Eberhart's Manual of High
Noble M. Eberhart, M.D., Ph.D., D.C.L., 1911
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
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"
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
A number of symptoms or conditions have been indexed
for convenience as if separate diseases, such as paralysis, constipation, pruritis, etc.
Insulated tubes are preferable in treating the various
orifices of the body. In general, limit orificial treatments to seven minutes to avoid
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 auto-condensation.
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 E.
|No. Eberharts per
||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
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
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.
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 per week.
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
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.)
Fig. 52 - Treating Alopecia (Lloyd).
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
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 a week.
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
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
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 their usefulness.
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
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 had occurred.
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.)
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
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
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 be discounted.
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
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 advised.
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 application.
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
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
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
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
Fig. 53 - Cancer Treated by Fulguration. Three Weeks' Time Between
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 Ozena.)
Catarrh of Womb. (See Endometritis; also Cervicitis.)
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,
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
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
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 the start.
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
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, is advised.
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
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.
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 other day.
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
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
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
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 necessary.
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 per rectum.
The technique for urethral or rectal applications will be found in
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
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
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
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
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
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
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
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 when available.
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 a week.
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
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
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
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 stomach.
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
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 currents.
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
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 are cured.
In exophthalmic goitre the results are much better than in simple
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 in vogue abroad is to wrap the penis in wet cotton or gauze
and wrap lead or tin foil around it, which is connected to the resonator or to the Tesla
coil, or used with direct D'Arsonval current (diathermy).
Another method is to use a glass tube containing boric acid
solution and having a metal bottom to which the connecting cord is attached.
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 gauze.
Usual methods of treatment may be carried out in connection with the
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
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 paragraphs:
"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
"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
"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.
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 nose.
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.
Fig. 54 - Areas Where Headaches Occur.
Keep the tube in loose contact and prolong the
treatment until relief takes place, which will be five, eight or occasionally ten minutes.
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
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
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
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).
Fig. 54a - Portable Outfit.
Hysteria. Many operators have reported
successful results in hysteria. Auto-condensation should be used if blood pressure is
normal or above.
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 more.
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 area.
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
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
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.
Fig. 54b - New Type of High Frequency Coil.
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.
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 cases.
The administration of suitable drugs does not conflict
in the least with the electrical treatment. The diet should be regulated carefully.
Intra-ocular Hemorrhages. The high frequency
current is applied through the eye electrode in contact with the closed lid for five
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
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%
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
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.
Fig. 54c - Portable Outfit with Two Inductors.
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
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
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 spark.
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
Mastoiditis. (Mastoid abscess.) Ordinarily I would consider
it unwise to resort to any method outside of surgery for mastoid abscess.
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
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 of life."
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, etc.
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 auto-condensation.
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
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
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.
Fig. 54d - Portable Outfits.
A number of different nasal vacuum tubes are shown in
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
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 blood pressure.
The diathermic currents on account of the heat
generated are advantageously employed. See Chapter XI.
Fig. 54e - Portable Outfit with Cautery and Diagnostic Lamp.
Various names have been given to indicate the different
forms of neuralgia as facial neuralgia, ovarian neuralgia, etc.
The treatment is essentially the same for all
High candle power lamps may be used in connection with
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
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
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 catheter.
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.
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
Pelvic Abscess. Use the vaginal vacuum tube for
seven minutes, repeating daily or twice a day; also mild applications externally over
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.
Fig. 54f - Portable High Frequency.
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.
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
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 a
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
Vacuum electrodes with Tesla or Oudin currents may be
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
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 of investigation.
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.
Fig. 55 - Special Prostatic Electrode.
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 XII.
These cases always call for general treatment usually of an antacid
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
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
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
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. Diathermy recommended.
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 beginning.
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, 1905"
||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
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
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.
The direct D'Arsonval curreny (diathermy) is equally
useful. In old sprains use a sufficient spaark tto produce marked reddening of the
skin as counter-irritation is 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 are uncertain.
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
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 high
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 is recommended.
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 sterno-cleido-mastoid
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 sparks.
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 condition.
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 indicated.
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 about
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 disease.
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 had disappeared.
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
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
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 of consumption.
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 same methods.
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
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.)