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HINTS FOR HEALTH.

ANTIDOTAL TREATMENT OF LEAD COLIC.

MM. Sandras and Bouchardat, considering that mineral poisons are absorbed and deposited principally in the liver, to be afterwards eliminated through the alimentary canal, recommend that what they consider a universal antidote, persulphuret of iron, should be administered in such quantities as to be always in excess in the intestinal tube, and thus prevent the reabsorption of the poisonous matter deposited there by the branches of the vena portæ. M. Sandras first administers a purgative, and orders a soap bath. The patient then swallows, night and morning, a teaspoonful of a mixture of syrup and persulphuret of iron. M. Sandras has found that large quantities of this compound may be taken without mischief, and its use may be persisted in for a long period. He employs at the same time opium, strychnia, and belladonna. In two years, this physician has thus treated 122 cases of lead colic in different stages. Two only proved fatal:

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Price 2s., by post 2s. 6d.,

the rest were cured with great rapidity. Only two relapses ASTHMA, BRONCHITIS, INFLUENZA, and CATARRH;

occurred in cases in which the individuals had not again exposed themselves to the vapours of lead.

A MAXIM NOT TO BE DESPISED.

Some people have a foolish way of not minding, or pretending not to mind, what they eat. For my part, I mind my belly very studiously, for I look upon it that he who does not mind his belly will hardly mind anything else.-Anon.

SINGULAR INFLUENCE OF MUTTON AS A POISON.

Dr. Prout, in his work "On the Nature and Treatment of Stomach and Urinary Diseases,” relates the case of an individual on whom mutton acted as a poison. He "could not eat mutton in any form. The peculiarity was supposed to be owing to caprice, and the mutton was repeatedly disguised, and given unknown to the individual; but uniformly with the same result of producing violent vomiting and diarrhoea. And from the severity of the effects, which were, in fact, those of a virulent poison, there can be little doubt that, if the use of mutton had been persisted in, it would have destroyed the life of the

individual."

SPECTACLES.

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the Causes, Symptoms, and Rational Treatment.

Price 2s., by post 2s. 6d.,

ONSUMPTION of the LUNGS, or DECLINE; the Causes, Symptoms, & Rational Treatment; with the Means of Prevention. These little Manuals contain the best and most common-sense account of the Diseases of the Chest that has ever been published."-The Sun, April 2nd, 1849.

Second Edition, price 4d., by post 6d., NDIGESTION, CONSTIPATION, NERVOUSNESS, AND LOW SPIRITS;

INDIGE

The Causes, Symptoms, and Rational Treatment. "An excellent little work upon those disorders so incidental and so common to us, that nothing but want of knowledge, which is here amply conveyed, can perpetuate-we could have said tolerate them. A book like this, clearly written, is worth the prescriptions of twenty physicians; and as such we wish it a world-wide reading."-Weekly Dispatch, March 31st, 1850. Price 4d., by post 6d.,

HEADACHES: their Varieties, Causes, Symptoms, and

Rational Treatment.

"The author of the above little work has given the causes of headaches

and their means of cure so plainly, that he who runs may read.' The advice offered can be easily followed, and the list of prescriptions in English— a most important innovation upon the old mysterious medical Latin-will be found useful. The style of writing is familiar, and the advice given

Portsmouth Guardian.

Second Edition, price 4d., by post 6d., The

DISEASES OF ERROR: their Symptoms, Varieties,

Effects, and Rational Treatment.

Great judgment and discrimination are required before giving in the most popular form it justifies the title, 'People's Edition."". a decision as to the propriety of a patient having recourse to spectacles, and many points should be borne in mind before assenting to their use. We should first satisfy ourselves that the impairment of vision does not arise from diminished sensibility of the retina, and that the case is not one of incipient amaurosis: if it be so, the temporary comfort occasionally afforded by the aid of glasses will be purchased at the price of more speedy extinction of vision; and we discover, when too late, that measures very different to those recommended would have been the means perhaps of rescuing the individual from the horrors of blindness. If the case is supposed to be one of myopia, we should carefully ascertain that the defective vision arises from

infirmities that render the diseased and the debilitated the easy prey of This book is intended to supply legitimate information on those peculiar ignorant empirics.

London: Published by GEORGE VICKERS, 28 & 29, Holywell Street, Strand; and sold by all Booksellers and Newsvendors:-by post direct from the Author.

an alteration in the powers of the refractive media, and is not the LENTILS.

consequence of the eye having lost the power of adapting itself to the forms of distant objects. In the latter case we should commit a grave error in recommending glasses, for their employment is absolutely injurious.

FEEDING ON SPURRED RYE.

Several inhabitants of a village of France, in the department of Oillier, have just experienced the most dreadful symptons by feeding on spurred rye. It was found necessary to amputate the leg of a child, and the mother and remaining children are in a very precarious state.

EVILL'S ARABICA FOOD, THE PATENT FLOUR OF This most agreeable food has in thousands of cases entirely superseded Medicine for Indigestion, Constipation, Nausea, and the Stomach, Bowels, and Digestive Organs. It is the best food for Invalids Sickness; Nervous, Bilious, and Liver Complaints, and all derangements of

and Children, as it never distends the weakest Stomach, nor disagrees with the most delicate.

Sold in Canisters, 1 lb. 1s.; 3 lbs. 2s. 9d.; 6 lbs. 5s. 3d.; 12 lbs. 10s.-
Beware of impositions. Ask for NEVILL'S Arabica Food, and note the signa-
ture of the Patentee, A. H. NEVILL. Manufactured by Nevill and Co., 12,
Liverpool Street, King's Cross, London.

Lentils, with which we supply him; therefore be not deceived by false
Du Barry's much-puffed Revalenta is composed of our Patent Purified

statements and high charges.

TO CORRESPONDENTS.

NOTICE. All communications for the Editor must be addressed, pre-paid, to his house, No. 25, LLOYD SQUARE.

THE EDITOR is at home every day until One o'clock; and on the evenings
of Monday, Wednesday, and Friday, from Seven till Nine.

VOLS. I. and II. of the PEOPLE'S MEDICAL JOURNAL are now ready, price 4s.
each, bound in strong and elegant cloth, gilt lettered.
CASES for binding Vols. I. and II. may be obtained of all news-agents,
price 1s. 3d. each, in strong and elegant cloth, gilt lettered.
THE PEOPLE'S MEDICAL DICTIONARY.-The demand for this work has been
so much greater than we anticipated or were prepared for, that our
publisher has been unable to supply many of his country correspondents.
Several hundred copies were disposed of on the day of publication. Our
binder is now zealously engaged in completing the first edition, and after
this date all our provincial agents will keep a supply "on hand."
We are much pained in having occasion to write and publish what follows:-
Within the last fortnight an antique blue crystal scent-bottle, encased
in silver-gilt filagree, in which the Russian eagle is worked, has been
removed from a slab in our waiting room. It is a family token, bearing
the associations of several generations. To the Editor it is invaluable—
to the present possessor comparatively worthless. In like manner, and
within the same period, we have lost Gavarni in London, bound in red
cloth. We hope the antique was only removed for more careful ex-
amination in the quiet of the "conveyancer's" chamber; and that he or
she found the crayons of Gavarni, and the witticisms of Albert Smith,
worthy of more attention than could be devoted to them in our room.
Now that sufficient time has elapsed for the completion of these laudable
studies, we hope conscience may dictate their restoration.
JOHN BATESON (Huddersfield).-Your present anxiety may be removed.
But such cases do not merit gratuitous advice.

M. W. A. (Hull).-As you say you are "a constant subscriber," we are
bound to believe you; but you cannot be a constant reader, otherwise
you would know that we never give advice in derangements of the health
arising from Vice, Folly, or Indiscretion, in this column.

A WIDOW (Swan Street, Goole).-Refer to the article on the DISEASES OF
WOMEN AND CHILDREN, in No. 34, page 57, Vol. 2. "Spitting of
Blood" is a symptom in your daughter's case that merits your best
solicitude.

T. M. L. (Pitt Street, Liverpool).-A long sea voyage will be of essential
service to you.

HORACE (Durham Street, Strand).-The "Doctor" once stood at the bar of the Old Bailey to take his trial on a charge of manslaughter. That is all the "evil" we know of him.

LEBAL (Christchurch).-We are so overwhelmed with labour for the journal, and professional engagements, that we cannot spare time to revise the articles on the DISEASES OF WOMEN for separate publication.

A LADY'S MAID (Manchester Square).-If the stain be caused by indelible marking ink, it will, or ought, to be impossible to remove it. We should be very chary in giving public advice how to remove marks from linen. It is beyond our purpose to give forms for the preparation of " Marking Inks." Our journal is a MEDICAL JOURNAL, not a Chemical Journal. CHARLES TOWER (Cheapside).-We are compelled to be professionally "at home on Sunday until one o'clock. This notice has appeared more than once in this column.

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TRUTH.-To give an answer likely to be beneficial to you, and satisfactory to
ourselves, would occupy a page of the Journal. This space we cannot
devote to one correspondent. Send your address.

C. F. ROBINSON (Bayswater). -Patients resident at no greater distance from
our house than you, must call for the advice they ask for.
THE SALE OF POISONS IN PARIS.-Two pharmacien's assistants in the
French capital, Messrs. Brown and Walshe, employed in the establish-
ment of Paris, Pommier, and Co., were lately fined respectively £1 13s.,
and £16, for having sold to a Miss Ogle, the first, one drachm and a
half, and the second, one ounce and one drachm of Battley's solution.
Miss Ogle wilfully poisoned herself with the preparation, and the pro-
prietors of the establishment were held responsible for the payment of
the fines. Would it not be wholesome if a few home-thrusts of this kind
were dealt in this country?
D.-Chicory, from its narcotic properties, produces injurious effects on the
nervous system. Professor Beer, the celebrated oculist of Vienna, is so
convinced of this fact, that he has enumerated chicory coffee among the
causes of amaurotic blindness.

number.

FRANK J. HARRISON (Clapham).—See answer to C. F. ROBINSON in this
G. M. (Sleights).-Consult Mr. Wilson, of Whitby.
HERBERT LACY (Stanmore).-The advertising "Consulting Surgeons" are
fearful Jew quacks. Avoid them as you would a mad dog or a Smith-
field ox.

A CASUAL READER (Islington).-If you will take the trouble to refer to the
answer to ROBERT HAWSON, in No. 7, you will find some information
bearing upon your application.

JNO. S. (Maidstone).-We are obliged by your communication, and have read the report with some interest. We are glad that the working men in your town are so provident, but doubt whether they have disbursed their money in the most eligible manner. There is often immense jobbing in medical charities.

TYPHUS FEVER, similar to that which usually results from bad and insufficient food, is becoming very prevalent in Cork. A hundred patients are at present in the poor hospital there.

EDWARD THOMAS B. (Cardiff).- Strychnia is the alkaloid discovered in nux vomica-the poison nut. It is the most energetic poison next to prussic acid.

NOVICE.-A fluid pint contains sixteen fluid ounces.

J. W.-One guinea for a single consultation: succeeding consultations, if required, as may be agreed.

L.

M.-First-Healthy men are not subject to such occurrences.

SecondIf neglected, they become "destructive." Third-All may be remedied. A MILLINER (John Street, Oxford Street). Take four grains of the compound aloetic pill every night. An occasional warm bath will be of much benefit to you.

ONE WHO HAS ERRED And Strayed.-Acne rosacea is the name given by
Bateman to the red or purple face of tipplers; it is also called "rosy
drop," or "carbuncled face." Shakspere, in describing the physi-
ognomy of a hard drinker, tells us that "his face is all bubukles, and
whilks, and knobs, and flames of fire." These protuberances are the
real grog blossoms.
ANTI-QUACK.-Every one admits the advertisements are disgusting; and
yet "Every one daily encourages their continuance by purchasing the
newspapers in which they appear. Everybody" and "Nobody" are
identical in such matters of reform.
STUDENT.-You are mistaken-wc do not decry the use of tobacco, but
we wish to put down" its abuse. Read a valuable paper on the sub-
ject in to-day's Journal.

JOHN WALSH (Bradford).-We cannot give your wife better advice, in this A column, than that contained in the Articles on INDIGESTION, published

in Vol. 1. The same is contained in the Editor's work on that disease, with which your bookseller will supply you.

AARON B.-We certainly are not greedy; and we hope not suspicious. We accede to your proposal.

MARIANNE (Tonbridge Wells).-You will require an aperient whilst drinking
the waters. The compound decoction of aloes is the best. Dose, a
wine-glassful early in the morning.

A COUNTRYMAN.—If you address a letter to the Editor two days previous to
your intended visit, he will attend to the appointment you make.
JAMES WALL (Upper Holloway).-Bathing with "a full stomach" is hurt-
ful.

W. C. P. T. N.-Discontinue the ointment and all their greasy applications.
Bathe the leg with a cold acid lotion; purge the bowels, moderately,
with a warm purge (see PURGATIVES in PHARMACOLOGY, Vol. 2), and
eat sparingly of animal food.

ALEXIS. The man is not a Jew, but he is an empiric.
HOMEOPATHIC FEATS.-We learn from the Medical Gazette of Madrid, that
an unfortunate patient, affected with constitutional syphilis, died lately,
after taking globules for a whole year, worn out by the most distressing
syphilitic cachexia. This man was so blindly attached to the homoeo-
pathic deceit, that he would not hear of any other kind of treatment than
that which led him to his grave.

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66

MUCH WEAK (Aldersgate Street, City).-See answer to C. F. ROBINSON, in this number.

MATER. Under the circumstances you mention, we should not advise chloroform.

HEALTH OF LONDON DURING THE WEEK.-Not any improvement has taken place in the health of the metropolis. The number of deaths registered was 1002; in the ten corresponding weeks of the last ten years, it was generally under 900. This average, when corrected for increase of population, is 961; compared with which the present return exhibits an excess of 41. Affections of the respiratory organs generally at present show a mortality considerably above the average. Two deaths were recorded of which intemperance is stated to have been the cause; besides another cause in which fatal disease seems to have been the fruit of habitual drinking.-The births of 752 boys and 715 girls, in all 1467 children, were registered. The average of six of the corresponding weeks in 1845-50, was 1366.

London: Printed by JOHN CATCHPOOL, of 35, Great Percy Street, Pentonville, at his
Printing Office, Pemberton Row, Gough Square, for the proprietor, T. H. YEOMAN,
Lloyd Square; and published by GEORGE VICKERS, 28 & 29, Holywell Street, ta
the parish of St. Clement Danes, Strand.-Saturday, May 31, 1851.

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THE Buccinator, or Trumpeter's Muscle (K, fig. xli.). This muscle is situated in the cheek, and is attached superiorly to the sockets of the molar teeth of the upper jaw; inferiorly, to the corresponding part of the lower jaw, and is inserted into the angle of the mouth. The middle fibres are horizontal, the superior and inferior a little converging to the angle of the lips. As the duct of the parotid gland transmits the saliva into the mouth through this muscle, its precise anatomy is of essential importance in all cases a of salivary fistula; and, to the surgeon, the exact knowledge of the course and relation-drag ships of the tube, from the anterior margin of the parotid gland, till it opens into the mouth opposite the second molar tooth of the lower jaw, is imperative. The action of this muscle is to pull the angle of the mouth backwards, and, by diminishing the cavity of the mouth, producing various effects. This muscle is seen remarkably dilated in blowing the horn or trumpet; hence its name, the trumpeter's muscle. Its use is to force the air out of the mouth, by contracting its cavity, to draw the angle of the mouth backwards, and, in mastication, to press the food within the line of the teeth.

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FIGURE XLII.

A. The Occipital part of the Occipito-
frontalis.

B.

The Fleshy; and

C.

The Tendinous part of this muscle.

D.

A Tendinous Membrane, joining the op-
posite sides of the muscle.

E.

F.

Part of the Tendinous Membrane, cover-
ing the upper part of the temporal
muscle.

The Attollens Aurem.

G. The Anterior Auris.

H. A small portion of the Retrahens Aurem.
1. The back part of the Orbicularis Palpe-

brarum.

K. The Zygomaticus Major.
L. The Masseter.

M. The Pterygoideus Internus.
N. The Platysma Myoides.

0. The Sterno-Cleido-Mastoideus..
P. The upper end of the Trapezius.
Q. The Tendinous portion of that muscle in
the nape of the neck, called Ligamen-
tuno Nucha.

The Masseter (K, fig. xli.; L, fig. xlii.).This muscle is composed of aponeurotic and fleshy fibres, situated on the side of the face. It is very thick, and attached superiorly to the two anterior thirds of the inferior part of the zygomatic arch, to its internal surface, and to the aponeurosis of the temporal muscle; inferiorly, to the angle of the lower jaw, to its external surface, and to the inferior border of the ramus of the jaw. The masseter is sometimes described as two distinct portions, which decussate one another; the anterior portion running backwards is fixed into the side of the lower jaw as far as the angle; the posterior portion passing forwards is united to the coronoid process. On the other side of the masseter muscle is found the parotid gland and its duct, the platysma myhoides muscle, the facial nerve, and the transverse facial artery. The inferior surface is placed on the ramus of the lower jaw, the tendons of the temporal, and the

A A

buccinator muscles. The action of the masseter is to raise the lower jaw, and it acts powerfully in mastication. Indeed it is, as its name implies, the muscle of mastication.

Temporalis,the temporal muscle. Beneath the muscles of the ear and lower margin of the occipito-frontalis will be found a dense aponeurotic membrane, the fascia of the temporal muscle. The situation of this muscle may be imagined by referring to B (fig. xli.), beneath which it lies. Its fibres converge towards the ascending portion of the lower jaw, passing under the zygoma. It occupies the whole temporal cavity, and is covered by the strong fascia just mentioned. It is attached superiorly to the temporal fossa, and inferiorly to the coronoid process of the lower jaw. The office of this muscle is to draw the lower jaw upwards, so as to bring it in contact with the upper, as in masticating food. Its use and movement may be easily detected, by placing the point of the finger on the temple whilst eating. In carnivorous animals the temporal is the strongest muscle in the whole body.

THE SUPERFICIAL MUSCLES OF THE NECK.

The muscles of the neck are implicated with a deep-seated and superficial fascia, the structure or tendinous expansion and attachments of which ought to be well-known. The superficial cervical fascia is a thin layer of condensed fibro-cellular membrane, lying immediately under the skin, enclosing the platysma myoides, and stretching upwards over the parotid gland, downward upon the chest, and continuous with the superficial fascia on the other parts of the body. Upon raising it, along with the platysma myoides, the deep-seated cervical fascia is exposed, and its dense fibrous structure is at once apparent. It surrounds the neck from the ligamentum nuchæ, enveloping the muscles and glands, and attached to the lower jaw and styloid process of the temporal bone superiorly, and to the breast-bone and two upper ribs inferiorly.

Platysma Myoides (A, fig. xl.). This is an extremely thin layer of fleshy fibres spread over the other muscles, and attached

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to the cellular membrane of the neck; it requires some skill in dissection to display this muscle, for as it is merely a web of muscular fibres, it is frequently removed with the integuments unnoticed. Superiorly it extends over the face to the angle of the jaw, where its fibres are lost in the cellular tissue of the cheek, and inferiorly its fibres cover a portion of the pectoral and deltoid muscles (see fig. xl.). The outer surface is covered by the skin. Its use is to assist in drawing down the jaw and angle of the mouth, to wrinkle the skin of the neck, and when the mouth is shut, to bring the skin under the lower jaw upwards.

Sterno-cleido-mastoideus (b, fig. xl.; M, fig. xli.; e, fig. xlii.). This powerful, and in general well-marked muscle, is situated at the side of the neck. Its name denotes its attachments, namely, to the sternum or breast bone, to the clavicle or collar bone, and to the mastoid or nipple-like process of the temporal bone. The outer surface is covered by the platysma myoides, excepting at its upper extremity, which lies under the skin and parotid gland; between it and the preceding muscle the external jugular vein and some nervous filaments of the cervical plexus are situated. The inner surface is connected with the articulation of the breast bone and the collar bone, and with the outer muscles of the neck and upper extremity. Its use is to bring the head forwards, to turn it to one side, and to assist in rotating it. When both muscles act, they bow the head. Cases of WRY NECK consequent upon the undue action of this muscle, are of frequent occurrence, and it should always be borne in mind that the muscles on the side to which the neck is twisted are not those affected, but those on the opppsite side. In those cases of wry neck which result from the irregular action of muscles, if the sterno-cleido-mastoideus be chiefly affected, what is to be done? We must endeavour to tranquillize the muscles. There are many of those cases entirely the result of a disturbed state of nerves, caused by disordered digestive organs and whether this be universally the case or not, I (says Mr. Abernethy) will tell you of one absolute undoubted instance of it. This happened in a tall boy at school; he was seized with a wry neck, they leeched him, and blistered him, and made bad worse, and after a week he was sent up to town. I say he was a tall, lanky boy; and, upon my life, I thought a pullet's neck could not have been more twisted round than this was. I told him to lie on a sofa, or couch, or bed, and to support the head with pillows; never to sit upright; never to put the head in a position to demand muscular action for support, since, if the muscles did act, they would act in this faulty manner. I told him to foment his neck by flannels; to keep it in a kind of tepid bath; to keep himself in a kind of perspiration; and I applied the whole of my attention to put his digestive organs to rights. His bowels were all wrong-his tongue furred, and of a bad colour. A week elapsed, and his stomach and bowels_got into a decent state, and his wry neck was entirely gone. But you see if this is neglected in the outset, then muscles get a habit of perverse action, and you have wry necks established beyond removal, even by putting the digestives to rights, though that I believe to be a most direct and efficient mode of cure in every instance. But I know that there are cases of wry neck, where people have their necks twisted, and the muscles put into such an irritable state of action, that the cases do not yield quickly, even to what I should consider the most judicious and appropriate treatment. But, now, in reading books of surgery, you find the proposition of dividing the sterno-cleido-mastoideus muscle, in order to set people's heads right on their shoulders. Now, I did live for a very great part of my life, and I did not know what the plague those people meant by this; I never could meet with a case where such an operation could for a moment have been rationally thought of; then, as curious cases are something like misfortunes,

that is, they never come alone, in one year I met with four cases
requiring an operation in the sterno-cleido-mastoideus. All
these cases appeared to me to be of the same nature; I mean to
say, it appeared to me that the muscle appeared to be originally
mal-formed; that the clavicular part of the muscle was shorter
than it should have been; it was irritable, and drew the mas-
toid process towards the collar bone. And note the consequence :
the people-children they were, for they were not more than
fifteen or sixteen years of age-had all grown wry in their backs;
the vertebral column had become completely deformed.
(To be continued.)

THE TREATMENT OF WOUNDS.
(Continued from page 172.)

THE BITE OF A MAD DOG-HYDROPHOBIA-(continued).
As to the medical treatment of hydrophobia, nothing can be
said to offer any rational hope of alleviation of the symptoms.
All the most powerful remedies in the Pharmacopoeia have
proved equally ineffectual opium, mercury, strychnia, prussic
acid. Indeed it is useless to enumerate the category of medicines
which have been employed, as no preference can be attached
to one where all have proved useless. Bleeding and cold ef-
fusions have proved equally ineffectual. But it is not on this
account, therefore, that our exertions should be stayed: on the
contrary, they should be exerted to the fullest extent, for with
the improvements that science is daily making, we may yet hope
that some light may be thrown upon the subject, and that we
may yet be permitted to overcome this direful disease, by the
discovery of some antidote to the poison; for there is every
reason to believe that rabies does not affect any particular system,
but influences the whole organismus, by producing a change in
the blood which unfits it for the general purpose of nutrition.
Post-mortem examinations have thrown hitherto so little light
upon the subject as to the cause of death in hydrophobia, that it
is useless to dwell upon the various morbid appearances which
have been recorded as the result of these investigations. The
most general opinion, however, seems to be, that there is some
change in the appearance of the nerves.
The following cases illustrate the different modes of treating
this fearful malady.

HYDROPHOBIA TREATED WITH MORPHIA.

Edward Lynch, an Irishman, aged 26, was admitted into Billet Ward, Guy's Hospital, under Dr. Babington, on September 26th, 1837.

About five weeks before admission, a dog, whom he had been thrusting at with a pitchfork, sprang at him, and bit his upper lip and cheek. He immediately seized the animal and strangled it with a hay-band. The bitten part of the lip was speedily excised, but not that of the cheek. Nothing material followed till Saturday, the 23rd of September, when, after drinking two or three quarts of beer, he was taken with a fit of vomiting, and experienced great distress at the sight of some fresh meat.

On Sunday he was very unwell, but had no spasm; and in the afternoon he went into a deep sleep, from which he was with difficulty awakened. On Monday morning spasms came on, and he became worse.

On Tuesday, at 9 A.M., he was admitted into this hospital. On admission his condition was as follows: He had no pain anywhere, but experienced great lassitude and a sense of constriction about his throat. He took a table-spoonful of milk, but could drink no water. His voice was feeble, and resembled a loud whisper. The countenance was anxious, and he was

spasmodically affected at the approach of any one, when, also, he appeared choking. Heart's action normal; pulse soft, irregular, and 60; tongue slightly coated, but moist; skin natural; his breath was of an acid odour, and every two or three minutes he was seized with violent sighing. At a quarter before 10 A.M., he had a turpentine injection administered. At 1 P.M. Dr. Babington saw him, and ordered a drachm of the sesqui-oxide of iron, and sufficient quantity of syrup of orange peel to make a bolus, to be taken every quarter of an hour. Also the spine to be rubbed with tincture of cantharides, and belladonna plaister to be afterwards applied to the stimulated part.

At half-past 2 he sunk into a sleep, which lasted three quarters of an hour.

At 5 P.M. he was much prostrated, and the spasms were increased. Pulse 54, irregular, and intermittent. He experienced the feeling of a ball rising in his throat. His urine, which he passed three or four times, was rather high coloured.

At 7 P.M. he was more restless. Mouth parched, skin hot and dry; pulse 64. The boluses were divided into three parts, and after each he took about two ounces of milk, the only nutriment taken since his admission. He has great difficulty in swallowing, and is very much convulsed.

At 10 P.M. his pulse was 54, but rather fuller; he could bear no light in his room, nor any one to approach him except his wife. His voice was natural, and he had no rigidity of muscle. He was ordered three grains of muriate of morphia every half hour till some effect should be produced. Blistering ointment was rubbed in over his chest about the region of the diaphragm, and afterwards belladonna plaister. He soon became more quiet, and slept from 11 till 3. He passed a quiet night upon the whole, crying out at intervals. At 5 A.M., September 27, he felt rather sick. He asked for a cup of milk, but swallowed it with difficulty. The bowels had not been open since his admission. The morphia was repeated.

At 8 P.M. he asked for some water, swallowed about two ounces, but immediately jumped up in bed and appeared choking. The morphia was repeated.

At 10 P.M. he was very violent and delirious. Pulse 120. He wished for water, but could not swallow it. Dr. Babington ordered the muriate of morphia to be increased to four grains every half hour. He was confined to his bed with sheets.

12 P.M.-He still cries for drink, which, when taken, makes him sick. Pulse 144. The voice is thick. Breathing more laborious, and feeling of depression much increased. He displays no greater horror of fluids than of solids. Dr. Babington ordered the dose of morphia to be increased to eight grains every half hour, and a tobacco enema to be given immediately.

About 2 o'clock the countenance was livid, and the angles of the mouth constantly raised and lowered. He made a noise like the howl of a dog. He breathed only eight times in a minute. Pulse small, 180. Occipito-frontalis contracted. He appeared unconscious, but now and then a calm smile played upon his face, as though his ideas were of a pleasing nature. The pupils were much contracted, and inobedient to the stimulus of light. Conjunctiva injected. He twitched the bed-clothes, and pulled his neck about. From this time he gradually became worse till twenty minutes past 3, when he died. Immediately after death his pupils were very dilated, and the corpse had a very cadaverous odour. A vein was opened, but did not bleed. The next morning, however, he was deluged in blood. He took altogether forty-eight grains of muriate of morphia.

HYDROPHOBIA TREATED WITH LEAD.

Samuel Soring, a Londoner, aged 35, was admitted into Billet Ward, under Dr. Addison, on the 1st October, 1837. He had

formerly been addicted to drinking, but not of late years. the last three weeks he had been in a desponding mood, so much as occasionally to confine him to his bed for a day or two, though he continued his employment, which was fish selling. About three months since he had been bitten by a spaniel. The wound was trifling, did not bleed, and caused only slight pain. On the day before his admission he was very ill, and spent a very restless night. His symptoms on admission were-An anxious and dejected countenance; breathing difficult and convulsive, and this more violent after any movement, draught of air, or sight of water; pulse 80, with little power; skin natural; tongue parched; great thirst; slight pain in the head; pupils contracted; bowels not opened since yesterday morning; a sense of suffocation and tightness across the throat. At half-past 10 A.M. Dr. Addison saw him, and ordered him to be cupped over the epigastrium. The cupping caused so much excitement that when eight ounces had been drawn it was thought advisable to desist. Ordered also the infusion of senna, with a drachm of the compound extract of colocynth as an injection, and two drops of croton-oil to be taken every half hour till it operated. The enema was soon returned, with a small quantity of fæculent matter. He swallowed his medicine with great difficulty, wishing to have his eyes closed while taking it. A composition of two drachms of extract of belladonna, and one ounce of mercurial ointment, was rubbed on his throat. At 3 P.M. Dr. Addison again saw him. The croton-oil had acted powerfully, the stools watery and green; skin cold and wet; pupils dilated; urine scanty, and priapism present; purging still violent. Ordered two drachms of the wine of opium and forty minims of the solution of the diacetate of lead every hour. The purging ceased shortly after taking the opium. At 10 P. M. Dr. Addison again saw him. After the first three doses of the lead he seemed more tranquil. He now complained of great thirst, and drank eagerly two half pints of porter. He still went on regularly with his medicine, which he was persuaded to take with great difficulty. He was constantly troubled with violent emotions, which became worse after each dose of the medicine.

At half-past 2 A.M. of the following day he was much worse. He appeared greatly distracted, imagining himself surrounded by hideous objects. It was necessary to confine him to his bed, as he would not stop there without compulsion. After this he became unconscious of everything around him. He roared in a most awful manner. The muscles of his face were horribly distorted. A large quantity of frothy saliva poured from the mouth, his lips became livid, and he appeared writhing in an excess of agony. In this state he remained till half-past 4, when he became suddenly quiet, and he appeared quite exhausted. Five minutes afterwards he was dead.

HYDROPHOBIA TREATED WITH PRUSSIC ACID.

Emmanuel Soult, aged 7, was admitted into King's College Hospital, under Dr. Todd, on the 22d of November, 1841. Two months before admission he had been bitten by a mad dog under the right eyelid. The wound bled profusely, but rapidly cicatrised, and no constitutional disturbance was manifested till the day preceding his admission. He then exhibited a strangeness of manner and slight symptoms of fever only, until, a few hours after his illness had commenced, he suddenly threw himself into his mother's arms, and screamed loudly. His eyes were bright and prominent, he frothed at the mouth, and his inspiration was jerked and audible. He tossed his arms about, and tried to vomit: refused to eat, drink, or lie down, but did not object to the presence of water. At night the symptom s were the same, but exaggerated; and on the following day after his admission into the hospital, there was observed spasmodic

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