SECTIONIV.Galvanism applied to the cure of melancholy madness.Hospitals for lunatics present a spectacle which must excite compassion in every breast not void of humanity, as they are in general crowded with unfortunate beings, useless to themselves and dangerous to others; while little hope is left of their being ever restored to society. This is the case in particular with persons subject to melancholy madness; on some of whom I tried last year the effects of Galvanism. In consequence of a long series of painful and disagreeable experiments made on myself, I was induced to entertain great hopes from this remedy. I applied it to my ears and to different parts of the head, in order that I might form a just estimation of its power and influence on the brain. It is well known that the strength and energy of the operations of the mind depend on the state of the functions of the brain. It is well known also, that a violent fall, or strong impression on the head, has often occasioned great variations in the intellectual faculties. By such accidents some have entirely lost the power of imagination; while, on the other hand, some have acquired very great talents, or emerged from a state of complete stupidity. These considerations gave me reason to hope that the power of Galvanismmight perhaps be able to produce a salutary change in the brain in cases of melancholy madness. I communicated my thoughts on this subject to the physicians who superintend the hospital for lunatics at Bologna. They approved of my ideas, and gave me every assistance in their power to enable me to prosecute my researches. In their presence, and under their direction, I administered Galvanism to several lunatics, applying it different ways; and the result was the complete cure of two who had laboured under melancholy madness. As the method I followed in both cases was nearly the same, I shall here give a description of it, as it may serve as a general rule for the administration of this remedy under similar circumstances.Louis Lanzarini, of a phlegmatic temperament, twenty-seven years of age, and a farmer by profession, fell into a state of deep melancholy, which first announced itself by an attack of fever; in consequence of which he was conveyed to the public hospital of St. Ursula on the 17th of May 1801. When he arrived there, he began to complain of the treatment he had received, and to show great uneasiness; by which means his melancholy increased so much, that it at length degenerated into real stupidity. While in this state, Professors Gentilli and Palazzi were so kind as to allow me to administer Galvanism to him; which I did in the presence of these physicians, and of several medical students who attended the hospital.I had provided for this purpose a pile composed of eighty pieces of silver and zinc, and I at first administered the Galvanism gradually, forming the arc by means of the hands. Lanzarini, in a state of the utmost dejection, viewed the apparatus and the company present with his eyes fixed and motionless. When interrogated by the physicians and myself in regard to the origin of his malady, he gave laconic and confused answers, which seemed to indicate a great degree of stupidity and derangement. I first moistened his hands, and formed an arc with the pile at different heights, to accustom him to endure the action of the apparatus. No change, however, was produced in the patient by this operation. I then repeated the experiment, placing his hands, moistened with salt water, at the bottom of the pile; and conveying an arc from the summit of the pile to different parts of his face, moistened with the same solution. A change was soon observed in the patient’s countenance, and his whole demeanour seemed to indicate that the degree of his melancholy was somewhat lessened. The experiment was repeated several times with the same success; which seems to prove that Galvanism absolutely exercises an action in such diseases. The patient being interrogated next day, asserted that he had felt no inconvenience from the application of the Galvanism; and this account was confirmed by the keepers, who had been desired to give a report of the least change that might take place. Similar results were obtained by gradually administering the action of the pile with greater force for several days successively, and we soonbegan to observe that it produced a very striking effect. The patient, on touching the apparatus, seemed to acquire new spirits; a smile appeared on his countenance, and a complete change took place in his eyes as well as in every feature of his face. Instead of showing any aversion to the pile, he readily obeyed whenever he was called to undergo the operation; and his whole conduct indicated that he found relief from the influence of the unknown agent which it excited. He began to converse with more readiness, sometimes respecting the machine, and sometimes on the flash of light which appeared in his eyes when the arc was applied; and on that account we conceived the most flattering hopes of a complete cure. The result of this operation induced me to administer the Galvanism even to the substance of the brain; being convinced, as I have already remarked, that the Galvanic fluid by this method of application exercises its action with greater energy. I communicated my design to the Professors of the hospital, and with their approbation began to try the effects of a pile composed of fifteen plates of copper and zinc. I formed an arc from one of the hands to one of the ears, and then from one ear to another, having first moistened them with a solution of muriate of soda. I increased the number of plates of which the pile was composed, and found that the patient was always more or less affected with a momentary impression exceedingly painful, which however seemed in the end to produce a good effect. When Galvanism was administered in this manner, I did not neglect to continue the application of the other method atthe same time; and I found that the progress of the cure became more rapid. But as I observed that the action of Galvanism on the ears was sometimes too violent, we thought proper to apply it in a more moderate and less dangerous manner. Several persons having been induced through curiosity to try this action, the result, besides a violent commotion of the whole substance of the brain against the skull, was a state of watchfulness which continued several days running, and which I experienced myself as well as others. We then conceived the idea of shaving the head above the suture of the parietal bone (PlateIII.fig. 3.); and having moistened the shaven part with salt water, a piece of gold or silver coin was placed over it. The patient then touched with one of his hands the bottom of the pile, and at the same time an arc was established from the summit of the pile to the metallic armature placed on the head. By this arrangement the action of the Galvanism was rendered more moderate; the patient endured it for a long time, and seemed to be greatly relieved by it. I have always united this method with external application to different parts of the face, and have observed such sudden changes in the looks as seemed to announce a considerable abatement of the disease. Some of the physicians of Bologna, Professors Brugnatelli and Zola of Pavia, and several other foreigners, examined and confirmed the permanency of this effect. The patient, therefore, not only got the better of his melancholy, but began to relish his food, and at length recovered so muchstrength that the physicians of the hospital thought nothing further was necessary to complete the cure.No other remedy besides Galvanism was administered to him, lest the effects should be so confounded as to render it impossible to tell to which the cure ought to be ascribed. Two days, however, before he left the hospital a little blood was taken from him; as it was conceived that this operation might contribute to render the cure more certain.On his leaving the hospital I carried him to my house, that he might be fitted by proper nourishment for resuming his former occupations. He remained with me eight days in the quality of a domestic, during which time he was exceedingly tractable, and performed his duty with great care and attention. I had several conversations with him, in the course of which I learned that his father, Fabian Lanzarini, had been attacked by the same disease, and that he had been admitted into the same hospital, where he died on the 12th of June 1790. By inspecting the registers of the hospital, I found this account to be perfectly correct.Agreeably to the principles already established, in regard to the treatment of madness, I advised Lanzarini to spend the rest of his life at a distance from his native country, lest, having continually before his eyes those objects which had occasioned his disease, it might recur with double violence.But though he had given me several proofs of his docility, I found it impossible to persuade him to make this sacrifice. A kind ofnostalgia, perhaps, attached him to his former master, to whom he returned, after paying a visit to the curé of the parish. The latter, when he first saw him, imagined he had run away from the hospital; but by his conversation he was soon convinced of his being completely cured. After this period, I obtained a regular report respecting his behaviour and the state of his health, from the above curé, and from the person who had paid all the expenses of his residence in the hospital; and I learned, with great satisfaction, that he continued to enjoy good health, and to exercise his usual employment.By the same treatment I cured, of a similar disorder, Charles Bellini, a labourer, who was restored to society in a shorter space of time, because the affection was not so violent as in the preceding case. The phænomena which took place when the patient was subjected to the action of the pile, when the Galvanism was applied to the brain, and during the whole progress of the cure, were nearly the same. I must, however, freely acknowledge, that two cures are not sufficient to establish the application of Galvanism as an universal remedy in such cases. But on this account it ought not to be rejected: at any rate it deserves further examination; for it is well known that all remedies require certain conditions before they can perform their effect. I have therefore several times found it impossible to obtain the sameresult in other patients afflicted with melancholy madness, to whom I administered Galvanism; and in cases of raving madness I have even found it dangerous. In some instances, melancholy madness derives its origin from a certain general constitution of the animal machine, or from some great alteration in the brain; and it is evident that in such cases the action of Galvanism would be of no avail. But if the derangement of the intellectual functions depend only on some humour intercepted between the membranes and other parts of the brain, there is reason to hope that Galvanism, if prudently administered, may be attended with great benefit. The real cases in which it may be administered with success, can be ascertained only by experience. I must observe also, that the method of administering it is not yet reduced to that state of simplicity, which is necessary before it can be brought into regular use in large hospitals. The physicians, under whose care they are placed, have in general a great deal of private practice, and cannot conveniently attend to operations which require a continued labour for several months. Besides, the novelty of the remedy is sufficient to excite a clamour against it, and to awaken the prejudice of the assistants, who will even wish to proscribe it before it has been tried. For this reason, I think it necessary here to request, that those who preside over establishments destined for the reception of such patients would turn their attention to this subject, and endeavour to reduce the method of applying Galvanism to the utmost simplicity of which it is susceptible, in order that itmay be fit for being introduced into large hospitals. As the patient often shows an aversion to this strange remedy, it will be necessary to encourage him by every means possible. Sometimes on observing the flash of light, when the Galvanism is communicated, he cries out and is frightened; imagining that he sees a devouring fire ready to consume him, and on this account refuses to submit again to the operation. It will, therefore, be proper to conceal from him the apparatus, or to make a person show him the pile some time before as an object of amusement, and in this manner to prepare him for receiving its action. It will be of benefit also sometimes to modify the action of the pile, and to render it more moderate by a different method of application. In the case of female patients I have found the result the same, when the Galvanism, instead of being applied directly to the interior part of the ears, was directed externally to the gold pendents (PlateIII.fig. 4.).By considering the course generally pursued in curing melancholy madness, hints may be suggested for an useful application of Galvanism in that disease, and data may be obtained sufficient to establish the different modes of application best fitted to the different cases. These ideas have engaged a good deal of my attention; and when I have finished the observations I have been for some time collecting, I flatter myself that I shall be able to communicate to the public some interesting information on the subject.In some cases of madness, as I found it impossible to applyGalvanism to the hands, which were confined, I employed the action of an arc directed to the mouth (PlateIII.fig. 2.), while another proceeded to one of the ears; or I applied a piece of money to the head, and communicated the Galvanism by the method already described (PlateIII.fig. 3.).It will even be necessary to try the effect of the Galvanic current, sometimes continued, and sometimes interrupted by means of the apparatus employed for diseases of the organs of hearing. It will be proper, in many cases, to combine moral with physical treatment, and not to neglect the other methods already known and practised, which may be used as very convenient auxiliaries.
Galvanism applied to the cure of melancholy madness.
Hospitals for lunatics present a spectacle which must excite compassion in every breast not void of humanity, as they are in general crowded with unfortunate beings, useless to themselves and dangerous to others; while little hope is left of their being ever restored to society. This is the case in particular with persons subject to melancholy madness; on some of whom I tried last year the effects of Galvanism. In consequence of a long series of painful and disagreeable experiments made on myself, I was induced to entertain great hopes from this remedy. I applied it to my ears and to different parts of the head, in order that I might form a just estimation of its power and influence on the brain. It is well known that the strength and energy of the operations of the mind depend on the state of the functions of the brain. It is well known also, that a violent fall, or strong impression on the head, has often occasioned great variations in the intellectual faculties. By such accidents some have entirely lost the power of imagination; while, on the other hand, some have acquired very great talents, or emerged from a state of complete stupidity. These considerations gave me reason to hope that the power of Galvanismmight perhaps be able to produce a salutary change in the brain in cases of melancholy madness. I communicated my thoughts on this subject to the physicians who superintend the hospital for lunatics at Bologna. They approved of my ideas, and gave me every assistance in their power to enable me to prosecute my researches. In their presence, and under their direction, I administered Galvanism to several lunatics, applying it different ways; and the result was the complete cure of two who had laboured under melancholy madness. As the method I followed in both cases was nearly the same, I shall here give a description of it, as it may serve as a general rule for the administration of this remedy under similar circumstances.
Louis Lanzarini, of a phlegmatic temperament, twenty-seven years of age, and a farmer by profession, fell into a state of deep melancholy, which first announced itself by an attack of fever; in consequence of which he was conveyed to the public hospital of St. Ursula on the 17th of May 1801. When he arrived there, he began to complain of the treatment he had received, and to show great uneasiness; by which means his melancholy increased so much, that it at length degenerated into real stupidity. While in this state, Professors Gentilli and Palazzi were so kind as to allow me to administer Galvanism to him; which I did in the presence of these physicians, and of several medical students who attended the hospital.
I had provided for this purpose a pile composed of eighty pieces of silver and zinc, and I at first administered the Galvanism gradually, forming the arc by means of the hands. Lanzarini, in a state of the utmost dejection, viewed the apparatus and the company present with his eyes fixed and motionless. When interrogated by the physicians and myself in regard to the origin of his malady, he gave laconic and confused answers, which seemed to indicate a great degree of stupidity and derangement. I first moistened his hands, and formed an arc with the pile at different heights, to accustom him to endure the action of the apparatus. No change, however, was produced in the patient by this operation. I then repeated the experiment, placing his hands, moistened with salt water, at the bottom of the pile; and conveying an arc from the summit of the pile to different parts of his face, moistened with the same solution. A change was soon observed in the patient’s countenance, and his whole demeanour seemed to indicate that the degree of his melancholy was somewhat lessened. The experiment was repeated several times with the same success; which seems to prove that Galvanism absolutely exercises an action in such diseases. The patient being interrogated next day, asserted that he had felt no inconvenience from the application of the Galvanism; and this account was confirmed by the keepers, who had been desired to give a report of the least change that might take place. Similar results were obtained by gradually administering the action of the pile with greater force for several days successively, and we soonbegan to observe that it produced a very striking effect. The patient, on touching the apparatus, seemed to acquire new spirits; a smile appeared on his countenance, and a complete change took place in his eyes as well as in every feature of his face. Instead of showing any aversion to the pile, he readily obeyed whenever he was called to undergo the operation; and his whole conduct indicated that he found relief from the influence of the unknown agent which it excited. He began to converse with more readiness, sometimes respecting the machine, and sometimes on the flash of light which appeared in his eyes when the arc was applied; and on that account we conceived the most flattering hopes of a complete cure. The result of this operation induced me to administer the Galvanism even to the substance of the brain; being convinced, as I have already remarked, that the Galvanic fluid by this method of application exercises its action with greater energy. I communicated my design to the Professors of the hospital, and with their approbation began to try the effects of a pile composed of fifteen plates of copper and zinc. I formed an arc from one of the hands to one of the ears, and then from one ear to another, having first moistened them with a solution of muriate of soda. I increased the number of plates of which the pile was composed, and found that the patient was always more or less affected with a momentary impression exceedingly painful, which however seemed in the end to produce a good effect. When Galvanism was administered in this manner, I did not neglect to continue the application of the other method atthe same time; and I found that the progress of the cure became more rapid. But as I observed that the action of Galvanism on the ears was sometimes too violent, we thought proper to apply it in a more moderate and less dangerous manner. Several persons having been induced through curiosity to try this action, the result, besides a violent commotion of the whole substance of the brain against the skull, was a state of watchfulness which continued several days running, and which I experienced myself as well as others. We then conceived the idea of shaving the head above the suture of the parietal bone (PlateIII.fig. 3.); and having moistened the shaven part with salt water, a piece of gold or silver coin was placed over it. The patient then touched with one of his hands the bottom of the pile, and at the same time an arc was established from the summit of the pile to the metallic armature placed on the head. By this arrangement the action of the Galvanism was rendered more moderate; the patient endured it for a long time, and seemed to be greatly relieved by it. I have always united this method with external application to different parts of the face, and have observed such sudden changes in the looks as seemed to announce a considerable abatement of the disease. Some of the physicians of Bologna, Professors Brugnatelli and Zola of Pavia, and several other foreigners, examined and confirmed the permanency of this effect. The patient, therefore, not only got the better of his melancholy, but began to relish his food, and at length recovered so muchstrength that the physicians of the hospital thought nothing further was necessary to complete the cure.
No other remedy besides Galvanism was administered to him, lest the effects should be so confounded as to render it impossible to tell to which the cure ought to be ascribed. Two days, however, before he left the hospital a little blood was taken from him; as it was conceived that this operation might contribute to render the cure more certain.
On his leaving the hospital I carried him to my house, that he might be fitted by proper nourishment for resuming his former occupations. He remained with me eight days in the quality of a domestic, during which time he was exceedingly tractable, and performed his duty with great care and attention. I had several conversations with him, in the course of which I learned that his father, Fabian Lanzarini, had been attacked by the same disease, and that he had been admitted into the same hospital, where he died on the 12th of June 1790. By inspecting the registers of the hospital, I found this account to be perfectly correct.
Agreeably to the principles already established, in regard to the treatment of madness, I advised Lanzarini to spend the rest of his life at a distance from his native country, lest, having continually before his eyes those objects which had occasioned his disease, it might recur with double violence.But though he had given me several proofs of his docility, I found it impossible to persuade him to make this sacrifice. A kind ofnostalgia, perhaps, attached him to his former master, to whom he returned, after paying a visit to the curé of the parish. The latter, when he first saw him, imagined he had run away from the hospital; but by his conversation he was soon convinced of his being completely cured. After this period, I obtained a regular report respecting his behaviour and the state of his health, from the above curé, and from the person who had paid all the expenses of his residence in the hospital; and I learned, with great satisfaction, that he continued to enjoy good health, and to exercise his usual employment.
By the same treatment I cured, of a similar disorder, Charles Bellini, a labourer, who was restored to society in a shorter space of time, because the affection was not so violent as in the preceding case. The phænomena which took place when the patient was subjected to the action of the pile, when the Galvanism was applied to the brain, and during the whole progress of the cure, were nearly the same. I must, however, freely acknowledge, that two cures are not sufficient to establish the application of Galvanism as an universal remedy in such cases. But on this account it ought not to be rejected: at any rate it deserves further examination; for it is well known that all remedies require certain conditions before they can perform their effect. I have therefore several times found it impossible to obtain the sameresult in other patients afflicted with melancholy madness, to whom I administered Galvanism; and in cases of raving madness I have even found it dangerous. In some instances, melancholy madness derives its origin from a certain general constitution of the animal machine, or from some great alteration in the brain; and it is evident that in such cases the action of Galvanism would be of no avail. But if the derangement of the intellectual functions depend only on some humour intercepted between the membranes and other parts of the brain, there is reason to hope that Galvanism, if prudently administered, may be attended with great benefit. The real cases in which it may be administered with success, can be ascertained only by experience. I must observe also, that the method of administering it is not yet reduced to that state of simplicity, which is necessary before it can be brought into regular use in large hospitals. The physicians, under whose care they are placed, have in general a great deal of private practice, and cannot conveniently attend to operations which require a continued labour for several months. Besides, the novelty of the remedy is sufficient to excite a clamour against it, and to awaken the prejudice of the assistants, who will even wish to proscribe it before it has been tried. For this reason, I think it necessary here to request, that those who preside over establishments destined for the reception of such patients would turn their attention to this subject, and endeavour to reduce the method of applying Galvanism to the utmost simplicity of which it is susceptible, in order that itmay be fit for being introduced into large hospitals. As the patient often shows an aversion to this strange remedy, it will be necessary to encourage him by every means possible. Sometimes on observing the flash of light, when the Galvanism is communicated, he cries out and is frightened; imagining that he sees a devouring fire ready to consume him, and on this account refuses to submit again to the operation. It will, therefore, be proper to conceal from him the apparatus, or to make a person show him the pile some time before as an object of amusement, and in this manner to prepare him for receiving its action. It will be of benefit also sometimes to modify the action of the pile, and to render it more moderate by a different method of application. In the case of female patients I have found the result the same, when the Galvanism, instead of being applied directly to the interior part of the ears, was directed externally to the gold pendents (PlateIII.fig. 4.).
By considering the course generally pursued in curing melancholy madness, hints may be suggested for an useful application of Galvanism in that disease, and data may be obtained sufficient to establish the different modes of application best fitted to the different cases. These ideas have engaged a good deal of my attention; and when I have finished the observations I have been for some time collecting, I flatter myself that I shall be able to communicate to the public some interesting information on the subject.
In some cases of madness, as I found it impossible to applyGalvanism to the hands, which were confined, I employed the action of an arc directed to the mouth (PlateIII.fig. 2.), while another proceeded to one of the ears; or I applied a piece of money to the head, and communicated the Galvanism by the method already described (PlateIII.fig. 3.).
It will even be necessary to try the effect of the Galvanic current, sometimes continued, and sometimes interrupted by means of the apparatus employed for diseases of the organs of hearing. It will be proper, in many cases, to combine moral with physical treatment, and not to neglect the other methods already known and practised, which may be used as very convenient auxiliaries.