In gonorrhuml cystitis, rest in bed, avoidance of all local irritations, admin istration of morphine, codeine rectal suppositories, or of extract of hyoscya mus, use of local warm baths; forbid ding of spices, alcohol, and carbonated waters, and the giving of laxatives. Priapism can be avoided by the bro mides, with catuphor or cannabis Indica. For the cystitis itself, salol, in three doses of 15 grains each, sodium salicy late, or sodium benzoate are useful. If the digestion is excellent, oil of santal, cubeb, kava-kava, balsam of copaiba, balsam of Peru, and oil of turpentine may be employed. Of importance is the use of infusions, as of uva ursi, quite likely on account of their diluting the urine. M. Harovitz (Centralb. f. d. Gesammte Therapie, H. 2, S. 65, '97).
Bladder lavage with salt-water, and the application of oil containing iodo form and guaiacol, is a method sug gested by the good effects which arti ficial serum produces in tnberculosis of the peritoneum, as well as the general ized and stimulating action which it ex ercises upon the nutrition of the tissues. The physiological solution of chloride of sodium was left in the bladder in con siderable quantity, directing the patient to hold it as long. as possible. To pro duce a tolerance by the bladder. olive-oil containing per cent. of guaiacol rind front 1 to 2 per cent. of iodoform was injected. The iodoform deposits itself upon the mucous membrane, especially at the points of ulceration, and thus forms a kind of protective film. These
applications are attended with the irri gations with normal salt solution. The pain, bleeding, and other NI ell-knowu symptoms of this disease soon disap pear. A. Montford (La Semaine Me dieale, Dec. 10, 1902).
The patient should be advised to drink freely of water and should be careful regarding diet. Locally the bladder should be washed out once or twice a day with a solution of permanganate of potash 1/400o to 1/5000 ; silver nitrate in a similar strength; boric acid, 10 grains to the ounce; bichloride of mercury, / 1. 4000 tO 1/500 .
In cystitis due to enlarged prostate the question of operation has to be consid ered, and includes such procedures as castration (White's operation); resection of a portion of the vas deferens; enuclea tion of the prostate; incisions of the prostate (Bottini's method), etc.
Anodynes are indispensable in many cases of cystitis to relieve the frequent desire to urinate and the extreme pain ' the patient suffers. They arc best given per rectum and in the form of opium or its alkaloids. Many cases demanding operation for the relief of the distressing symptoms inevitably associated with chronic inflammation of the bladder are only relieved by such measures as a suprapubic cystotomy or a perineal sec tion.
[The severe pain attending the pas sage of urine is often relieved by the use of 5-grain doses of chloride of ammo nium every three hours, especially if lit mus-paper show the urine to be acid. ED.1