Electric bath (electrotherapy)

Last updated

High voltage electric bath c. 1890s-1900s Brockhaus and Efron Encyclopedic Dictionary b80 569-1.jpg
High voltage electric bath c. 1890s–1900s

An electric bath is a 19th-century medical treatment in which high-voltage electrical apparatus was used for electrifying patients by causing an electric charge to build up on their bodies. In the US this process was known as Franklinization after Benjamin Franklin. The process became widely known after Franklin described it in the mid-18th century, but after that it was mostly practiced by quacks. Golding Bird brought it into the mainstream at Guy's Hospital in the mid-19th century and it fell into disuse in the early 20th century.

Contents

Description

Assorted electrotherapy electrodes c. 1918-1920s Reeve 41435 electrotherapy.jpg
Assorted electrotherapy electrodes c. 1918–1920s

The source of electricity for an electric bath was usually a frictional electrical machine. The patient was seated on a wooden stool, and both the patient and the stool insulated from ground by a platform on glass legs or some other insulator. In some arrangements, the patient was lying down rather than seated. The patient was then charged with static electricity either by direct connection to one electrode of the generator (usually the positive), or else through electrostatic induction by holding a large electrode close to the patient's body. The electric tension applied was around 30–50 kV . [1] Treatment could take several hours. Following charging the patient was "bathed" in electricity, hence the name of the procedure. [2] This can be observed in a darkened room as a luminous discharge around the patient, especially at the hair and extremeties. [3]

The electric bath treatment was painless, but it caused the patient to warm and sweat, and the heart rate to increase. It also caused the hair to stand on end. [4] The electric bath could form a treatment in itself. It could also be the first stage in further treatment. A common procedure was to draw sparks from the patient after charging, especially from the spine. [5]

History

Electricity had been in use for medical treatment since the mid-18th century. However, this was mainly at the hands of quacks and charlatans, often promoting the treatment as a universal panacea. One notorious fringe practitioner using the electric bath was James Graham. [6] It was brought into the mainstream by Golding Bird at Guy's Hospital who ran the "electrifying room" there from 1836. This was not the first time electricity had been used as a treatment in a hospital, but Bird was the first to study its efficacy with scientific rigour. According to Thomas Addison, past hospital use had been "vague and indiscriminate". Bird was well aware of the need to overcome this bad reputation and convince his colleagues. In a series of Guy's Hospital Reports, Bird identified specific treatments for specific conditions based on case studies. [7] He was quick to highlight conditions that could not be treated so that his work was distinguished from the charlatans. Nevertheless, electrotherapy was usually considered a treatment of last resort when all else had failed. [8]

The "electric bath" (or "electrotherapy") aboard the Titanic, illustration from 1912. This facility was placed near Titanic's water pool and the Turkish baths, on F deck. Electric bath (or electrotherapy) - Titanic - 1912.jpg
The "electric bath" (or "electrotherapy") aboard the Titanic, illustration from 1912. This facility was placed near Titanic's water pool and the Turkish baths, on F deck.

Bird's most common use of the electric bath was to use the electric charge on the patient to draw off sparks by placing another electrode near the point of treatment. He used this method on the spine of chorea sufferers with some success. [9] Another condition for which Bird used this treatment was wrist drop caused by lead poisoning. [10] Bird found that there were some conditions for which this treatment did not work, mostly conditions where the brain or nervous system had been damaged such as epilepsy. [11]

The process of charging up a patient with static electricity was called Franklinization after Benjamin Franklin briefly experimented in this field. He attempted to treat a number of paralytics, first with electric shocks, and then with static charging, but without much success. He described these procedures in a letter of 1757. [12] Franklinization could also be applied locally to a wound or specific patch of skin with a hand-held array of needle electrodes. The intention was often to generate a "static breeze", a wind of ionized air over the skin. Alternatively, the intention could be to breathe in the ionized air as a form of ozone therapy. [13]

Electric bath apparatus for medical use were still for sale as late as 1908. [14]

Related Research Articles

<span class="mw-page-title-main">Alessandro Volta</span> Italian physicist and chemist (1745–1827)

Alessandro Giuseppe Antonio Anastasio Volta was an Italian physicist and chemist who was a pioneer of electricity and power and is credited as the inventor of the electric battery and the discoverer of methane. He invented the voltaic pile in 1799, and reported the results of his experiments in 1800 in a two-part letter to the president of the Royal Society. With this invention Volta proved that electricity could be generated chemically and debunked the prevalent theory that electricity was generated solely by living beings. Volta's invention sparked a great amount of scientific excitement and led others to conduct similar experiments, which eventually led to the development of the field of electrochemistry.

<span class="mw-page-title-main">Electricity</span> Phenomena related to electric charge

Electricity is the set of physical phenomena associated with the presence and motion of matter possessing an electric charge. Electricity is related to magnetism, both being part of the phenomenon of electromagnetism, as described by Maxwell's equations. Common phenomena are related to electricity, including lightning, static electricity, electric heating, electric discharges and many others.

<span class="mw-page-title-main">Electrochemistry</span> Branch of chemistry

Electrochemistry is the branch of physical chemistry concerned with the relationship between electrical potential difference and identifiable chemical change. These reactions involve electrons moving via an electronically-conducting phase between electrodes separated by an ionically conducting and electronically insulating electrolyte.

<span class="mw-page-title-main">Electric charge</span> Electromagnetic property of matter

Electric charge is the physical property of matter that causes it to experience a force when placed in an electromagnetic field. Electric charge can be positive or negative. Like charges repel each other and unlike charges attract each other. An object with no net charge is referred to as electrically neutral. Early knowledge of how charged substances interact is now called classical electrodynamics, and is still accurate for problems that do not require consideration of quantum effects.

<span class="mw-page-title-main">Leyden jar</span> Antique electrical device that stores a high-voltage electric charge

A Leyden jar is an electrical component that stores a high-voltage electric charge between electrical conductors on the inside and outside of a glass jar. It typically consists of a glass jar with metal foil cemented to the inside and the outside surfaces, and a metal terminal projecting vertically through the jar lid to make contact with the inner foil. It was the original form of the capacitor.

<span class="mw-page-title-main">Electroconvulsive therapy</span> Medical procedure in which electrical current is passed through the brain

Electroconvulsive therapy (ECT) or electroshock therapy (EST) is a psychiatric treatment where a generalized seizure is electrically induced to manage refractory mental disorders. Typically, 70 to 120 volts are applied externally to the patient's head, resulting in approximately 800 milliamperes of direct current passing between the electrodes, for a duration of 100 milliseconds to 6 seconds, either from temple to temple or from front to back of one side of the head. However, only about 1% of the electrical current crosses the bony skull into the brain because skull impedance is about 100 times higher than skin impedance.

<span class="mw-page-title-main">Defibrillation</span> Treatment for life-threatening cardiac arrhythmias

Defibrillation is a treatment for life-threatening cardiac arrhythmias, specifically ventricular fibrillation (V-Fib) and non-perfusing ventricular tachycardia (V-Tach). A defibrillator delivers a dose of electric current to the heart. Although not fully understood, this process depolarizes a large amount of the heart muscle, ending the arrhythmia. Subsequently, the body's natural pacemaker in the sinoatrial node of the heart is able to re-establish normal sinus rhythm. A heart which is in asystole (flatline) cannot be restarted by a defibrillator; it would be treated only by cardiopulmonary resuscitation (CPR) and medication, and then by cardioversion or defibrillation if it converts into a shockable rhythm.

Diathermy is electrically induced heat or the use of high-frequency electromagnetic currents as a form of physical therapy and in surgical procedures. The earliest observations on the reactions of the human organism to high-frequency electromagnetic currents were made by Jacques Arsene d'Arsonval. The field was pioneered in 1907 by German physician Karl Franz Nagelschmidt, who coined the term diathermy from the Greek words διά dia and θέρμη thermē, literally meaning "heating through".

<span class="mw-page-title-main">Oudin coil</span> Resonant transformer circuit

An Oudin coil, also called an Oudin oscillator or Oudin resonator, is a resonant transformer circuit that generates very high voltage, high frequency alternating current (AC) electricity at low current levels, used in the obsolete forms of electrotherapy around the turn of the 20th century. It is very similar to the Tesla coil, with the difference being that the Oudin coil was connected as an autotransformer. It was invented in 1893 by French physician Paul Marie Oudin as a modification of physician Jacques Arsene d'Arsonval's electrotherapy equipment and used in medical diathermy therapy as well as quack medicine until perhaps 1940. The high voltage output terminal of the coil was connected to an insulated handheld electrode which produced luminous brush discharges, which were applied to the patient's body to treat various medical conditions in electrotherapy.

<span class="mw-page-title-main">Electrotherapy</span> Use of electricity for medical purposes

Electrotherapy is the use of electrical energy as a medical treatment. In medicine, the term electrotherapy can apply to a variety of treatments, including the use of electrical devices such as deep brain stimulators for neurological disease. The term has also been applied specifically to the use of electric current to speed wound healing. Additionally, the term "electrotherapy" or "electromagnetic therapy" has also been applied to a range of alternative medical devices and treatments.

<span class="mw-page-title-main">Electrostatic generator</span> Device that generates electrical charge on a high voltage electrode

An electrostatic generator, or electrostatic machine, is an electrical generator that produces static electricity, or electricity at high voltage and low continuous current. The knowledge of static electricity dates back to the earliest civilizations, but for millennia it remained merely an interesting and mystifying phenomenon, without a theory to explain its behavior and often confused with magnetism. By the end of the 17th century, researchers had developed practical means of generating electricity by friction, but the development of electrostatic machines did not begin in earnest until the 18th century, when they became fundamental instruments in the studies about the new science of electricity.

Electrochemistry, a branch of chemistry, went through several changes during its evolution from early principles related to magnets in the early 16th and 17th centuries, to complex theories involving conductivity, electric charge and mathematical methods. The term electrochemistry was used to describe electrical phenomena in the late 19th and 20th centuries. In recent decades, electrochemistry has become an area of current research, including research in batteries and fuel cells, preventing corrosion of metals, the use of electrochemical cells to remove refractory organics and similar contaminants in wastewater electrocoagulation and improving techniques in refining chemicals with electrolysis and electrophoresis.

<span class="mw-page-title-main">Electric spark</span> Abrupt electrical discharge through an ionised channel

An electric spark is an abrupt electrical discharge that occurs when a sufficiently high electric field creates an ionized, electrically conductive channel through a normally-insulating medium, often air or other gases or gas mixtures. Michael Faraday described this phenomenon as "the beautiful flash of light attending the discharge of common electricity".

<span class="mw-page-title-main">Interrupter</span>

An interrupter in electrical engineering is a device used to interrupt the flow of a steady direct current for the purpose of converting a steady current into a changing one. Frequently, the interrupter is used in conjunction with an inductor to produce increased voltages either by a back emf effect or through transformer action. The largest industrial use of the interrupter was in the induction coil, the first transformer, which was used to produce high voltage pulses in scientific experiments and to power arc lamps, spark gap radio transmitters, and the first X-ray tubes, around the turn of the 20th century. Its largest use was the contact breaker or "points" in the distributor of the ignition system of gasoline engines, which served to periodically interrupt the current to the ignition coil producing high voltage pulses which create sparks in the spark plugs. It is still used in this application.

<span class="mw-page-title-main">Golding Bird</span> British medical doctor

Golding Bird was a British medical doctor and a Fellow of the Royal College of Physicians. He became a great authority on kidney diseases and published a comprehensive paper on urinary deposits in 1844. He was also notable for his work in related sciences, especially the medical uses of electricity and electrochemistry. From 1836, he lectured at Guy's Hospital, a well-known teaching hospital in London and now part of King's College London, and published a popular textbook on science for medical students called Elements of Natural Philosophy.

<span class="mw-page-title-main">Pulvermacher's chain</span> Battery for quack medical applications

The Pulvermacher chain, or in full as it was sold the Pulvermacher hydro-electric chain, was a type of voltaic battery sold in the second half of the 19th century for medical applications. Its chief market was amongst the numerous quack practitioners who were taking advantage of the popularity of the relatively new treatment of electrotherapy, or "electrification" as it was then known. Its unique selling point was its construction of numerous linked cells, rendering it mechanically flexible. A variant intended to be worn wrapped on parts of the body for long periods was known as Pulvermacher's galvanic chain or electric belt.

<span class="mw-page-title-main">Walford Bodie</span> Scottish showman

Walford Bodie, was a Scottish showman, hypnotist, ventriloquist and stage magician, famous for his "mock" electrocutions involving a replica of "The Electric Chair". He also performed an act of "Bloodless Surgery", claiming he could use electricity, hypnosis and manipulation to cure "all kinds of ailments and disabilities". His performances were enormously popular in the early 20th century, and inspired both Harry Houdini and Charlie Chaplin.

<span class="mw-page-title-main">Franklin's electrostatic machine</span> Experimental device

Franklin's electrostatic machine is a high-voltage static electricity-generating device used by Benjamin Franklin in the mid-18th century for research into electrical phenomena. Its key components are a glass globe which turned on an axis via a crank, a cloth pad in contact with the spinning globe, a set of metal needles to conduct away the charge developed on the globe by its friction with the pad, and a Leyden jar – a high-voltage capacitor – to accumulate the charge. Franklin's experiments with the machine eventually led to new theories about electricity and inventing the lightning rod.

Medical applications of radio frequency (RF) energy, in the form of electromagnetic waves or electrical currents, have existed for over 125 years, and now include diathermy, hyperthermy treatment of cancer, electrosurgery scalpels used to cut and cauterize in operations, and radiofrequency ablation. Magnetic resonance imaging (MRI) uses radio frequency waves to generate images of the human body.

References

  1. Chalovich, 20' 30"
    • Morus, pp. 235–236
    • Coley, p. 368
    • Bird, p. 85
    • Schiffer (2006), pp. 138–139
  2. Bird, pp.85–86
    • Schiffer (2006), p. 137
    • Bird, p. 85
  3. Morus, p. 236
  4. Schiffer (2006), pp. 151–152
  5. Morus, pp. 234–237
  6. Morus, pp. 368–369
  7. Morus, p. 238
  8. Knight, pp. 130–131
  9. Coley, pp. 368–369
  10. Schiffer (2006), pp. 136–137, 301
    • Chalovich, 40' 40"
    • Pinchuk et al., p. 277
  11. Schiffer (2001), p. 228

Bibliography