The Indianapolis daily herald., 1865-12-23

On Chronic Snsaf Cutarrb mud
Ozaenn.
LETTER 70 II

Chronic Catarrh l. generally the result q
long eonfinued and frequently repeated attacks
u the acute variety "a this disease. and i At
tended IA most cases with 4 eOpi0us secretion
and di~charge n n thick uluco- purulent mat
ter. slthoVGh the ckronic infiammafion il some
tis'~ fry Ia rs character. with little or no in
'Tea-o ~ diminufion n the usual amount Il
natural md healthy secretion. In this latter
foru Il The disease there i. simply a feeling q
uncasines.. heat. and stiffness in the nOstrils
wiHch.sre oft1s closcd upon one or 10th si,les
by tnickening ~ the mucous membrane and
inability 20 breathe freely through them i the
only inconvenience experienced i,v the patients
After longer or shorter time. the liabilities
io.sifaeks 0t QcHfe Catarrh become increased.
and the patient nnd~. after il has passed OF
there still remains discharge 81 yellow mucous.
This j. chronic Catarrh IN It. most usual form.
On examining the nGstrils with a speculum OF
instrument sReefallt a,lspteyi To- that purpose.
We find IL lining membrane more or less thick
ened -rcdder than ia health and Ofter ulcer
ated- In tin sim plest form, We have merely
an accumulation % yellow or straw-'Oi0rcd
mucus In the posteriOr mares. abo.e and be-
hind the palate. which the patient hawks"
out from time to time during the day. A. the
dtssEse adyanees, ittle point Of liberation
appear IN the mucous membrane, upon which
the secretion becomes hardened. forming crusts
requiring almost constant :. picking 70 keep
II free; aud as these inspissafed masses of mu.
Gus are torn from the aiseised Surfaces OF the
nose, they become irritated. and frequently
bleed profusely.
/ OZaena L. only an advanced stage of chronic
/ Catarrh. when the liberation of the mucous
membrane has become extensive, and the bones
OF the nose involved in the disease The Dis
/ charges In thfS ease becomes quite purlllent.
\ and Of yelowish greenish color. Frequently
tinged with blood, with an odor generally
more or less disagneable. and intOlerably Of
feDsiVe. In the language of Dr. q. Ii. Wood.
/ Of Philadelphia, . This form OF the disease i
one VI the most obstinate and disagreeable AZ
fectiOns which the physician has 10 encounter
In some instances the breath of the patient j.
j 30 revoltlngly offensive, as almost TO isolate
him from society, and to render him an object
Of disgust, even TO himself" This form Of the
disease generally occurs in strumous, serof,I-
lOus, ana unhealthy constitutions. When the
health J. injured. and the vitality of the sys-
tenn broken down by dissipation aud vicious
hatits TIN blood becomes impure, ana all lecrsl
character.
In some cases Of Ozsena the liberation Of the
bony parts become 50 extensive that piece,
come away with the pus, and plastic exuda-
tons, In the form Of large solid flakes of exces-
siveiy offensive matter are discharged from the
surface of the ulcers. accompanied with blood
The SENSE Of smell IL frequently more or les.
injured, If not entirely lost. The disease some.
times becomes so extensive a TO produce in.
Illumination OF the brain, which, in most eases
causes Of Catarrh and OZaena. such a. fire.
quently repeated and unremedie6 attacks o.
acute Catarrh. etc, | will now proceed to de
scribe their treatment.
observation-disclosures atarrh. like Asthms
and Consumption, has hitherto had no remedy
II rsmeins stain and reIroach on the page a
medicine.
Nor has failure resulted from want q
means of relief within our reach or from In,
seat OF the disease. or the malignity of it, ma
ture; for we can reach the affected parts by al
the forces OF the materia medica-sOlids fluids
and gases-and The disease itself is simply .
chronic inflammation. Physicians have failed
because they have not striyen 10 succeed ear
nestly and nationally. They have generally
been satisfied with squirting little warn
water up the nose, and prescribing an altera
tive for the stomach, which, of course, unaidea
by proper and effective local applications, Il
productive of no good. Catarrh il rarely
found as disease Of the nose alone, but /
generally accompanied by more or less hoarse
ness, showing that the irritation which exist
IN the greatest intensity in the nasal membrane
also involves the larynX and lining of the wind
! pipe. We can not, therefore, hope TO remov,
II by application TO the nose only. The cU,irs,
We have pursued, with almost inyariable sue
: cess, Is by the inhalation of medicated vapors
and daily shOwering the nOstrils with a SOlu
ton adapted 10 the condition Of the membrane
by silver showering syringe, which We hay,
constructed for the purpose
For patients at distance, who are not abb,
TO visit our Office daily, We have constructed
an instrument by which these application
can be made equally a thoroughly by them
selves. This instrument is unlike any thin.
hitherto used by the profession, the want O
which has long been felt. Applications fol
Catarrh can never be productive of favorabl,
: results, unless adapted TO the particular indi
cations Of the individual case. and properl,
applied-c0nsequently the numerous :. spe
cincs,' or "Catarrh remedies which flood IN,
country, are not only ineffective. but frequentl,
productive OF injurious results.
20 generally successful have been the mean,
we have employed in the treatment of Catarrh
that we doubt their failure in one ease of :
hundred, when properly and faithfully elm
! ployed. Unfortunately, Catarrh is too general,
treated with equal neglect by both physician
and patients, until il becomes lost sight Of il
the disastrous consequence 10 which it give
rise.
: we know that it exists in greater or les
degree IN all forms of pulmonary disease; tina
II usually exists before any symptoms Of tn
disease in the lungs have been manifested. an,
? that Is Is the direct consequence of those cold
; IN the head which become practically know
TO most of us, two or three times every wear
.. We regard Catarrh as the great feeder of pul
monary Irritation, and do not believe we can
: by any means. so enectually guard the lung
from disease, as by cutting of the catarrhs
affection.