152 
TETANUS. 
described in the first portion of this paper*. They were ex¬ 
traordinary instances of the removal of disease from one place 
to the other by the translation of inflammation, and consequently 
irritation, to a different part. I think that there cannot be a 
doubt on the subject, as to the cause that produced the disease 
in these two instances ; the stomach and bowels were evidently 
diseased. 
In conformity, then, with those opinions, I determined to try 
the effect of strong blisters on the abdomen on the next patient 
that came under my care afflicted with tetanus ; for as I at¬ 
tributed the success that attended those two cases to metas¬ 
tasis, I thought if I could produce a counter-action on the sys¬ 
tem by blistering the skin, that I might be fortunate enough to 
produce a similar result. The trial proved the correctness of my 
opinion. Two opportunities were soon afforded me; for, as I 
stated before, tetanus was a disease which occurred frequently 
in the West of Cornwall, which I suppose is owing to the 
land being surrounded almost by the sea, and bordering so closely 
upon it. 
The first case was a brown horse, three years old : he was 
attacked in the early part of last spring. It was certainly a 
favourable case, as the jaws were opened sufficiently wide to 
allow a drink to be administered by a bottle. I first gave him 
3x of Barbadoes aloes, and bled to the amount of two gallons. 
The hair was then cut closely round the bowels, and a strong 
powerful blister was applied. I had it well rubbed in by two 
men, one on each side. 
2d day ,—The bleeding is repeated, and 3 ij of opium adminis¬ 
tered. 
day .—The blister had acted well; opium repeated. 
^th day .—The blister was washed off, and a fresh one applied. 
Bleed to the amount of two gallons; administered aloes and 
opium of each sij, and ordered laxative clysters three times a-day. 
5M day .—The dung is hard and slimy ; the clysters, aloes, 
and opium given as before. 
^th day .—Ditto ditto. 
'7th day .—Another blister is applied, and a large rowel inserted 
in the chest. From the noise in the bowels I expect the animal 
will soon purge ; discontinue the medicine, but repeat the 
clysters. 
8M day .—The animal is. freely purged. The stool is almost 
wholly slime, and smells very offensively. 
^th day .—The purging has not ceased ; the jaws are partly 
relaxed, the spasms are less violent, and the animal is better. 
* Vide p. 23, No. 85. 
