34 
J. C. MYERS, JR. 
attended with much evidence of inflammation, as in’neuritis, rheu¬ 
matism, sciatica, etc. I have repeatedly met with considerable 
success in the treatment of glandular bronchocele, cystic and bursal 
enlargements, by the injection of iodine solutions into their inti¬ 
mate structures. These injections for cystic enlargements are 
chiefly advisable after the contents of the enlargement are elimi¬ 
nated by means of a trocar. Especially is this treatment indi¬ 
cated when the cyst is in a region where there is a scarcity of 
loose fibrous tissue, and devoid of coagulated blood. The writer 
recently has treated several cases of serous cyst, almost forming 
abscesses, upon the withers, by the withdrawal of the fluid with a 
capillary trocar, followed by an injection of a weak solution of 
carbolic acid in one, and a mild solution of iodine in another, at 
intervals of four to six days. 
In this manner was effected a complete convalescence in about 
four weeks. This treatment at the same time obviated the em¬ 
barrassments of a case of fistulous withers. I do not assert that 
this abortive means of treatment will in all cases of serous cysts 
upon the withers prove successful, but there certainly can be no 
objection in resorting to this method of treatment before laying 
the cavity open with a scalpel. To secure a positive closure of 
the opening made by the trocar, I apply several layers of cotton 
saturated with collodion over the spot where the puncture had 
been made. 
The instrument I employ for the interstitial administration of 
medicines is a simple hard rubber hypodermic syringe, furnished 
with a long strong needle. It is much safer to insert the needle 
into the tumor first, then adjust the syringe filled with the liquid 
to be injected into the meshes of the afflicted district, than to in¬ 
troduce the needle already attached to the syringe. The danger 
of breaking the needle is thereby avoided, even if the patient 
should resist during the operation. 
The judicious selection of agents, both in quality and quantity, 
is absolutely essential to convince one of the efficiency established 
by this mode of treatment. It requires considerable skill and 
experience to determine the necessary quantity to produce the 
desired effect. It is decidedly material when the repetition of 
