Suffocative attacks which may present themselves at the moment of ,going to sleep in infants with acute rhinitis may be confounded with croup, the symptoms being. cyanosis of the face, movements of the alm nasi, nasal rales, violent aetion of respiratory muscles, leading sometimes to eomplete tempo rary arrest of respiration, and ending,, perhaps, in convulsions. While sucking, the respiratory need may become sud denly so great that the infant throws baek its bead and makes an inspiratory movement, which may lead to milk be ing drawn into the larynx. Tissier (Re vue Men. des Mal. de l'Enfance, Jan., '94).
A few drops of paregoric administered several times during the dav will have a quieting effect on the congested mucous .• •• ..11111,,Iti011 it, (Ill' 11:1,111 • • 1 •? 1 1.1.1111' 'T3,11104110 and pro ; -1 t t 11.;.! ot,,e11NO,1 ill MO 1, IN 1'01, that the powerful ran to ont raction of the swollen n tothi am, induced by the sil t z it, al cittra, I, \dine equal to retain ; .t on the dilated blood-vessels i •r t I. 11; time. does not yet sralice to yr, i4nt it; lernitely, but only to delay. t4c paral tie stage following, the use of c4,4rat • It also 'WOWS tO he true that t' Crail relaxation attending the C0111 11-t• of the two agents is greater t' I Lit following emiaine alone. The 1,1,11 ft ssa should be carefully packed cry operation. F. E. ITopkins NI441. .11-ra. 25. 19001.
e eoryza may sometimes be abtrtol in an early stage by the ire 4,rant inspiration of the vapor of -Brand.- remedy," which consists of acidi earboli puri. ammonii liquoris, of each, 5. aleoliolis (PO degrees). 10: aqiix nestil lata, 15 parts: or by a single intrauasal sprayin4,-, with ichthyol, 5; alcohol, ether. of each, 50 parts by weight. The most rational abortive treatment is. bow ever, to paint the Schneiderian mem brane with a vasoconstrictor, such as eicaine, or still better,—because its ac tion is more prolonged and equally in ten-e.—with an aqueous extract of suprarenal capsule. Vacher, of Orleans, i•a- by this treatment, frequently sup ressed a cold within a few hours. The hyperramia of the mucous membrane 4..ran di-appears. and with it the symp tr ms ..1 coryza. The crystalline hydro lp of adrenalin, isolated by Taka mine. is. equally efficacious. The com ercial solution is of a strength of 1 in loon, but solutions of 1 in 5000 or 1 in 4;0410 are sufficiently powerful. Perhaps the sur4- st way to abort a cold is to paint the imicons membrane two or three times with suprarenal extract or a solution of adrenalin, and to inhale Brand's remedy frequently in the inter val-. NA hen a cold has once developed
much may be done to relieve the head ache and the sensation of nasal obstruc tion. The symptoins improve at once if the mucous membrane is sprayed every two or three hours with a tepid, 1-per membrane. Simple steam-inhalers can be procured at very little cost, and such medicaments as oil of tar, paregoric, and compound tincture of benzoin can be used. A few drops of plain liquid bolene may be placed in the nasal pas sages with a dropper, or a powder com posed of equal parts of compound rate of zinc and boric acid and subnitrate of bismuth can be used.
For infantile eoryza and for children who suffer much from coryza, a spray of borate of soda, 'A drachm, and infusion of coca, 8 ounces, recommended. The fluid ean either be used with the atom izer or thrown into the nostrils with a dropper. This solution is capable of re ducing the tendency to relapse and is safer than cocaine. W. Cheatham (Col laborator, Affnual, '89).
In acute thinitis of infants hydrate of terpene, 7/,, to I V, grains, according to whether the infant is below or over 1 year of age, recommended. The remedy is to be administered three times a day. Lewy (Archly f. Kinderh., B. 17, H. 5, 6, '94).
Croupous Rhinitis.—This variety oc curs under various circumstances. Aside frorn nasal diphtheria, which is best con sidered under the general heading of diphtheria, we occasionally see in what seems to be an ordinary rhinitis the formation of false membranes; and within the latter have at times been found Klebs-Loeffier bacilli, apparently in a non-virulent condition. Other cases of pseudomembranous rhinitis follow the application of the galvanocautery to the nasal mucosa.
About 77 eases of membranous thinitis collected. In 41 there is a clear record of a bacteriological examination, and in 33 the Klebs-Loeffler bacillus was found, while in 1 the result was doubtful. In several other cases the membranes v,ere examined, and found not to differ from those of diphtheria. In all of the eases the disease ran a benign course, and in all but a, few the membrane was limited exelusively to the nose, and the coo stitutional symptoms were not marked or were entirely absent.