A handbook of local therapeutics / edited by Harrison Allen.

Date:
1893
Catalogue details

Licence: Public Domain Mark

Credit: A handbook of local therapeutics / edited by Harrison Allen. Source: Wellcome Collection.

    276/554 (page 264)
    gen. de Clin, et de Therapeut., January, 1889) by a solution of corrosive sublimate 1-200 ; boric acid, 1-35 ; sodium bicarbonate, 1-200. Maas'Mixture is as follows: Corrosive sublimate, 5 parts; sodium chlo ride, 500 parts; glycerin, 200 parts. In the treatment of nasal affections corrosive sublimate is not in sucl^| general use as in that for diseases of the ear. One of its most important^ applications is for the Destruction of Maggots in the nasal chamber and adjacent sinuses. In proportions sufficient to be of use as a germ- icide it is also irritating. Nevertheless, W. C. Jarvis speaks highly of it in the treatment of Chronic Catarrh. Gottstein, in the treatment of Oz^NA, inserts a nasal tampon wet with a weak solution. Gomez de la Mata employs a solution of 1-6000 in the same affection. 1-4000 has proved in the hands of the writer to be unmanageable. Its use should be always followed by a soothing wash. Bouchut recommends the following snuff in Atrophic Rhinitis : Hydrarg. bichl. and oxide of mercury each one part ; sugar twenty parts. Bichloride of mercury is one of the most powerful deodorizers of se- cretions of the mouth that is known. It is recommended by W. D. Miller ( Micro-organisms of the Human Mouth, p. 234) to be used as a mouth wash for Dental Caries and Fetor in the proportion of 1-2000. The objection urged against this, that a risk of toxic impres- sion is incurred by the solution being swallowed, is not valid. The taste of the bichloride is conveniently disguised by rose water. Under any circumstances great care should be exercised in prescribing it, nor should it be used for a long time. Croupous Diseases generally can be treated by the same means. IN J. Bryson Delavan recommends a solution of 1-2000 in local appli- cation to tonsil crypts which are known to be affected with Leptothrix Buccalis. Phlegmonous Tonsillitis is asserted to be of bacterial origin and is appropriately treated with a spray of hydrarg. bichlor. i-iooo; local application is made with a brush to the affected surfaces. A spray of 1-5000 can be used in ordinary Pharyngitis, recommended by J. J. E. Maher (^Med. Rec, November, 1890), and as a gargle by many writers. Syphilitic Pharyngitis has long been treated by this agent. Charles Bell's gargle Institutes of Surgery, 1837) Dunglison's Am. Med. Lib., 1840, 352) is as follows: R. Hydrarg. oxymurat. (bichlor.), four grains; spirit, rectif., two drachms; decoct, cinchon., six ounces; mel. ros8e, tinct. myrrhae, aa two ounces. A spray of bichloride of mercury i-iooo is recommended by S. Johnston. This is greatly in excess of what would be prudent for the average case of Syphilis of the Pharynx. The local use of bichloride of mercury in the treatment of Diphtheria is one which of late years has been crowned with success at the hands