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Wounds and

ichthyol, pure, ich, thyol, solution and applied

WOUNDS AND INJURIES.—Incised and post-operative wounds dressed with pure ichthyol heal by first intention. Cracked nipples heal well under a 20-per-cent. ointment, but it must be wiped off before nursing. Fissure of the anus and other anal lesions do well under the use of pure ichthyol applied by means of a camel's hair pencil morning and evening and after defecation.

Ichthyol considered as the most valu able drug in the treatment of anal fis sure. A brush is impregnated with the pure drug, and thus introduced into the anus, and the contraction of the sphinc ter-muscle forces it into all the folds of the mucous membrane. This treatment is assisted when necessary with castor oil. Van der Milligen (Monats. f. Prakt. Derm., '95).

Venomous insect-stings should be treated by the application of pure ich thyol, or a mixture of equal parts of ich thyol and lanolin. If, when the surgeon first calls, swelling already exists, ich thyol is applied, sheet India rubber is laid over this, and an ice-bag placed on the India-rubber tissue. Administration internally in such a case of 10-drop doses of a mixture of equal parts of ichthyol and spirit of ether advised. Ottinger (N. Amer. Praet., Feb., '97).

Sprains and painful injuries about the joints do well under ichthyol; it should be well rubbed in, on the surface of the injured parts, covered with cotton, and a bandage firmly applied.

— The painfulness of parotitis subsides rapidly when the parts are anointed with ich thyol-lanolin (1 to 2 per cent.) and cov ered with cotton. In many cases luted ichthyol i5 indicated. (Lange.) It is an efficient remedy in almost all affections of the mucous tract.

Inhalations by means of an atomizer of a cold 2-per-cent. solution of iehthyol repeated twice daily, and not too deeply inspired, have given excellent results in acute laryngitis. No ill effects have

followed. Cieglewicz (N. Y. Med. Jour., vol. lxxvii, p. S26).

Two-per-cent. solution of ichthyol rec ommended as a gargle in anginas of almost every kind, except the follicular variety. The mouth and throat are to be carefully gargled, and a portion of the solution then swallowed. L. Herz (Wiener med. Woch., No. 2, '93).

Ichthyol ointment, 2 to 10-per-cent. solution, advocated in the treatment of scrofulous blepharitis. Luciani (Ann. di Ottal., xxiv).

Ten- to 15-per-cent. ointment of ich thyol in lanolin is very efficacious in ciliary blepharitis. Germani (Gazz. degli Osped., June 20, '96).

Ichthyol in pills (V, to 3 grains in twenty-four hours, rapidly increasing the dose to 10 or 15 grains in the day) is one of the most valuable remedies in whooping-cough. Maestro (Med. Week., iv, '96).

In a case of acute idiopathic mdema of the epiglottis in a man of 41, a spray of ichthyol, '/, per cent. in ice-water every fifteen minutes, with ice externally, gave rapid relief. W. P. Meyjes (Jour. Laryn., Rhinol., and Otol., Mar., '97).

Pure undiluted ichthyol tried in fu runculosis. It was thickly painted on the furuncles, which rapidly became softened and soon afterward burst. Every day the old ichthyol is washed off and a new layer applied, after washing away the pus. The same method was equally successful in sycosis barbm and folliculitis of the scalp. Several cases of impetigo vulgaris, eethyma, and eczema impetiginosum were also treated very satisfactorily with pure undiluted ichthyol. Menahen Hodara (Monats. f. Dermat., 1901; Merck's Archives, March, 1902).