DISEASES OF ADULT LIFE. 337 
SympromMs.—The same as generally precede inflammation 
are present here. An uneasy feeling may be felt for one or 
two days followed with some fever, alternate fits of heat and 
cold. Itis important to know these warning symptoms, as 
we need not wait to see where the inflammation is going to 
settle before we attempt to drive it out of the system. Our 
first step in meeting the intruder is the course as applied by 
Thompson. Very often there is no more of a trouble after 
this treatment has been adopted ; if, however, acute laryngitis 
has been established, its symptoms are sufficiently plain. 
‘There is hoarseness, difficulty of swallowing, roughness and 
dryness of the throat, pain at the projection called Adam’s 
apple, and more or less of troublesome cough. An examina- 
tion will show the redness and swelling which are also present 
in the higher parts of the air passages. These symptoms may 
increase in severity even to a fatal termination. Presuming 
that the course of medicine has been taken and the patient in 
bed with the hot brick to the feet and the usual vinegar cloth, 
a poultice of slippery elm three parts, mustard one part, should 
be applied over the throat and renewed or warmed up when cool. 
Keep up the perspiration for three or four hours by giving an 
infusion of angelica herb, dry, one ounce to one pint of 
boiling water, with 10 grains of cayenne pepper; let it infuse 
20 minutes by the fire, strain, sweeten with treacle, give every 
15 minutes till it is all taken: after this let the underclothing 
and bed-clothes, if wet with perspiration, be changed; dry 
and warm those to be put on; see that this is done without 
exposing to cold. 
CHRONIC LARYNGITIS. 
It so happens that the most of the cases we meet with are 
of a chronic form, owing their existence principally to the 
neglect or maltreatment of acute throat troubles—cutting out 
the tonsils and the uvula, leeching, blistering, mercurial and 
other poisonous drugs. The symptomsare, more or less of an 
irritating cough, hoarseness, loss of voice, expectoration of 
tough mucus, at times tinged with blood; breath generally 
