CASE REPORTS 173 



year from May to October, and the patient has found that it 

 is increased by the inhalation of dusts. 



He has tried codein, bromide, caffein, and iodide, and the 

 only soothing liquid he now uses is "Doctor Tucker's Asthma 

 Cure." 



Classed as unfit for active service on account of asthma 

 and emphysema. 



Examination. An obese man, heavy eater, evident signs 

 of very pronounced pulmonary emphysema. Heart normal, 

 blood-pressure 160/90. Urine: Neither sugar nor albumin. 

 Slight pupillary inequality. Dyspnea on exertion with 

 inspiratory spasm. 



Diagnosis. Chronic pulmonary emphysema, with inter- 

 current crises of asthma. 



Fecal Examination. Bacterial flora: Colon bacilli, diplo- 

 cocci, enterococci. 



Treatment. Autogenous entero-antigen. Ten subcuta- 

 neous injections, one every fourth day. Violent reaction at 

 each injection consisting of local pain with inflammatory 

 halo the next day, definite, even painful exaggeration of the 

 respiration for twenty-four hours. After the end of this 

 reaction, the patient feels each time much improved. After 

 the termination of the series of injections, he has no more 

 dyspnea ; he gives as illustration of his improvement the fact 

 that "he can now climb the Sorbonne hill by the rue St. 

 Jacques without effort or trouble," whereas during the last 

 ten years he was unable to do so. 



C. Other Cases. Detailed case reports of 32 additional 

 cases comprising a wide variety of chronic morbid states 

 have been omitted in this English translation. 



The reports picture the remarkable results following the 

 use of dead bacteria in the form of an emulsion (a vaccine) 

 and administered either by mouth or by subcutaneous injec- 

 tion. In most cases, improvement is immediate. Practically 

 complete relief of symptoms is experienced by the majority 

 of the patients after at most fifteen treatments at one- to 

 three-day intervals. 



These cases include those with such diagnoses as the 

 following: Neurasthenia, scleroderma, dysmenorrhea, meno- 



