BRONCHITIS

may be acute or chronic, and either an independent affection or due to some cther disease, especially certain fevers. The disease consists of inflammation of the lining pegerire of the cape which =i tubes into which the windpipe opens. e symptoms of an acote attack are a feeling of rawnc at the top of the chest, hoarsene , and cough which is at first dry and hacking,. and later in the attack loose; the expectoration is at first scanty, then more copious and more frothy, and later becomes yellow and again scanty; the temperature is usually not much raised. Tho treatment should bo confinement to bed, in a room the air of which is moistened by a steam kettle and kept at an even tem of 60° in winter and 65° in summer. hee ORR required between two and four in the a to let the temperature of the room fall. The dict rege abron plenty of barley water and imperial drink allowed. Irritation over the upper end of the chest is at times useful, which is effected by the application of mustard leaves or of turpentine liniment. Medicino is required to make tho skin act and to check the usele cough in the early stage, and the best for this purpose for an adult is probably ten em of Dover's Powder at bed-time, When the cough oosens, medicine to aid expectoration is required, such as sal volatile half a drachm, spirits of chloroform ten drops and infusion of senega to the ounce; to be taken every four hours. In ra 5, mr of ag a inflammation may spread to the lung, or tho strain may dilate the heart and ales increased pee Meta s ) and bluene of the face; brandy and other heart stimulante will then be requisite. Except in very mild cases the treatment should be in medical hands from the outect. Chronic bronchitis is common in those of advanced years who have been much exposed to all weathers in their work. The treatment should be flannel garments next the skin,. especial care being taken to keep the upper part of the chest covered, avoidance of inclemency of the weather, and of dusty or stuffy rooms and tho use of certain medicines when the cough is tight to “cut the phlegm”; for this purpose syrup of equills is recommended in half-teaspoonfal doses in 2 mel aes of either — or linseed tes. The cough should not be suppre ed by opium, especially at night, as this is dangerous, and a word of caution is pecemery hence many patent cough cures contain opium. Chronic hit is in youth should receive prompt attention, as it may be the onset of consumption. [s. 339]