336 TETANUS. 



Place the ends of the linen straps so that the lotion, which 

 may drain out of the sponge, cannot drain upon the glue, 

 otherwise the straps will faU off. By this process the sponge 

 can be held to the wound, and fresh lotion poured upon it when 

 desirable. The arnica lotion may be changed for a lotion of 

 belladonna or tincture of aconite. 



Tincture of Belladonna ... ... 1 ounce. 



"Water ... ... ... ... ... 1 pint. 



Mix together, and apply warm. Where aconite is chosen in 

 preference, mix it of the strength directed for the arnica and 

 belladonna mixture.* 



In cases of Tetanus, when a wound situate upon the fleshy 

 part is the exciting cause, if the skin contiguous be tight, hot, 

 and tender, make two transverse incisions, one about an inch 

 above, and another an inch below the wound. Make the inci- 

 sions with a clean, sharp scalpel ; make them freely, and allow 

 them to bleed as long as they wiU. Then clean away what 

 blood may adhere to the limb, and apply the arnica or the 

 belladonna lotion as directed. In two cases of Tetanus arising 

 from wounds situate upon the semi-tendinosus muscle, a few 

 inches below the ischium, two incisions to each case, and of the 

 kind recommended, were made with the best results. In both 

 the cases alluded to, the skin was hot, tightly stretched, and 

 exceedingly tender. In wounds presenting the character 

 described, it may be tbe best plan to entirely remove the 



* A better article than glue, for holding the linen straps to an injtirad 

 part, win be found in a cement made as foUows : — Take black pitch, 2 ounces ; 

 gutta percha, out into thin slices, 1 ounce. Place the two together in a thick 

 brown earthenware jar, which put upon a slow-burning fire. Carefully and 

 repeatedly stir the mixture, until the ingredients are thoroughly melted and 

 incorporated. A little of this made warm, and put upon the ends of the 

 linen straps and held a few moments to the hair, will speedily set and remain 

 fixed, even if w§t by the lotion. 



