THE SCIENCE AND ART OF PROTEAL THERAPY 189 



previous experience, it was decided, as a last resort, to test 

 the proteal treatment, which hitherto had been applied only to 

 cancer and two cases of rheumatoid arthritis ; this decision being 

 actuated by the observed effects of the remedy in regenerating 

 the red corpuscles, on the seemingly plausible assumption that a 

 remedy proved to have extraordinary powers to whip up the 

 blood-forming organs must be of value in combating an anaemia 

 of tubercular origin no less than the anaemias of cancer and 

 rheumatism. 



Accordingly the patient was placed under proteal treatment, 

 early in September, 1915. The original Proteal extract was 

 administered in the usual way, hypodermically into the arm, in 

 doses of from 10 to 20 minims, given on alternate days. 



The result was nothing less than spectacular. After the treat- 

 ment was fairly under way the patient declared himself to feel 

 a sense of exhilaration as if from taking champagne. He gained 

 in weight, lost his cachetic appearance ; cough and expectoration 

 subsided. The bacilli disappeared altogether from his sputum, 

 and physical examination of the chest gave evidence of the 

 development of reparative processes. After treatment had con- 

 tinued for about three months improvement all along the line 

 was so great that the most searching examination failed to 

 reveal any evidence of active tubercular involvement. 



On the 15th of December, 1915, an examination of the blood 

 showed 90 per cent, haemoglobin ; 5,600,000 red corpuscles, and 

 8,400 white corpuscles, with 45.5 per cent, polynuclears, 35 per 

 cent, large monocytes, 10 per cent, small lymphocytes, 4 per 

 cent, eosinophiles, and 0.5 per cent, basophiles. 



The patient's subsequent history was uneventful. The Proteal 

 treatment was continued for a time, at lengthened intervals, and 

 then there seemed no necessity for further treatment. The 

 patient had gone to live in the country, and in the ensuing 

 summer he was able to take part in rather active phases of farm 

 work. He has a somewhat weak back, as a matter of course, 

 from the former involvement of the vertebrae, but his general 

 health and condition are highly satisfactory. On March 18, 1917, 

 more than a year after discontinuance of the proteal treatment, 

 the blood count showed 5,884,000 red corpuscles of normal type, 

 and 9,400 white corpuscles. Obviously, there is scant suggestion 

 in such a supernormal count of the tubercular condition, which 

 had seemed to doom the patient until the proteal treatment was 

 instituted. The patient's appearance and general condition ac- 

 cord well with the remarkable blood count. 



Another gratifying case of pulmonary tuberculosis is that of 

 a young girl of 22, whose progress has been so spectacular as 

 to merit especial record. 



