Diseases of the larynx / by J. Gottstein ; translated and added to by P. McBride.

  • Gottstein, J.
Date:
[1885]
Catalogue details

Licence: Public Domain Mark

Credit: Diseases of the larynx / by J. Gottstein ; translated and added to by P. McBride. Source: Wellcome Collection.

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    instead of compressed air, is used as a propelling force, is most serviceable; only wheu the spray is to be used cold (astringents and haemostatics) are instruments with a double air-ball to be preferred. These inhalations should be repeated from one to four times daily and still oftener in diph- theria, and should last from two to twenty-five minutes. The most useful remedies are applied in the following proportions :— * Acid tannic 1-2, Glycerin. 10; of this 10-20 drops. Alum -3-2 (gr. IJ-gr. X). Argent, nitrat. -02-1 (gr. -^-^-gr. 5). Liq. Ferr. perchlor. -3-3 (min. l|-min. 15). Zinc. Chlorid. 3 (gr. U). Acid, carbol. -5-1 (gr. 2|-gr. 5). Aq. creasot. 1-10 (min. 5-min. 50). 01. terebinth. -5-2 (min. 2^-10). Acid, lactic. 3 (min. 15). Hydrarg. perchlor. •02--3 (gr. xV!^)- Potass, chlorat. 1-2 (gr. 5-10). Sod. Chlorid. 1-2 (gT. 5-10). Sod. carb. •2-1-5 (gr. 1-8). Lime water (Aqua calcis) is used either pure or in the proportion of 1-8. Narcotics are commonly used only as additions to other remedies and in the following proportions :— Aq. lauroceras. '3-3 (min, 1-1—15). Extract, opii -Ol-'Oö (gr. ^V-j)- Morph, muriat. -l-'ö to ten parts of glycerine; ! *o grammes to 100 grammes of water (3i). of water of this 20 to 30 drops. Tinct. opii -05-1 (min. i-5). Extract, belladon. -Ol-'OS (gr. ^J). Of these solutions five, ten, and even forty grammes are used at each sitting. There is no doubt that the spray reaches the respiratory tract, and especially the larynx, but it is equally certain that only a small fraction of the inhaled fluid actually enters, so that it is impossible even to attempt the application of definite doses. This is all the more the case because the proportion between vapour and medicated fluid not only varies in different apparatus but also depends upon the force of the steam, the distance of the spray, and the depth of the inspirations. It * Here again, we have given the approximate reduction of the doses recommended to gi'ains, minims, drachras and ounces. On comparing them witli the prescriptions found in tlie Phamiaoopoeia of the London Throat Hospital and with Dr Bosworth's work on the Throat and Nose, it will he seen that the solutions recommended by Dr Gottstein are in some instances much weaker than those recommended in the works referred to. It may also be noted that Bosworth prefers the spray in the treatment of laryngeal disease to other methods (Translator).
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