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The etiology of acute and chronic tonsilitis seems settled in the minds of all pathologists, but my experience points to a cause entirely overlooked by all the authors that I have consulted. Super-acidity of the prima viæ is in my opinion the essential cause of both the acute and the chronic disease, the catarrhal accidents being merely excitors.
I think that in every case of acute or chronic inflammation of these glands the salivary secretions will be found acid instead of alkaline, and that free doses of potassium or soda locally applied and ingested will give most rapid relief. The anatomy of the tonsil is well understood, but the great variation in the size and number of excretory ducts has not been particularly pointed out. These ducts are greatly enlarged in either acute or chronic hypertrophy of the glandular structure unless contracted by astringent or caustic applications. Since the general
KENDALL HW. A SAFE AND SURE METHOD OF REDUCING ENLARGED TONSILS. JAMA. 1896;XXVI(1):27. doi:10.1001/jama.1896.02430530027001k
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