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quite clean froin the venona, ought to give lessimeasinesse than when it happens to the nakedi hin. Second, Not to kill the animais, is it can beavoided, tili it is past a doubi they were mad. On both these circumstances may depend Considerable satisfaction to the person bit; and it may not be improper to add, that there is abundant reason to suspeet that very feo of those whoare bit by mad animais are liable to be affected by the Hdidrophobia, or other fatal essedis of thubite. This, however, is not intended to abale the care that is due on these occasions, but as a proper antidote to that despondency whicli is osten the consequerace of this accident. In respecto to our conduet in the present ca it is submitte i to your censure. We acknOWledge we des patred of our patient's recoVery. Ifwe kept partly in the trach our predecessors had recommended, as circumstances admitted, so farwe were justi fled ; but we Went further, we PVr-Red such means as we thought most lihely toliave one of these destrabie effecis: to keep up
the forces of lise, by conveying into the habitevery kind of notarictament by the passages testopen, viz. the boWeis and the shin, and therebyenabling Nature to support the contest longer; or else, to calm and relax, and render the con
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Biet at last lesse terribie to the assistants, and tesspainsul to the sufferer.We thought oui selves justi fled, from considering the state of the pulse, and other Circumstances,to talie aWay sonae blood, and repeatedly. That we might not reduce the strengili beyond what appeared necessary, we Chose to order it to betaken frona the patient standing; becaUse, me were satisfied, he could not lose so much blood in that siluation as Would be detrimental Without fainting, much sooner than he would have done in a sitiing or decumbent Posture.
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PERSONS BIT BY MAD ANIMAL S. ist, RE VENT the animal supposed to beL mad frona being killed, is possibie, tillit is past a dotibi, that by refusing susten ance in
any form, and other circumstances Usualty accom- panying this state, it is evident the creature is mad. Let ali possibie care, hoWever, be taken, in the mean time, that he be confined in such amanner as to injure no Other animal. This at tention, though it does not contribute to the cure, may to the comsori of the patient. ad, observe whether the wound is made throughany covering, and of What hirid ; as much satis- famosa may be afforded to the patient, is thewound was made through thicla clothing or lea
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et o Directions for the Trea ment of
with water in Whicli is a litile sali is dissolved,
part may be trealed, so as to keep it dis chargingas long as possibie. Is in a fies hy pari, and the patient Wili submit to it, excision of the wounded part is the best security frona danger.
Where this operation cannot be admitted, the actuat cautery, the lunar Caustic, a Vesicatory,
may be applied With adVantage, accor ling as the pari, the age of the patient, and the siluationmay direct. In every case let the wound be heptopen as long as it Caia be done conveniently. Asmali quantity of gunpoWder, a litile moistened, spread Upon the pari, is only scratched by theleeth of the animal, or put in to the wound is large enough to receiVe bUt a litile, and thenkindled with a lighted paper, Will, perhaps, assuddenly, as eas ity, yet fasely enlarge the wotin as can be effected by any other mean S, and occasion such a Lind of wound as Will not instantlybe closed . The choice of these severat methods must belest to the operator. Wounds in the hands, feet, or face, Will not admit of the injured paris hein cut out so sasely, as may be done On the mus cular paris of the arms and legs. The time, lihewise, of keeping the woundsopen rnust in s me respect depend on their siluation. To keep open a running sore for a long time on the face and hands would be dissiculi, and productive of Various inconVeniences.
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os ali the prophylaeti cs yet offered to the public, experience has proved there is not oneto be depended on; it may, perhaps, be Worthwhile to consider in this place the means os pre- Vention principalty in Vogue When a person is bit by a ad animal, thefirit thing usualty thought of is, Sea Bathing. The party is sent to sonae bath ing-place, Wherethere are commonly persons employed in this
bustiness, who, by keeping the patient long underwater, and dipping him repeatedly, reduce him
almost to a state of suffocation. Some of thes ait mater geis in to the trachea, more in to the stomach, and proves sonaetimes a brissi purgative. Here the processe era df, and the patient is deemedio be secure frona any future accidenis on account
of the bite. The reader mill have observed in the preced-ing case, that the whole of this processe is foundedon mistake, and it is certain that divers who have Undergone the ulmost severity or this discipline,
be iter success, and is noW almost Wholly sorgo t. No medicine, as a preventive, stems to have maintained iis credit so long as that called the Orminii ii remedy. It is called so frona the nameos a town in Lancasti ire, ne ar Whicli the gentiem an lived in Whose family the secret has been long preserved, and from thence distributed ruith such apparent successe, as to be generalty deemedin allibi e sor preventing the Canine Madia est. IVOL. II. R am
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am sorry there are more instances to the Contrary,
than that whicli is related in the preceding aC-
The Tonquin medicine, coi posed of Mushand Cinnabar, has been equat ly unsuccessimi. Ad these different medicines have been employed by praetitioners, and ali of them have falled. Dr. James, Who had great credit amongst
sporis meia, and great opportunities of observation, thought Turbith emeti cs and mercurialis Certain antidotes; but these, lihewise, have had the fame fate With others ; they have been neglected, not because their promoterS Were nomore, but because they were found to be insufficient.
His practice, hoWever, and me other publications, turned the attention os physicians tomercurials, and they have of late been consi dered as the most certain antidotes to the Canine Madnesi. We- gave them a mori, though in- effectual triai. Others have been more bold, but not more successsul. There is too muchreason to distriast their emcacy in preventing orcuring the Hydrophobia. Notwithstanding these disco arage menis, thereis one thing Whicli ought to afford the suffererss me consolation; Whicli is, that it appears very evident, that is no means of prevention mereia sed, many of those Who are bit by mad animais, would never he liable to the fatal consequences of Canine Madness. On the other hand, it is more than probabie,
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Dom divers accounts, which have been publimed, that persons os timid and anxious dispositioias, who have been bit by sonae animal, even Without any proos of iis being mad, have imagine lthenaseives assected with every symptom of Canine Madnesse they have heard os described their
complaints as such, Were trealed accordingly, and cured os a disse asse that had no reat existence. It is, theres ore, a matter of no smali momentio the praetitioner, as Weli as to the patient, toliave ali these circumstances in contemplation; and whilst the former is neglecting no means, whicli et ther the experience of others, or his ownjudgment, have induced him to thinii are conducive to securi ty, the patient inould be confirmed, by every just and reas nable argument, in an opinion of their emcacy. Afier taking this stiori view of the means re- commended to us as preservatives against the fatal emedis of this pol sono is bite, and having seentoo much reason to Conclude them ineffectual, itis With regret I acknowledge myself unacquainted with any method of treating the 'drophobia more successis ully, or even os tessening the distress withwhicli it is accompanted farther than has been al- ready proposse l.
is a dread of ali liquids, cuis OT in an instant agreat part of the means os relies by internat reta medies. It is With great dissicut ty that medicines of any kind, or in any forna, after a day or two have elapsed, can be got dori n.
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The case whicli Dr. Walson and myself at tended, concluded, lihe ali the instances of the genuine H dro Polla On record, fatally. Had wethe fame ground to go over again, sor my oWnpari, I consessi I knoι not Os a more rea nableplan. I would not, hoWever, discolarage otherssrom pulsu ing their own ideas: sonae fortunate event may, at tengili, malae Us better acquainted Qith the nature of this polson, and poliat out a specific remedy. Should another accident of the like nature occur, Untit we are directed to a more rational and successi ut method, Ι should stili be inclined topharsue a plan similar to that which we laid down in our treatinent of the case besore describe l. Iis basis Was, to preverat the losse of strength asmuch as possibie, in order to gain time, and af ford the best chance of reli eving the patient. In this disse ase we are early precluded frona thetis ual means of es Resing this purpose, as the patient soon finiis himself incas able of swallowingany Lind of nutriment in a proper quantity, ashath been at ready mentione l. TV o methods, however, stili rem ain of assisting the patient, though imperfectiy. First, byclyllers. By this means, a large quantity of aliment may be supplied. Broth, milli, eggs, in various sa apes, may be exhibited in sinali quantities, that they may be retained, whilsst larger
Secondiy, by ballis. It is probable that bythis method large supplies os quies may be introduce l
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troduced in to the habit, by means of the absorbent vesseis, placed on the sursace of the bo ly
Whether any usesul additions can be made towarm Water, Can be determinod only by experience. Perhaps broth, moderately salte i, withthe addition os aromatic herbs, might be used alternately, With warm Water, to v hich may beadded a liandi ut or taeo of that composition soldby the persu mers Under the name of Pot Pourris, and a proportion of Bay Sali, sufficient to mal e
Whatever bath is made Choice os, the patientshould continue in ii as long as it is eas' to him, and in a degree of heat that he bears with pleas ure, perhaps frona 8 O to 86 degrees of Fahren heit's thermo meter. The patient may be wipeddry, put into a Warm bed, a clyster gi ven os hal fa pint of broth, Wica a ra V egg beat up in it:
From the trials made With opium, it cloes notappear, that this drug has h ad any beneficialessedis . It is dis 1cult to get it dourn in any quantity at the time Ge rnosi Want ii, 4n any Pape. By clysters it may be given, had we any roasonio conclude it Would be beneficiat. In regarii totis externat application, I am persuaded frona experimenis, that is the s kin is Whole, optum neverproduces any soporific est edis .
Applied as a plancer, Or a zazaplasm, it Will pro
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et 6 Directions for the Treat ment of
duce the fame effect as any similar plastic semi-
resinous substance, and no more. In tincture,
quali ty, and in no other Way. Half an Ohan CC of opium so tened in to the forna of a poUltice, and applied to the belly of a healthy new-borninfant, did not produce the least anodyne effect The like triat has been made with Mithridate, Venice Treacle, and Laudanum, and with thel ille result. In a disse asse so swift in iis progressi, it is of consequence to know what colli not beesscaciores. It compeis has to look around sorother augiliaries. Is mercurials can be of use, it would seem that the steam os cinnabar would be worth a triat. By this means it Would be practicabie to impregnate the air in v lich the patient bre athes, mouldhe be incapable os admitting the fume in theos ual mode into the fauces, sO as to producethe essects of mercury on the paris affected themost spee lily. When the patient Comes out of the warm bath, the mercurial ointinent may be applied liberal ly. I am ahaid it will be sound as ineffectual as theother means hitherio made use of ; but in cases like this, it is beller to try a medicine of whose essicacy there may be sonae doUbi, than none atall.