T 1 



250 



T ' 



ami occasionally refutes all nourishment: somctii 



. a-pires him with a dread and a 



jjreat roscmblan. 



h respect t 1 >c re- 



eaKkd,' say* Dr. Or. . 



a very vinsrular fac 'ijjv.that an afl'. 



i.ira character a- .. c its source in causes 



laceration of a tendon, or an ev 



on the same kin, I of '. a* that \- 



occasional consequence of .'.'.' 



wound, no matter how inflicti d. . in what part, or in 



what itage .\liii-h 



form i-es are on 



iin lite QM6M6 m consequence 01 a one on 

 tin- finder from a tame sparrow ; in which it supe- 

 on the mere stroke of a whip-la 



the -kin wan not broken : in which it was occasioned hy a 

 small : n<r in the pharv 



innity in the external car from a n 

 l>v )! nin of a seton to the thorax; by the 



. the back of the neck ; by a blow on the 

 hand from the . umeui: by the extraction of a 



tooth, &o. In short, act 

 quoted by Dr. ^ i-curs in 



and in CYC to the most 



formidable. Grain the healthy and the -.Inusihinir. from the 



.I and the lacerated, 'from the moat simple and the 

 most complicated.' 



.t in frequency to wouuds as an exciting cause of 

 tetanus is exposure to cold and damp ; indeed there 

 are but very few cases of true idiopathic tetanus which are 

 referrible to any other. The irritation of worms and other 

 disordered states of the alimentary canal have been con- 

 sidered by some authors as the cause of tetanic after' im,-. 

 To generate this form of disease however, it would appear 

 that a ce:' 'position is also requisite, and it is 



doubtless the same with that which operates as an 

 tory cans? of the traumatic tetanus. Die predisposition to 

 tetanic affections is given, in the first place, by warm 

 climates and warm seasons. AVithin the tropics therefore 

 it prevails to an extent unheard of in colder lati 

 Secondly, tetan I to prevail when the. 



atmosphere is much loaded with moisture, and ; 

 where this has suddenly succeeded to a lonir c< 



cold and damp air ot \ been fol- 



lowed by an attack ot' tetanus. In ' motes chil- 



dren are particularly v. ith a 



few peculiarities which, though proclucin iic dif- 



ference, haw been thought sufficient I 

 known by the name nf trismut natceiiJiuin. '1 

 in Uiiscase is \nli;ai iy the absurd name ot'fn/1- 



///!> j'lir. It occurs cliiei' i the nin! 



fourteenth day after birth, and seldom alter the latter 

 period, Without any febrile accession, and otlen without 

 any perceptible -ks into an 



siness, attended with fre- 

 quent yawning* and with a slight difficulty of moving the 



i takes place in some in- 



i sooner, in others later, and soon increases in intcii- 



i while the infant is .uouth. 



there i occasionally an iuubi , or swallow. By 



degrees the lower jaw become* rijpd, and totally resists 



the introduction of ! 



but the skin assumes a \ . the eyes appear dull, 



the spawns ofte . >i in t\\o or tlnce 



days the disease prove* modal. 



The prognosis of. this duteaso is mainly to be < ' 

 by the nat 



seizure. Tetanus of the' idiopalhic kiwi IUM certain!'. 

 cured in a larirc.r proportion of cases than fbai 

 lows external it. > is a \M t well-known' (says an 



able writer in the ' Edinburgh Journal.' vol. v. .. , 

 quoted by Dr. Symondtt) ' to every plantar in th. 

 ladies, who never considers liis negroes as safe when the 

 disMte supervenes on a wound, but is frequent r 

 fWsful in alleviating the idiopatluc species.' *l 

 the disease as a. . Ius important 



as to the probable ' .. It may be ud tlmt re- 



covery in a case of acute tetanus is almost, if not alto- 



gether, hopeless: the chronic form however is of a much 

 milder character. The u- 



hr third or fourth d.iv ; and if 





iy : it i* ran-h 



Mr. ('iM)pe 



of the this;h)who hnirend : 



i of patients who h. 

 little or no liirht UJK>II 

 the complaint, as is indeed the case in 

 "i- neu... LJJC dUo'ders. Sometimes liL;lit i ffusions are 

 found within the cranium. l>ut in general no inoibid ap- 

 pearance whatever can I Yin the 1' 



i i the ivMiphacus and ! 

 .ch about tin- cardia. These ;\\ 

 uinion to a ijri-at nu; uni- 



formly met with in i 

 Besides the redness and inci 



Baron Larrey found the pliar_\ : much 



contracted, and covered with a \isciil 



also found numerous lumbrici in the bowels of several of 

 the patients who died ; but tin-, as Mr. < 

 could oi.lv be an accidental complication, and n 



Dr. M-Arthur found much 



inflam in two of them , fluid, of a 



peculiar offensive smell, covered tluir internal sin 

 but whether the inflammation was in 



sequence of the pressure of the abdominal .-. hieh 



contract so violently in tin- 

 Mi'tl. C'/ur. Trans., vol. -ui., p. 4">, quoted 1:1 Cooper's 



. Diet.} 



The' treatment of Tetanus is confessedly a subject of 

 infinite difficulty, as the di- 

 every mode of practice, and, in certain ins!;. 

 well under the employment of the very sanii 

 which decidedly fail in other similar c;i .1 the 



whole it will probably be universally admitted tli; 

 effectual remedy for Tetanus 1. . , discovei. 



jilan has occa.sionall\ ! every plan lias 



still more frequently failed. The following is the al 

 of the opi:. .1! i;iven by ^^]. 



- in his Xotes to ' I'auhis 

 ,'nerates \.-l]i/ior.. v. 70). (ialeit ( !>< J 

 lib. ni. ; DC Mflh. Mnl., lib. xii.), Oetavius Iloratianus 

 lib. ii., cap. 10% and Avicenna (lib. iii., fen.i cap. 5, 6, 7) 



,;i staling that a fever comiiiij on tend- 

 the tetanic affection. Caplins Ainvliann- i U,- Murk. Arut., 

 lib. iii., c. C) seems to question the truth of this nntient 

 Hip] .ties disapproves of ! .'isioii 



.-of traumatic Tetanus ; Alexander Api 



- rather fa-. i'hi/x.. 



i. .":) . Ae'lius lib. vi .. .."/-.. lib. viii., 



c. Hi , anil Nonmis /' 



/., lib. iii., c. 'Jll , reeoiiimend 1 

 uollieiit fomentations, and the bath of oil. Archi- 

 ap. Ae'tium, /<./(//. <!;i i the bath. 



Mini; a fifth part of oil to the water. 



Tile treatment icconmicndi'd 1 ? '., lib. 



ii., c. 1) is judicious, and not unlike that of Paulus 



.Kijineta. He expresses himself hesitatingly about vene- 



. and lorbius the early use of wine- : he approves of 



openinu; the belly. This practice is strongly recommended 



niton of Edinburgh. 



The treatment of A. . .!////. .lent., lib. 



U) is altogether soothing am! relaxant. lie re- 

 commends to lay the. patient upon a I bed, 

 and, from whatever cause the 



with abstracting blood from tne arm. Then 

 : food is to b. 'iM the whole body 



; wool moistened with i : or 



bladders half filled with tepid oil an: to In 

 parts most affected. He directs to cup (lie back p.; 

 the mvk. but cautions ai: 'HIK irritation h\ tho 



a])]ilication of heat. To the wound he recommends -np- 

 pmative applications containing :tine- 



.nid tin- like : for he and the liiet is con- 



i by the t \) who 



iinends a similar mode of piactiee that, when I 

 mis supervene*, the sore ! . ;utor 



and assafoetida as anti-spasmodics ; and, if these cannot 



