The Scranton tribune. [volume] (Scranton, Pa.) 1891-1910, 1901-09-14

chamber which could he quickly and permanent
ly relieved by operative interference
| will here say but few words in regard 20
the prominent symptom ozaena, which has given
rise to the popular belief that this form Of nasal
Cltdnh which We have under consideration is far
more frequent than it really is. In fact, the
older writer's describe disease which they
called "o2lcna," and which they recognized and
diaGnoSticatod hv the peculiar and extremely
dislgreeablc foctid breath. which odor however.
was and is unperceivcd by the patient. Ozaena,
like dropsy is but one of the symptoms Of vari-
Gus and often extensive pathological changes ot
the system, and NAV be present in a variety OF
different nasal diseases. and therefore j. bv no
means an infdllihlc and cvcr.prcsent dagno'tic
sign Of atrophc rhutiS, although even to this
day both oza"na and dropSv are considered TO he
distinct and individual diseases by the laty and,
! am almost ashamed to ,,N, by not a few OF
the members Of the medical profession.
| now will add a few remarks as to my expert
cncc in regard TO the treatment, As matter oi
course, | at first was imbucd with tine generally
accepted cathcdra statement in all the text.
books and the current literature Of the early days
Of rhinology that dry Catarrh. as it was and is
called, could not be cured and the prominent
symptom. o2acna could only be held in check
in its obtrusvcncss upon the sense OF smell OF
others than the patient by the liberal use OF
carbolic acid washes and other so.Cdllcd antSep.
disagrecahc odor, simply masked for the time
being the ioctid breath Of the patient without
in the least removing its cause. | need hardly
mention that | faithfully tried every new rem
cdy which in the course OF time was recommend
ed in medical literature, and carefully observed
the effects upon the condition Of the patient, but
in spite of my carefully and faithfully carrying
ont Of the various methods of treatment, none
Of them seemed to have any advantage one over
the other And | may add here, in parcnthcSls,
that | found that the lower class OF dispens1ry
patients. Of whatever nationality, were by far the
best subjects in carrying such comparative in
vestigationS, because they, not being accustomed
to think and imagine for themselves, have far
greater respect tor the wisdom OF the chief OF
the di,pcnsiry and will carry out implicitly and
carefully the directions he may give them, while
private patients and the better class Of people,
who really should not he treated "a paupcrs in
| the diSpcnsarics Of our great cities far too
| often think they know better than the physician,
and not only do not carry out his directions,
| hut also annoyingy prcvaricate and color their
| statements 80 that but scdnt reliance can I've
placed on what they say.
After "A number OF years of such frutlcss cX.
pcriIncn,ation came to the conclusion, rather
| was forced to It. that the proper and etIecti,e
| treatment for atrophic rhinitis consisted first
| in the removal Of the dried sccretions Of the
| mucous membrane in the nose, not hv torcihe
| removal with instruments or a stream of a liquid
| or antscptc solution under high pressure as
| from the nasal douche the post Nasal syringe,
| but by the gradual solution and loosening Of
| them by a solvent in liquid form, to which
| should be added some Of the ethereal antiseptiSs,
| such as thymol mcnthol, eucslyptol, etc, 10
| overcome, il even only temporarily, the objeC
| tionahle, and to the operator often sckcnng,
| odor Of ozacna; secondly after the scabS have
| there been removed IN the TO. establishment IN
| VI nj
the normal capacity and connRmaton Of the
| anterior nasal breathing channels, at the same
| time supplying the necessary moisture to be ah
sorhcd by the inspired air as in the normal con
| diton thirdly, in producing regeneration nj
| the atrophicd turbinatc tissues by some kind o
| stimulation to the mucous membrane which
| would in time rc-cStablish the normal function,
Of the nose and even permanently remove tn,
almost invariably present ozacna.
| Along these lines of logical reasoning succeed
cd in accomplishing the first proposition
| ly, the gradual removal of the scahs and will
| them the olaena, by means Of the solution which
| is known as my antscptc nasal wash, the for
mula ior which ! first published in a paper 81
| "1'he Surgical Treatment Of IIypcltrOphic Rhi
| nitis," read before the New York Academy o
Medicine, and which later. for the sake Of con
ycnicncc, as well as for the purpose Of nsur
ing greater accuracy in its use, ] TRANSFORMED
into what are now universally known as tn
"Scilcr antiseptic pastlleS," which solution full,
met my expectations in its action, made by IN
formula | gave or from the pdStilles. whieh
am glad 10 say, arc now for the first time II
all these wears put upon the market made strict
ly according TO the formula which | devised
Heretofore they have been made by innumerabl
manufacturing chemists and put upon the MAI
ket without authority and from formulas oi thri
own, These latter preparations, although the
may have been of service in some cases, arr M
the ideal preparation which | had in mind an
which after many tedious but always sCientiHC
ally and not cmpiroallv worked out conhins
tions succeeded in deyising, The details q
these experiments | gave 10 the students If IN
fourth-year class of the medical department q
the University Of Pennsylvania in clinical lc,
. ture some years ago.
After accomplishing the removal Of hot
. scabs and ozaena, il was a comparatively cds
task to devise a simple means of accomplishin
the two other propositions, although even tha
. required some experimentation and close ol
senaton. With the hints however, from Brc
. gen, Of Frankfur who advocated chemical stim,
: lstion OF the nasal mucous membrane hy NEAR
ot nitrate Of silver triturate diluted with stare
e or, as | use it now with better effect with stei
$ rate Of zinc, and from Gottstein, Of BerliI
n who, | believe, was the first to suggest the co
| ton nasal nlup for the same burmese | foun