BACTERIAL INOCULATION 



261 



acne in any form, the accessory or supplemental 

 measures are of prime consideration, and include cor- 

 rection of underlying systemic conditions, notably ali- 

 mentary and genital disorders, lymphagogues as 

 sodium citrate or citric acid internally and hot fo- 

 mentations, the removal of comedones and pustules 

 locally, followed by sulphur, salicylic acid or betanaph- 

 thol ointment, etc. 



Fig. 40. — Annie H. Furunculosis of nostril. _ It will be observed here that the 

 inoculations were governed entirely by the clinical course of the case; the opsonic 

 indices were taken incidentally, merely, to note when the patient reached the "high 

 tide of immunity, " so that further inoculations might be suspended. 



Furunculosis and Carhunculosis. — None the less 

 remarkable are the effects of bacterial inoculations in 

 these common affections. The infecting bacterium is 

 almost invariably the M, aureus. In the case of the 

 acute primary boil or carbuncle, bacterin therapy need 

 not and should not be used except by an expert pos- 

 sessing a knowledge of the opsonic index, since more 

 harm than good may result (see page 226), whereas 



