The Daily clarion. [volume] (Jackson, Miss.) 1866-1888, 1867-01-24


ter | pointed out the nature, symptoms, and
treatment Of Colda. Catarrh, and oz@na,
and explained how these affections gradually
lay the foundation Of Consumption, and.fos-
ter the disease In tho lungs AFTER 1t has been
established. In the present letter, lot us
pass from the consideration of diseases OF
the nose 10 those Of the throat.
"Sore Throat Is o familiar term used TO
designate all affections of the fauces without
discrimination. The fauces, or throat, IL
that cavity above and. behind che root Of
tho tongue which IL seen on directing the pa
tiont to open wide his mouth. II Is about
four inches In length, and comprises the
whole space from the base Of the skull TO a
little below and behind the opening of the
windpipe. 10 has seven openings o0mmuni-
eating with It, The two posterior mares
above, which lead to the cavity of the nose
the two eustachian tubes at each side, lead
ing to the ears and below in front, are the
soft palate, uvula, opening Of the cavity Of
the mouth, base Of the tongue, tonsils on
each side, epiglotts, and opening Of the
larynx. The lowest portion Is contracted,
and opens into the 1sophagus, or passage
leading to the stomach.
These parts are all lined by one continuous
mucous membrane, filed with f0llicles, or
little glands, which, In their healthy con-
dition, secrete n bland, lubricating mucous,
which keeps the surrounding structure soft
and moist consequently, disease COM
mencing in any one part, rapidly communi-
Gates itself to others. ste
The mucous folicles are liable 10 inaana-
ton aud suspension Of their secretion, india
ration, deposition of terbucular matter in
the fOllicles themselves, and enlargement |;
the last being that form Of disease called
Granular Sore Throat" which may be
either acute or chronic, the latter being gem
orally the result Of frequently repeated at
tacks Of the former.
The uvula, soft palates, and tonsils, are Ii
able tOinflamation, liberation and chronic
engagements also, but these will be con-
sidered more fully in O subsequent letter.
The varieties of Sore Throat which ] shall
notice in this letter are, first common second,
tho liberated; third, the gdngrenOus, or
malignant; and fourth, the pseudo-membra-
the present, and for the subject of a sue
ceeding chapter IA uJ 8Eaal
COMMON OR SIMPLE SORE THROAT fire.
quently occurs from exposure to cold, and
is marked by difficulty in swallowing, ac-
companied by pain, and heat dryness If the
throat be now examined il win DO found
very much cOngested, swollen, and of q
bright red color, and [if the disease has pro-
gressed for a few days. partially covered by
small white patches of altered mucus or
coagulated lymph, poured out by the in
hoarse from the extension of the disease to
the mucous membrane of the vocal organs,
and 1t may also affect the bronchial tubes
and lungs, producing cough and hurried
breathing on any slight exertion. After
while the secretion becomes more plentiful
and viscid, which requires frequent efforts
to clear the throat, and, when discharged, it
is sometimes mixed with blood. The chron-
ic form of this disease, OF Granular Sore
Throat, as it is generally presented to the
physician, is the result of improper treat
ment, or allowing this affection to cure IT.
self
1t is called granular, because little points
or granulations, are seen scattered over the
surface of the mucous membrane. These
little elevations are caused by the enlarge
ment of the mucous follicles. Most persons
are liable TO frequent slight attacks of sim
pie sore throat from taking cold. These oc-
cur, perhaps, two or three times year. but
appear to pass off without injury to health
After time, however, the patient becomes
conscious of a vexatious Utilization, produ-
cling desire to clear the throat several
times in the course of each day. He may
not notice this himself, but it is, neverthe-
less, observed by his friends, Some months
and to be attended with an occa-
sional desire to swallow-the patient, to use
his own phrase, feeling something sticking
in his throat On looking into the throat,
under these circumstances, the granulations
before mentioned will be found studding the
and causing it to appear rough
and uneven. Sometimes they exist in ir-
patches, but most commonly
as regular in shape, and each one is distinct.
When allowed to progress, the mucns folli-
cles within the larynx soon become affected,
and then we have added to the other symp-
toms q huskiness of the voice in speaking or
reading aloud, with frequent efforts to clear
the wihdpipe, by which q thick, sticky,
mucus is forced up, with con-
siderable difficulty
In no case should this disease be neglected,
Tor tits exceedingly prone to proceed down.
ward slowly, but surely, to the trachea, bron-
chal tubes and lungs until the patient finds,
10 his sorrow, that it is but step from the
common chronic affection Of the throat to
confirmed disease of the lungs.
TREATMENT,--In the common variety of
ssa EhToat ittla eabisa tFeatgRaRe eins u To 20
Keep the bowels free, discriminating diet.
md frequently repeated soothing and astrin. |
rent Limitations and gargles
In the treatment of the chronic form of |
Granular Sore Throat, the same course |
hotld be pursued as that prescribed for
hronic Catarrh. Granular Sore Throat is |
urely local affection, and can only be |
ured by local treatment l use the Catarrh
yringe and gargles frequently; and when
he larynx is affected, the inhaling instru-
lent and warm astringent inhalations
forming and evening. These means can all
Q used by the patient at his house. when il
J inconyenient for him to visit the office.
Some years ago it became fashionable to
reat this affection by applying to the dis
1sed parts strong solution of nitrate of
liver, or lunar caustic, with probang or
,0nge These applications occasion great
ittering to the patient, and burn and dis
rganize the mucous membrane, without
the tenth part of the good at
lined by milder means. When the larynx
rs become affected, it is both cruel and dan
srous to force into the delicate organ of
le voice, designed by nature for the recep-
on of air, strong, irritating, fluid causties :
llly one-half of the cOnsumptive patients
hose cases have come under my care had
zen previously treated for disease of the
roat by these nitrate of silver applications, ]
I'd, as they assure us, without any perma-
mt benefit Indeed, many of them do not
sitate to attribute the disease of their
ngs to this practice of burning their i
roats. +
There is one rule which experience has a
ught me to observe In the treatment of in 2
med mucous membranes, and that is a
yer to apply any remedy SO strong as to b
oduce irritation. ALI washes should soothe, I
d be followed by sense of comfort Il
ght smarting attends the use of all as a
ngents, but decided pain is q sure sign
1t the wash is too strong, and ought to be
luced. A strong eye-wash increases the
it is meant to cure; and so n
o do strong caustics, applied to the throat, re
troy the integrity of the mucous mem .
me, and aggravate the local disease. The
re cases thus ignorantly tortured, the :.
ater will be the annual mortality from II
sumption.
ly next letter win treat of Bronchitis.
rsro Your obedient servant, Y
JAMES HUNTER, NJ d,
No 2I7 Second street eu