94 [May 15, 



The effect of the reduction of temperature on the paralysed hand 

 was very distinct; the three inner fingers were more or less contracted, 

 the little one being semiflexed, and could not be extended completely, 

 those of the right hand being easily extensible. 



In half an hour the temperature of both hands had risen to 



Right little finger. Left little finger. 



34-2 33 



34-5 (12 P.M., one hour after immersion) 34 



At this moment, although the temperature of the paralysed fingers 

 was higher than before immersion in water, the little finger was still 

 semiflexed, and none of the others could be perfectly extended. 



February 14th, 1862. Right hand. Left hand. 



Cent. Cent. 



o o 



Temperature between little and annular fingers 19 '5 18-5 



annular and median .... 18*8 18'3 



median and index 19*0 18'1 



thumb and index 21 '1 20' 1 



of palmar surface of little finger at 



root.... 18-0 17-9 



Temperature of forearm, posterior surface, lower 



fourth 28-3 28'0 



Temperature of radial side of forearm 27*0 27*6 



of palm of hand when closed .... 19*8 19*6 



There is still a feeling of stiffness in the little finger, accompanied 

 with slight inability to move it. There is also considerable sensi- 

 tiveness along the course of the ulnar nerve in the palm of the hand 

 when compressed or percussed. The fingers can be moved to and 

 from one another more freely, but the power of so doing is still im- 

 perfect ; and that of grasping, so far as the whole hand is concerned, 

 is much weaker than in the other hand. Cutaneous sensibility is 

 decidedly inferior over the dorsal and palmar surface of the inner 

 part of the hand and two corresponding fingers when compared with 

 the right, but the sensibility to cold is the reverse ; whenever the 

 left hand becomes cooled by exposure, the little finger is always more 

 or less painful. Vibration of the nerve at the elbow produces the 

 same effect on both sides. 



