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TRAUMATIC TRISMUS
164
thing. It is a safe and effectual remedy in internal and external haemorrhoids, whether of a blind or bleeding character. I could adduce many more cases in support of its utility in that distressing affection. My formula is the following : pitch 3, di. vided into three pit)*, two to be taken every night, this being generally sufficient to cure the complaint, attention at the same time being paid to the state of the intestinal canal. I hope one of your numerous correspondents will enter into some investigations respecting the modus operandi of pix nigra, and publish the result of his researches.I remain. sir. yours respectfully. T. H. WARDLEWORTH.
Musk, two grains; Calomel, two grains; Comp. ipec. powder, four grains.
His mouth became affected with the calo. melon the fifth day. He had port wine and broth frequently. The boy did not appear to receive much benefit from the treatment, even after ptya. lism had taken place, until the 2nd of Aug., when it was evident that the spasm was less rigid. He continued to improve till the 10th August, when it entirely left him. The wound looked much more healthy after the commencement of the trisinus, and is now quite healed, and the boy is in perfect health.
EXCISION OF THE LOWER JAW AT P.S. Since writing the above I have had ARMAGH. some conversation with Mr. Dnnlop, surTo the Editor qf THELANCET geon, of this place, wherein he stated thatt SIR : In the " Students’ Number" of THE he had been in the habit of employing this remedy for the last 20 or 30 years, with Lwcer, dated September :.!8tb, 1839,I find the following remarks, preceding a case of the best effects, in haemorrhoids. excision of a part of the lower jaw, by Dr. TRAUMATIC TRISMUS Bull, of the South In6rmary, Cork :-" We believe that this is the first example of ex. cision of the inferior maxilla having been To the Editor of THE LAKCET. SIR :—If you think the following case performed by a provincial surgeon in Ire. sufficiently interesting to be admitted into land." With reference to this remark, I your valuable Journal, I will thank you to muet request that you will have the goodness insert it. I am, Sir, your obedient servant, to insert the following extract from the ARTHUR ADYE. Rc"fsler of the ArmaTh (’ounty Hospital :— " Jane Stewart, .ft. 64, recomruended by the Bedford, Wilts, Oct. 6, 1839. Rev. Dr. Stewart, Loughjelly, town land, July 12. Abraham Paradice, aged four- Ballydogherty, property of Mr. M’Cartney. teen years, had his left arm drawn in be- Disease, schirrnus tumour of the lower jaw. tween the cogs of two iron cylinders of a Admitted March 21, 1832—half of loicerjatr cloth-machiae. The integuments und ten- and tumour reiiiored. Discharged cured, dons of the lower third of the ulna were April 2-itti, A.1). 1832. Number of days in very much bruised and lacerated. There hospital, 31," &c. was scarcely any hemorrhage. Having This you will perceive, sir, is upwards of dressed the wound, the boy was taken to seven years previous to Dr. 13ull’s operation, the Union Workhouse. He appeared to and was performed by Dr. ltubiiison, surgeon suffer acute pain in the injured part, and the to the Armagh County lnfirmary, assisted by wound looked s)oughy and unhealthy up to me. The operation was performed pretty the 21st of July, when, on visiting him, I much in the s.une manner as that at the Cork observed that the nurse had wrapped his Infirmary. The arteries requiring ligature throat up in flannel, thinking he had taken were two or t))r’’e at the must, and the cold. woman was discharged with little or no deOn examination I found him suffering formity, capable of eating, drinking, and from trismus ; he had violent spasms of the ,peaking with ease and freedom. The only muscles of the affected arm and of the neck. incident in the operation requiring notice The jaw was so firmly closed as scarcely to was the breaking of a very expensive and admit the handle of a spoon ; the counte- apparently finely fabricated chain-saw, nance was exceedingly distressed; the cir- which was immediately remedied by substiculation hurried ; the breathing anxious ; tuting the common amputating saw, with and the whole surface of the body was which both the divisions of the inferior covered with profuse perspiration, which maxilla, the one at or beyond the symphisis, never ceased during the continuance of the and the other at about midway in the ramus, were effected. The dry preparation spasm. To have a warm bath directly, and to be is preserved at the infirmary. The tumour repeated in twelve hours ; to continue involved both sides of the jaw-bone, and the poultices to the wound ; and the following alveoli of several molar teeth.—I am, sir, powders to be taken every four hours, which vnur most obedient servantJOHN COLVAN, M.D., M.R.C.S.L. were given for ten days without intermission :—
thing. It is a safe and effectual remedy in internal and external haemorrhoids, whether of a blind or bleeding character. I could adduce many more cases in support of its utility in that distressing affection. My formula is the following : pitch 3, di. vided into three pit)*, two to be taken every night, this being generally sufficient to cure the complaint, attention at the same time being paid to the state of the intestinal canal. I hope one of your numerous correspondents will enter into some investigations respecting the modus operandi of pix nigra, and publish the result of his researches.I remain. sir. yours respectfully. T. H. WARDLEWORTH.
Musk, two grains; Calomel, two grains; Comp. ipec. powder, four grains.
His mouth became affected with the calo. melon the fifth day. He had port wine and broth frequently. The boy did not appear to receive much benefit from the treatment, even after ptya. lism had taken place, until the 2nd of Aug., when it was evident that the spasm was less rigid. He continued to improve till the 10th August, when it entirely left him. The wound looked much more healthy after the commencement of the trisinus, and is now quite healed, and the boy is in perfect health.
EXCISION OF THE LOWER JAW AT P.S. Since writing the above I have had ARMAGH. some conversation with Mr. Dnnlop, surTo the Editor qf THELANCET geon, of this place, wherein he stated thatt SIR : In the " Students’ Number" of THE he had been in the habit of employing this remedy for the last 20 or 30 years, with Lwcer, dated September :.!8tb, 1839,I find the following remarks, preceding a case of the best effects, in haemorrhoids. excision of a part of the lower jaw, by Dr. TRAUMATIC TRISMUS Bull, of the South In6rmary, Cork :-" We believe that this is the first example of ex. cision of the inferior maxilla having been To the Editor of THE LAKCET. SIR :—If you think the following case performed by a provincial surgeon in Ire. sufficiently interesting to be admitted into land." With reference to this remark, I your valuable Journal, I will thank you to muet request that you will have the goodness insert it. I am, Sir, your obedient servant, to insert the following extract from the ARTHUR ADYE. Rc"fsler of the ArmaTh (’ounty Hospital :— " Jane Stewart, .ft. 64, recomruended by the Bedford, Wilts, Oct. 6, 1839. Rev. Dr. Stewart, Loughjelly, town land, July 12. Abraham Paradice, aged four- Ballydogherty, property of Mr. M’Cartney. teen years, had his left arm drawn in be- Disease, schirrnus tumour of the lower jaw. tween the cogs of two iron cylinders of a Admitted March 21, 1832—half of loicerjatr cloth-machiae. The integuments und ten- and tumour reiiiored. Discharged cured, dons of the lower third of the ulna were April 2-itti, A.1). 1832. Number of days in very much bruised and lacerated. There hospital, 31," &c. was scarcely any hemorrhage. Having This you will perceive, sir, is upwards of dressed the wound, the boy was taken to seven years previous to Dr. 13ull’s operation, the Union Workhouse. He appeared to and was performed by Dr. ltubiiison, surgeon suffer acute pain in the injured part, and the to the Armagh County lnfirmary, assisted by wound looked s)oughy and unhealthy up to me. The operation was performed pretty the 21st of July, when, on visiting him, I much in the s.une manner as that at the Cork observed that the nurse had wrapped his Infirmary. The arteries requiring ligature throat up in flannel, thinking he had taken were two or t))r’’e at the must, and the cold. woman was discharged with little or no deOn examination I found him suffering formity, capable of eating, drinking, and from trismus ; he had violent spasms of the ,peaking with ease and freedom. The only muscles of the affected arm and of the neck. incident in the operation requiring notice The jaw was so firmly closed as scarcely to was the breaking of a very expensive and admit the handle of a spoon ; the counte- apparently finely fabricated chain-saw, nance was exceedingly distressed; the cir- which was immediately remedied by substiculation hurried ; the breathing anxious ; tuting the common amputating saw, with and the whole surface of the body was which both the divisions of the inferior covered with profuse perspiration, which maxilla, the one at or beyond the symphisis, never ceased during the continuance of the and the other at about midway in the ramus, were effected. The dry preparation spasm. To have a warm bath directly, and to be is preserved at the infirmary. The tumour repeated in twelve hours ; to continue involved both sides of the jaw-bone, and the poultices to the wound ; and the following alveoli of several molar teeth.—I am, sir, powders to be taken every four hours, which vnur most obedient servantJOHN COLVAN, M.D., M.R.C.S.L. were given for ten days without intermission :—