NO. I AIR AND TUBERCULOSIS HINSDALE 73 



or other site of the disease must not be covered over by any unre- 

 movable apparatus so as to interfere with the full exposure to the 

 sunlight. Rollier's last paper goes very fully into the technic of 

 heliotherapy and the reader is referred to this and to the fully illus- 

 trated paper in " Paris Medical," February, 1913, in which there are 

 forty-five remarkable photographs covering the most interesting fea- 

 tures of this work. It is at present attracting great attention and 

 x\merican physicians can find in the recent review of Rollier's work 

 by Dr. Henry Dietrich, of Los Angeles, California, an excellent 

 summary of its theory and practice.^ 



Rollier,^ in his address before the Gesellschaft deutscher Natur- 

 forscher and Aerzte in Miinster in 1912, says: 



It is in surgical tuberculosis that we have seen the best results from helio- 

 therapy, and we have made the treatment of it our life work. As a result 

 of my experience in the use of the light-cure in higher altitudes, based on an 

 experience of nine years, I maintain to-day that the cure of surgical tubercu- 

 losis in all its forms, in all stages, as well as at every age of life, can be 

 accomplished. 



The closed surgical tuberculosis always heals, if one will only be patient, 

 and above all if one understands how to keep it closed. To transform a 

 closed tuberculosis into an open one means to increase the gravity of the case 

 a hundredfold. A diminution of the vitality of the tissues is the inevitable 



consequence To regard a surgical tuberculosis as a local disease which 



can be cured by local treatment alone is a ruinous error. On the contrary. 



'Journ. Amer. Med. Ass., December 20, 1913, p. 2232. 



° References: Rollier (Verhandl. d. Gesellsch. f. Kinderheilk. d. 84 Ver- 

 samml. d. Gesellsch. deutsch. Naturforsch. u. Aerzte in Munster), 1912. A 

 report of 650 cases in which 355 patients were adults and 295 children. There 

 were 450 cases of closed surgical tuberculosis and 200 cases of open surgical 

 tuberculosis. In the cases of closed surgical tuberculosis 393 patients were 

 cured, 41 improved, 11 remained stationary, and 5 died. Of the patients with 

 open surgical tuberculosis, 137 were cured, 29 improved, 14 remained sta- 

 tionary, and 20 died. 



Rollier and Rosselet: Sur le role du pigment epidermique et de la chloro- 

 phylle (Bulletin de la Soc. des sciences nat. 1908). 



Rollier and Hallopeau : Sur les cures solaires directes des tuberculoses dans 

 les stations d'altitude. Communication a I'Academie de Medecine, Paris (Bul- 

 letin de I'A. d. Med., 1908, page 422). 



Rollier and Borel : Heliotherapie de la tuberculose primaire de la conjonc- 

 tive (Rev. med. de la Suisse romande, 20 avril 1912). 



Witqier, T. and Franzoni, A.: Deutsch. Zeitschrift fiir Chirurgie, No. 114. 



P. F. Armand-DeHlle: L'Heliotherapie, Masson et Cie, Paris, 1914. 



P. Vignard and P. Jouffray: La Cure Solaire des Tuberculoses Chirurgi- 

 cales, Masson et Cie, Paris. 



