RULES FOR TUBERCULIN THERAPY 



6 7 



3. The site of injection should be alternated between the back and the 

 breast. 



4. The temperature should be 

 every two or three hours and a 

 kept. 



5. Disturbances in the general condition 



taken 

 chart 



of the patient without the presence of fever 

 are to be considered in the light of general 

 reactions just as much as fever without other 

 disturbances. 



6. The patient's weight should be taken 

 regularly every week, and the dose should be 

 increased provided no loss in weight has 

 taken place. 



7. In cases where the pulse increases in 

 rate or becomes poorer in quality, the treat- 

 ment should be undertaken very carefully 

 and the pulse constantly kept as guide. 

 Slowness of pulse can, as a rule, be con- 

 sidered a signum bonum. 



Especially favorable for the tuberculin 

 treatment are the individuals with a begin- 

 ning, localized pulmonary tuberculosis, or 

 cases of lupus, and renal tuberculosis, as re- 

 ported by Lenhartz. The presence of fever 

 leads some to consider such application as 

 contraindicated. This is indeed incorrect, 

 as frequently it is observed that a chronic 

 fever entirely disappears during a course of 

 treatment, and very often remains away. 

 Even if the fever continues, a good result in 

 the general condition of the patient is never- 

 theless obtained. (Chart 3.) 



Patient H. Nineteen years old with distinct 

 tuberculous habitus, on admission to the medical 

 service presented a marked infiltration and catarrh 

 of two-thirds of the right lung with a cavity in the 

 upper lobe; infiltration of the left lobe and a great 

 number of tubercle bacilli in the sputum; marked 

 weakness and continuous fever. In five weeks the 

 patient had gained n kg. in weight 8 kg. in one 

 week. 



Simultaneously his general condition improved 

 very much; the night sweats disappeared, and the cough diminished, but the number 



