This historic book may have numerous typos and missing text. Purchasers can usually download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1908 edition. Excerpt: ... a preliminary raising of the index by means of tuberculin will minimize the risk of dissemination, and a continuation of such treatment after the operation will expedite the cure. It may, however, be noted that cases of this kind, so advanced that even amputation was advocated, have cleared up in such a marvellous manner under tuberculin and the usual therapeutic measures that no case need be considered hopeless until such measures have received trial (see Chart XII., for instance, of such a case). pulmonary tuberculosis. 2. Tuberculosis of Bones and Joints.--Far too few observations as to the variety of bacillus at work have as yet been made to enable any definite conclusion to be drawn, but it may be noted that in the instance of all ten cases cited on p. 111 the human variety was found. For a case of early joint disease, splints, rest, Bier s 1 Journal of Medical Science, Dublin, September 2, 1907, p. 161. 2 Lancet, November 23, 1907, p. 1449. 3 British Medical Journal, October 26, 1907, p. 1131. 4 Medical Chronicle, June, 1908, p. 145. Fluid from joint when inoculated into a guinea-pig produced typical generahzed tuberculosis in eight weeks. Complete cure in six months, with perfect mobility of joint. Secondary infections will, of course, require their appropriate vaccines. Western (loc. cit.) gives his results in twenty-six cases as follows: Fourteen cases were cured. Five cases showed marked improvement, and were still under treatment. Two cases showed slight improvement. Five cases showed no improvement, but two of these were senile cases in patients over sixty. In young subjects and early cases cure and good movement may be expected; but where there is much destruction of tissue and sinuses are present, progress is slow and...