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Case LXIX.-Mrs. C.; April 1, 1877; age 30 years ; Irish; four children; the youngest ten months old. Since Jan. 1, 1877, she had suffered from uterine hemorrhages, and had lost color, flesh, and strength; appetite almost gone; for about two weeks she had been confined to bed; temperature 100° to 102°; cough; no physical signs of trouble with her chest ; diarrhea. Her blood presented spores, spore collects, mycelial filaments, no fibrin filaments. White corpuscles enlarged, but not too numerous. A fibroid tumor, of the size of one's fist, was attached to the posterior part of the uterus. She was put on the strict diet with a surprising result. In twenty-six days the tumor had entirely disappeared. The morphology of the blood was restored to health. General health entirely restored and remains so.

Remarks.—This is history; still, too much must not be made of it. It astonished me. Some might olject to its recital here; but in a relation of facts what right have we to reject evidence simply because it does not tally with our previous notions? The writer has freely put forth the unfavorable side of these histories. Why not give the favorable side an equal prominence?

CASE LXX.-Dec. 5, 1877. Miss C. W.; 21 years old ; Nova Scotia parentage; house-servant; had been sick four weeks with a severe cold and cough of which she was now better. She was of large size, countenance pallid and pasty, movements impaired, although she was able to perform some labor. She stated that her father's family was consumptive and rheumatic. She complained of hemorrhage from the nose, menorrhagia, headache, mumbness in limbs, especially in the hands, and dyspnea on exertion. She felt she was running down rapidly. A physical exploration of the chest showed nothing abnormal save a feeble respiration over the right side of the chest. Ileart's impulse and area of dulness increased; sounds normal. The uterus was anteverted. The blood was tilleil with spores, mycelial and fibrin filaments. White corpuscles numerous and enlarged ; red corpuscles good color, segregated, distinct.

Diagnosis.- Pretuberculosis.

Treatment.--Pyrophosphate of iron; strict diet; rest from labor.

Remarks.-It appeared that since coming from home she had eaten largely and freely of sugars in all forms. She recovered entirely.

In conclusion, the writer refers again to the article in the September Virginia Medical Monthly.

Let them who wish to test the Salisbury plan stick to his text. The use of the microscope is invaluable in telling at once if the patient has wandered from the diet. No questions weed be asked, the field under the objective tells the whole story. No one who attempts the diagnosis and treatment of cousumption can afford to dispense with the use of the microscope. To aid such the writer has published a Primer of the Clinical Microscope. He also means to aid in the promulgation of the Salisbury plau in every way possible. Remember that Dr. Salisbury has shown the synthesis of consumption by feeding only, and verified it by 104 autopsies. In this he stands alone. The profession should accord him a fair hearing, as the subject is the most momentous one a physician has to deal with in the treatment of disease.

APPENDIX A.

When these cases were treated, use was made of a diet listcalled strict diet—which I made, based on conversations with Dr. Salisbury. Now that he has given his treatment, my list is unnecessary.

SALISBURY MORPHOLOGY OF CONSUMPTIVE B1,00D, FROM MICRO-PHOTOGRAPHS

TAKEN BY EPHRAIM CUTTER AND G. B. FL ARRIMAN.

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PRETUBERCULAR. Spores. Oblong OBJECT Left of Centre A Forelos Substance.

1-10th inch objective. A system. Tolles. Immersion. 180' angular aperture.

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ENLARGED WITE CORPUSCLES. SPORE AND SPORE COLLECTS. MASSED Red CORPUSCLES.

1-10th inch objective. Tolles. 4 system. Immersion. 150° angular aperture.

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DRI MICELIAL FILAMENTS TRAVERSING VACUOLE, SPORES. WHITE CORPUSCLE.

RED CORPUSCLES, MASSED, DRAWN OUT, STICKT. 1-10th inch objective. 4system. Tolles. Immersion. 1810 angular aperture.

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