Chronic catarrhal inflammation of the mucous membrane of the nasal passages and the cavities connected with them requires a very different management from that given to other diseases, for the reason that the effects of dress, customs and daily habits of patients have a controlling influence on both the production and prevention of the complaint.
In the early part 1868, I treated a number of patients for catarrhal inflammation of the throat and nasal passages. They were in the habit of frequenting a skating-rink from two to four nights each week. After exercising violently they became exhausted and seated themselves on a bench in the cold air, thus becoming chilled. I was but partially successful in the treatment of their catarrhal complaint, being unable to do more than alleviate their most prominent symptoms, and these only temporarily. These circumstauces led me to consult a record I had kept of the