Diseases of the nose and its accessory cavities.

  • Watson, W. Spencer (William Spencer), 1836-1906.
Date:
1875
Catalogue details

Licence: Public Domain Mark

Credit: Diseases of the nose and its accessory cavities. Source: Wellcome Collection.

Provider: This material has been provided by the Augustus C. Long Health Sciences Library at Columbia University and Columbia University Libraries/Information Services, through the Medical Heritage Library. The original may be consulted at the the Augustus C. Long Health Sciences Library at Columbia University and Columbia University.

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    has been found to succeed after the failure of the other remedies. Locally, caustics are only to be applied to the scaly edges, and only in the form of solutions. A solution of nitrate of silver (gr. X. to £ 3 i.) applied by means of a camel's-hair brush is very useful. Mr. Erasmus Wilson applies a solution of cantharides in acetic acid, and the compound tincture of iodine. In the ulcerative forms the solid nitrate of silver or chloride of zinc in the form of paste, or moulded into a stick with sulphate of lime, wi]l be necessary for the purpose of destroying the lupous tissue. The caustic most in favour with Hebra and Kaposi is that known as Cosme's ]pctste. The formula for it is R. arsenici albi grana decem, cinnabaris factitive drachmam semis, unguent rosati unciam semis. The paste is spread on linen to the thickness of the back of a knife. Strips, a finger's breadth in width, are cut off from this and applied to the part, charpie or wadding being placed over them. The dressing is left on for twenty-four hours, and is then renewed with fresh paste on the same plan as before. At the end of the second day the paste is again applied for the third time, as before, and is removed at the end of the third day. The great advantage which attends the use of this paste consists in the fact that the healthy skin is not in the least affected by it, not even excoriated, whilst each indi- vidual lupus nodule is invariably and thoroughly destroyed. After three to five days the eschars formed by its use are thrown off by suppuration. ( N'ew Sydenham Society's Trans- lation of Hebra's and Kaposi's ' Diseases of the Skin,' vol. iv, pp. 101, 102). Pencils of chloride of zinc are very inconvenient, if used without admixture, on account of their deliquescence and brittleness. The sticks formed after the plan suggested by Kobner and Bruno are to be preferred. They are made by fusing together one part of chloride of zinc; a half, a fifth, or a tenth part of nitrate of potash; a haK or a tenth part of chloride of potassium, and moulding into sticks one-and-a-half to two inches long. They should be then svrapped in tin foil and kept