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.

    54/554 (page 42)
    Jl 42 LOCAL THERAPEUTICS. In the treatment of Enlarged Tonsils B. Fraenkel thrusts fine needle points into the crypts. Woakes {Lancet, 1890) uses a saturated solution for injection into Ranula. A cure is- rapidly accomplished. Chromic acid is also of good repute in the treatment of Chronic Laryngitis. Sajous believes it to be especially indicated when the affected parts are covered with arborescent vessels. The network of vessels is destroyed without causing cicatrices or plastic inflammation of the deeper tissues. W. C. Jarvis {Tram. Laryngology, 1884) especially recommends this agent for the treatment of Laryngeal Papillomata. The remedy has distinct limitations. Solutions have also been used as lotions for the nasal passages in Hay- Fever. One part to twelve may be applied to granulating surfaces. H. McNaughton Jones mentions a lotion of ten to twenty grains to the ounce for a stimulating wash to the naso-pharynx. A lotion of ten grains to the ounce has been proposed by R. A. Sterling {Australian Med. Journal, April, 1885) for Syphilitic Ulcers of the throat and nose. Moullin recommends for Chronic Superficial Glossitis, chromic acid, gr. xx-fgj, painted over the tongue once or twice a week: this will be found a satisfactory means of dealing with the condition. In Syphilitic Laryngitis the acid may be used with advantage, according to Escam- bert, in the proportion of one part of the acid to eight of water. Diseases of the Eye.—Chromic acid may be used to remove Warts on the Eyelids or as an application to small Epithelial Ulcers. It is applied by means of a splinter of wood or a glass rod, or a small pledget of absorbent cotton on the end of a fine probe. ACIDUM CITRICUM. Citric Acid. Colorless, right rhombic prisms, not deliquescent except in moist air, efflorescent in f warm air, odorless, having an agreeable, purely acid taste, and an acid reaction. (U. S. P.) It is soluble in three-fourths of its weight of cold and half of its weight of boiling water; in its weight of alcohol and half its weight of boiling alcohol; insoluble in. pure ether, and in chloroform, benzol, and benzin. It is apt to be adulterated or sub- stituted by tartaric acid. This fraud is easily detected by the addition of a solution of potash to a solution of the suspected acid, when if tartaric acid is present, bitartrate of potassium will be precipitated. Diseases of the Skin.—Citric acid, as well as juice of the lemon, or lime, have been employed in the local treatment of several different skin affections. The pain accompanying some forms of Epithelioma is said to be assuaged by lotions containing five or six grains of citric acid to the ounce of water. Lemon or lime juice, pure or diluted, has been employed to loosen the fatty plugs in Comedo, to hasten the cure in Tinea Kerion, to allay