3153. In The Convulsions Of Infancy And Childhood, Dr

R. B. Todd speaks highly of the external application of ice. It should be powdered, and placed in bags along the whole length of the spine. It will often succeed when other remedies fail. In Puerperal Convulsions, ice to the head, and mustard poultices to the feet, applied simultaneously, have been found highly serviceable.

3154. In Tetanus, Dr

Todd states that he has seen great benefit from applying ice along the whole length of the spine. The bladders or bags containing the ice should be frequently renewed; otherwise they become elevated to the temperature of the body, which is an occurrence that should be obviated. When the cold fairly reaches the spinal cord, which it will do if the ice be perseveringly applied, its influence is shown by a marked depression of the action of the heart, which tends to general depression of the vascular system; if this depression becomes great, the use of the ice must be suspended. During its application nutritious and slightly stimulant substances should be frequently given.

* Op. cit.

Lancet, April 30, 1842.

3156. In External Inflammations, As Of The Skin, Mouth, And Throat, Dr

Arnott* advocates the application of ice, so as to produce congelation of the surface. He regards it as a certain remedy, because, whenever congelation is produced, inflammation ceases; as speedy, because congelation instantly arrests inflammation; as safe, because, in the hundreds of cases in which it has been employed, it has not been productive of any injury or untoward effect; and, finally, as agreeable, because it instantly benumbs the part, and relieves the pain which is attendant on inflammation. In Erysipelas, he found it most effectual; and he details three severe cases in which it appeared to exercise a most salutary influence. He advises it to be pounded with salt, and applied immediately to the inflamed surface, by means of a sponge or cloth, until the skin becomes white and hard, or, in other words, frozen. Although the cases detailed appear at once to have yielded to its use, and that, too, without any ill effects, it must be remembered that the experience of some of the highest authorities is opposed to cold applications. Liston and Pearson express themselves strongly against them, and Alibert declares that to apply " cold is madness." Their remarks, however, applied chiefly to cold lotions, and not to congelation in the manner advised by Dr. Arnott.

3156. In Prurigo Pudendi Muliebris, Dr

Arnott found the congelation of the surface, by means of ice, of the greatest service.