The Nashville daily union. [volume] (Nashville, Tenn.) 1862-1866, 1865-09-26
a9ashtillR 3Aaiou.
Wn. CAMERON . 90. PuBIlsAers.
TUESDAY, SEPTEMBER %, 1856.
DE-. Hunter On Chronic Nasal Catarrh
and Ozaena.

Il
Chranic catarrh is generally the result o.
long continued and frequently repealed at
tacks Of the acute variety Of this disease
and IS attended IN most eases with copious
secretiDa and discharge Of thick maco-
| pEraieut taatter-- a. haagh the chronic in
| tlammatiOn is sometimes dry IA its character
| with little or no increase of d;minutiOn Of
| the usual amount af naslral aud healthy Sc
eretiOn. In this latter form Of the disease
| there is simply feeling of uneasiness, heat
and iffness Ia TIA Hasirils, which are often
closed upon one or both sides by thiekenine
Of the mocsus membrane, and inability to
breathe freely through them, is the only in
convenience experienced by the patients.
After a longer or shorter time the liabili-
/ ties to attack of aeltfC rattarrh becomes in
crossed, aud the patient finds, after it has
| passed of, there still remains discharges OF
| yellow mucus. This is chronic catarfh in
its most usual form. On examining the
nostriis with speculum, OF instrument
| specially adapted to that purpose, We find
| its lining membrane more or less thickened
-redder than in health and eften liberated.
| In lhe simplest form We have merely an ae-
cumulation Of yellew or straw colored mu-
Gus in the posteriOr mares, above and be-
hind the palate, which the patient "hawks'
out from time to time during the day. As
the disease advances little psints Oi ulcera-
ti0n appear in the mucous membrane, upon
which the secretion becomes hardened,
forining erusts requiring almost constant
picking" to keep Il free; and IS these in
spissated masses Of muens are torn from the
diseased surfaces Of the nose, they become
irritatsd, and frequently bleed prOfusely.
Ozaena is 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 scharges in this case becomes quite
purlent aud Of yellowish or greenish color,
frequently tinged with blood, with an odor
generally more OF less disagreesble, aud
intOlerably offensive. In the language Of
Dr. g. B. Wood, of Philadelphia; "This form
Of the disease is one Of the most obstinate
and dissgreeable aflsciions which the physi-
clan has 10 encounter. In some instances
the breath ofthe patient is rev0ltingly ofien-
sive, as almost TO insolate him from soci-
ETY., and 10 render him an object Of disgust,
even to himself" This form Of the disease
generally occurs in strUmous, scrofulous
and unhealthy constitutions. When the
health is injured, and the vitality Of the
system broken down BY dissipation aud
vicious habits of all kinds, the blood be-
comes impure, and all local diseases are liza
bic to sssume an aggravated character.
IN some eases Of Uzaena the uleeration Of
the bony parts become 50 extensive that
pieces sometimes come away with the pus,
aud plastic exudatons in the form Of large
solid fakes Of excessively offensive matter,
from the surfaces Of the ulcers, are dis
charged, accompanied with blood.
The sense Of smeh is frequently more or
ls6s injured, II not entirety lost The dis
eass Sometimes becomes 20 extensive as to
produce Inflammation Of the BRAIN, which
in most cases results in death. Having emu
merased the causes of catarrh and ozaena,
such a. frequently repested and unremedi-
able attacks Of acute catarrh, will now
proceed to describe their treatment ,.l1
TREATMENT.-ChronicC Catarrh, like asthma
ana consumption, has hitherto had no rem.
edy. Il remains q stain and reproach on
the page Of medicine.
Nor mas failure resulted from a want of
means of relief within our reach, as from the
ssAb If the dissasa, Or the malighity Of its
nature; for We can reach the diseased parts
by the forces Of thu nsteria medica-sOlids,
fluids, and gases-and the desire itself is
simply chronic inflammation. Physicians
have Jailed because they have not striven
to succeed earnestly and nationally. They
have generally been satisfied with squirting
a little wasm water up the nose, and pre-
which, Of course, unaided by proper and eff
feeiive local applications, is productive Of
no good Catarrh is rarely found in a dis
ease Of the nose alone, but is generally ae-
companied by more or less hOarseness, show
ineSisat the irritation which exists in ths
greatest intensity in the nasal membEne,
also involves the larynx and Innings Of the
wiudpipe. / cannot, therefore, hope to re-
move it by application TO the nose only.
The course ] nave pursued with almost in
variable success, is BY the inhslat on Of
medicated vapOrs, and daily shOWeriPg the
nostrils with solution adapted to the con-
ditiQn of the membrane, by a silver show
ering syringe, which | had constructed =
the purpose,
able Ia visit my Office daily, | have con-
strueted an instrument by which these APP
plioaii0ns can be made equally as thorough.
iy by themselves. This Instrument is un-
like ANYTHING hitherto used by the profess
sion, the want Of which has long been felt.
Applicstions for catarrh can never be pro-
dactive of favorable results unless adapted
10 the particular indications Of the individ-
ual case, and properly applied--oonsequently
the numerous "specihcs" or catarrh rem
edies," which flood the country, are not only
ineffective, but frequently productive of in
furious results.
50 generally successful have been the
means have employed Ia the treatment Of
Catarrh, that doubt their failure in one
case Of hundred, when properly and faith
fully eInployed. Unfortunately Catarrh Is
100 generally treated with equal neglect By
both pbYsipisns sHd psiieRts until il beeames
lost sight Of in the disastrous consequence %
which il gives rise.
know that u exists IN greater or less de-
gree in all forms of pulmonary disease that
L usually exists before any symptoms Of The
disease in the lungs have been manifested,
and that Il is the direct consequences Of those
colds in the head which become practically
known 10 most of us two or three times every
wear. regard catarrh ss the great feeder Of
pulmonary irritation, and do not believe !
can, BY any mesps, So efieotually gEaTd tho
lungs from disease as BY cutting Of the CO
tatfh afectnn.
remain your obsdient servant,
JAMES HUETRE, NJ. D.
CITY Hotel, Nashville, Sept. 25th, 1855.
N0TR.-Dr Hunter, Of the hrm Of r, 4 j.
Hunter Of New York, can be consulted per
sonslly or by letter st the City Hotel, Nash
vile. on ali diseases embraced in his spe-
eialty, viz Catsrrh, Bronchitis, Asthma
and Consumption.