. A practical treatise on the diseases of children. thesub-cutaneous cellular tissue, accompanying the acute and moresevere form of the disease, (a) Treatment. — Most writers represent the locked-jaw of infantsto be necessarily and uniformly fatal. Viewing this disease phy-siologically, the following is the plan of treatment I should recom-mend : — In the acute variety, the first step to be taken must be toseparate the jaws a little, so as to admit the introduction of somemedicine, as croton oil, &c. This proceeding will require greatcaution ; but it may be accomplished by insinuating between
. A practical treatise on the diseases of children. thesub-cutaneous cellular tissue, accompanying the acute and moresevere form of the disease, (a) Treatment. — Most writers represent the locked-jaw of infantsto be necessarily and uniformly fatal. Viewing this disease phy-siologically, the following is the plan of treatment I should recom-mend : — In the acute variety, the first step to be taken must be toseparate the jaws a little, so as to admit the introduction of somemedicine, as croton oil, &c. This proceeding will require greatcaution ; but it may be accomplished by insinuating between thejaws the instrument represented on the next page, and carefully-separating its rami to a little distance by means of the soon as sufficient space has been thus procured, a wedge- * Study of Medicine, vol. iv. p. 347. (a) On contiguous plantations, in Southern countries, with apparently similar local-ities, the infants of slaves of one will suffer largely, and those of the other be exemptfrom the disease. TRISMUS NASCENTIUM. 395. shaped piece of cork should be passed between the gums, so asto admit the introduction of the canula, whichmust be passed onwards until its point reachesthe back of the fauces behind the glottis.*A tea-spoonful of castor oil, or a drop of crotonoil, suspended by a little mucilage, or a por-tion of the yolk of an egg and some water,should now be poured into the cup-like ex-tremity of one of the canulae, which, being ele-vated, will deliver the contents into the pharynx,whence it will be propelled by the naturalefforts into the stomach. Milk may also bethus introduced from time to time, and thejaws should be kept separate by the soon as the bowels have been acted upon,the tenth of a grain of extract of belladonna,and one minim of liqour potassffi arsenitis should be given oncein four hours. The inflamed state of the neu-rileme of the inferior maxillary branch of the trige-mini will be relieved by the arsenite of potash, and theconv
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