Richmond dispatch. [volume] (Richmond, Va.) 1884-1903, 1890-11-23

ing TO secure the fluid, though he oiier-
ed S25 for 81 phial. The only Enelsn
doctor so far who has succeeded IN get
ting q phial OF the lymph IS watson
Cheyne, surgeon OF Kings-College Hos
pital, London. He left Berlin yesterday
with sixty drops, given him after the
power of the whole British Embassy had
been exerted in his favor, aside from
his long acquaintance with Koch. IN
der the circumstances it looks as though
it will be long time before any OF the
precious fluid reaches America.
THE cAsEs TREATED.
BY far the largest number OF cases
treated so for have not been phthisis, but
lupus. The best results have been OBJ
tanned with lupus patients. No English
speaking patient, so far as | can learn,
has yet been inoculated for consumption
of the lungs, but one of the most sue
cessful cases treated was al English lady
inoculated for lupus. the end Of her
nose eaten away, hideous scars covering
her entire face. Here are the details Of
her case as related to the World by the
doctor who brought her from England
"When the patient was first inocula-
ted she felt no pain on the spots al
fected, but they were very sore after
pressure after one hour. In the second
hour she WAS attacked with vomiting
and shiveriug, followed by headache;
her pulse got quicker and her tempera-
ture rose to 104 Fahrenheit her face
became deep red and SO swollen
that she could not open her
eyes. Still more remarkable, o swol-
len place appeared under her
chin; one knee became very pain
full. From this ii was concluded
that she was suffering from hitherto
undeveloped tuberculosis OF the glands
under the chin and under the left knee.
Twenty-four hours after incubation her
temperature fell to natural. the swelling
of her face grew less, the open sores on
the nose became covered with scabs,
some amber color, some dark brown.
After one days interval the patient
was treated TO a second incubation.
This was followed by fever, temperature
102 Fahrenheit, with less vomiting and
less swelling. These symptoms disap-
peared at the end of twentyiour hours.
| The patient was then given forty-eight
hours rest before another incubation.
The third time her temperature rose to
101 Fahrenheit and there was not much
swelling Of the affected parts. After
two days more the scabs fell of, the
flesh below looked rosy, healthy, soft,
and natural TO the touch, the
swelling under the chin and on the knee
also had diminished, the patient felt inn
proved, ate and slept well, and at the
end of two weeks the patients face was
vastly improved in appearance, the sores
all healed and covered with dry skin. In
another week the patient will probably
DO discharged cured
A REMARKABLE CASE.
EDO You look for the temperance of
lupus on the patient at any future day 2
the World correspondent asked the
Doctor.
THAT is impossible TO predict" he
answered. even Koch does not pro-
mise absolute cure the first time. II the
symptoms reappear We must try another
incubation. But taking the results on
this particular patient so far, no known
drug could have had such ma effect. The
only process heretofore approaching II
in results was by burning out the parts
affected with red-hot irons.
Zone case of incubation for con-
sumption of the lungs came under my
personal observation" said the Doctor,
"but this was German patient-not
English. The mans lungs were not
very far gone, but as usual in such cases
blood was perceptible in his spit. After
the first incubation OF the Koch lymph
the blood vanished from the spit and only
once reappeared during six weeks
Bacili were plainly visible in the spit
ut the outset of the treatment, but aftel
the tenth incubation there was none
visible. When the treatment was modi-
fed by incubation made only every SO
cond day tho baciIli reappeared for ten
days, when they disappeared again.
After O few days they once moro reap
peared but lasted only two days. None
has been observed now for five days.
The doctors believe they have vanished
entirely. If none reappear next week
| tne patient Will 10 ulScilaib Ecu 40 SuhNN'
though Of course the doctors do not say
positively that the symptoms will never
reappear. During the treatment the pa
tents spit was reduced one third II
quantity. He eats and sleeps well.
"These are, / believe. good specimen
cases. The progress of scores of patients
has been told to me. The results are
about the same. Whether they are per
manent or not time alone can tell.
"How long, 1 asked, "do you think II
will be before the Koch fluid is plentiful
enough to admit liberal treatment OF
consumptive patients in England and
American hospitals 2"
From present indications" be
answered, ait will be long time. The
fluid requires careful preparation. The
results are very slow"