On entering the hospital there was an opening in the right cheek something over an inch in diameter with ulcerated edges, and a cavity extending down to the tongue, the superior maxilla having been removed surgically. From the upper margin of the opening there was a mass of dead bone hanging, nearly three quarters of an inch long by half an inch wide. The interior of the cavity presented a mass of ulceration, giving forth a foul odor. She was thin, pale, and anemic with 85 per cent hemoglobin and 3,620,000 red blood corpuscles.
She was placed on an absolutely vegetarian diet (green card) and began with the same mixture as the cases of carcinoma mentioned. The cavity and opening were kept packed with absorbent cotton, saturated with the following solution: ℞ Acidi Carbolici ℨss, Listerine ℥i, Liquor sodæ chlorinatæ ℥i, Glycerin ℥ss, Aquæ hydrogenii dioxidi ad ℥iv, M., changed several times daily. Under this treatment there was almost from the first a remarkable change in her condition. The discharge ceased shortly and also the foul odor. Within a few weeks the cavity and edges of the opening showed a healthy condition and evidences of cicatrization could be seen. The tongue of dead bone, which was soaked several times daily with muriatic acid, separated entirely within three months, leaving a healthy granular surface. By the end of four months the entire edge of the opening on the face had cicatrized perfectly, and the interior appeared in a healthy condition, with no ulceration whatever, as you saw when she was presented the second time, a few weeks ago.
From the first her general condition improved and she began to gain weight, even several pounds a week, being weighed every week in the same hospital wrapper, by several nurses, who took great interest in the case. I could hardly believe that she weighed 128 pounds on a Monday, as reported, and on the following Wednesday I weighed her myself and found that she weighed 130, which was quite a little over that called for by her height and age, and ten pounds more than she had ever weighed before. She had been taking for some time pyrophosphate of iron, five grains after eating, in addition to the mixture mentioned, which had hardly been changed since she entered.