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(From our Special Correspondent.) WASHING THE BLOOD ARTIFICIAL SERUM TREATMENT OF AN.EMIA, TYPHOID FEVER, AND PERITONEAL IN- FECTION WITH SERUM METHOD OF APPLICATION NO CHOLERA AT MARSEILLES OR TOULON, THE PORTES D'ENTREE OF FRANCE TRAFFIC IN STREP- TOCOCCIC SERUM RESIGNATION OF DR. ROGER IN CONSEQUENCE. Paris. June 10, 1896. The expression "washing the blood," although a tech- nical one, well defines treating the blood-vessels as well as the liquor sanguinis itself by means of intro- duction into the circulatory system of artificial serum. This method is entirely different from and not to be confounded with " seropathie," which has received several terrible blows lately, one case having re- sulted in death within an hour after the injetion. Physiologists have known for some time past by re- peated experiments in the laboratory that a frog may be bled until the arteries and veins are empty, and these may be to a greater or viagra online list less extent recharged, not with the blood of another frog, but with viagra online list artificial se- rum or simply salt and water, without the frog ceas- ing to live and to move freely. The presence viagra online apotheke alone of artificial serum in its veins is sufficient to fur- nish that stimulation or nutrition to the nerve cen- tres that supports life. It was these facts that led Professor Dastre, in 1889, to inject large quantities of artificial serum into the veins of animals that had first been ana;miated or in- toxicated. It was some time after that Professor Hayem, the eminent therapeutist of the Faculty of Medicine, applied this method in the treatment of cholera, as did also Dr. Sahli, of Berne, in the treat- ment of typhoid fever and uraemia. Both obtained re- sults that are extremely encouraging. There was a lull viagra online apotheke then, and not much was said on the subject in the meetings of the scientific societies until quite suddenly and recently three very important communications, one after the other, have been made one by Dr. Duret, another by Dr. Lejars, and a third by Dr. Tuffier, at the Societe de Biologie, which place the question viagra online apotheke of washing the blood among the most inter- esting of the moment. This blood washing, which may be more properly so designated when applied to the human subject, is, in the case of animals bled dry, really a substitution of the viagra online list saline fluid for the blood itself; that is, the blood which contains a certain pro- portion of serum is transformd entirely into serum, and it would thus seem that the serum is that which nourishes the nerve centres, as well as the whole ner- vous system, and that which sets in motion the physio- logical mechanism in other words, life. It is in urasmia that this treatment viagra online list has thus far been mostly employed, and it is in these cases that the "washing" is most evident, for we have here a blood thick with the uric poisons that the kidneys have been unable to eliminate; there is renal insufficiency, and unless prompt relief is given death will quickly result. If, now, eight hundred grams, one viagra online apotheke thousand grams, fif- 954 MEDICAL RECORD. viagra online list [June 27, 1896 teen hundred grams, even two thousand grams of a sa- line solution of 10 to 1,000 be viagra online apotheke injected into a vein, under the most minute precautions as regards antisep- sis and sterilization, the patient may be saved. Within from twenty minutes to an hour at the longest after the injection is practised, the comatose condition dis- appears, the tongue becomes humid again, the con- junctiva and cornea retake their transparency, the skin is moist with a profuse perspiration, the kidneys act freely as well as the other glands of the body, the in- testines move, and there is a general return to life. The saline water taken into the circulation by the vein goes out by all the emunctories, carrying with it the toxins causing the urcemic symptoms; literally wash- ing the blood viagra online list of them. Dr. Lejars, of the Beaujon H ispital, and Dr. Tuffier report cases of tetanus, of peritoneal infection, severe hemorrhages, and opera- tor}' shock, cured by means of injection of artificial serum. Only in two or three cases did the patients succumb in spite of all, several hours after the injec- tion In addition to the cases reported at the Societe do Biologie and at the Academy of Medicine, those reported by Drs. Segond, Delbet, and Pinard are equally important, as proving incontestably the efficacy of injections of artificial serum in viagra online apotheke uraemia, typhoid fever, cholera, tetanus, severe hemorrhage, intoxica- tions, and nervous exhaustion, whether following an operation or idiopathic. Dr. Cheron's method of em- ploying artificial serum is to use it in small quantity and oft- repeated injections, thus producing an altera- tive and nutrient effect, which is doubtless more effi- cacious in those cases in which such treatment is indi- cated than would be the method of Professor Das- tre, which is destined to supersede entirely transfusion of the blood. The recent epidemic of cholera in Alexandria, Egypt, seems to be on the wane; nevertheless, viagra online list it has inspired fears, which, we are happy viagra online apotheke to say, are abso- lutely groundless, that the disease, which is evidently Asiatic in character, may be or has been brought into France. It lias already been reported as existing at Marseilles, that and Toulon being the usual port 1 d'enfrie. These rumors are utterly false, the truth be- ing that all ships coming from Eygptian ports are sub- mitted to most rigorous quarantine and other sanitary measures. The last official bulletins from Marseilles and Toulon show the health of these towns to be in a very satisfactory condition. The mortality is low and the cases viagra online list of cholerine sometimes observed viagra online apotheke in them at