NASAL GLEET. 
543 
Accordingly, I adopted the following formula, to be injected into 
the affected nostril morning and evening, after the cavity had been 
syringed several times, and thus thoroughly cleansed, with tepid 
water : — 
R Creasoton. 3i 
Liquor potassae, 
Aquae distillat. Jviij, s. a. 
These injections were persisted in for a fortnight without any alter- 
ation worthy of notice, either in the quantity or quality of the dis- 
charges; though on their being remitted for a fortnight (during my 
absence), I found, on my return, that the gleet had degenerated 
from a muco-purulent flux into a trifling aqueous or serous running, 
and that not constant, and also, that the submaxillary enlarged 
gland had become considerably diminished. 
Desirous that the benefit which seemed to have been conferred 
by the injections should be complete, after waiting a few days, I 
recommenced their use. Four days afterwards, however, the dis- 
charge returned as bad as ever, and the gland as suddenly re- 
sumed its usual magnitude; I, therefore, judged it prudent to 
leave off the injections again. It seemed to me that the zrame- 
diate or proximate effect of the injections was, by creating irrita- 
tion, and perhaps inflammation, to augment the nasal flux and the 
swollen glands; though in the end, when the irritation came to 
subside, both the discharge and the gland became lessened. It 
occurred to me at this time that the internal exhibition of crea- 
sote might possibly do good. I therefore administered it, made 
up with starch and meal into balls, in half-drachm doses, morning 
and evening. The horse took the balls regularly for a fortnight, 
but experienced no benefit from them ; and I was unwilling to 
have recourse any more to the exhibition, finding that every time 
I did so, the flux was augmented and rendered purulent by them. 
Three weeks after the discontinuance of the creasote, nothing 
having been done in the interval, the discharge from the nostril 
had become trifling, consisting merely of a little watery fluid, and 
that but occasional ; notwithstanding foetor was still perceptible, 
and there were to be felt remains of the tumefied gland. Under 
these circumstances, the patient, being regarded as convalescent, 
was fed well and regularly exercised — sweated occasionally — 
still being kept apart, as he had from the first been, from other 
horses. The unfavourable symptom remaining, was the offensive 
foetor detectible on applying one’s nose to his affected nostril ; the 
other, the sound side of the patient’s nose, being quite free from 
foetor. 
This made me at once resolve on an operation I had for some 
time been meditating, viz. trephining the frontal sinus of the 
