If the disease is the result of, or is accompanied by, bronchial catarrh, this must receive such treatment as has been already prescribed for that disease. The patient must avoid exposure to cold. A uniform temperature is very necessary, as emphysematous patients take cold very easily. Flannel should be worn constantly. Warm packs, water and vapor baths are of great utility. Massage and inunction are also very useful remedies. To relieve the asthma which accompanies this disease, the use of the pneumatic apparatus is of greatest service. This is also the most serviceable of all means of treatment for effecting a radical cure in the few cases in which this can be accomplished. By causing the patient to breathe into rarefied air, the distended air-cells can be emptied of their contents, and somewhat contracted. By a continued daily use of this remedy, more has been accomplished than by any other means. This treatment is employed very extensively in France and Germany, and has lately been introduced into this country. Some months ago we had an apparatus constructed for the purpose of administering the pneumatic treatment, and the results obtained have been thus far very satisfactory. In Fig. 308 is shown a form of respirator so constructed that the same effect obtained by exhalation into rarefied air with the pneumatic apparatus can be obtained in very small degree. Patients suffering with emphysema should avoid coughing as much as possible, as it aggravates the disease.

Fig. 308. Dobell'a Residual Air-Pump, for use In Emphysema.

Fig. 308. Dobell'a Residual Air-Pump, for use In Emphysema.

They should also wear some form of respirator whenever exposed to cool air. See Fig. 309. The diet is of great importance. All kinds of food which have a tendency to form gas (See flatulent dyspepsia) must be carefully avoided. Fats, sugar, and everything clogging to the liver must be carefully avoided also. Most patients will be decidedly benefited by restriction to two meals a day.

Fig. 309. Respirator for Emphysema.

Fig. 309. Respirator for Emphysema.