98 SMITHSONIAN MISCELLANEOUS COLLECTIONS VOL. 63 



Tiegel, New Yorker Medicinische Presse, April, 1887. 



E. L. Trudeau, Trans. Amer. Climat. Ass., 1886, p. 41. 



Ketchum: Physics of Pneumatic Differentiation (Medical Record, Jan. 9, 



Waldenburg, Pneumatische Behandlung, Berlin. 

 J. T. Whittaker, Gaillard's Med. Journ., August, 1885, p. 208. 

 Herbert F. Williams, Journ. Amer. Med. Ass., Aug. 14, 1885. 

 Herbert F. Williams, Trans. Amer. Climat. Ass., 1886, p. 17. 

 B. F. Westbrook, Trans. Amer. Climat. Ass., 1887, p. 102. 



ARTIFICIAL HYPEREMIA 



We must here refer to an important advance in the treatment of 

 surgical tuberculosis in which artificial changes in the atmospheric 

 pressure play a prominent part. Prof. Bier, of Bonn, first used his 

 famous method in treating tuberculosis of joints; he used the 

 " Stauungsbinde." He also uses cupping glasses of various shapes 

 so that they may be applied to various parts. The rarefaction 

 of the air is accompHshed by a rubber ball or a pump, according 

 to the size of the glass. After opening tuberculosis lymphatic glands 

 and tuberculous abscesses in connection with joints, the cupping 

 glasses are applied and the claim is made that this process avoids 

 mixed infections. Tampons and drains, also, are found to be unnec- 

 essary. 



In treating a member, for instance the hand, Bier uses a glass 

 cylinder provided with a cuff and a rubber band, so that the whole 

 hand is hermetically sealed and by means of the pump the air is 

 partially exhausted. By similar apparatus Prof. Bier, Dr. V. 

 Schmieden, Dr. Willy Meyer, Ewart, and others all over the world 

 have treated successfully cases of surgical tuberculosis so that the 

 method has an established place in tuberculo-therapy." 



CHAPTER VI. ARTIFICIAL PRESSURE; BREATHING 

 EXERCISES 



Radical differences of opinion exist as to the use of artificial varia- 

 tions of pressure, or pneumatic differentiation, in pulmonary tubercu- 

 losis and also as to the larger question as to whether the diseased 

 lung should be set at rest or invited to expand. 



The respiration of artificially compressed or rarefied air for 

 limited periods, such as half an hour or two hours, has been con- 

 sidered, but this form of pulmonary gymnastics has given way to 



^August Bier: Hyperaemie als Heilmittel, Stli edition. Prof. Bier advises 

 a long continued residence at the seashore in cases of surgical tuberculosis. 



