The sun., 1890-12-04

Dsssraptas. or ths Lssusa sAa che fhsaso
sna AttesAlnG The lslsesios.

The LIQUID. whatever be its nature, 70, 10
physical properties, brown. visoid nuio'
aomewbat like . dilute solution OF iodine In
color and about the consissence OF thinnish
syrup. It IL supplied TO HOSPITALS. for clinical
purposes. In q white glass bottle. containing
about 40 or so Rrammes, which 10 corked. one
eramme is added to 100 grammes OF sterilizso
distilled water for nss, and tho doses vary
from one RrAmme OF this 1-10o dilution to MI
mute fractions OF that quantity. The
injection may be made with any
subcutaneous syrings. but here the
modification known rs Koch's own IL
used. The fluids may be injected into any part
OF the body. But Koch suggests that under
the skin between tho scapul@ is tho best
place. as the skin is very little sensitive there.
No reaction occurs at the place OF incubation,
and il goes without saying that the injection 10
made with antlseptio precautions. The patient
experiences no effects whatever Tor some time
after the incubation. but at the end Of about
four hours the temperature begins to rise rap
idly. ompanied usually with rigors. ss is
the case almost always when there Is rapid
increase Of the bodily temperature. There 10
eyen s,sT tom2d 10 4i2 degrees Z. i6SS degrees r.
This tremendous rise 10 reached in about two
reaction. The fall OF the temperature is also
bends on The cxent o. the tissue affected by
he he Injected liquid does not XII. the bacilli
Themselves. but only the tssHe which has peen zen
baciiii. II The tissue thus Affected be e!ten-
sive. tho tenn nnsrature will remain high for q
Eus s. %Ssrs s nHn oSSs
hsG reaeh lis nc normal N ei ieevri The snd of sxsniy
%sis'ss i fs,isp:s ss ~ satsrlas from tqbsrcalas
affections oil the joints. iarynx. ac" even
lkdon wa. made. In. the case OF tuber.
snsr 5ss saS sg %. Il .sssS e
%hile The ,s@psssturs = thus FissIps the spIlssss
per ssms @aps Il. sSsa q he
pulse dipinishss aonx With the ai 10 ten
Of lupuI the strongest restorst,yes had %
biissl bimHiianeously with these phenomena q
general constitutional affection h,, there oc-
ssrp II 81
the infiuense q. recent tnbercuiar virus. The
local swelling begins earlier than the rise Of
a part do not load to the production OF these
local phenomena after inoculs,ion. such
Ssesosssd seg % and - as - Koch @ EXPLAINS that only
living tissue is affected by bis tnoculaion ma. ma.
terlal We understood Why local reaction \. does
Te: Lea o. A. acssd fGasss rRE R
some cases iessened pain. -,,-
n %
is indeed 10 Koch that we are Indebted for the
knowIedss tha, iupus 10 really tubeseSiosis ,hs Of
SsDsss%% % IsSssi, On On
IN n n traAtmalt
XhiSh isss Fer r.. under trss,%snt l Rsf,ia ;ia
'u siae y ss@psssturs S the patient Is already SUI
iering q from some male q. anu u asked whether
II +: sdeo;sd part: T6e part has become
shy sdder sssd and 2, brighter eoSs
fS,s:''Ps Sss Pssa.s.s nsa"fy s.shs ,saSSs
Ss nas ssms q hs tTss
OF thrice its original size. the cheeks become
sSSR snd 1T Bs ts 9aie ths
!ubsrculsr disease u the place affected TtS
iSpss Sisss 9; = i ~ .ls;ss ssIes ~ esss.sss
sIosscss %nsn v 'tS @ lesas ssr
3 lapas ULCER has been healed; the frsh
vpht t.h IN AL = NJ mi
raamr.enca ~ piha aiseasa In ma tssnS
must ba taken 10 indirHte that II vas not
haalthv as n aaamad 10 X" hut thst X tsaiiv
aY.S q ths.Ia sotm ~ man,t,,.s H. tno
SUn ~ n-oTnca ch.%Has racnoTpizaHfshy tbS
nanU a ~ n II az IivmU ~ S;set %St SSnaiont ~
en2 70 frsaS nmthraat cS Innms tn III cnmrsS
Hd nS%me ~ noma ran or twa,vap phonrs ftsr thS
~ imS, somS ~ ~ Swe!sS nodEs 49, nas sns
b @ 81 ,Is s NJ -, ~ ~ hafnr
MniSh xMsIo M d oiso sIhhoiS nth tIh s.rH Mnt
10 oculat0n. anu als" attn, wG1 tha n.jno *. tS..
B1rbs1s bs iaa and 'sfhiyy his s nstS
tion ~ one 10 lhs fant hu RaSh n his com
nmnnotion tSat r IL ~ tissnas IA NOT the
r umrfai!oh; auat !. II tne slssuSs. IA IA hUs ts
tEaea,i toari a tian ~ '"ea' "n1'n sie ~"'" " s"e
in0cuiaIioh, Iioh,..-,..,. .a ,,,,1.r f...,..,.
IA "A kSra Snaaa0t;slaSt!lo t anu p9"n ssshhG -
11e ~ 0ofnof nch ynryhS ron aIS hUmss xiaih
!Mah.Sa M ~ MthoouiH.toh. arotna sne Tse u Hsi.
tne ~ DeE . .antIv 70 lin 70
and outsids 4 there lies an ar@ Of skin whcH
presents All the characterlstl. appearsnees q
erysipeies. except tn9 usua! ZoHiaJhoS OF tE
ssooye tha tissue ontsids ~ own oS msrgE.
Somenmee skln psesonunnaS, l., somo nn apgSShl. gSSha.
hay e sraceT pfNtTSSsUn 80 ~ sicnHv Hs
Mnich may oS rfe4arqoa .to t1o coursS p sne
d ympd9atics ~ Insse iYmI2Et.os. s.1 ma1 De essp-
pGssa 20 oe cohssi ne 1ud had