VACCINE-THERAPY 145 



If it is due to the smallness of the dose, an increased 

 dose should be given straight away, amounting to from one- 

 half to double the strength of the original dose. 



Following upon the negative phase, a steady improve- 

 ment should be noted. The temperature falls ; the respira- 

 tion becomes slower and deeper; the pulse -beat lessens, 

 etc. This is the positive phase, which should go on for 

 two, three, or five days. 



As soon as the immunizer notes a cessation of the im- 

 proving symptoms, another dose of vaccine should be 

 given. 



It is our experience in pulmonary conditions that vaccine- 

 therapy gives a bigger percentage of recoveries, the 

 disease cycle is cut shorter, and, when recovery is an 

 accomplished fact, the after-sequela are either nil or very 

 slight — in other words, permanent organic disease is not so 

 likely to be left behind. 



In severe cases several injections may have to be given, 

 and where progress is not satisfactory, the vaccine should 

 be combined with a polyvalent antistreptococcic serum, 

 beginning with doses of 20 c.c, and increasing daily 

 according to results. 



Of course, in the adaptation of vaccine-therapy — and this 

 remark applies not only to pulmonary diseases in particular, 

 but to all other bacterial infection in general — orthodox 

 treatment must not be altogether ignored. In addition, 

 therefore, it is an imperative necessity to place a lung- 

 diseased patient in the best hygienic surroundings, for 

 reasons already explained. One must also, if it is considered 

 advisable and the case warrants such a course, apply 

 counter-irritants to the chest, administer circulatory seda- 

 tives or stimulants, according to the condition of the 

 patient — expectorants if the cough is troublesome or the 

 discharge is tardy, antizymotic febrifuges if the tem- 

 perature requires pulling down, and antiseptic inhalations 

 when advisable. 



Nevertheless, when all these so-called curative remedies 



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