. The Principles and practice of gynecology : for students and practitioners. dtime, and follow^ed if necessary by theopium or morphine suppositories at bedtime. The bowels should be kept normally free by mild cathartics should be avoided. Uva ursi, triticum repens, thebenzoate salts, buchu, eucalyptus, and many other time-honored andclassical remedies may be useful. Urotropin appears to be the mostvaluable single internal remedy. It maybe given in amounts varyingfrom 15 to 30 grains daily. The writer occasionally has been gratified 328 INFECTIONS, INFLAMMATIONS, AND ALLIED D
. The Principles and practice of gynecology : for students and practitioners. dtime, and follow^ed if necessary by theopium or morphine suppositories at bedtime. The bowels should be kept normally free by mild cathartics should be avoided. Uva ursi, triticum repens, thebenzoate salts, buchu, eucalyptus, and many other time-honored andclassical remedies may be useful. Urotropin appears to be the mostvaluable single internal remedy. It maybe given in amounts varyingfrom 15 to 30 grains daily. The writer occasionally has been gratified 328 INFECTIONS, INFLAMMATIONS, AND ALLIED DISORDERS. at the disappearance of irritation of the bladder after the administra-tion three times a day for a number of weeks of calomel in doses of one-tenth to one-twentieth of a grain supplemented by the free use ofnatural or artificial mineral waters or of pure water. Eest, especiallyin the acute stage, is highly important. Topical Treatment.—The washing out of the bladder as a routineprocedure is not approved. Irrigation, however, is indicated positively Figure Washing out of the bladder. The irrigation may be made repeatedly by alternately raisingand lowering the funnel; when the funnel is raised the fluid flows into the bladder, whenlowered it returns to the funnel. when necessary for the removal of loose irritating shreds or otherforeign matter. The superficial forms of cystitis respond promptly to topical treat-ment. If the cystitis is general and superficial, two ounces of a 10per cent, emulsion of iodoform in oleum sesame may be thrown intothe bladder with a hard-rubber syringe. If, after two or three appli-cations of the emulsion, there is sufficient toleration, four ounces ofsilver nitrate solution may be injected into the empty bladder and CYSTITIS. 329 immediately replaced by free irrig^atiou of normal salt solution. 1liestrength of the silver solution should vary according to the tolerationof it. Begin with 1 per cent, and cautiously increase the strengt
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