Tuberculous guinea pigs, on the other hand, are killed by the injection of very small quantities of such diluted cultivations. In fact, within six to forty-eight hours, according to the strength of the dose, an injection which is not sufficient to produce the death of the animal may cause extended necrosis to the skin in the vicinity of the place of injection. If the dilution is still further diluted until it is scarcely visibly clouded, the animals inoculated remain alive and a noticeable improvement in their condition soon supervenes. If the injections are continued at intervals of from one to two days, the ulcerating inoculation wound becomes smaller and finally scars over, which otherwise it never does; the size of the swollen lymphatic glands is reduced, the body becomes better nourished, and the morbid process ceases, unless it has gone too far, in which case the animal perishes from exhaustion. By this means the basis of a curative process against tuberculosis was established.
Against the practical application of such dilutions of dead tubercle bacilli there presented itself the fact that the tubercle bacilli are not absorbed at the inoculation points, nor do they disappear in another way, but for a long time remain unchanged, and engender greater or smaller suppurative foci. Anything, therefore, intended to exercise a healing effect on the tuberculous process must be a soluble substance which would be liberated to a certain extent by the fluids of the body floating around the tubercle bacilli, and be transferred in a fairly rapid manner to the juices of the body; while the substance producing suppuration apparently remains behind in the tubercular bacilli, or dissolves but very slowly. The only important point was, therefore, to induce outside the body the process going on inside, if possible, and to extract from the tubercular bacilli alone the curative substance. This demanded time and toil, until I finally succeeded, with the aid of a forty to fifty per cent. solution of glycerine, in obtaining an effective substance from the tubercular bacilli. With the fluid so obtained I made further experiments on animals, and finally on human beings. These fluids were given to other physicians to enable them to repeat the experiments.
The remedy which is used in the new treatment consists of a glycerine extract, derived from the pure cultivation of tubercle bacilli. Into the simple extract there naturally passes from the tubercular bacilli, besides the effective substance, all the other matter soluble in fifty per cent. glycerine.
Consequently, it contains a certain quantity of mineral salts, coloring substances, and other unknown extractive matters. Some of these substances can be removed from it tolerably easily. The effective substance is insoluble in absolute alcohol. It can be precipitated by it, though not, indeed, in a pure condition, but still combined with the other extractive matter. It is likewise insoluble in alcohol. The coloring