758 Infections Ya.yinitis. 



ment are especially advised in cases in which the daily applica- 

 tion of irrigations meets with insurmountable obstacles, or 

 in which the affection is found to be confined to the vestibule 

 of the vagina. 



The most varied disinfectants and astringents, further also 

 cauterizing remedies have been recommended for treatment, 

 thus especially for irrigation lysol and creolin (0.5-2%), bacillol 

 (1.5-3%), potassium permanganate (1%), nitrate of silver 

 (0.5%), lactic acid (2%), boracic acid (3%), liquor cresolis 

 compositus (l%),alum (1%), formaldehyde (1.5-1%), protargol 

 and ichthyol (0.5-2%; expensive), ichthargan (1:1000, expen- 

 sive), and others. All may be used in similar concentrations, 

 also for saturation of tampons for introduction into the vagina. 

 For painting, iodide of glycerin (1:1), tincture of iodine with 

 alcohol (1:2), further Lugol's solution may be employed. 

 Bacillol, ichthyol, chinosol, formaldehydum saponatum (septo- 

 form), and recently the hydrargyrum sozojodolicum (marketed 

 as Bissulin, in the form of crayons), all in 10% concentration, 

 are most frequently utilized as ointments. If they are to be 

 applied in the form of suppositories, or so called vaginal balls, 

 they are prepared with tallow, wax or cocoa-butter. Of dusting 

 powders are recommended, four parts of sulphate of zinc or 

 alum, and one part of boracic acid; bacillol with boracic acid 

 (1:30); boracic acid with flour or powdered oak-bark, aa and 

 others. Finally for superficial cauterization of the nodules 1% 

 nitric acid, or 3% nitrate of silver solution may be used. 



Technique of Treatment. The local treatmeiit is inaujjurated by -washing tho 

 vagina with a 1% luke-waim soda solntion, in order to remove the secretion collected 

 therein. If severe symptoms of irritation exist, it is ailvisable to cover the vesti- 

 bule of the vagina, on the first day, with an ointment containing tincture of opium. 



The irrigations are executed with the aid of a rather stift rublier tube of an 

 irrigator, or with a bulb syringe having a dull nozzle, a considerable cjuantity of 

 fluid is to be introduced, in order that it may penetrate up to the uterine os, and 

 into all folds of the mucous membrane. Following this, a wad of cotton saturated 

 with the same solution, and with a long string attached, may be introduced as 

 <leeply as possible into the vagina, where it remains until the following day, if not 

 expelled before that time, when it may be removed by drawing it out by the 

 protruding string. 



For the application of ointments Eaebiger's ointment syringe, constructed 

 especially for this purpose is adapted, which makes possible the introduction of the 

 remedies into the depths of the vagina and also the accurate measuring of doses. 

 Besides a rolled rag may be covered with the salve, and placed in the vagina at 

 such a depth that the front part touches the os uteri (Eusterholz) ; finally the 

 salve may be also used in gelatin capsules. 



Vaginal balls or bougies, such as are at the present marketed by many con- 

 cerns and in varying compositions, are, after previous superficial warming in warm 

 water or over a flame, introduced with the fingers or with a spoon forceps deeply 

 into the vagina and allowed to remain. 



Male animals also require a treatment for which it is advisable to remove 

 the brush of hair at the opening of the sheath with scissors, whereupon the sur- 

 rounding parts are washed with luke-warm soap water, and finally the sheath is 

 irrigated with a non-irritating disinfecting solution, or the extended penis during 

 a copulation trial is covered with the salve. 



To promote conception it is advisable to irrigate the vagina before copulation 

 with a luke-warm 2% solution of sodium bicarbonate. 



