A practical treatise on the diseases of the ear including the anatomy of the organ . he prefers to leave him to his own fluid should be used which will do no harm if some of itpass into the stomach. * Monatssclirift fur Okrenlieilkunde, Jakrgang VI., No. 4. 298 GKUBEIl ON THE NASAL DOUCHE. Dr. Gruber fully corroborates my views that the harmfuleffects of the nasal douche are due to the entrance of the\luid into the middle ear, and he shows that however properit may be to intentionally, inject fluid in small quantities into adiseased cavity of the tympanum, it is manifestly incorrec
A practical treatise on the diseases of the ear including the anatomy of the organ . he prefers to leave him to his own fluid should be used which will do no harm if some of itpass into the stomach. * Monatssclirift fur Okrenlieilkunde, Jakrgang VI., No. 4. 298 GKUBEIl ON THE NASAL DOUCHE. Dr. Gruber fully corroborates my views that the harmfuleffects of the nasal douche are due to the entrance of the\luid into the middle ear, and he shows that however properit may be to intentionally, inject fluid in small quantities into adiseased cavity of the tympanum, it is manifestly incorrect toforce it into an ear that was previously healthy, with no restric-tion as to quantity, as is done in the use of the nasal douche. The current from the nasal douche is continuous, evenwhen the cavity of the tympanum is already full; the fluid inthe pharynx attempts more and more to enter into the middleear, and when the pressure is very great, rupture of the mem-brana tympani may occur. I have often seen ecchymoseson the membrana tympani, that were caused by the nasaldouche. *. Nebulizer for Plmrynx. I am very glad to have the views which I first broughtbefore the profession, thus endorsed by so high authority asProfessor Gruber. It is to be hoped that the method ofanterior syringing, and the use of the posterior nares syringe,may finally supplant the nasal douche. The solutions that may be used with benefit as gargles are,of course, very numerous. The gargle that I most frequentlyprescribe is a saturated solution of chlorate of potash. Wherethere is much granular pharyngitis, a gargle containing iodine,will probably be more efficacious. I am in the habit of ad-vising patients suffering from chronic disease of the middleear, suppurative or non-suppurative, to use a gargle of cold * Gruber, 1. c, No. 8. CAUTEEIZATION OF MOUTH OF EUSTACHIAN TUBE. 299 water, by Von Trdltschs method, as long as they live. Thegymnastic exercise of the muscles of the Eustachian tube, isby no means
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