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To the Editor:
At the last meeting of the American Medical Association Dr. W. C. Richardson (The Journal, November 30, 1889), reported three instances of acute inflammation of the middle ear resulting from the use of a nasal spray under high pressure. Since some writers have recommended the spray for cleansing the nose on account of its safety as compared with the more dangerous nasal douche, it does not seem out of place to me to relate my own extensive experience with the use of the latter method. As long as numerous observations have shown that the douche can do harm, it ought not to be given into the hands of patients except on proper indications. This rule, however, is often overlooked, and the douche is not rarely recommended by general practitioners when of doubtful utility.The only thing the douche can do, is to remove secretion, and it can
Gradle H. The Use and Danger of the Nasal Douche.. JAMA. 1890;XIV(2):71. doi:10.1001/jama.1890.02410020035010