ds were laid into one with scissors, but the patient died about the
seventh day from the accident. In this case the wounded tendon, like the
wounds from the bite of a mad dog, did not produce the hydrophobia, and
then the locked jaw, till several days after the accident.

I twice witnessed the locked jaw from a pain beneath the sternum, about the
part where it is complained of in painful asthma, or angina pectoris, in
the same lady at some years distance of time. The last time it had
continued two days, and she wrote her mind, or expressed herself by signs.
On observing a broken tooth, which made a small aperture into her mouth, I
rolled up five grains of opium like a worm about an inch long, and
introducing it over the broken tooth, pushed it onward by means of a small
crow-quill; as it dissolved I observed she swallowed her saliva, and in
less than half an hour, she opened her mouth and conversed as usual.

Men are taught to be ashamed of screaming from pain in their early years;
hence they are prone to exert the muscles of the jaws instead, which they
have learnt to exert frequently and violently from their infancy; whence
the locked jaw. This and the following spasm have no alternate relaxations,
like the preceding ones; which is perhaps owing, first, to the weakness of
their antagonist muscles, those which elevate the jaw being very strong for
the purpose of biting and masticating hard substances, and for supporting
the under jaw, with very weak antagonist muscles; and secondly, to their
not giving sufficient relief even for a moment to the pain, or its
preceding irritation, which excited them.

M. M. Opium in very large quantities. Mercurial ointment used extensively.
Electricity. Cold bath. Dilate the wound, and fill it with lint moistened
with spirit of turpentine; which inflames the wound, and cures or prevents
the convulsions. See a case, Transact. of American Society, Vol. II. p.
227.

Wine in large quantities in one case was more successful than opium; it
probably inflames more, which in this disease is desirable. Between two or
three ounces of bark, and from a quart to three pints of wine a day,
succeeded better than opium. Ib.

14. _Tetanus dolorificus._ Painful cramp. This kind of spasm most
frequently attacks the calf of the leg, or muscles of the toes; it often
precedes paroxysms of gout, and appears towards the end of violent
diarrhoea, and from indigestion, or from acid diet. In these cases it seem