The Hillsborough recorder. [volume] (Hillsborough, N.C.) 1820-1879, 1861-01-30
II may be divided, or considered under
tnn hnads Incal and Genaral

two heads, Local and General.
Believing, as do. that Diphtheria is pri.
marily local disease Of the throat, very
liable to spread into the nasal and laryn-
gial passages. It is very evident that the first
indication will be, speedily to destroy, and if
possible to prevent The extension Of the false
membrane into these parts To delay time,
then, and wait for the therapeutic effect OF
general remedies, would in most cases be de
trimental, and dangerous to the welfare and
safety Of the patients.
|, therefore, think that local remedies are
the safest and by far the most reliable. lam
in the habit Of making the early topical APP
pication OF the nitrate Of silver, in such a
heroic manner as to destroy at once the ex-
sting membrane, and prevent its reforma-
ton, by repeating it as often in the FIRST "a
or sc hours as indications would seem to re-
quire to accomplish this end; and in this
way have generally succeeded. in preventing
its further formation and extension to the
surrounding and neighboring parts. If the
extent Of the membrane can be seen and
reached, which very much depends upon the
amount, or extent Of odema. and the facility
of the patient to open the mouth, prefer TO
use the solid Argent Nitras.
II, on the contrary, the disease has spread,
or so far as extended itself as not to be seen,
I or easily reached with the solid caustic, it
may be applied 10 solution. by ,lissolving 10
to 100 grains to the ounce. and applied by
means OF pFobahg, which is readily made
by tying, or tasteni ng small piece Of Sur.
geon's sponge, the SIZE of a cherry or com
mon marble, to the end Of piece OF flexible
whalebone, O, 8 or 10 inches long, and 50
curved as best to facilitate its easy introduc.
ton into the pharynx, esnphagns, or larynx,
trachea. aud Bro nchial tubes. as the case
may be. The Hydro Choric Acid may be
adyantageously used in the same way, aud
is not much inferior to the Lunar Caustc.
This is rather delicate operation. and
should not b, attempted TO be performed By
, any aid every nurse, lest the patient may
unfortunately have TO suffer the penalty Of
innocent malpractice, Of indiscriminaie, and
unskillful persons. have tried myself. and
seen III the practice Of others. the application
Of alum. sugar, salt, pepper. vinegar, &c.;
but believe they are not reliable only in
such cases as seem to have a favourable
tendency. and mos, likely all such would re-
cover without any treatment a, all.
: Emcties may be administered occasional
y throughout the disease; Of these tartarate
Of antimony, and pota,sla, suiphaie Of cop.
per, and powdered alum may be tried. In
most cases the first will be found too irria.
ting and prostratIng. Perhaps Of this class d
: remedies, the powdered alum, on account OF
4 its prompt, mild action upin the mucous
membranes Of the stomach. IS preferable 10 all
. others, and my be always found at hand
aud given teas po9nfal mixed in mplIsses o.
: syrup every % minutes until its emctic eaecl
; Il produced.
! Genera remed les, sueh As calomcl, ami
) much relied upon by many, has not general
] ly been resurted 10 10 ny practice, further
than TO attend TO the stomach. bowels, kid.
: neys anil skin. aiding each IN the proper per,
: i1rmancs OF their O.iice, when necessary
. with such remedies as may seem at the tin,
(. % be inllcated, during TIE progress 81 the
y disease.
= Wien as,hcnia or debility i manifest, and
: braeing treatment required, which in many
n cases IS early Indicated. resort at once I,
r. the rlsc Of baem tics, anil prefer tie chic
j rated tineture Ofiron. to 20 gits. every tire,
). or four hours, given in water. made ,hici
e with sugar.
! 4 very excellent remedy nav be found il
e the following combination % HYDRO Chorl,
u Acid. and CnlpIaie 81 Pntash. Pour upon I
e ,lrahin. u finely powdered ckiora,e of potash
! drahm of pure hydro.chlurie acid, stir IL,
e mixture until u assumes yellaw color; a
!. soon as the fumes Of color,ne begins TO rise
|, add ounces water; the escape Of CHLORINE
). viii be at once arrested. and free ehlorin
i left. Ol iii. mix iure half ". NAV be give
i according 20 the urgency Of the symptom.
!. say every two, three, fur. five, o. six hours
:. When the breath j. offensive. caused by hi
n posring Oll Of a mIlkish Serious fuid. frDH
small tessicles that are formed around a.
!, sword.lke connections, or border Of rreysy pc
lite, or excDriated regpns. | use a solution
OF chloride Of lime, or what perhaps y pre-
feTsble, a week sUlutinn Of crens0te, as gar
Il gle. Many other mixtures have been used
and are doubtless mUfs Or less beneficial d
eleansers.
When there is much swelling aud milan
), nation Ol the toisilIary glands. and but It'll
emulation II membrane, prefer warm mil
!, and water. equal part. Of each. aud use Of
ten, sty every one, twp, Or three hours, o
gitcner.
\ A. 10 external treatment. | have tried mus
!. tard ppultices, &c.. bat ii counter irriian
!. ! prefer The Oliam risl. or Crnton oil.
Il is good rule to annoint the surround
I, ing parts. or eircumscrlbs is limit. or appli
cation with lard or olive oil. 80 as 60 pre-
i vent is spreading over tie face, and sOme
i times extending into the ears and eyes, YER
!, much 10 The discomfort Of the patient.
y Respectfully.
u ID. A. MONTGOMERY.
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