386 OX THE USE OF (OLD BATHING 



the extremities. The spasms returned every ten minutes, 

 and were very severe. The surgeon who attended him, on 

 account of his full habit, bled him pretty freely, gave him a 

 cooling purge, and caused him to be well rubbed with a vo- 

 latile liniment : he ordered him to be kept warm with flan- 

 nels, and supplied with plenty of warm diluting drinks. 



Several ingenious gentlemen of the faculty were present, 

 to whom I communicated the success I had in the external 

 application of cold water in similar circumstances. They 

 agreed to have it tried in this case, every four hours in the 

 day-time ; and at bedtime, to give him thirty drops of lauda- 

 num ; and that he should lie in a cool airy place, with little 

 covering. This method was pursued for three days, which 

 entirely removed the disease. 



In July, the surgeon told me that a few days after the 

 locked jaw left the Negro, he was seized with an acute rheu- 

 matism, which, however, soon gave way to bleeding, laxa- 

 tives, and small doses of emetic tartar. 



Case IV.— June 10. 1777.— A Negro man, aged about 

 twenty-five years, belonging to Mr Burke at Rosegreen, had 

 the misfortune of a rusty nail running through the sole of 

 his foot. The nail was immediately extracted, a fomentation 

 and poultice was applied round the foot, and a dose of salts 

 given him next morning. 



He had no ailment till the third day after the accident, 

 when he complained of a pain in the pit of his stomach, and a 

 stiffness of his jaws, so as to prevent his eating any solid food. 

 Mr Patrick Irvixg was called to his assistance: he dilated 

 the external wound made by the nail, and repeated the fomen- 

 tation and poultice : attention being paid to the state of his 

 belly, he lost no time in giving opiates, beginning with one 

 o-rain of extractum thebaicum, and increasing the same to 

 three grains every four hours. 



Mr Irving had seen the good effects of cold bathing in 



