The Pasteur treatment was first applied to human beings in 1885 after
prolonged investigation and experimental trial on animals. It is based
on the fact that a virus, capable of giving rabies by inoculation, can
be extracted from the tissues of a rabid animal and then intensified or
attenuated at pleasure. It appears that the strength of the rabic virus,
as determined by inoculation, is constant in the same species of animal,
but is modified by passing through another species. For instance, the
natural virus of dogs is always of the same strength, but when
inoculated into monkeys it becomes weakened, and the process of
attenuation can be carried on by passing the virus through a succession
of monkeys, until it loses the power of causing death. If this weakened
virus is then passed back through guinea-pigs, dogs or rabbits, it
regains its former strength. Again, if it be passed through a succession
of dogs it becomes intensified up to a maximum of strength which is
called the _virus fixe_. Pasteur further discovered that the strength
can be modified by temperature and by keeping the dried tissues of a
rabid animal containing the virus. Thus, if the spinal cord of a rabid
dog be preserved in a dry state, the virus loses strength day by day.
The system of treatment consists in making an emulsion of the cord and
graduating the strength of the dose by using a succession of cords,
which have been kept for a progressively diminishing length of time.
Those which have been kept for fourteen days are used as a
starting-point, yielding virus of a minimum strength. They are followed
by preparations of diminishing age and increasing strength, day by day,
up to the maximum, which is three days old. These are successively
injected into the circulatory system. The principle is the artificial
acquisition by the patient of resistance to the rabic virus, which is
presumed to be already in the system but has not yet become active, by
accustoming him gradually to its toxic effect, beginning with a weak
form and progressively increasing the dose. It is not exactly treatment
of the disease, because it is useless or nearly so when the disease has
commenced, nor is it exactly preventive, for the patient has already
been bitten. It must be regarded as a kind of anticipatory cure. The
cords are cut into sections and preserved dry in sterilized flasks
plugged with cotton-wool. Another method of preparing the inoculatory
virus, which has been devised by Guido Tizzoni and Eugenio Centanni,
consists in subjecting the _virus fixe_ to peptic digestion by diluted
gastric juice for varying periods of time.
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