256 



SCIENCE. 



[Vol. XV. No. 377 



chest freely movable, and vital capacity 226 cubic inches, or 

 44 cubic inches above the so-called standard of health. 

 Since that date the patient has had two children, there has 

 been no relapse, and in September last her vital capacity vpas 

 220 cubic inches. 



" Case II. — L. J. F. was said to have disease of the right 

 lung by family doctor. The patient's father and uncles had 



died of consump- 

 tion. I found the 

 disease very limit- 

 ed, and the case a 

 m ost favorable one 

 to treat. Height 

 5 feet 6 inches; 

 chest-girth at third 

 rib 30 inches; ex- 

 tent of movement 

 i inch ; girth at 

 ensiform cartilage 

 29 inches, extent 

 of movement 1^ 

 inches. Treated on 

 the same princi- 

 ples, the patient 

 steadily and rapidly improved in condition. Two months 

 later the chest-girth at the third rib was 32J inches, extent 

 of movement If inches; ,girth at ensiform cartilage^ 30 

 inches, extent of movement 3 inches. Two months after 

 the above, the patient had practically recovered. There was 

 a further gain of half an inch in girth ; no depression above 

 or below clavicles; angles of scapulag fiat, and weight 9 

 stones 5 pounds. The patient contmues well. 



" Case III. — This was a servant, with disease of both 

 lungs. The patient was sent home to the country appar- 

 ently recovered, and desired no further attendance. I have 

 since lost sight of her. 



"Case IV. is that of myself. It will be fully understood 

 that I only refer to it to complete the prima facie case I 

 have established 

 in support of this 

 method of treating 

 the disease. My 

 mother, her three 

 brothers, and two 

 sisters died of 

 phthisis. In phys- 

 ical appearance I 

 was a well-marked 

 example of the so- 

 called ' inherited ' 

 disease. Height 

 5 feet 9^ inches; 

 vital capacity con- 

 siderably below 

 the so-called stand- 

 ard ; was always subject to winter cough ; broke down 

 while attending hospital in 1873, and was advised to leave 

 at once, in the middle of the session. There was no doubt 

 about the nature of the disease. Since that time I have 



gained about five inches in chest-girth, and for ten years 

 have been free' from any sign, symptom, or appearance of 

 the disease. 



" I shall be obliged if you will enable me to state that 

 those patients continue well, notwithstanding the severity of 

 last winter, and that their remarkable increase of chest-girth 

 and range of expansion has been retained. Since then, I 

 am sorry to say, I have only had an opportunity of applying 

 those principles of treatment in two cases. 



''The first case was an acute attack, temperature over 

 102°, in a case of long-standing and very extensive disease 

 of both lungs. Under treatment, the temperature became 

 nearly normal, cough and expectoration nearly disappeared, 

 breathing became easy, the chest-girth increased, and in 

 about six weeks the patient returned to work. A short time 

 since, I heard that the patient was fairly well, and still able 

 to continue at work; and, had there been a home islaced 

 under conditions suitable for treatment, I think this case 

 would permanently recover, notwithstanding the extent of 

 the disease. 



"In the other case there was extensive disease of the 

 right, with commencing disease of the left lung, and hectic. 

 The patient could not leave his business, but carried out the 

 directions so carefully that cough and hectic disappeared ; 

 the appetite was good, weight increased, and there was no 

 difficulty in breathing on exertion. In fact, he felt and 

 looked so well that he spent a day at Wimbledon, got thor- 

 oughly wet through in the camp, and remained in his wet 

 clothes. That brought on an acute attack, and his tempera- 

 ture rose to over 103°. Under treatment, this was rapidly 

 recovered from, and in three weeks he was fit to go, and 

 went, to the Highlands. During the attack the patient lost 

 eight pounds in weight; the heart was displaced to the right; 

 and the chest-girth at ensiform cartilage was, -on expiration 

 27\ inches, and on inspiration 28-g- inches. The patient has 

 no trouble with cough; the color is healthy; temperature 

 nearly normal; weight has increased 12 pounds; heart 

 has gone back; chest-girth at ensiform cartilage is, on 

 expiration 28 inches, on inspiration 30^ inches; and there 

 is no difficulty in breathing or cough when the patient 

 runs." 



"The cases previously reported continue well. Of the 

 two cases which were noted in the Lancet of Dec. 1, 1888, 

 one (Case 5), I understand, continues at work, and the other 

 (Case 6) has had a most instructive record. This patient 

 went through the winter very well, and I did not see him 

 till the 29th of May, when, as the direct result of recent 

 overwork in his business, I found he had materially lost 

 ground, but unfortunately he could not leave town. A 

 sharp attack of hajmoptysis came on on the 29th of June, 

 and I was sent for. The temperature rapidly rose to 103°, 

 but was promptly reduced, the hemorrhage arrested, and in 

 a few days the patient was up. He left for the Highlands 

 on the 19th of July, when his chest-girth was, on inspira- 

 tion 30f inches, and on expiration SOJ inches, the extent of 

 movement being only f of an inch. I next saw him on Oct. 

 3, his chest-girth being, on inspiration 32 inches, expiration 

 30 inches, showing an increase of 2 inches. This was as- 

 sociated with a considerable improvement in the local and 



