A manual of diseases of the throat and nose : including the pharynx, larynx, trachea, oesophagus, nose and naso-pharynx . through the nose, should be enjoined first to bend his head forwardand downward, then to keep it in a nearly erect position, and finally tothrow it as far back as he is able while drawing up the medicated liquid. Douches.—The douche, or irrigator, was introduced by Thudichum,who first applied Webers ;i discovery that the nasal channels act as twoarms of a siphon, when the mouth is kept open. Thudichums originalinstrument consisted of a piece of india-rubber tubing, about fo


A manual of diseases of the throat and nose : including the pharynx, larynx, trachea, oesophagus, nose and naso-pharynx . through the nose, should be enjoined first to bend his head forwardand downward, then to keep it in a nearly erect position, and finally tothrow it as far back as he is able while drawing up the medicated liquid. Douches.—The douche, or irrigator, was introduced by Thudichum,who first applied Webers ;i discovery that the nasal channels act as twoarms of a siphon, when the mouth is kept open. Thudichums originalinstrument consisted of a piece of india-rubber tubing, about four feet inlength, provided at one end with a perforated weight, and at the otherwith an appropriate nozzle for passing into the nostril. The weighted endof the tubing is put into a vessel containing the medicated liquid, and thelatter is placed on a shelf a little above the patients head. On startingthe flow by suction at the nozzle, and placing the instrument in the nose,the fluid will run in a continuous stream until it is exhausted. This in-strument has since been somewhat improved (Fig. 42) by the addition of. Fig. 42.—Nasal Douche. Elastic tubing terminating at a in a hollow metal weight, and at c in a noz-zle, while at & is a metal or vulcanite shoulder, fitting loosely, so that it can be run along the tubing, a,the metal piping is placed at the bottom of a bottle or jug containing tepid saline water ; 6 rests on theedge of the vessel; and c passes into the nose of the patient. In order to start the current, suction mustfirst be made at the nozzle. an arm of vulcanite or metal, to cover the tube where it passes over theedge of the vessel, an arrangement which prevents the tubing from beingpressed upon, and dispenses with the necessity of a weight. The Parsons douche is a still more perfect instrument, being providedwith an elastic ball, by means of which the flow can be started, and a tapby which the stream can be at once shut off. About a pint of water at a temperatu


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Keywords: ., bookcentury1800, bookdecade1880, bookpublisherne, booksubjectnose