New-York daily tribune. [volume] (New-York [N.Y.]) 1842-1866, 1859-02-04

80 ,xlsuet ,,e ps.isns renamed sous tds eor
u. opers.ifs. ce@Itsg Be isrost a.
~. Ur e as eozes fCT. G-d L t3s op- ace
3ecxrs. Il Il h sv.dsros istTress:so- az 7y.,s
u,so-tu5ste operation q the I'm O. Dsce ho1I' t7
ph.ryI1 -ss sec'1eb;sy 1870 ne ~ -.
49, ~ -. pst;er.1 Sir, deny .5;s uefoanoed &C.
eussior ana ,h. COW proceed % .noE y se:s ihA'
TIE oocurTeLce Of sDch 81 see,ae1' - sluPly mp
49,. Before The lss. meetIog Of the Ae shsmy Dr.. d.
6 Go. D-1,ops.rato- of Anatomy 10 he NswYo,k
MedcsI CoIe.4 e.d Professor o. s1Egery II re I IL
yer.ty Of yerTnor.-oDe, wnose ability IS a. Ara;o-
roist sad Pa.hoiozist nOte VII fispu.e-r1sds soDe
important s1pe1uleats OF tie cz1.Tsr, which sfJTt
nIdensb,e pToof-f prcot were stil neoesseTF-.hat
Tie accident 20 which Dr. Be.les refers oolA 70; %
any possibility pave occurred. II answer % 81
.ne7iry made " this sabjec., d.. Coasnt writer
sTAIETEyT OF PROP. cOsASr.
ktvs very r.o.uy rare vsrE sIpe-1sI.s retS- %
Esvs fo1bo 10 II ne ssoyensnea os;'-Hela
i. .s: AK = t:ce.s: % b.sr aroa ,1sb
sss-es7.sty na>a- 'ia.l opc..s. Il ~ TO-. 49, ,,
srE-e inrlr.u. ihTo1sh ths i1r. op I4s . Ir.-hf
=. er:t q ne p.,ais IN, s Der; % pr as1ss
re .ish>,, p-rosP.ible .oers.iOn- IBsssd, se5eys
=. .ss " rye way II P.stn 'a sd .. ,se
o proe-ee >, Easest es9S 0p2u %. "a nsa VI ~
p.s1Ie diT. ;1be n:o sthe. t5s hlht o. ne lsl,
ro5eso." popE p r:sc :as ~ ~ z. a,,is !. ~
rot 1s; op.e the upper s4 Of :oe s;>rIlm Atef HJrs
ne seoys siIeLo.s;, ,9Is,q p y
sfh.>, .br1.OD Of the muoous membrane eIpsrsnee1
"a. psTyl1 a. thee JiL, upon ~heb the instrument
cond b. D.ds 70 catch wfto0: sons into the srynI b.
,es ss s a.asns xo49 b1.f -,o1t il 5fe.ar he
membrane Ny 1geIinsnt. wsI. Sc spon n> s n.e
~ ~ 1osoous rsne Of he 1ssrynx Of s,hI Win
o;dfrsIv spo1 .ssrmsd probsng or ice uscbea t1te.
Your, very Igy ID. . CONASI.
All this vss well known before Mr. Preside't I, that
under the circumstances such lesion as !, is stated 10
tho post-mortem found in the phsrynx, could not
have been csnsed by my instrnment. 1o1 ss sur
eeOn know, Sir, and every anatomst aud surgeon ID
this room Is tbs. neither the lining membrane
Of the larJnx or phsrynx cOnd have been rnp:1red
No Sir, the Almighty Artist IN His wisdom never lined
those important liet1bes vito tissue paper u De
easily end fatally TOM have one other tact 70 an
sver to the charge made By DR.. Beales that
slough or escbur formed at the apex Of The lang
involving the pleurt, BY the njecti0n Of solution OF
the nitrate of silver" Without referTi1g % the ana
tOnca p0ssblityC the fud rec ching this portion OF
the lung commenting on the neonoty between the
statement made IN the pOst-rnOrtem thai this cavity
WEE inst 81 the root, or at the commencement OF
the bronchial ramifcatons' end the assertion made
BY Dr. Bsales, before this Academy, thai u was " a
fcoOping out OF the scnal apex or superhces OF the
lung" two positions uearlysix inches spsrt9 With
out | cay, Stopping 10 comment upon these lncon
gruities shall only state one fsct furnished by Dr.
Beaes timse. 1t u this: That on the 18th OF Deem
ber Elk days after this injection INTO the bronch vas
made the patient drove to Long Island and spent
the day in rong about dned with friends and returned
TO the city at Dght feeling and appearing better as
the doctor himself affirmed, than he had been for
several weeks before And ell this wheD ACCORDING
10 the doctors opinion, acute inflammation and
soughipg Of the lung was going o. from the effects OF
this injection.
Mr.. President, DR.. Beales cOnfesses in one breath
that he is ignorant Of the effects of nitrate OF silver
on the substance Of the lungs and in the very next
he does rot hesitate 10 express his conviction thst II
is at all times attended with extreme peril and risk OF
n. ~. not krnu nE
ts effects" in disease Ii be would not regard the
experience and published observations Of Anertc0ps,
on its use and eecs why has he not attended 10 the
many favorable publications on this subject from DIS
tingnished physicians of his own country. Many I'M
portrait woiks have been Published recently 10 Europe
on the topical treatment of disease, or 10 which this
method Is discussed. Among these IL the excellsnt
work On Consumption BY Or x USi0n on Oh Don
eases of the Larynx and Trachea, aud their
TIeatn ent by the Local Applications Of Caustic.."
The work Of Or. Scott Ahsoa 81 LONDON, on tne
" Medication of the LarynX and Traches:" OF Prof.
Watson OF the University Of Glasgow, on Topical
Medication, and that Of Prof. Hughes Bennett Ct
Edinburgh, on tuberculosis and on the " Lo>a
Medication Of the LaryDx and 1rachea, these, or
many OF these must be known to the members of the
Academy. / will claim your indulgence few
minutes while allude briefly to the opinions of two
or three Of these tuthors. DIR. Cotton, one OF tne
physicians Of Brompton Hospital in speaking OF
topical medication in chronic laryngetis and llryngea
phthiss admits his pre- gous unoeief in, and changed
views with regard to the practcabty or proprety Of
topical medication Of the respiratory passages.
should here remark, he observes, that my own
views upon this subject differ from those formerly
held, and have ever expressed, and that owe this
change 20 the labors Of DIR. Horace Green OF NeE-
York, who has convinced myself and Others, not only
Of the possibility, but of the safety and usefulness OF
the practice" '"For some months past, ssys he Il
have employed this treatment extensively cases of
chronic larypgts, whether idiopstbic or tubercuaT,
and very frequently with marked success.
:" AT the commencement Of the laryngiel symptoms
solution Of the crystals of the nitrate OF silver, vary
ing in strength from ten grains to hall drschm 10
the ounce OF distilled water, passed by means OF the
instrument recommended by DIR. Green into the open
ing Of the larynx, is often productive OF great relief
/ have known the voice reganed, the irritable cough
removed, and the tenderness and difficulty OF swallow
ing diisipated entirely by ii indeed thuk We might
amos. speak Of its curative effects, so far, al leas
as the laryp1 is concerned in some very early eases
on. ctat, PIP. 236 2Hl
In Prot. BENEFITS work Consumption he ex
presses decided opinion in favor Of the topical use o.
mill ate of silver in the treatment OF tuberculosis In
ali cases Of tubercular deposit, he says, there oc-
in the immediate vicinity Of the oxidation more
or less Of inimmstOry action, 10 which al the ada-
cent structures are involved. The bronchial membrane
ard the pulmonary pare nchyma become 1T once cOn-
gested, ard subsequently inf+med.' The terminal
eItremtes of the bronch says Prof. Bennett, are
among the first structures affected, and az the uber
cuosis proceeds all the appearances Characteristic o.
chronic bronchitis are produced, and are constantly
gaining on in the progress OF the case "Conse-
qDerty, he observes " the great pfoo.em 70 be
worked ont in the treatment OF tuberculosis is that
while on the hard il is q disease Of diminished
nutrition and weakness, and consequently req1ires
a genersl invgorating and supporting system
Of treatment on the other it is accompanied by local
excitement, which demands antphlogistic aud
lowering practice" 0p. Citat. p. g.. l. is 70 meet
this last Indication 20 subdne the local inalnmstory
action IN the immediate vicinity Of the erudaton-au
action which If continued, viii not only eaec.ualy
prevent the dntegration and absorption OF the to
btrcu'ar mass already found, bat wnch viii tend 10
augm, nj the msss-that applications Of the nitrate Of