162 THE TREATMENT OF DISEASES. 



The spray may produce dryness or roughness of the throat, with a raw sore sensation 

 behind the breast-bone ; but this is temporary, and soon passes off. Sometimes the 

 spray produces a certain amount of discomfort; but, on the other hand, many 

 people who are hoarse recover the voice after the first inhalation. 



Sometimes Siegle's spray apparatus succeeds even better than Richardson's. The 

 great advantage of this form is that it works by steam, and the trouble of squeezing 



the ball is avoided. For self-administration it is 

 very convenient. The boiler is filled with hot 

 water through the opening at A, and then closed 

 by the cork ; the ipecacuanha wine, diluted with 

 water, is put in the bottle at B, the lamp is lighted, 

 and in a minute or two the spray is given off. 

 Many people have a great objection to the smell 

 of the spirit used in the lamp, but this can be 

 removed by adding to it a few drops of scent. 

 There is no danger of the boiler bursting, as 

 should the pressure become too great, the cork 

 would be blown out. After each inhalation n 

 Fig. 2. SIEGLE'S SPRAY APPARATUS. little clean water should be sprayed through the 



apparatus to clean it, and the boiler should always 



be emptied before it is put away. The quantity to be used with the Siegle is at each 

 sitting from one to two of the little bottlefuls of the ipecacuanha wine and water 

 one part of the former to two of the latter. 



Although we have assigned to the ipecacuanha spray so prominent a place in the 

 treatment of chronic bronchitis, it must not be supposed that it is the only remedy for 

 that distressing complaint. Sometimes it may be inconvenient or impossible to use 

 the spray ; then a mixture must be given. This often happens in the case of poor 

 people who have not the means to purchase the spray apparatus. Very frequently 

 carbonate of ammonia succeeds admirably, and it may be conveniently given in com- 

 bination with senega, as in Pr. 22. This mixture is especially indicated in chronic 

 bronchitis occurring in old people. When the secretion is thick and abundant, its 

 efficacy may be increased by the addition of fifteen grains of chloride of ammonia to 

 each dose, or Pr. 36 may be used. Sometimes a solution of chloride of ammonia 

 is used for spraying, but it is decidedly inferior to the ipecacuanha. An old- 

 fashioned though very serviceable remedy is Friar's balsam. It should be taken 

 three times a day, in half tea-spoonful doses, either beaten up with the yolk of 

 an egg or suspended in mucilage. It is very useful in old-standing cases. A 

 tea-spoonful may be put in a jug of boiling water and the steam inhaled. Nearly 

 all resinous bodies seem to be useful in chronic bronchitis. Ammoniacum often 

 does good. There is an ammoniac mixture in the British Pharmacopoeia, and 

 the dose of this is from half an ounce to an ounce every four hours. When 

 in long-standing cases there is a great deal of expectoration, the compound mix- 

 ture of iron, or Griffith's mixture, as it used to be called, may be used with 

 advantage. One or two table-spoonfuls should be taken every four hours. It is 

 supposed to owe much of its efficacy to the myrrh that it contains. Tar often docs a 



