other bad symptoms. The “‘ anodyne wash’” I have fot id exe 
ly useful for this purpose, and is gtitrally sufficient. 
also be beneficial in some cases ie 
dn .., — where the skin is broken and the flesh 
bruised, tlhe mode of treatment is very simil to that compound a 
fractures $ re ol s 
We shall now proceed to speak of the most ieapoel of the dis- 
locations to which the human frame is subject, as they oceur in’ = 
ticular parts. 
DISLOCATION OF THE LOWER JAW ae. 
2X 
The under jaw cannot be dislocated, either _cither upwards, backwardé, 
or sidewise ; it can only be dislocated forward and downward In 
every other direction, the hinges are so much surrounded with bone, 
that they cannot be forced out of their sockets; but when the moath 
is widely opened, as happens in yawning, the joint is apt to slij 
in a forward direction. Sometimes only one side of the jaw is ise 
located. 
In these luxations the chin is thrown forward and downward, the 
mouth wide open, and much pain accompanies every 
it; and the patient cannot speak distinctly, « 
difficulty. 2 33 
The patient being firmly seated on a low chair, with his Ser pre: 
perly supported behind, the surgeon standing before, with his thumbs 
sufficiently guarded, should push them as far as th will g 2 ' 
the teeth of the upper and under jaws, the under or flat par 
thiimbs being placed on the teeth of the under jaw; the palm ofe 
hand should be applied to the outside, while with his fingers he lays 
a firm hold of the angles of each jaw. With the fingers applied in 
- this manner, he should pull the under, jaw forward, till he finds it - 
miove somewhat from its ‘sitnation ; and this being done, but not till 
then, he should press the jaw forcibly down with his thumbs, and 
moderately backwards with the palms of his hands; when, if the 
different parts of the operation are rightly managed, the ends of the 
bone will immediately slip into their place ; upon which the thumbs 
should be instantly withdrawn to prevent being bitten. as 
The jaw being reduced, the patient should be advised to void “ 
gaping, yawning, and much speaking, as the joint may be easily turn- 
ed out ners ‘some time.” 
\ 
vitals eZ DISLOCATION OF THE HEAD. Tee 
In every dislocation of thé head, the head falls forward upon he = 
breast ; the patient is instantly” deprived of sensibility ; he lies as if - 
he were dead ; and he soon dies, if the —— be not quickly re- 
duced. = 
Dislocations of the head, for the most part, terimidinte fatally; for 
the want of immediate assistaiice. Therefore, whatever be done, 
must be done quickly, and no time lost in preparation. ‘The patien 
Ping seated 0 on the Armee and eg Oe by an a the 
