Everything must be kept clean around the patient, and a vessel must
be provided, containing a little chloride of lime into which he spits
or hawks the phlegm from his throat. The membrane or slough in the
throat or nose must be thoroughly disinfected and the only evidence
that this has been successfully accomplished is when all offensive
odor has disappeared. For this purpose as a local application I employ
the following preparation: Solution of subsulphate of iron (Monsel’s
solution) 3 drams, glycerine 5 drams; mix and pour ten to twenty
drops into a saucer and by means of a camel’s hair brush apply to the
diphtheritic membrane until the character and odor of it is destroyed;
this application repeat every four hours. Should the nasal passages
be also affected mix a teaspoonful of the preparation to a teacupful
of warm water and by means of a syringe wash the nasal passages out
several times a day. Give the patient internal medicine to disinfect
the stomach and for its alterative action on the blood: for this
purpose use tincture of iron 4 drams, simple syrup, add to make 4
ounces. To a child seven to ten years old give a teaspoonful, ten or
fifteen minutes each time, after the brushing. Between the times of
brushing and giving the medicine, that is two hours afterwards, give
the nourishment and stimulant; this consists of milk punch. A child
seven to ten years old should take no less than a tablespoonful of
whisky, with or without a little sugar, in a half to a teacupful of
milk beaten thoroughly together with an egg beater; this is to be
taken for a meal and drank at once, and repeated every four hours. No
other food or nourishment must be given for a number of days, and if
the child is thirsty between times allow it to drink sweetened water
and whisky. Sometimes the glands of the neck and the tonsils swell and
become very painful; for this the Belladonna ointment applied with
gentle friction night and morning and the neck enveloped in cotton
batting are certain to give relief. The efficiency of this treatment
depends upon the intelligence and faithfulness with which it is used.