The Treatment of Hay Fever by rosin-weed, ichthyol and faradic electricity: With a discussion of the old theory of gout and the new theory of anaphylaxisLaidlaw, George Frederick
Science
The Treatment of Hay Fever by rosin-weed, ichthyol and faradic electricity: With a discussion of the old theory of gout and the new theory of anaphylaxis
Laidlaw, George Frederick
Hay fever
The skin is cleansed with soap and water and dried. A number of little
spots are denuded of their superficial epithelia by twirling a small
brad-awl, which should not scrape deeply enough to draw blood. Most
workers speak of scratching the skin but the brad-awl scrapes to the
proper depth more quickly and easily. The spots are marked with the
names of the foods to be tested, as milk, beef, potato, oats, etc., and
a drop of a five per cent solution in water of the respective proteins
is rubbed into the spots. One spot is left as a control, into which
normal saline or 3% solution of milk sugar is rubbed, as the proteins of
commerce are made up with milk sugar. Within five or ten minutes, there
appears a redness and swelling, as with the pollens. As with the
pollens, a patient who at any time has been poisoned or, as we now say,
_sensitized_ by any of these foods, still has circulating in his blood
or fixed in his skin the reactive bodies to that food. These reaction
bodies react to that food on the skin by redness and swelling. Food
proteins that cause no redness and swelling are thought harmless for
that patient. Foods that cause the reaction are thought to be those to
which the patient has been sensitized and to which he has not developed
or maintained an efficient defence. There is a contradiction here; for
the reaction merely shows the presence of defense bodies in the blood
and does not tell us whether that defence is or is not efficient.
However, even if the argument limps, the results reported are
encouraging. Some striking cures have been reported by simply excluding
these foods from the diet. The test is simple and harmless if the
scratch is not too deep and _if the protein is not injected beneath the
skin_. If injected beneath the skin or rubbed into a deep scratch, the
food proteins, like the pollen proteins, may be dangerous. If they are
absorbed rapidly into the circulation of a patient who happens to have
been sensitized to any of them, there is serious danger of anaphylactic
shock.
If these observations prove reliable, here is a method of selecting a
diet for the individual patient that surpasses in accuracy anything that
we have ever known. If hay fever is ever a food anaphylaxis, this method
of testing the food sensitiveness of the individual patient promises
much; but these observations are still too new and unconfirmed and the
skin reaction too uncertain to rely on it implicitly yet. There was a
time, back in 1908 to 1910, when the skin reaction for tuberculosis too
was highly valued. Enthusiasts proposed to test all the school children
and all the soldiers and all the factory workers and segregate the
tubercular by the skin test. The diagnosis of tuberculosis was to be put
in words of one syllable.
Public-domain text, read in full here on John Shaqi.
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