476 



mention, that in this individual, the fibrine, although considerable in 

 amount, was not associated with fat, and that the corpuscles of his 

 blood examined under the microscope exhibited numerous chains or 

 rouleaux. 



The results of analysis in less advanced stages of the disease are 

 still more striking. 



Sarah M., a girl aged 16, having the peculiar clicking sound, and 

 other evidences of the second stage that of softening tubercle (on 

 the left side) had taken cod-liver oil for six months with most satis- 

 factory results. The corpuscles were in remarkably high propor- 

 tion, namely 172-56. It is an interesting fact, that in this instance 

 the remarkable hum in the jugular veins, often found as a symptom 

 in anaemia (but as I think wrongly regarded as peculiar to that con- 

 dition), was present. 



In Henry B., the subject of phthisis in the second stage on both 

 sides, after a short course of oil, the proportion was 144 '76. 



The highest proportion of corpuscles which I have found in any 

 of my consumptive patients was 174 '34. It occurred in S. P., a 

 man aged 36, who had the disease in a very early stage accompanied 

 with the variety of wavy inspiration, which I believe to indicate the 

 existence of a considerable amount of freely expanding lung around 

 the parts consolidated by tubercular deposit. He had taken oil for 

 only two months, but had during that period gained about a stone 

 in weight. 



Another man, Thos. C., also in the first stage, and with the same 

 symptom, wavy inspiration, but with a greater extent of dull per- 

 cussion (and other signs of more disease than S. P.), had also taken 

 oil for two months with advantage, and the proportion of cor- 

 puscles was 144'45, whilst Thos. B., in whom the physical signs of 

 disease were still slighter, but in whose expectoration, examined with 

 the microscope, the presence of lung-tissue sufficiently demonstrated 

 the nature of the disease, the blood contained a proportion of cor- 

 puscles as high as 165'90. This man had taken cod-liver oil (with 

 only one short interruption) for twelve months. 



The fourteen cases recorded in this communication with a view 

 to the question under consideration are arranged in the following 

 Table : 



