215 



eg on 

 ui. 



. which w 



: it requir : 'phthalmic 



d it. Ji 



able syinj.toius palpi: 



: 



peculiar and striking ; I 



i forwards, so that they look almost as if tin . bo drop < 



fed to such ;ui iiat tin' Lid 



; during sleep. Tiiis proj* . ils gives the pati- 



rkably wild and strange appearance. The pulsation is at all ti:. 

 l>ut if 1 by bodily 02 Qtal i-xrrtion. It is not conlhied to the 



i of the heart, luit is experienced m< : all over the body. The swelling 



on the front of the neck never attains any great size. These are the three syn>> 



j ther may be .said to eonstii inplaint, but there arc others which 



are nu'iv -r less coinmonly nbx-rved. Thus, there is often a change in temper, which 



Capricious, irritable, and peevish. A disposition to flush under slight 



i tendency to bleeding from the nose, and a sense of heat, accompanied by 



profuse perspi: d. The complaint usually occurs in young 



:ul most commonly in those who are suffering from some derangement of 



the uterine functions. Its production appears to be quite independent of any 



nee of soil or climate. Very many of the patients are found to be markedly 



nic. 



Let us now consider the treatment of broiichocele. One very important point, 

 which should be preliminary to all other modes of treatment, is the removal of the 

 it from the dangerous locality. When the patient has been removed to some 

 more salubrious place of abod . ay administer our drugs and apply our 



lotions and ointments with greater hope of success. When this preparatory sb 

 absolutely impossible, every drop of water should be boiled, or, what is still ! 

 distilled. The best remedy for bronchocele is, in all probability, iodine iodine 

 and out. It is best given internally in the form of iodide of potassium. 

 four, or even six table-spoonfuls of the mixture (Pr. 32) should be taken three 

 or four times a day. In addition, the swelling may be painted as oft< 

 comfortably borne with the tincture of iodine, or the iodine ointment may be ru 

 in freely. By this method of treatment the enlargement often very rapidly dimin . 

 and a considerable improvement is noticeable in the patient's general condition. 

 In cases in which anaemia is present, it is very desirable to get rid of this compli- 

 cation, and iron should be administered without delay. Prs. 1, 2, and 63 will be 

 found useful for a preparatory course of iron ; but in some cases it may be ad\ an- 

 us to take the iron and iodine in combination, and then the syrup of iodide 

 of iron (Pr. 4) should be preferred. 



In India, an ointment of red iodide cf mercury is largely used in the treatment 

 of goitre. It is made as follows : Melt three pounds of lard or mutton suet, strain 

 and clean ; when nearly cool, add nine drachms of iinely-powdered red iodide of 



