Tuberculosis. 529 



breathe without discomfort. His own groom who had given up 

 work because of advanced phthisis, under treatment of half an 

 hour three times a day, became ruddy, gained weight, and betook 

 himself to work again. In rabbits which I inoculated with human 

 sputa, the same year, all died tuberculous excepting one which I 

 fumigated three times a day for weeks. This rabbit remained 

 plump and well. 



As an example of a still more irritating inhalent, I watched the 

 case of a phthisical man who secured employment on the govern- 

 ment disinfecting corps, in Chicago, in purifying the lung-plague- 

 infected stables with chloride of lime solution, and who very soon 

 began to improve, gainingweight and strength, his cough mean- 

 while subsiding. 



Cervello's use of formalin by inhalation though well spoken of 

 by its inventor would seem too irritating on the delicate lungs, 

 however good it is as an antiseptic. 



Inhalents may be conjoined with the pneumatic cabinet. 



Among agents used to moderate the cough may be named 

 codeine, morphia, cherry laurel water, wild cherry bark, guaiacol, 

 menthol, syrup of Tolu, or chloroform, or alcohol inhalation. 



As an internal antiseptic, carbonate of creosote has often 

 proved beneficial. 



Mustard blisters on the skin covering the tubercle is claimed 

 by Knopf to act beneficially by attracting the microbes from the 

 delicate lungs to the more robust skin and connective tissue, 

 where they can be better disposed of by the more abundant 

 leucocytes. 



He has also found excellent results in complex infections in 

 animals from the use of Marmorek's streptococci serum in doses 

 of 10 cc, followed after the second dose by 5 cc. every 24 hours. 

 In other cases it failed of the effect (reduction to normal tempera- 

 ture) evidently indicating that the hyperthermia was maintained 

 by other microbes than the streptococcus. The principle is good, 

 and perhaps at some time in the future a bacteriological exami- 

 nation of the sputum may reveal the microbes present and sug- 

 gest the sera for such complications. 



The introduction of air into the peritoneum has long been 

 known to exercise a retarding and curative action on abdominal 

 tuberculosis. My colleague, V. A. Moore, has lately experi- 

 mented by pumping air and oxygen into the peritoneum and 

 pleurae in cattle slightly affected, with encouraging results. 

 34 



