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TUESDAY, APRIL 10, 1827.

NO. 47.


A CASE OF PARTIAL PARALYSIS, vision. At the expiration of the

EXTRACTING A week, he walked a few miles to TOOTH.

an uncle's, where he was immeBy EDWARD PICKETT, M.D. of Hunte- diately confined to bed. Soon ville, Alabama.

after his confinement, he was bled The physiology of the nervous to the amount of 16 ounces, and system is at present attracting so purged with calomel; but as he much attention, in every portion continued to grow worse, a phyof the globe where medicine is sician was called in, who precultivated, that every fact, hav- scribed calomel in small doses, ing any bearing on this interesting and laudanum, to allay a very sesubject, is worthy of record. The vere pain in the stomach, of which following case being somewhat he frequently complained. This, peculiar in its charaeter, the with a blister to the nape of the writer is induced to offer it to the neck, constituted the treatment medical public, hoping it will not before I saw him. I found him prove entirely unacceptable to very feeble and emaciated, free those who have more ability for from pain--skin moist-pulse soft, physiological and pathological in- small, and about 90 in a minute vestigation, than himself.

gums red and swollen, but no merMr. L. Ingraham, a young la- curial fetor in the breath--seveboring man, about 24 years of ral dark ulcers in the roof of his age, on the 14th of last May, had mouth,-tongue white and drythe second molar tooth on the left and when he attempted to thrust side of the inferior maxilla, drawn it out, it was thrown into the left by a neighbor, who drew, with it, angle of the mouth, which was the first and third grinders; so much drawn down by its depresthat instead of extracting one sor muscle: he could not possibly tooth,'he separated three: the first extend his tongue beyond his lips, and second were drawn entire- nor pass it to the right side of his ly out, and the third was retained mouth. His speech was greatly only by its attachment to the sur- impaired, and some sentences rounding gum.

On the 5th of were almost entirely unintelligiJune, I was called to see him; ble. The cavity from which the when I was informed that, after first and second teeth had been his teeth were drawn, he went taken, was filled with a large home to his usual labor, at which fleshy excrescenes, which prohe continued for a week, during jected some distance above the which he complained of being un- surface of the teeth, so that he well, and occasionally of impaired could not close bis jaws, or mas


ticate, without pain. The third the umbilicus, as to appear altooth had been permitted to re- most as solid as a board. These main in its socket, though, appa- attacks came on at all times; but rently, from its extreme loose- most frequently in the early part ness, entirely freed from its long of the day and at night. They connexion, and held only by the were tolerably manageable with

I immediately drew it; laudanum and tincture of camwhich he said relieved him much. phor; which would sometimes reThe excrescence was completely lieve them almost as soon as swalcicatrized, and appeared to pos- lowed, or cause them to pass disess but little sensibility; as it rectly from his abdomen to his might be explored with the fin- legs. He said his “appetite was ger, and moderately pressed, good,” and that his hearing was without any other sensation than defective, though he appears to that of " soreness.” It had been hear distinctly. His bowels were lanced two or three days before torpid, and he was perfectly ramy visit, and I was told that a tional. small quantity of pus had escaped. Treatment.I gave him laudaOn the right side of the lower num and tincture of camphor, to jaw, and external to the teeth, relieve his spasm; and castor oil, was an enlargement of the gum, salts, and enemata, all of which resembling a common phlegmon, proved necessary to move his though solid, and possessed of but bowels. At one o'clock in the little sensibility. “On its surface morning of the 6th, I was roused were two small excoriations, from to see him again in a very diswhich a bloody serum issued on tressing paroxysm.' Gave him pressure. He complained of about one drachm of tincture of * dulness” and “deadness” on opium, and the same quantity of the right side of the face, parti- tincture of camphor; which miticularly about the angle of the gated his sufferings; but they still mouth, and on the same side, the continued till his bowels were depressor and elevator anguli oris opened with injections. The seemed to be completely para- purgatives brought away many lytic. Previously to my seeing hard feculent lumps, not much him, he had suffered much from unlike the scybala discharged in paroxysms of pain in the region dysentery. His discharges had of the stomach; which would pass previously been dark colored, but very suddenly to the gastrocnemii this morning had almost a natural muscles, or the brain. For a appearance, though still rather short time before I saw him, the dark. Pulse about 90—mouth latter had been exempt from and tongue dry—the edges of the these paroxysmal fits, which pass- latter clean, but the centre and ed alternately from the stomach back part covered with a brown to the legs. During one of these fur—a slight brown incrustation attacks, which took place about on some of his teeth-breath ofan hour after my arrival, I exa- fensive-free from pain.

His mined the abdomen, and found head was shaved, and a large the recti abdominis so firmly con- blister applied to the scalp. Pretracted over the region of the sto- scribed a stimulating gargle of mach, and the space extending to carbonate of ammonia, and weak

grog; laxatives and anodynes to pair in the left side, and that cerbe continued as circumstances tain nerves of the opposite side may require; a light nourishing were affected with paralysis. diet, with the use of wine or tod- We do not see, in the narrative dy occasionally. Instructions of the case, sufficient evidence were given to reapply the blister to establish the point, which to the scalp, after its first draw, nerves were paralyzed; but we ing, should the patient survive. should be most inclined to conI find that, in my notes made be- clude, from the generality of the fore I left the patient, I omitted expression of “deadness” and one circumstance, of which, how- “ dullness" on the right side, that ever, I have a distinct recollec- it was the branches of the fifth. tion; that is, his left eye had be- Dr. Pickett has not informed us come inflamed about the time the whether the motions of the nosparalysis occurred, but was better trils connected with respiration when I saw him than it had been, were deranged; by which we though still inflamed.

could have judged, according to I left him about 10 o'clock of the observation of Mr. CHARLES the 6th; and he died on the night BELL, whether the portio dura of the 7th; but, as he was sixteen was paralyzed.-North American miles from town, I had no oppor- Med. and Surg. Journal. tunity of making any examination

The patient in this case probably after death. In this case, I was inclined to

lost his life by calling on an incombelieve that, in extracting the petent person to extract his tooth. teeth, some serious injury must This instance of suffering and death have been done to that portion of deserves to be recorded for the in. the third branch of the fifth pair struction and admonition of those of nerves, which is distributed to who imagine that any body can draw the lower jaw and teeth. The inflammation of the eye, perhaps

a tooth or let blood. This however was the result of the impaired is so far from being true, that many function in the first branch of the instances have occurred where both fifth pair, which goes to this or- these operations, unskilfully pergan: the paralysis of the right side formed, bave terminated like the of the tongue must have been ow- case before us. ing to a loss of function in that portion of the fifth pair distribut

For the Medical Intelligencer. ed to the tongue, or in the right PHYSICAL EDUCATION. branch of the ninth pair; the pa MR. EDITOR,— In continuation ralysis of the muscles on the right of those hints for the guidance of side of the face, to the loss of parents, and which appeared in function in a portion of the portio apother journal, I will now with dura of the seventh pair-all re- your leave, and in your columns, ferrible to the original injury done again solicit their attention to that to the third branch of the fifth much neglected department of pair.

parental duty, the regular and We apprehend that, in this systematic use of means for imcase, an irritation was propagated proving the health of children. through the branches of the fifth There is nothing, perhaps, in

which vague and false notions portunity for one hour's native have so extensive an influence, at cheerfulness, amidst an atmosthe expense of human happiness, phere so troubled and darkened as the kind and degree of care with care. which parents, and particularly But there are mothers of a very mothers, ought to take in regard different disposition,--those who to regimen. Some mothers pride think there is nothing like making themselves on their entire free- children hardy at all hazards. dom from all nervous anxiety or Their children must undergo more niceness on this point. Nature, unwelcome immersions in cold they say, has made provision for water, than ever did the furniture juvenile happiness in this respect. of the most scrupulous and strict I give myself no uneasiness about of the Jews with all their divers my children, says such a mother ; washings. Next comes Frank. I let them do just as they are dis- lin's memorable air bath, though posed. I let them eat whenever the thermometer should be at zethey choose, and whatever they ro ;-then, by way of hardening like, and as much as they want, the body, only half an allowance and play about, or sit still, be of clothing, -and by way of within doors or without, just as strengthening the stomach, a cold their notion is. If people would breakfast. If the child, as might let their children alone, and let be expected, has caught cold nature take its own course, there and become sick on this prevenwould not be half the sickness and tive discipline, it has slept too whining there is in some houses. warm, it has been overheated.

Mothers of a different cast of At all events, it wants air and feeling, take a very different exercise ; and out it must go. If

They busy themselves a winter wind is raging, it is, in day and night in devising means the estimation of such parents, for venting an excessive and over nothing more than pure bracing air. anxious care. They neither al

The management of all these low themselves nor others a mo- three classes of mothers is occament's peace; but are worried by sionally successful, and especiala whole train of apprehensions, ly where nature has been so lest the weather should be too bountiful, that the most perverted cold for walking, or the dear child ingenuity can neither exhaust nor should not have been sufficiently break the constitution of the inloaded with clothes, or the fire fant. As in some cases we do should be too low, or a draft of observe 'an almost preternatural air should be perceptible, or force of health, which seems inbreakfast should not be nice tended to endow its possessor with enough or warm enough. In ability to bear and to do in human short, they are haunted by all the life at a tenfold rate. But much forms of selftormenting ingenuity, oftener we may observe the unwhich their excited imaginations suitableness of all the methods can conjure up. And the poor that have been mentioned. We child who is the unfortunate vic- may see the misguided mother, tim of such care,—what becomes who imagined that the health of of it ? Nothing short of a mira- her child would flourish but by cle interposed could give it op. neglect, lamenting the unguarded


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