184 PROTEIN THERAPY 



value, even in the treatment of early adnexal inflammation accom- 

 panied by acute symptoms and much pain and profuse hemorrhage. 

 The pain diminishes after the second injection, menstruation becomes 

 normal after the next period and the adnexal swelling is reduced. The 

 fact that these results can be achieved with an ambulatory treatment is 

 of further advantage. 



Sonnenfeld has also reported on 115 cases of gonorrheal as well as 

 nongonorrheal adnexal inflammatory lesions treated with turpentine 

 injections. He considers the method of tremendous advantage in 

 the conservative treatment of inflammatory conditions of this type. 



Hellendall states that when on the basis of thirty cases Zoppritz 

 demonstrated this method recently before the Verein der Aerzte at 

 Diisseldorf, no adherents championed it during the discussion that fol- 

 lowed, while Pankow presented two series of cases, one treated with 

 and one without turpentine, and emphasized that the results indi- 

 cated that there was no difference between the old conservative treat- 

 ment and the turpentine treatment so far as the final effect was con- 

 cerned. In Hellendall's own case, that of a young woman of 19, the 

 ineffectiveness of turpentine injections was shown by a later operation, 

 although it was a case in which good effects should have been appar- 

 ent, if ever. Kronnenberg is also of the opinion that the turpentine 

 injections are without influence on the course of adnexal inflammation. 



Hinze reports 205 cases, 35 of which came to operation; 65 were 

 treated by the usual conservative methods and 105 with turpentine. 

 He injected 0.5 c.c. of a mixture of 0.1 gm. of turpentine oil and 0.4 

 gm. of olive oil, in the posterior axillary line from two to three finger- 

 breadths below the crest of the ilium. The long cannula prevents 

 the fluid being ejected into muscle or subcutaneous tissue, which in- 

 creases the pain unnecessarily. In addition, in most cases, moist heat 

 and hot air or hot-water treatment were employed. The discomfort 

 following the injections was not severe and usually subsided in from 

 four to five hours, but in several cases the pain lasted from three to 

 four days, sometimes radiating into the leg on the same side. In 8 

 of the cases of pyosalpinx either a cure or marked improvement was 

 effected. The results were very favorable in the 52 mild cases. As 

 a rule these cases could be dismissed as cured in from two to three 

 weeks. In the chronic cases, the pains usually disappeared after a 

 few injections, and when the patients were dismissed in three or four 

 weeks the tumors had decreased considerably in size. Hinz's judg- 

 ment, therefore, is that turpentine injections constitute progress in 

 conservative treatment of affections of the adnexa. However, that 

 recurrences are not uncommon goes without saying. 



Other observers have used autoserotherapy (Ishikawa) and Hasen- 

 beia has used injections of sugar solutions. 



