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:
TREATMENT OF PHAGEDENIC PERICEMENTITIS. 985
Dr. A. W, Harlan of Chicago has been instrumental in the introduction
of a number of agents that are very valuable. Among these I will men-
tion the iodide of zinc in solutions of various strength as an astringent
and stimulant, combinations of iodoform and eucalyptus, iodoform and
eugenol, iodoform and oil of cinnamon, weak solutions of chloride of
aluminum in water, 1 to 3 grains to the ounce, sanitas and eugenol, 3
parts of the former to 1 of the latter, as a germicide and tissue stimu-
lant, resorcin in solution, from 8 to 24 grains to the ounce of water, as
an antiseptic and tissue stimulant. All of these except the iodoform
combinations are to be injected with Farrar's syringe into the pockets
once in four days. The iodoform mixture may be packed into the
pockets.
Dr. T. L. Gilmer of Quincy, 111., has used phenol camphor^ success-
fully in the treatment of this affection. He regards it as especially use-
ful in obstinate chronic cases, and has found it succeed where other
remedies seemed incapable of preventing the continuous discharge of pus.
It is certainly a good parasiticide and its stimulant qualities seem very
excellent. Its taste will be very objectionable to some persons. It is
to be injected into the pockets in the same manner as the other remedies
named.
The washing with the peroxide of hydrogen, either with or without
the addition of the bichloride of mercury, should generally be repeated
at each sitting, for the purpose of freeing the pockets from all debris
before the application of the other remedies. Lately I have successfully
treated some cases with this alone.
In the after-treatment of all cases the greatest care should be taken to
prevent injury to the granulations in process of growth. Usually, after
a decided disposition to heal is shown, the treatment should be limited
to keeping the parts well cleaned. As a wash for the patient to use
with the brush during the treatment the ordinary cinnamon-water of
the United States Pharmacopoeia is very excellent and agreeable. Most
of ray patients, however, have used the 1-2-3 mixture (page 984)
diluted to about one-half with oil of anise or oil of lemon, or without
dilution, by placing half a dozen drops on the brush once per day.
This mixture seems to be in general use among physicians of my
acquaintance for the treatment of catarrhal affections of the mucous
membranes, especially the chronic forms, and its results are especially
good. Any disinfectant stimulant wash will be beneficial, though not
much reliance can be placed on anything of this kind, for the reason
that it cannot be applied to the diseased parts (within the pockets) by
the patient.
Just here a word in regard to the action of antiseptics may be import-
ant. A great majority of the antiseptics which are safe for use in con-
nection with living tissues are depressant of the living forces and act
directly to impair the functional activity of the living cells. For this
' Phenol camphor is prepared as follows
Take of Carbolic acid, in crystals, ) i -
' ^eacn^ss.
Gnm camphor,
Mix and heat on a sand-bath until both are melted ; they combine to form an oily
liquid.
TREATMENT OF PHAGEDENIC PERICEMENTITIS. 985
Dr. A. W, Harlan of Chicago has been instrumental in the introduction
of a number of agents that are very valuable. Among these I will men-
tion the iodide of zinc in solutions of various strength as an astringent
and stimulant, combinations of iodoform and eucalyptus, iodoform and
eugenol, iodoform and oil of cinnamon, weak solutions of chloride of
aluminum in water, 1 to 3 grains to the ounce, sanitas and eugenol, 3
parts of the former to 1 of the latter, as a germicide and tissue stimu-
lant, resorcin in solution, from 8 to 24 grains to the ounce of water, as
an antiseptic and tissue stimulant. All of these except the iodoform
combinations are to be injected with Farrar's syringe into the pockets
once in four days. The iodoform mixture may be packed into the
pockets.
Dr. T. L. Gilmer of Quincy, 111., has used phenol camphor^ success-
fully in the treatment of this affection. He regards it as especially use-
ful in obstinate chronic cases, and has found it succeed where other
remedies seemed incapable of preventing the continuous discharge of pus.
It is certainly a good parasiticide and its stimulant qualities seem very
excellent. Its taste will be very objectionable to some persons. It is
to be injected into the pockets in the same manner as the other remedies
named.
The washing with the peroxide of hydrogen, either with or without
the addition of the bichloride of mercury, should generally be repeated
at each sitting, for the purpose of freeing the pockets from all debris
before the application of the other remedies. Lately I have successfully
treated some cases with this alone.
In the after-treatment of all cases the greatest care should be taken to
prevent injury to the granulations in process of growth. Usually, after
a decided disposition to heal is shown, the treatment should be limited
to keeping the parts well cleaned. As a wash for the patient to use
with the brush during the treatment the ordinary cinnamon-water of
the United States Pharmacopoeia is very excellent and agreeable. Most
of ray patients, however, have used the 1-2-3 mixture (page 984)
diluted to about one-half with oil of anise or oil of lemon, or without
dilution, by placing half a dozen drops on the brush once per day.
This mixture seems to be in general use among physicians of my
acquaintance for the treatment of catarrhal affections of the mucous
membranes, especially the chronic forms, and its results are especially
good. Any disinfectant stimulant wash will be beneficial, though not
much reliance can be placed on anything of this kind, for the reason
that it cannot be applied to the diseased parts (within the pockets) by
the patient.
Just here a word in regard to the action of antiseptics may be import-
ant. A great majority of the antiseptics which are safe for use in con-
nection with living tissues are depressant of the living forces and act
directly to impair the functional activity of the living cells. For this
' Phenol camphor is prepared as follows
Take of Carbolic acid, in crystals, ) i -
' ^eacn^ss.
Gnm camphor,
Mix and heat on a sand-bath until both are melted ; they combine to form an oily
liquid.
