Tetanus. Great hopes were entertained on the first introduction of Hemp, that an effectual remedy had at last been discovered for Tetanus. Cases successfully treated by it were reported by Dr. 0'shaughnessy,|| Mr. O'Brien, Dr. Esdaile, and also by Messrs. Hughes and Templar, the veterinary surgeons of Calcutta. Subsequently, however, it failed in the hands of Mr. Raleigh; and Dr. Laurie,¶ of Glasgow, after trying it fairly in 26 cases, reported unfavourably of it. More recently, it has been tested by Prof. Miller,** of Edinburgh. He tried it in 3 cases of Traumatic Tetanus, and in each effected a complete cure. In other examples of the disease, he adds, though it has failed to cure, it never failed to give relief. He advises it in doses of gr. iij. of the Extract, or gutt. xxx. of the Tincture, every half-hour, hour, or two hours, the object being to produce and to maintain narcotism. Purgatives and
* Med. Chir. Trans, vol. xxvi. chap. 15.
Mat. Med., p. 413.
Med. Times and Gazette, Feb. 20, 1864.
§ V Union Med., 1857.
|| Bengal Dispensatory, p. 598.
¶ Lond. and Ed. Monthly Journal, Nov. 1844.
** Brit. and For. Med. Chir. Rev., Jan. 1851.
cold to the spine were employed in the above cases. On the whole, it appears certain that it is a valuable resource in this disease, and it should in all cases have a fair trial.
In an epidemic Cholera which visited Calcutta in 1838, Dr. Goodeve employed Cannabis very extensively, and his report upon it was in the highest degree favourable. In 1839 it had also an extensive trial in that city. Dr. O'shaughnessy* states that he knows no remedy equal to it as a general and steady stimulant, when given to Europeans, in the dose of exxx. of the Tincture, during the tractable stage of the disease. He 6tates that he has known the pulse and heat return, and the purging checked, by a single dose. It allays vomiting much more certainly than Opium, and is not so likely to lead to cerebral congestion. Others have testified to its efficacy. Dr. Wille-mein,f of Cairo, in a paper read before the Academy of Medicine of Paris (October 17, 1848), related several cases successfully treated by the Tincture of Cannabis in repeated doses of from x. to xxx. drops. In one case of collapse, the patient revived immediately upon taking the remedy. Dr. Willemein considers that it stimulates the nervous centres at a period when their influence is all but suppressed; thus actually preventing the extinction of life. It is right to add that Cannabis will not be found successful in all cases, that it can lay no claim to the character of a specific, and that Dr. O'shaughnessy found that in cases occurring in natives, but little benefit was derived, probably from the fact that they are habituated to its use from their childhood.