Febrifuges are ahnost always superfluous and frequently harmful. As soon as the catarrh begins to resolve, or even in the beginning, the evaporation of ethereal oils is 'advantageous, oleum pini pumilion., ol. eucalypti (10-30 drops frequently dropped on a cloth). The common oil of turpentine is also good and much cheaper. One or two tablespoon fuls of this are poured on a piece of cardboard or blotting paper, once or twice daily and placed in the vicinity of the patient. lnunctions of the chest once or twice daily, with a mixture of equal parts turpentine and olive oil are frequently useful.
One must bc cautious regarding the use of the favorite expectorants. In a beginning dry catarrh, ipecacuanha acts well (0.1-0.4 per cent.) One teaspoonful of the infusion can be given every two hours. and in constipation powdered ipecac, 0.01 a gr.) with calomel 0.01-0.03 (1-1 gr.) five doses to be given, or extract ipecac fluid 0.1-0.3:30 (1-1 gr. to 1 oz.) 20 drops 3 times daily. In favor also are amnion. chlorat. (1-2:100 with 3.0-5.0 c.c. syrup) and apomorphine muriat. 0.01 0.05: 100 (*-1 gr. to 3 oz.) the latter especially in involvement of the larynx. In asthmatic catarrh (see bronchial asthma), sodium iodide 1.1) 3.0:100 (15-45 gr. to 3 oz.) with syrup, not to be repeated. If extensive mucous thles are heard, liq. R111111011. anisat. (P. G.) 2-10 drops 3 times daily, or elix. e. succo liquirit 10-40 drops in sugar water 3 times daily are given as expectorants. They may also be added to other mixtures. Where there is att accumulation of secretion a more decided expectorant action may be obtained from senega in 3-5 per cent. decoction. One must seek to limit the continued formation of mucus by guaiacol ear bonat. 0.5 0.25 (i-4 gr.) 3 thnes daily or creosotal, terpin hydrate, etc.
Only when the secretion is sranty may the irritative cough be allayed. When extensive mucous Mies are present with an excessive amount of mucus in the bronchial tubes the cough must even be energetically stim tilatecl by lig. amnion. senega, compresses, etc. Free expectoration is under these circumstances the best method of lessening the cough. Morphine is given only to older children, after the sixth year [2-5 milligrams gr.) per day]. Usually, it may be dispensed with. Codeine phosphoricurn acts pleasantly and may be given in doses of 0.01 Gm. (* gr.) per day to a four-year-old child, and 1).02-0.04 Gm. (1-.4 gr.) to one six to ten years old. During the early years these remedies had better be avoided. To allay the cough rather give aqua amygdal. amar. (3 times daily, as many drops as there are years) added to the medicine or amnion. bromat. 1.0-2.0: 100 (15-30 gr. to 3 oz.). Bromoform (4 times daily, as many drops as years) also relieves the harassing cough or in unctions of antitussin, very frequently also ext. belladonn. 0.03-0.05:50 (1-1 gr. to oz.) 5 drops 2--4 times daily. The narcotic drug,s are usually added to expectorant mixtures.
During the fehiile period the diet should be limited to fluids (railk, barley water, and for older children also gruels, eggs, and zwieback), with exclusion of all highly seasoned foods. Later, softened rolls, cocoa,
rice, raised pastry, cooked fruits, finely cut roasted meat, may be given. Drinks should be freely allowed, but must only be ven warm. In younger children, disturbances of digestion are frequently produced by energetic internal medication, the occurrence of which should lead to the suspension of all internal remeMes as far as possible. After recovery from bronchitis, a sojourn in the country, or in the mountains, or at the sea-shore, 1.8 advisable; during the winter a stay at Lake Geneva, Riviera, etc.
In chronic bronchitis warm or hot chest compresses with rubber sheeting applied for three hours, once or twice daily, render very good service. In addition to a liberal cliet, preparations increasing the blood formation and stimulating the appetite are indicated. Woolen under wear and stockings are indispensable in middle European climates. By cold sponging in the morning, and dry frictions, one seeks to attain hardening. Existing fundamental diseases must be removed On rachitis, phosphorus and salt baths). Expectorants rarely give much relief, and are only used in acute exacerbations and excessive accumulations of mucus. Of much more value in excessive secretion are the tar prepara tions : guitiacol carbon. 0.1-0.25 Gni. (11-4 gr.)three times daily, creosotal in emulsion 5.0-10.0 Gm.:250.0 c.c. a dessertspoonful three times daily, aqua picis, a teaspoonful to a tablespoonful three times daily, terpin hydrate 0.1-0,5 G'in. (11-7 gr.) three times daily, or ol. pini purnil. drops three times daily milk. The last also acts well in fcetid bronchitis. In addition, in older children, where the secretion is ex cessive, free evaporation of turpentine and inhalations of aqua picis, 1:10-1:2, are of value. In dry catarrhs, the prolonged use of inhala tions of common salt or Ems salt (or with the artificial salt), are often useful, as are the drinking of mineral or sulphur waters. Brine baths either at home or at the resorts are frequently attended by beneficial results. As a general rule, the most lasting effects are obtained by pro longed and repeated stays in forest regions, free from dust and protected from the Mad or at the sea-shore. If possible. the patients should be sent during the summer to the mountains (for instance to the Black Forest, Mins, lingelberg); and more robust individuals even to the high Alps where even in winter excellent recoveries are obtainable (Arosa, St. Morrvitz), especially in antemia and imperfect development of the chest. More delicate patients are to be sent during the winter to the Riviera, Isle of Wight, Algeria, or Madeira. A sojourn at the sea-shore, North and Baltic Seas, Wyk on Far, Abbazia, etc., is often beneficial, even in winter, and acts very favorably on the accompanying naso .
pharyngeal catarrh.