A system of practical medicine. By American authors. Vol. 1 : $b Pathology and general diseases
History
A system of practical medicine. By American authors. Vol. 1 : $b Pathology and general diseases
Medicine -- Practice
The bacilli are readily detected by means of the staining method
devised by Koch. Various modifications have been presented from time
to time, of which that of Ehrlich[72] has proved the most
satisfactory. The essential features are to obtain a dry, thin layer
of a selected portion of the suspected sputum, which is then to be
deeply stained with fuchsin or methyl-violet; the excess of color is
to be removed with nitric acid, and the preparation is then ready for
examination with the microscope. A power of four or five hundred
diameters is sufficient for the recognition, and the object should be
illuminated with a flood of light through a large diaphragm or an
achromatic condenser. The bacillus retains the color notwithstanding
its exposure to the acid, and the violet colors are more strongly
presented if the preparation is tinted yellow after the action of the
acid. If the bacilli are stained red with fuchsin, the background
should be made blue. It is important that the reagents should be
freshly prepared and filtered, that other bacteria may not obscure the
picture, and that all the apparatus employed should be thoroughly
clean.
[Footnote 72: _Allg. med. Centr. Zeitung_, 1882, xxxvii. 458.]
A fragment of thick, opaque sputum is to be taken in forceps, placed
on a cover-glass, and spread into a thin layer by means of a second
cover-glass. The prepared slide is then to be passed slowly through an
alcoholic flame, or that of a Bunsen burner, till the layer of sputum
is dried. A saturated alcoholic solution of methyl-violet or fuchsin
is made and filtered, and added, drop by drop, to a filtered,
saturated solution of aniline oil shaken in water. The color is to be
added with stirring till an opalescent film forms on the surface of
the mixture. The slide containing the dried sputum is to be placed in
or on this staining fluid, and allowed to remain for half an hour or
less, the application of warmth hastening the process, when it is
removed, and the specimen is decolorized in a solution of one part of
nitric acid and two parts of water. The preparation is then washed in
water, and may be examined directly in water, glycerin, or, after
dehydration in alcohol, in oil of cloves. The tinted bacilli are made
more prominent by a secondary staining, for a minute or two, of the
red (fuchsin) preparation {103} in a concentrated solution of
methyl-blue, the violet preparation being secondarily stained in a
like solution of aniline-brown. If the preparation is to be
permanently preserved, it should be dehydrated in strong alcohol after
washing with water, and it may then be treated with oil of cloves and
mounted in Canada balsam.
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