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Purchase of this book includes free trial access to www.million-books.com where you can read more than a million books for free. This is an OCR edition with typos. Excerpt from book: hence the unseemly marks and scars often seen in the necks of persons of the strumous type. Catarrhs, bronchial, gastric, and intestinal, are common accompaniments of the strumous diathesis; the child is always catching cold, and is especially prone to a watery diarrhoea, which is occasionally very intractable to treatment. 2. Otorrhoea is one of the very commonest accompaniments of the strumous diathesis. Besides the ordinary treatment of scrofula presently to be noted, the ears should be well syringed out daily with warm water or a weak zinc lotion, and a sinapism about the size of a florin should be frequently applied over the mastoid process. 3. Ozaena (rhinorrhoea) is also common; the amount of heat and swelling about the lining membrane of the nostrils is often considerable, and vith the offensive mucopurulent discharge make this complaint a very distressing one. When we are satisfied by the use of the speculum that there is no polypus or other nasal tumor, the local treatment must be directed to removing the offensive crusts of mucus by frequently syringing with weak Condy's fluid lotion ( 3 ij. to Oj.), or chloride of zinc (gr. xvj. to Oj.), or chlorinated soda or other disinfectant lotion, and directions must be given that the syringing be thoroughly and effectually performed, after which it is well to have the nostrils anointed with some stimulating ointment, as the Ung. Zinci or Hyd. Nit. Mitius, to diminish the amount of secretion. The stomach and bowels are frequently deranged in these cases, and should receive attention. Occasionally ozaena is a concomitant of the syphilitic diathesis; the local treatment will be the same, but the constitutional remedies will then of course require to be directed against the syphilitic taint in place of the strumous. 4. Opht...

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