342 THE AMERICAN MONTHLY [Oct. 



real progress of the case by the substitution of the mor- 

 phology of health more or less, to show when the patients 

 have lapsed in the treatment by eating forbidden food, 

 and to show when there is a real cure. To repeat, most 

 valuable of all to make a diagnosis of consumption 

 with as much certainty as it is possible in human 

 affairs, and by rt-.moving the uncertainty, sometimes 

 dreadful, of the diagnosis that accompanies the conven- 

 tional first stages of consumption of tlie lungs. 



''This value is so great that it is more than a warrant 

 for this publication to be made. It is hardly possible to 

 overestimate the importance of this department of physi- 

 cal exploration. 



"First or Incubative Stage. Red blood corpuscles are 

 less in number, ropv and sticky, more or less, but not 

 much changed otherwise. 



"Second Stage of Transmission. 1. Red Corpuscles. 

 Color, pale, non-lustrous , not clear cut, not ruddy. 

 Consistence, sticky, adhesive. Coating of neurine re- 

 moved. Not so numerous as in normal blood. Owing to 

 the increased size and strength of the fibrin and the 

 stickiness, they form in ridges, rows, but not so marked 

 as in rheumatic blood. They accumulate in aggregations 

 of confused masses, like droves of frightened sheep. 

 They adhere to ej'.ch other, and are rotten, as it were, in 

 texture. 2. White corpuscles. Enlarged and extended 

 by the mycoderma aceti or spores of vinegar yeast, that 

 are transmitted into tiie blood stream from the intestines. 

 3. Serum, More or less filled with the spores of myco- 

 derma aceti or vinegar yeast. These occur either singly 

 or in masses of spores, which is the common form in 

 which they nre found, wherever vinegar is prdduced. 

 The fibrin filaments are larger, stronger, more massive 

 than in health, and form under the microscope a thick 

 network which is larger, stronger and more marked in 



