SULPHIDE OF CALCIUM, OR CALX SULPHURATE, IN TONSILLITIS. BY FRANK P. NORBURY, M.D., JACKSONVILLE, ILL., Assistant Physician Illinois Central Hospital for the Insane. REPRINTED FROM THE THERAPEUTIC GAZETTE, MAY ib, 1892. DETROIT, MICH. : GEORGE S. DAVIS, PUBLISHER. 1892. SULPHIDE OF CALCIUM, OR CALX SULPHURATE, IN TONSILLITIS. ACUTE parenchymatous inflammation of the tonsils, in strumous patients, has a tendency towards rapid suppuration. The febrile symptoms are seemingly aggravated, while the enlarged tonsils cause difficulty and painful deglutition, from the onset of the disease. Such cases suffer intensely and become greatly depressed by an attack of even a few days' duration. A neurasthenic condition often follows in the wake of such attacks. Especially is this noticeable among the insane, where the nervous phenomena are, no doubt, greater than in the sane. Observation of a number of such cases, where suppuration was marked, led me to use sulphurate of cal- cium, with the hope that Ringer’s ardent ad- vocacy of its use, in boils and other suppura- tive processes would, in a measure, relieve the suppurative condition present in these cases of tonsillitis. The results were most gratifying, and in three cases this winter I have aborted the attack. In one case, ad- mitted to this hospital with tonsillar abscess, which broke on the day of admission, spon- taneously, the prolonged convalescence, usual 2 in strumous cases, was cut short, and an in- crease of bodily weight noticed within a few days. In acute cases, I have been pleased with its results, suppuration being prevented, and the febrile symptoms, pain, etc., being greatly modified. Small doses to grain), frequently repeated, best subserve the therapeutic action of the drug. Antiseptic local treatment is indicated, and where suppuration has taken place, immediate evacuation of the pus should be made and the cavity thoroughly cleansed. I prefer the method of Dr. G. V. Black, of this city, in the treatment of abscesses of the mouth and throat, which is briefly this : Per- oxide of hydrogen, to which has been added a little oil of cassia. The oil of cassia—a thorough and efficient antiseptic—is, by the aid of the peroxide of hydrogen, thoroughly disseminated, even to the remote pockets of the abscess.