Worcester daily spy. [volume] (Worcester [Mass.]) 1850-1888, 1860-08-04
aolurccster SATURDAY. nlOrnin9, august 4, 1880

nel closes the door and allows the food and drink
to pass freely over it to the OesOy hagus
without eneroaching upon the wind-Dpe
This disease, like all other affections of the throat
and air passages, is brought ON by sudden changes
of temperature, exposure to cold and moisture Ia
some individuals there seems to be a constitutional
predlspOsitlon TO attacks of this kind The symp-
toms are generally mild at list as TO mslead lie
patient into the idea that there is 10 danger same
times slight pain or is felt in the mart but
more commonly only a tickling sensation is ok
perienced, which eXcites more or less cougbinr
Many patients complain of a sensation as if some
tnng were Smoking IN the throat; and to get rid
of it they are constantly rasping or hawking Az
the disease advances, find the voice loses lis
natural ring tone. 1t becomes husky and more
feeble, until it can scarcely be heard above low
whisper, und where liberation of the vocal chord
takes place the voice is hOpelessly lost This how
ever only in the forms of the disease
In the mider forms of the disease the hoarseness is
dependent upon merely thickened state of the
membrane which invests the vocal chords; its sur
face becomes hard and rough, and thus DESTROYS
their elasticity and impedes their freedom of mo-
ton. few years ago this disease which is now
SO universally common. was confined mostly to
public speakers lawyers, cergvmen, professional
singers and Others who were much accustomed to
use their voices. Now almost all classes and con-
dIllons OF men are more or less sufferers from this
dangerous and too often fatal disease. Chronic
Laryngltis, like Bronchitis and CONSUMPTION, are
IN very large proportion of cafes the result of a
neglected Catarrh. The muco purulent matter drop
ping down through the posterior nases into the
throat, and being lined by continuous membrane
spreads rapidly to the arynx, as it is IN close proX
Unity WITH the throat.
Again the matter lodged in the throat becomes en-
tangled about the epigottis and entrance into the
larynX, and is often drawn in by one inspiraon and
forced out by the next expiration. This difficulty it
is proper here to remark, frequently has its origin
lower down than the larynx, the exciting cause be-
ing the presence of tubercles in the lungs When it
occurs as consequence of tubucular disease of the
lungs it is one of the most distressing complications
and if there is form of tubercuar disease more
fatal than another this prominently deserves that
rank. In the treatment of this affection it is the
nlgnJ OF 1Olly to look Tor medicines apDlipd
externally, or through the stomach there is but one
safe course that can be pursued with any hope of
success and that consists in the direct application of
the remedies employed to the larynx itself and even
this to succeed must be esorted to early and perse
Yered in faithfully Local applications of proper
character and suitable strength, applied directly to
the internal surface of the arynX by means of the
aryngeal syringe, are remedies of undoubted value
but when relied on as the only means, generally dis
appoint the expectations of the patient The plan
have adopted, with so much success in my practice
is to recommend the patient to nhale mild astrin-
gent and soothing vapOr three four times a day.
and in the manner the liberated and iufamed mu.
cous surfaces are cleansed soothed and acted upon
IN every part, and when the disease intracta-
bic, especially when liberation has ensued, applica-
tions made with showering syringe will generally
facilitate the Affections of this kind in more
or less advanced stages come under my observation
daily, and the beneficial results of this simple mode
OF treatment by inhalation have convinced me that
1t is the only rational and successful way of bringing
about healthy state of the tissues of the parts dis
eased and will succeed, have hesitation in say
ing, when all the ordinary remedies through the
stomach utterly fail.
My new work on consumption, fully embodying
my system of practice, with many remarkable cases
of cures, can be obtained on application at my office
and at the bookstores of Brown, Taggard & Chase,
Cornmll; Crosby, Nichols & Co., and Ticknor &
Fields Washington street, Boston.
Hours of consultation from n m. till 5 D. m
daily.
Persons at distance and unable to visit the city
are treated by letter.
Yours, SC.
N. ?. DILLENBACK, NJ. D.,
Physician for diseases of the Lungs Cambridge
street, near Revere House) Boston.