478 baron larrey’s treatment of tetanus. 
consequences. There are very many facts, however, in existence, 
relative to hydrophobia, which, in our minds, distinguish it clearly 
from ordinary tetanus; and, unless there was much stronger rea¬ 
son than there is for identifying these disorders, no one should 
make the attempt, as it is only calculated to lead the unthinking 
into a state of carelessness, with reference to what is now gene¬ 
rally considered the almost exclusive cause of this formidable ma¬ 
lady. 
Med. Chir . Iiev. July 1831. 
We are perfectly at issue with the learned editor of the Review 
respecting the nature of this singular case. Rabies, as he truly 
says, essentially differs from tetanus : it is originally an affection 
of a different class of nerves, although ultimately all are involved. 
But more of this at no distant period.— Edit. 
Baron Larrey’s Treatment of Tetanus. 
• He has found it especially to invade the young during great 
vicissitudes of temperature, and such as were of a dry, irritable 
temperament. Fear of limpid fluids he states as a frequent symp¬ 
tom, and the absence of all intellectual disturbance, while the 
disease seems to revel in the nervous system, he is inclined to ex¬ 
plain by believing that the nerves are not prolongations, but per¬ 
fectly independent of the brain. In emprosthotonos, he has ob¬ 
served that the nerves usually affected lie on the anterior part of 
the body; in opithotonos, on the posterior part; while in com¬ 
plete and universal tetanus, both sets are equally implicated. 
After the battle of Waterloo, he had many opportunities of in¬ 
specting the remains of those who perished from tetanus in the 
hospitals of Louvain; and u invariably there were discover¬ 
able evident traces of inflammation on the spinal cord, with more 
or less effusion of a reddish colour within the sheath.” Hence 
does he advise moxa, cupping-glasses, anodynes, and such ap¬ 
plications to the spine as appear calculated to prevent or remove 
the cause of irritation. Internal remedies of every description, if 
they are not always useless, are soon rendered so by the patient’s 
falling into a state of strangulation shortly after he is attacked. 
While he can swallow, opium, camphor, musk, castor, and alka¬ 
lies may be given; and they are least obnoxiously given in the 
form of emulsion. The case of a Mameluke, belonging to Maurad 
Bey, is given, who was cured by internal medicines and warm 
baths. Eight grains of camphor, the same quantity of musk, 
and twenty grains of opium were dissolved in a glassful of com¬ 
mon emulsion, and the half was given for a dose. A few minutes 
after this draught was taken, the pains were diminished, the jaws 
