When this difficulty, which is an affection of the mucous membrane of the larynx exists, as it often does in connection with other diseases, such as, measles, influenza, and severe distarbances about the chest and windpipe, its treatment will be given in connection with those diseases under their appropriate heads.

When however it exists alone or combined with cough, or, it runs into a chronic form, thus paving the way for more serious disturbance, of course, specific treatment is required.

Treatment.*

Pulsatilla

Where there is almost complete extinction of the voice (Aphonia), loose cough, and discharge from the nose of thick yellow mucus. It is frequently necessary to follow it by Sulphur.

Nux-vom. is a prominent remedy, and particularly indicated where the hoarseness is worse in the morning and is accompanied with dry, rough, fatiguing cough. (See Influenza.)

Mercurius is particularly useful after Nux, or Pulsatilla, and where there is profuse perspiration, especially at night, a hoarse, rough voice, and a burning, tickling sensation in the larynx. (See also Influenza.)

Capsicum

Obstruction with sensation of tickling in the nose; violent cough, worse towards evening, and pain in the head or abdomen; smarting in the throat.

Rhus

Where there is a sensation of rawness in the throat and chest, chilliness, pain in the limbs, hoarseness, worse after talking, difficult breathing, with sneezing, and watery discharge from the nose. It alternates well with Bryonia, a dose three or four hours apart.

* For general directions as to the administration of remedies, see page 12.

Drosera

Hoarseness with low, hollow voice.

Chamomilla

Particularly in children, with accumulation of mucus in the throat; cough, worse at night, and often toward evening; slight fever and restlessness.

Sarribucus

Deep, hollow cough; oppression of the chest, etc.

Sulphur

Particularly in cold, damp weather; roughness, and scraping in the throat; watery discharge from the nose in obstinate or chronic cases, where the voice is almost extinct. It will be frequently indicated after Pulsatilla or Mercury, Hepar-sulph. is particularly indicated where mercurial preparations have been used; where the cough is worse at night and accompanied by a sensation of soreness in the throat and chest. Caustricum, which is also indicated by the above symptoms, may be given, if, after four or five doses of Hepar-s. no relief is obtained.

Carb. v. - In chronic hoarseness, aggravated by talking, and worse in the morning and evening, also in wet weather.

Phosphorus is a valuable remedy, particularly in chronic hoarseness, where there is a dryness in the throat and chest, sometimes with sensation of soreness, and voice almost extinct. It is not unfrequently indicated in alternation with Carbo-v. or Hepar-s.

Administration

In acute cases the remedy should be taken every four or five hours, until five or six doses have been taken, when if no relief is obtained, another remedy should be selected.

In chronic cases, a dose every six or twelve hours, may be given, changing the remedy in three or four days, if no improvement is perceptible.

Two drops, or eight globules, in a tumbler of water, a tablespoonful at a dose; or a powder, or six globules, dry on the tongue.

Diet And Regimen

The wet bandage, (See Index) around the throat at night will materially aid the cure. The food should be plain and simple, abstaining from spices and wines.