It is not always an easy task to remove all the dry crusts, but where the scabs are very dry I use an application of peroxide of hydrogen on cotton, or with the atomizer, to soften them. When the atomizer or douches are used post-nasal injections must be given as well as through the anterior chambers of nose. Any application can be used which will soften up scabs. Can use “Dobell’s Solution,” solution of sea salt, listerine, or glycerine. After all the crusts have been removed, others must be prevented from forming. This I do by keeping on an application of glycerine. A very good formula to keep the nostrils free is calendula and glycerine, at 2 drams to ounce water, and used in nebulizer or directly applied on cotton. When the odor is present after removal of scabs, I use permanganate of potash, 10 grs. to ounce in spray, or aristol in lavolene used in nebulizer. After the cleaning process has been gone through with and all the mucous membrane is perfectly clean, naturally it is ready for some healing application. A good one to use is calendula and hamamelis in lavolene. If there should be any ulceration of septum, apply an ointment of yellow oxide of mercury, 10 grs. to the ounce. This will heal ulcer in short time. Where membranes need some stimulation a glycerite of tar, hydrastis, or eucalyptol in nebulizer will be found to be of service. Many times patient will complain more of the deafness than anything else. When you have this complication it will be necessary to give attention to some special treatment for the pharynx and eustachian tubes. The latter must be kept open by Valsalva’s method or the Politzer air bag. In selecting the internal remedy keep in mind the constitutional and local lesions. Often I use the internal remedy locally; say 5 to 20 drops of tincture to ounce water. Make yourself confident that you have the indicated remedy. There are many remedies which are of service. Some of the more common ones, which have syphilitic taint are, aurum, kali iod., mercury, nitric acid, argentum nitricum, and calc. iod. In scrofulous diathesis and ill-nourished patients such remedies as aurum mur., silicea, calc. phos., sulph., phosphorus, ars., hepar sulph., alumin., kali bich., cal. carb., and graphites are useful. All through the treatment the physician should have perfect control of patient. Should be able to direct his diet and hygiene. Use all means that will recuperate the general health. If patient is laboring day by day in dust and dirt, he may be compelled to change his occupation. It is only by looking after the general health that the physician may expect to be rewarded with any success. SPRAYS.[1] BY FRED D. LEWIS, M. D., BUFFALO, N. Y.