lMil.] Diphtheria. 793on the part to be reached—answers all ordinary purposes,and s the advantage of being easily obtained at theapothecaries, and is of slight cost.For correcting the foetor of the secretions, the chlorideaoda, in the proportion of one drachm to six ounces ofwater, may he used with much benefit Dr. Banking suggestson the su<strong>pp</strong>osition of the presence of some vegetableparasite, the use of sulphurous acid and hyposulphate ofsoda, in the form of a saturated solution.*u The power ofthe latter," he adds, "in destroying the fungoid growth offavus, as well as the oidium which infests the vine, I havemyself experienced, and I strongly recommend it providedthe vegetable origin of diptheria be confirmed by furtherobservations."Much relief is often afforded by inhalation, especially afterthe second or third day of the attack. An excellentmeans of fumigation is to pour boiling water upon catnip,or the leaves of any similar plant, with the addition of alittle vinegar, and to allow the patient to inhale the fumes,either by inclosing the head under a blanket, or by a<strong>pp</strong>lyingthe mouth to a tube connected with a close vessel containingthe materials from which the vapor is generated.The immediate effect of fumigation is extremely grateful tothe patient. Dr. Ghirdon Buck advises the addition of Labarraque'ssolution of the chloride of soda, in successiveportions of a teaspoonful each, to the liquid used for fumigation.Mr. ('. T. Ilodson recommends the inhalation ofboiling water, to which has been added a tablespoonful ofchlorinated lime.General Dreatrm ni.—The general treatment must be regulatedby the type of the disease. Shortly after the a<strong>pp</strong>earanceoiM. Bretoneau's treatise, a great variety of treatmentwas recommended by different practitioners, all, however,with a view to arrest inflammatory action. Leeches to theneck, counter-irritation, especially by means of blisters,active mercuriaiization, and purgative medicines furnishedthe basis of most of the plans advised. Calomel, especially,obtained great celebrity, and was at one time considered asthe most effective remedy in arresting the progress of thedisease. It was first prescribed by Dr. Connolly, who wasling at Tours, at the a<strong>pp</strong>earance of the disease; andwas so efficient in his hands, in minute doses, as speedily toRanking on Dipl
704 Diphtheria: [<strong>October</strong>,find favor with tlie French practitioners. But, whatevermay have been the success attendant upon its administrationat that time, it is now found to require great cautionin its use.Blisters are contra-indicated, and so far from furnishingrelief, tend to increase the danger by assuming an unhealthy,and frequently sloughy a<strong>pp</strong>earance. The bites ofleeches often give rise to passive bleeding, extremely difficultto arrest, which greatly reduces the already exhaustedenergies of the patient. Everything, in fact, which tendsto lower the powers of life, or induce prostration, should besedulously avoided, in the type of disease which at presentprevails ;and certainly differs from that for which Bretonneau,Conolly and other medical men in France, at thatperiod, were called upon to prescribe.The type of the disease as it now prevails exhibits a tendencyto extreme prostration from the very beginning, andrequires a tonic treatment to sustain the patient. The mosteffectual method of accomplishing this is by means of quinine,the various preparations of iron and steel, stimulants,in the form of brandy, milk punch and wine whey, and agenerous diet, consisting of beef tea, Liebig's extract ofmeat, and a decoction of coffee. Sulph. quinine may beadministered in grain doses, conjoined to two grains of thesulph. of iron, repeated as often as the symptoms a<strong>pp</strong>ear torequire—usually every three hours. It is well to alternatethis remedy with doses of chlorate of potassa, which a<strong>pp</strong>earsto exercise a beneficial influence upon the disease of themouth and throat. Chlorate of potassa may be given indoses of from five to ten grains, in distilled water, or a bitterinfusion. Prof. Barker, of Xew York, advises the chlorateof potassa, in doses from 5ss. to 5j- The chlorate ofsoda has been recommended with the same intention, butdoes not a<strong>pp</strong>ear to be equally efficacious with the chlorateof potassa.The tincture of the sesquichloridc of iron has met withfavor among the English practitioners, as a tonic. Dr.Ranking gives it the preference to other tonics, although hefrankly admits that it matters but little which of this classof medicines is used, provided the strength of the patient besustained. "Personally," he remarks, "I give the preferenceto the tincture of the sesquichloridc of iron, not onlyfrom the inference drawn from the analogy of its unquestionableusefulness in the more asthenic forms of erysipelas,
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