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Arnold C. (Arnold Carl) Klebs.

Tuberculosis; a treatise by American authors on its etiology, pathology, frequency, semeiology, diagnosis, prognosis, prevention and treatment online

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The following formulary is that principally used in the Clinic for
Pulmonary Diseases of the New York Health Department, with which
I have the honor to be associated. This compilation of prescriptions
was arranged for the following reasons : Shortly after the inauguration
of our clinic, I found tliat among the twelve physicians comprising the
attending staff, while there was almost a unanimity concerning principal
drugs which might be of value in the s}Tnptomatic treatment of pul-
monary tuberculosis, there was no unanimity as to the best method to
combine or administer them. There was also a slight tendency among
some of the staff to write too many prescriptions. All of the attending
physicians were men experienced in general practice, and a number of
them had had special training in tuberculosis. To limit the number
of prescriptions, to simplify their composition, and to select those which
in the experience of my staff and myself had proven of real value, we
came together and discussed the matter at length. We proceeded as
follows : Each one, for example, proposed his favorite remedy for cough,
and after he had defended his reason for the preference of his remedy,
I ventured to propose my own favorite prescriptions, and gave my
reasons for their preference. We then decided by vote which to accept.
There was never a heated dispute about any drug or prescription, but
only careful and deliberate discussion, and when we decided on any
particular recipe it was always on a unanimous vote. This formulary
has now been in use for a number of years, and it would seem that it has
proved quite satisfactory to physicians and patients. I have made a few
changes and added a few other prescriptions which have proved of value
in private practice.

In addition to this, I wish to say that most of these prescriptions
I have also used in my service in the Riverside Sanatorium for Pulmo-
nary Diseases of the New York Health Department, where the majority
of patients received are in the advanced stages. It has been found to
be of great economy, by our department, to have the majority of these

819




820 APPENDIX VI

drugs put up by the department's pharma- ^ ^^

cist. The prescribing and filling of the dis-
pensary physicians' prescriptions according
to number is, of course, a great saving of time.

TO COMBAT COUGH

Inhalation
T^ Olei eucalypti, 'j

Spirit, chloroformi, > aa. . . . oijss. i *:^

Menthol, J /\ "^"^-^co

M. Sig. : Inhale five to fifteen drops / \ "'

with aid of inhaler or handkercliief throe to />'-'^w^ \./f

four times daily for several minutes at a time.

Fig. 5.— Bevekley Robinson's

:^ Creosoti ( beech wood ), ^ Zinc Inhaleh.

Spirit, chloroformi, ^ aa oijss.

Spirit, rectif., J

M. Sig. : Inhale ten to fifteen drops with aid of inhaler or hand-
kerchief three to four times daily for several minutes at a time.

]^ Menthol gr. v ;

Creosoti gtt. v ;

Olei olivse A Sj-

M. Sig. : Warm and inject one drachm into larynx daily with the
aid of intratracheal syringe.

Cough Mixtures

^ Mist, glycyrrhizae compos §vj.

Sig. : One half to one tablespoonful every two to three hours.

^ Heroinae hydrochlor gr. i j ;

Acid, sulphuric, dil TIXxlv ;

Glycerinse §j ;

Aq. laurocerasi, ) _

Q • • Ma oiv ;

byrup. pruni virg., j

Aquae destillatse q. s. ad. §iij.

M. Sig. : One teaspoonful three or four times a day.

!l^ Codeinae gr. iij ;

Acid, sulphuric, dil . . Tn,xlv;

Glycerinae gj ;

Aq. laurocerasi, ) _

a . . V aa 3iv;

Syrup, pruni virg., j

Aquae destillatae q. s. ad. .^iij.

M. Sig. : One teaspoonful three or four times a day.



FORMULARY FOR SYMPTOMATIC TREATMENT OF TUBERCULOSIS 821

I^ Elixir terpini hydrat 5j ;

Glycerinae 3iv ;

Syrup, pruni virgin 5jss.

M. Sig. : One teaspoonful every three to five hours.

Stokes's Expectorant
^ Ammon. carbonat gr. xvj ;

Extr. fluid, senegs. ) _ _

aa 3ss ;



Extr. fluid, scilla?,

Tinct. opii camphorat oiij ;

Syrup, tolutani q. s. ad. 5ij.

M. Sig. : A teaspoonful every two to four hours as needed to relieve
distressing and suffocating cough.

For Cough ivhen there is at the Same Time Dyspneic or Asthmatic

Difficulty
I^ Ammon. brom..



. , , ^ aa 31 ;

Ammon. chlor.. '

Tinct. lobelife 3j ;

Spirit, ether, co ^ss ;

SjTup. acacire q. s. ad. qIIj.

M. Sig. : One teaspoonful every three to four hours.

' ANODYNES

For Acute Pleuritic Pains with Fever

B Heroinfe, | __ ^

Xo. XII in tablet form, [ '^^ ^^* ^^*

Sig.: One tablet three or four times a day.

I^ Morphinae sulphat., ) __

Xo. IV in tablet form, ^^ ^' ^'

Sig. : One at bedtime.



•ZA



1^ Tinct. aconit. rad.,

Tinct. opii deodorat., ' '^^

M. Sig. : Five drops in water every hour or two.
Note. — For pleuritic pain.

For Local Use
IJ Tincturae iodi.
Sig. : Use externally with a brush, as directed.



822 APPENDIX VI

I^ Linimenti chloroformii.

Sig. : Eub over painful parts, as directed.

I^ Emplastri sinapis,

Xo. 1.
Sig. : Apply as directed.

I^ Zinc-oxid adhesive plaster (for strapping in acute pleurisy),

TO COMBAT HYPEEiDROsis {Xight Sweats)
J^ Atropine sulphat.,



Xo. YI in tablet form, [ '^'^ ^^" ^^"»"

Sig. : One tablet at bedtime.

I^ Pulv. agarici 3j.

In pulv. Xo. XII div.
Sig.: One powder ever}' two hours (for three doses), if necessary.

I^ Pyraniidon camphorat. (neutral) 3j.

Div. in chart. Xo. VIII.
Sig.: One at bedtime.

TO ro:MBAT HEMOPTYSIS

I^ Stypticin gr. i j ;

Pliimbi acetas gr. xviij ;

Pulv. digitalis gr. ix ;

Pulv. opii gr. V.

M. Ft. capsulas Xo. 9. Sig. : One every four hours.

1^ Acid, gallici 5ij ;

Acid, sulph. aronuit . 5j ;

Glycerins oj ;

AqUcP q. s. ad. gvj.

M. Sig. : One teaspoonful every hour or two, as needed.

TO COMBAT HEART C0:MPLICATI0XS

^ Tinct. digitalis TTlxxx ;

Aquffi destillata^ q. s. ad. 5ij.

M. Sig. : One teaspoonful three or four times a day.
Note. — For weak and irregular heart.



FORMULARY FOR SYMPTOMATIC TREATMENT OF TUBERCULOSIS 823

For Tendency io Heart Failure

^ Caffeine citratae gr. ix ;

Acetanilidi gr. vj ;

Sodii bicarbonat ojss.

Div. in capsulas No. IX.
Sig. : One capsule every three to four hours, as required.

^ Sodii bromidi oij ;

Chlorali hyd gr. xl ;

Aquge destillata^ q. s. ad. 5ij.

M. Sig. : One teaspoon ful in a little water three times a day.
Note. — For extra high tension pulse, one dose at bedtime.



TO COMBAT CONSTIPATION

I^ Hydrarg. cldor. mite, ) __ j^

Xo. XII in tablet form, j" '^'^ ^' *'

Sig. : One every hour until free movement is produced.
Note. — For occasional constipation.

I^ Olei ricini B^S-

Sig. : Take as directed.

Note. — For occasional constipation.

]^ Pluto concentrated spring water.

Sig. : Two to four tablespoonfuls, diluted in cold water, upon rising.

IJ Sodii salicylatis 3i j ;

Sodii phosph 3v ;

Potass, sulph ad. ,^i j ;

Pulv. zingiberis 3j.

M. Sig. : A teaspoonful in hot water, early in the morning.



J.-

4 J



Pil. Lapacticae

^ Aloin gr.

Strychnina' gr. ^;

Extr. belladonna' gr. i ;

Ipecacuanhae gr. ■^.

Sig. : One to two pills at bedtime.



824 APPENDIX VI

I^ Ext. cascarae sagrad. fid., | _.

Elixir simplicis, j ^■'*

Sig. : Two teaspoonfuls at bedtime.

Note. — The three preceding remedies should be given alternately in
chronic constipation, and aided by appropriate diet.

TO COMBAT DIARRHEA

I^ Piilv. opii gr. iij ;

Bismuth, subnitrat 5jss ;

Sod. bicarbonat gr. xlv.

M. T)iv. in chart. No. IX. Sig. : One capsule three or four times a
day.

Note. — For ordinary diarrhea (due to dietetic errors) after having
evacuated intestinal tract.

I^ Pulv. opii . gr. vj ;

Acid, tannici 5j.

M. Div. in chart. No. XII.

Note. — For chronic diarrhea, seemingly due to tuberculous invasion
of the intestinal tract.



TO COMBAT OTHER DIGESTIVE DISTURBANCES

I^ Phenyl, salicylat gr. xxiv.

Div. in capsulas No. XII.
Sig. : Take one capsule one half hour before each meal.

I^ Liquor, pepsini o^^ij-

Sig. One to two teaspoonfuls after each meal.

1^ Pilularum creosoti, ] __

(Enteric coated) No. XYIII, j '^'^ ^' ^^'

Sig. : One three times a day after meals.

I^ Peptenzyme, ^

Sodii bicarbonat., >- aa 5iv ;

Pulvis aromatici, J

Pulvis rhei 3J.

Ft. pulvem et div. in caps. No. XXIV.
Sig. : One after each meal.



FORMULARY FOR SYMPTOMATIC TREATMENT OF TUBERCULOSIS 825
TO COMBAT ANOREXIA AND EMACIATION

Tonics

J^ Tinct. niicis vomicae 3ij ;

Tinct. cinchonae, )_ ^ .

Tinct. colomba^, [ '^'^ ^'' '

Tinct. gentianas . . .* q. s. ad. §iv.

M. Sig. : One teaspoonful in three tablespoonfuls of water before
meals.

I^ Misturae rhei et sodii 5vj.

Sig. : Two teaspoonfuls after meals.

I^ Tinct. nucis vomica? oij ;

Ext. fi. cascarffi sagrad.

Mist, rhei et sodii ^iy.

M. Sig. : Two teaspoonfuls after principal meals.
Note. — For anorexia with constipation.

I^ Liquor, potassii arsenitis 3ijss ;

Aquae destillata ovss.

M. Sig. : Nine drops in one tablespoonful of water after each meal
for one week ; increase to twelve drops the second week and fifteen drops
the third week. Then recommence with nine drops and increase as
before.

TO COMBAT ANEMIA

^ Ovoferrin 5vj.

Sig. : Two teaspoonfuls, before principal meals, in wineglassful of
water.

I^ Syrupi f erri iodidi 5i j ;

Syrupi zingiberis .^J j

AqucU destiilatffi q. s. ad. §vj.

Sig. : A tablespoonful three times a day.

I^ Pil. ferri carbonatis (Blaud's pills) No. XXIV.
Sig. : Two pills after each of the principal meals.

Alteratives

^ lodoformi gr. xx ;

Strychninae sulphat gr. | ;

Ichthyol oj.

M. Div. in caps. No. XX. Sig. : One capsule after each of the three
principal meals.



826 APPENDIX VI

^ Calcii carbonat., ] __ _

Caleii phosphat., C

Sodii chloridi 3ij.

M. Div. in chart. No. XXX. Sig. : To be taken in wafers after prin-
cipal meals.

Note. — Indicated when there is intense demineralization of the sys-
tem and formation of cavities. The withholding of all acids while these
powders are given will add to their efficiency.

]^ Sohit. potassii iodidi (saturated) ^ij.

Sig. : Five drops or more three times daily, as directed.
Note. — Indicated when a syphilitic condition seems to have been
added to a tuberculous infection, or vice versa.

Nutritives

I^ Iron-tropon ^^j.

Sig. : One to two teaspoonfuls three or four times a day, in milk or
water.

I^ Maltine with hypophosphites B^iij-

Sig. : Two to four teaspoonfuls after meals.

Jji Maltine with cod-liver oil S^iij-

Sig. : Two to four teaspoonfuls after meals.
The Malzime preparations are equally good.

I^ Emulsionis sevi et olei comp o'^iij-

Sig. : One half tablespoonful three times daily.

TO COMBAT FEVER

R Pil. quininfc sulphat.. ) ..

V aa ST 11

No. XII, sugar coated, j *= ■"

Sig. : Take as directed.

Note. — In addition when rest, aero-, and hydro-therapeutic means

do not suffice.

TO COMBAT IXSOMNIA

I^ Chloral, hydratis 3iij ;

Syrupi tolutani 5j ;

AquEe destillat q. s. ad. §iv.

M. Sig. : A tablespoonful at bedtime.

Note. — Should only be resorted to when the insomnia is due to a

purely nervous condition, and aero-, In^dro-, and hygienic means have
failed.



FORMULARY FOR SYMPTOMATIC TREATMENT OF TUBERCULOSIS 827

I^ Veronal 3j.

Div. in chart. Xo. XII.

Sig. : One on retiring ; if necessary, another two hours later.



FOR THE TREATMENT OF LARYNGEAL TUBERCULOSIS AND COMPLICATIONS

Local Remedies
^ Ichthyol, 1

Ung. hydrarg., ^ aa 3ij ;

Ung. bell a don., J

Ung. petrol 5].

M. Sig. : Apply freely twice daily.

Note.— For glandular enlargement.

I^ Acidi boric 3j ;

Glycerinse acidi tannici o^s ;

Olei gaultheriffi TT^x ;

Aq. destillat q. s. ad. giv.

M. Sig. : To be used in atomizer after cleaning.

^ Menthol gr. xx ;

Camphora? gr. vj ;

Albolene q. s. ad. 3j-

Sig. : To be used in oil atomizer after cleaning nose.

I^ Menthol gr. xxv ;

01. olivffi q. s. ad. 5J.

Sig. : For injection or atomizing into larynx.

I^ Sodii chlorid "^ly,

Sodii bicarbonat ^iv.

M. Sig. : Dissolve small teaspoonful in pint of warm water and use
for cleaning throat.

I^ Seller's tablets.
Sig. : As directed.

I^ Potassii permanganat gr. ij.

No. XXIV in tablet form.

Sig. : As directed.



828



APPENDIX VI



For Internal Use

I^ Cocainge hydrochloridi gr. ij ;

Morphinae sulphatis gr. iv ;

Orthoform gr. Ixxx.

M. Ft. tablets No. XVI. Sig. : Dissolve one in mouth slowly, about
fifteen minutes before eating; used in odynphagia of laryngeal ulcers.

^ Tinct. ferri chlor TTtxxx ;

Hydrargyri chlor. corros gr. X-;

Tinct. aconiti TT\,xx ;

Sacchari lactis q. s. ad. tabl. No. X.

M. Sig. : Take one and have it dissolve on tongue.
Note. — For acute inflammation of tonsils and pharynx.

I^ Tincturae ferri chloridi Sijss ;

Potassii chlorat oss ;

Glycerinae 3j j

AqufB destillatae q. s. ad. ^iv.

M. Sig. : Take one teaspoonf ul in tablespoonf ul of water every three
or four hours.

Note. — For acute inflammation of tonsils and pharynx.




Fig. 6. — A Laryngeal Medicator, Devised by Mannheimer and Yankauer.
Can be used for watery and oily solutions. Indicated particularly for dispensary
and private practice, when patients cannot be kept under constant medical super-
vision. Those suffering from painful laryngeal tuberculosis can anesthetize their
own larynx, especially before eating. Of medicaments orthoform by itself or
mixed with iodoform in equal proportions (emulsified in a yolk of egg) are rec-
ommended. (From Knopf and Huey, "Notes on Laryngeal Tuberculosis.")



FORMILARY FOR SYMPTOMATIC TREATMENT OF TUBERCULOSIS 829

The following are four standard disinfectants which are simple,
cheap, and reliable. They are highly recommended in the circular issued
by the Illinois State Board of Health on the subject, " The Cause and
Prevention of Consumption '" :

Standard Disinfectant No. 1
Four-Per-Cent Solution of Chlorid of Lime

Dissolve chlorid of lime of the best quality in water, in proportions
of six ounces of lime to one gallon of water.

This is one of the strongest disinfectants known. Discharges from the
bowels of a patient suffering from a contagious or infectious disease
should be received in a vessel containing this solution, and allowed to
stand for an hour or more before being thrown into the vault or water-
closet. Discharges from the throat or lungs should be received in a vessel
containing this solution.

Chlorid of lime in powder may be used freely in privy vaults, cess-
pools, drains, sinks, etc.

Instead of the solution of chlorid of lime, carbolic acid may be used
for the same purposes, in a strength of 6i ounces to the gallon of water.
This makes a five-per-cent solution of carbolic acid.

Standard Disinfectant INTo. 2
Bichlorid of Mercury (1-500)

Dissolve corrosive sublimate and muriate of ammonia in water, in the
proportion of two drachms (120 grains — i^ ounce) of each to the gallon
of water. Dissolve in a wooden tub, barrel, or pail, or an earthen crock.

Use for the same purpose and in the same way as No. 1. Equally
effective but slower in action, so that it is necessary to let the mixture
(disinfectant and infected material) stand for about four hours before
disposing of it. This solution is odorless, while chlorid-of-lime solution
is often objectionable in the sick room on account of its smell.

Standard Disinfectant No. 3
Bichlorid of Mercury (1-1,000)

Dissolve one drachm (60 grains — J ounce) each of corrosive subli-
mate and muriate of ammonia in one gallon of water. Dissolve in a
wooden tub, barrel, or pail, or earthen crock.

Use for the disinfection of soiled underclothing, bed linen, etc. Im-
merse the articles for four hours, then wring them out and boil them.
This solution is excellent for wetting the floors of offices, stores, work-
shops, halls, and school rooms, before sweeping.



830 APPENDIX VI

Mixed with an equal quantity of water this solution is useful for wash-
ing the hands and general surfaces of the bodies of attendants.

Chlorid of lime, carbolic acid, and corrosive sublimate are deadly
poisons.

Standard Disinfectant No. 4

Milk of Lime (Quick-lime)

Slake a quart of freshly burnt lime (in small pieces) with three
fourths of a quart of water — or, to be exact. 60 parts of water by weight
with 100 of lime. A dry powder of slaked lime (hydrate of lime) results.
Make milk of lime not long before it is to be used by mixing one part
of this dry hydrate of lime with eight parts (by weight) of water.

Air-slaked lime is worthless. The dry hydrate may be preserved some
time if it is inclosed in an air-tight container. Milk of lime should be
freshly prepared, but may be kept a few days if it is closely stoppered.

Quick-lime is one of the cheapest of disinfectants. The solution can
take the place of chlorid of lime, if desired. It should be used freely in
quantity equal in amount to the material to be disinfected. It can be used
to whitewash exposed surfaces, to disinfect excreta in the sick room or on
the surface of the ground, in sinks, drains, stagnant pools, etc.

In addition I desire to describe the manner in which our New York
City Health Department makes use of formaldehyd gas to disinfect
rooms and wards which have been occupied by tuberculous patients :

To liberate the formaldehyd gas, take to every pound of lime eight
ounces of a mixture (formaldehyd, forty-per-cent solution, two parts,
and aluminum sulphate, saturated solution, one part) of formaldehyd,
and aluminum sulphate is added. The amount of formaldehyd solution
used by the department is one ounce for every 100 cubic feet of space. It
is necessary that the formaldehyd be forty-per-cent solution, and that the
lime be absolute quick-lime, if good results are to be obtained. If the
lime appears streaked with red after addition of the formaldehyd, it indi-
cates that a good part of the formaldehyd has been lost by polymerization.

Preliminary to the liberation of the gas it is advisable to prepare the
room and articles to be disinfected in the manner recommended by Novy
and Waite, which is as follows:

1. All cracks or openings in the plaster or in the floor, or about the
door or windows, should be calked tight with cotton or with strips of
cloth. 2. The linen, quilts, blankets, carpets, etc., should be stretched out
on a line in order to expose as much surface to the disinfectant as possi-
ble. They should not be thrown into a heap. Books should be suspended
by their covers, so that the pages will fall open and be freely exposed. 3,



FORMULARY FOR SYMPTOMATIC TREATMENT OF TUBERCULOSIS 831

The walls and the floor of the room, and the articles contained in it,
should be thoroughly sprayed with water. If masses of matter or sputum
are dried down on the floor, they should be soaked with water and loos-
ened. No vessel of water should, however, be allowed to remain in the
room. 4. One hundred and fifty cubic centimeters (five ounces) of the
commercial forty-per-cent solution of formalin for each one thousand
cubic feet of space should be placed in the distilling apparatus and be dis-
tilled as rapidly as possible. The keyhole and spaces about the door
should then be packed with cotton or cloth. 5. The room thus treated
should remain closed at least ten hours. If there is much leakage of gas
into the surrounding rooms, a second or third distillation of formaldehyd
should be made at intervals of two or three hours.



APPENDIX VII

DEVICES FOR THE PREVENTION OF TUBERCULOSIS
By S. a. KNOPF, M.D.

The following illustrations of various devices for the prevention and
treatment of tuberculosis have proved most useful in my experience.
I do not, however, wish to say that there are not any number of any
other kinds of sputum receptacles which are good, or devices for the
rest cure in the open air, tents and tent houses, as practical and as
useful as those here illustrated. There is an overwhelmingly large
amount of such devices at the disposal of those interested in the prob-
lem, and to illustrate and describe them all would take much more
than the space reserved for such purposes in a book of this kind.





Fig. 7.



Fig. 8.



Figs. 7 and 8. — Improved Wooden Box for Sending Specimens of Sputum to
THE Laboratory for Examination. (Dr. Hart.)



832



DEVICES FOR THE PREVENTION OF TUBERCULOSIS S33




Fk;. 11.



Figs. 9 to 11. — Knopf's Pocket Flask, Manageable with One Hand,
Showing Method of Use.
54



834



APPENDIX VII




Fiti. 12.





Fig. 14.



Fig. lo.



Fig. 1G. Fig. 17.

Figs. 12 to 17. — Pocket Sputum Flasks. (12) Dettweiler's. (13) With screw cap
top and bottom. (14) Knopf's, (lo) Liebe's. (16) With spring top. (17) With
spring side opening and screw top for emptying.



DEVICES FOR THE PREVENTION OF TUBERCULOSIS 835







Fig. 19.



Mi • "'~'''^jof''*lili



Fig. 18. Fig. 2U.

Figs. IS to 20. — Three Different Kinds of P.\per Pocket Cuspidors.

They are destroyed after use.





Pocket
Sputum Slide Case.




Fig. 21. — Pocket Sputum Case of
Paper.




Fig. 22. — Pasteboard Sputum Cup
FOR Bedside. (Kny-Scheerer.)




Fig. 2.'^. — Aumixtm ok Porcel.a.in
Spit Cup for Bedside.



836



APPENDIX VII





Fig. 24. — Large Hygienic Pasteboard Cuspidor for use in Factories, Public

Buildings, etc.





Fig. 25.



Fig. 26.



Figs. 25 and 26. — Pasteboard Filler and Tin Frame Holder of an Individual

Cuspidor (Portable).






Fig. 27. — Crexl\tory Basket and Fillers. For sanatoria or public l^uildings.



DEVICES FOR THE PREVENTION OF TUBERCULOSIS 837





Fig. 28.



Fig. 29.




Fio. 30

FUi. 2S to :;(). -SaMTAUY ClTSI'IDOKS TO

UK AriACHKi) TO \\ai.l, Ci.OSKI), ()iM;>f

AND IN I'SK.




Fui. 31. — Wall Cuspidok.
(Predohl.)



APPENDIX VII





Fig. 32.



Fig. 33.





Fig. 34.



Fig. 35.



DEVICES FOR THE PREVENTION OF TUBERCULOSIS 830




Fig. :i6.




Fig



Figs. 32 to 37. — Elevated Cuspidor.s for use in S.a.xatoria or Public Buildings.
(Designed by S. A. Knopf.) (34) With waste and flushing arrangement for
use on streets. (35) Similar with cover.




Fig. 38. — ^Telephone Fitted with Paper Screen to Prevent Infection.
(Recoininendcd by S. A. Knopf.)



840



APPENDIX VII




I

c

Fig. 39. — Suction Mask for the Treat-
ment OF Pulmonary Tuberculosis by
Hyperemia. (E. Kuhn.) Obstruction
of inspiration with free expiration. (.4)
Adjustable nasal opening for inspiration.
(6) Valve in nasal chamber for expira-
tion. (C) Valve in oral chamber for
expiration, can be taken off to allow
free expiration in case inspiration is
made through nose. (D) Partition be-
tween nasal and oral chamber with ad-
justable opening to be used when nasal
respiration is not practicable.




Fig. 40. — Suction Mask Adjusted
TO Face. (From Knopf and
Huey, "Notes on Laryngeal
Tuberculosis.")



HUHTDlFlER"

1 FLOOD DEGISTER

2\VATEDTANK '■
3 SHEETS OF
OTTON FELT.





Fig. 41. — Humidifier for Hot-Air
Registers.



Fig. 42. — Hair Hygrometer
Reglstering Directly Rel-
ative Humidity.



DEVICES FOR THE PREVENTION OF TUBERCULOSIS S41




Fig. 43. — Reclining Chair of Bamboo with Patient in Sleeping Sack.




Fig. 44. — Reclining Chair of Steel Tithing.



55



842



APPENDIX VII





Fig. 45.



Fig. 46.



t mi^-




m

hi



Fig. 47.

Figs. 45 to 47. — Portable Cot, Occupying Little Space when Folded.

(Dr. Weicker.)



DEVICES FOR THE PREVENTION OF TUBERCULOSIS 843




Fig. 48. — Rest Cure at Home, in a Wicker Chair, Padded on the Inside.




Fig. 49. — Half-tknt with Patient Resting on Metal Reclining Chair
Taking the Rest Cure. (S. A. Knopf.)



844



APPENDIX VII




Fig. 50. — Steel Frame for Half-tent Folded Together.
(S. A. Knopf.)




Fig. 51. — Portable Tent Cot, Opened and Folded.



DEVICES FOR THE PREVENTION OF TUBERCULOSIS 845




Fig. 32. — A Simple Inexpensive Tent for Tuberculous Patients.
(Dr. H. L. Ulrich.)



846



APPENDIX Vll



Air Inlet Near Floor.



Frost Awnings Open.




Front Awnings Closed Roof Ventilators.

Fig. 53. — Various Ventilating Devices of a Tent. (Tucker.)



DEVICES FOR THE rREVEiNTlON OF TUBERCULOSIS 847




Fig. 54. — Portable Cottage. (Walker.)




Fig. 55. — ^T'ent on Grounds of Bellevue Hospital, New Yokk.



848



APPENDIX VII




Fig. 56. — Irving Fisher's Tent.




Fig. 57. — De. Biggs's Adirondack Tent House; it Can be Used with
Perfect Comfort During Eight or Nine Months op the Year.



DE\ICES FOR THE PREVENTION OF TUBERCULOSIS 841)



THh 1 ^






(* -S^CC-




/^af-



IHh lAt






Fig. 58. — a, 6, c. Elevations and Floor Pl.\n of Dr. Biggs's Adirondack



Online LibraryArnold C. (Arnold Carl) KlebsTuberculosis; a treatise by American authors on its etiology, pathology, frequency, semeiology, diagnosis, prognosis, prevention and treatment → online text (page 86 of 97)