The acute form of the disease usually disappears in a very short time, seldom lasting but a few days, and generally disappearing almost wholly within two or three weeks. This fact leads most people to pay very little attention to the difficulty, which is thought to be only a "cold" that will speedily cure itself. We wish, however, to direct particular attention to the fact that this popular notion is a very mischievous error, since it is not infrequently the occasion of encouraging neglect, and results in the production of chronic and sometimes incurable disease. A cold is by no means so transient in its effects as is generally, supposed. While an attack of acute catarrh of the pharynx frequently disappears in a short time, the effects produced by it remain more or less permanent, the patient being much more liable to suffer in the same way again than if he had not contracted the disease. As before remarked, it is by repeated attacks of acute catarrh that the foundation is laid for obstinate chronic pharyngitis. Hence the importance of giving prompt attention to the treatment of even the simplest form of cold in the throat. Of the large number of remedies proposed for the treatment of this disease, regular, irregular, and domestic, none give so prompt and complete relief as hot fomentations applied to the throat externally, and internal applications of warmth and moisture by means of steam inhalations. An inhaler can be improvised by connecting a rubber tube with the spout of a tea-kettle or coffee-pot. The inhaler referred to is so convenient and effective in use, and so inexpensive that it ought to be found in every family, ready for use when required. When there is much dryness and irritation in the throat the use of soothing gargles, as slippery-elm water, linseed tea, or thin mucilage water, will be found useful. Chlorate of potash gargle is also serviceable. When there is slight fever, as is generally the case, the patient may take a wet-sheet pack or a Russian, ' Turkish, or vapor bath, whichever is most accessible. The throat should be kept warm and moist, and the skin active. Care, should be taken to avoid exposure to drafts and cold air, by which means the perspiration may be suddenly checked. By the judicious use of these simple measures, nearly every case can be cured in a few days, and unpleasant after-effects avoided.

The treatment of chronic catarrh of the pharynx is a much more serious matter. There are few affections which are more obstinate and unyielding to treatment than this. The avoidance of all causes of the disease is of the greatest importance. The patient should adopt a plain, simple dietary, avoiding condiments, the use of fats, sugar, pastry, and all stimulating and clogging foods. If the patient has been addicted to the use of alcoholic liquors or tobacco in any form, these habits must be at once abandoned. Every possible measure should be taken to build up the general health by frequent bathings keeping the skin in active condition, as well as by out-of-door exercise and careful regulation of all the habits. In addition to careful attention to the general health, local cold applications to the throat are of the first importance. Gargles, lozenges, and various other remedies, immense quantities of which have been used for this affection, are really of little consequence, as they do not reach the real seat of the disease.

Local remedies, to be of any value, must either be applied directly to the throat with a swab or brush or inhaled in the form of vapor or atomized spray. In the treatment of several hundred cases of chronic pharyngitis in which we have experimented in the use of a large number of remedies, we have found nothing of so much real value as the inhalation of hot spray by means of the steam inhaler already mentioned. The various other remedies may be employed in connec tion with the warm vapor, but these are of trivial importance when compared with the vapor itself. After using nearly all the various substances which can be thus employed, we have become thoroughly convinced that steam alone is, for the majority of cases, as useful as any medicated vapor. It is important that inhalation should be taken as hot as it can be borne, and the inhaling tube should be introduced into the mouth sufficiently far to bring the hot steam in contact with the affected membrane. The effect is similar to that of the hot douche. Additional benefit may be derived in some cases by the use of gum benzoin, a fragment of which, the size of a filbert, may be dropped into the inner cup of the inhaler when its use is desired. Hot solutions of chlorate of potash, tannin, and various other substances used with the atomizer, will also be found useful in the treatment of this disease. For local applications with the swab or brush, nothing is better than a saturated solution of chlorate of potash. We have sometimes used with benefit a mixture of tannin and glycerine, four parts of the former to one of the latter. We have also found useful a mixture consisting of twenty grains of hydrate of chloral and ten drops of tincture of iodine with an ounce of glycerine. Apply daily to the pharynx with a camel's-hair brush.

In addition to the measures of treatment mentioned, much benefit may be derived from the use of the hot-water gargle if pains is taken to allow the water to pass down deeply into the throat by throwing the head well back. The water should be as hot as it can be well borne. The effect of this is similar to that of the hot spray. The gargle should be used four or five times a day for four or five minutes at a time. The relief it will sometimes give is surprising.

The cold wet compress worn about the throat at night, followed by brisk rubbing with cold water in the morning, is another useful measure. This has a double effect, first, to allay local congestion; second, to harden the throat so as to diminish the liability to colds. The practice of wearing thick furs and woolen comforters about the neck is unnecessary, except in the coldest weather, and when habitual, is one of the most frequent causes of taking cold, as the throat is made unnaturally susceptible to change of temperature, and its resistance to cold is destroyed.

In conclusion, we would impress upon the reader the importance of persevering in the treatment of this affection. Notwithstanding its obstinate character, patient continuance in the use of proper measures will, with rare exceptions, effect a cure; and as the disease is so frequently the occasion of obstinate, if not incurable, deafness, it is really of a very serious character even if the local symptoms are not so very annoying.