98 
E. H. SHEPHARD. 
If the local inflammatory process of the mucous membrane 
was in the early stage of development, the disease could be 
cut short within two to three days, indeed be entirely cured. 
If the disease had advanced further, a four to eight days’ treat¬ 
ment with injections was necessary. It is remarkable that in 
two hundred patients the hyperplastic swellings of the sub¬ 
maxillary glands diminished after the first injections, and in 
but three cases, a slight imperfect abscess formed. 
After these results there is no doubt that the prussic acid 
contained in bitter almond water with morphia, exercises a 
specific healing effect on the respiratory mucous membrane. 
Prof. Binz’s established non-fermentative and anti-putre¬ 
factive qualities of prussic acid supports such an opinion. 
In the diseases in question, laryngeal injections are most 
effective. The head is lifted and stretched forward and the 
needle inserted in the so-called thyroid cartilage space, the 
contents of the syringe then being emptied under strong pres¬ 
sure. This pressure is absolutely necessary to the favorable 
result of the injection, for the diseased surface of the mucous 
membrane should not only be wet, but at the same time 
washed off; this washing off cannot be accomplished by the 
gentle inpouring of the fluid into the larynx. 
Unfavorable manifestations have never been noticed to 
follow upon injections being thus carried out. If it is incon¬ 
venient to inject twice per day, one injection of twenty grains 
will suffice. When the weather is cold, it is advisable to 
warm the fluid before injecting. 
“ Abscesses, that may form after the injection, will heal 
readily, when lanced in time, and cautious antiseptic treat¬ 
ment is pursued.”*—(Koenig). 
HYPOSULPHITE OF SODA. 
By E. H. Shephard, Y.S. 
v (A Paper read before the Ohio State Veterinary Medical Association, Cleveland) 
For some time I have been impressed by the fact that we 
have an agent classed among our veterinary remedies whose 
*Vol. 16, p. 375, Archiv der Wissenschaftliche und Praktische Thierheilkunde. 
