92 Tetanus cured by Injections of Tobacco. 



A dose of castor-oil, assisted by a purgative enema, 

 procured a plentiful alvine evacuation, nearly of the na- 

 tural appearance. 



Evening. The spasmodic action became more vehe- 

 ment ; the limbs and back were affected with pain ; the 

 distressing traction at the scrobiculis cordis increased. 

 She could not swallow ; the mouth was fixed open, and 

 the jaws immoveable. Opisthotonic spasm, general ri- 

 gidity, and convulsions, recurred by turns. 



The warm-bath procured transient relief, enabling the 

 attendants to administer enemata with laudanum at in- 

 tervals. She passed an easier night, probably from these 

 measures ; but could not sleep. She spoke a few words 

 during the night, and took some drink. 



March 9th, morning. The spasms returned with 

 still greater violence ; skin warmer than natural ; pulse 

 active ; deglutition again stopped ; jaws locked. 



I questioned the propriety of employing the warm- 

 bath in this state ; I likewise thought the cold-bath pre- 

 carious ; and the impossibility of giving medicine by 

 the mouth, forced me to deliberate on other measures. 

 I conceived that vomiting, if it could be induced, would 

 mitigate the violence of the general spasms; and it occur- 

 red to me, that tobacco, while it would induce vomiting, 

 might prove useful by a more general influence on the 

 system. I therefore determined to give it a trial. I did 

 not then know, that tobacco had before been employed 

 in tetanus by any one. And accordingly I mentioned 



