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1. When the tinnitus arises from pressure of cerumen upon the membrana tympani the treatment is simply to remove the cerumen by injection of tepid water, or weak solutions of soda.

2. Another cause is the growth of stiff hairs within the meatus; by cutting these away with a curved scissors the affection is relieved.

3. Tinnitus from adhesive mucous on the posterior surface of the membrana tympani, or the middle ear, may be removed by the catheter or by a few blasts from Politzer's air bag.

4. Foreign bodies in the Eustachian tube causing tinnitis, can generally be removed by reversing the action of the air bag, causing a suction of air from the tube, or the Eustachian forceps may be used.

5. In pulsating tinnitus, the result of some alteration in the blood vessels, anemia, or excessive action of the heart, we must try compression of the temporal or carotid, or the exhibition of iron, aconite, or digitalis, as indicated by the action of the circulatory system.

6. For excitement of the brain causing subjective noises, bromide of potassium is usually efficient.

7. Tinnitus from nerve exhaustion calls for phosphorus, strychnia, and the galvanic current.

8. The presence of the aspergillus in the ear is another occasional cause.

- Dr. Laurence Turnbull.

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℞ Acidi hydrobromici....... xv

S To be taken three times a day, with benzole inhalation. - Fox.