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Pulmonary

menthol, oil, solution, tion, treatment, larynx and drug

PULMONARY DISORDERS.—Inhalations of menthol have been used with advan tage in asthma. Being readily volatilized by the addition of hot water, the re sultant vapor may be inhaled.

A few drops of a 20-per-cent. solution of menthol in olive-oil by inhalations ad ministered to a woman with asthma and congestion of the head. Before adminis tration crepitation and rhonchi were heard on pulmonary auscultation. The remedy always checked the asthmatic attack; breathing became normal, the heart's action remained unaltered, and the pulse full and strong. The patient sometimes complained of dizziness. Jores (Titer. Monats., Apr., 'S9).

Intralaryngeal injections of 10- to 15 per-cent. solutions of menthol in olive oil or vaselin have been used in pulmo nary tuberculosis and ulcerations of the larynx. These injections often relieve the dyspncea and cough associated with phthisis.

Injection into the larynx of a 20-per cent. solution of menthol in olive-oil advised in laryngeal and pulmonary pbthisis. At each sitting two to three injeetions of 15 minims each should be given, the fluid being deposited on the part affected when tbe larynx is diseased, but in the trachea when the lungs only are involved. The procedure should be carried out once or twice daily for about two months. Ulcers of the larynx heal nicely under it. A. J. Bechag (Edinburgh Med. Jour., Jan., '88).

Alenthol successfully employed in the treatment of pulmonary and laryngeal tuberculosis, according to the suggestions of Koshlakoff and Simanovsky. In out of 12 cases it was found that: (1) the menthol treatment was followed by a great amelioration of the general condi tion of the patient; (2) the remedy im proved the appetite, promoted easy ex pectoration, and gradually decreased the daily quantity of the sputa; (3) the drug never gave rise to any renal irrita tion; and (4) it never induced litemop tysis. In the 15 cases of laryngeal tuber culosis treated with menthol, the drug Itas found to possess considerable anal gesic action. The paintings decreased local inflammatory phenomena and did away with infiltrations. They also pro moted healing of superficial ulcers, but could not, however, bring about cicatriza tion of deep ulcerations. It is advisable always to begin with a 10-per-cent. solu tion, and to gradually increase this strength. In all eases the local must be accompanied by general treatment.

In pulmonary tuberculosis the drug, was administered internally, as in the fol lowing prescription:— K. Mentholi, 1 drachm.

Pulv. acacite sacehari alhi, of cad:, 1/2 drachm.

M. et ft. pil. No. 40.

Of these pills, 5 are to be taken. gradu ally increasing the number to 20, 30, and even 40. The inhalations were used from ten to twelve times a day. The paintings were applied with front 10- to 50 per-cent. solution, once daily, once every two days or twice a week, according to indications, Valcrins Idelson (Wratsch, No. 3, '90).

Attention called to the parasiticidal powers of menthol, a remedy that may be daily applied through the trachea in thc treatment of pulmonary consump tion, using doses of 1 drachm of 1.1 12.per cent. solution made IN ith sterilized oil Administered in this manner, the drug Itas well borne by patients, and under its use the cough, expeetoral ion, night sweats, the hectic fever, and eVell the emaciation were diminished. Brook house (Revue Cl.n. de Clin. et de Th*r., Aug. 3, '92).

I) Mentliolized oil (10 •-,•1,t I. as bet n recommended of furtmele of the ex , .• 1, rv tanal. and of diffuse 11,e wall of the canal. A . • • .),, -•,aked in the mentho ,- •• • t nil into the meatus and Z..r Lt,tv-four hours. A burning n roduced. but it soon passes .17. IL the painful stage of otitis media rii..ut r,erforation. mentholized oil (1 r edit.). instilled into the meatus, i:s ful anodyne application. In i.r titis media mentholized oil (5 t 1., 1,-,r cunt.) is valuable as a mild ',iris. f,-,r the interior of the tym t-,n'iln.

N..E.'-'TFIESIA.—Squitib advises f, solution for local ansthe s1a tl.at will last about five minutes, an n I hand-spray apparatus being P.,' .1:— IZ Menthr 1. 2 parts.. roform. '2.0 parts. Et1ir. 31 parts.-1.

E i.arts of chloral and menthol f up, .n trituration. an oily substance ,,,1t; 1. is mildly counter-irritant and a - al an-Esthetic.

Mxture of equal parts of menthol and i -It rm in the form of a dry powder tricd in fourteen cases of scraping out d rcsection of tuberculous bones and = parts. In every instance the wound ..calcd more rapidly, and the general curse of the case was more favorable *;.an in another series of similar cases Pre iodoform alone was employed. Cirard .Trit. Med. Jour.. Apr. 2S, 'SS).