540 
A CASK OF TETANUS. 
nistered ail enema combined with tinct. opii. I gave him opii 3 ij 
in solution, and mixed crotonis farinse gr. xviij in his water, and 
left orders for him to be kept as quiet as possible. 
I saw him again on the morning of the 15th ; the symptoms 
were then more decidedly characteristic of the disease. The 
head was more protruded ; the tail erect and quivering ; the 
fore legs like the props of a stool ; the eye drawn into the 
orbit; the membrana nictitans forcibly thrown over the eye ; the 
breathing laborious, and the slightest movement raising the 
pulse, and producing upon him a shock similar to what he would 
receive from the discharge of a galvanic battery. I applied a 
blister the whole length of the spine ; blistered him inside the 
arms and thighs; administered an opiate enema; and managed, 
by placing the neck of a small bottle between his teeth and 
cheeks, to get down 31 J of crude opium in solution. The croton not 
having operated, I mixed twelve grains more with some gruel 
which he contrived to suck down during the day and night. 
17th . — The croton has operated, and the faeces are discharged 
in a state of semi-fluidity. The symptoms are much the same 
as yesterday. I had a skin from a fresh-slaughtered sheep, 
placed it upon his back with the fleshy side downwards, and ban- 
daged his legs, as they were exceedingly cold. I also repeated the 
enema, opiate, 8 cc. 
In the evening I again repeated the enema with opium, and 
mixed with his gruel twelve grains of the croton farina. 
On visiting him upon the morning of the 18th, Mr. Bulten 
informed me that he had not expected that I should again see him 
alive, as he saw him at 12 o’clock on the night previous, and 
his sufferings were then so extreme, that he thought he must 
have died from exhaustion before the morning. I applied another 
fresh sheep skin to his loins, repeated the enema, and gave him 
ext. belladonna 3 ijss in solution, and desired them to keep him 
as quiet as possible. 
In the evening I repeated the medicine and the croton farina. 
On the 19th, the same treatment was adopted, and another 
fresh sheep skin applied to his loins. 
On the 20th he was decidedly better, and continued pro- 
gressively to improve until the 30th, when he was so far recovered 
that I considered he might dispense with my services. He was 
turned out, when the weather was fine, for an hour or two during 
the day, and since then has been turned out altogether. 
I administered the belladonna and croton daily, and varied 
my other treatment according to circumstances. 
He had, when first turned out, a twitching of the hind legs, 
resembling stringhalt: this, however, has gradually worn away, 
