And keep constantly applied to the wound, pledgets of lint, wet in diluted Tinct. of Arnica, (one part of the Tincture to three of water.)

Should the spasms increase, and tend to the Opisthotonos variety, (when the body is curved backward,) with frequent cramp-like pains in the pit of the stomach, constipation, and loss of appetite. Nux-Vomica.

When the spasms are principally of the superior extremities and trunk ; and drowsiness between the spasms. Cannabis-sat.

;

When there is great prostration; languor, drowsiness, coldness, and rigidity of the extremities, with a tendency to delirium. Aethusia.

When there is trembling of the whole body; rigid stretching of the limbs; head drawn backwards and eyes distorted. Lachesis.

When the spasms are principally in the muscles of the back; trembling of the limbs; or confirmed Lock-jaw, with staring eyes and foaming at the mouth.

Laurocerasus.

When the body is curved backwards; the patient has a furious look and foams at the mouth; a constant, violent stretching, or thrusting out of his feet and legs as if kicking or stamping; the aggravation of the symptoms returns in the evening. Hyosciamus.

And Rhus-tox, is a very excellent remedy in the Opisthotonos variety, when there is great languor; an inability to remain out of bed, and extreme sensitiveness to the open air.

When the attack occurs in a person of a full, plethoric

habit, and more especially if there is an aggravation of the symptoms in the afternoon. Belladonna.

There are other remedies which demand attention in the treatment of this affection, such as, Veratrum, Phosphorus, Conium-maculatam, Stramonium, Cicuta-virosa, Hydrocyanic-acid, Arsenicum, and Camphora; for their particular indications, consult the Materia Medica.

The last drug (Camphor,) is especially indicated by coldness of the extremities; confused state of the mind; spasms, produced or rather excited by the least motion, and continuing longer than in ordinary attacks.

ADMINISTRATION.-I have employed the remedies in this disease very advantageously every half hour, and think they should be repeated as often as every half hour or hour, until a marked improvement is manifest, then extend the time to two, three, or four hours, as the improvement may indicate.

DIET AND REGIMEN.-The same as in other spasmodic affections.

VI. CATALEPSIS. (Catalepsy.)

CATALEPSIS. (From the Greek, to seize, to hold.) A sudden suspension of motion and sensation, the body remaining in the same position that it was in, when seized.

DIAGNOSIS. The attack comes on suddenly, sometimes preceded by the following premonitory symptoms; languor, vertigo, cephalalgia, flatulent pains in the bowels, depressed spirits, and obtuseness of intellect.

When the attack occurs, the body and limbs remain in

the same position or attitude in which they were at the very moment of the seizure. If the patient was in the act of walking, eating, drinking, stooping, talking, or gesticulating, the hand, arm, legs, lips, and even the expression of the countenance, remain fixed during the attack, unless changed by another person. There is a peculiar flexibility in all the members of the body which admits of their being placed in almost any position, and a degree of rigidity sufficient to maintain the very position in which they may be placed.

All the sensorial functions are entirely suspended in complete catalepsy; the patient has no recollection of what transpires during the paroxysm. The period occupied by the attack is to him a perfect blank; and if the paroxysm comes on while walking, he will either remain in the very act of stepping, and finish the act as the paroxysm passes off, unconscious of what has occurred, or continue walking at the same pace, unconscious of what he is doing. Very remarkable cases are reported by Drs. Stearns, Fernelius, Lenormand, Laennec, Recamier, and Galen. The last reports a case of a student who remained motionless for a length of time, but was conscious, and remembered all that transpired during the attack.

The duration of the attack, varies from a few minutes to several days; and the return of motion, sensation and consciousness, is generally announced by a full inspiration.

CAUSES. This disease occurs most frequently at or about the age of puberty; and as females are more frequently affected with it than males, it is reasonable, at least, to infer that it depends to a great extent upon

uterine irritation, especially as respects menstruation. Irritation of the stomach and bowels; repelled eruptions; suppressed habitual discharges; close application to study; and violent mental emotions, are classed among the causes. Tulpius relates a case produced by disappointed love. Wepfer mentions a young man who always became cataleptic by application to mathematics. Tissot cites cases produced by carbonic acid gas. And others are related by Van Swieten, to occur at each paroxysm of an intermittent fever.

TREATMENT.—When the attack occurs in a person of full, plethoric habit, especially a young girl, disposed to rushes of blood to the head, of a lively, nervous, or irritable temperament. Aconite.

When the countenance is hippocratic; extremities cold; eyes remain half closed, pupils rather dilated, and without the usual lustre. Chamomilla.

And Chamomilla is more especially indicated by an association of the following moral symptoms previous to the attack; repeated spells of anguish; weeping on account of the most trifling or imaginary offence; peevishness and irritability; and when the attack occurs in children while teething.

When the patient lies as if dead, with a sunken countenance; and especially if the attack was preceded by yawning and irresistible drowsiness, depressed spirits, and dullness of the senses. Laurocerasus

Should the attack be preceded by a degree of coldness and rigidity of the arms, or a want of strength, with frequent involuntary jerking and twitching in the arms and

fingers; and during the seizure a deadly paleness of the

face.

When caused by a retention of the menses.

Cicuta.

Causti., Cuprum, Conium, Graphite, Sepia, Silex, Sulph.

Aconite, Ignatia, Opium.

When caused by fright.

When caused by anger.

Bryonia, Chamomilla, Nux Fomica.

When caused by unhappy or disappointed love.

Hyosciamus, Ignatia, Coffea, Hellebore.

When caused by repelled eruptions.

Bryonia, Ipecac., Sulphur.

When caused by sexual abuses.

Platina, Phosphorus, Staphy., Sepia.

ADMINISTRATION.-Give the remedy indicated every four or six hours, carefully watching its effects, and pay attention to the temperature of the room. Should the patient's extremities be quite cold, wrap them in heated flannels, and apply a little friction, by rubbing them with the hands or a coarse towel.

And it may be necessary to state that, inasmuch as the power of deglutition is also suspended, the remedies can only be administered by placing the medicine indicated on the tongue, in the form of pellet, powder, or a drop of the drug properly attenuated.

VII. HYDROPHOBIA. (Canine Madness.)

HYDROPHOBIA. This term is derived from the Greek, udwg, water; and po3ew, to fear. The disease arises in consequence of the bite of a rabid animal, as a dog, cat, or fox; and persons thus bitten, dread the sight of water.