Pittsburg dispatch. [volume] (Pittsburg [Pa.]) 1880-1923, 1891-08-01

as curative except it be in lupus. When
the lymph was first put into use DR.. Heine-
man hoped for much from it, and even
fancied he observed significant results fol-
| ing its use in cases of epithelioma.
81 am still using the lymph, he said yes
terday. 81 have one casa boy suffering
| from lupus under treatment at Mount
Sinai, and have several cases of lupus and
/ phthisis under lymph treatment in my pri-
vate practice. The boy at the hospital is
doing nicely. So far as the so-called failure
of the Koch tuberculin is concerned, it is
| now an important question whether the
! tuberoulin cannot be carried to greater de-
gree of purity. In the next place it must be
remembered that when we used the tuber-
| culin it was in its full poisonous doses. Such
doses we would not venture to use were we
| dealing with belladonna or opium. Unless
| we saw the lymph actually work before our
ewes we didn't believe it was working. We
had not then had sufficient experience, and
our doses were too large.
A LITTLE BENEFIr-IN LUPUS.
'I am frank to say have seen no cure-of
phthisis by the lymph, but it has been of
very material assistance in the treatment of
lupus. By graduating the doses, 1 find I
can soften the tissues, and thereby more
easily carry on my treatment of scarifca-
tion or cauterization. 1 have also combined
the anilines with the lymph treatment.
The anilines, believe, present wonderful
field for discovery in medicine. They possess
truly wonderful properties. When the
lymph was first brought over from Ger
many, good many doctors jumped at it
because they thought there was fortune in
it. When they found there was not a for
tune in it they hastened to drop it.
HKoah's lNnnh is still in the eXneri-
mental stage. II some improved form,
after the lapse of time, we can use 1t so as
to determine the exact limitation of its
value. Where formerly doses of as high as
20 milligrams were used, l now only use
one-twenJieth of one milligram, and that
only once or twice per week. do not in
crease the dose over that amount. l find
the lymph keeps well, and shows not the
slightest sign of sediment 1t has been
enormously reported that Prof Koch had
been compelled to abandon his titles and
high positions because Of the failure of his
lymph TO satisfy popular expectations. This
is an error. Pending the establishment of
the Institute of Infectious Diseases by the
German Government, DIR. Koch was pro-
fessor of hygiene, and director of the
archaeological Institute. The professor
ship of hygiene was a position created for
the discoverer merely TO enable him to draw
a salary during his experiments and pend
ing the establishments of the new institute,
In becoming the chief director of the insti-
tute he has given up the other position as a
matter of course, and thatis all there is in
the incident.
TwO-NOTABLE CASES.
''Of the-two cases of lupus in my private
practice, one is that of woman who was
successHely operated on for 40 years by
every prominent specialist in this part of
the country. She has been under lymph
treatment for five months, and is able to 90
without veil forthe first time. There is
wonderful change in the appearance of her
face. The other case of lupus is of ten
years standing, and shows Improvement.
In the case of the boy at Mount Sinai Hos.
pital, the lupus has all but disappeared.
''My phthisis patient does not show so
mEch Improvement L have lately heard
from two patients who were formerly under
lymph treatment at Mount Sinai, and they
are as well as when they left. The improve
ment in their cases has been maintained.
Six cases of phthisis were discharged from
Denver COol) sanitarium a week ago, al
legged to have been cured by the lymph. In
the case of leprosy under treatment the i'm
provement went up to certain point and
STOPPED. The case was not a favorable one
for experiment, since the disease was of
nine years standing. What was needed was
an incipient case"
DR.. Heineman stands almost alonein his
continued faith in the lymph. In a paper
read by Dr. Charles Denison, of Denver,
before the Colorado State Medical Society
the lymph was given scant credit '1n
fine," concluded the paper, ''tuberculin is
not remedy to be chosen for the great IA
iority of cases of pulmonary consumption in |
preference to proper change of life and |
climate, for it does not equal the latter"
DR.. c. E Bean, of the City Hospital, st.
Paul, Mimi, says: "Koch's preparation
has been found inefficient both as diagnos-
tic and as a therapeutic in tuberculous dis.
eases"
In Boston, Philadelphia, Baltimore,
Brooklyn and Chicago the use of the lymph
has-been abandoned.