. A manual of diseases of the nose and throat. be both constitu-tional and local. The constitutional treatment is directed to main-taining the nutrition at the highest possible diet should be composed chiefly of liquids, andwhere these cannot be swallowed they should be intro-duced by means of the stomach-tube or by rectal alimen-tation. Cod-liver oil, hypophosphites, and beech woodcreosote in large doses are to be administered. Thepatient should live in the open air as much as possible. The local treatment consists in prescribing a spray,by which the tenacious secretion can readily
. A manual of diseases of the nose and throat. be both constitu-tional and local. The constitutional treatment is directed to main-taining the nutrition at the highest possible diet should be composed chiefly of liquids, andwhere these cannot be swallowed they should be intro-duced by means of the stomach-tube or by rectal alimen-tation. Cod-liver oil, hypophosphites, and beech woodcreosote in large doses are to be administered. Thepatient should live in the open air as much as possible. The local treatment consists in prescribing a spray,by which the tenacious secretion can readily be removedfrom the ulcerated areas : TUBERCULOSIS OF THE PHARYNX. 391 R.—Sodii bicarb. . gr. xv Sodii chloridi . gr- »j- Listerine . 3J. Aquae . q. s. ad. 3 J- M. et Sig.—Use in atomizer. The ulcer should then be painted twice with a 20 PerCc*,.-minutes between the applications. Its surface should bej^/^y**- cent, solution of cocaine, allowing an interval of five curetted. Heryngs curettes (Fig. 99, a, b, and e) are €i^r^t^cfFig. iiKlMes Set of Heryngs knives and curettes. well adapted to this purpose. If these are not obtain-able, the Grunwald curettes (Fig. 72, a) may be operation is usually attended with great pain, not-withstanding the use of the strong solution of curetting the blood should be wiped away with acotton-wound applicator, and a 40 per cent, solution oflactic acid in water be applied to the raw surface with acotton-wound applicator. An application of lactic acidshould be made every three days, the strength of theacid being increased 5 or 10 per cent, each time, accord-ing to the reaction, until finally the full strength of theacid is employed. Gelatin tablets, containing \ grain 392 DISEASES OF OROPHARYNX, TONSILS, TONGUE. of cocaine, should be prescribed half an hour beforetaking food, with directions to hold one in the mouthuntil it has dissolved. This somewhat diminishes thepain of deglutition, so as to enable the patie
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