The chronic cases who consult us, I find are frequently patients suffering from a form of facial neuralgia, and who believe that their antrum or sinus is active again. It is often hard to convince them that the inflammation is in the nerve trunk and not in the sinus. The remainder have a chronic inflammation of the membranes in the sinus and need a course of careful homoeopathic prescribing.

The remedies most often needed for the neuralgia sufferers are Belladonna, spigelia, Gelsemium, Plantago and Rhus tox. Those for the actual chronic sinus are Silicea, Calcarea, Pulsatilla, Kali sulph., Kali iod., Kali bi. and Hepar sulphur. With these remedies, and the cooperation of the patient, no further puncturing or lavage of the sinuses is ever needed.



DR. MOORE: I have the word of one of the best rhinologists in the country, Medhoffer, of Cincinnati, who perhaps has taken care of more noses than anyone, and he says in all cases of acute rhinitis, do not use any wash or any spray of any sort, that they will always make your cases worse.

I rather like the homoeopathic way. I spoke of the case that came in a short time ago, a girl of eight years who came over to my house after I had gone home. Her face was swollen. She had had a cold for six days, and the eye hurt from the beginning of the cold. It was right sided, it was antrum. The teeth hurt. When your antrum is involved, very often the first and second molar will give you some pain. That is one of your sinus signs, although you will get that in the neuralgia, and this brow-ache, which I have cured many, many times with quinine. I am going to try quinine potentized for my next browalgia. I like the idea of taking a remedy that has been used for a curative effect by the old school and seeing if it wont be better potentized. I had a case that wasnt a Belladonna just at the time, but it was a Belladonna two days before. I think that is a real point, Belladonna two days before, and it reacted to Belladonna, and it reacted in twenty-four hours.

DR. MCLAREN: There is a doctor in Philadelphia, I belief, who has made a great name for himself from that method, and one of his student s is now residing in Toronto. The next antrum I have I am going to send to him and see what he can do with it, because I dont want the case operated on if I can help it. Once you have operated on the nose, you are going back.

We used to do some of our empyema drainage with a water siphon that way, put a big five-gallon tank of water up on a stand and then they would put a rubber tube in the mans side and have a wide tube connecting down to the bath tub. Sometimes he would lie on this things, and then the water would run into his chest and all over the bed and everything else. I remember going past the open door of one of wards one time. There was a poor Italian there being drained that way. He said, “Doctar, Doctar, coma quick, coma quick, fixa pipe.” I went in and he was floating round in pus and water.

DR. MOORE: The patient can use that suction. That is something in almost all forms of chronic catarrh. Your patient can do that. It isnt necessary to go to somebody to have treatment. It has been used all over the world. They let the air out and then pull it in as strongly as they can.

Kenneth A Mclaren