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their melancholic symptoms intensified by a prison- like confinement. In this city alone a number of such patients have leaped from their bedroom windows. The fact that partial rest each day away from home and under the surroundings of a well-regulated sanatorium is a most valuable portion of the treatment, will not make rest at the patient's home or in a boarding-house oi equal effect. Shorn of its institutional setting, 1 hi.. uroundings, and the expectancy that oc- curs when a number ol . . ire treated together, this feature ol treatment is more often harmful than useful. Rest and surface treatment alone in lounge-ridden cases is much like certain farming that is observable in the far South, where activity of soil cultivation is not a fault and where the surface scratching of Super- ficial farming tails to supplement the rest in produc- ing good crops. cheap viagra deals In neurasthenia the causal conditions should be stirred from the foundation by appropriate medication and applications to the abdominal sympathetic. Elec- tricity applied directly to the abdominal organs is a most valuable means for accomplishing this, and it should be supplemented by appropriate doses of exer- cise as well as rest the rest to follow each dose of electricity or mechanical exercise. Electricity has been used viagra canadian chemist for years in the treatment of this condition, particularly in Philadelphia, but it is to be regretted that its use has partaken so largely of the antiquated Duchenne methods as to be closely analogous to the soil-scratching methods of farming alluded to, and equally imperfect in results. Even when retained in the hands of the physician or an in- telligent assistant, these methods are merely a peri- pheral excitation and fall far short of the possibilities that have been demonstrated by modern electro-ther- apv. Unfortunately, the battery is often relegated to the nurse under instructions, which lessens still fur- ther any good results it might give. Aside from this assumption that an agent of this na- ture, which is just now being rapidly developed in all directions, can be employed properly by unskilled per- sons, cheap viagra deals the faults of the Duchenne methods are: Too great a reliance on the limited value of faradic cur- rents; the use of electrodes of cheap viagra deals inadequate size; insuf- cient current strengths for an effective penetration; and failure to apply currents of proper density to the abdominal ganglia and viscera. The excellent results derived from galvanic currents of fifty to one hundred and fifty milliamperes in the abdominal applications of the Apostoli method first directed my attention to the value of large electrodes and considerable currents in these conditions. As a result of these gynecological applications an increased general health is almost invariable, which cheap viagra deals is largely due to the necessary inclusion of the abdominal struc- tures in the field of the current. Equally good results in the stimulation of the sympathetic may be obtained by placing the indifferent electrode beneath the back, in the shape of a very large w ired-cotton pad, and cheap viagra deals the active one, which should be six or seven inches in di- ameter, on the abdominal surface. A greater effect is obtained if the active electrode is given a cheap viagra deals circular mo- tion, being lubricated by soaping, as all portions of the abdominal contents are thus successively cheap viagra deals brought under powerful electric stimulation. The effect on secretion is often noticeable. The peripheral applications are also best made by the galvanic current instead of the faradic, the patient continuing to recline on the large pad, while the cheap viagra deals smaller one, which is to be negative and well soaped for lubrication, is carried over the motor points of each limb and the trunk in a labile manner, all shock or unpleasant sensations being avoided by the free use of the controller. From fifteen to thirty-five milliam- peres will be sufficient to produce ample contractions. A general motor stimulation of all the voluntary mus- cles is thus easily gained, as with the faradic current, with a greater excitation of the peripheral nerves and cellular activities. The sense of exhilaration is more marked than with the faradic current, and greater warmth of the extremities is produced. With scientifically applied currents as the principal feature of the treatment, other measures are conjoined as required, including massage if the cheap viagra deals bodily condition is much .below normal, and rest for at least an hour after each general treatment. In certain cases thus treated the diet requires but little attention, and even office treatment is often satisfactory, supplemented in either case by any indicated remedy by mouth. The final result is apt to be a far more lasting acquisition of healthy blood and flesh than if the main feature of the treatment were rest and overfeeding alone, which is so cheap viagra deals liable to cause a weakness of the heart muscle due to incipient fatty degeneration. In viagra canadian chemist some viagra canadian chemist cases, however, in which the nutrition is de- cidedly at fault, absolute rest may be used with great advantage for a time in connection with the other rem- June 13, 1896] MEDICAL RECORD. 835 edies, but if the electrical treatment be of the kind cheap viagra deals de- scribed, the duration of absolute rest need not be greater than two weeks, to be followed by two to four weeks of the electrical treatment under the rest-and-exercise plan before the patient returns to the active affairs of cheap viagra deals life. The value of this modification of the "rest cure" has been attested by a number of years' successful em- ployment without a single failure, though previous