REPORTS OF CASES. 
557 
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voided frequently, scant in quantity and of course high- 
colored. 
On the fifth day, finding the gelsemium and bromide were 
beginning to affect the respiration, changed to antipyrin with 
hypodermics of morphia sulph. The use of the morphine, 
while it might seem contrary-indicated on account of its 
tendency to constipate, I find in these cases to be one of the 
best agents we possess to relieve pain. The patient being 
very weak, nourishment was now given by means of rectal 
medication—one quart of fresh milk, three eggs and half a 
pint of whiskey being given twice a day, mornings and 
evenings. On the sixth day some improvement was noticed, 
but I was not too sanguine, as tetanus frequently eases up, 
only to get a fresh grip, and attack the patient with greater 
severity; such was the case here, all the symptoms being 
aggravated on the following day. Up to this time the foot 
had been continuously poulticed. I now had this removed, 
bottomed out the" wound, and used the sol. ex. belladonna 
freely, and then renewed the poultice; to movethe bowels, I 
now gave an enema of glycerine, which had the desired effeet, 
causing a copious evacuation of fasces. The ninth day the 
patient appeared to improve, and the temperature had fallen 
to ioi° F.; reduced the dose of antipyrin, which up to this time 
had been given in 3i. doses every four hours, to 3ss. doses, 
t.i.d., and used injections of chloral hydrate in milk, at night. 
The patient from now on improved steadily, the jaws partial¬ 
ly relaxed, and he was able to swallow a little water; sloppy 
bran mashes were now kept before him, and in the course of a 
week from the time that improvement set in the patient 
could swallow with ease. All rigidity of the facial muscles 
had disappeared, mastication was fully restored, although 
some difficulty in deglutition yet remained, which gradually 
disappeared. Ulceration of the cornea in both eyes followed 
as a sequel, which was successfully controlled by cauteriza¬ 
tion. In six weeks the animal had perfectly recovered. In 
tetanus with high fever, antipvrin seems to have the desired 
result in relaxing the spasms and reducing the temperature. 
