THE SCIENCE AND ART OF PROTEAL THERAPY 191 



cells numbered 9,000, with 77.2 polynuclears, 9 per cent, small 

 lymphocytes, and 12 per cent, large mononuclears, 1.2 eosino 

 philes, and 0.25 per cent, basophiles. Thus it will be seen that 

 the red cells had increased by I2y 2 per cent., the large poly- 

 nuclears by 25 per cent., and the eosinophiles by 300 per cent. 

 The activity of the blood-forming organs was further evidenced 

 by the presence of a few lymphoidocytes and plasma cells. The 

 white cells still showed some defect of staining quality, and a 

 tendency to clump at the end of the smear ; but, in general, the 

 modification of the blood fn so short a period was notable. 



On the fourteenth day of treatment a second X-ray examina- 

 tion was made and the report was as follows: 



"There is no evidence of an active process in the lungs. The 

 diaphragm is freely movable and the area of increased density 

 in the left upper lobe has disappeared. There is probably almost 

 resolution of the area which gave signs of infiltration at the 

 examination made twenty days ago." 



Thus it appears that the X-ray examination confirms the find- 

 ings of physical examination, which had shown the most striking 

 modifications for the better, and is consonant with the observed 

 modifications of the blood and the conspicuous change in the 

 patient's appearance and general health. The further history of 

 this case was absolutely uneventful. The patient continued to 

 improve, and six months later she seemed entirely well. 



As there had been no change of residence or modification of 

 habits, and as no other treatment had been administered, it seems 

 impossible not to ascribe the changes thus variously recorded 

 to the hypodermic injections of the Proteal solution. 



Such observations as these are obviously enheartening. It was 

 natural that I should call attention to these cases in the medical 

 addresses during my lecture tour of the summer of 1917; and 

 it is perhaps not surprising that a considerable number of physi- 

 cians were moved to make a trial of the Proteals in the treat- 

 ment of tuberculosis. Reports of a very encouraging character 

 have come from a considerable number of these physicians ; and 

 no single report in any way contraindicating the use of the 

 Proteals in cases of tuberculosis. 



Meantime my own personal office and consultation experience 

 has been extended to a fairly representative group of cases of 

 pulmonary tuberculosis at various stages of development. It 

 would not be consonant with the plan of the present work to 

 cite these cases in detail. A case that is fairly typical in its 

 history and its response to treatment is that of patient Number 

 2,089, with pulmonary tuberculosis of fibroid type of ten years' 

 standing. Usual history of forced feeding, temporary change 

 of climate, and more or less steady progress in the wrong direc- 



