SOUK THROJ 



(i'r. :H) every night. ShouM this I'ail to atlonl ivli.-f in a fortnight, five grains of 

 bi-.nnide of ammonium should be added to -a : The bromide of potassiums 



of essential service in the case of tin- somnambulism of vomit; children. The child 

 usually gets out of bed while fast asleep, walks about th house, and performs, as if 

 awake, various acts quite unconsciously. The state is not accompanied by any 

 terror, although in some cases there is squinting. In these cases, from half a tabl.- 

 spoonful to a table-spoonful of the bromide of potassium mixture will prevent the 

 screaming and remove the squinting. The affection in children being almost a! 

 connected with deranged digestion, the condition of the stomach and bowels should 

 be attended to, but even in spite of these derangements the bromide will give quiet 

 and refreshing sleep. 



For nightmare the treatment is practically identical with that of somnambulism, 

 and the bromide of potassium may be employed with every confidence. In cases 

 where the attacks are obviously due to acidity, a dose of bicarbonate of potash or 

 bicarbonate of soda in water, taken either at bed-time or in the middle of the night, 

 will often afford relief. Many people sleep with a reel tied round their loins, and 

 tliis, probably by preventing them from lying on the back, not unfrequently succeeds 

 in warding off attacks. This device is often resorted to in spermatorrhrea with 

 success. 



SORE THROAT (CLERGYMAN'S). 



This is a form of sore throat which merits our best attention. It arises partly 

 from the straining of the voice in public speaking, and partly from the inspiration of 

 cold and dusty air through the nose and mouth during the act. It is not by any 

 means confined to clergymen, for barristers, actors, and singers are frequent sufferers. 

 It is not unfrequently met with in medical men, especially in those who hold hospital 

 appointments, and have much lecturing or teaching to do. There is another public 

 speaker who is frequently a sufferer, and that is the costermonger ; indeed, a few 

 years ago it was irreverently proposed to change the name of the complaint, and call it 

 " costermonger's sore throat." Photographers and others who are much exposed to 

 the fumes of acrid chemicals in confined chambers often suffer from a very similar 

 condition. 



This form of sore throat is frequently in its earlier stau f -* a purely nervous 

 affection, being unattended with any organic change. Subsequently, however, it 

 gives rise to congestion, inflammation or relaxation of the mucous membrane of the 

 throat, together with elongation of the uvula, and chronic enlargement of the 

 tonsils. 



The symptoms consist principally of an uneasy sensation in the upper part of 

 the throat, with constant inclination to swallow, as if there were some obstruction 

 which could be removed by that act. Frequently attempts are made to clear the 

 throat by coughing and hawking, and the patient is always going u hem ! " in a manner 

 which is as distressing to himself as it is annoying to others. At the same time the 

 voice undergoes an alteration, there being loss of power and hoarseness, and some- 

 times even complete aphonia (loss of voice) towards evening. Many of the symptoms 

 are worse in the morning, probably from the mouth becoming dry during sleep, and 

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