292 INFLAMMATION IN THE TISSUES OP 



the pain of the operation; and yet her condition 

 is such as to render it most important that she 

 should be well nourished. The case to which I 

 referred above had been treated locally only ; by 

 twenty grains of nitrate of silver to the ounce, 

 and then by blistering-tissue behind the ears — but 

 to no purpose. I ordered ten grains of chlorate 

 of potash, and one ounce of tincture of bark daily. 

 A wash, composed of two drachms of chlorate of 

 potash to half a pint of water, with immediate 

 advantag-e. 



- But our advice will not often be sought for 

 stomatitis of this simple character. More fre-p 

 quently we shall find it advanced to ulceration 

 in some form. The least important, both in its 

 character and its effects, is that in which we ob- 

 serve some small, circular, aphthous ulcers — one 

 or two, or several— situated most commonly near 

 or at the r-eflection of the mucous membrane, from 

 the cheek to the gum. These ulcers are excessively 

 painful, though very unimportant; if left alone, 

 they generally last from four days to a week, and 

 then heal spontaneously; they may be followed 

 by others, and thus their presence in the mouth 

 may be indefinitely prolonged. 



In appearance they are circular, with a grey- 

 coloured exudation ; if this is removed, the surface 

 appears a little excavated, and is very irritable. 

 I know of nothing so efficient as a touch of strong 

 nitric acid. There appears to be little or no ten- 



