THE SCIENCE AND ART OF PROTEAL THERAPY 193 



taining or accentuating the impulse to the blood-forming organs, 

 and it was thought that this might be accomplished by using 

 small doses (three or four minims) of Proteal No. 65, a com- 

 bination of the proteins of alfalfa seed, alfalfa meal, millet seed, 

 rape seed, and mustard seed. 



Such is the standing of the case at the moment of the pres- 

 ent writing : Temperature and pulse normal ; blood conditions 

 all that could be desired ; cough and sputum favorably modified ; 

 kidney complications minimized; patient's skin with healthy 

 glow; blood pressure 110; conspicuous physical and mental 

 buoyancy. 



It is perhaps of interest to add that this patient had at the 

 outset a slight hyperthyroid complication, the right lobe of the 

 thyroid gland being conspicuously enlarged. The rapid pulse 

 and a certain nervous hypersesthesia were no doubt in part asso- 

 ciated with this condition. As an auxiliary to the Proteal treat- 

 ment, the patient was given one to two drops of a saturated 

 solution of potassium iodide three times daily for five or six 

 weeks, at the end of which time the gland had been reduced to 

 normal size. No other internal medication of any kind was 

 employed. There had been from the outset a modification of 

 diet, however. As is my custom with all cases suffering from 

 protein intoxication, whether or not of bacterial origin, I had 

 placed the patient largely on a vegetable and milk diet. The 

 building up of the red cell count and improvement in quality 

 under Proteal treatment, associated with the cessation of forced 

 feeding with meat and eggs, is an observation that has been dupli- 

 cated in many other cases not only of tuberculosis but of various 

 other asthenic conditions, including cancer. The theoretical ex- 

 planation is that proteins in large excess overtax the red cor- 

 puscles (in the handling of the end products), and increase the 

 anaemia they are supposed to combat. But on the other hand the 

 protein intake must not be cut too low. The nitrogen balance 

 must be maintained. 



While repeating that I make no attempt here to present, even 

 in summary, the total experience in the treatment of tuberculosis 

 with Proteals, I cannot refrain from presenting very condensed 

 histories of a small group of cases under treatment by an associ- 

 ated physician in the State of Washington, who, as a result of 

 these preliminary observations, now has under Proteal treatment 

 a large group of cases of tuberculosis of which records will ulti- 

 mately be available. The condensed reports of the three cases 

 to which the Proteals were first administered are as follows : 



(1) Mrs. K. B., 56, Pulmonary tuberculosis. Involvement of 

 upper half of right lung and upper one fourth of left lung. The 

 Proteal treatment began with two and a half minims of No. 45, 



