296 DISEASES CLASS in. i, i, 14. 



wounded tendon, like the wounds from the bite of a mad dog, 

 did not produce the hydrophobia, and then the locked jaw, till 

 feveral days after the accident. 



I twice witnefTed the locked jaw from a pain beneath the 

 flernum, about the part where it is complained of in painful 

 afthma, or angina pe&oris, in the fame lady at fome years dif- 

 tance of time. The laft time it had continued two days, and 

 {he wrote her mind, or expreffed herfelf by figns. On obferv- 

 ing a broken tooth, which made a fmall aperture into her mouth, 

 I rolled up five grains of opium like a worm about an inch long, 

 and introducing it over the broken tooth, pufned it onward by 

 means of a fmall crow-quill *, as it diiTolved I obferved (he fwal- 

 lowed her faliva, and in lefs than half an hour flie opened her 

 mouth and converfed as ufual. 



Men are taught to be afhamed of fcreaming from pain in 

 their early years j hence they are prone to exert the mufcles of 

 the jaws inftead, which they have learnt to exert frequently and 

 violently from their infancy ; whence the locked jaw. This 

 and the following fpafm have no alternative relaxations, like the 

 preceding ones ; which is perhaps owing, firit, to the weaknefs 

 of their antagoniil mufcles, thofe which elevate the jaw being 

 very ftrong for the parpoie of biting and mafticating hard fub- 

 ftances, and for fupporting the under jaw, with very weak an- 

 tagonift mufcles ; and fecondly, to their not giving fufficient re- 

 lief even for a moment to the pain, or its preceding irritation, 

 which excited them. 



M. M. Opium in very large quantities. Mercurial oint- 

 ment ufed extenfively. Electricity. Cold bath. Dilate the 

 wound, and fill it with lint moiltened with fpirit of turpen- 

 tine ; which inflames the wound, and cures or prevents the con-* 

 vultions. See a cafe, Tranfacl. of American Society, Vol. II. 

 p. 227. 



Wine in large quantities in one cafe was more fuccefsful 

 than opium ; it probably inflames more, which in this difeafe 

 is defirable. Between two or three ounces of bark, and from 

 a quart to three pints of wine a day, fucceeded better than opi- 

 um. Ib. 



14. Tetanus dolorifctis. Painful cramp. This kind of fpafm 

 moft frequently attacks the calf of the leg, or mufcles of the 

 toes ; it often precedes paroxyfms of gout, and appears towards 

 thv end of violent diarrhoea, and from indigeflion, or from acid 

 di . c. In thefe cafef it feems to fympathize with the bowels, but 

 is aifo frequently produced by the pain of external cold, and by 

 tl j too grat previous extension of the mufcles, whence fome 

 people get the cramp in the extenfor mufrle* of the toes after 



w al kin 2 



