ry four hours
for an adult; but used only under doctor's directions.

12. Dr. Hare of Philadelphia, uses 1/200 grain mercurius biniodide (pink
powder) every four to six hours to abort tonsilitis. I would recommend the
following:--Give one-tenth drop dose of a good tincture of aconite and
1/200 grain of the mercury biniodide (one to two tablets a dose) every
hour, alternately, one of them one hour and the next, etc. If there is
much deposit I would put ten tablets of mercury protoiodide (one-tenth of
a grain in a tablet) in one-half glass of water and give two teaspoonfuls
every hour until the bowels move freely, then every three to four hours.
The aconite can be used if there is much fever, with hot, dry skin,
alternately everyone-half hour. I prefer the pink powder when there is no
deposit or membrane. These I have used for years, and know them to be
excellent. For children the dose is about one-half. After twelve hours the
remedies should be given only every three to four hours.

QUINSY. (Suppurative Tonsilitis).--In from two to four days the enlarged
gland becomes softer and finally may break, sometimes in the pharynx; the
breaking gives the patient great relief. Suffocation has sometimes
followed the rupture of a large abscess and the entrance of the pus into
the larynx. This form of tonsilitis was formerly called quinsy. By this
term now is meant an abscess around the tonsils, (Peri-tonsilar abscess).
The structures are very much swollen.

Causes are somewhat similar to what has produced the regular tonsilitis.
It may follow exposure to cold and wet, and is very liable to recur. It is
most common between fourteen and twenty-five years. The inflammation here
is more deeply seated. It involves the main tissue of the tonsil and tends
to go on to suppuration.

Symptoms.--The general disturbance is very great. The fever goes to 104 or
105 degrees; the pulse 110 to 120. Delirium at night is not uncommon. The
weakness may be extreme. The throat is dry and sore, hurts terribly to
swallow, this being the first thing of which the patient complains. Both
tonsils may be involved. They become large, firm to the touch, dusky red
and swollen, and the surrounding parts are also much swollen. The swelling
may be so great that the tonsils may touch each other or one tonsil may
push the uvula aside and almost touch the other tonsil. There is much
saliva. The glands of the neck enlarge, the lower jaw is almost immovable
and sometim