Tetanus cured by Injections of Tobacco. 93 



to my pupils, Mr. G. and Mr. R., that I believed it to 

 be a new expedient*. These gentlemen frequently vi- 

 sited Miss H., and paid particular attention to the treat- 

 ment that was instituted. 



A mash of tobacco leaves was applied to the scrobi- 

 culis cordis, but in six hours no obvious effect resulted. 

 On removing the tobacco, the warm bath was repeated ; 

 it gave less relief than before. 



Evening. One dram of tobacco was boiled in six 

 ounces of water, and the decoction employed as an ene- 

 ma. Vomiting and general relaxation instantly took 

 place ; the vomiting proved remarkably severe ; articu- 

 lation and deglutition were restored. She enjoyed some 

 sleep in the night, and remained free from spasm till 

 morning. 



March 10th, morning. On entering the room, I wit- 

 nessed a violent state of rigidity and spasm, in the shape 

 of opisthotonos : ill this condition it was impossible to 

 repeat the enema. As soon, however, as a partial re- 

 laxation permitted, the enema of tobacco was exhibited 

 in the same dose as before ; its effects were instantane- 

 ous; the vomiting was still more violent than in the 

 former instance, and the removal of spasm equally sud- 

 den and general. There was no purgative operation 

 from the enema. 



* You have since informed me of cases in which it had been 

 previously used, and also of your own attention to the subject in your 

 lectures. 



