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.

    49/554 (page 37)
    LARis can be effected by the persistent use of this agent. It is also known that Alveolar Abscess can be successfully treated if the pure acid can be forced through the root in the sac of the old abscess and allowed to escape by the fistulous tract. Thorner {Trans. Ohio State Med. Soc, 1889), for Tonsillitis, paints the parts with a preparation of carbolic acid, tannic acid, each 30 grains to the ounce, combined with a small proportion of mor- phine. The haemostatic properties of carbolic acid have received little attention. As a coagulant of albumin, and astringent it doubtless will have value in concentrated preparations. A. Jamison (^Brit. Med. Jour., April 21, 1888) found a preparation of one-half drachm of the acid to an ounce of glycerin checks slight Bleeding from the Pharynx. A solution of carbolic acid, one to forty, will often be found a very pleasant mouth-wash in Cancerous Disease of the Tongue, and other foul conditions involving the buccal cavity. A mixture of carbolic acid and collodion is useful in Toothache due to an exposed and inflamed pulp. A jelly is made by melting some crystalline carbolic acid in a test tube, then adding an equal part of collodion. A portion of this preparation on cotton is inserted into the cavity of the painful tooth, with sometimes aggravation of the pain, but in a few seconds it begins to diminish and then soon ceases (Ringer). In Chronic Laryngitis accompanied with diminished secretion carbolic acid is one of the best topical remedies \ a mixture of one-half to a drachm of the crystals to an ounce of glycerin is prepared and the remedy applied directly by a brush or cotton pledget to the interior of the larynx. Usually, however, the acid is used by inhalation to any point below the level of the pharynx. Twenty drops to forty in a pint of water with a small amount of glycerin is inhaled at 140° F. for correction of Fetor and as a soothing preparation in Syphilitic Ulcerations and Carcinoma. But twenty-five to thirty grains to the ounce have been recommended (one-fourth to one-half) by Moritz. {St. Petersburg Med. Wochen., 1876, 39.) As we have seen, the vapor from stronger preparations of the acid may be drawn within the respiratory passages in many of its inflammatory states. As an inhalant in Whooping-cough Sajous recommends the formula: B,—Acidi carbolici, ni^ij; Alcoholis, Succ. conii, aa n^^xx; Aquae, Oss, at 140° F. Lozenges and pastilles of carbolic acid contain a fourth of a grain to a grain of the drug. An application of carbolic acid of a 30-per-cent strength, employed by a practitioner who desired to remove by its means an exudation upon the tonsil, which was in a state of follicular inflammation, immediately caused a light opalescent color to appear on the parts; the uvula became irregularly spotted with patches of a dense white hue and the velum