BELLADONNA IN TETANUS. 
561 
and placed in a loose box, my object being to keep him in a 
state of quietude as much as possible. His pulse was quick, 
small, and irregular, and the countenance wild, and expres- 
sive of great pain. 
My first step was to have the punctured foot examined ; 
though after a good paring of it out, I could only discover slight 
traces of the puncture ; the place appeared to be perfectly 
healed. I then proceeded to abstract from the jugular vein six 
quarts of blood ; after that I backraked him, but found very 
little faeces in the rectum, and those quite hard and dry. I suc- 
ceeded in administering thetfollowing medicines, — Sol. Aloes, 
3 yj ; Ext. Belladonnae, 3ij : Ol. Lini, Oss ; thin gruefone pint. 
I threw up an enema, composed of Belladonna, sij, thin oat- 
meal gruel two quarts, every three hours : I applied a blister 
over the whole length of the spine, and covered the back and 
loins with a sheepskin. 
On the evening of the 27th the medicine was acting freely 
on the bowels, with a slight remission of the spasm. I ap- 
plied a blister to the masseter muscles, and administered 
Belladonnae, 3j, Tinct. Opii, Jij, mixed with half-pint of warm 
water. On the following morning (July 28th), I found the 
jaws a little relaxing. He sucked in two gallons or more of 
bran and flax-seed tea. I repeated the Belladonna and Tinct. 
Opii in the same quantities as the day before. He 
sucked in during this day six gallons of bran and flax-seed 
tea. On the evening of the 29th there was a slight return 
of spasm : it commenced by constriction of the jaws, evinced 
by grinding of teeth, which was again to be heard ; profuse 
sweats bedewing the flanks, neck, sides, and interval between 
the anterior and posterior limbs, and by returning con- 
stipation of the bowels. I immediately administered Sol. 
Aloes, 3ihj> Belladonnae, $ij, Ol. Lini, ^iiij, gruel one pint ; 
and threw up an enema composed of Belladonna, 3 ij, thin 
gruel two quarts ; to be repeated every two hours. Early 
in the morning of the 31st, the bowels became again relaxed, 
and the tetanic symptoms underwent sensible diminution ; 
indeed every day from the 31st, amendment was visible, and 
since, by degrees, nearly the whole of the muscular system 
has recovered its normal properties. Tension and stiffness 
continued up to the loth of this month in the muscles of the 
near hind leg : it was the near hind foot which was punctured, 
and the constrictor muscles of the jaws which reacted, but 
very imperfectly, on the alimentary cud. 
In walking him down to the field yesterday for an hour or 
two, he neighed and danced, and seemed all in good spirits. 
XXVI. 
73 
