageously supplemented
by application of the spark from the vacuum tube, used in accordance with
the tolerance of the patient. Mild fulguration also may be employed.
Synovitis. Treat as directed for sprains,
that is, use vacuum tube without a spark, for a long sedative application
in the acute form, or use the diathermic current, 600 to 1,200 milliamperes.
For the chronic case, short, thick, counter-irritant
sparks are required.
Tabes Dorsalis. (See Locomotor Ataxia.)
Throat Diseases. High frequency currents
are useful in connection with routine methods in laryngitis, pharyngitis,
etc. See Chapter VII for general technique. A number of throat electrodes
are illustrated in Figs. 20 to 23.
Tic Douloureaux. Trigeminal neuralgia has
been successfully treated by applications of the high frequency current,
one operator reporting the cure of a case where resection had failed. Prolonged
application over the course of the nerve with a medium intensity of current,
but without producing a spark. Diathermy is indicated.
Tinea. In ringworm and in all forms of tinea
the X-ray is the best treatment supplemented by vacuum tube applications,
either by direct contact or by a reasonably sharp spark.
Tinnitus Aurium. The administration of the
current through the ear tube as outlined in Chapter VII has proved curative
in cases of "ringing in the ears."
I always employ vibration in conjunction with the
Tonsillitis. The throat has been treated
externally with the vacuum tube in tonsillitis, following the method suggested
under pharyngitis and laryngitis. It is only of value in connection with
our usual methods, and is not advised as the sole treatment. Diathermy
Tonsillotomy. I have seen a number of reports
of the successful destruction of the tonsils by means of fulguration.
Judd says "For the removal of the tonsils we have
in this agent an ideal method. It is bloodless, not very painful and avoids
the danger of hemorrhage in fibrous growths."
Torticollis. Wry neck or stiff neck in an
acute or sub-acute form is cured by vacuum tube applications along the
A long application with a tube capable of emitting
a half-inch or inch spark, kept in light contact with the skin or applied
through a sufficient number of layers of cloth to get short, sharp, thick
Trachoma is successfully treated by using
the eye tube in connection with the X-ray, or using a tube exhausted to
a vacuum high enough to give off some X-rays.
Tuberculosis of Glands. In the treatment
of tuberculous glands, the vacuum tube spark is employed in combination
with the X-ray. High frequency without X-ray is not advisable for this
Any surface or condenser electrode may be used with
an intensity of current capable of producing a one-half to one inch spark.
The tube may be used in light contact with the skin or slightly separated
to give a short but comparatively thick spark. This may be regulated by
treating through a sufficient thickness of cloth. Five to ten minute applications.
The best method is to give a seven minute X-ray treatment three times a
week followed by the high frequency application. Ozone strongly advised.
Tuberculosis of the Peritoneum. Tuberculous
peritonitis is treated by the local application of the vacuum tube over
the abdominal area or by localized auto-condensation. The effleuve from
a diaphragm electrode may be used.
I prefer general auto-condensation, 2,500 E. daily,
with mild vacuum tube spark applied through a layer of clothing. Ozone
Tuberculosis (Pulmonary). In local forms
of tuberculosis the X-ray is superior to high frequency; but in pulmonary
tuberculosis conditions are reversed and in auto-condensation and ozone
we have two remarkably effective remedies which should be understood better
by the profession.
My attention was directed to the use of auto-condensation
in this disease by Chisholm Williams' book in which he reported thirty-two
out of forty-three consecutive cases as symptomatically cured, this being
Previous to this time I employed the X-ray, using
with it vacuum tube or diaphragm applications of high frequency.
I am now convinced that either auto-condensation
or auto-conduction is superior to other forms of high frequency in this
Ozone is especially effective in consumption and
if I could only have one remedy I would prefer to take my chances with
ozone. It must not be limited to inhalations at the physician's office,
but the air of the patient's room must be thoroughly ozonized, so that
he or she is constantly getting a suitable amount in the air they breath.
If they can only respire one-half as much air as formerly, but that amount
by reason of the ozone is twice as powerful in oxidizing properties, the
proper balance is maintained.
Williams observed that the use of auto-condensation
was followed at first by an increase in symptoms. The expectoration increased,
the cough was more frequent but easier; there was a lower morning but a
higher afternoon temperature; and an average loss of weight of about a
pound a week during the first three weeks. The concurrent use of ozone
shortens this first stage.
After this period improvement was steady, although
some attenuated tubercle bacilli were present long after all other symptoms
On account of the rise in temperature produced by
auto-condensation we must be careful not to give too long a treatment at
the beginning if the patient is carrying a comparatively high temperature,
for instance, 103 degrees or over, or is in an advanced stage of the disease.
The reaction is similar to that from tuberculin.
The rise in an already high temperature might be too great if a long treatment
was given. For this reason it is a good plan to give five minutes on the
auto-condensation couch or pad and then await the subsidence of the reaction
before giving the second treatment. I would not employ more than from 1,000
to 1,250 E. in the first three or four treatments, after which the patient
will quickly establish a tolerance for the treatment and the dose may be
increased to 2,500 E. or more. As soon as this period is reached daily
applications are urged and should be followed by spinal sparks to offset
the blood-pressure reducing effect of the auto-condensation.
In cases that carry very little temperature at the
time of starting treatment, a ten-minute daily application may be made
from the beginning.
The direction for the use of ozone and reports of
its remarkable effects will be found in Chapter IX.
I have made it a rule to send the specimens of sputum
to a reliable laboratory for examination, thus having the proof of the
value of the treatment made by a disinterested party.
The following gives a comparative idea of the improvement
taking place in an average case:
Mrs B., Jan. 2, 1908. Many tubercle bacilli present.
Other organisms not numerous. Staphylococci; diplococci of catarrh; fibrin,
mucus; pus cells.
April 8, 1908. Tubercle bacilli few, averaging about
seven to the microscopic field. Bacilli deep-staining, showing extremely
few vacuolated forms. Phagocytosis very prominent; clumping not prominent.
Other organisms noticeably absent.
The specimen was so remarkable in the marked degree
of phagocytosis and the absence of other organisms that the physicians
in charge of the laboratory took occasion to call me up and ask the nature
of the treatment employed.
Two months later this patient was so well that she
refused to continue the treatment, having regained her normal weight and
strength, although an occasional bacillus was still to be found.
The value of ozone and of auto-condensation is so
marked and so easy of demonstration that I am surprised the methods are
not better known, and in general use in institutions for the treatment
They possess the advantage not only of being curative
in themselves but also of not preventing the use of all the established
methods of treatment in connection with them. They afford two additional
non-interfering methods of equal value with any used, and thereby increase
the patient's chances to that extent.
Ulcers. (See Chronic Ulcers.)
Urethritis. The directions for treating specific
urethritis will be found under gonorrhea. Non-specific forms yield to the
Uric Acid conditions. All methods of employing
high frequency currents aid in eliminating both urea and uric acid, but
auto-condensation and auto-conduction are especially effective.
Their value can be tested readily and is easy to
ascertain by a few urinalyses.
Urticaria. (Hives.) Vacuum tube applications
using a medium spark or with the tube in contact with the surface is the
method of treatment.
Speaking of the value of high frequency currents
in skin diseases, Dr. C. W. Allen says in the Medical Record: "The vaso-motor
effects may be well studied in urticaria. Here sparking the wheal produced
entire disappearance of the lesion, which is replaced in a few moments
by a balanced area.
Vascular redness soon returns, the area of this
being larger than the lost wheal. The effect of contraction followed by
dilatation is very marked. The spray soothes the itching. Internal measures
are not to be neglected."
Uterine Diseases. Treatment through the vagina
to the womb has been beneficial in cervicitis, endometritis, etc. The general
technique is given in Chapter VII. High frequency currents are always indicated
in inflammation of any mucous membrane. (See Cervicitis.)
Vaginitis, whether simple of specific, is
treated according to the technique given under gonorrhea in the female.
Varicocele. A medium spark applied over the
scrotum has been used, also immersion of the scrotum in a glass vessel
with metallic connection to one pole of the D'Arsonval circuit, the other
held in the hand. The current may be applied with two metal electrodes
so placed as to include the varicocele between them. My own opinion is
that the only real cure for varicocele is the radical operation.
Varicose Ulcers. "Long, thick, muscle-toning,
high potential sparks over the affected limb; on the spinal centers, and
upon the general muscle masses of the entire body for alterative, nutritional,
circulatory benefits are indicated." (Monell.)
Warts and other small growths may be removed
by fulguration, as described in chapter VI.
Writer's Cramp. This is an occupation neurosis
variously known as piano player's cramp, telegrapher's cramp, etc. It is
the result of repeated use of the same muscles to the point of exhaustion
and chronic fatigue. The vacuum tube is used with a current sufficient
to produce a quarter or half-inch spark. The tube is kept in light contact
with the skin and the application is made from the finger tips to and including
the shoulder area, brachial plexus and upper spinal centers. For the latter
the tube is raised to obtain a stimulating spark, and I frequently employ
the spark for the whole treatment. The use of vibration in conjunction
is strongly urged. Three treatments a week.
Many authorities advocate general eliminative treatment
in connection, such as auto-condensation or electric light baths.
Wry Neck. (See Torticollis.)