. A treatise on headache and neuralgia : including spinal irritation and a disquisition on normal and morbid sleep . ld be taken toprevent the passage of the animals into the nasalcavity. This may be accomplished by previouslyplugging the nostrils with cotton wool. In order toavoid the employment of leeches, I have had con-structed an apparatus, by means of which artificialepistaxis may be produced in a satisfactory manner,and without the slightest possibility of accident. It consists, in the first place, of the jar (e), which isconnected with the air pump (h), by means of which ARTIFICIAL EPI


. A treatise on headache and neuralgia : including spinal irritation and a disquisition on normal and morbid sleep . ld be taken toprevent the passage of the animals into the nasalcavity. This may be accomplished by previouslyplugging the nostrils with cotton wool. In order toavoid the employment of leeches, I have had con-structed an apparatus, by means of which artificialepistaxis may be produced in a satisfactory manner,and without the slightest possibility of accident. It consists, in the first place, of the jar (e), which isconnected with the air pump (h), by means of which ARTIFICIAL EPISTAXIS. 35 it is possible to cause a vacuum in the vessel (e). Thegauge (/) registers the degree of approach to a india-rubber tube connects the jar with the smallbottle (c), which is provided with a scale. A bifur-cated tube (b) connects the bottle with the two smallcupping bowls (a a) ; the latter are sufficiently minuteto admit of their introduction into each nostril respec-tively. As they are provided with india-rubber gar-nitures, it is possible to adapt them accurately to thesides of the Fig. 4.—Authors Apparatus for Artificial Epistaxis. The mode of employment is simple enough. Thecupping bowls having been introduced, a smallscalpel is inserted in turn beneath the edge of each,by means of which the mucous membrane of theseptum is slightly scarified. The cupping bowlsare then connected with the vacuum jar and withthe bottle by opening the appropriate valves (i, i, i, i) require no explanation, as theirfunction is self-evident from the situation which theyoccupy. Short segments of glass tubing, inserted in 36 HEADACHE AND NEURALGIA. the india-rubber pipes below the cupping bowls, enablethe operator to observe whether the blood is flowingproperly, or whether further scarification is the blood flows into the graduated bottle alreadydescribed, it is possible to determine with accuracythe amount removed. Blisters to the nape o


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Keywords: ., bookcentury1800, bookdecade1890, booksubjectsleep, bookyear1894