pairment of the system, predispose the
individual to this disease.

SYMPTOMS. The voice is often husky, nasal or guttural, and disagreeable.
When the patient sleeps, a low moaning is heard, accompanied with
snoring and stentorian breathing, and the head is thrown back so as to
bring the mouth on a line with the windpipe, and thus facilitate the
ingress of air into the lungs. When the affection becomes serious it
interferes with breathing and swallowing. The chest is liable to become
flattened in front and arched behind, in consequence of the difficulty
of respiration, thus predisposing the patient to pulmonary disease. On
looking into the throat, the enlarged tonsils may be seen, as in the
Fig. 17. Sometimes they are so greatly increased in size that they touch
each other.

[Illustration: Fig. 17.
_A. A._ Enlarged Tonsils. _B_. Elongated
Uvula.]

TREATMENT. The indications to be carried out in the cure of this malady
are:

(1.) To remedy the constitutional derangement.

(2.) To remove the enlargement of the tonsilar glands.

The successful fulfillment of the first indication may be readily
accomplished by attention to hygiene, diet, clothing, and the use of Dr.
Pierce's Golden Medical Discovery, together with small daily doses of
his "Pleasant Pellets." This treatment should be persevered in for a
considerable length of time after the enlargement has disappeared, to
prevent a return.

To fulfill the second indication, astringent gargles may be used.
Infusions of witch-hazel or cranesbill should be used during the day.
The following mixture is unsurpassed: iodine, one drachm; iodide of
potash, four drachms; pure, soft water, two ounces. Apply this
preparation to the enlarged tonsils twice a day, with a probang, or soft
swab, being careful to paint them each time. A persevering use of these
remedies, both internal and local, is necessary to reduce and restore
the parts to a healthy condition.

Sometimes the enlarged tonsils undergo calcareous degeneration; in this
case, nothing but their removal by a surgical operation is effectual.
This can be readily accomplished by any competent surgeon. We have
operated in a large number of cases, and have never met with my
unfavorable results.

The method we adopt at the Invalids' Hotel and Surgical Institute for
the removal of diseased tonsils is, like other minor operations,
painless. The patient is not required to take chloroform or ether. When
the enlarged gland is