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The introductory sections on allergy and hay fever are very brief. So too is the section on the anatomy and physiology of the nose and sinuses. In his discussion on treatment, the author advises against the use of local medication, such as ephedrine, since he states that the effects are only evanescent and the reaction usually makes the patient much more miserable than he has been before its use. He uses ephedrine plus a barbiturate internally. His method of nasal ionization is discussed in detail. Rather than giving one ionization for a long period, with a high current, he gives many ionizations for short periods with a low current. The contraindications to ionization which he observes are gross infection of paranasal sinuses unless proper drainage has been effected, gross nasal obstruction from markedly deflected septum, polypi, spurs and neoplasms, and dental sepsis or septic tonsils. Any of these conditions, if
Hay Fever, with Special Reference to Treatment by Intranasal lonization. JAMA. 1937;109(3):230-231. doi:10.1001/jama.1937.02780290052026