CLASS II. i, 4- 9 * OF SENSATION. 125 



membranes of the internal ear frequently occur in children, who 

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

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

 ni:d the child remains deaf of that ear. But in this cafe there is 

 generally a fever attends this inflammation j and it then belongs 

 r.o another genus. 



M. M. A warmer night-cap. Warmifh water {hould be 

 gently fyringed into the ear, to keep it clean, twice a day ; and 

 if it does not heal in a week, a little fpirit of wine {hould be 

 added ; firft about a fourth parr, and it {hould be gradually in- 

 creafed to half rectified fpirit and half water : if it continues 

 long to difcharge matter with a very putrid fmell, the bones arc 

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

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

 of fpirit of wine and water, or a folution of alurn in water ; 

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

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

 ing and evening. See Clafs II. 1.4. 10. 



9. Ftftula lacrymalis. The lacrymal fack, with its punfla lac- 

 rymalia and nalal duel:, are liable to be deftroyed by fuppuration, 

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

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

 and faline acrimony. 



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

 naade from the internal corner of the eye into the noftril, and a 

 filver tube introduced, which fupplies the defect by admitting 

 the tears to pafs again into the noftril. See Melanges de Chir- 

 urgie, par M. Pouteau ; who thinks he has improved this oper-* 

 ation. 



10. Fiftula in ano. A mucous difcharge from the anus, call- 

 ed by fame white piles, or matter from a fuppurated pile, lias 

 been miftaken for the matter from a concealed fiftnla. A bit of 

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

 renewed twice a day for a week or two, fhould always be ufed 

 before examination with the probe. The probe of an unfkilful 

 empyric fometimes does more harm in the loofe cellular mem- 

 brane of thefe parts than the original ulcer, by making a fiitula 

 he did not find. The cure of a fiitula in ano, of thofe who have 

 been much addicted to drinking- fpirituous liquor, or who have 

 a tendency to pulmonary confumption, is frequently of danger- 

 ous confequence, and is fucceeded by ulcers of the lungs, and 

 death* 



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

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

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



VOL. II. F * aflerted 



