190 THE PROTEOMORPHIC THEORY AND THE NEW MEDICINE 



The diagnosis in this case, as in the other, was absolutely 

 unequivocal. The physical symptoms were typical : violent cough 

 with profuse expectoration; temperature of 101, and pulse of 

 115; marked emaciation, and evident, even if not profound, 

 cachexia. The rales were so conspicuous that they could be heard 

 without the stethoscope and with the ear at a distance from 

 the chest. Bacteriological examination of the sputum had been 

 made, with positive findings, by the New York Board of Health. 

 The patient's constitution was so undermined that her physician 

 had told her she had but one chance in a thousand to live, and 

 that chance contingent on immediate removal to the mountains. 



Blood examination before treatment showed 3,954,000 red 

 corpuscles, but 90 per cent, of these were misshapen or of the 

 conformation that I am accustomed to speak as the sea urchin 

 type. The bulk of the red cells was not at all commensurate 

 with their number, since so high a percentage were misshapen. 

 The white cells number 9,200, of which 78.5 per cent, were 

 polynuclears, 11.5 per cent, small lymphocytes, and 9.5 per cent, 

 large mononuclears, and 0.5 eosinophiles. 



X-ray examination of the chest was made before treatment by 

 a prominent roentgenologist, who reported as follows : 



"There are numerous calcified glands in the lung lobes. In 

 the right lung there are several calcified tubercles scattered 

 from the base to the apex. Upper lobe is infiltrated, the infil- 

 tration being most marked around the proximal portion of the 

 bronchial branches of the upper lobe. On deep inspiration 

 there is tendency to fixation of the left diaphragm. The left 

 auricle is moderately enlarged, and the right auricle and ventricle 

 are moderately enlarged. Diagnosis, tuberculosis of the left 

 upper lobe." 



The administration of Proteal No. 45 (alfalfa seed, alfalfa 

 meal, and millet seed proteins) was carried out in the usual 

 way, beginning with 3 minim doses and increasing to 10 minims, 

 administered hypodermically on alternate days. Changes in the 

 patient's condition were immediate, striking, and highly grati- 

 fying. On the eleventh day of treatment it was recorded that 

 temperature and pulse were normal ; that the cough had almost 

 disappeared, so that a sample of her sputum was obtained with 

 difficulty; and that the patient's condition of general health had 

 been so modified that she expressed a wish to return to her 

 work. She had gained two pounds weight. 



The blood count now showed 90 per cent, haemoglobin, and 

 4,500,000 red corpuscles, not more than 10 per cent, of which 

 were of the small, battered, misshapen type which made up 

 the chief complement of cells before treatment. There were 

 occasional normoblasts, and some groups of platelets. The white 



