Catarrhal Bronchitis 215 



more effective. A pinch put into a small piece of paper twisted 

 at one end to prevent burning of the fingers, may be set fire to 

 and the fumes allowed to pervade the appartment so that they can 

 be breathed freely without inducing cough. A mustard poultice 

 to the neck and sides of the chest should also be applied and kept 

 on an hour or until effusion into the skin is well marked by thick- 

 ening of its substance. Injections of warm water should be given 

 alike to check or obviate shivering and to equalize the general 

 temperature and to solicit the action of the bowels. In sporadic 

 cases with active fever and full strong pulse a laxative dose of 

 aloes (3 to 4 drachms) may be given, but if with a low fever, and 

 during the prevalence of influenza, not more than half the dose 

 should be given, or enemata alone may be relied upon. As soon 

 as the medicine has set or at once if it is withheld, neutral salts 

 may be given (Liquor Ammonise Acetatis 2 oz. or Sweet Spirits 

 of Nitre i oz. or nitrate of potass Yi oz. combined with 10 drops 

 tincture pf aconite repeated twice or thrice daily) . If the cough 

 is troublesome and secretion long in being established, expector- 

 ants may be used (oxymel of squill 3 oz., powdered squill Y2 oz. 

 or liquorice i drachm) with half the doses of the neutral salts. 

 Dover's powder 2 drs., chloral, conium, lobelia, etc. will check 

 the cough. 



In the early stages to hasten expectoration such preparations 

 as the following may be given : 



Recipe : Potas. Bicarb. 2 ounces ; Ammon. Carb. 2 ounces ; 

 Digitalis Pulv. 2 drams. Mix. Divide into eight powders : give 

 one every four hours. 



Recipe : Ammon. Murias. 2 ounces ; Choral. Hydrat. i ounce ; 

 Tinct. Hyoscyam. 2 fluid ounces ; Aqua 8 fluid ounces. Mix. 

 Give two tablespoonfuls every four hours. 



Apomorphia, tarter epietic, turpentine, glyco-heroin, quaiacum 

 or benzoin may be employed, or even pilocarpin, care being taken 

 not to increase prostration unduly. Compressed air, oxygen and 

 peroxide of hydrogen will sometimes relieve. 



Intratrachealinjectionsof solution of silver nitrate (J^— i : 100) 

 (lyevi) ; of oil of turpentine and olive oil, i>^ dram each ; or of 

 iodine 15 grains, potassium iodide i dram, water 6J^ ounces, 

 (Dieckerhoff) are often useful. They sometimes prove too irri- 

 tating, and have even led to gangreneandsloughing. 



