I have seen acute coryzas checked by a finely localized application of chromic acid or the galvanocautery. -Undoubt edly the benefit was produced by reason of counter-irritation, and the general congestion was centered at the one point where the cautery was applied.
Spray of benzoate of soda highly ex tolled during first stage and continued at frequent intervals during twenty-four hours. Anfruns (Revista de Lar., Otol., y Rinol., vol. ix, No. 8, '94).
Following procedure sometimes gives rise to excellent results in acute rhinitis: At the outset of the eoryza the nasal cavities are to be sprayed with a small quantity of a mixture of 1 part of ich thyol and 100 parts each of ether and alcohol. This application of the spray is to be made only onee. Unna (Pacific Med. Jour., Feb., '95).
If effervescent citrate of lithia, 10 grains, are taken in a tumblerful of water, when the first symptoms of acute rhinitis appear, the full development of the disease is prevented. In some cases the dose of lithia may be repeated sev eral times. 13ishop (Laryngoscope, Dee., '97).
Statement of Bulkley corroborated, that from 60 to 100 grains of sodium bicarbonate taken in twenty-four hours in the early stage of rhinitis, especially in subjects of the uric-acid diathesis, will completely abort the attack. Careful dieting and abundance of out-door exer cise are factors that should enter into the treatment of the inflammatory dis eases of the upper air-passages. J. C. Mulhall (N. Y. Aled. Jour., Nov. 12, '93).
Coryza can be aborted by using locally a solution of belladonna tincture (B. P. 1899) in water. The strength used is 1 or 1 drachms in 1 ounce of water. The nose having been well cleared out, a dessertspoonful of the solution applied to one nostril, the other nostril and the mouth are closed, and, while gradually raising the distal end of the irrigator, a long inspiration is made until the air, in bubbling through the solution, carries with it a coarsish spray. Afterward the other nostril should be sprayed in the same way, and then, having well cleared out both nostrils, the process is to be re peated. W. E. Burton (Brit. 'Med. Jour., June 10, '99).
The following formula is recommended: R Heroin, I grain.
Atropine sulphate, '/„ grain. Caffeine citrate, 15 grains. Salophen. 75 grains.
This is to be divided into fifteen cap sules, one of which is ordered four times daily. IVetherhy (Med. Council, Nov., '99).
AD aqueous solution, 20 grains of dried suprarenal extract in ounce of water filtered throngh cotton, to the congested nasal mucous membrane in eoryza (after clearing the nose and naso-pharynx ill! an alkaline wash of sodium salie3late. sodium bicarbonate, and boric mid), ap plied on pledgets of cotton, can take the place of cocaine in the relief of eongested mucous membranes, Millener (Itulfal.) lv, p. 5S5, 1900).
Untoward effects of loeal applications. Secondary ha.morrliage fidlowing tho in tranasal use of suprarenal extract ob served in three eases in whirl! it had been used during operations. Numerous instances in the hands of other laryn gologists. It was occasionally observed that in some patients thero was an idio syncrasy against its use, violent coryzas cent.. watery solution of cocaine, or, still better, with hydrochloride of co caine and menthol, of each, 5 parts, dis solved in 100 parts of liquid paraffin. EV011 in cases of chronic eoryza painting the mucosa with adrerialin or suprarenal extract greatly assists the restoration of nasal permeability. Spiers believes that the abundant nasal discharge is largely kept lip by reflex irritation. He therefore treats coryza by post-nasal in sufllations of orthoform, and claims to have had good results. Early treatment of eoryza is both curative and prophy lactic, and may frequently prevent ex tension of the process to the sinuses or middle ears. Pugnat (Brit. Med. Jour.; from Rev. MeRl. de la Suisse Rom., May '20, 1902).
Where repeated coryzas are simply an indication of a chronic pathological con dition of the nose, such as deformities of the nasal septum, or adenoids, or polypi, these should be promptly re moved in order to prevent acute attacks.
Simple Acute Coryza of Infants.— Obstruction of the nose in the adult is only a source of inconvenience; but in the nursing infant it becomes a serious disorder, interfering with nursing and interrupting sleep by causing dyspncea.