A Treatise on the Eclectic Southern Practice of Medicine Page: 352 of 724
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THRUSH.
DISEASES OF THE MOUTH AND THROAT,
APHTHE -THRUSH.
In general, these two terms are recognised as the
same disease. I am of the opinion that they are entirely
distinct, and should not be assimilated together.
Thrush is most generally confined to early infancy.
Inflammation of the mucous membrane of the mouth is
first observed, which in a short period present white
papilla, (pimples,) which soon becomes confluent, and
generally involves the whole mouth, and sometimes ex-
tends to the fauces and as far as the pharynx; it is gene-
rally attended with diarrhoea, and very frequently with
colic. In case of extreme duration, it has been known
to involve the whole alimentary canal. When this is the
case, you will find it very difficult of cure; but when
the inflammation is confined to the mouth only, it is
easily controlled.
Treatment.-Your first object will be to ascertain the
condition of the bowels. If they should be constipated,
or if there be diarrhoea, the result of acidities of the
stomach, I generally administer two or three grains of
hydrg. cum cretae, (mercury and chalk,) repeating it
every three or four hours; if there be fever, I generally
combine rhubarb, and very frequently use rhubarb and
magnesia alone-fifteen grains of the former to a half
drachm of the latter, dividing it into six doses.
The mouth should be kept perfectly clean, by fre-
quently using an infusion of flax-seed or a solution of
gum Arabic. Various detergent applications have been
advised, such as borax dissolved in honey, and Van
Sweeten recommends an emulsion of cream, yolk of352
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Massie, J. Cam. A Treatise on the Eclectic Southern Practice of Medicine, book, 1854; Philadelphia, Pennsylvania. (https://texashistory.unt.edu/ark:/67531/metapth143817/m1/352/: accessed May 7, 2024), University of North Texas Libraries, The Portal to Texas History, https://texashistory.unt.edu; crediting University of Texas Health Science Center Libraries.