Diseases of the larynx / by Dr. J. Gottstein ... trans. and added to by P. M'Bride.

  • Jacob Gottstein
Date:
[1883]
Catalogue details

Licence: Public Domain Mark

Credit: Diseases of the larynx / by Dr. J. Gottstein ... trans. and added to by P. M'Bride. Source: Wellcome Collection.

Provider: This material has been provided by the Harvey Cushing/John Hay Whitney Medical Library at Yale University, through the Medical Heritage Library. The original may be consulted at the Harvey Cushing/John Hay Whitney Medical Library at Yale University.

    239/290 (page 227)
    When the treatment has to be carried out by the patient, we must resort to inhalations, but it is better for the physician to apply the carbolic glycerine, or both methods may be combined. Carbolic acid acts as an anodyne, and we can thoroughly recommend its employment. Creasote acts in the same way, and should be thus prescribed :--- Creasote 5 ) I Minima 5. Spirit. Vin. Kect. 20 or approx. - 5iii. Glycerin. 30 I | ad x This may be applied by means of a brush each day, after the larynx has been cleansed by the inhalation of a 1 per cent, solution of common salt. Balsam of Peru is also used by Schmidt in the form of inhalations, as in carbolic acid. From 10-20 drops of a mixture containing two parts of balsam to one of rectified spirit are added to half a litre of camomile infusion and inhaled. The use of boracic acid is much lauded by Schech and Schaffer. After the ulcers have been cleansed by means of a 1 per cent, solution of salt, or a 4 per cent, solution of chlorate of potassium, from *2-5 [of a gramme, which equals 15*43 grains] is insufflated. Iodoform has not fulfilled the expectations which it raised. Schadewaldt half fills a retort with water and adds a teaspoonful of iodoform. The retort has a perforated cork, through which passes a glass tube bent at right angles. The iodoform, as soon as the water boils, is mingled with the steam, and thus inhaled ; the dose can be regulated by the size of the flame, the quantity of iodoform, and the duration of inhalation. Kiissner recommends its inhalation as a spray in the following manner: Of a 10 per cent, alcoholic solution, 10 cubic centi- metres are poured into the glass connected with the inhaler (spray producer), which has a capacity of about .SO cubic centimetres* this is then rilled up with water, and the resulting mixture inhaled. It is, however, simpler to insufflate iodoform pure (*2-#3 of a gramme), jr triturated with ether (*5—*6 of a gramme). Iodoform—quite putting aside the fact that it deprives some patients of appetite has nothing to recommend it before other antiseptics. Corrosive sublimate in the proportion of 1 to 1000 of water is with- out any action. Carbolic acid and creasote may also be inhaled, as described on page 36. In cases in which painful deglutition is very marked, and not relieved by the use of carbolic acid, recourse must be had to narcotics. Morphia may l»e used Bubcutaneously in the oervical region, or it i» insufflated in doses of from I to | of a grain (or more) mixed with starch. The follow- ing mixture may be employed :—