Volume 1

A manual of medical treatment or clinical therapeutics / by I. Burney Yeo.

  • Yeo, I. Burney (Isaac Burney), 1835-1914.
Date:
1901
Catalogue details

Licence: Attribution-NonCommercial 4.0 International (CC BY-NC 4.0)

Credit: A manual of medical treatment or clinical therapeutics / by I. Burney Yeo. Source: Wellcome Collection.

Provider: This material has been provided by Royal College of Physicians, London. The original may be consulted at Royal College of Physicians, London.

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    [Part I. 1. Simple catarrhal stomatitis, or catarrh of the mouth.—The principal symptoms of this affection are redness, tenderness, and swelling of'the mucous membrane of the cheeks, gums, and tongue. The tongue is also covered with a thick fur, and shows the indentations of the teeth. The secretions of the mouth are increased, and its cavity is covered with thick yellow mucus. The sense of taste is blunted and perverted so that the patient complains especially of a “ bad” taste, or a slimy, clammy, sometimes bitter taste, and a “ foul ” smell. In the form which accompanies dentition in infancy there is often much constitutional distress, and convulsions are sometimes induced. The usual causes of thi8 condition are dentition in infancy, cutting the wisdom teeth in adults, the presence of carious or badly arranged artificial teeth, the abuse of tobacco, of too highly-seasoned food and too hot beverages, and insufficient cleansing of the teeth and mouth. It is frequently associated with the febrile state, and often accompanies gastric catarrh and habitual constipation. It may also be propagated from ad- jacent inflamed organs, as in facial erysipelas and in- flammation of the throat. It is occasionally referrible to obscure nervous states. The indications for treatment are first, the removal, when possible, of any of the causes enumer- ated above that may be found to exist; the sharp irri- tating edges of carious teeth must be removed, the smoking of strong cigars forbidden, and errors in food and drink corrected.’ Constipation must be relieved, and a saline aperient is almost always desirable. Co- existent gastric catarrh may require the administration of bismuth and alkalies. Secondly, emollient cleansing and antiseptic washes ai-e needed to remove the foui secretions, and to keep the oral cavity clean, and to soothe the irritation. At first lotions of tepid gum- water or barley water, with 5 or 6 grains of bicarbonate of soda to the ounce should be used. The carbonates
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