72 Medical Facts and Observations. 



England, where it is more frequently seen, mercury- 

 was one of the principal medicines employed. 



From my own experience, I am unable to deter- 

 mine, whether any material benefit is derived from 

 the use of either cold or warm bathing, in Tetanus. 

 One, or both, are usually employed, in conjunction 

 with other remedies; and from what we know of the 

 disease, I should have no hesitancy in giving a pre- 

 ference to the cold-bath. Opium, Calomel, Bark 

 and Wine, all have their advocates among us. 



In several cases that have fallen under my notice, 

 arising from wounds, I have attributed the cure to 

 the external application, and internal use, of the Bal- 

 sam. Peruvian., whose influence has, in several in- 

 stances, almost immediately controuled the spasm, 

 and, of itself, restored the patient, when rapidly sink- 

 ing under the very liberal use of opium, bark, and 

 wine. I have never witnessed its influence in teta- 

 nus, resulting from other causes, but should certainly 

 avail myself of an opportunity for trial of it. Two 

 drams, in twelve or fourteen hours, is the largest 

 quantity I have found it necessary to give. 



You have, undoubtedly, become acquainted with 

 the character of the Melia Azedarach, vulgo, Pride 

 of India, or China (which abounds in the southern 

 states), as a vermifuge of efficacy. Its use is, in 

 some measure, general among the planters ; and, 

 with many, supersedes the use of all others. I have 

 given it with success, where all others, in common 





