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NERVE VIBRATIONS. 57
We must take care, however, before this mechanical stimiila-
tion is applied, either to feel the nerve or be perfectly certain as
to its topographical situation, and to be well down on it when it
lies deeply, as, for instance, in the case of the great sciatic in
the gluteal region.
When we have to do with a muscular or mixed nerve, and
our intention is merely to stimulate it in an ordinary way, we
give frictions, and may pass up and down its course ;
but when
pain is present, or the nerve purely sensory, vibrations alone, or
followed by constant pressure, are to be preferred. The vibrations
are then administered as previously described. We ought also
to remember, that we have often several nerves coming from the
same plexus, and that although only one branch of a nerve may
seem to give pain, the other nerves or branches send their
stimulation to the same centre, and thus act reflexly on the
affected nerve or branch.
There is no doubt but that in these nerve vibrations, combined
with other passive and active movements, a powerful weapon has
been given us against the progress of most of the nervous
diseases. I have seen several cases of paralysis, locomotor
ataxia, spastic paralysis, infantine paralysis, etc., which have been
greatly relieved. The result of the manual method in these and
other nervous diseases would be still more successful if the
patients had recourse to the treatment sooner. At present it is
used as the last plank after everything else has failed. Not only
have we then to contend with the diseases in their very advanced
stages, but also with the sunken courage and lost energy of the
patient, which react so unfavourably on his general health.
I may now proceed to give some directions as to the best and
easiest places to find the different nerves.
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