Vol. 60, 1909 - University of North Carolina at Chapel Hill

XXX THE CHARLOTTE MEDICAL JOURNAL
tor of the degree of toxemia from which dy. During the period of time I have a
the patien t suffers. ludicaiiuria is the large number of cases on record which 1
term used to denote the presence, in the could detail would space permit, but I must
urine, of indoxylpotassium sulphate, a desist and limit myself to a few which 1
decomposition product of indol, a substance will offer to show why I confiiie mself to
generated in the intestine as a result of the this single remedy and leave it lo the reader
action of putrefactive bacteria upon proteid to determine the value of my judgment,
or albuminous material. It is of distinct Mr. G. C. A., age 37, traveling salesdiagnostic
value as an index of the extent man, consulted me in reference to his "caof
intestinal putrefaction and of the degree tarrh," which hadgivenhim much discomof
the constitutional absorption of toxic fort for some time. Complained of frequent
material thus generated. When any ap- attacks of headache, occasional sore throat
preciable percentage of indican is detected and incidentally mentioned the fact that his
in the urine it is always wise to cut down sense of smell was failing him. 1 examthe
proteid elements of the diet, (meat, ined his nose carefully and found him in
eggs, etc.). In addition to dietetic restric- the first stage of beginning atrophic rhintions,
a liquid combination exercising itis. The tissues looked dry and drawn,
cholagogue, antiseptic and digestive pro- there were some crusts which were very adpertiee,
such as Chologestin, ib extremely herent and had some odor. When deuseful.
This preparation, by virtue of its tached, which was with difficultv, the mucontained
sodium salt of the natural bile cous membrane showed a tendency to
acid, (sodium glycocholate J is a true bleed. I spent some time in rendering the
physiologic cholagogue, which materially affected parts perfectly clean, using a soluincreases
the formation and secretion of tion of Glyco-Thymoline and water equal
the biliary fluid. The natural sodium parts, warmed to proper temperature. He
salicylate (from oil of wintergreen) sup- was further instructed in the use of the K.
plements the cholagogic activity of the bile & O. Nasal Douche which he continued to
salt and also serves to liquefy the bile, use daily. 1 gave him general instructions
At the same time, it acts as an intestinal as to his habits, diet, way of living, and he
antiseptic. The pancreatin (which, in left me. Saw him several months later
Chologestin, is deprived of its inert, while passing through the city and he came
mucinous material) aids in the digestion of up to the office and I looked him over
the albuminous foods and the sodium again. Tc my great surprise the atrophy
bicarbonate adds the necessary alkalinity had been unmistakably arrested in its proto
the combination, with the physiologic gress, his throat was normal, he not being
stimulation of the heptic cells and the con- obliged to hawk so incessantly any more
sequent increased activity of the liver, the and his sense of smell had returned comexisting
intestinal putref acting is overcome pletely. Here is a case which was entirely
and the absorption of toxic products pre- restored by the conscientious and diligent
vented. The manufacturers of Chologestin use of Glyco-Thymoline,
( F. II. Strong Company, 58 Warren St., Fred. H. K., aged 26, vocalist, came to
New York) will be pleased to send formula mecomplainingof his throat which troubled
samples and literature to any physicians him considerably in his work. Stated that
requesting same, together with a handsome he had received treatment from three or
Indian Color Scale, with approved tests and four physicians without receiving any beneinterpretation.
The test for Indican is fit. Said previous treatment consisted in
simple and readily applied. cauterizing the tonsils: throat no better for
all this. Upon examination found nose
The Test ol Time.
normal and pharynx in fair condition, and
In Glyco-Thymoline I have found a pre in the face of all I had learned from preparation
upon which the body medical has vious treatment was puzzled for a few moplaced
the seal of approval and one calcu- ments. Completing my examination with
lated to meet the requirements of the medi- the small mirror passed up behind the soft
cal practician's varied needs. The pre- palate, I noticed a deep ulcer high up in
paration is too well known by reason of its the naso-pharnyx. completely hidden from
world wide (T use this term advisedly) use, view by the velum palati. Everything at
to necessitate or warrant a description or once became clear to me. Time and again
analysis here, nor do I propose to speak for I succeeded in getting results when others
others beside m\'self. It is, however, a failed because I took the trouble to inspect
pleasure to state that for the past eight years the naso-pharynx. a cavity very much neg-
I have used this preparation to the exclu- lected. There was only one thing to do
sion of all others in my work at Ihe clinic and one way to do it. Glyco-Thymoline
and in private practice whenever 1 wanted was ordered to be used with equal parts of
a mild cleansing antiseptic detergent reme- warm water as a douche for the nose. Pa-