Tetanus cured by Injections of Tobacco. 91 



paleness, trembling, and hurried respiration, were soon 

 succeeded by coldness of the extremities, some flushing 

 of the countenance, pain, and spasm. The painful sen- 

 sations increasing in violence, she screamed, groaned, 

 and muttered, but could not articulate. 



When I entered the apartment, I found her in the 

 state of suffering just mentioned. She had been bled, 

 and was supported in a chair with her feet in warm wa- 

 ter. The pulse, at this moment, was fluttering, irregu- 

 lar, and, I think, as small and frequent as that of a new- 

 born infant. I was disposed to think the abstraction of 

 blood had been of hurtful influence. The pains, by 

 which she was most agonized, passed from the cartilago 

 ensiformis, and from the extremities of the false ribs, 

 to the back, and seemed to be connected with spasm 

 of the diaphragm. The seat of pain, in connection with 

 other circumstances, led me to predict the establishment 

 of a formidable tetanic affection. 



Sinapisms were immediately applied to her wrists, 

 and laudanum, and the balsam of Peru, were adminis- 

 tered in liberal doses, without affording any evident re- 

 lief, though the pulse was rendered stronger, more full, 

 and less frequent. 



March 8th, morning. The neck was stiff; the head 

 immoveable, inclining backward ; the extremities some- 

 times moderately rigid, sometimes feebly convulsed, and 

 occasionally relaxed ; the countenance was flushed, the 

 heat of the body above the healthy state, and the pulse 

 active. 



