360 Some Account of a remarkable Case of Tetanus. 

 and the region of the stomach very painful : he therefore 

 took GO drops of T. opii in a glass of wine. At eight o'clock 

 a most violent spasm of the abdominal muscles.came on, and 

 those of the back were affected to that degree as ibrcibly to 

 incurvate the spine. Immediately were repeated the opiate 

 draught with ^j ceth. vitr. After this he soon fell into a 

 quiet sleep which lasted, with little interruption, for ten 

 hours. 



Sth dav.-r-Ten o'clock — P. 96. Says he is better: still 

 drowsy, and complains of general stiffness, but no pain. — - 

 Cold bath repeated. — Ten o'clock mid-day, his pulse moderate, 

 and pains considerably abated; — he has more command over 

 his tongue. At nine o'clock in the evening the spasms of 

 the abdomen returned, with less violence, however, than on 

 the preceding evening. The cold bath was immediately had 

 recourse to, and having afterwards swallowed setht. vitr, 

 cochl. parv., tinct. opii gtt. 80, yini 5*., pulv. cinch. 5]., he 

 fell asleep and passed a comfortable night. 



9th clay. — His countenance has in some measure relaxed 

 from that particular appearance which has bten remarked. 

 It was determined to endeavour to anticipate the spasms this 

 evening bv administering; the bath and medicines before the 

 probable hour of their return. Two or three hours, how- 

 ever, before that time a very slight exacerbation came on, and 

 after a similar treatment with that of yesterday evening he 

 fell into a quiet sleep. 



10th day. — After eleven, hours sleep the bath was re^. 

 peated this morning, his appetite, &c. remain entire.— P. 8Q. 



About eight in the evening the cold bath was repeated 

 with the usual opiate draught : — about ten he awoke with a 

 circumscribed pain at the bottom of the abdomen on the 

 right side, which was tender and could be covered with the 

 palm of the hand : 60 drops more of opium were given by the 

 attendant, but the pains increasing, a blister was applied at 

 midnight, and a clyster was thrown up with 120 drops o^ 

 T. opii. He now takes daily sherry iuij. — port Ibj., pulv. 

 cinch. 3j-j ceth. vitr. 5yj. ; etT. opii nocte— Bain, frigid, n, 

 $t. m. 



11th day. — An intolerable pain in the epigastric region, 



with 



