St. Paul daily globe. [volume] (Saint Paul, Minn.) 1884-1896, 1891-01-06
The LYMPH HAS COME
Experiments Begun at Once
Upon Patients at the
Hospital.

| Experiments DSguu dC OuCS
Upon Patients at the
Hospital.
Requests for Treatment Al
ready Beginning to Pour
Upon Him.
The Consumption Panaeea
and How 1t Is to Be Ap-
piled.
The German mail bag received in st.
| Paul Yesterday contained package
| postmarked Berlin and addressed to DE-.
c. e. Bean. The little bundle was of
most ordinary appearance, yet it was
worth more than a hundred times its
weight in gold. The paper wrapping
bore the printed stamp of the Imperial
| German mail, and to each opening was
attached leaden seal stamped with the
| letter l.. The l. stands for LlbbertZ, and
| the securely fastened package contained
| tiny bottle of DR.. Koch's lymph-the
worlds desire. DR.. Bean was almost as
I much surprised as delighted when the
nature of the contents became apparent.
| True, he had applied for some of the
| wonderful fluid, but so had every
other physician in America. To the
fact that DR.. Beams request
INar
| of the American Laryngological aSSo-
| citation, STAYING in Berlin. of which as
| ISOLATION the doctor is member, is due
the fact that he, first of all, has been
| given an opportunity to locally demon
strate the value of the now world
| famed discovery. A letter written in
| German, by DR.. Libbertz himself, gives
minute directions for the use of the
| fluid. The bottle contains aboutstWo
| teaspoonfuls of the lymph, which is
| sufficient, when properly diluted, to
| treat regiment of consumptiyes. The
| fluid is dark brown in color, and almost
Odorless. DIR. A. Libbertz. who, with
| f, Pfuhl, has been investigating the
action of the lymph under the super
vision of Koch himself, writes that, UNI
diluted, the fluid may be kept for an in
| definite time. The dilutions prepared
for treatment spoil easily, and
| after dilution becomes cloudy it should
under no circumstances be used. 10
prevent dilutions from spelling, owing
to exposure to atmospheric influence,
| they must be reheated
After Every Opening
of the vessel IN which they are con-
tanned. The heating process is, how
ever, unnecessary. provided a solution
- NOli hot nf 1
has been used in the dilution. The di-
is first prepared 10 per cent solution
by adding to one cubic centimeter Of
the fluid nine cubic centimeters of the
carbOlic solution. In the same way is a
per cent prepared out of the 10 per
cent solution. Thus are obtained the
dilutions necessary for the treat
ment of adults. For children it
is necessary to use greater dilution.
The fluid is introduced into the body
by means of a simultaneous injection,
and experience has demonstrated that
the best point for injection is between
the shoulder blades and the IONS. The
operation is best performed with the
aid of sterilized Koch syringe of ca
pacity of one cubic centjgramme, and
gradati0ns of one-tenth of cubic cent?
RIdIuIllC. u0 SI6IlllLullOIl VI biO
syringe is procured by filling it with alb
solute alcohol. The range of the tenn
perature must be observed as well be-
fore the beginning of the injections as
during their progress, and with ob5er-
yations of the temperature every few
hours. The injections should be given
in the morning, in order that their
effect, particularly on the bodily tenn
Derature which first appears some
hours later, may be easily seen.
During the first few days the
doses administered are gradually
increased. Later the injection will be
continued, with breaks of from one to
two days until the symptoms have en-
tirely disappeared. For the first injec-
ton in consumptives the prescription is
from 1-100Oth to 2-100Oths of cubic
centigramme. If the case is one of not
very extensive lupus i'll an adult
1.1000th of a cubic centigramme may be
used at once and repeated as necessary.
The same rules for application apply to
tuberculosis of bones, joints and glands.
DR.. I.ibbertZ warns each consignee that
the lymph can only be obtained from
him at the Berlin y. w. Lunebur-
gerster.
Treatment in st. Paul.
Immediately upon the receipt of the
lymph DR.. Bean inoculated two con-
Sumptive patients now at the city hos
pital and one private patient. To the
development of these cases he is now
devoting his attention. Neither of the
cases are of advanced type. and in tact
it remains to be demonstrated that i'll
advanced stages of the disease the
lymph is overwhelmingly experiments
in American hospitals-viZ., ST. Luke's
of New York; Johns Hopkins. of Balti-
more; MOntefiore Home for Chronics,
New York, and the Pennsylvania
university-have tended to conviction
that the fluid is fatal to persons in
advanced stages of consumption. DR..
Koch has made no statement as yet re-
garding the mode OF preparation of this
wonderful fluid. In recent number Of
the Medical News he is quoted as hay
ing said that his researches were incom
plete. The symptoms following the in
jections, as described, are being watched
by local physicians with engrossing in
terest. Three OF four hours after the
injection was given, in all the cases
there followed pain in the limbs,
fatigue and difficulty of breathing.
These symptoms grew stronger between
the fifth and seventh hours, and nausea
and vomiting accompanied high bodily
temperature. After the twelfth hour
the symptoms abated the temperature
became normal, and the only remaining
indication was the red spot, Slightly in
famed, where the injection had been
made. 1t is matter for congratulation
that in cases of suspected tuberculosis
the remedy may be applied without en-
failing the slightest i'll to a non-affected
person. 1t is fact that the fluid will
prove invaluable as a diagnostic. For
instance, in cases of tuberculosis of the
lungs or points which nave been appar-
emily cured, it will enable the physician
to make sure whether the disease has
really finished its course. and whether
there still may be some diseased loeali-
ties from which disease might again
arise as from spark in heap of ashes.
DR.. Bean is already
Overwhelmed With Requests
for treatment with the lymph. One
gentleman, in an advanced stage of con-
sumption, Yesterday offered SEEM