all possible means to diagnosticate phthisis in as early a stage
as possible. Until lately the finding of tubercle bacilli existing in
the sputum was rather considered as an interesting incidental evidence,
which, although it insured the diagnosis, was of no further benefit to
the patient and therefore was only too often omitted, as I have only
lately discovered in numerous cases of phthisis which had passed through
the hands of several physicians without having their sputum examined
once. This must be different in the future. Any physician who fails to
search for tubercle bacilli in the sputum, to establish phthisis in as
early a stage as possible, commits gross negligence toward his patient,
because his life may depend on this diagnosis and the specific treatment
which has hurriedly been introduced on this basis. In doubtful cases the
physician should gain certainty as to the existence or absence of
tuberculosis through a trial injection.

Only then will the new mode of treatment truly become a panacea for
suffering mankind when that period is reached, where all cases of
tuberculosis are treated in as early a stage as possible, to prevent the
development of neglected severer cases which have heretofore formed a
continual unlimited source of new infection.

In conclusion I would remark, that I have intentionally omitted all
numerical statistics and descriptions of individual cases in this
communication, because the physicians to whose material the patients
provided for our experiments belonged, have themselves undertaken the
description of their respective cases and I did not wish to anticipate
them in an objective representation of their observations.

FOOTNOTES:

[1] Physicians who wish to experiment with the remedy, can get
the same of Dr. A. Libbertz (Berlin, N. W., Lueneburgerstrasse
28 II.), who has undertaken the production of the remedy with
Dr. Pfuhl's and my assistance. But I must state that the present
stock is very limited, and that larger quantities can only be
disposed of at the end of several weeks.

[2] We gave children of 3-5 years of age one tenth of this dose,
that is .001 and very weak children .0005 ccm. and obtained a
strong though not alarming reaction.

[3] This statement is necessarily confined in so far as we have
no conclusive experiences, and can not have at present, that
show whether the cure is a permanent one, recidivations of