DISEASES UF RESPIRATOR? PASSAGES AND ORGANS. 95 



of breathing was performed through the tube. I then applied a 

 counter-irrkant to the throat, composed of cod-liver oil and spirits 

 of camphor, equal parts; ordered a warm bran mash, into which 

 was sprinkled one ounce of powdered chlorate of potass. 



For several days a very copious discharge from both nostrils 

 occurred; also from the orifice made in the windpipe; so that the 

 tracheotomy tube had to be removed and cleansed several times, 

 }<oia during the day and night. Four days after the operation, 

 at mght, the tube accidentally slipped out of the windpipe, and 

 the mishap was not discovered until morning, when I found that 

 air from the lungs had escaped into the cellular tissue, and in- 

 flated it so that the soft parts in the region of the neck and head 

 appeared much swollen. I gave the patient, twice daily, one 

 ounce of hyposulphite of soda, and had the swollen parts well 

 rubbed with liniment. On the fifth day I removed the tube from 

 the windpipe, and allowed the animal to breathe through the arti- 

 ficial opening, he still being unable to respire through the nostrils. 

 At the expiration of fifteen days from the commencement of the 

 animal's sickness, the wound in the windpipe was closed, natural 

 respiration having been restored. During the treatment of the 

 patient, he was allowed, occasionally, flaxseed tea, with about one 

 ounce of chlorate of potass per day. He had good attention, or, 

 rather, good nursing, and finally was again restored to usefulness. 



In the early stage of laryngitis, or, rather, the inflammatory 

 stage, cold water bandages should be applied to the throat, and 

 a few doses of fluid extract of gelseminum, at the rate of one 

 fluid drachm per dose. 



Croup (Cynanche Trachealis). 



Croup (cynanche trachealis), or, as it is sometimes termed, 

 tracheitis, manifests itself in the form of a violent and sudden 

 disease affecting the mucous membrane of that portion of the 

 air-passages which lies between the laryngeal cartilages and the 

 primary passages of the trachea, or windpipe. Condie contends 

 that, in the majority of cases, the inflammation in croup com- 

 mences in the mucous membrane of the larynx, and from thence 

 extends- into the trachea. The disease is, therefore, strictly speak- 

 ing, a Isiryngeo-tracheitis. In many instances, however, we have 

 reason ic beliave that the inflammation commences in thebrcncbi, 



