same as true ankylosis. It was decided to
substitute tonics for the specific treatment, and to administer
galvanic baths. On Nov. 11th the first bath was administered,
another on the 15th, and a third on the 19th. Considerable
improvement in motility was then apparent. Two more baths, taken
respectively on the 22d and 29th, effected some reduction in the
size of the knee. The baths were continued to January 3d, 1874,
when the effusion had become almost entirely absorbed, and the
joint perfectly mobile. The patient then had been for some time
taking daily walks, unassisted. He now (Jany. 3d) walks without
any difficulty, has regained his normal vigor, and is perfectly
well.

IMPOTENCY.

The frequent obstinacy of this distressing condition under every variety
of non-electrical treatment, is the cause of the frequency with which
cases present themselves to the specialist. Unfortunately however but
few of the referred cases are of recent origin. In almost all instances
they have gone through a vast amount of medication and other treatment,
and finally, either through their attending physicians or of their own
accord, they come as a _dernier ressort_ to seek relief from electrical
treatment. I have already (p. 47) spoken of the comparative merits in
this disease of local and general electrization. A few years ago I was
ignorant of the good effects of the baths in male impotency. I came to
test and employ them here from two causes. In the first place, patients
were sent me specially for electro-balneological treatment, ordered by
their physicians; and, second, I began, when I became familiarized with
the effects of the baths, to have recourse to them in cases where with
local electrical and other treatment I had been unable to accomplish
anything. My average results, without becoming uniformly successful,
became so very much better, that after a brief but abundant experience
with this treatment, I have come to consider it the most important we
possess in this affection; one that will frequently succeed when
everything else, including local electrization, has failed, and which,
in cases where no incurable organic changes underlie the affection,
will, if properly persisted in, either cure or improve to a great extent
a large majority of the cases. I have even seen instances where, the
sexual power having receded as the legitimate result of advancing a