Some Account of a remarkable Case of Tetanus. 359 



mouth.— He last night was seized for the first time with 

 spasms in the back part of the legs, his eyes were nearly 

 closed by a glutinous discharge. — P. 78. His countenance 

 is like one who' had taken something too sour for the taste: 

 and he sits fixed as a statue, except that short and sudden 

 spasms at different parts of the body occasionally come over 

 him. In the afternoon his complaints appeared more aggra- 

 vated. — He was plunged into the cold bath, and being cos- 

 tive a stimulating enema was administered and he took 3j. of 

 calomel, — he was also directed to drink freely of sherry wine 

 during the night. 



6th day. — Passed a quiet night.-*— The clyster soon pro- 

 cured one copious stool. — P. 102. Much heat on the skin. 

 The abdominal muscles very rigid : hesitation in repeating 

 the cold bath : as the calomel had not operated, its action 

 was invited by another enema, which, however, producing 

 no evacuation, he was again plunged into the cold bath at 

 one o'clock. He has occasionally had an involuntary spasm 

 of the tongue which thrusts it between his teeth, the jaw at 

 the same time closing upon it. After the bath his pulse was 

 88 and the muscles about the neck were much relaxed. — Cap. 

 vini rubri ibj., cum pu!v. cinch, ^j., quotidie. During the 

 day he had slight paroxysms of opisthotonos. — Six o'clock, 

 •was again immersed in the cold bath while his body was 

 covered with a profuse perspiration. 



7th day. — He passed a quiet night (except that during 

 sleep his tongue was twice or thrice thrust out between his 

 teeth). He went into the cold bath this morning at eight 

 o'clock in the midst of a profuse perspiration, and was much 

 composed after it, and says he is better. He continues to 

 open his mouth with less difficulty and moves his tongue. 

 The abdominal muscles are tense, particularly the lower part 

 of the recti, and he occasionally feels spasms, which from 

 his description appear to be in the diaphragm. His appetite, 

 his urine, and stools are all natural, — has slept nearly three 

 hours this morning. He went into the cold bath again this 

 day at one o'clock in the afternoon, and again at six. After 

 this third immersion he became more uncomfortable; says 

 his muscles are stifle^ those of the belly are extremely rigid 



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