TRACHEOTOMY ANE LARYNGEAL INJECTIONS. 
97 
periment. By this time the number of patients increased to 
twelve. 
Laryngeal injections were administered to ten of these 
patients, each two receiving a different compound, for ex¬ 
ample : one consisted of solution of alum acetum, another of 
Lugol’s solution, another contained cocaine hydrochloric, and 
so on. The remaining two of the twelve were entrusted to 
physiatrice. 
This treatment was continued for four days without any 
apparent improvement, only in those having received the 
cocaine, it was noticeable that the coughing irritation grew 
less, soon after the injection, which, however, in a few hours 
recurred with the same violence. In those left without 
treatment the disease remained stationary. 
Taking in consideration the satisfactory results attained 
in human medicine by applying anodynes to the suffering 
tissues, in inflammatory affection of the larynx and bronchial 
mucous membrane, an experiment was made with the follow¬ 
ing solution: consisting of morphia hydrochloric, 2.0; aq. 
amygdalar. amar., 200.0; ten grains of this solution was in¬ 
jected every morning and evening into the larynx of each of 
five other patients. The result was astonishing. The 
temperature, which was 39-8 to 40 -y° Celseus, fell from the 
day of the first injection until the fifth, by which time the 
normal state was reached. The local appearances in the 
region of the oesophagus and mucous membrane of the 
larynx diminished in the same degree, the cough became 
loosened, less painful, the dysphagia disappeared and the ap¬ 
petite improved. The hyperplastic swellings of the maxillary 
glands also dissolved. 
Of the twelve horses which took sick first and not treated 
after this manner, not one had recovered sufficiently to be 
able to perform the lightest work. While those which took 
sick eight to ten days later, and treated with aq. amygadar. 
amar. and morphia, were already at their usual work. 
In the last two years Dr. Jelkmann treated all laryngeal 
affections in horses with positive and speedy success, as long 
as metastasis of the other organs did not set in. 
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