The ordinary clinical method of testing may therefore be greatly
simplified, and the one commonly used at the present time is as
follows: A single drop of each of the stock sera is placed on two
glass slides, or, better, side by side upon a white glazed tile or
plate, the numbers of the groups, II and III, being written above the
respective drops. The lobe of the ear of the person to be tested is
then washed with ether and pricked with a sterile surgical needle. A
small quantity of the blood which exudes is taken up on the end of
a blunt metal or glass rod, and is intimately mixed with the drop
of serum under the number II. The end of the rod is then carefully
wiped clean, and a similar small quantity of blood is mixed with
the drop of serum marked III. The amount of blood to be used should
not be so great as to make the drop of too deep a colour, which
may interfere with observation of the reaction, but it should be
enough to impart to it a very definite red tint. The slide or tile
is then gently rocked, so that some slight movement is imparted to
the drops, which are at the same time closely watched in a good
light. The agglutinating reaction is readily seen with the naked
eye, especially against the white background provided by the tile.
If the serum be properly active, the agglutination of the corpuscles
begins to be apparent as a definite granular appearance resembling
brick dust within a minute of mixing. With a little practice this
appearance is easily recognized, but it must be distinguished from
the appearance produced by a mechanical gravitation of the corpuscles
towards the centre of the drop. If agglutination is taking place, the
granulation appears simultaneously throughout the drop, and not only
in the centre. With an active serum the process may proceed rapidly,
so that in less than five minutes the corpuscles have been aggregated
into a few irregular masses; often it stops short of this, but the
drop presents, nevertheless, a coarsely granular appearance which is
quite unmistakable. If no granulation can be seen at the end of five
minutes, it can be assumed that the test is negative for the serum of
that group, and the group of the corpuscles may be deduced upon the
principles already explained.
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