Am.  J.  Ph.] 
3 
[Feb.,  1884 
Br  omo -  Chloralum 
SCAELET  FEVER. 
ITS  INTERNAL  AND  EXTERNAL  USE. 
Use  as  a  Gargle  for  the  Throat,  as  an  Internal  Antiseptic,  as  a  Wash 
for  the  Person,  and  as  a  Disinfectant  for  the  House. 
By  X.  T.  Bates,  M.D. 
Very  recently,  several  cases  of  Scarlatina  have  come  under  my  care,  ranging  in  severity 
from  the  very  mild  to  the  type  S.  Anginosa,  in  the  treatment  of  which  Bromo-Chloralum  has 
played  so  important  a  part,  and  has  been  followed  by  so  successful  results  that  I  am  induced  to 
believe  that  this  agent  properly  used,  will  materially  lessen  the  death  rate  from  this  terrible 
disease,  and  also  largely  disarm  this  malady  of  its  contagious  character.  I  shall  hereafter 
incorporate  Bromo-Chloralum  in  the  treatment  of  all  Scarlatinal  cases,  while  similar  results 
attest  its  remedial  value. 
Its  modus  operandi  is  perhaps,  in  part,  susceptible  of  explanation  by  the  fact  that  "  Bromo  M 
is  a  disinfectant  prompt  in  its  action.  In  cases  where  the  patient's  breath  is  foul,  and  the  air  of 
the  room  consequently  made  noxious  and  perceptibly  impure,  the  influence  of"  Bromo  admin- 
istered internally,  and  as  a  wash  for  the  throat  and  mouth,  is  soon  felt  in  the  removal,  to  a  great 
extent,  of  the  cause  that  operated  to  produce  these  effects.  The  same  remedy  should  be  ex- 
posed on  cloths,  suspended  in  the  room  and  over  the  doorway,  so  that  the  air  that  passes  into 
and  out  of  the  sick  room,  to  and  from  the  adjoining  rooms  occupied  by  the  family,  must  pass 
through,  as  it  were,  a  "  Bromo  strainer."  In  consequence  of  its  power  to  arrest  fermentation, 
and  its  purifying  effect  on  the  atmosphere  in  the  sick  room,  we  are  led  to  believe  the  disease 
aborts,  and  the  air  passing  to  adjoining  rooms  carries  no  longer  a  potent  virus. 
As  a  frequent  wash  for  the  mouth  and  throat,  in  such  cases  as  call  for  topic  measures, 
I  prescribe  : 
R  .    Bromo-Chloralum,  J  i  ;  Water  or  Simple  Syrup,  ^  vii. 
M.  As  an  internal  remedy  I  give  it  in  doses  of  gtt.  ii  to  gtt.  v,  on  sugar  or  in  water  every 
two  hours. 
The  cases  to  which  I  have  alluded  all  terminated  favorably. 
In  no  instance,  to  my  knowledge  was  the  contagion  carried  beyond  the  pale  of  the  afflicted 
household,  and  where  it  attacked  other  members  of  the  family,  the  disease  assumed  a  very 
much  milder  and  more  tractable  form. 
Dr.  Brockett,  in  the  new  edition  of  his  work  on  contagious  diseases,  remarks  : 
"  This  preparation  is  entirely  free  from  caustic  properties,  has  no  cdor  of  its  own,  and 
effectually  removes  all  offensive  cdors  where  it  is  sprinkled,  or  cloths  wet  with  it  are  hung  up  j 
its  vapor  has  no  irritating  property  even  to  the  weakest  lung  ;  it  is  a  thorough  and  perfect 
disinfectant,  destroying  not  by  corrosion,  but  by  its  antiseptic  quality,  all  fungi  and  germs 
of  disease;  it  is  applicable  in  a  dilute  state  to  ulcers,  sores,  gangrened  wounds,  and  catarrhal 
or  other  inflammations  of  the  muccus  membranes,  and  the  air  passages,  is  an  admirable  gargle,, 
and  if  taken  internally ,  has  an  alterative  and  stimulating  effect. 
BROMO  CHEMICAL  COMPANY, 
HEW  LEBANON,  N.  Y.     and     24  LIBERTY  ST.,  New  York. 
