CLASS II. 1. 4. 9. OF SENSATION. 225 



membranes of the internal ear frequently occur in children, who 

 sleep in cold rooms, or near a cold wall, without a night-cap. 

 If the bones are affected, they come out in a long process of time, 

 and the child remains deaf of that ear. But in this case there is 

 generally a fever attends this inflammation; and it then belongs 

 to another genus. 



M. M. A warmer night-cap. Warmish water should be 

 gently syringed into the ear, too keep it clean, twice a day; and 

 if it does not heal in a week, a little spirit of wine should be 

 added; first about a fourth part, and it should be gradually in- 

 creased to half rectified spirit and half water: if it continues 

 long to discharge matter with a very putrid smell the bones are 

 injured, and will in time find their exit; during which time 

 the ear should be kept clean, by filling it with a weaker mixture 

 of spirit of wine and water, or a solution of alum in water, 

 which may be poured into the ear, as the head is inclined, and 

 shook out again by turning the head, two or three times, morn- 

 ing and evening. See Class II. 1. 4. 10. 



9. Fistula lacrymalis. The 1 aery mal sack, with its puncta la- 

 cry malia and nasal duct, are liable to be destroyed by suppuration 

 without fever; the tears then run over the eyelids, and inflame 

 the edges of them and the cheeks, by their perpetual moisture 

 and saline acrimony. 



M. M. By a nice surgical operation, a new aperture is to be 

 made from the internal corner of the eye into the nostril, and a 

 silver tube introduced, which supplies the defect by admitting 

 the tears to pass again into the nostril. See Melanges de Chi- 

 rurgie, par M. Pouteau; who thinks he has improved this opera- 

 tion. 



10. Fistula in ano. A mucous discharge from the anus, call- 

 ed by some white piles, or matter from a suppurated pile, has 

 been mistaken for the matter from a concealed fistula. A bit of 

 cotton-wool applied to the fundament to receive the matter, and 

 renewed twice a day for a week or two, should always be used 

 before examination with the probe. The probe of an unskilful 

 empyric sometimes does more harm in the loose cellular mem- 

 brane of these parts than the original ulcer, by making a fistula 

 he did not find. The cure of a fistula in ano, of those who have 

 been much addicted to drinking spiritous liquor, or who have 

 a tendency to pulmonary consumption, is frequently of danger- 

 ous consequence, and is succeeded by ulcers of the lungs, and 

 death. 



M. M, Ward's paste, or 20 black pepper-corns taken after 

 each meal twice a day; the pepper-corns should be cut each in- 

 to two or three pieces. The late Dr. Munro, of Edinburgh, 



fOL. II. Gg 



