For, although the disease is
not dangerous, it quickly spreads in institutions, boarding schools,
etc. If the tonsils are painted with a solution of silver nitrate (one
drachm to the ounce of water), applied carefully with a camel's-hair
brush, at the beginning of the attack, and making two applications
twelve hours apart, the disease may sometimes be arrested. It is well
also at the start to open the bowels with calomel, giving three grains
in a single dose, or divided doses of one-half grain each until three
grains have been taken. Pain is relieved by phenacetin in three- to
five-grain doses as required, but not taken oftener than once in three
hours, while at night five to ten grains of Dover's powder (for an
adult) will secure sleep. For children one-half drop doses of the
(poisonous) tincture of aconite is preferable to phenacetin. The
outside of the throat should be kept covered with wet flannel wrung
out in cold water and covered with oil silk, or an ice bag may be
conveniently used in its place. A half teaspoonful of the following
prescription is beneficial unless it disagrees with the stomach. It
must not be taken within half an hour of a meal, and is not to be
diluted with water, as it acts, partly through its local effect, on
the tonsils when allowed to flow from a spoon on the back of the
tongue.
[Rx] Glycerin 4 ounces
Tincture of chloride of iron 1/2 ounce
Mix. Directions, half teaspoonful every half hour.
A mixture of hydrogen dioxide, equal parts, with water can also be
used to advantage as a spray in an atomizer every two hours. The
phenacetin and Dover's powder must be discontinued as soon as the pain
and sleeplessness cease, but the iron preparation and spray should be
continued until the throat regains its usual condition. A liquid diet
is desirable during the first part of the attack, consisting of milk,
cocoa, eggnog (made of the white of egg), soups, and gruels; orange
juice may be allowed, also grapes. The bowels must be kept regular
with mild remedies, as a Seidlitz powder in a glass of water in the
morning, or one or two two-grain tablets of extract of cascara
sagrada at night.
=QUINSY.=--Quinsy is a peritonsilitis; that is, it is an inflammatory
disease of the tissues in which the tonsil is imbedded, an
inflammation around the tonsil. The swelling of these tissues thrusts
the tonsil out into the throat; but the tonsil is little
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