316 



CIRCULATING FLUIDS 



These analyses are sufficient to disprove tlie general notion 

 that in this disease the corpuscles are dissolved in the serum. 

 In the blood taken from these scorbutic patients^ the separation 

 into serum and clot was as perfect and took place as rapidly as 

 in healthy blood. In two of the cases the clot was buffed and 

 cupped.] 



Morbus maculosus Werlhofii. 

 [Porphyra hsemorrhagica (Mason Good.) Land-scurvy.] 



I have analysed the sanguineous fluid discharged from the 

 mouth of a girl aged 20 years. She was pale and weak^ the 

 pulse rather excited, breath fetid, and there were red spots on 

 the gums and above the uvula, from which blood had appa- 

 rently escaped. This sanguineous fluid contained much saliva, 

 and some flocculi of mucus, but no fibrin. It had a faint, dis- 

 agreeable smell, was of a very dark (almost black) red colour, 

 transparent, and deposited an almost clear sediment. The de- 

 canted fluid exhibited no blood-corpuscles under the microscope, 

 and only a few membranous granules. The sediment was com- 

 posed of blood-corpuscles, which, for the most part, were changed 

 from the flattened into a spherical form, and of which a small 

 quantity were of a pale yellow colour, while the majority were 

 almost, if not quite, colourless. Moreover, I observed a con- 

 siderable quantity of epithelium-scales and mucus-granules, the 

 latter of which were especially visible in the flocculi deposited 

 at the bottom. After thoroughly stirring the fluid, it was 

 boiled; upon which it coagulated perfectly. I found that it 

 was composed of — 



Water 



Solid residue 



Fat 



Albumen and mucus 



Globulin 



Haematin 



Alcohol-extract, bilin, and salts 



Water-extract, ptyalin, and salts 



Biliverdin .... 



Analysis 34. 

 948-889 



51-111 

 1-377 



34-032 

 5-610 

 0-102 

 4-C35 

 2-555 

 0-366 



The presence of the bile in this blood, although I was as- 



