Volume 1

A manual of medical treatment, or, Clinical therapeutics / by I. Burney Yeo.

Date:
1895
Catalogue details

Licence: Public Domain Mark

Credit: A manual of medical treatment, or, Clinical therapeutics / by I. Burney Yeo. Source: Wellcome Collection.

Provider: This material has been provided by the Royal College of Physicians of Edinburgh. The original may be consulted at the Royal College of Physicians of Edinburgh.

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    (Part 1. 1. Simple cataiilial stomatitis, or catariii of the iiioutli.—The principal symptoms of tliis affection are redness, tenderness, and swelling of the mucous membrane of the cheeks, gums, and tongue. The tongue is also covered with a thick fur, and shows the indentations of the teeth. The secretions of the mouth are increased, and its cavity is covered with thick yellow mucus. The sense of taste is blunted and perverted so that the patient complains especially of a bad taste, or a slimy, clammy, sometimes bitter taste, and a foul smell. In the form which accompanies dentition in infancy there is often much constitutional distress, and convulsions are sometimes iuduced. The usual causes of this condition are dentition in infancy, cutting the wisdom teeth in adults, the presence of carious or badly ari-anged artificial teeth, the abuse of tobacco, of too highly-seasoned food and too hot beverages, and insufficient cleansing of the teeth and mouth. It is frequently associated with the febrile state, atid often accompanies gastric catarrh and habitual constii)ation. It may also be jn-opagated from ad- jacent inflamed organs, as in facial erysi])elas and in- daramation of the throat. It is occasionally referrible to obscure nervous states. The indications lor treatment ai-e first, the removal, when possible, of any of the causes enumer- ated above that may be found to exist; the sharp irri- tating edges of carious teeth must be removed, the smoking of strong cigars forbidden, and errors in food and drink corrected. Constipation must be relieved, and a saline aperient is almost always desirable. Co- existent gastric catarrh may require the administration of bismuth and alkalies. Secondly, emollient cleansing and antiseptic washes are needed to remove the foul secretions, and to keep the oral cavity clean, and to soothe the irritation. At first lotions of tepid gum- water or barley water, with 5 or 6 grains of bicarbonate of soda to the ounce should be used. The carbonates
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