[ 2 + 1 
rare in Holland, may be reckoned endemic in India. 
He feems not to have known what had been written 
by his predecehors upon this fubjedt. He takes no- 
tice, that fometimes men feized with it became ditto 
citius rigid as flatues. 
An admirable account of this difeafe was a few 
years fince communicated to the public by Dr. Lionel 
Chalmers-f* of South Carolina, where it is very fre- 
'quent, efpecially among the negroes. And I am 
informed by a learned gentleman of undoubted credit, 
that in our military operations between the tropics in 
America, great numbers of our people, particularly 
of thofe who were wounded, died with locked 
jaw’s. 
In England we generally to this difeafe give the 
name of the locked jaw, but that, let it arife from what 
caufe it may, is only one fymptom of it. If it con- 
tinues, as in the cafe before you, the occafion of this 
paper, it propagates its rigidity to the neck, bread:, 
and then to the other parts of the body. 
It is feldom leen here that the Tetanus is an ori- 
ginal difeafe. It is generally fymptomatic, and the 
confequence of fome other diforder. It frequently 
is fubfequent to wounds andbruifesof the nerves and 
tendons. I have known it arife to a certain degree 
from the fudden checking of an eruption upon the 
fkin. I knew a temporary Opifthotonus occafioned 
by the too fudden lofs of a large quantity of blood. 
To thefe permit me to add, that the Tetanus of the 
Temporal and Maffeter mufcles conhantly attended 
thofe whom I have known to have been accidentally 
poifoncd 
t Medical Obfervations, Vol. I. ^ag. 87. 
