126 MANUAL FOR STABLE SERGEANTS. 



the teeth with filling of the sinuses with pus. It may also accompany 

 glanders, chronic pharyngitis,' and various other diseases of the 

 respiratory tract. 



Symptoms. The principal symptom is a persistent nasal discharge 

 of mucus and pus, the quantity and color of which varies greatly; 

 it may be creamy, grayish, or tinged with blood. It is usually from 

 -one nostril only and frequently has a fetid odor. In cases of long 

 standing the sub maxillary lymph glands are sometimes enlarged, 

 and small ulcers which heal without leaving a scar may form in the 

 nose. The temperature is usually normal. 



Treatment. A careful examination of the nostrils, mouth, and 

 teeth should be made to determine, if possible, the exact cause. 

 If no definite cause can be found, give tonics and plenty of good food. 

 The following prescription is useful : 



Nux vomica, powdered drams . . 6 



Iron sulphate '. do 6 



Copper sulphate. do. ... 6 



Gentian, powdered ounces. . 1J 



Mix and make into 12 powders. Give a powder three times a day. 



When the disease is due to faulty teeth or to pus in the sinuses, the 

 treatment is surgical. 



420. Bleeding from the nose. 



Causes. Blows about the head, injuries to the mucous membrane 

 of the nasal cavity, and violent exertion. It may occur during the 

 course of such diseases as purpura hemorrhagica, influenza, nasal 

 catarrh, glanders, and pneumonia, and is often a symptom of tumors 

 and ulcers in the nose. 



Symptoms. Bleeding from one or both nostrils, the blood escaping 

 drop by drop or in a stream. 



Treatment. Many cases often require no treatment other than rest 

 in a quiet place. This failing, the head should be elevated and cold 

 water or ice packs applied over the face, between the eyes, and over 

 the poll and neck. 



If the bleeding persists, plug the bleeding nostril with gauze, cot- 

 ton, 'or oakum, either dry or soaked in tincture of chloride of iron. 

 Wrap the plug in gauze or thin cloth and attach a string before it is 

 pushed into the nostril, so that it can be removed after the bleeding 

 has stopped, usually within four or five hours. When both nostrils 

 are; bleeding^ plug only one nostril at a time. If the patient is rest- 

 less, give one-half ounce cannabis indica. 



