ON ANTIPHLOGISTIC TREATMENT IN TETANUS. 503 
swelled. Give ferri carb., quinine, and camph. formed into a ball 
with farina and balsam. 
22 d. — No amendment. Repeat the ball, with the addition of 
a little pulv. lyttae. 
23c?. — All the legs very much filled ; the engorgement extending 
almost to the elbows. He had got to move about tolerably in his 
loose box ; but to-day, when compelled to stir, the hinder legs 
were at each step brought towards the body with a quick convul- 
sive action, exactly like stringhalt; he also staggered fearfully. 
Is effusion taking place within the theca spinalis 1 The pulse is 
frequent and soft — the membranes rather pale and clear ; there- 
fore push the stimulating tonic treatment, in order to arrest the 
threatening fatal effusion. Give lyttse grs. iv, with camph., zing, et 
gent. ; scarify the sheath, and apply a stimulating embrocation two 
or three times a-day, and likewise bandage the legs and body. 
Allow three or four pints of raw barley per day. 
24th. — Pulse less frequent — the conjunctiva of a fresher red — 
swellings rather declining, except the sheath and an extension un- 
derneath the abdomen. Repeat the ball. 
2 5th. — Sheath worse. Repeat the ball with lyttse gr. v. 
2 6th. — General improvement. Give a ball formed of iodin., 
ferri carb., zing, et gentian, and repeat it daily. 
30th. — The legs are greatly improved, but the sheath is yet 
heavy. Incisions were made into it with some difficulty, as he 
now dashed about and kicked cleverly. Of course, these exertions 
caused hurried respiration with expanded nostrils and free perspi- 
ration. Give iodine and camph. twice a-day, and let him have 
gentle exercise. 
July 2 cl. — Give opii, camph., et hyd. chlor. aa 3j twice a-day. 
4 th. — Appears in good health — walks freely — the membrana 
nictitans only covers a little of the eye on elevating the head ; but 
he cannot eat off the level ground without kneeling to it. Discon- 
tinue medicine for a few days. 
8 th. — Little change. Give a ball formed of aloes, hydr. chlorid. 
et resinee, and repeat every twelve hours until the bowels are 
gently opened. 
On this occasion the bowels readily responded to the aperient, 
and a brisk purging, that continued about three days, was the 
consequence ; but by allowing mucilage freely, and careful feed- 
ing, it subsided safely, and on the 17th I found all right. 
In reviewing this case a medical critic might be disposed to 
condemn the treatment as being incongruous and unscientific, — de- 
pletives, sedatives, and stimulating tonics, having been freely and 
alternately used ; yet, upon a more careful consideration of the na- 
