Such are the symptoms of a fully-devel oped catarrh. But it is not necessary that they should all be present in each case; in one person the force of the attack may expend itself on the nostrils, and be evidenced by the "running nose" and weeping eyes. In another Jerson the fences may specially suffer ; and in mother, hoarseness and cough may be the chief iigns of it.
The disease should last only from two to four lays.
The treatment is simple, but may be easily made sufficient to lessen the severity and &Ira Aon of the attack, and to avoid consequences which are too apt to follow neglect of all treat ment. Let the person be confined to the•house, and, if not to bed, at least to one room, which ought to be maintained at an ordinary tempera ture. The disease may be arrested at the very onset by the person going straight to bed and having a dose of 10 grains of Dover's powder, along with 10 grains of antipyrin, followed in a abort time by a warm drink of gruel or similar beverage. This dose may be given only to an adult. A second dose, but of half the amount, may be given two hours after the first, and, if necessary, another half four hours after the second dose. In the absence of Dover's powder 10 drops of laudanum, with 10 grains of anti pyrin, may be given, followed by the hot drink, and every three hours thereafter half the same dose for four doses, but not to children. The writer has found a catarrh snuff of Dr. Ferrier very serviceable, but only if used at the very be ginning of the cold. It is made of 60 grains of powdered gum arabic, 180 grains of subnitrate of bismuth, and 2 grains of morphia. The in gredients must be thoroughly mixed and kept in a small wide-mouthed glass bottle. A good sized pinch should be taken on the nail of the little finger and drawn up each nostril, the nose having been gently blown previously. This, if taken early, often succeeds in arresting the dis ease, and it soothes the irritation of the nostrils. An extra pinch may be taken every second hour for several times. The snuff must not be given to children. The unfortunate thing connected with the use of Dover's powder, laudanum, or the snuff, is that many people take badly to any preparation of opium. While any of the substances mentioned usually relieves all the symptoms, in some cases the headache is in creased, and sickness is produced. In such a case the irritability of the stomach will be diminished by sucking ice, which also will soothe the pain of the throat. On the morn ing following the use of any of these medicines a brisk purgative of seidlitz or other saline medicine should be given. If, after the acute attack has passed, the throat remains swollen, and secreting thick mucus, a gargle of alum, or chlorate of potash (of a strength of half to one tea-spoonful to a pint of water) may be used. If the nostrils remain swollen, and dis charging yellowish matter, the same solution may be thrown gently into them by means of a syringe. The nose is often greatly relieved, and the symptoms even arrested, by the use of a nasal ointment made of white vaseline with 10 per cent menthol and 2 per cent cocaine.
A portion of this, in bulk about the size of half of the half of a split pea, should be taken on the nail of the little finger and thrust up and drawn up each nostril.
Much may be done to prevent attacks of such a nature by the health being maintained by active exercise in the open air, and by the avoidance of over-heated rooms. A regular morning bath of cold water will also doubtless tend to diminish liability; but everyone does not take kindly to such an institution, and it would be a mistake to insist upon it, for so called "hardening" purposes, if the person was manifestly none the better but rather the worse of it.
Inflammation of Tonsils( Tonsillitzs,Quinsy, Sore-Throat).—Sore-throat is an occurrence of many diseases: scarlet fever, diphtheria,&c. In this form, however, it is not a mere symptom, as in the others, but the disease itself. It is usually the result of cold.
Symptoms.—The disease begins often by a shivering, or a sense of chilliness. The throat feels dry and painful, the pain being hot and stinging. At this stage the tonsils and neigh bouring parts may be seen to be of a bright-red inflammatory colour. Soon swelling occurs, and the tonsil projects from the wall of the throat. Frequently one side is attacked first, and the other side a day or two later; but both may be attacked together. Owing to the tenderness and swelling, swallowing becomes difficult, and, if the case is severe, the swelling may become so great as almost quite to block the passage from the mouth into the pharynx. Speech becomes thick and difficult. The uvula becomes swollen, also, and red, hanging down often on to the back of the tongue, and provoking constant efforts to swallow or hawk up, from the feeling it pro duces of a foreign body being in the throat. The inflammation affects the glands of the mucous membrane, and causes an increased production of a thick mucus, which troubles the sufferer much, owing to the pain caused by efforts to get rid of it. The salivary glands may also be stimulated, by the increased circulation of blood in their neighbourhood, to excessive secretion, tnd the extra quantity of saliva produced is slowed to dribble out of the mouth to save the pain efforts to swallow it would occasion. The swelling may also prevent the mouth being opened sufficiently to permit of the condition of the parts being seen, and the pain may pass up into the ear. With all this there are fre quently smart fever, quick pulse, and severe headache. After three or four days the symp toms begin to subside, and may quickly pass completely away. In other cases the disease is prolonged owing to an abscess forming on one side or the other. If not opened, the abscess bursts into the mouth, affording immediate re lief to all the symptoms. A very short time after the matter is discharged, the person is usually able to swallow and to speak, though this may have been almost impossible to him before.