one constructed to apply
it upon the principle above stated. Such an instrument is Dr. Pierce's
Nasal Douche.

By the use of this instrument, the fluid enters every portion of the
air-passages of the head by its own weight, no snuffing being required.

DIRECTIONS FOR USING DR. SAGE'S CATARRH REMEDY WITH THIS INSTRUMENT.

[Illustration: Fig. 12.
This cut illustrates the manner of using Dr. Pierce's Nasal Douche.]

To cleanse out the passages previous to applying the Catarrh Remedy
fluid, take one quart of soft water, add to it two large tablespoonfuls
of common salt, and shake it up occasionally until all is dissolved.
Before use heat it until blood warm, or, in other words, until it gives
a pleasant, mild warmth to the inserted finger. Put the reservoir on a
shelf, or hang it up, so that it will be a little higher than the head:
fill the reservoir with salt and water, pressing the tube between the
thumb and finger so as to prevent the fluid from escaping through it;
introduce the nozzle at the end of the tube into one nostril, pressing
it in far enough to close the entrance of the passage so that no fluid
can escape by the side of the tube, breathe through the mouth, avoid
swallowing, and allow the fluid to flow. The soft palate, by the act of
breathing through the mouth, is elevated so as to completely close the
passage into the throat, and thus the fluid is made to flow up one
nostril in a gentle stream, to pass into and thoroughly cleanse all the
sinuses, or cavities, connected with the nasal passages, and to flow out
of the other nostril. The douche should not be employed unless both
nostrils are open and the flow is free. If the head is "stopped up,"
snuff up the warm liquid from the hand occasionally, until the passages
are open and you can breathe freely through both nostrils.

Do not forget that the instrument will not work properly unless you
_breathe through the mouth and avoid swallowing_ while the fluid flows.

Fill the reservoir a second time with the simple salt and water, and,
inserting the nozzle into the nostril out of which the fluid flowed on
using it the first time, pass the current through in the opposite
direction; that is, so that it will flow out of the nostril into which
it flowed the first time of using it.

After having thus thoroughly cleansed the passages, fill the instrument
half full or more with the "Catarrh Remedy Fluid," prepared as
heretofore directed, and warmed to a moder