the entire body. The
disease progresses slowly, but when far advanced the agitation is
violent, and the patient swallows and masticates his food with great
difficulty. In an advanced stage of the disease, the body becomes bent
forward, and the chin almost touches the breast-bone. The tremor, which
early in the disease only occurred during the time the patient was
awake, now continues during sleep, and not infrequently the agitation
becomes so violent as to waken the sufferer.

GENERAL TREATMENT OF PARALYSIS.

The indications of treatment for the various forms of paralysis are to
remove the causes, if these can be determined, and rouse the functions
of the paralyzed parts. Measures should be adopted to remedy the morbid
conditions upon which this affection depends. Keep the skin clean and
healthy, promote the circulation of the blood, especially in the
paralyzed limbs, and encourage healthy nutrition. These ends may be best
attained by the daily employment of stimulating baths and frictions upon
the surface. As much regular exercise as the patient can bear without
fatigue should be taken in order to favor the preservation of the
appetite and strength. Care should also be taken that the bowels are
evacuated regularly every day. The circulation through, and consequently
the nutrition of, the palsied muscles may be aided by having a strong
healthy person knead and manipulate them. These manual movements upon
the surface of the body will often excite muscular sensibility, similar
to that awakened by a weak Faradic current. The internal medicines
should be such as to regulate the general functions of the system. The
use of these remedies must be directed by the skill and experience of
those who are professionally qualified to administer hem.

When the patient has been able to be under our personal care at the
Invalids' Hotel, we have found the employment of mechanical movements
and manipulations, applied by means of a variety of machinery, employed
in this Institution, together with the use of the equalizer, or large
dry cupping, or vacuum apparatus, to be of the greatest benefit. These
several machines and apparatus furnish a perfect system of physical
training, thus rendering valuable aid in the cure of many forms of
obstinate chronic diseases. A few of these machines are shown in Figs.
9, 10, 11, 12, 13, and 14; also see page 32 of Appendix.

[Illustration: Fig. 9.
Manipulator Extended.]

[Illustration: Fig. 10.