Wheeling register. [volume] (Wheeling, W. Va.) 1878-1935, 1896-02-07

in the urine or if the unusual nervous
symptoms should develop or, If
PFRSISTING NAUSEA
should be present, or if any symptom
which was evidence of a personal idios-
yncrasy against the remedy should
show itself.
With these infections inject daily
or in some cases every other day; the
treatment depending on the severity
Of the disease and the response OF the
patient to the remedy give inhala-
tons delivered from Sass spray tube
and a globe inhaler. These lnhala-
lions are of very great importance.
The most efficient Of the sprays nave
found in ten per cent. solution OF
iodOform in either.
lOdoform. SO. $3.50. '''lV p"I 20
Ether. ... 80 parts.
This is given once or twice daily
through a Sass tube having laryngeal
delivery. The spray is best given IN
der a pressure of one atmosphere. ms
of course necessitates the use OF an alr
pump and q receiver, which can be puT-
chased from almost any reputable sur
eical instrument maker. The spray
should be introduced in such manner
chat the tip nearly touches the poste-
ricr pharyngeal wall, when the spray
Will be delivered into the larynX care
should be taken not to deliver the spray
too forcibly. The patient should IN
hale and exnale deeply during the de-
livery Of the spray in order to draw The
spIay as far into the affected region as
possible
The object of the spray is to assist in
clearing the larynX and a bronchl OF
infective maternal contained in their
secretOns.
IN SOME CASES.
it will be found almost impossible at
first to give the spray in a satisfactory
manner.A spasmodlc cough will follow
the first inhalafion. Experience OF this
kind led me 10 us = solution CT Phenoi
in water containing some glycerine TO
assist Mobilization. Expressed in form
Of prescription this would be as fol-
lows:
Acid caTbolic NEUTRALITY-SUSPICIOUS.. 8
Glycenine ............ ...........'.
sig: Use in Globe inhaler.
After a few limitations Of this the air
passages as a rule lose their irritability
and the iodoform and ether can be
readily used.
A few patients will be found how
ever. to whom the odor Of ether is in
toldrable. To this I give an inhalation
Of olive oil containing 10 per cent Of
iodoform in solution. This solution ca1
be readily made by any Pharmacist
Todororm is net very soluble in alboline
or this would afford perhaps a better
mensuuum for the purpose than does
olive oil. The vaporization of the icdo-
formized oil is best effected by means
of the Globe inhaler. Lacking this.
the Mcbride inhaler may be used or 1t
may even he given effectually with one
of the nebullzers such as are found in
the pharmacies. I consider the oil and
iodoform an efficient substitute for the
iodoform and ether solution. ] have
seen no III effects from the cold vapor
produced by the ether solution in any
c5se 7 have had under treatment and
my experience has led me to consider
il the
BEST OF ALL INFALATTONS
for phthisis when it can be used.
have obtained good results in the
treatment of atelectasis by means of
compressed air, which is delivered
through q Globe inhaler at a pressure
&C 10 pounds on the inch.
The method Of procedure is as fol-
lows: The inhaler teing connected With
its atcmfzing attachment, the openings
into the afferent end are closed so as to
permit the interior of the Globe to hold
the pressure when the patients lips
close over the mOuthUece. The cir
being turned on. the patient is directed
to inhale deeply. The deep inhaHrion,
aided by the ''vis-a-tergo," OF the com
pressed air. forcibly distends the lungs,
opening up dfsused portions into Which
the vapoTized spray is carried. After
practicing This procedure the first few
times the amount of expectoration is
frequently increased to very great
degree and breathing is much easier
and freer. The pneumatic cabinet
would doubtless afford a more efficient
means of effecHng this than the one
just described. but few physicians can
afford to purchase so expensive an ap-
paratus.
A number of patients present them
selves who seem to have forgotten how
to breathe properly They expand the
lungs so feebly That the distal parts
seem to have consolidated simply from
want of use. A little earnest advice
cn the use of
LUNG GYMNASTICS"
at home, together with the forcible in
halation through The Globe inhaler ac-
complishes much.
My experience with pilocerpin-phe-
nol-hydroxide in the treatment OF ma
lama leads me to consider it a specific
Of even greater efficiency than quinine.
have personally treated thirty-e ght
cases of this disease. In the majority
of these cases the method administra-
ton was as follows:
On the first day of treatment 200
minims were injected as an initial dose.
This was delivered into the abdominal
parieties in two injections of 100 min
inns each ON either side of the median
line, the point of the needle being di-
rected away from it. On the second
day and each day following until and
including the seventh day of treat
ment. 100 minims were given Gniected
into the abdominal paTeties in different
places, first on che side of the median
line and then on the other. Then in
every alternate day for three alternate
days 100 minims were given in Ike
manner.
On the twenty-frst day dose of 100
minims was administered and finally
the treatment was concluded with an