192 THE PROTEOMORPHIC THEORY AND THE NEW MEDICINE 



tion. Two hemorrhages in the past two years. Temperature 

 never very high; seldom much above one hundred. Pulse 88 to 

 100. Haemoglobin 70; red corpuscles 4,088,000, varying in size, 

 with many microcytes ; white corpuscles 14,000. 



Treatment began with three minims of alfalfa seed protein 

 (Proteal No. 39) ; continued on alternate days, increasing minim 

 by minim until a dosage of ten minims was reached. A shift 

 was then made for a few successive treatments to Proteal No. 

 60 (alfalfa seed and alfalfa meal proteins), one dose of which 

 produced a rather severe local reaction, which did not recur 

 with subsequent doses. After about three weeks of treatment 

 a further shift was made to Proteal No. 45 (alfalfa seed, alfalfa 

 meal, and millet seed proteins), beginning with five minims, and 

 gradually increasing the dose to nine minims. 



Throughout this period of treatment there was steadily pro- 

 gressive clinical betterment; a tendency of the temperature to 

 approximate the normal (falling once to 97.4) ; and of the pulse 

 to decrease from 98 and 100 of the earlier visits to 84, 80, and, 

 in the course of six weeks, a fairly constant level of 72. Cough 

 decreased, and character of sputum changed from thick and puru- 

 lent to thin and whitish. The patient's color, appetite, and sense 

 of well-being were conspicuously changed in a favorable direction. 



Meantime there had been marked reduction in the quantity of 

 albumen in the urine, which had been a complicating factor, and 

 the blood count had shown a steady progression. On the twen- 

 tieth day the red corpuscles, numbering 4,328,000, and the white 

 corpuscles held at 14,000. On the tweny-eighth day the red 

 corpuscles numbered 4,704,000, and the white corpuscles 13,600. 

 On the forty-third day the red corpuscles numbered only 4,304,- 

 000, but were large, round, normal-looking for the most part, 

 very few of them tending to take the purple stain, as many of 

 them had on a previous examination ; and the white corpuscles 

 had dropped to 8,000. On the sixtieth day the red corpuscles 

 numbered 5,168,000, one-third of them remaining smooth and 

 normal-looking after two hours in the counting chamber, and 

 another third of large size, though crenated. A fair proportion 

 of the red corpuscles remained large and fairly smooth after 

 twenty-four hours in the Toisson fluid. The white corpuscles, 

 stained for the most part of a fairly pale, opal blue in this fluid, 

 numbered only 9,000. 



Taken in connection with the clinical symptoms, this blood 

 count of the sixtieth day showed the corpuscles in virtual com- 

 mand of the mixed infection. An earlier examination had shown 

 a marked reduction in the tubercle bacilli, only one or two re- 

 maining to the field. It now seemed desirable to minimize the 

 total quantity of protein introduced hypodermically, while main- 



