The present inquiry is restricted to one branch of
the subject, namely the results on discharge, estimated
as exactly as possible by several criteria, which were
obtained by sanatorium treatment, combined with tuberculin, in a group of 137 cases of pulmonary tuberculosis.
It is proposed to analyse the cases, according to the
various stages of the disease, and to consider the results on discharge according to the following criteria;
(1) the clinical results as estimated by the physical signs in the chest, and the general condition of the
patient; (2) the presence or absence of tubercle
bacilli (T.B.) in the sputum; (3) the amount of restoration of working power; (4) the average gain of
weight. Special attention will be given to the consideration of cases, systemic on admission, i.e. those
cases which showed signs of febrile or other constitutional disturbance. It has generally been maintained
that such cases react with difficulty to any form of
treatment, and more especially to tuberculin treatment.
In fact many authorities go so far as to state that
under no circumstance should systemic cases be given
tuberculin. The results obtained in the cases,systemie on admission,will be compared with the results of
the non - systemic cases, and with those of all cases
taken together. Results which other observers have
obtained both with and without tuberculin will be compared with the results obtained in this series. In
addition, certain cases, in which the administration of
tuberculin seemed to have a bearing, more or less evident in the results, whether for good or for evil, will
be described more fully. A short description of the
reaction, difficulties, and dangers met with in the
course of the treatment will be given, but no theoretic
al disquisition on the action of tuberculin will be
undertaken, except such as is necessary to explain
points of theory arising in the cases under consideration. The final results of tuberculin treatment can only be discovered by actuarial methods - e.g.
by the consideration of the numbers alive, and in good
health, after a certain number of years of different
groups of cases, treated with and without tuberculin.
This of course does not come within the scope of this