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The last is specially beneficial in patients who do not take enough fat in other forms. It is noteworthy that many tuberculous patients show an aversion to fat. For the use of tuberculin in diagnosis and for the vaccine treatment of tuberculosis the reader is referred to text-books on medicine.
Tuberculin failed of its prime purpose, but it does seem to have marked the initiative of a campaign against consumption which has already proved of incalculable benefit, and bids fair to put that omnipresent disease toward the foot of the list of causes of death. We have made substantial advances in our knowledge of the disease, and we no longer regard it as incurable.
Koch, however, with the usual caution of the true men of science, did not announce his tuberculin, or lymph, as a cure for pulmonary consumption. He did not even declare that it was positively a remedy for the other forms of tuberculosis, but did announce his cure of cases of lupus by the agent which he had prepared.
A month later the tension rose to 28 mm., but for a year has continued normal; the eye did well under tuberculin treatment, and without any local treatment. In September of this year I had two cases of iritis in which the intra-ocular tension rose to 45 and 52 mm., respectively, and gradually returned to normal, with the cure of the iritis under atropine.
Noguchi has made an emulsion of dead spirochætes which he calls luetin, and which gives a specific reaction resembling that of tuberculin in tuberculosis, a papule or a pustule forming at the site of the intra-dermal injection. It is said to be most efficacious in the tertiary and latent forms of syphilis, which are precisely those forms in which the diagnosis is surrounded with difficulties.
The discoveries of Sir Almroth Wright have shown that the appalling results which led to the hasty dropping in 1894 of Koch's tuberculin were not accidents, but perfectly orderly and inevitable phenomena following the injection of dangerously strong "vaccines" at the wrong moment, and reinforcing the disease instead of stimulating the resistance to it.
The indolent enlargements are not always to be distinguished, however, from commencing tuberculous disease, except by the use of the tuberculin test, and by the fact that they usually disappear on removing the peripheral source of irritation. Treatment.
To guard against this, each farm established a quarantine station, where all new-bought animals, after having been tested with tuberculin and shown to be free from reaction, are kept for a period of at least a year, for careful observation and study, before being allowed to mix with the rest of the herd.
Not only is the method spreading rapidly among the more intelligent class of breeders, but many progressive countries of Europe and states of our Union require the passing of the tuberculin test as a requisite to the admission within their borders of cattle intended for breeding purposes.
Among the most useful methods with children is the rubbing or scratching of a few drops of the toxin of the tubercle bacillus, tailed tuberculin, into the skin. If the children are healthy, this will leave no mark, or reddening, at all; but if they have tuberculosis, in two-thirds of the cases it will make a little reddening and swelling like a very mild vaccination.
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