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TROUESSART WITH ONE HUNDRED AND SEVEN ILLUSTRATIONS NEW YORK D. APPLETON AND COMPANY 72 FIFTH AVENUE 1895 Main Lib. Afrit, Dwt. -T6 SIOLOGY LIBRARY G UHI71ESITT PREFACE. THE number of works which treat of microbes is already considerable, but they have all been written for a special public of physicians or naturalists, and imply that the reader is familiar with the ideas already established on pathology or on cryptogamic botany. Although the science of microbes is of recent origin, it has made immense progress in the course of a few years. It is, moreover, essentially a French science, since it is owing to Pasteur's admirable labours, as well as to his solid genius, aided by the faith and energy of his disciples, that this science has been able to overcome the prejudices of ages, and to penetrate into the very heart of the ancient theory of medicine, so as to transform and regenerate it. Every one now speaks of microbes, yet few of those who make use of the term have any clear conception vi PREFACE. of the beings in question, or could give an exact account of the function which microbes fulfil in nature. And yet this function concerns us all. The man of the world who desires to take part in a scientific discussion; the lawyer who has to treat of a question of hygiene in the presence of experts ; the engineer, the architect, the manufacturer, the agricul- turist, the administrator all have to consider such questions, and they will find in this work clear and precise notions on microbes, notions which they would find it difficult to glean from books designed for physicians and professional botanists. The questions of practical hygiene, those which concern domestic economy, agriculture, and manufac- tures, and which are connected with the study of microbes, must especially demand attention. These are pertinent questions in such a book as this. There is a certain danger in vulgarizing notions of medicine, strictly so called; but it can only be beneficial to make every one acquainted with the precepts of hy- giene, which cannot become popular until they have penetrated into the habits and routine of national life. There is much to be done before modern society is practically on a level with the achievements of science; many prejudices must be uprooted, and many PREFACE. Vll false notions must be replaced by those which are sounder and more just. For this reason, we have endeavoured to make this work intelligible to all. It may be read with profit by those who possess the elementary notions of natural science which are included in the course of primary instruction. We therefore hope that the volume may find a place in the libraries of secondary instruction, and in public libraries. Although the work is not specially intended for physicians, yet practical men may not be indisposed to glance at it : it may, at any rate, serve as an intro- duction to the much more learned works of Cornil and Babes, of Duclaux, Klein, Koch, Sternberg, etc. We have given an important place to the botanical question, which is too often neglected in works on microbian pathology. From this point of view, the narrow bond which connects bacteria with ferments and moulds has to some extent marked out the plan we have adopted; namely, that of passing from the known to the unknown, from what is visible with the naked eye to that which is only visible with the aid of the microscope. ANGERS, September 10, 1885. THflTBRSITT TABLE OF CONTENTS. INTRODUCTION. M4M MICROBES AND PUOTISTA ... ... ... .., ... 1 CH A FT Ell I. PAHASITIC FUNGI AND MOULDS ... ... ... ... 9 I. General remarks on fungi ... ... ... 9 II. Babidiomycetes : uredinese, the rust of wheat and gra.-sus 14 III. Ascomycetes : ergot of rye; mould of leather and dried fruit 20 IV. Oomycetes, mucormese, or moulds, strictly so called ; pero- nosporse; potato-fungus ... ... ... 27 V. Parasiiic fnngi of the vine: oi'dinm, mildew, etc. ... 32 VI. Habitat and station of parasitic fungi: their destructive action ... ... ... ... ... 43 VII. Parasitic fungi of insects, considered as auxiliaries to man 47 VI I [. Muscjirdin, or disease of silkworms ... ... ... 50 IX. Parasitic fungi of the skin and mucous membrane of man and other animals ... ... ... ... 51 CHAPTER II. FKKMEXTS AND ARTIFICIAL FERMENTATIONS ... ... 6(5 I. Definition of fermentation... ... ... ... GO II. Vegetable nature of ferments, or yeasts ... ... ... 72 III. Ferments of wine ; alcoholic fermentation ... ... 74 IV. Beer-yeast ... ... ... ... ... ... 78 V. Concerning some other fermented drinks ... ... 82 VI. Yeast of bread ... ... ... ... ... &i X CONTENTS. CHAPTER III. PAGE MICROBES, STRICTLY so CALLED, OR BACTERU ... ... 85 I. The vegetable nature of microbes ... ... 85 II. Classifies tio i of microbes, or bacteria ... ... ... 91 III. The microbe of vinegar, and acet c fermentation ... 95 IV. The microbes which produce the diseases of wine ... 98 V. The microbe of lactic fermentation ... ... ]05 VI. The ammoniacal fermentation of urine ... ... 107 VII. Butyric fermentation of butter, cheese, and milk ... 109 VIII. Putrid fermentation, game-flavour ... ... ... 112 IX. Aerobic and anaerobic microbes ... ... ... 117 X. The microbes of sulphurous waters ... ... ... 119 XT. The microbes which produce saltpetre ... ... 121 XII. The microbes which destroy building materials ... 123 XIII. The microbes of chalk and coal ... ... ... 124 XIV. Chromogeiiic microbes ... ... ... ... 126 XV. The microbe of baldness ... ... 131 CHAPTER IV. THE MICROBES OP THE DFSEASES OP DOMESTIC ANIMALS ... 132 I. Anthrax, or splenic fever ... ... ... 1:52 II. Vaccination for anthrax ... ... ... ... 139 III. Fowl cholera ... ... ... ... ... 142 IV. Swine fever ... ... ... ... ... 143 V. Some other diseases peculiar to domestic animals} ... 144 VI. Rabies ... ... ... ... ... ... 147 VII. Gland.-rs ... ... ... ... ... 149 VIII. Pebriue and flucherie, two diseases of si. k worms ... 150 CHAPTER V. THE MICROBES OF HUMAN DISEASES ... ... ... 156 I. Microbes of the air, the soil, and water ... ... 156 IJ. Microbes of the mouth and digestive canal in a healthy man ... ... ... ... ... ... 172 III. The virulent microbe of human saliva ... ... 176 IV. The microbes of dental caries ... .*. ... 177 V. The microbes of intermittent or marsh levei s ... 179 VL The microbes of recurrent fever and yellow fever ... 187 CONTENTS. XI PAGE VII. Typhoid fever and typhus ... ... ... 191 VIII. The microbe of cholera ... ... ... ... 195 IX. Eruptive fevers : scarlatina, small-pox, measles, etc. 209 X. The microbes of croup and whooping-cough ... ... 215 XI. The microbes of phthisis and leprosy XII. The microbe of pneumonia ... ... ... ... 229 XIII. Some other diseases due to microbes ... ... 230 X IT. The microbe of erysipelas ... ... ... ... 232 XV. The microbes of pus, septicemia, etc. ... ... 2.-J4 XVI. The microbes of other diseases, clue to wounds ... 236 XVII. The mode of action of pathogenic microbes : ptomaines 237 CHAPTER VI. PROTECTION AGAINST MICROBES ... ... ... ... 242 I. Antiseptic treatment of wounds: Gue'rin's protective treat- ment; Lister's dressing ... ... ... ... 242 II. Hygiene of drinking- water : water fiee iroin microbes; Cumberland filter ... ... ... ... ... 245 CHAPTER VII. LABORATORY RESEARCH, AND CULTURE OK MIOUOBES ... 258 CHAPTER VIII. POLYMORPHISM OF MICROBES ... ... ... ... 272 CHAPTER IX. CONCLUSION ... ... ... ... ... ... 285 The Miorobian T. c-ory compared with other Theories set forth to explan the Origin of Contagious Diseases ... ... 285 APPENDIX. A. Terminology of Microbes ... ... ... ... 301 B. Micrococcus of phosphorescence ... ... ... 304. C. Diseases of plants caused by bacteria ... ... ... 305 D. Ptomaine of the microbe of fowl cholera ... ... 306 K. Cesspools. System of conveying everything to the sewers 306 F. Sewers of Paris and the Plain of Gennevilliers ... 3()7 G. Useful microbes ... ... ... ... ( 30g H. Ptomaines of fish .., ... ... 308 MICROBES, FERMENTS, AND MOULDS, INTRODUCTION. MICROBES AND PROTISTA. MICROBES are the most minute living things which the microscope permits us to see distinctly, so as to study their organization. They are for the most part invisible to the naked eye, and even by the aid of a simple lens. In order to form an exact idea of their forms and structure, we require the strongest magni- fiers of modern instruments, which enlarge the object 500, 1000, and even 1500 diameters. The word microbe has been recently introduced into the French language ; it did not exist eight years ago, and for this reason it will be sought for in vain in most dictionaries. It was under the following cir- cumstances that this term, now in such general use, was invented by Sedillot, an eminent surgeon, whose recent death is deplored by France. Those naturalists who have studied the most 2 2 MICROBES, FERMENTS, AND MOULDS. minute living things have at all times been at a loss to decide whether they have had to do with animals or plants. There can be no such doubt when we com- pare a tree of which the roots are fastened in the soil with a quadruped which moves freely on its surface. But these are highly developed forms, the one in the vegetable, the other in the animal kingdom. The lower representatives of the two kingdoms are, on the other hand, often so much alike as to baffle the most experienced naturalist. The animals which are assigned to the order of Zoophyta, or animal -plants, have, as the name indicates, a form which led them to be for a long while regarded as plants ; many of them are fastened to the bottom of the sea or to rocks as if by actual roots, and, when superficially examined, their movements do not differ much from those which may be produced in true plants, as, for instance, in the mimosa. Many of the lower plants, belonging to the groups of Algae and Fungi, live in the water without being fixed by roots ; many are animated by more or less apparent motion, at any rate during part of their existence, so that it is often somewhat difficult to dis- tinguish them under the microscope from those beings which are generally called Infusoria, and which are true animals. Hence it follows that the boundary between the animal and vegetable kingdoms remains indefinite, and that many of those microscopic organisms which OF TOT foil? W MICROBES A we have now to consider, may be assigned indifferently to one or the other kingdom. Bory de Saint- Vincent, a naturalist belonging to the early part of the century, and after him Hseckel, have attempted to evade this difficulty by creating between the animal and vegetable kingdoms an inter- mediate kingdom, which they have named Protista, indicating thereb3^ that it includes the first animals which in the geological ages appeared on the earth's surface. This kingdom of Protista includes the fol- lowing groups, starting from the simplest and going on to those which are more complex : *1. Monera (or Microbes, strictly so called; Schizouiycetes, Bac- teria, Vibriones, ( tc.). 2. Amorphous Rhizopoda (or Amoebae). 3. Grega.'-imdae. 4. Flagellata. 5. Catallacta. 6. Infusoria. 7. Acinetae. 8. Labyrinthulae. 9. Diatomace^B. *10. Myxomycetes. *11. Fungi. 12. Thalamophnra (Foraminifera or Rhizopoda with a calcareous skeleton). 13. Radiolaria (or Rhizopoda with a silicious skeleton). The groups marked with an asterisk are those which we propose to study in this work. For the most part, the organisms assigned to them resemble plants in their general characters. They are parasites which derive their nutriment from other living beings. For this reason, many of these organisms are the 4 MICROBES, FERMENTS, AND MOULDS. cause of the more or less serious diseases which affect animals or plants. Naturalists who regard these para- sites as animals have termed them Microzoaria (from two Greek words signifying small animals). Those who regard them as plants have called them Micro- phyta (small plants), and it is still disputed which term is the most applicable to them. In other words, it is still undecided whether they should be classed in the animal or vegetable kingdom. It was at the Paris Academy of the Sciences, on the llth of March, 1878, that Sedillot took part in one of the probably interminable discussions between the advocates of the Microzoaria and those of the Micro- phyta, and he suggested, with the critical sense for which he was distinguished, the word microbe, to which it appeared to him that every one could give their assent. In fact, the word microbe, which only signifies a small living being, decides nothing as to the animal or vegetable nature of the beings in question.* It has been adopted by Pasteur, and approved by Littre, whose competence to decide on neologisms is generally admitted ; it has been in common use in France for the last four or five years, and may now be regarded as definitively adopted into the French language. This word has not yet been fully introduced into * Be*champ terms microbes microzyma, or small ferments, since the chemical reactions which result from their vital activity are generally fe i mentations. MICROBES AND PROTISTA. O the English and German languages. In order to in- dicate the organisms which produce diseases, they make use of the word Bacteria, which is only the name of one of the peculiar species assigned to this group, and the one with which we have been longest acquainted. In this case, the name is generalized and applied to an entire group. The Italian authors who have been recently occu- pied with the study of microbes have on their part adopted the name Protista, proposed by Hseckel, and of which the sense, although not the etymology, is almost the same as that of the word microbe. In reply to the question whether there is any real advantage in establishing an intermediate kingdom of Protista between the two organic kingdoms of animals and plants, we must answer in the negative. This third organic kingdom only serves to render the structure of our modern classification more com- plex ; and it includes, as may be seen from the list given above, a collection of very heterogeneous groups, which it would be more simple to leave in one or the other kingdom. We should, in our opinion, approxi- mate more closely to Nature's plan by only admitting two great kingdoms : the organic kingdom, which includes plants and animals ; and the inorganic king- dom of minerals. The organic kingdom should then be divided into two sub-kingdoms, animals and plants, of which microbes or protista, or whatever else they may be called, should form the connecting 6 MICROBES, FERMENTS, AND MOULDS. link, and testify to the common origin of the two great organic kingdoms. However this may be. we shall make use of the word "microbe" as the general designation of all the minute organized beings which are found on the borderland between animals and plants. We shall presently show that in the majority of cases these beings may be regarded as true plants, and this is at present generally admitted by most naturalists. Part played by Microbes in Nature. The part played by microbes in nature is an important one. We find them everywhere ; every species of plant has its special parasites, and this is also the case with our cultivated plants with the vine, for example, which is attacked by more than a hundred different kinds. These microscopic fungi have their use in the general economy of nature ; they are nourished at the expense of organic substances when in a state of putrefac- tion, and reduce their complex constituents into those which are simpler into the soluble mineral substances which return to the soil from which the plants are derived, and thus serve afresh for the nourishment of similar plants. In this way they clear the surface of the earth from dead bodies and feecal matter ; from all the dead and useless substances which are the refuse of life, and thus they unite animals and plants in an endless chain. All our fermented liquors, wine, beer, vinegar, etc., are artificially produced by the species of microbes called ferments; they also cause bread MICROBES AND PROTISTA. 7 to rise, and from this point of view they are pro- fitable in industry and commerce. But in addition to these useful microbes, there are others which are injurious to us, while they fulfil the physiological destiny marked out for them by nature. Such are the microbes which produce dis- eases in wine ; most of the changes in alimentary and industrial substances; and, finally, a large number of the diseases to which men and domestic animals are subject. The germs of these diseases, which are only the spores or seeds of these microbes, float in the air we breathe and in the water we drink, and thus penetrate into the interior of our bodies. Hence we see the importance of becoming acquainted with these microbes. Their study concerns the agri- culturist, the manufacturer, the physician, the pro- fessor of hygiene, and, indeed, we may sa,y that it concerns all, whatever our profession or social position may be, since there is not a single day, nor a single instant, of our lives in which we cannot be said to come in contact with microbes. They are, iu fact, the invisible agents of life and death, and this will appear more plainly from the special study we are about to make of the more important among them. Since it is easier to know and observe beings which are visible to the naked eye, we shall first speak of fungi that is, of the larger microbes, with whose habits and organization we are also best acquainted. 8 MICROBES. FERMENTS, AND MOULDS. We will then go on to the study of the more minute ferments ; and finally to that of bacteria (Schizophyta or Schizomycetes), which are, strictly speaking, mi- crobes, and which only become visible with the aid of the microscope. CHAPTER I PARASITIC FUNGI AND MOULDS. I GENERAL REMARKS ON FUNGI. EVERY one is acquainted with the field and forced mushrooms, two varieties of one and the same species, wild or cultivated, and often seen at table. It is less generally known that the truffle is also a fungus ; and that the large class of fungi includes moulds and many parasites which are more or less microscopic, which live at the expense of wild and cultivated plants, and attack animals and also the human subject. Fungi are among the lower plants, and differ from higher orders in their mode of life. It is well known that the large majority of plants are not nourished only by absorbing the mineral salts which, in a state of solution, their roots derive from the soil, but also, and chiefly, by decomposing the carbonic acid of the air, assimilating the carbon which, as cellulose, enters into the composition of all their tissues, and giving forth nure oxygen to the air. 10 MICROBES, FERMENTS, AND MOULDS. This function is not, as it was formerly erroneously supposed, a respiration in the inverse form from that of animals. All plants without exception breathe like animals by absorbing oxygen. The assimilation of carbon is a true nutrition, and as the decomposition of the carbonic acid gas which results from this assi- milation sets free a much larger quantity of oxygen than the plant requires for itself, it was for a long while believed that plants really breathed the car- bonic acid gas of the air, in the inverse method to that of animals. Fig. l.Affaricat in different stages of development : 2, 3, a vertical section showing the formation oftlie head. The hyphee of the inyceduiu are shown in the lower part of the figure. The assimilation of carbon is effected by the leaves and green parts of plants ; the green, granular sub- stance termed chlorophyll, which solely gives them this colour, as may be shown by the microscope, and which alone subserves this function cf nutrition. Fungi, however, have no leaves nor other green parts ; that is, they have no chlorophyl. They derive the cellulose which they contain, as well as all the sub- stances by which they are nourished, either from PARASITIC FUNGI AND MOULDS. 11 other plants, or from animals and from the organic substances which are decomposing in the soil, such as dung and dead bodies. So that it may be said of fungi, that they subsist like animals by devouring plants or other animals ; not like higher plants, which derive their nutriment from the soil or the air, and owe nothing to other living beings. It is for this reason that some naturalists have regarded fungi as animals, and have classed them in the animal kingdom. We have seen that Hseckel and the naturalists of his school have assigned them to the kingdom of Protista. 'But setting aside their mode of nutrition, which is likewise found in plants of a higher organization, such as the Orobranchece and some of the Orchidacece, fungi really exhibit all the characters of plants, and as such we shall here con- sider them, although they are plants of a peculiar and very low type. The class of fungi may be defined by saying that they are plants devoid of stems, leaves, and roots ; that they consist only of cells in juxtaposition, devoid of chlorophyl. They never bear a true flower, and are simply reproduced by means of very minute bodies, generally formed of a single cell, which is called a spore, and which represents the seed. In fungi of the highest type, such as that commonly known as the edible mushroom, the part which we eat and call the umbrella represents the flower or floral peduncle of other plants, and is in reality only 12 MICKOBES, FERMENTS, AND MOULDS. the support or covering of the spores, which are fixed on the radiating lamellae that may be seen on in- verting the umbrella (Figs. 2 and 3). This umbrella or floral peduncle is the only part of the plant which appears above the soil, or the organic substances 011 which the fungus grows. But the really essential part of the plant is that Fig 2 Section cf one of the lamella? Oi the umbrella of Agaricus c: a, b, spores of the hymenium (slightly magnified). Fig. 3 Spores of the hymen ium, greatly magnified, and resting on their supports or uasidvs, a. which does not appear on the surface; namely, the white filaments or kyphcB which creep along the soil, the manure, or whatever supplies the nutritive matter, and which represent at once the root, the stem, and the branches of the plant ; this part is termed the mycelium. We shall presently see that many of the lower fungi are without the organ we have called the umbrella, and which botanists term the hymenium or organ of repro- duction, and consequently consist only of mycelium. PARASITIC FUNGI AND MOULDS. 13 In this case, the spores or seeds are developed in the cells of the mycelium itself. This latter mode of reproduction also occurs in the higher fungi, which therefore possess two modes of reproduction and two kinds of spores : exogenous spores, which are externally developed, as we see on the hymeriium (Fig. 2) ; and endogenous or internal spores, which are developed in the mycelium (Fig. 4). These spores not only differ in the site of their origin, but also in their form, size, structure, and in the end they fulfil in the reproduction of the fungus. There are in many cases several forms of exogenous spores. . . , . Fig. 4. Endogenous spores from Classification Of Funqi. the myci-lium of Agaricus J (much magnified). The nature of the spores, and the very varied mode of reproduction, have led to the classification of fungi in a certain number of groups, of which we need only cite the most im- portant, and those which chiefly concern our present point of view. Such are 1. The Hymenomycetes. 2. The Basidiomycetes. 3. The Ascomycetes. 4. The Oomycetes. Each of these groups is subdivided into several sections or families. Ferments and Schizomycetes, or 14 MICROBES, FERMENTS, AND MOULDS. microbes, properly so called, are still often assigned to the class of fungi. We shall speak of them separately, and give our reasons for distinguishing them from true fungi. Hymenomycetes are the fungi which possess the hymenium or umbrella; all the edible species are included in this class, together with a great number of extremely pokonous species. They are generally of considerable size, and only a few among them are true parasites ; they do not, therefore, enter into the plan of this work, and, in spite of the interest they present, we shall content ourselves with the brief notice of them we have just given. The other groups must, however, detain us longer. II. THE BASIDIOMYCETES : UREDTNE^, THE RUST OF WHEAT AND Gn ASSES. The name of cereal rust is given to a parasitic affection caused by a minute microscopic fungus which is developed on the leaves of wild and cultivated grasses. This rust appears in the form of orange patches, which gradually spread over the blades of wheat and other grasses, and its common name is due to this colour. Many of the plants belonging to other families are attacked by analogous parasites, and these fungi are all assigned by naturalists to the genus Uredo, and to the family of the Basidio- mycetes or Uredinece. PARASITIC FUNGI AND MOULDS. 15 Basidiomycetes have no endogenous spores, but they may have as many as four forms of exogenous spores. This is the case with the rust of wheat, termed by naturalists Uredo or P-uccinia graminis, which appears in the spring on the blades of this plant. The patches of rust are covered with a fine dust, which, under the microscope, is seen to consist of small elongated bodies of a reddish brown, resting on a filament; these are the first spores of the fungus, and are termed uredospores (Fig. 5). If they are scattered over a blade of wheat which was previously healthy, they germinate by means of a hypha of mycelium, which penetrates the leaf and develops a fresh patch of rust. In harvest- time the patches are of a darker, almost black shade, owing to the development of a second kind of spore. These are pear-shaped, divided in two, with an enveloping membrane of considerable thickness ; they are called teleutospores (Fig. 5). Teleutospores cannot germinate on a healthy blade of wheat, and consequently do not communicate rust. They may remain through the winter on thatch or wheat straw, awaiting the ensuing spring, and even then they cannot be developed upon a blade Fig. 5. Part of a patch of Puce in ia graminis, taken from a blade ot wheat, and displaying several uredo- spores and one teleutofpore. (.much magnified). 16 MICROBES, FERMENTS, AND MOULDS. of wheat, but only upon the leaves of another plant, the barberry. Borne by the dew or by a drop of rain on to the young leaves of the barberry, the teleutospores germi- nate, and form reddish-brown patches which affect both sides of the leaf. On its lower surface the spores are smaller, and are termed spermata; their function is not thoroughly understood. The larger spores on the upper surface are called cvcidiospores (Fig. 6), and with these we are more concerned, since Fig. 6. Section of a barberry-leaf bearing two cecidiospores, more or less developed, of I'uccinia graminis ^much magnified). they are destined to return to the wheat, rye, or other grasses, in order to reproduce the original rust. When they are placed on a blade of one or other of these grasses, the oeoidiospores germinate at once, and it is soon covered with patches resembling those of the preceding year; when these patches are numerous, they dry up the blade and destroy the ear. Hay and straw affected by rust should never be given to animals as food, since such food may produce disease. Thus it appears that Puccinia graminis presents the phenomenon of alternation of generations ; that is, PARASITIC FUNGI AND MOULDS. 17 the complete development of the fungus is only effected by its transference from one plant to another. This phenomenon may be frequently observed in animal and vegetable parasites, and it seems to be designed in order to secure the preservation of the parasitic species, by permitting it to grow on two plants in succession, of which the development occurs at different periods of the year ; such is the case with the barberry, which is developed in early spring, while wheat is developed in summer. For a long while it was believed that (Ecidium berberidis, Uredo linearis, and Puccinia graminis were so many distinct species; but it is now known, as we have stated, that they are only three successive phases of the development of a single species.* Other Uredinece, constituting the modern varieties of Ustilago and Tilletia, are more apt to affect the ears of wheat and other grasses. This disease is termed by agriculturists smut or caries (Uredo carbo or Ustilago segetum, and Tilletia caries). The diseased grain merely appears to be of a somewhat darker colour, but on pressing it between the fingers, there issues from it a blackish, oily pulp, which smells like rotten fish. Bread made from the flour of such corn has an acrid and bitter taste, and although it does not Sppear to be directly injurious to health, * So, again, (Ecidium rhanmi (Ncrprun or Bonrdaine) produce Jliedo rubiyo-vera and Puccinia corouata of wheat and oats. (See Fig. 7.) 18 MICROBES, FERMENTS, AND MOULDS. it cannot be regarded as fit for food. The dust arising from these fungi often produces in threshers in a barn an iriitating cough, which ceases when they are no longer subject to the exciting cause. The verdet, or, as the Italians call it, verderame of maize is due to the presence of the same parasite (Ustilago seyetum,Uredo carbo, or Sporisorium maidis) on the grains of maize, and fur a long while it was believed to produce pellagra, a common disease among the peasants who live on maize. It is now known that pellagra is due to the growth of another fungus, much resembling the ergot of rye, of which we shall speak presently. Other species of Uredinece attack sorghum, rice, etc., and, indeed, very many plants are affected by parasitic fungi belonging to the genus Puccinia and to allied genera, and it is probable that the y almost a11 Present the phe- nomenon'of alternation of generations. A simple means of freeing our fields from the rust of wheat is indicated by what we now know of the alternation of generations which ensures the propaga- tion of this fungus. We must destro} r all the barberry bushes which are found in the vicinity of cornfields. Popular opinion, although ignorant of the phenomenon of alternation of generations, has long regarded the neighbourhood of the barberry as the principal cause of the rust of cereals. PARASITIC FUNGI AND MOULDS. 19 In 1869, De Taste ascertained that in the parish of Chambray, after the peasants had uprooted all the barberries which grew in the hedges, the harvest, which had been bad in the foregoing year, was gathered in under normal conditions for three suc- cessive years. After the Lyons Railway Company had planted a barberry hedge to fence the railway in the parish of Genlis (Cote-d'Or), the cornfields bordering on the line were attacked by rust in an aggravated form. An inquiry made by the company showed that the disease was due to the barberry, and that where that plant was not found, the wheat was not affected by rust. On the other hand, a single shrub of barberry caused the disease to appear in a field in which it had never occurred before. The smut of wheat may be destroyed by the application of quicklime, either dry or dissolved in water, which destroys the fungus or checks its develop- ment. Seed corn should always be subjected to this operation when affected by smut. In default of quick- lime, sulphate of copper is sometimes used, which may be injurious, or sulphate of soda, dissolved in water (eight kilograms to the hectolitre). This should be done the day before the seed is sown. In the case of corn intended for food, another process called pelle- tage must be employed; this consists in the frequent stirring of the granaried corn, either with the hand or with Vallery's movable granary floor, so as to dry and aerate it, and expel the dust and damp, which ai e favourable to the development of fungi. TOM '20 MICROBES, FERMENTS, AND MOULDS. III. ASCOMYCETES ; ERGOT OF RYE ; THE MOULD OF LEATHER AND DRIED FRUITS. In distinction from the species just described, the fungi in this group possess endogenous spores, enclosed in a sac or special envelope which is called an ascus ; hence the name of the family. Truffles, or Tuberacece, are only reproduced by the spores contained in these asci; but most of the other ascomycetes present in addition several forms of spores, and the phenomenon of alternation of generations has led to the belief that in this case, as in that of the foregoing group, many of the so-called species are only successive transformations of one and the same species. This is the case with the ergot of rye, a product used in medicine; it is, however, a serious and dangerous disease of several of our cereals, and particularly of rye (Fig. 8). Ergot is caused by a minute parasitic fungus which attacks the ear of rye when it is in flower. The young flower is covered with a white mass, consisting of microscopic spores, formerly termed sphacelium (Fig. 9). These spores reproduce themselves on other flowers, and propagate the evil. The mycelium formed by the germination of the sphacelium affects the grain, forms in it a thick felt- work, and is developed so as to constitute the elongated substance termed sclerotis (on account of its hardness), or ergot ; it is called at this stage Claviceps purpurea. PARASITIC FUNGI AND MOULDS. 21 The sphacelium surrounding it falls off, and until the Fig. 9. Sphacelium or Claviceps purpurea, the first stage ol'ergot (magnified). Fig. 8. Ear of rye, on which there are several grains of ergot. Fig 10. Ergot hearing the organs of fructification (magnified). following spring the ergot remains stationary on the soil on which it has fallen. 22 MICROBES, FERMENTS, AND MOULDS. In the spring, owing to the heat and moisture, the hyphre of the sclerotis swell and send forth numerous branches, bearing at their ex- tremity a sort of rounded head, in which the asci or peritheces are developed (Figs. 10, 11, 12) ; the endogenous spores issuing from these asci germinate on the rye-blossom, and produce there a fresh sphacelium, then a second ergot, thus always passing through the same cycle of alternation of generations. Most of the Graminacece and several Cyperacece are capable of producing ergots resembling those of rye, Fig. ll. One of the heads or organs ot fructification in ergot, still more magnified, a, peritheces. Fig. 12. Portion of preceding figure tinder a very high magnifying power, showing at b the asci, and at c the spores issuing from the asci or peritheces. and possessing the same medical properties. The sug- gestion has been made that instead of the ergot of rye PARASITIC FUNGI AND MOULDS, 23 the ergot of wheat should be used in medicine ; it is larger, harder, and more elongated in form, and it also appears to be less perishable. Ergot of rye, especially when powdered, strongly resembles meat in smell, and only becomes unpleasant when the powder is spoiled by being kept in a damp place ; it then smells like rotten fish, and this is the case with many other fungi. At first the taste is not very apparent, but it after- wards produces on the pharynx a somewhat persistent sense of constriction. The chief action of this drug consists in producing contraction of unstriated muscu- lar fibres, especially those of the uterus. Ergotine and ergotinine are extracted from it, and these, which are its active principles, are often employed in thera- peutics in preference to raw ergot. In large doses ergot is a strong poison. It then produces characteristic symptoms, dilatation of the pupils, retardation of the circulation, vertigo, stupor, and even death. Bread made with flour from which the ergot has not been extracted may produce the grave symptoms known as ergotism, and these soon become fatal unless the use of such bread is discontinued. Sometimes nervous symptoms predominate, and this is termed convulsive ergotism ; sometimes the disease takes the form of gangrene of the extremities, or gangrenous ergotism, but these two forms are only two phases of one and the same disease, and often occur in the same 24 MICROBES, FERMENTS, AND MOULDS. individual. In countries where rye bread constitutes the chief food of the rural populations, as in Brabant, the north of France, Orleannais and Le Blaisois, fatal epidemics have been recorded at different times in the Middle Ages, under the name of St. Anthony's fire. The first symptoms are a species of intoxication, sought after by the peasants, and becoming habitual, like alcoholic drunkenness, up to the moment when con- vulsions and gangrene set in, and death soon follows. Ergot of maize produces analogous phenomena. In countries where maize bread and cakes are in use, as in Italy and South America, it appears to be the cause of the disease improperly called Pelade. Of this the shedding of the hair and skin is the first symptom.* Fowls which feed on ergotized maize lay eggs which are devoid of shell, owing to their premature expulsion from the uterus ; their combs become black, shrivel, and finally drop off; and they even shed their beaks. All these phenomena may be easily explained by the action of ergot on the muscular fibres of the uterus, and of the blood-vessels. Recent research has shown that Pelade is identical in its cause and external symptoms w T ith the disease known in northern Italy and in the south of France as pellagra, and in Spain as the rose sickness. The latter * We sli all presently see that the name Pelade was formerly given to another parasitic affection, peculiar to that part of the skin covered with hair. These two diseases must not be confounded, notwithstand- ing the similarity of name, since they are produced by two fungi belonging to different groups. PAKASITIC FUNGI AND MOULDS. 25 name is due to the red stains which cover the skin, afterwards drying up and falling off in the form of scales. At first the general health is not affected, and several years may intervene before the occurrence of vertigo, a want of appetite, emaciation, and finally the torpor and convulsions which precede death. These ill effects may be prevented by baking the maize before grinding it, according to the process in use in Burgundy. There is another very common fungus also belong- ing to the group of ascomycetes, termed Eurotium repens. This mould appears upon leather which has been left in a damp place, and on vegetable or animal substances in process of decomposition or badly pre- served, and especially upon cooked fruits. This mould is of a sombre green, a colour by no means due to the presence of chlorophyl. On the mycelium, which spreads over the substance of the leather or of the fruit-skin, small stems are developed, consisting of a jointed tube, and terminating in an enlarged head on which chaplets of small grains are formed, each of which is a spore. This was formerly termed Aspergillus glaucus, and was regarded as a peculiar species (Fig. 13). When, however, this mould is developed in a place in which the supply of air is limited, small gold-coloured balls may often be observed beside or in the midst of the stems, and these are filled with asci, each containing eight spores. This second iform has been termed Euro- tium repens. It has recently been ascertained that 26 MICROBES, FERMENTS, AND MOULDS. the balls in question are produced from the same mycelium as Aspergillus glaucus, and that conse- quently the chaplet of stalks and the balls filled with asci are merely two organs of the same fungus. Fig. 13. -Aspergillus glaucus, mould on leather and rotten fruits : a, hypha bearing the chaplet of spores b, c, a germinating spore; d, ball of Eurotium; e, ascus enclosing the endogenous spores (magnified). The chaplet of spores in Aspergillus glaucus repre- sent the white exogenous spores, or the sphacelium of the ergot of rye, and those which are subsequently PARASITIC FUNGI AND MOULDS. 27 produced in the yellow balls correspond with those which issue from the asci developed on the sclerotis ; these are endogenous spores. Many of the parasitic fungi belonging to the genera Erysiphe, Sph&rict, Sordaria, Penicillium, etc., pre- sent a similar mode of vegetation, and affect a large number of plants. Such is the OiWium of the vine (Erysiphe Tuckeri) to which we shall presently revert. IV. OOMYCETES, MUCORINE^E, OR MOULDS, PROPERLY so CALLED; PERONOSPORE.E ; THE POTATO-FUNGUS. In all the parasitic fungi of which we have hitherto spoken there is no sexual reproduction analogous to that of the higher plants ; there are no male and female organs comparable to the stamens and pistil. This sexual reproduction exists in the oomycetes, although only in a very elementary form. In addition to the ordinary spores which we have noticed in other fungi, there are others termed oospores, which are formed by the fusion of the originally distinct contents of two different cells. In the family of the mucorinese, which includes most of the fungi Fjg u _ Mucor 6 42 ftOdO O 40 3 ^r ^^ tig. 31. Isolated spores, taken from patches of pelade: 1, 2, 3, 4, large spores ; 5, budding spores ; 6, 7. 8, empty spores ; 9 to 12, small spores (X 1000 diam.). Fig. 30. Hair affected by the rapid progress of Pelade cU : calvante. It is surrounded by epidermic cells charged with spores (x 2U8 diam.). of the hair (Figs. 29, 30). It is composed entirely of the round spores already described, which are re- produced by budding (Fig. 31). The Fungus of Pityriasis capitis simplex. It is very similar to the foregoing, and is likewise seated 60 MICROBES, FERMENTS, AND MOULDS. in the horny layer of the epidermis, on which it produces a roughness in the form of dusty pellicles. It penetrates the hair-follicles, but not deeply, and only in the vicinity of the point at which they emerge. The spores of which it entirely consists are generally of an elongated form, and give off buds. According to Mallassez, this fungus is the prin- cipal cause of alopecia; that is, the shedding of Fig. 32. Epidermic CP!! of skin covered with hair, affected l>y Pitt/riasis simplex, and covered with spores ( x 1000 diam.). Fig. 33. Isolated spores, taken from pellicles of PUyriasis capitis simplex: a, full spores; b, empty spores ; c, full spores budding ; d, the same empty (x 10UO diam.) hair, and the baldness which eventually ensues from it. It acts in two ways : (1) its presence and multi- plication disintegrate the epithelial layers ; (2) the foreign body irritates the epidermis, producing exces- sive activity in the evolution of cells, and consequently the incessant desquamation which is the most apparent symptom of the disease. The shedding of hair is chiefly due to obstruction in that portion of the hair-follicle which underlies the orifice of the sebaceous glands, and PARASITIC FUNGI AND MOULDS. 61 this checks the regular development of the hair. The consequent irritation of the follicle produces hyper- trophy; this leads to the shrinking and finally to the obliteration of the follicle, and after languishing for a while, the hair falls off. Thrush (Oidium albicans)* This fungus generally appears on the mucous membrane of the mouths of infants, especially of those brought up by hand, and which have been accustomod to the use of a sucker. The saliva becomes acid, and the white spots which constitute thrush (Fig. 34?) appear in several places, especially on the tongue, the gums, and the soft palate. This plant is composed of two elements: of hyphse, and of spores, which adhere closely to the mucous membrane. The spores become elongated and con- verted into hyphse, which are segmented and ramified as their length increases ; and they produce spores by division of the terminal cell, or sometimes by endo- genous formation within the hyphse. Thrush sometimes occurs in adults in certain diseases, such as phthisis and typhoid fever, especially when the patient eats little and is imperfectly nourished, which is frequently the case in serious or protracted illness. It is easy to destroy thrush by washing the mouth with Vichy water, or a solution of bicarbonate * Oidium allrimns, Robin ; Sdccharomyres albicans, Reos ; Sacch. mycoderma, Grawitz. (See chapter on the Polymorphism of Microbes.) 62 MICROBES, FERMENTS, AND MOULDS. of soda, which neutralizes the acidity of the saliva. It is, above all, essential that the feeding-bottle, all the utensils employed for the infant, and the infant itself, should be kept perfectly clean; and, unfortu- nately, this condition is too rarely fulfilled, especially Fig. 34. Oidium albicans, or Saccharomj/ces mycolerma: d, much-branched myce- lium ; g t chaplet or torula of spores, giving birth at/, k to the mycelium. among the working classes in towns, and districts in which children are usually put out to nurse. The feeding-bottle in use in such cases generally smells so sour as to be offensive to every one who is not PARASITIC FUNGI AND MOULDS. 63 accustomed to it, and under these conditions thrush is almost certainly developed, so that few children escape an attack. It is not generally dangerous, yet it may, in some cases, compromise the health, and even cause the death of the child. In addition to care about cleanliness, a little pinch of bicarbonate of soda may be put in the feeding-bottle; this prevents the milk from turning sour. Onychomycosis. This disease, which attacks the nails of men and the hoofs of uni-ungulates (the horse, the ass, and the mule), is caused by a parasitic fungus of the genus Achorion (A. keratophagus). In man it is termed dry caries, and it is a fungus which is readily transferred from man to the animals with which he has to do, just as Achorion Schoenlenii of ringworm passes from man to the dog, cat, rat, horse, ox, and perhaps even to rabbits and gallinaceae. In uni-ungulates the fungus is introduced into the cracked and superficial layer of the hoof through its fissures. In order to destroy it, this external layer must be removed, and for greater security an anti- parasitic treatment should be used. This remedy cannot be applied to the human subject without causing considerable pain ; yet the nail may be pared and scraped, and the anti-parasitic remedy can then be applied. Prevention and Cure of S^ in- diseases. The general custom of going to a common barber to have the hair dressed or cut must conduce to the dissemination of 64 MICROBES, FERMENTS, AND MOULDS. the fungi which attack those parts of the skin clothed with hair ; the brush, the comb, or razor which passes successively and on the same day over ^hundreds of heads or chins must necessarily, if only in one case out of ten, carry the spores of the parasite from one person to another. The parasitic diseases of the hair are extremely persistent, and precautions as to cleanliness will not always effect a cure. The mixtures sold by hair- dressers under the name of capillary water, lotion to eradicate scurf, etc., should all be rejected. Experience shows that wetting the head often favours the development of the fungus, which may, indeed, remain stationary for two or three days, but which becomes more vigorous as soon as the head is dry. Sulphur and its compounds are successful in such cases, as well as in the parasitic diseases of plants. It would be best to apply this remedy in the form of a dry, impalpable powder, as in the application of sulphur to the vine, but this cannot be done without in- conveniences to which the persons affected do not readily submit; it might, however, be tried by those whose hair is naturally greasy. In other cases, and especially in those in which the hair is dry, as it usually is in persons affected by Pityriasis capitis, pomades must be used, although it has been asserted, but not proved, that fatty substances afford nourish- ment to the fungus. However this may be, the pomade for which we PAEAS1TIC FUNGI AND MOULDS. 65 subjoin the recipe has been very successful in pity- riasis, and in all the infantile forms of ringworm, including that which occurs in teething, and which may be safely treated, in spite of prejudices to the contrary : Turbith mineral (tri-mercuric sulphate"* ... 1 to 2 grs. Benzoinated lard ... ... ... 15 grs. This pomade is lemon-coloured ; it will assume a flesh-colour by the addition of a few drops of red litmus, and may be scented to the taste of the person who is to make use of it. In ordinary cases of pityriasis, it need only be applied every eight or fifteen days. It is indispensable to wash the combs and brushes in a solution of potash or ammonia, lest the benefit of the treatment should be lost by re- infection. In the case of true ringworm, especially in adults, a much more energetic treatment is necessary, for- which medical advice is required. 66 MICBOBES, FERMENTS, AND MOULDS. CHAPTER II. FERMENTS AND ARTIFICIAL FERMENTATIONS. I. WHAT is FERMENTATION ? CHEMISTS define fermentation in these words : " Fer- mentation takes place wherever an organic compound undergoes changes of composition, under the influence of a nitrogenous organic substance called a ferment, which acts in small quantities and yields nothing to the fermented substance " (A. Gautier). This nitrogenous substance, termed a ferment, is regarded by naturalists as an organized living being, either animal or vegetable. This was demonstrated by the researches of Cagnard de La Tour, of Turpin, of Dumas, and more recently by the splendid achieve- ments of Pasteur. It is now proved that the artificial fermentation which takes place .in the manufacture of wine, beer, etc., is produced by small microscopic plants, called ferments or yeast. The chemical transformation resulting from them might be obtained without the intervention of yeast, FERMENTS AND ARTIFICIAL FERMENTATIONS. 67 properly so called, either by means of a nitrogenous substance of animal origin (Berthelot), or by other chemical and physical processes which we shall presently mention. But it may be questioned whether the nitrogenous substance of animal origin, which Berthelot considers to be dead, does not contain a living ferment. This is not admitted to be the case by Bechamp, whose theory will be given further on. Whenever fermentation is produced solely by the influence of physical and chemical agents, the action is very slow. But it is, on the other hand, very rapid when effected by living ferments or yeast, and it is also much less costly, so that the latter mode of fermentation is. preferred by manufacturers. Yeast is, therefore, the true agent in artificial fermentations. All the saccharine liquids which contain glucose or grape sugar, or a sugar which can be transformed into glucose, and also all nitrogenous substances, phos- phates, and ammoniacal salts, produce alcohol at a temperature varying between 25 and 100, and the yeast of beer (of which the spores are carried through the air) appears and is developed at the same time; this occurs in the juice of grapes, beetroot, sugar- cane, etc. The alcoholic liquids thus produced are then subjected to distillation in order to extract the alcohol. The transformation of alcohol into vinegar is produced by another ferment. Fermentations are very common in nature. The transformation of sugar into lactic, butyric, and TIISITY; 68 MICROBES, FERMENTS, AND MOULDS. caproic acids, under the influence of nitrogenous substances and of the air; the change into glucose of gums, of starch, of dextrine, of sucrose, and mannite ; the transformation of these substances into each other under the influence of living agents, or of those belonging to a living organism; the transformation of such glucosides as populin, salicin, tannin, etc., into sugar, or into neutral or acid substances; all these phenomena are fermentations (A. Gautier). We may even go further. The germination of seeds and the ripening of fruit are accompanied by phenomena of the same order. In animals, gastric, pancreatic, and intestinal digestion, together with other changes connected with nutrition and assimilation which take place in the blood and in all the organs, may be considered as true fermentations. In this case the cells of our tissues and the blood-corpuscles play the part of yeast in effecting alcoholic fermentations. Finally, the miasmatic, virulent, and contagious diseases, which we shall study in another chapter, are also caused by changes in the blood and in the other fluids of the system, and should be considered as fermentations, produced by minute microscopic organisms analogous to ferments, and which are, as we shall presently show, bacteria or microbes, strictly so-called. The putrefaction of dead bodies is also a fermentation. We shall, in this place, only consider the fernien- tat ions which are used in manufactures. FERMENTS AND ARTIFICIAL FERMENTATIONS. 69 History. The precise knowledge of the nature of fermentation is of comparatively recent date. The ancients, indeed, seem to have had an idea, however vague, of this phenomenon, which was in their case connected with the erroneous theory of spontaneous generation. We all know the fable of the bees, born from the putrefying body of a slain bull, which forms one of the chief episodes of the Metamorphoses of Ovid, and of the fourth book of Virgil's Georgics. Aristotle says that, by means of heat, one living being may have its birth in the corruption of another. . . . Fermentation is, in fact, always accompanied by an evolution of heat. The same idea was revived in the Middle Ages, and during the Renaissance by alchemists and physicians. Van Helmont, who lived early ii& the seventeenth century, goes so far as to say, " It is true that a ferment is sometimes so bold and enter- prising as to form a living being. In this way, lice, maggots, and bugs, our associates in misery, have their birth, either within our bodies or in our excrement. You need only close up a "Vessel full of wheat with a dirty shirt, and you will see rats engendered in it, the strange product of the smell of wheat and of the animal ferment attached to the shirt." Beside these singularly rash and purely fanciful assertions, which show that imagination was allowed in those days to play a much too important part in natural science, we find a theory of the fermenta- 70 MICROBES, FERMENTS, AND MOULDS. tion in putrefying bodies which would not be rejected by modern naturalists and chemists. "After death . . . the foreign ferments, which are always intent on change, are borne through the air and introduce corruption into dead matter ... at least, unless the flesh is combined with certain sub- stances, such as sugar, honey, or salt. It is, therefore, these ferments, attacking whatever matter is deprived of life, which disintegrate and prepare it to receive a new soul (or fresh life)." Linmeus, again, says that " a certain number of diseases result from animated, invisible particles, which are dispersed through the air. . . ." Boerhave, in 1693, distinguished three kinds of fermentation : alcoholic, acetous, and putrefactive. But we must come down to the beginning of this century in order to find more definite ideas respecting the organic nature of ferments. In 1813, a chemist called Astier asserted that every kind of germ from which ferments proceed is carried by the air; that this ferment, of animal nature, is alive, and is nourished at the expense of the sugar, and hence results disturbance of the equilibrium between the elements of sugar. Subsequently, in 1837, Cagnard de La Tour* de- clared yeast to be a collection of globules which are multiplied by budding; and in the following year Turpin described the yeast of beer as a vegetable, microscopic organism, which he termed Torula cere- visice (Fig. 35). FERMENTS AND ARTIFICIAL FERMENTATIONS. 71 Chemists were at first unwilling to admit the important part played by yeast in fermentations, and in order to explain it, they assumed the existence of a very obscure physico-chemical phenomenon, to which the name of catalysis, or action by presence, was given. But in 1843 an illus- trious French chemist, Dumas, clearly explained the physiological Fig. 35. ibrvla (Saciha- functlOQ Of the living ferment, Or romyces) cerevigu*, yeast of beer ( x 400 diam.). yeast. " Fermentations," he writes, " are always pheno- mena of the same order as those which characterize the regular accomplishment of the acts of animal life. They take possession of complex, organic substances, and unmake them suddenly or by degrees, restoring them to the inorganic state. Several successive fer- mentations are, indeed, often required to produce the total effect. The ferment appears to be an organized being ; . t . the part played by the ferment is played by all animals, and by all but the green parts of plants. All these beings and organs consume organic substances, multiply and restore them to the simplest forms of inorganic chemistry." Finally, Pasteur's memorable labours, which he began to publish in 1857, confirmed the new theory of fermentation, which no one now doubts. Pasteur states that every fermentation has its specific ferment ; in all fermentations in which the presence of an or- 72 MICROBES, FERMENTS, AND MOULDS. ganized ferment has been ascertained, that ferment is necessary. This minute being produces the transforma- tion which constitutes fermentation by breathing the oxygen of the substance to be fermented, or by ap- propriating for an instant the whole substance, then destroying it by what may be termed the secretion of the fermented products. Three things are necessary for the development of the ferment: nitrogen in a soluble condition, phosphoric acid, and a hydrocarbon capable of fermentation (such as grape sugar). Finally, every organized ferment of fermentation or putrefac- tion is borne about in the air, as may be shown by experiments. II. VEGETABLE NATURE OF FERMENTS OR YEAST. Yeast, or ferments, are in their organization closely allied to the fungi of which we spoke in the preceding chapter under the name of Microsporon. Many botanists still assign them to the class of fungi under the name of Saccharomycetes ; yet, as they live in liquids, or at any rate on damp substances, like the Algae, which are species of water-fungi, it is now almost agreed to place them in the same category as the latter, which they resemble in their whole organi- zation, except in the absence of chlorophyl. This last characteristic, the only one by which they ap- proximate to fungi, is common both to them and to microbes or bacteria, which are only ferments of FERMENTS AND ARTIFICIAL FERMENTATIONS. 73 smaller size, and which are now also placed in the class of Algae. We shall return to this subject when we come to, speak of bacteria. The structure of ferments is very simple : each plant is generally composed of a single cell, spherical 5 elliptical, or cylindrical, formed of a thin cell- wall, con- taining a granular substance called protoplasm, which is the essential part of the plant. These cells have an average diameter of ten micro-millimetres. They grow and bud, and when one of them reaches a certain size, a median constriction occurs ; it divides into two parts, resembling the mother cell, and these some- times separate, sometimes remain united in a group or chaplet (Fig. 35). This mode of multiplication continues as long as the plant remains in a liquid favourable to its nutrition. But if its development is hindered, if, for example, the liquid dries up, the pro- toplasm contained in each cell contracts, and is transformed into one or more globules, which are the spores or endogenous reproductive organs of the plant. These spores may remain undeveloped for a long while, may become perfectly dry, and may even be subjected to a very high temperature, without losing the power of germination when they are again placed in conditions favourable to their development. They then reproduce the plant from which they had their birth, and are multiplied in the same manner.* * For further details on ferments and fermentations, see Schutzeuberger's work on the subject. MICROBES, FERMENTS, AND MOULDS. III. WINE FERMENTS ; ALCOHOLIC FERMENTATION. The commonest ferment of wine is, according to Pasteur, Saccharomyces ellipso'ideus (Figs. 36, 37, 38), which must not be confounded with Kutzing's Cryptococcus vini, since the latter has nothing to do Fig. 36. Saccharomyces tllipsoideus, wine ferment, in process of budding (X600 diam.). with alcoholic fermentation. This ferment is found on the grape, and is thus introduced into the ferment- Fip tf.Sacch. ellipsoideus : development of spores ( x 400 diam.). Fig 38. Sacch. ellipso'ideus: germination of spores ( x 400 diam.). ing- vats. The adult cells are of an elliptic form, and are six micro-millimetres in length, by four or five in width. They bud, and are reproduced in the way already indicated, which is common to all ferments. FERMENTS AND ARTIFICIAL FERMENTATIONS. 75 Sacch. Pastorianus (Rees) is probably only a variety of the foregoing (Fig. 39), differing a little in the form of the cells, which are elongated, pyriform, or club-shaped. Lastly, Sacch. conglomerate is somewhat rare. It is found in the grape-must when fermentation is nearly over (Fig 40). It is so called because the new cells are conglomerated, instead of being arranged in a chaplet. We must now notice the other ferments which Fig. 39. Sacch. Paxtori- Fig. 40. Sacch. conglvm- Fig 41. Sacch. exiguus anus ( x 400 diain.). eratus ( x 600 diam.). C x 350 diam ). are found, like those given above, in fermented syrups, and which may also produce the alcoholic fermenta- tion of wine. Such is Sacch. exiguus (Fig. 41), of which the cells are much smaller than in the fore- going, since they are only three micro-millimetres by two and a half micro-millimetres. The apiculate ferment, of which Engel has made a separate genus, under the name of Carpozyma apiculata, is the alcoholic ferment which appears to be the most widely diffused in nature (Fig. 42). It is found on all kinds of fruit, especially upon berries and drupes, as well as upon most of the fruit-musts 7G MICROBES, FERMENTS, AND MOULDS. which are in process of fermentation. It has likewise been observed in Belgium upon beer. It is generally the first to appear and bud in the must. Its name is Fig. 42. Sacch. apiculata (Carpjzyma), icriucnt of fruits (x6JU diam.). due to the characteristic form of its cells, which are formed like rape-seed, or apiculated at both extremi- ties of their large axis. In the fermented must of red wine we find, together with Sacch. ellipsoideus, a somewhat dif- ferent form, which is perhaps only a variety Sacch. Reesii. We must also mention another alcoholic ferment, Sacch. mycoderma, wine or beer flowers, which con- Fig. 43.Succh. mycoderma, or wine-flowers ( x 350 diam.). , ig 44. Different forms of Sacch. mycoderma. stitute the white pellicle often seen on bottled wine (Figs. 43, 44). Pasteur has shown that, under certain FERMENTS AND ARTIFICIAL FERMENTATIONS. 77 circumstances, Mycoderma, vini can produce alcoholic fermentation ; this is easily shown by adding it to a saccharine solution, in which it soon produces fermenta- tion. It appears on the surface of all alcoholic liquids which are exposed to the air, when fermentation is over or nearly over. Its growth is very rapid ; a few cells are enough to cover the surface in the course of forty-eight hours with a thin white or yellow pel- licle, which is at first smooth, and then wrinkled. This implies, according to Engel's estimate, that a single cell has produced 35,000 others in this short time. Most of these different forms are probably only different stages of development of a limited number of species, since ferments are as polymorphic as microscopic fungi. We have said that before they are found in the must of wine or fruits, the ferments fasten in a dormant state on the epidermis of the fruit, by which means they are introduced into the liquid about to be fermented. We see how the spores are transported through the air until they rest on the downy surface of a drupe or berry. But it has been asked what becomes of this ferment between last year's vintage and the succeeding summer, and in what way it passes the winter. According to Hansen's researches, Sacch. apiculata, which is, for instance, found upon gooseberries, is washed off them by the rain, dispersed by the wind, and falls to the ground with the fruit, where it 78 MICROBES, FERMENTS, AND MOULDS. remains buried through the winter as a dormant spore, in order to return to the same fruit when it has ripened in summer. It can only be borne through the air when the ground is completely dried In the same way, the ferments of wine, after having passed through the bodies of men and animals, pass the winter on the dungheap. This revelation may not be pleasing to drunkards, but it will not surprise those who are acquainted with the habits of cryptogams in general, and of fungi in particular. Brefeld has found these ferments during the winter, especially in the excrement of herbivorous animals, and on the dungheap. The manufacture of wine is too well known to require description ; we need only remind our readers that alcoholic fermentation essentially consists in the transformation of glucose, or grape-sugar, into alcohol and carbonic acid. The latter, given off in the form of gas, produces the ebullition or effervescence which characterizes fermentation, and to which its name is due. Sugar or glucose is, therefore, the essential nutriment of all yeast-plants, and the indispensable element of these fermentations, of cider, beer, and all fermented liquors, as well as of wine. IV. BEER-YEAST. The yeast of beer, or Sacch. cerevisics, was the earliest known and the most carefully observed of FERMENTS AND ARTIFICIAL FERMENTATIONS. 79 all the ferments, and may be regarded as the type of the family. Its cells are round or oval, from eight to nine micro-millimetres in their longest diameter, isolated or united in pairs (Fig. 35). When these cells are deposited in a saccharine liquid, which is therefore susceptible to fermentation, vesicular swellings, filled with protoplasm at the expense of the mother cell, may be observed at one Fig. 45. Yeast of superior beer budding (x 4uu diam.). Fig 4(j. Spores of beer-yeast, in different phases of development. or two parts of the surface of the cell ; these swellings increase, acquire the size of the mother cell, and then contract at their base (Fig. 45). They generally arise on the sides of the cell, more rarely on its extremities. The new cells thus formed soon separate from the mother cell, and the protoplasm given up to its off- spring by the latter is replaced by one or two empty spaces, termed vacuoles. When yeast is not in a liquid susceptible to fermentation, it can remain for a longer or shorter time without modification. If abruptly deprived of all nutriment, and especially of sugar, and placed in a sufficiently moist atmosphere, 80 MICROBES, FERMENTS, AND MOULDS. spores may bo produced (Fig. 46). It is rather difficult to perform the experiment with success ; the ferment must be frequently washed with distilled water, as it may otherwise putrefy, instead of fruc- tifying (Schutzenberger). Let us briefly describe the process by which the fermented liquor termed beer is obtained The barley which constitutes its essential principle does not contain sugar ; but when it has germinated it contains a substance termed diastase, under the influence of which the starch of barley can be converted into glucose. The barley, which has been moistened in order to make it swell and germinate, is spread in a thin layer on hurdles, at a temperature of about 15: this opera- tion is called malting. It is generally performed in spring, in order to ensure the necessary warmth and moisture, and March beer is considered the best. When the sprout attains to two-thirds of the length of the grain, germination is arrested by drying the grains on a stove, and they are then ground to powder and become malt. This malt is then steeped in water at the temperature of 60 and by the action of the diastase the starch becomes glucose. This saccharine fluid or wort is boiled with hops, which are now added, not only to give a bitter and aromatic taste, but also to preserve it. This infusion of malt and hops is concentrated and cooled, and beer- yeast, the product of previous operations, is added in FERMENTS AXD ARTIFICfAL FERMENTATIONS. 81 order to establish fermentation. The yeast is procured by collecting the scum of fermented beer and straining it into bags. In Belgium, the wort is allowed to stand until the spontaneous development of fermentation takes place ; but in France and Germany the ferment is generally added. In this case two methods are in use, fermenta- tion from above, and fermentation from below ; and this enables us to distinguish two kinds of yeast, that of superior, and that of inferior beer (Figs. 45, 47). In superior beer, the saccharifica- tion of the starch of malt is effected by successive steepings in casks at the relatively high temperature of from 15 to 18. As the yeast is formed, it gradually issues from the bung-holes in the upper part of the cask ; hence its name. In England, large open vats are used : the yeast rises to the top, and is removed with skimmers. In the manufacture of inferior beer, saccharifica- tion is effected by steeping the malt in open vats at the lower temperature of from 12 to 14. The yeast is deposited at the bottom of the vats in a doughy and tenacious mass. When the first and most active fermentation is at an end, the clear liquid is drawn off and put into casks, bottles, or pitchers, and as the separation of the yeast is not yet complete, 7 Fig. 47. Yeast of in- ferior hCT i" coming elongated and assuming their "T ^fr O O O O . ; * adult form (Fig. 50). F*. 50. -Microbes Tm ' S g 6I1US ls Divided into two sections: the first includes Micro- coccus chromogenis, i.e. fabricators of colouring matter an extremely interesting group, on MICROBES, OR BACTERIA. 93 which we must say a few words, since these microbes play an important part in nature, connected with hygiene and domestic economy ; the second section includes Micrococcus pathogenis, or the producers of disease, which must detain us longer. The genus Bacterium, of which the name indicates that it is rod-shaped, also includes some coloured species and more which are colourless, such as the bacteria of putrefaction, of stagnant waters, of vegetable infusions, etc. (Fig. 49). The genus Ascococcus is less common. The cells, united in groups or families, form mucilaginous, wrinkled membranes on the surface of putrefying liquids, on the juice of meat, on the infusion of hay, etc. Bacillus (or Bacteridice, Davaine) forms an ex- tremely important genus, characterized by its long, flexible, and articulated filaments ; this genus includes the butyric ferment, and the microbe which produces the disease called anthrax, or splenic fever. Leptothrix buccalis is found in the human saliva and between the teeth (Fig. 51, k). Cladothrix dichotoma forms a kind of fine grass, which appears like a whitish mucilage on the surface of putrefying liquids (Fig. 51, p). Vihrio rugula and V. serpens are found in infusions in the form of tolerably thick filaments, which have only one inflection, while their successors are spirally curved (Fig. 51, I). 94 MICROBES, FERMENTS, AND MOULDS. Spirillum and SpirocJwete only differ from each other in the number and approximation of their spirals. Spirochoete Obermeieri is found in the blood of those affected by recurrent fever; 8. plicatile, which is found in stagnant water, arnid Oscillaria, is Fig. 51. Different forms of microbes, or bicteria: a, 6, c, d, Hicrococms of various forms ; e, the short Bacterium ; f, the short Bacillus ; k, Js-ptotkrix or long bacillus: I, Vibiio, dividing by fission; m, Spirillum; o, Spirochwte ; p, Clado- thrix, etc. (from Zopf : highly magnified). perhaps only the parasitic form of those algfe, and has often been regarded as the cause of marsh fever. Spirillum is also found in infusions (Fig. 51, m, o). Finally, Sarcina ventriculi, so different in form from other microbes, is found in the fluids of the human stomach, in the blood, and in the lungs, in the MICROBES, OR BACTERIA. 95 form of yellow patches. It is also found in the albu- men of boiled eggs, in potatoes, etc. (Fig. 52). 52. Sarcina ventriculi, in different degrees of development (strongly magnified). III. THE MICROBE OF VINEGAR, AND ACETIC FERMENTATION. Pasteur has shown that the acid fermentation of alcoholic liquids is due to the existence of a special microbe, acting like a ferment, which is. developed on the surface of fermented liquors whenever they are abandoned to the contact of the air, in the presence of albuminoid substances. This microbe, which consti- tutes the mother of vinegar, and which is termed Mycoderma aceti, is probably identical with Bacterium lineola, so often present in infusions, in stagnant pools, and even in spring water. It is a true bacterium (Fig. 48). The membrane which may be observed on the surface of liquids in course of acetic fermentation is formed of very minute elongated cells, from 1'5 to 3 micro-millimetres in length, united in the form of 96 MICROBES, FERMENTS, AND MOULDS. chains or curved rods. They multiply by the trans- verse fission of the cell, a fission preceded by a median constriction. These are characteristics of the bac- terium, strictly so called. The nutrition of this microbe resembles that of beer-yeast : it requires mineral salts, phosphates of the alkaline metals and of the metals of the alkaline earths, proteid matters, or ammoniacal salts. This ferment is an oxidizing ferment, which with- draws oxygen from the air and transfers it to the alcohol, thus converting it into acetic acid ; hence it can only subsist in contact with the air, and perishes when it is submerged, so that acetification is then arrested. The oxidizing power of this microbe is such that it can even oxidize alcohol and transform it into carbonic acid gas a fact which explains how the strength of wine is lowered by the other and larger species, Mycoderma vini, of which we have given an illustration (Figs. 43, 44). This action is less lively in the presence of a considerable quantity of vinegar, and at Orleans acetification is always effected in vats which contain a large amount. What is called the Orleans process, which is the one generally employed in France, consists in filling tuns which can hold about 200 litres with 100 litres of vinegar and 10 litres of white or red wine ; once a week 10 litres of vinegar are drawn off, and replaced by 10 litres of wine. The temperature should be about 30. Oxygen is supplied by a proper system of MICROBES, OR BACTERIA. 97 ventilation. This process is somewhat slow, since it only produces ten litres of vinegar out of each tun in the course of the week, and it has the disadvantage of encouraging the multiplication of anguillidce , the small nematoid worms which live in vinegar and sour paste. Pasteur has modified and improved the original process so as to obviate both inconveniences. He employs heat, which allows the process of acetification to be intermittent, and thus prevents the development of the anguillidce. Shallow vats, about 30 centi- metres in depth, with lids in which holes ha^e been pierced, are used, and mycoderma is scattered on their surface. Gutta-percha tubes, pierced with holes at their lower extremity, are placed at the bottom of these vats, so that fresh liquid can be added without disturbing the superficial film of mycoderma. In Germany, vinegar is made by means of spongy platinum, or platinum black, which oxidizes alcohol without the intervention of a microbe. This affords a good example of fermentation, or of an analogous phenomenon, produced solely by physico-chemical action. The platinum black acts by disintegrating the alcohol and placing it in more intimate contact with the oxgyen of the air, since the process of oxidation would be much slower without either this process or the presence of the ferment. 98 MICROBES, FERMENTS, AND MOULDS. IV. TIIE MICROBES WHICH AFFECT WINE. The affections to which some wines are subject alter their taste and quality so as often to render them unfit for use. These affections ought to be recognized, so that a diseased wine may not be con- founded with one which is adulterated, and it is by means of the microscope that we are enabled to recognize the nature of these changes. Chaptal for- merly ascribed them to the presence of an excess of ferment, since he was unable to discover any other cause. We now know from Pasteur's valuable re- searches, published in his book, Etudes sur Ics vins, that they are all due to the. presence of microbes peculiar to each disease. " The source of the diseases which affect wine," Pasteur writes, " consists in the presence of parasitic microscopic plants, which are found in wine under conditions favourable to its development, and which change its nature either by the withdrawal of what they take for their own nutriment, or still more by the formation of fresh products which are due to the multiplication of these parasites in the wine." These diseases are known under the names of acescence, pousse, graisse, amertume, etc. We shall review them in succession. Mouldy or Flowered Wine. These are wines on the surface of which white pellicles are formed (jieurs de viri), which consist of Mycoderma vini (Figs 43 53). MICROBES, OR 99 This product does not turn the wine sour, nor sensibly affect it. It is due to the temperature of the casks N ; being too high during the hot season. It may be obviated by sprinkling them with cold water, or by^_ putting ice into them; care must also be taken to keep the casks full, and the cellars as cool as possible. Acidity of Wines; Soured Wines. Wine always Fig. 53. The disease acescence, which sours wine. Deposit seen in the n icroscope; 1,1, Mi/coderma vini; 2, 2, Mticodfrma aceti, still young ; 3, the same older, when the mischief is at an advanced stage. contains a small quantity of acetic acid, and when this acid is in exdess, the wine is no longer drinkable, and turns to vinegar. This change is due to the presence of Mycoderma aceti (Fig. 53), of which we have already spoken. It is much more minute than M. vini, and takes the form of the figure 8, as the illustration shows, or of chaplets formed by the union 100 MICROBES, FERMENTS, AND MOULDS. of several 8's placed end to end. As they grow older, the two globules of the 8 divide, and appear as isolated granules. These two species of Mycoderma are in- compatible, and are never found in the same wine, The acid may be isolated by distilling the sour wine. The attempt has been made to cure or im- prove sour wine by adding normal potassium tartrate (from 200 to 400 grammes to every hogshead of 230 litres), which forms potassium acetate and bi tartrate by neutralizing the excess of acid. The bitartrate is deposited spontaneously, and Crystal lizes. Carbonate of lime cannot be employed for the same purpose, since it would spoil the wine. Wines that are turned or over-fermented (vins pousses ; vins bleus). This disease displays the follow- ing characters : the wine assumes a bluish or brown o colour, and becomes turbid ; if shaken in a test-tube, we may observe silky waves floating in every direction. When a cask is tapped, the wine spurts up, and it is said "quit a la pousse" If poured into a glass, a number of minute bubbles appear on the surface, the discolouration increases, and the wine becomes more turbid. The taste is changed and becomes insipid, as if water had been added. The disease is developed in very hot weather (Chevalier and Baudrimont). This affection is due to the presence of an ex- tremely attenuated microbe, somewhat resembling that of lactic acid, which we shall describe presently, MICROBES, OR BACTERIA. 101 but differing from the latter in its undivided filaments. Its diameter is at the most one micro-millimetre : it varies in length, and is flexible, in which it resembles the genus Vibrio. These filaments collect in a mucous deposit at the bottom of the cask (Fig. 54). Wine undergoes successive changes under the in- fluence of this pathogenic ferment, and this has led Fig. 54. Wines affected by pousse. Deposit seen under the microscope: 1, ordinary alcoholic wine-ferment ; 2, acicular crystals of potassium bitiirtrate ; 3, crystals of normal calcium tartrute ; 4, Vibrio, or microbe which produces the disease. to the belief that there are several distinct diseases; hence the different names which have been given to this affection. The remedies for the disease consist in the ad- dition of tartaric acid ; in drawing off the wine into sulphured* casks, and adding a little brandy ; and in taking care to keep the cellars whitewashed and airy. 102 MICRODES, FERMENTS, AND MOULDS. Wine affected by Ropiness. White wines, and especially champagne, are more often affected by this disease than red wines. It is more apt to attack wine which has little alcohol and is deficient in tannin, and under its influence the liquor becomes turbid, flat, and insipid, ropy, like white of egg, and it loses its sugar. This change is effected by a filamentous microbe, Fig. 55. Disease of ropiness in wine, affecting champagne, nn<1 caused by a bacterium which assumes two forms : the figure 8, and chaplets. even more like the lactic ferment (Fig. 58) than the one we have just described, since it is likewise formed of very minute globules, united in chaplets, which are, however, more attenuated than those of the lactic ferment. These filaments form a species of feltwork through which the liquid slowly filters; hence its oily appearance. It is probably a bacterium (Fig. 55). Mi^ROBES, OR BACTERIA. 103 This ferment ma^^^destroyed by tannin (15 grammes to a hogshead), ^^||hhas the effect of pre- cipitating it. Very ripe sorbs, wmN^have been crushed, may also be used for this purpose, as well as gall- nuts and grape-seeds which have been ground to powder ; all substances rich in tannin. The precipitate thus formed should be separated from the wine by refining. Wines affected by Bitterness. This disease affects red wines, especially those of the choicest vintages of Burgundy. Pasteur writes that "at its outset the wine assumes a peculiar smell, its colour is less vivid, and its taste becomes insipid. Soon the wine becomes bitter, and there is a slight taste of fermen- tation, due to the presence of carbonic acid gas. Finally, the disease becomes more aggravated, the colouring matter is completely changed, and the wine is no longer drinkable." The microbe which is the essential cause of this disease is seen under the microscope in the form of articulated filaments, curled back or bent, and it may, or may not, be invested with the colouring matter of the wine. It is reproduced by fission, not by bud- ding. It is probably a bacillus (Fig. 56). This ferment must not be confounded with that of wine affected by pousse, of which the filaments are much more slender, the articulations are hardly apparent, and they are not incrusted with colouring matter. Pousse is readily developed in wines of inferior quality, 104 MICROBES, FERMENTS, AND MOULDS. while the finer sorts are more often attacked l>y bitterness. The bitterness may be to some extent neutralized by the addition of new and sweet wines, but the application of lime (from 25 to 50 centigrammes the Fig 56. Bitter disease of wine. Deposit under the microscope : 1, 2, filaments of the microbe (Bacillus') which produces the disease, mixed with crystals of tartar and colouring matter (Bordeaux wine) ; 3, young microbes in an active state ; 4, dead microbes, incrusted with colouring matter. litre) is more recommended. This treatment most, however, make the wine sour. The deposits formed in deteriorating or old wines are not effected by the microbes which we have just enumerated, but are due, according to Pasteur, to the combination of oxygen with the wine under the action of time. This constitutes the aging of wine. Viscous Fermentation of Saccharine Liquids. What is termed viscous fermentation takes place in the MICROBES, OR BACTERIA. 105 juice of beetroots, carrots, and onions, and in liquids containing sugar and nitrogenous substances. It is probably produced by the same ferment which causes the ropiness of wine (Fig. 55), and the liquid assumes a viscous or oily appearance. Pasteur states that this microbe acts on the glucose and transforms it into gum or dextrine, into mannite and carbonic acid. The lactic and butyric fermenta- tions, which are often simultaneously produced in saccharine liquids, are due to distinct microbes. V. THE MICROBE OF LACTIC FERMENTATION. The sugar contained in milk, as well as grape sugar, can be transformed into lactic acid. This transformation is always caused by the presence of a ferment with which Pasteur has made us ac- quainted. It had been previously supposed that milk turned sour spontaneously when it was allowed to stand for some days. In this case, as we know, the milk curdles, and the clear liquid which separates from the curd is called whey. In 1780, Scheele, the celebrated Swedish chemist, extracted lactic acid from whey. The same acid is also found in sour-crout; in the sour water of starch ; in baker's yeast ; in water in which peas, beans, or rice have been boiled, and then suffered to ferment; and, finally, in the juice of beet- root which has passed through viscous and alcoholic 106 MICROBES, FERMENTS, AND MOULDS. fermentation, after which it turns sour and produces lactic acid and mannite. Lactic fermentation requires the presence of pro- teid matters in process of decomposition, and it can only be carried on when the degree of acidity in the liquid does not exceed definite limits. For this purpose a certain amount of chalk is added, to neutralize the acid formed at the expense of the sugar. It is somewhat difficult to observe the microbe of this fermentation without previous instruction. It appears in the form of grey patches, which are readily confounded with casein, and with the disintegrated gluten, or the chalk of the liquid under examination. \ Fig. 57. Lactic ferment in a Fig. 58. Lactic ferment cbciplet (^ciiut/.e..berger). (Pasteur). Under the microscope the patch is seen to consist of minute globules, or of filaments with very short articu- lations, isolated or in flakes. These are the characters of the genus Bacterium (Figs. 57, 58). The globules are much more minute than those of the yeast of beer, and are strongly agitated when in isolation by a motion incorrectly termed Brownian movement, and which does not in reality differ from the movements which may be observed in most of the spores of the lower orders of plants, and in a great number of bacteria. MICROBES, OK BACTERIA 107 This ferment is often found in wine, together with those of yeast and alcohol, and produces in it an in- cipient lactic fermentation. The predominance of one of these fermentations depends on the composition of the medium, which may be more or less adapted to them. A slightly alkaline medium is most suitable for the lactic microbe, while in a perfectly neutral medium only alcoholic fermentation will occur. We have already said that mare's milk can be transformed into an alcoholic liquid called koumiss. VI. THE AMMONIACAL FERMENTATION OF URINE. Shortly after its discharge, urine which is left to itself assumes an ammoniacal odour. This is due to the transformation of the urea (the nitrogenous principle of urine) into ammonia -and carbonic acid, under the influence of a microbe which appears in the form of free globules, of articulated filaments (Torulci), or of chaplets, resembling those of the lactic ferment. This microbe is found in the white deposit which collects at the bottom of vessels, and has been termed Micrococcus urese (Fig. 59). This ferment is conveyed through the air, like other microbes of fermentation. It does not exist in the bladder as long as the urine remains acid. Yet, in the rare cases in which urine has been found to be alkaline, immediately after its issae from the bladder, 108 MICROBES, FERMENTS, AND MOULDS. it may be ascertained that the ferment was introduced by some accidental cause, such as a surgical examina- tion, and that the sound served to convey the microbe. It is, in any case, sufficiently common at the exterior orifice of the urethra, and at the depth of two or three centimetres. Von Tieghem has shown by precise experiments K!g. 59. Micrococcus urea (Von Tieghem). Microbe of ammoniacal fermenfatfon. Jt may be observed that the bacterium is in the figure 8, or in chaplets. (Much magnified.) that the presence of this microbe is the true cause of the ammoniacal fermentation of urine. With certain precautions, the urine withdrawn from a healthy bladder may be preserved for an indefinite time. These experiments have been recently resumed by Sternberg, an American physician, who has clearly demonstrated that only the microbes of the air, or MICROBES, OR BACTERIA. 109 those of the orifice of the urethra, can produce this fermentation. Since the latter are always carried off by the first discharge of urine, only the second por- tions of the emitted liquid should be collected in a perfectly clear vessel, which has been sterilized, or, carefully freed from all atmospheric germs. The vessel should then be put under a glass shade to protect it from these germs, and if all proper pre- cautions are taken, the urine will remain clear and acid for an indefinite time without undergoing am- moniacal fermentation. If afterwards a little plug of amianthus, which has been previously sterilized by heat, should be introduced by a small pair of pincers into the urethra to a depth of two centi- metres, and then dropped into this untransformed urine, it will soon be transformed, and undergo arn- moniacal fermentation. But if the plug of amianthus has been steeped in an antiseptic solution (diluted carbolic acid) before being introduced into the urethra, it will not produce this fermentation. VII. BUTYRIC FERMENTATION OF BUTTER, CHEESE, AND MILK. Butyric fermentation follows lactic fermentation in milk, butter, and cheese, and it is butyric acid which gives to butter its rancid taste. This fermentation also occurs in saccharine substances, and generally in all proteid substances. 110 MICROBES, FERMENTS, AND MOULDS. Pasteur has ascertained that this fermentation results from the development of a microbe which takes the form of minute cylindrical rods, rounded at their extremities, usually straight, and either isolated or united in chains of two or more articulations. These rods are about two micro-millimetres in width, and from two to twenty micro-millimetres in length. They advance with a gliding motion, are often curved, and present slight undulations. They are reproduced by fission. These characters are those of the genus bacillus. Coagulation of Milk: Cheese. The coagulation of milk is artifi ially produced by rennet, the liquid secreted in a calf's stomach. Human gastric juice produces the same effect, and the milk introduced as an aliment into the stomach is never digested until it has been curdled, both in children and adults. The artichoke flower, and other plants of the genus Car- duus, will also curdle milk at a temperature between 30 and 50. It is probable that this action is due to the presence of an organized ferment (animal or vege- . 6o.-i?aciHws amy- table cells), which here supplies the cus\ butymi lermfut place of the microbe of lactic fernien- agent in the fabrica- tion of cheese, tation. It is with rennet, or with the still more active liquid produced by the maceration of the testicle of an un weaned calf, that those cheeses are made which consist only of curd, boiled or unboiled, fresh or fer- MICUOBKS, OK BACTERIA. Ill merited, and obtained from the milk of cows, sheep, or goats, skimmed or unskimmed, according to the kind of cheese desired. Sweet-milk cheese do not differ in their composi- tion from those of curdled milk. They consist of casein, albuminoid matter which encloses particles of butter : the liquid residue is the serum or whey, which con- tains lactic acid and mineral salts. Cheese, strictly so called, such as Gruyere and Roquefort, only differ from the foregoing because they have been exposed for a shorter or longer time to the action of the air, and of the microbes suspended in it. Cheese is first oxidized under the influence of the vxygen of the air ; butyric and even alcoholic fermen- tation soon follows lactic fermentation, together with the disengagement of hydrogen and of putrid pro- ducts, when the action of the ferments which effect these transformations has gone on too long. In order to obtain the different kinds of cheese which come into the market, they are exposed to the weather, generally in holes which have been excavated in the rock for this purpose, on a bed of straw, or sometimes partially covered with it, until the cheese is ripe and has attained the desired quality. Butyric and ammoniacal fermentations lead us directly to the study of putrefaction ; that is, the fer- mentation of dead organic matter. 112 MICROBES, FERMENTS, AND MOULDS. VIII. PUTREFACTION, OR THE FERMENTATION OF DEAD ORGANIC MATTER; A GAME FLAVOUR. The flesh of animals used for food is said to be high in the first stage of alteration which occurs when it is left to itself. Pasteur does not believe that this effect is produced by the intervention of the ferments of the air, although this is the case with the putrefac- tion which follows. He thinks that it merely results from the action of what are called soluble or natural ferments in the serum of the meat, and that there is a chemical, reciprocal reaction of the liquids and solids which are withdrawn from the normal action of vital nutrition. This explanation is adapted to satisfy those epicures who have a taste for high game and not for microbes. Yet it is certain that this condition passes into true putrefaction without any abrupt transition, and we know that immediately after death the microbes, which penetrate everywhere, take possession of the animal tissues and begin their work of destruction. When flesh is high, it is therefore probable that it is in the first stage of putrefaction. Gautier has made some experiments on the sub- ject, and holds that this condition is certainly due to the action of microbes, and consequently to germs in the air. In fact, meat which is placed in a soldered and air-tight case after it has been deprived of germs by a suitable process, is devoid of any high odour at MICROBES, OR BACTERIA 4 113 the end of six months, and is as fit for food as freshly killed meat. However this may be, meat which is high is usually not injurious, while putrefied meat produces diarrhoea or still more serious illness. Davaine has shown that the septic properties of decomposed blood are not removed by subjecting it to a temperature of 100, which destroys the microbes, but not their germs or spores; for the destruction of the latter a still higher temperature is necessary. For a long while it was believed that the putrefac- tion of dead bodies, and of albuminoid substances, either animal or vegetable, which have been exposed to a moist air at a temperature of from 1 5 to 30, was merely due to the instability of the organic compounds; these, when left to themselves, tend, under the influence of oxygen, to produce more stable compounds by dis- integration and successive oxidations. Pasteur has, however, shown that in this case also there is a true fermentation; that is, a decomposition produced by the vital action of certain microbes. In general, when organic animal substances are exposed to the air, they are in the first instance rapidly covered with moulds ; they lose their co- herence, and after the lapse of a few days give off fetid effluvia. Carbonic acid, nitrogen, hydrogen, carburetted, sulphuretted, and phosphoretted hydro- gens, are freely disengaged, and at the same time they combine with the oxygen of the air. The microbes, 114 MICKOBIiS, FERMENTS, AND MOULDS. which appear simultaneously with the moulds, pene- trate deeply into the tissues, disintegrate them by feeding at their expense, and the putrid condition increases ; then the decomposition changes its nature and becomes less intense. The putrefied matter is finally desiccated, and leaves a brown mass a complex mixture of substances combined with water (hydro- carbons), and of fatty and mineral substances which gradually disappear by slow oxidation (Gautier). Pasteur has ascertained, from the microscopic Fig. 61. Bacilli of pu- i refaction (Rosenbach : mi.ch magnified) Fig. 62,Zoogloea of Spirillum tenue. study of the phenomena which occur in an infusion of animal matter in process of decomposition, that microbes appear in it in the form of globules or short rods (Micrococcus, Bacterium termo, Bacillus, etc.), which are either . free or collected in a semi- mucilaginous mass, to which the special name zoogloea was at first given (Fig. 62). These microbes rapidly deprive the liquid of all its oxygen. At the same time a thin layer of mucedinece and of bacteria is MICROBES, OK BACTERIA. 115 found on the surface, which also absorb this gas and do not allow it to penetrate into the lower part of the liquid. This liquid now becomes the seat of two very distinct actions. In its interior, vibriones succeed to the free globules and zoogloea, of which they appear to be only a higher stage of transformation. These microbes multiply and change the albuminoid matter into more simple substances ; insoluble cellulose, fatty bodies, and gaseous putrid matters. Meanwhile, the microbes on the surface actively consume the products thus developed, transforming them into carbonic acid, nitrogen, and the oxides of nitrogen, etc. This ex- plains why, when there is an insufficiency of oxygen, putrefaction may indeed begin ; but it languishes, and is finally arrested. The cause of the fetid odours which escape from putrefying bodies and liquids is not well understood. It may be ascribed to the disengaged gases (carburetted, phosphoretted and sulphuretted hydrogen, and ammo- niacal compounds), and to the circulation of decom- posing organic particles. We also find formic, acetic, lactic, butyric, valerianic, and caproi'c acids, generally combined with ammonia, and the fatty acids which are one result of the successive disintegrations of albuminoid matters. When these gases are disengaged, a substance remains which may be compared with humus, or vegetable earth. It is rich in fats, in earthy and 116 MICROBES, FERMENTS, AND MOULDS. ammoniacal salts, and consequently constitutes a strong manure, very fit to serve as the nutriment of plants. This is at once the beginning and the termination of the endless chain which sustains the equilibrium of nature, in which there is no creation, no destruction. Plants draw their nutriment from the soil and the air in the form of mineral solutions, and are devoured by animals or by other parasites ; animals are in their turn devoured by microscopic plants or microbes, and return by means of putrefaction to the condition of mineral salts, which are distributed in the soil, and serve anew for the nutrition of plants. We must at the same time be struck by the resemblance which exists between these phenomena of putrid fermentation, and those which occur in the fermentations which accompany the nutrition of animals and plants. Germination and the different digestions which occur in the mouth, the stomach, the intestines, etc., are only fermentations, so that Mitscherlich has paraphrased the Scripture saying, " Dust thou art, and unto dust thou shalt return," by declaring that " Life is only a corruption." It should, however, be remembered that fermenta- tions are essentially phenomena of disintegration, which always reduce complex, organic substances to those which are simpler. Plants provided with chlorophyl, on the other hand, alone possess the property of forming higher organic compounds, by MICROBES, OR BACTERIA. 117 the aid of purely inorganic substances. Animals and plants devoid of chlorophyl get their nutriment by unmaking the complex substances elaborated by the green parts of plants, and these act in the same way for their own profit in those organs which have no chlorophyl ; as, for instance, in the seed and embryo. IX. AEROBIES AND ANAEROBIES. We have seen that microbes, at different epochs of their existence, and in accordance with the nature of their environment, can assume very diverse forms. Thus the organism, which at first appears in the form of globules (micrococcua), either isolated or united in more or less numerous colonies by a kind of muci- laginous envelope (Zooc/lova), when it again becomes free, may be elongated in the shape of the figure 8, which is formed of two cells about to separate; or a large number may be included in the form of a straight, articulated rod (Bacterium), or in a rod which is curved, waved, or even spiral (Vibrio, Spirillum, Spiroch&te), always more or less mobile; or, again, the cells may form long, stationary filaments (Bacillus), etc. So also the habitat and mode of life divide the microbes into very distinct classes. Some can only subsist when they breathe the natural oxygen they withdraw from the atmosphere; they can only exist 118 MICROBES, FERMENTS, AND MOULDS on the surface of liquids, or of the organic substances on which they feed. These are termed aerobics, or consumers of air. Others, again, can live beneath the surface of liquids and in living organisms, or of those in process of decomposition, and must neces- sarily derive the oxygen necessary for their respira- tion from the oxygenated substances in which they are found. These are termed anaerobies. p n Fig. 63. Vibrio rugula in different stagss of development ^anaerobie), much enlarged. This distinction and the theory on which it relies have been introduced into science by Pasteur, and they appear to be founded on observed facts. Thus Bacterium termo, which lives on the surface of putre- fying liquids, is an aerobie ; while Vibrio rugula (Fig. 63), which lives below the surface of the liquid, below the layer formed by the Bacterium termo, is an anaerobie, and derives its oxygen from the water or solid matters which are found in it in suspension or solution, and even from other microbes. So, again, the yeast of superior beer is an aerolde, and the yeast of inferior beer is an anaerobie, etc. Paul Bert regards MICROBES, OR BACTERIA. 119 the corpuscles of the blood, and the cells of which all our tissues consist, as true anaerobic microbes ; so likewise are the microbes which, when introduced into the blood, are the cause of certain diseases. The important consequences of this fact, which it is neces- sary to note, will appear presently. X. THE MICROBES OF SULPHUROUS WATERS. The formation of the sulphurous springs which are so numerous in the Pyrenees and in other parts of France, appears to be due to the presence of small algse of the family Oscil- latoria, and of the genera Oscillaria and Beggiatoa (Fig. 64). These microbes are of the same structure Fig. 2, the weather was very wet until about the 1st of July ; but that during July, August, and September, there was hardly a drop of rain. The springs and water-courses were nearly dried up, the marshes and wet grounds also became dry, vegetation was almost completely arrested, and the whole country presented an arid appearance. Shortly after the drought began, intermittent fever made its appearance in all the unhealthy districts, and spread so rapidly during the months of July and August, that it attacked almost every family living on marshy ground. " A low, peaty meadow extends along the canal * We must repeat what has been said before, that the presence of these spores in the air is quite independent of that of the vapour which constitutes dew ; in other words, the vapour does not transport these spores, which must, on the contrary, be perfectly dry before they can float in the air and settle on any damp object. THE MICROBES OF HUMAN DISEASES. 181 to the south-east of the town of Lancaster, and the neighbouring valleys are low and damp. The third quarter of the town, touching on this meadow, and all that part which is not raised from 35 to 40 feet above the level of the meadow, have always been districts in which attacks of intermittent fever are prevalent. Those who live near the marsh are liable to annual attacks of fever from May to November. In August and September these attacks are generally the most severe." We said that moisture does not favour the trans- port of microbes and their spores through the air, but the remark does not apply to fogs, in which numerous spores are found. We know that fogs are formed of minute globules of water, which float in the atmosphere, and of which the vapour of our breath, only visible in cold weather, can give us an idea. These globules of water float in the air just as spores and all kinds of dust do, without wetting the spores or running together, since as soon as this occurs, the fog ceases to be ; it is condensed, and falls in the form of more or less fine rain. Salisbury has ascertained that there is a certain connection between fogs and intermittent fevers, and this explains why people are more apt to contract fever in the morning and evening, at which times there is in summer always a fog floating to a varying height above marshy places. In a farm near Lancaster, the farmer and his wife, who slept on the first floor, were attacked by tertian fever, 182 MICKOBES, FERMENTS, AND MOULDS. while their seven children, who slept on the second floor, escaped. Salisbury ascertained that there was a fog every morning, rising from a reservoir which had been recently made. This fog reached the house and rose above the first floor, but not as high as the windows of the second floor, and penetrated into the parents' bed-chamber through the open window. This vapour had the same smell as the marsh, which was covered with fever algse (Palmella febrilis), and pro- duced the same feverish dryness in the throat and pharynx. The vapour dispersed soon after sunrise, and before the children had left their chamber. Salisbury likewise ascertained the polymorphism of Palmella febrilis, a polymorphism which is con- firmed by the recent observations of the skilful naturalist Zopf, and this fact explains the mode in which an aquatic alga can live in the human blood, in the form of Bacillus or Spirillum. Still more recently (1879), marsh fever, or malaria, which is so common in Sicily and in the Roman Campagna, have been studied from the same point of view by Crudeli, Cuboni, Cecci, and others, who ascribe the disease to a vegetable parasite which they call Bacillus malarial. This bacillus is abundantly found in the blood of patients during the period of attack, while during the period of acme which ter- minates each attack only spores are found. The same microscopic organism is found in all the malarious districts of the Eoman Campagna, and it can be THE MICROBES OF HUMAN DISEASES. 183 produced in artificial cultures. It is not found in the healthy parts of Lombardy. In the strata of air which float above malarious ground in summer, this microbe is so common that it is found in abundance in the sweat of the forehead and hands (Fig. 83). This organism is not only capable of cultivation, but rabbits and dogs can be inoculated with Fig. ss.-Maiaria bacillus ^ so as to produce marsh fever in them.* The lesions which are observed in an autopsy are the same as those in man, showing that the site preferred by the microbe is the spleen and the marrow of the bones. The fact that the bacillus and its spores are suc- cessively found in the blood explains the intermittent type of the disease, tertian, quartan, etc., according to the variety of marsh fever. According to its variety, and perhaps to the species of Schizopkytum, the com- plete evolution of the plant sometimes demands 48, sometimes 72 hours, and the access of fever always corresponds with the period of grentesfc activity in the bacillus that which precedes the emission of spores. Two military surgeons, Laveran and Richard, * It is generally believed in France that animals, and especially herbivora, cannot contract intermittent fever. This upin on is < rro- neous. It is known that in Italy cattle contract this fever when they are not acclimatized to luuibhy district, and that the) are cured by sulphate of (quinine. 184 MICROBES, FERMENTS, AND MOULDS. have also observed the parasitic nature of intermittent fever in Algeria. The organism which they have constantly found in the blood of those affected by marsh fever presents several different aspects, but appears especially to attack the red corpuscle of the Fig 84. Parasite of intermittent fever (Laveran): A, normal haematin; B, B, corpuscle - No. 1 ; C, corpuscle No. 2, motionless; 1), corpuscle No. 2, containing mobile pigmented grains ; E cor uscle No. 2, provided with mobile filaments ; G, detached mobile filament; H, H, corpuscle No. .'5; I, K, corpuscle No. 2, of small size, red and agglomerated; h, L, liannatins lo which the small corpuscles No. 2 are attached; iM, pigmented leucocytes, their nuclei made visible by carmine. blood, in which, according to Laveran's expression, " it is encysted like a weevil in a grain of wheat." THE MICROBES- OF HUMAN DISEASES. 185 This observer thinks that it approximates to the algae of the genus Oscillaria * (Fig. 84). The different forms taken by this organism are only the successive phases of its development, and have not yet been observed by a competent botanist, who alone can indicate precisely their true nature. At a certain period of its existence the parasite attaches itself to the red corpuscle of the blood, arid is nourished at its expense. The corpuscle turns pale, loses its colouring matter, and disappears, leaving as residue a small grain of pigment, representing the haemoglobin absorbed by the parasite. Two or three mobile filaments arise from the encysted parasite, which resemble vibrios, and move rapidly in the blood as soon as they become detached. Laveran states that he has found the same organism in malaria patients at Rome ; and Richard found them in the blood of a sailor just returned from China, who was suffering from intermittent fever. The use of the microscope permits an accurate diagnosis of this disease. The spherical bodies, or the microbe in its encysted form, announce that the attack is imminent, and no time should be lost in administering sulphate of quinine. Richard writes that " the multiplication of these bodies must be extremely rapid. For instance, in tertian fever they are not found in the intervals of the attacks (apyrewia). As the attack approaches, * Rnn di'tn.): three red corpuscles may be observed in the same preparation. genous spores at a temperature of 38. But the inocu- lation of animals with the disease has hitherto been unsuccessful, at least so as to reproduce in them an affection of the intestines, really resembling that of Peyer's glands in man. The horse is the only animal affected by a similar disease, which has also been called typhc i 1 fever. In 1881, the horses of the Paris Omnibus Company were decimated by an epidemic of this nature. But the Jesion of Peyer's glands cannot be compared with that which occurs in the same glands in man, and no special microbe has yet been discovered. THE MICROBES OF HUMAN DISEASES. 195 The presence of the bacillus of typhoid fever in the air or in water has not yet been ascertained. Neither is anything known about the microbe which may be assumed to be the cause of typhus fever. VIII. THE CHOLERA MICROBE. This terrible disease has its origin in Asia, where its ravages are as great as those of yellow fever in America. It is endemic or permanent in the Ganges delta, whence it generally spreads every year over India. It was not known in Europe until the begin- ning of the century ; but since that time we have had six successive visitations, and it seems destined to replace the plague or black death of the Middle Ages, a disease which appears to be now confined to some few localities of the East.* In 1817, there was a violent outbreak of cholera at Jessore, India. Thence it spread to the Malay Islands, and to Bourbon (1819); to China and Persia (1821); to Russia in Europe, and especially to St. Petersburg and Moscow (1830). In the following year it overran Poland, Germany, and England, and first appeared in Paris on January 6, 1832; here it raged until the end of September. * See in the Annuaire de iTifmpeutique, 1885, Bouchardat's account of cholera epidemics in Paris, together with remarks on the nature, the parasite, the hygiene, and the treatment of cholera. 196 MICROBES, FERMENTS, AND MOULDS. In 1849, the cholera pursued the same route. Coming overland from India through Russia, it appeared in Paris on March 17, and lasted until October. In 1853, cholera, again coming by this route, was less fatal in Paris, although it lasted for a longer time from November, 1853, to December, 1854 The three last epidemics, 1865, 1873, and 1884, differ from the foregoing in not having taken the continental route; they came by the Mediterranean Sea. Brought from India to Egypt by the Mecca pilgrims, the epidemic of 1865 entered France by way of Marseilles, ravaged Provence during the summer of 1865, and was carried to Paris towards the end of September by a woman who came from Marseilles. It was less fatal than the preceding epidemics, and so also was that of 1873. The epidemic of 1884 took the same route. First localized in Alexandria (1883), it attacked Naples, Marseilles, and Toulon in the summer of 1884, and overran all Provence; thence it was transferred to Nantes, to several towns in the north-west of France, and to Paris, where it was comparatively mild. Finally, it entered Spain at Barcelona towards the end of the year, and ravaged the whole peninsula through the summer of 1885. In August, it also reappeared in Marseilles and Toulon, and this could not be ascribed to a fresh importation from Spain or the East. The essential^ epidemic and contagious progress THE MICROBES OF HUMAN DISEASES. li>7 of this disease clearly indicates the presence of a microbe, of which the chosen seat is the intestines, whence it passes with the patient's faeces, and con- stitutes the contagious element in places affected by the epidemic. The first precise micrographic researches made on this subject were those of the French and German commissions sent to Alexandria in 1883. Koch, member of the German sanitary commission, was the first to describe the microbe which it has been decided to consider as the producing agent of cholera. He gave it the name of comma bacillus (Bacillus komma), on account of its form. In order to see these bacilli in any number, a case of malignant cholera must be observed. For this reason, an unsuccessful search for this parasite has often been made, since it cannot be distinguished from the numerous other parasites found with it in the intestines of cholera patients on the second or third day. A small fragment of the rice-water evacuation of cholera should be placed on a glass slide and stained with methyl violet or methylene blue; the superfluous liquid must be drained off, and the pre- paration may then be examined under a magnifying power of from 1200 to 1500 diameters, making use of an immersion lens, on which light is thrown by an achromatic condenser. The comma bacilli then present the appearance shown in Fi. 87, and, in spite of the colouring matter, 198 MICROBES, FERMENTS, AND MOULDS. are full of motion and activity, which they retain for some time. They are arched in form, and, roughly speaking, resemble a comma. Their length is 1 J micro- millimetres to 2 J micro-millimetres, and their width is 0*6 to 07 micro-millimetre. They are often arranged in chains or chaplets, so as to appear like the letter S, or several S's, placed end, to end as we see in Fig. 87. These latter are the most characteristic. Compared Fig. 87. Cholera microbe, or Bacillus Jcomma (Koch): a-z, the different forms which it presents in it growth and division into cells (gr. atly magnified); 1, 2, cultures of bacillus, under a simple lens. with the microbe of tuberculosis, that of cholera is shorter and thicker. Its spiral shape has led to the belief that it is an intermediate form between the genera Bacillus and Spirillum. Comma-shaped microbes may be found in most stagnant and running water, but they are in general much larger, and none of them present the charac- teristic dimensions of Bacillus komma. This bacillus is found in the riziforin grains of choleraic evacuations, which are, as we know, formed THE MICROBES OF HUMAN DISEASES. 199 by the desquamation of the mucous membrane of the intestines. The membrane is, in fact, literally flayed from one end to another, and, in consequence of its congestion, the walls of the intestines are of a bright rose colour. The riziform grains consist of small tufts of epithelial cells, conglomerated together, and they contain numerous bacilli. They are also found in the glands of the intestine into which they penetrate, owing to tho desquamation of the epithelium. They have not as yet been found in the kidneys, the urine, or the blood. Cultures of this microbe on gelatine or gelose are very successful. Koch has observed that it readily multiplies in damp linen, or in miik, broth, eggs, moistened bread, potatoes, etc. The temperature most favourable to it is from 30 to 40, and even at 20 it still multiplies on gelatine. Below 16 it grows very slowly, but does not perish. Cold does not kill it : at 10 below zero it is still alive, and capable of resuming all its activity when replaced in favourable conditions. This microbe is aerobic, and soon dies when deprived of air. Water can serve as its vehicle, but does not supply sufficient nutriment, so that it soon disappears. This, however, is not the case with stagnant water- containing organic matter. When the level of sub- terranean waters sinks, the surface water becomes more charged with all kinds of refuse, and the multiplication of germs becomes more easy. Bacilli 200 MICROBES, FERMENTS, AND MOULDS. cultivated in distilled water die within twelve hours, while they can live for a week in drinking-water. (Cornil.) The influence of the level of the subterranean waters on the progress of cholera epidemics was pointed out in Germany by Pettenkofer long before there was any serious idea of regarding a microbe as the cause. During his recent travels in India, Koch met with the comma bacillus in the stagnant waters of that country. For a long while the attempt failed bo reproduce Asiatic cholera in animals by injections of comma bacilli, and thus to prove the parasitic nature of the disease. The animals in countries attacked by cholera appear to enjoy immunity in this respect. Nicati and Rietsch at Marseilles were, however, successful in pro- ducing cholera by the direct injection of choleraic liquid into the duodenum of guinea-pigs, dogs, etc. Almost all these animals died at the end of two or three days, and the inflamed intestines contained a number of comma bacilli, much more vigorous than those of the injection. Lochefontaine, of Paris, swallowed pills which contained choleraic evacuations. He felt unwell for some days, but no serious consequences ensued. It is probable that in this case the acidity of the gastric juice attenuated, or partially destroyed the bacilli. We shall see that acids are, in fact, adverse to the THE MICROBES OF HUMAN DISEASES. 201 development of the microbe. Bochefontaine also injected the choleraic virus under the skin of his arm, but the operation was only followed by an osdematous redness, localized round the puncture, and the con- stitutional symptoms were not so marked as those produced by taking the same virus into the digestive canal. Ferraris Attempts at Inoculation. This leads us to mention the attempts at inoculation made by Ferran on a large scale in Spain, under the name of anti-cholera vaccinations. In 1884, Ferran, a Tortosa physician, was sent by the municipality of Barcelona to study the infectious agent of cholera at Toulon. His preceding studies in micrography pointed him out for this mission. He returned from Toulon, provided with cultures of the comma bacillus, and devoted himself to the study of its life-history. The facts reported by him differ very much from those previously observed, and cannot be accepted without further investigation. According to Ferran, the cholera microbe presents a polymorphism which has escaped notice in Koch's investigations, and those of the other micrograph ists who have observed and cultivated it. When trans- ferred to a sterilized alkaline infusion, the comma bacillus increases in length, forms sinuous filaments, then swells at one extremity until it attains to the volume of a red blood-corpuscle, thus constituting an oogoniuin filled with protoplasm. A transparent 202 MICROBES, FERMENTS, AND MOULDS. envelope (periplasma) then encloses the oogonium, which thus becomes an oosphere. Close to this, on the original filament, a small swelling appears, which Ferran regards as the pollinidium, or antheridium, which is intended to fertilize the oosphere and trans- form it into an oospore. When the rupture of the oospore occurs, the granules contained in it float in the liquid. Those which have been fertilized grow until they are as large as the original oogonium, and constitute mul- berry-shaped bodies, so called on account of the numerous round projections or micrococci which cause the surface to resemble that fruit. A very slender filament may soon be seen to issue from one of the points of this mulberry-shaped body, a filament which grows longer, and sometimes two of them appear at once. These filaments become sinuous, twist in spirals, form spirilla, and are then segmented so as to form by fission Koch's comma bacilli, which are the starting-point of the culture, and of this cycle of evolution (Figs. 88, 89, 90). Hence it would appear that the cholera microbe must belong to a much higher group than that of bacteria, to which it has been hitherto assigned. This mode of reproduction would show that it is not an alga, but a fungus of the group of Peronosjuorecv, and it is, in fact, termed by Ferran P. Barcinonce while his friends prefer to call it P. Ferrani, after its discoverer. THE MICROBKS OF HUMAN DISEASES. 203 Ferran regards this peronospora as the infectious agent of cholera. Yet it seems extraordinary that such a remarkable polymorphism should have escaped the observation of Koch and of the numerous micro- Figs. 88, 89, 90. Evolution of cholera microbe (Pernnospora Ferrawi: Ferran") : 1. Cholera microbe (Ilacillus kumma), discovered by Koch. 2. Spiral form of bacillus, transferred from gelatine to an infusion. 3. Degeneration of spiral form after a series of successive cultures. 4. Cholera microbe (Peroiiospora Ferrani): development of oogonium on the spirilla and straight filaments. 5. I he oogonium is filled with granules which centre in a point k, and it is then converted into an oosphere ; m, poilinidiuiu on fertilizing o gan 6. The oospuere is converted into mulberry-shaped and comma-shaped bodies. graphists who have made various cultures of the comma bacillus. It is difficult not to suppose that some negligence or error has vitiated Ferran's re- 204 MJCKOUES, FERMENTS, AND MOULDS. searches, and the first idea which will occur to any unprejudiced micrographist, is that P. Fcrrani is not really Koch's comma bacillus, and consequently not the cholera microbe.* We have, in fact, already shown that numerous comma-shaped bacteria, or free cells, are found in water and in the human body, and that these may be easily confounded with the true comma bacillus when staining reagents and a very precise mode of culture are not employed. Ferran himself states that this staining process must not be used in the culture of P. Ferrani. Cornil has, however, shown that the true comma bacillus is not destroyed by methyl violet. Finkler had previously discovered in cholera nostras, which is not epidemic, a comma-shaped microbe resembling in many respects the one described by Ferran. Koch has shown that this microbe, as well as one of similar form found by Lewis in the saliva, does not act in cultures like the microbe of Asiatic cholera; Lewis's microbe does not, like the cholera bacillus, liquefy gelatine. The precautions necessary for the sowings of culture liquids are so great that we may be permitted to doubt whether Ferran has always guarded against error. Brouardel's report shows, after a visit to * Our criticism on the description and illustrations of Laveran's marsh-fever microbe might be applied, word for wor I, to Ferran 's description and illustrations of the cholera microbe, which wo have reproduced above. THE MICROBKS OF HUMAN DISEASES. 205 Ferrari's laboratory, that the instruments and methods in use there were primitive and insufficient. Until these facts have been confirmed by other observers, it seems prudent to regard P. Ferrani and B. komma as two absolutely distinct microbes. It does not follow that the culture liquids employed by Ferran did not contain the latter, but it is probable that it also contained, and in larger numbers, a second microbe (?), which is Ptronospora Ferrani. It may also be observed, the injection of Ferran's culture liquid into the intestines of guinea-pigs pro- duced no effect, while subcutaneous injections soon killed these animals and distinctly affected men. This is precisely the opposite effect to that observed by Nicati and Rietsch at Marseilles, and by Bochefontaine in Paris. This is a crucial difference, since it shows that the two microbes are not identical, and all our know- ledge of cholera tends to show that its microbe has a special action on the intestines.* However this may be, Ferran carried on his culture experiments in the endeavour to obtain an attenuated microbe which might serve for preventive inoculations. He believes that he has succeeded, and * The experiments made by Gibier and Van Ermengen in August, 1885, confirm th : s opinion. After inoculating a certain number of guinea-pigs, according to Ferran's hypodermic nuthoJ, with a virulent culture liquid, and giving them time to recover, the same liquid was injected into the stomach of these animals, and they all died with the symptoms and lesions of cholera 206 MICROBES, FERMENTS, AND MOULDS. after inoculating himself, he performed the same operation on several of his friends ; then on thousands of people in different towns of the province of Barce- lona, and throughout Spain. His inoculation consists in introducing, by means of the small syringe used for hypodermic injection, about a cubic centimetre of the vaccinal liquid, the nature of which is kept secret by its author. There is always a certain discomfort after the operation, but it disappears at the end of a few hours. Ferran himself states that one inoculation will not suffice to ward off the contagion. A second, third, and even more, are necessary for the attainment of this object, but the discomfort caused by the operation always becomes less. Up to this time the results obtained by the pro- cess during the recent epidemic in Spain are not accurately known, since Ferran has been unable to produce the official statistics which are necessary to confirm his assertions. We are, therefore, entitled to reserve our judg- ment, both as to the value claimed for this vac- cination, and as to the true nature of the microbe cultivated by Ferran, and considered by him to be the infecting agent of cholera. If, again, we recur to the facts established by Bochefontaine, it may be asked whether subcutaneous injection is the true mode of inoculation applicable to this disease, and if the process adopted by Bochefontaine, of intro- THE MICROBES OF HUMAN DISEASES. 207 ducing the attenuated microbe into the stomach by means of pills or a liquid, would not be more rational. Mode of Propagation and Persistence of Cholera. The upper part of the delta of the Ganges seems to be the original home of cholera and its microbe. Below this region, the stagnant water on each side of the river, infected with every species of ordure, renders the maritime base of the delta wholly unin- habitable. But even in its upper part the land is nearly covered by water. In order to build a house, the earth is heaped up to raise the level of the soil, and the house stands on the embankment, surrounded by water. A high temperature is necessary to enable the bacillus to live in water, and it is probable that it will never become acclimatized in our colder climate. The drainage which has been carried on round Cal- cutta has already rendered epidemics less serious. The disease is always propagated by man. In India, Arabia, and Egypt, its diffusion is chiefly owing to pilgrimages. In Bengal the pilgrims all bathe together in sacred pools, often only a few square metres in size, and receiving some thousands of men in the course of the day, streaming with sweat and exhausted by long journeys and insufficient food, and under such conditions cholera is often developed. From India it passes to Arabia by means of the Mussulman pilgrims, whose caravans block the nar- row streets of Mecca every year, and thence it is trans- ported to Egypt. Finally, it is carried from Alexandria 208 MICROBES, FERMENTS, AND MOULDS to Marseilles and other Mediterranean ports by vessels which have served for the transport of pilgrims, by men, their linen, and other garments. It is consequently by the human body and its clothing, or by the water which carries away human fseces or has served for the washing of soiled linen, that the infecting microbes are carried. The air, as it has long been known, need not be taken into account. As early as 1832, it was observed that the wind did not affect the epidemic, which seemed rather to advance like a man travelling by short stages. Duclaux's recent researches show that the sun and air attenuate and soon destroy the microbes, and that only dead germs are borne on the air and wind. "In order to retain their virulence unimpaired, the microbes must travel in packages of clothing, in bales of merchandise, or in the close, moist hold of a vessel. In a word, of all agents of sanitation, the sun is at once the most universal, the most economical, and the most active to which the guardians of public and private hygiene can have recourse " (Duclaux). Koch has declared that acids in general are the greatest hindrance to the development of the cholera bacillus. In this way, the acid of the gastric j uice is the best safeguard, and many cases of contagion may be explained by the fact that the large quantity of water imbibed has diluted the gastric juice to excess, or else that the source of contagion has rapidly passed through the empty stomach, and THE MICROBES OF HUMAN DISEASES. 209 has carried a liquid containing dangerous microbes straight into the intestines. Indigestion, and catarrh of the stomach and intestines, of which diarrhoea is a symptom, constitute predisposing causes of the disease. Among other substances . unfavourable to the de- velopment of the microbe, and thus constituting a preventive of cholera up to a certain stage, we may mention calcium sulphate, which acts by producing sulphuretted hydrogen gas, also carbolic acid, salicylic acid, thymol, alcohol, acetic acid or vinegar, and mustard oil, which, like the other volatile substances already mentioned, constitutes an excellent antiseptic in an epidemic of cholera. . We shall speak in another chapter of the purity of drinking-water, which is of great importance, and of the improved filters invented to eliminate the microbes which are not arrested by ordinary filters. IX. THE EXANTHEMATA : SCARLATINA, SMALL-POX, MEASLES, VACCINIA. Microbes are found in the eruptions characteristic of all these diseases. They are generally micrococci, isolated or in chaplets. Measles. Babes, in 1880, was the first to describe the micrococci which he observed in this disease, and especially in the pneumonia by which it is often com- 15 210 MICROBES, FERMENTS, AND MOULDS. plicated. The blood of the eruption, the catarrhal secretion of the nose, etc., contain small round bodies, isolated or in pairs (in the form of the figure 8), or more rarely in short chaplets. When there is decided pneumonia, the pulmonary alveoli likewise contain isolated bacteria, in the form of an 8, in chaplets, and even in zoogloea, or massed together. Babes has not yet cultivated nor tried to inoculate this microbe. More recently, in January, 1883, Le Bel observed, in the urine of persons attacked by measles, the appearance of slightly curved rods (bacillus) capable of very slow movements. Their length varies con- siderably, and the spores appear in a swelling which occurs at about a third of the length of each rod. This microbe appears for a few days at the beginning of the fever, and disappears with the fever, to return afresh at the moment when peeling begins. We know that these are the two epochs of contagion. The microbe is found in this scurf, and may be obtained by scraping the skin with a knife. Le Bel succeeded in cultivating it in sterilized urine. In serious cases of measles, the microbe remains upon the skin and in the urine for weeks, and even months. It is probable that Babes's micrococcus and Le Bel's bacillus are only two forms of the same microbe. Scarlatina. Pohl has found, in the desquamating epidermic cells of this disease, and on the soft palate, microcoeci of somewhat smaller size than those of THE MICKOBES OF HUMAN DISEASES. 211 measles. A bacterium in the form of an 8 has also been found in the urine of scarlet-fever patients. Stickler believes that he has discovered a vaccine for scarlatina, by passing its virus through the horse or the cow. When these animals are inoculated with the blood of a man suffering from the disease, an eruption accompanied by desquamation occurs three days after inoculation. A man inoculated with this desquamation displayed a rash resembling that of scarlatina, and when the same man was afterwards inoculated with human scarlatina, he did not take the disease. Small-pox and Vaccinia. We find in small-pox pustules micrococci, either isolated or united, which may be seen on a section of the skin if they are coloured with methyl violet. The same microbe may be observed on the pustules of the mucous membrane of the larynx, in the liver, the kidneys, and the blood of the vena portse. The attempt to cultivate it has hitherto failed. The micrococcus found in small-pox pustules does not differ in its form from that of cow-pox in cows, which constitutes, as we know, the original source of human vaccine. It is not yet certain that the microbes of small-pox and vaccinia are identical, but from the resemblance of the pustules and of the micro- cocci contained in them, it is most probable that this is the case, and this would explain why vaccine is efficacious as a preventive of small-pox. 212 MICROBES, FERMENTS, AND MOULDS. It may be useful to retrace here the curious history of vaccine, since it is directly interesting to us all 'A Pig. 91 Section of skin covering a small-pox pustule, a, horny layer of the epidermis ; d, adenoid tissue ; w, m, micrococci stained with methyl violet ( x 850 diam.)- Before vaccine was discovered, inoculation with small -pox was practised as a preventive measure. THE MICROBES OF HUMAN DISEASES. 213 This inoculation was known to the Arabs and Chinese as early as the tenth century, but it was decried by physicians, and only practised by women. In India it was practised by the Brahmins, and a public crier announced that he had small-pox virus to sell. In 1717, Lady Mary Wortley Montague, wife of the English Ambassador in Constantinople, chanced to see the operation performed by an old Thessalian woman, who always accompanied the puncture with practices of witchcraft and superstitious usages. She asserted that the Virgin herself had appeared to reveal the pecret to her, and boasted of having performed inoculation in more than 40,000 cases. Lady Mary was so much impressed by the results obtained that she had her son inoculated, and it is said that the old Thessalian handled her rusty needle so unskilfully that Maitland, the physician attached to the embass}% was obliged to finish the operation. On her return to England, Lady Mary made the success of the experi- ment generally known. George I. authorized the inoculation of six prisoners in Newgate, and then of six orphans. The operation was performed by Mait- land and crowned with success, and he was then allowed to inoculate members of the royal family, and more than 200 other persons. The practice was, however, condemned by the clergy, who considered it to be immoral and anti- religious, as being opposed to the divine rights and will. Some failures, such as the death of Lord Sunder- 214 MICROBES, FEBMENTS, AND MOULDS. land's son, awakened alarm, and caused inoculation to be discredited. Notwithstanding this, it was introduced into France in 1723 by De La Costa, and accepted by Chirac, Helvetius, and by other physicians of the day. Although opposed by the majority, and officially con- demned by a decree of the Sorbonne in 1753, as "un- lawful and contrary to the law of God " a decree officially confirmed by the faculty of medicine in 1763 inoculation continued to be practised up to the time when vaccination was substituted for it. Vaccination appears to have been practised in Asia in earlier times. However this may be, it was known in the south of France that farm servants who had been affected by cow-pox were secured against small-pox. These pustules generally occur on the udder, and the milkers were inoculated with the vaccine matter, through some accidental scratch on their hands. Rabault, a Frenchman, communicated this fact in 1798 to Pew, an English physician and a friend of Jenner. To Jenner we must assign the merit of understanding the importance of this fact, and deducing from it one of the most admirable dis- coveries of modern medicine, the preventive method which continually tends to become more general, and to be extended to other diseases, especially since Pasteur's late researches into vaccination for anthrax and for fowl-cholera. Pasteur has also shown that the microbes are the THE MICROBES OF HUMAN DISEASES. 215 active principle of the vaccine virus. The liquid need only be deprived by filtration of its micrococci in order to become inert, and consequently unfit for use in vaccination. X. THE MICROBES OF CROUP AND WHOOPING-COUGH. The parasitic nature of croup and diphtheria, which had long been suspected, was only shown in 1881 by the researches of two American physicians, Wood and Formad. In the spring of that year a very serious epidemic of croup occurred at Ludington, a small town on the borders of Lake Michigan. Here the principal industry is derived from the neighbouring forests, the trees of which are sawn into planks in the numerous saw-pits, and thus employ almost the whole working population. The town stands on a height, with the exception of one quarter of it, which is built on very low, marshy ground, partly filled up with saw- dust. Here the soil is so wet that when a small hole is dug, it fills with water immediately, and cellars are almost unknown. It was in this quarter that the epidemic was sd severe ; almost all the children were attacked by it, and a third of them had already died. Formad went to Ludington to study the epidemic and collect materials for experiments. In all these cases of croup, the blood was full of micrococci belong- ing to Micrococcus diphthericiis, some detached, others 216 MICROBES, FERMENTS, AND MOULDS. united in the form of zoogloea, that is agglutinated in small masses ; others, again, in the colourless corpuscles of the blood. All the organs, and especially the kidneys, were likewise filled with them. With the materials gathered at Ludington, Wood and Formad made some experiments in cultures, and were able to inoculate rabbits with croup. These inoculations were made subcutaneously, in the muscles and trachea, and were followed by the production of false membranes, and the animals died with all the symptoms of diphtheria. The blood was full of micro- cocci. An examination of living animals showed that the micrococcus first attacked the colourless corpuscles, within which their vibratile motion could be observed. The corpuscle changed in appearance, the granules dis- appeared, and it became so full of rnicrococci that they could no longer move : they grew until they caused the rupture of the corpuscle, and then escaped in the form of an irregular mass, which constitutes the zoogloea. Corpuscles filled with micrococci were found in the false membrane ; in the small vessels, which they dilate and completely obliterate ; and even in the marrow of the bones. Cultures made in flasks afforded important results. A comparison of the sowings made with micrococci collected at Ludington with those found in the ordinary diphtheritic angina, which is common at Phila- delphia, showed a great difference in the vitality and virulent properties of microbes derived from these two THE MICROBES OF HUMAN DISEASES. 217 sources. The former multiplied rapidly and energeti- cally, succeeding each other up to the tenth generation, while those from Philadelphia only went to the fourth or fifth generation, and those taken from the tongue did not go beyond the third. It must be observed that the diphtheritic angina of Philadelphia is much less fatal than croup, and the first attempts at inoculation made by Formad and Wood produced doubtful results, precisely because they were made with the microbe of diphtheritic angina, which is an attenuated form of the microbe of croup. The organism is the same, but it is modified by the medium in which it is developed, and the vitality of artificial cultures is in direct proportion to the malignity of the disease from which the germs for sowings are derived. The following theory may be deduced from these facts, which will explain all cases of diphtheria : A child contracts a simple catarrh al angina, or laryngitis ; the micrococci, which up to this time remained inert in the mouth, begin to grow and multiply under the influence of the inflammatory products which favour their development ; the plant which has been dormant becomes widely diffused. There are many degrees between croup with malignant complications and the mildest form of diphtheritic angina, as all practical physicians know. More or less numerous germs of micrococci float in the air, or which appeared to be the case at Ludington are conveyed in drinking- water, and they may encounter more or less favourable 218 MICROBES, FERMENTS, AND MOULDS. conditions. If they settle on a child's tender throat predisposed for their reception by slight inflammation, they develop there with frightful rapidity, and produce croup, and then diphtheria, which is soon fatal. Nageli calculates that their number may be doubled within twenty minutes. The plant, of which the activity is increased by its culture in the person of one patient, may be expelled with the breath so as to infect another individual. And just as there are different degrees of activity in the plant, so the spores may be more or less contagious, and those of malig- nant diphtheria are more to be feared than those of the ordinary diphtheritic angina. When we consider the remedies to be employed against the ravages of this cruel disease, it should first be observed that the only effect of the operation of tracheotomy, which is successful in barely a third of the cases, is to admit air into the child's lungs. Its first curative effect, therefore, consists in saving the child from the asphyxia by which it is threatened, and in giving time to apply remedies, but another explanation is necessary when this operation alone is enough to effect a cure. Pasteur has shown that pro- longed contact with the air produces a real attenuation of virulent microbes. Wood and Formad have estab- lished similar facts, for when the false membranes of croup procured at Ludington had been exposed to the air for several weeks, until they were completely desiccated, they became perfectly inert, notwith stand- Of THl "C^ THE MICROBES OF HUMAN i)i^Q$yM 219 ing their former virulence. They were, however, not dead, since they were still capable of reproduction, but only up to the third or fourth generation. It must, therefore, be admitted that the free access of air given by tracheotomy, may attenuate the virulence of the micrococcus of croup. Too much cannot be said against the misuse of emetics, which is, unfortunately, very common, since they are readily administered by parents without medical advice. A regular emetic of which the action is much more violent than that of ipecacuanha should never be given. The micrococci are only found in the most superficial layers of the false membranes, and when these are removed, an irritated and bleeding mucous membrane remains, which had been previously protected by the false membrane from immediate contact with the microbes : these now pass without difficulty into the blood. Thus the ground may be said to be prepared and rendered more favourable for the multiplication of the micrococci, which are sown there afresh, and are reproduced with frightful rapidity. The most effectual remedy ha-s been prescribed by Dr. Fontaine of Bar-sur-Seine. It consists in admin- istering sulphurous drugs, in the form of sulphate of calcium, so as to produce in the stomach a slow disengagement of sulphuretted hydrogen gas, which checks the development of microbes, or attenu- ates their virulence. It need scarcely be said that 220 MICROBES, FERMENTS, AND MOULDS. this treatment must begin at once, before the micro- cocci have penetrated into the blood. At the same time a gargle of lemon-juice or citric acid should be used, which shrivels up the false membranes without forcibly detaching them. The action of this acid is explained by the fact that, for the most part, microbes only thrive in an alkaline medium. By this treat- ment Fontaine has been able to save nine-tenths of his patients, while all other modes of treatment have only succeeded in a third of the cases, and the proportion is often much smaller. The first researches made in Europe on the microbe of diphtheria date from 1873, at which time Klebs gave an exact description of it under the name Microsporon diphtericum. In most cases he observed two forms : micrococci and rods or bacilli. Struck by the great difference in intensity which the disease presents in different epidemics, he states in his later works that there are two kinds of diphtheria, due to the predominance of one or other of these two forms, one of which he terms microsporine, and the other bacillary. The former may be observed in the east of Europe, and especially in Hungary; while the latter is more common in Switzerland and the west, including France. The first is chiefly found upon the tonsils, and is less serious; while the bacillary form soon attacks the larynx and trachea, and pro- duces blood-poisoning, which is rapidly fatal. The bacilli which are, like those of tuberculosis, very THE MICKOBES OF HUMAN DISEASES. 221 minute, remain on the surface of the false membranes, more rarely within them, and on the surface of the inflamed mucous membrane. Loffler undertook experiments in culture and inoculation which confirm Klebs' opinion. He suc- ceeded in isolating and cultivating separately the Microsporon, or micrococcus, and the bacillus, which makes it probable that these are two distinct species. The chaplets of micrococci, cultivated separately and used to inoculate animals, do not produce diphtheria ; the bacilli, on the other hand, cause the formation of false membranes, but do not exactly reproduce the diphtheria of the human subject. Cornil and Babes have likewise studied these two forms of microbes. They have ascertained that the bacilli are more generally found in the false mem- branes of the skin, and the micrococci in those of the throat and larynx. But in almost all cases they have found bacilli, zoogloea, and chaplets of micrococci associated together in the false membranes, even in those of the skin, and bacilli in those of the throat. Cornil and Megnin have studied the spontaneous diphtheria of poultry and domestic quadrupeds. The anatomical lesions and the form of the microbes approximate to those of human diphtheria, and cases of contagion between the calf and man have been observed. Yet direct inoculation has failed, so that it is still impossible to affirm the identity of the two diseases. 222 MICROBES, FERMENTS, AND MOULDS. We do not think that the dual nature of human diphtheria, indicated by the researches of Klebs and Loffler, is yet established. The symptoms, and still more the histological lesions of this disease, are in favour of its unity, and it may be owing to other causes that the disease is more or less severe. The well-known polymorphism of microbes leads us to think that the bacilli represent the adult form, and the inicrococci, or Microsporon, the early form of a single species, which is in all cases the cause of diphtheria and of its several manifestations croup, diphtheria, etc. Further researches are necessary to decide this question. Whooping-cough and Influenza. Burger has lately discovered rods in the form of an 8 in the sputum of whooping-cough; they are found in 'great numbers in the white scum, and are even visible to the naked eye, and, like many other bacteria, they can be stained by methyl violet. To this microbe whooping-cough and its relapses are due, and it is always present. It has not yet been cultivated. Influenza resembles whooping-cough in the course it takes, and is probably also caused by microbes. Letzerich has found micrococci in the blood, to which he ascribes this disease, but his researches must be repeated with greater care. Certain facts observed in medical practice have led to the surmise that whooping-cough may be re- garded as an attenuated form of croup, just as vaccinia THE MICROBES OF HUMAN DISEASES. 223 is an attenuated form of small-pox. The same treat- ment applies to both diseases. When the patient is kept in the purifying chamber of a gas manufactory, where there is a constant disengagement of acid vapours, sulphuretted hydrogen, hydro-carbons, coal tar, benzine, carbolic acid, etc., the microbes embedded in the throat and lungs are attenuated. Sulphate of calcium is a successful remedy in whooping-cough as well as in croup. Children who have had whooping-cough, or who are passing through the disease, rarely contract croup even when it is epidemic, although catarrh, inflamma- tion of the bronchial tubes, ulceration of the mouth, and general debility, are all predisposing causes of croup. The question therefore arises whether whoop- ing-cough does not act as a sort of preventive vaccina- tion which may serve as a protection against croup. Further researches and observations should be made in this direction, if that which we now indicate can be established as a fact. XI. THE MICROBES OF PHTHISIS AND OF LEPROSY. These two microbes are so similar in form that it is necessary to have recourse to chemical reagents and to staining processes in order to distinguish them clearly. Both assume the form of an 8, or of slender, elongated rods, so minute that it is not surprising 224 MICROBES, FERMENTS, AND MOULDS. that the bacillus should have so long eluded the observation of the physiologists who have studied the tubercle of phthisis under the microscope. The form of both microbes assigns them to the genus bacillus. The experiments of Villemin, begun ten or twelve years ago, first showed the parasitic nature of tuber- culosis, or pulmonary phthisis. Villemin inoculated rabbits with tubercular matter, showing that the disease was essentially contagious. More recently Toussaint and Koch have cultivated the microbe in a closed vessel, and have inoculated animals with the produce of the culture ; all these animals died with symptoms of tuberculosis. The still more recent researches of Cornil, as he stated in May, 1883, before the Academy of Medicine, have confirmed the parasitic nature of this terrible disease. The microbe has been found in the giant cells of the tubercle and in the sputum of consumptive patients ; it has been found in the colourless corpuscles of the blood, by which it is conveyed into all parts of the system, and it is also found in all the organs in which a tubercle can be developed. The bacillus of tuberculosis is somewhat smaller than that of leprosy. Each bacillus is from three to four micro-millimetres in length. They are generally found associated in the form of chains or chaplets at any rate, this is the case in the sputum, as we see in Fig. 91 A. Koch has cultivated them in gelatinized blood-serum. Their growth is very slow. THE MICROBES OF HUMAN DISEASES. 225 Now that this is known, it is easy to explain the facts of direct contagion which are so frequent among people living together, and especially from a husband to a wife, or conversely. Since the breath of a con- sumptive patient is always charged with germs of the microbe, which abound in the cavities in which .%-'- Fig. 91 A. Bac'lli in U:e sputum of a consumptive patient : A. bacilli, either isolated (a) or in the epithelial (t>) and pigmented (c) cells of the lung; B, numerous bacilli, mas-ed together in the sputum. Stained by Ehrlich s process \\itb methyl violet (much enlarged). the sputum is formed, it could not possibly be other- wise. The following statements of facts are taken from Debove's clinical lectures at the Hospital de la Pitie. " Jean, a tuberculous patient, was married to Antoinette, a young woman with no previous tendency to tuberculosis. Jean died, and his wife became phthisical. She was remarried to Louis, who had likewise no phthisical taint; Louis and Antoinette both died of phthisis. The niece of the latter, equally without phthisical taint, contracted the disease in nursing her aunt, then married, and her husband was 10 226 MICROBES. FERMENTS, AND MOULDS. in his turn attacked by phthisis. All these people resided in a place in which it was easy to verify the absence of hereditary taint." Here are other observations of the same nature : " A young woman without hereditary taint nursed a phthisical patient and contracted phthisis. She returned home, and communicated the disease to the six sisters with whom she lived. One sister survived, but she was not living with her family. " A soldier became phthisical while with his regi- ment, and was therefore discharged, and returned to his family. His father, mother, two brothers, and a neighbour who nursed them, became phthisical. Yet none of them were predisposed by hereditary taint. " A girl returned from school in consumption ; on her death her room and clothes passed to her sister, who died of the same disease. A third sister died under like conditions. As their parents still survive, it is clear that the disease was not due to heredity." This does not imply that heredity plays no part in the transmission of the disease, for the contrary is proved ; yet such transmission often occurs after the child is born, and sometimes the nurse by whom it is suckled may be the source of contagion. In the case of children brought up by hand, the infection may come from cow's milk which has not been boiled. Cows are often attacked by tuberculosis, and numerous bacilli have been found in the teats and milk of these animals. This indicates the necessity THE MICROBES OF HUMAN DISEASES. 227 of boiling the milk used for food, especially in the case of children, at any rate when the source is un- known.* Phthisis is, as we know, a slow disease, probably because the microbe is anaerobic, and lives within the cellular tissue, not in the blood, which it merely tra- verses. The slow progress of the disease explains the cases of spontaneous cure effected by the expulsion of the microbe in the sputum, or by the tubercles passing into a cretaceous condition, which causes the destruc- tion of the bacteria encysted in them. Hence also the fact that all the causes which weaken the consti- tution, bad food, overwork, inflammatory diseases, pregnancy, etc., hasten the end of consumptive per- sons. Those who are attacked by the disease may, if rich enough to live in the South, and to follow with care the hygienic prescriptions of the physician, often attain an advanced age, in spite of the lesions which remain latent in the organism, provided also they commit no imprudence in the matter of diet. It is therefore important to maintain the strength of consumptive patients by tonics, by a nourishing diet, and by an hygiene as strictly protective as possible. The good effects of creosote, of sulphur waters, etc., are due, as in diphtheria, to the attenuation of the * This precaution is equally efficacious to ward off typhoid fever. In several epidemics of this disease, and especially in England, inquiry has shown that milk was the vehicle of contagion, either from the water with which it was adulterated, or from that which was used to wash the vessels in which it was pluc.d. 228 MICROBES, FERMENTS, AND MOULDS. virulent properties of the microbe. Hansen considers that alkalis, not acids, are the best antiseptics in this disease. Tubercular leprosy, termed elephantiasis by the ancients, is caused by tubercles seated in the skin, and containing a bacillus greatly resembling that of phthisis, but larger (Fig. 92). This microbe is anae- Fig. 92. Bacilli of leprosy, encysted in the sxibcxitaneous connective tissue of the skin (much enlarged). robic, and can only live in the dermic cells, in which it is encvsted. Hence the treatment which experi- ence, preceding the theory, showed to be the most efficacious : instead of keeping the ulcers covered, they should be exposed to the air and sun, often washed, and kept as clean as possible. This disease, which is essentially contagious, is very rare in Europe, but common in Egypt and throughout Asia. THE MICROBES OF HUMAN DISEASES. 229 XII. THE MICROBE OF PNEUMONIA. One of the most important micrographic dis- coveries of late years is that a microbe is always present in inflammation of the lungs, or pneumonia. This disease was long considered, and is still con- sidered by the majority of doctors, to be altogether independent of any parasitic infection. It is such a matter of tradition, both among patients and their doctors, to ascribe this disease to accidental causes, and especially to a sudden chill, that the parasitic doctrine of pneumonia at once encountered a lively Fig. 93. Micrococci in eputum of pneumonia : b, d, free, or encysted iu the lymphatic cells a, c ; n, nuclei of cells (much enlarged). opposition. It is, however, now impossible to deny the important part taken by microbes in the trans- mission of this disease. The microbe of pneumonia was discovered by Friedlander and Talamon in 1882. It consists of micrococci, often associated in an 8 or in short chains (Fig. 93), and found in the sputum and lungs of pneumonic patients, either detached or encysted in the lymphatic cells. 230 MICROBES, FERMENTS, AND MOULDS. Under a strong magnifying power, this micrococcns is seen to be shaped like a lance-head, and short rods, terminating in a cone, are found with it. It is probable that the micrococcus is the early form of the microbe, which becomes a bacillus in the adult form (Cornil). The presence of a microbe in pneumonia explains many facts which had remained obscure in this disease, especially the epidemics in a room or house, when several persons living together are successively attacked by pneumonia. It likewise explains the resemblance, which has long been indicated by their common name, between the pneumonia of man and the contagious pneumonia of cattle, which is well known to be essentially epidemic, transmissible by contact and inoculation. A culture of the microbe of pneumonia can be made, and when it is inoculated into the tissue of the lung, it produces in animals a true pneumonia. XIII. SOME OTHER DISEASES CAUSED BY MICROBES. We shall only say a few words about several other diseases, admitted to be contagious, and in which the presence of a special microbe has been ascertained. In the pus-corpuscles of gonorrhoea, very minute and mobile micrococci may be observed, often associated in pairs, in fours, or in a small mass, but rarely in chaplets (Fig. 94). THE MICROBES OF HUMAN DISEASES. 231 The same micrococcus, or, at any rate, a microbe wliich cannot be distinguished from it, is often found in the purulent ophthalmia of new-born infants. It is difficult to admit, even when we make allowance for the great susceptibility of an infant's eyes at the moment of birth, that such ophthalmia is always of gonorrhceal origin. However this may be, the micrococci of purulent ophthalmia resemble those of gonorrhoea, and the same treatment is applicable. The solution of nitrate of silver in a diluted form, generally employed in maternity hospitals, as a pre- Fig 94. Cells of gonor hceal pus 2i hours after its discharge. Within may be seen several form> ol fission of their nuclei, and microcoici moving in the protoplasm (x GOJ diam.) ventive treatment of infant ophthalmia, has con- siderably reduced the intensity of this disease. The red, malodorous sweat of the armpits is due to the presence of a microbe, which is found free in the sweat, or massed in the form of a zoogloea, and adherent to the hair of the skin. The red colour is not due to iron, for no trace of this metal is revealed by analysis ; it approximates in its nature to that of Micrococcus prodigiosus. It may be cultivated in 232 MICROBES, FERMENTS, AND MOULDS. white of egg at a temperature of 87, in which it retains its characteristic colour. In a sweating foot, of which the smell is so offensive, Rosenbach found a short, thick rod, which is at once aerobic and anaerobic, is rapidly developed, and retains its offensive smell when cultivated (Fig. 95). In the gangrene of long bones, the same observer * Fig. 95. Bacillus of Fig. 96. Saprogenic bacillus feet-sweat. of osseous gangrene. has found a similar bacillus, which, like the foregoing one, produces by inoculation a local affection, more or less strongly marked (Fig. 96). Warts. We know that a wart is self-sown, and appears to contain a contagious principle. This is Tomasi Crudeli's Bacterium porri, and is minute and in the form of an 8. Among the diseases due to microbes we must include mumps, epidemic goitre, epithelial xerosis of the eye, polypus of the nasal canal, of which the concretions are formed of Streptothrix Fovsteri, etc. XIV. THE MICROBE OF ERYSIPELAS. Erysipelas belongs both to internal and external pathology. It is sometimes manifested as a special THE MICROBES OF HUMAN DISEASES. 233 primary disease, characterized by the inflammation of the skin, and sometimes as a secondary complication of wounds, sores, and surgical operations. In any case, the course taken by the disease and its contagious nature enables us to assume the presence of a microbe. Martin, Yolkmann, and Hiiter found bacteria in the patches of skin ; and Hayem found them in the pus of meningitis, which followed erysipelas of the face. Lukomski was able to inoculate rabbits with the disease, which may also be communicated by vaccine lymph, taken from a child suffering from erysipelas. Fehleisen has cultivated the microbe in a pure state, Fig. 97. Section of the skin in erysipelas : the interfascicular space (e) is full of microbes (m) in s's or chains; t, connective tissue (x 600 d.aui.). and has inoculated man with it, always reproducing erysipelas with its characteristics and typical course. Antiseptics, such as carbolic acid and analogous sub- stances, employed either as outward applications or as subcutaneous injections, have been successful in many instances in arresting the development of the disease. Erysipelas serves as the transition to those diseases within the domain of surgery, and which are generally due to sores, wounds, arid operations. 234: MICROBES, FERMENTS, AND MOULDS. XV. MICROBES OF Pus; PY^MIA AND SEPTICAEMIA. Sores and surgical operations are often followed by a general poisoning of the blood and of the whole system a severe affection which is rapidly fatal, and characterized by the presence of pus-corpuscles in con- siderable numbers in the blood and in the principal organs. Together with these pus-corpuscles there is always a special microbe, termed Micrococcus septicus, which, like that of diphtheria, may either appear free or in the form of chaplets (vibrio), or in the interior of the colourless corpuscles of pus, or embryonic cells, of which it effects the rupture in the form of zoogloea. This microbe, or others of allied species, are the im- mediate cause of that poison- ing of the blood which is termed pyaemia, septicaemia, traumatic fever, puerperal fever, post-mortem wounds, etc. The germs of Micro- coccus septicus are intro- duced into the blood, and multiply there, through the exposed surface of a wound, or sometimes by means of the instrument which caused it (Fig. 98). When the instrument causing the wound is charged with microbes, it is not necessary that the wound Fig. 98. Pus-corpuscles of puerperal peritonitis, lull of microccci in chains ( x SOU diam.). THE MICROBES OF HUMAN DISEASES. 235 should be gaping: there is in this case a true inocula- tion. Such is the case in a post-mortem wound. The experiments of Tedenat, of Lyons, show that when decomposition has not begun in the corpses of healthy persons, who have died by violence, the autopsy pre- sents no danger; but this is not the case when death is due to an infectious disease, pyaemia, erysipelas, etc. On the other hand, the puncture will have no evil results if the bleeding is profuse, or if the microbes and their germs have been removed by immediate suction. Some hours after death, all corpses contain microbes, which have penetrated into the blood owing to the softening of the tissues, and which either come from the external air or from the digestive canal. The enormous number of pus-corpuscles which appear in a very short time in the blood was for a long while a problem for physicians. It is now known that these corpuscles have their source not only in the wound, but also in all parts of the vascular system. and especially in the capillaries, according to Schiff s theory. The microbian theory may easily be made to agree with the latter, and Sternberg was the first to suggest that it appears to be the function of the colourless corpuscles to take possession of the bacteria introduced into the blood, and to destroy them. We know, in fact, that the colourless corpuscles do take possession of all foreign particles, such as micrococci and bacteria, introduced into the blood, and in some sense encyst them in their protoplasm. When these bacteria 236 MICROBES, FERMENTS, AND MOULDS. multiply in the blood, they must necessarily have an irritating effect on the walls of the blood -capillaries and this appears in the swelling of the cells and their return to the spherical form ; in a word, they are transformed into embryonic or migratory cells (accord- ing to Cohnheim's theory). These do not differ, or only differ slightly, from the colourless corpuscles of the blood, and are pus-corpuscles. This new theoiy is in accordance with the facts daily presented to us in the treatment of surgical diseases. XVI. MICROBES OF SOME OTHER DISEASES, RESULTING FROM WOUNDS. Whitlow and Agnail. These two complaints are produced by pricking the finger with some instru- ment charged with microbes. Chains of bacteria or micrococci are always found in the collection of pus or serous discharge. Boil and Carbuncle. The pus from a boil contains micrococci, which Pasteur first observed, and which he has cultivated in an infusion of yeast and in chicken- broth. It was found by Rosenbach in osteomyelitis, and was termed by him Staphylococcus pyogenus aureus (Fig. 99). Carbuncle only differs from a boil in its larger size, and contains the same microbe. It is well known THE MICROBES OF HUMAN DISEASES. 237 Fig. 99. Roil microbe (xtaphylococcus pyo- yenusaunus: Rosen- bach). that it is readily and spontaneously self-inoculated, and that boils and carbuncles rarely occur singly in the same individual. Diabetic patients are very subject to this affection, yet the microbe does not admit of culture in sugared water. Phlegmon. This is the name given to the suppuration of the subcutaneous cellular tissue, caused by contusions, wounds, and medical injections of morphia or any other sub- stance. Microbes are always found associated in 8's or in long sinuous chains (Fig. 100). In all these cases there has been some communica- tion with the outer air, for wounds which are really sub- cutaneous fractures, for ex- ample even when accom- panied by abundant haemorr- hage, heal without suppuration, and microbes are not present. ,'. 100. Pus of phlegmon, contain- ing chains of iiiicrococci (x looo diam.). XVII. MODE OF ACTION OF MICROBES IN DISEASE. PTOMAINES. The question how microbes act in disease has long been doubtful, but the progress of science tends to clear away obscurity. 238 MICROBES, FERMENTS, AND MOULDS. The first idea was that microbes introduced into the blood or tissue of an animal acted like parasites of a higher organism intestinal worms, for instance by deriving their nourishment from their medium, and developing at its expense. It is evident that this must be the case, and that in anthrax, or splenic fever, for example, the bacilli which swarm in the blood abstract from the red corpuscles the oxygen they require, and thus produce asphyxia and the death of the animal. Yet it often happens, even in anthrax, that death is so rapid, that the bacilli have not yet had time to develop in the blood in numbers sufficient to produce such fatal effects. So, again, in cholera, the comma bacillus has not yet been found in the blood, and yet cases of sudden death are not uncommon in this disease. Some other explanation is therefore required. Panum first showed, from the study of the pro- ducts of putrefaction, that a poisonous substance, resembling snake-venom and vegetable alkaloids, is developed as the ultimate product of the putrid fer- mentation of organic matter. Twelve milligrammes of this substance kill a dog, while neither ammonia nor the acids which are first formed in this fermentation can produce septicaemia. Bergemann and Schmiedeberg have termed this poisonous substance septine. Panum's researches have been recently resumed by Selmi and Gautier, who have extracted from corpses and putrefying organic matter a certain number of THE MICROBES OF HUMAN DISEASES. 239 poisonous substances greatly resembling vegetable alkaloids, and termed by them ptomaines. The action of ptomaines may be compared to that of strychnine. Injected into the blood, even after the removal of every living microbe, the ptomaines produce fever, rigors, vomiting, diarrhoea, spasms, torpor, collapse, and finally death. It is probable that in some cases of poisoning by tainted meat or fish their poisonous properties are due to the presence of ptomaines. But in all cases these ptomaines are shown to be the product of putrid fermentation, which is always effected in dead bodies by special microbes. Here the ptomaines are due to the work of the microbes of putrefaction, and are made by them, just as alcohol and the carbonic acid of alcoholic fermentation arc made by yeast, at the expense of the sugared liquid in which they live and multiply. Direct experiments show that when septine, from which every microbe has been removed, is injected into the human subject, it produces feverish disturb- ance, but only causes death when introduced in con- siderable quantities. If, on the other hand, there is in the same individual a large suppurating wound, exposed to the air instead of being covered by an air- tight dressing, a purulent infection (septicaemia) will almost certainly ensue, since the microbes introduced by means of this wound will find in it a favourable soil (pus and putrefying organic matter); they wiJl 240 MICROBES, FERMENTS, AND MOULDS. multiply in immense numbers, and manufacture of these materials a great quantity of septic poison, at the expense of the organism in which they are developed. It is now admitted that the chief action of patho- genic microbes, or, at any rate, of the most dangerous among them, consists in the ptomaines which they secrete within the body. This explains why death by cholera is so rapid and even sudden, when the comma bacillus is still only found in the intestines. Although this micro-organism has not been absorbed by the intestinal mucous membrane and carried into the blood, the poisonous alkaloid, or ptomaine, which it secretes is certainly present, and to this the nervous symptoms, such as cramp, etc., which characterize this disease, may probably be ascribed. Pouchet has extracted from the fseces of choleraic patients, a special alkaloid of the nature of ptomaine ; and quite recently, in August, 1885, he has found traces of the same alkaloid in infusions of pure culture of Koch's comma bacillus.* In conclusion, at the present stage of our know- ledge, it may be admitted that the action of patho- genic microbes on the system is complex, and may be analyzed as follows : (1) The action of a living * This affords the germ of the idea of a new process for preparing lymph, which has perhaps already been put in practice. A Spanish physician states that the secret process employed by Ferran simply consists in filtering his culture infusion by means of the Chamberlaud filter, and using this liquid for inoculation, since it contains the ptomaine of cholera without its bacillus (?). TIIK MICROBES OF HUMAN DISEASES. 241 parasite, which is nourished and multiplies at the expense of the fluids and gases of the system ; (2) the formation by this parasite of a poisonous substance (ptomaine), of which the elements are derived from the organism, and it acts as a poison on this organism. 242 MiCKOliES, FERMENTS, AXD MOULDa CHAPTER VI. MEANS OF DEFENCE AGAINST MICROBES. I. ANTISEPTIC TREATMENT OF WOUNDS: GU^RIN'S PROTECTIVE DRESSING; LISTER'S DRESSING. THE first and most brilliant application of the theory of microbes to human therapeutics has been made in the treatment of wounds. Since it is admitted that the danger of a wound or of a surgical operation is chiefly due to the contact of the wound with the external air, which is laden with germs, or with the dressing which may contain microbes, all the surgeon's efforts should be directed to preventing such contact. This may be accom- plished by several processes, now generally employed by surgeons, and these may be regarded as the noblest achievement of modern surgery. In Guerin's protective dressing, this skilful surgeon has made a practical use of Tyndal's and Pasteur's researches into the nature of air-germs. We have MEANS OF DEFENCE AGAINST MICKOBES. 243 already said that air filtered through a sufficiently thick layer of cotton wool becomes free from germs. Guerin covers that part of the bod} T in which the wound is situated with several layers of cotton wool, carefully applied and confined by a cotton bandage. This dressing permits the access of air to a certain extent, but the air is filtered through the cotton wool, which arrests all microbes ; and this is proved by removing the dressing after the lapse of several days, when the wound will be found to be in a satisfactory state, and in process of healing. A certain amount of pus is produced, but much less than in the old-fashioned lint dressing, and this pus is not putrefied, since the germs which are the agents of putrefaction have been excluded. The English surgeon, Lister, has arrived at the same result by a more complicated process, which has, however, been generally adopted in France. His process is based on the use of carbolic acid as an antiseptic or destructive agent of microbes and germs. Whenever an operation is to be performed, the instru- ments, the surgeon's hands, those of his assistants, and all the materials used for dressing, must be steeped in a sufficiently dilute solution of carbolic acid ; throughout the operation the wound must be surrounded with a spray of the same solution, playing over the hands of the surgeon and over all he touches. The same solution and the same precautions are applicable to the treatment of all wounds, whatever 244 MICROBES, FERMENTS, AND MOULDS. be their origin, and should be renewed whenever the wound is dressed. We cannot describe Lister's dressing in detail, but will only mention (1) that the skin surrounding the region of the operation, the surgeon's hands, and the instruments are washed with a carbolic solution of two to three per cent. ; (2) the spray contains one per cent, of carbolic acid ; (3) the ligature of the arteries is done with carbolized catgut, which is eventually dissolved in the wound; (4) the drainage-tube usually arranged for the outflow of the discharge is likewise carbolized ; (5) so also are the eight folds of gauze, which is used instead of linen dressings ; (6) a protective, con- sisting of green oiled silk, steeped in carbolic acid and varnished like eourt-plaister, is interposed to prevent the irritating effect of the gauze on the wound; (7) an impermeable mackintosh, laid between the seventh and eighth folds of gauze, prevents the penetration of fluids. The admirable results obtained by Lister's method are the strongest confirmation of the truth of the theory of microbes. Since its introduction into medical practice, mortality among the wounded and among thesurgical patients has considerably diminished, and operations formerly considered impracticable have been undertaken and successfully carried out. Carbolic acid is not the only antiseptic which affords excellent results by destroying, or at all events by attenuating, the virulence of microbes and their MEANS OF DEFENCE AGAINST MICROBES. 245 germs. Alcohol, which has been long in use, boracic acid, salicylic acid, thymol (essence of thyme), and eucalyptol (the essence extracted from Eucalyptus globulus), and many other substances, have been employed both internally and externally with this object, and most of them take a more or less impor- tant place in the therapeutics of those diseases caused by microbes. II. HYGIENE OF DRINKING-WATER: WATER FREE FROM MICROBES ; CHAMBERLAND FILTER. The researches carried on by Miquel for some years at the Observatory of Montsouris, at the Pantheon, and in other parts of Paris, teach us that living bacteria are more rare in the atmosphere than had been generally supposed. We have already said that air is the great purifier of microbes, which it destroys by desiccation. Even in the infection of wounds, it is probable that the liquids and linen formerly employed for dressings transported the microbes in greater number than the air, however charged it might be with these organisms in the neighbourhood of a hospital. In the water which supplies large towns, whether furnished from wells or streams, a large number of microbes are, however, found in a state of perfect vitality. This is quite natural, since we know that these plants 246 MICROBES, FERMENTS, AND MOULDS. cannot exist without moisture, and they find in such water the organic matter which nourishes them. The rivers receive them by the sewers which discharge into them, the wells by infiltration of the soil, and thus ill times of epidemic, the microbes of typhoid fever and of cholera are always to be found in running or stagnant waters, which therefore become the vehicle of infectious diseases. Well-water, owing to its stagnant nature, and to the infiltration to which it is liable from cesspools which are often leaky, is more dangerous than running water. About two years ago, an epidemic of typhoid fever, which occurred in one quarter of Angers, was stopped by introducing a supply of water from the Loire ; up to that time well-water had been exclusively in use. Well-water in Bread-making. In many places well-water is still too often used for making bread instead of running water. There are probably many reasons for this preference. Bakers, without assigning any reason for the fact, assert that well-water causes the bread to rise better ; and moreover, in towns, sucli as Angers, where there is a water company, river- water costs money, while well-water may be had for nothing. About 50 per cent, of water is used in making bread, which explains the preference shown by bakers for well-water, and also the importance ascribed by hygienists to the purity of the water used in bread-making. MEANS OF DEFENCE AGAINST MICROBES. 247 In fact, direct experiments, made with a maximum registering thermometer enclosed in the dough, shows that the internal temperature of the loaf, that of the crumb, rarely rises to 100. We know that this tem- perature does not suffice to destroy most microbes, still less their germs, for which a temperature of from 115 to 160 is necessary. In 1884, Bouvet, a chemist, and Preaubert, a pro- fessor at the Lycee, were commissioned by the munici- pality of Angers to make a microscopic examination of numerous specimens of well-water used by bakers in their trade in different parts of the town. The exami- nation of deposits, either obtained spontaneously by allowing the water to stand for twenty-four hours, or by testing the water with osmic acid, in accordance with Certes's process, almost invariably revealed the presence not only of the ova of ascarides, but of numerous microbes some of them harmless, like Bacterium termo ; others doubtful, on account of their forming chains like the micrococcus (two species of different form), and resembling Micrococcus dipTithe- ricus. Now, croup may be regarded as endemic at Angers. In four wells out of the twenty-five ex- amined these microbes were found in great numbers. It must be noted that micrococci are not found in strongly aerated water, but only in that of which the organic deposit is abundant. Well-water must, therefore, be generally condemned, both for drinking purposes and for the making of 248 MICROBES. FERMENTS, AND MOULDS. bread. Spring- water, and still more river-water, as it is now supplied in towns by a system of pipes, is not free from organic matter, nor from microbes, although they are less abundant than in well-water. Purification is therefore necessary. With this object, it is recommended, especially in times of epidemic, to boil the water, so as to destroy the microbes contained in it. But this process expels the gases, and reduces the proportion of salts in solu- tion, thus rendering the water heavy and indigestible. It has, therefore, been suggested that only weak mineral waters should be drunk, such as that of Saint Galmier, which, if taken at the source and immediately placed in hermetically sealed bottles, contains very few microbes. But this process is costly, so that only rich people can avail themselves of it. The most practicable mode of purifying table- water and rendering it wholesome is by the use of filters. Ordinary Filters. Chamberland's Microbe Filter. Every one is acquainted with the common filter, made with crushed sandstone, charcoal, etc., which should be found in all households and kitchens. This generally suffices to free water from organic matter, and especially from the ova of ascarides (intestinal worms), which, when introduced into the system, develop and cause inconvenience to so many children, and even to grown persons. It is impossible to insist too strongly on the fact that the presence of ascarides MEANS OF DEFENCE AGAINST MICROBES. in the intestines is always due to the use of unflltered water, and this should enforce the general use of filters, which is often neglected even by those who cannot be deterred by the relatively moderate cost of an instrument which it is almost impossible to wear out. An ordinary filter, however, can arrest a very small proportion of microbes, which are much more minute than the ova of ascarides. A filter has, therefore, been devised, so perfect as to allow the passage of no solid matter in suspension, not even the most minute organisms contained in drinking-water. This result is effected by the filter invented by Chamberland in Pasteur's laboratory. The filter is formed (Fig. 101) of a vessel of biscuit- ware, A, shaped like a candle (whence its name of bougie Chamberland) ; this is fastened to the lower part of the metallic receiver D, which receives under pressure the water coming from the cock E. This vessel consequently filters the water from without to within, and it flows through the orifice B, perfectly free from solid particles, as it appears from a micro- graphic examination. Fitted to the distributing water-taps of many houses in Paris, and especially in lycees, the Cham- berland filter acts under the normal pressure of the water-conduit, and, by a new modification of the inventor, can even act without such pressure. For this purpose he arranges his filters in a battery, from eight to ten or more, in a cylindrical receiver, closed 250 MICROBES, FERMENTS, AND MOULDS. in its upper part. This receiver is connected by a caoutchouc tube with the vessel which contains water Fig. 101. Section and elevation of Chamber-land's filter. for filtering. When the vessel is placed two or three metres above the filter, from fifteen to twenty litres MEANS OF DEFENCE AGAINST MICROBES. 251 of perfectly pure water may be obtained in the course of an hour. Under the pressure of the taps of the Paris water-supply, the jet of the filtered water is as strong as that of the pipes used for watering our gardens; in fact, it gives out four or five litres a minute under the pressure of two or three atmospheres. Preservation of Alimentary Substances. Appert's Protective Process, etc. We have already said that organic substances may be preserved unchanged for an indefinite time, as long as they are protected from the microbes and germs in the air. This was shown by Pasteur's exhaustive experiments. He took urine and blood, and transferred them directly from the animal organs into glass flasks which had been pre- viously sterilized or deprived of all germs. These flasks were hermetically closed and kept for forty-five days. When opened at the end of that time, it was ascertained that the smell and appearance of the liquids were unchanged, that no putrid gas had been developed, and even that some of the oxygen in the flasks had not been absorbed. Most of the processes in use, even before this experiment, for the preservation of food substances, are only the practical application of this principle : the exclusion of microbes and germs. Appert's process, now so generally used to preserve meat and vegetables, consists in enclosing the sub- stances to be preserved in tins, which are hermetically closed, and heated to a temperature of 110, so as 252 M1CKOBES, FERMENTS, AND MOULDS. to ensure the destruction of all germs. A very small aperture is left at the top of the case for the escape of steam and air, which is closed with a drop of solder before the ebullition of the liquid within is completely over. The envelopment of meat in its own fat, its pre- servation in sugar, wax, etc., are analogous protective processes, always employed at a high temperature. When meat is smoked, the aromatic principles of carbolic acid, creosote, etc., contained in the smoke, destroy the ferments and prevent the subsequent development of air-germs. It is, therefore, a true anti- septic, analogous to the salts used to preserve meat or fish by pickling. Meat may also be preserved by desiccation, when it is cut in thin strips and exposed to the sun and air. This constitutes the jerked beef of South America. Excellent results are now obtained by drying meat at from 35 to 55 in a stove through which a current of dry air is passed. The powdered meats to be ob- tained from chemists, which are of great use in nourish- ing the sick and convalescent, are prepared by an improvement on this process. They are absolutely free from smell, and will keep as long as they are protected from damp. Vegetables cooked by steam, and then compressed and dried, may be kept for several years. Refrigeration by ice has been used to preserve meat. But when congelation has occurred in the MEANS OF DEFENCE AGAINST MICROBES. 253 fluids contained in the muscular tissue, putrefaction sets in, and rapidly increases, as soon as the tempera- ture rises a few degrees above freezing-point. The meat also acquires an unpleasantly sweet taste. It will be remembered that the first cargo of frozen American meat which was brought to Paris had con- tracted an unpleasant taste and was very soon tainted. When meat, game, or fish is kept in ice, the congelation of the fluids contained in their tissues must therefore be avoided. Many antiseptics, vinegar, alcohol, glycerine, etc., may likewise be used to preserve meat and other alimentary substances. Antiseptics and Disinfectants. We will discuss the substances which are thus designated, especially from the hygienic point of view, and as a preventive treatment of contagious diseases, indicating the action of these substances on microbes. Antiseptics have been studied by Jalan de La Croix with reference to their action on microbes in general. His experiments were performed on culture liquids made of the juice of cooked meat, into which he introduced an equal number of drops of the same broth, which contained fully developed bacteria. He next ascertained the dose, in milligrammes, of ari antiseptic substance which would suffice either to arrest their multiplication or to destroy the microbes, and consequently to sterilize the liquid. 2")4 MICROBES, FERMENTS, AND MOULDS. He analysed in this way twenty substances con- sidered to be antiseptic, or commonly used as such. He has published a table in which these substances are classified in their order of activity, and it includes among others the following antiseptics, which we cite in the order assigned to them : Corrosive sublimate (mercuric chloride) No. 1 Chloride of lime at 98 No 3 Sulphurous acid No. 4 Essence of mustard No. 9 Thymol No. 13 Salicylic acid No. 14 Carbolic acid No. 10 Boracic acid No. 18 Alcohol No. 19 Essence of eucalyptus No. 20 The three last substances are incapable of steri- lizing culture broths. This table shows that carbolic acid, which is now so much in use, does not destroy microbes so efficiently as salicylic acid, permanganate of potassium, thymol, benzoic acid, bromides, and iodine. In this estimate, however, we must take into account how far the use of each antiseptic is practicable. Thus, corrosive sublimate, which these experiments show to be the best antiseptic, can be used as an external lotion, but it cannot be given internally in doses sufficient to produce the desired effect. Eighty milligrammes are required to sterilize a litre of broth, and forty to arrest the development of bacteria. Twenty milligrammes will not effect this result, and MEANS OF DEFENCE AGAINST MICROBES. 255 this latter dose is a maximum which it is almost impossible to exceed in man in the course of twenty- four hours without poisoning him. Sulphurous acid is very effectual when employed in fumigations, but it does not penetrate to the interior of the tissues, and only acts on the microbes on their surface. It does not destroy their spores. Iodine has great effect in this respect. Davaine has ascertained that seven milligrammes of iodine suffice to destroy the bacteria of anthrax in a litre of liquid. Instead of a hot iron, tincture of iodine might, therefore, be used to cauterize the bites of poisonous flies, carbuncles, and the pustule of anthrax. Koch states that a solution of five per cent, of carbolic acid is required to destroy the spores of anthrax in twenty-four hours ; but the bacilli them- selves are destroyed -by a solution of one per cent. A solution of 002 per cent, iodine, or 007 per cent, of bromine prevents the development of bacilli. Chloride of zinc arid sulphate of iron, which have been recommended as disinfectants, are very inferior to chloride of lime, which takes the third place in the list, the second being occupied by chlorine. Alcohol arrests the development of bacteria and their spores, but does not destroy the latter, even at the end of a month, as it is stated by Claude Barnard. Babes regards essence of mustard as an excellent preservative from cholera. If a drop of this essence 256 MICROBES, FERMENTS, AND MOULDS. is put at the bottom of a bell-glass which covers a culture of comma bacilli, it arrests their development and destroys them within forty-eight hours. When cholera is epidemic, it has been suggested that rum or cognac should be taken, to which salicylic acid is added, in the proportion of 25 grammes to the litre. A. petit verre, or three teaspoonsful, of this mixture may be taken between meals in coffee, tea, or grog. Redard has been recently occupied with the dis- infection of the railway-waggons used for the trans- port of cattle. He regards most of the substances employed, including sulphurous acid, as insufficient. The only effectual process is by steam, at a tempera- ture of 110, which may be easily procured at the railway stations. As we have already said, the oxygen contained in air is an excellent antiseptic, and the attempt has been made to employ it ; but the experiments of Bert and Regnard show that bacteria are only destroyed by oxygen at a high pressure. As for oxygenated water, it has not yet afforded the results which were expected from it. Finally, each species of microbe .appears to be more or less sensitive to the action of different therapeutic agents. Thus the effect of mercurial salts on the microbe of syphilis was known before the existence of the microbe itself was known ; that of the salts of quinine and arsenic on the microbes of intermittent fever, etc. MEANS OF DEFENCE AGAINST MICROBES. 257 We must, in conclusion, rely much more upon measures of hygiene than on antiseptics to ward off the attacks of the microbes which are factors of disease. Even in Lister's dressing, it is probable that the hermetic closing of the wound has, as it is shown by Guerin's process, much more effect than carbolic acid, which is shown by direct experiments to be a feeble and generally an insufficient antiseptic. We have still to speak of the preventive vaccina- tions and inoculations on which medicine relies more than on antiseptics; but this subject will be better discussed in the following chapter, when we have spoken of the processes of culture by which the liquids destined for these inoculations are prepared. 18 258 MICROBES, FERMENTS, AND MOULDS. CHAPTER VIL LABORATORY RESEARCH, AND CULTURE OP MICROBES. THE processes employed in laboratories for the study and culture of pathogenic microbes are now very complicated, and they have attained a remarkable degree of perfection. In such an elementary work as this we can only give a general idea of these different processes, and for details we must refer our readers to the valuable work by Cornil and Babes, Les Bacteries, in which the technique of laboratories devoted to the histology of microbes is described with great accuracy and clearness. Microscopes. The best instruments for the research and study of microbes are those of Zeiss, Jena, and Verick, Paris. Immersion lenses, either for use in water or in other homogeneous liquids, are indispen- sable for the high magnifying power which is necessary in order to see most bacteria distinctly. Condensers, especially those of Abbe', made by Zeiss, are no less useful in order to concentrate the luminous rays on that point of the preparation which is to be specially examined, and to place the bacteria in relief after LABORATORY RESEARCH, ETC. 259 they have been stained by the process we are about to mention. A preparation ought first to be examined under a low magnifying power (from 50 to 100 diameters), so as to study the topography of the object, and ascertain the points at which the colonies of microbes may be sought amid the tissues of a section, or of the matters in suspension in the liquid. We should then go on to a higher magnifying power (for example, to from 500 to 700 diameters), making use of the simple light of the mirror; and we should ultimately come to the highest magnifying powers (from 1000 to 1500 diameters), using immer- sion-lenses and the condenser. Instruments, Microtome. The instruments for fine dissection are those commonly used in histology. In addition, needles of glass and platinum are necessary, and thin spatulas of nickel to convey the sections, etc. The ordinary razor, which serves for hand sections, will not do for the thin, wide sections necessary for the discovery of bacteria. In this case a microtome must be used, an instrument for making thin sections, for which purpose those of Thoma or Verick are the best. Sometimes the object to be examined is hardened by freezing it with ether spray, since this makes it possible to cut thin sections by hand. This is Jung's process. Non - staining Liquid Reagents. Acids, bases, alcohol, oil of aniline, and other essences serve to 260 MICROBES, FERMENTS, AND MOULDS. dehydrate and partially decolourize preparations. Canada balsam is used to mount them; and finally distilled water, absolutely free from microbes, which may be easily obtained by means of the Chamberland filter already described, is used for washing instru- ments, etc. Mode of collecting the Liquids to be examined. In order to collect the liquids to be obtained in the wards of a hospital or elsewhere (blood, urine, sputum, stagnant or sewer water, etc.), pipettes, which may be either straight or with twisted necks, are used, ending in a capillary point closed by heat, and in its upper part by a stopper of fine, sterilized cotton wool. The pipette is heated at a blowpipe flame, in order to destroy the germs. When it is to be used, the point is broken off, and it is plunged into the liquid (dis- charge from a freshly opened abscess, blister of erysipelas, etc.), and an aspira- tion is made through the other end. The liquid is unable to rise above the level of the twisted neck ; and this is important; especially when the aspiration is made by the mouth. The point is then resealed at the lamp. The shape of these pipettes may be varied according to the require- ments, so long as the same precautions are always taken to avoid mistakes. 1g. 102. Small pipette with twisted neck, corked with cot- ton wool and sterilized. LABORATORY RESEARCH, ETC. 261 Preparations. Such precautions, and especially the most scrupulous cleanliness, are necessary in making preparations, since air, water, dust, the human hand, and instruments may all introduce foreign microbes. The instruments should be washed in abso- lute alcohol, and it is still more effectual to heat them to a temperature of from 150 to 200. As to the liquids (pus, mucus, etc.), the upper sur- face s,hould not be taken, but that which is nearest to the tissues, and it should be spread on a thin slide by a platinum wire, which has been heated red hot and then allowed to cool. When the tissues are to be examined, part of them is detached by a knife which has been heated red hot. It is placed in Jung's freezing microtome, in order to cut sections, after it has been hardened in alcohol, to which bichromate of potassium is sometimes added. The sections are made as large as possible, and are then instantly transferred to a capsule full of alcohol, in which they spontaneously unfold. The glass or platinum needle, and the nickel or platinum spatula, serve to spread out and smooth these sections. Staining Methods. Aniline dyes have the property of giving a more vivid colour to the bacteria than to the surrounding tissues, often even without destroying them or altering their movements. This property has been turned to account, and the staining of preparations is now largely practised. Methyl- violet, or fuchsin, in aqueous solution, serves 262 MICEOBES, FERMENTS, AND MOULDS. to stain the living bacteria in a drop of water, under a cover-glass. A small drop of the staining liquid is slowly diffused into the preparation, and gradually tinges the bacteria without giving any sensible colour to the liquid which contains them. When the comma bacillus of cholera is thus treated, it is still capable of motion after the lapse of twenty-four hours, and it will continue to develop if the stage of the microscope is heated to 25. In sections which have been hardened or dried in alcohol the bacteria have ceased to live, but they may be stained with the following reagents Grenadier's borassic carmine, hematoxylin, and tincture of iodine may be respectively employed, according to the species of microbe which is to be stained : Micrococcus, the flagellum of bacteria, Bacillus amylobacter, moulds, etc. Aniline dyes, with an alkaline or acid basis, are very numerous and varied ; methyl- violet and gentian in oil of aniline, or in aqueous solution, rosine, saffronine, Bismarck brown, purpurine, etc. It is often desired to effect a double staining of the section, the tissues, for example, being stained red, and the bacteria violet, or conversely. Picrocarminate of ammonium gives this effect by the following process : After staining the preparation with methyl-violet, it is dipped for a moment in the iodide solution, and washed in water or weak alcohol ; it is then steeped for some minutes in the picrocarminate, of which the LABORATORY RESEARCH, ETC. 263 colour is made lighter by washing with absolute alcohol and oil of cloves, and the preparation is after- wards mounted in balsam. The nuclei of the cells are then of a carmine red, and the bacteria are violet; the rest of the preparation is of a much paler colour. Ehrlictis Method. We mentioned this method when speaking of the bacillus of tuberculosis. It consists in treating the sections or mounted prepara- tion with a solution of methyl-violet in aniline oil, and the colour is afterwards quickly discharged in nitric acid ; the bacteria alone remain violet. Fuchsin, methylene blue, coccinine, vesuvine, etc., are also em- ployed in various processes for staining bacteria. Measurement, Drawings, and Photographs. Bac- teria are measured by comparing them with the divisions of the micro-millimetre slide placed on the stage of the microscope over the preparation. The microbes may be drawn without much difficulty by means of the camera lucida at least, after a little practice, as their forms are not at all complex. But the results afforded by photography are, as it is plain, very superior. The photographic plate is indeed more sensitive than the eye, and often allows us to see details which had escaped the latter. Koch has given good illustrations of pathogenic bacteria in his book entitled, Beitrdge zur Biologie der Pflanzen, voL ii. (1877). Methods of Microbe Culture. The development of microbes may be observed by placing the drop of 264 MICKOBES, FERMENTS, AND MOULDS. liquid to be examined in Ranvier's moist chamber, consisting of a glass holder, with a circular groove and a flat space in the centre. On the top is a cover-glass, Fig. 103. Different forms of culture flasks employed by Pasteur (from Duclaux). which is bordered with paraffin or vaseline, in order to seal it. The groove contains air and a little liquid. LABORATORY RESEARCH, ETC. 265 The stage of the microscope is maintained at the requisite temperature. In order to make cultures in large quantities, other kinds of apparatus are in use. The liquid supposed to contain microbes is introduced into sterilized nutritive liquids by means of a platinum wire, which has been heated red hot and then allowed to cool; its end is Fig. 104. Gas stove for the heating and sterilizing of flasks. Fig. 1 05. Pasteur's culture tubes. dipped into the liquid, and then instantly transferred to the culture, while it is exposed to the heat of a spirit-lamp. The flask is then sealed with a wad of cotton wool. The culture liquids employed by Pasteur are the extract of beer-yeast, an infusion of hay, boiled and neutralized urine, and the broth of various kinds of 266 MICROBES, FERMENTS, AND MOULDS. meat. The flasks are all modifications of the form indicated in Fig. 76. These flasks are heated in an iron gas stove (Fig. 104), of which the double case is heated by gasburners, and it contains a basket of iron wire as the receptacle of the flasks, tubes, etc., which Fig. 106. Stand, bearing culture tubes. are to be sterilized. The temperature, regulated by a thermometer, must rise to from 1 50 to 250. The nutritive liquid is boiled in a porcelain cru- cible in the open air, and is introduced by breaking off the tapered end of the flask ; it is then instantly plunged into the broth, and drawn by an aspiration through the opposite tube, after which the tapered end is resealed at the lamp. LABORATORY RESEARCH, ETC. 267 The tubes, which have two reservoirs and two tapered ends (Figs. 105, 106), are very numerous in Pasteur's laboratory. They are ranged on a stand in the way shown in the figure. It is ascertained that the contents of the tubes are really sterilized by leaving them for several days in a stove which is maintained at a temperature of 35. In addition to the culture liquids already indi- cated, many others consist of various solutions of phosphates of lime and potassium, albuminous solu- tions, etc. Solid Nutritive Substances. In order to isolate the different species of bacteria, and to obtain pure cul- tures, solid substances are now preferred : eggs, slices of potatoes and carrots, but especially gelatine and gelose which comes from Japan ready for use, and is said to be extracted from a marine alga and the gela- tinized serum of the blood of oxen. All these sub- stances are transparent, so that the cultures can be easily observed in glass tubes. Koch, in his Berlin laboratory, makes almost exclusive use of solid media, which are first sterilized by similar precautions. In order to obtain pure cultures, all kinds of germs are first allowed to grow ; then a very small amount of them is taken from the culture medium, and transferred to the sterilized medium, in which fewer microbes naturally appear. After several repetitions of this transplantation, sufficiently pure cultures may generally be obtained within a short time. Of THB 'UNIVERSITY; 268 MICROBES, FERMENTS, AND MOULDS. Koch employs a more certain method. He makes his sowings on glass plates, covered with sterilized gelatine and kept at a temperature of 30, by means of a slender platinum wire which has been made red hot, then allowed to cool, and charged with a very minute particle of matter, which is full of bacteria. The colonies of different microbes isolate themselves, and may be plainly seen on the glass plate with the aid of a magnifier. Their variable size and characters often enable ; experienced observers to distinguish them by their aspect alone (Fig. 87, 1, 2). The test-tubes, containing sterilized gelatine, are then inoculated with the microbe which it is desired to study (Figs. 82, 105), after taking the usual precautions. The filters used to sterilize liquids are of Sevres biscuit-ware heated to 120, or unglazed pottery. Such is the Chamberland filter already described. Cultures for Experiments on Animals. The pro- cesses we have just indicated are also necessary in these experiments. Here likewise all the causes of error which would arise from the want of cleanliness, or from the impurity of the culture liquids, must be care- fully avoided ; and it must also be ascertained that the effect produced on the animal is not due to any other microbe than that of the experiment, nor to any irritating and septic substance. The experiment should be repeated several times by taking some of the blood of the inoculated animal, and making a pure culture, which may be used to reproduce the disease in other animals. LABORATORY RESEARCH, ETC. 269' Attenuation of Pathogenic Microbes. Successive cultures have established, as we have seen, the pos- sibility of attenuating virus, and transforming it into vaccine. The processes employed to attain this object are complex and varied, according to the species of bacterium with which we have to do. Thus, for fowl-cholera, Pasteur found that cultures dating from fifteen days, or from one, two, eight, and ten months, progressively lost their virulence, and he believes this attenuation to be due to the action of the oxygen of the air. So, again, Koch supposes that the action of the air and the desiccation of the germs produces, after a time, the natural extinction of the disease. Toussiant and Chauveau attenuate the virus of anthrax, as we have seen, by subjecting it to a tem- perature of from 42 to 43. Pasteur and Thuillier have attenuated the virus of swine fever by passing it through the system of a rabbit. Pasteur has also attenuated the virus of rabies, of which the microbe is still unknown, by passing it successively through the systems of a rabbit, monkey, etc. Finally, the same result may be obtained by add- ing various antiseptic substances to culture liquids, and thus weakening the virulent action of the microbe. Vaccination and Inoculation. The attenuated virus or vaccine thus obtained may be used for inocu- lation in quantities which experience indicates to 270 MICROBES, FERMENTS, AND MOULDS. be necessary and sufficient, quantities which vary according to circumstances. In order to vaccinate a sheep against anthrax, the animal must be held by its fore feet in a sitting position, so as to present its belly to the operator ; the tube of a Pravaz syringe, containing the injection, is then inserted in the base of the groin, which is devoid of wool. In cattle the operation is performed at the root of the tail. It is performed twice first with a weak vaccine, and, after the lapse of a week, with one which is stronger. Every one is acquainted with the process of vacci- nating the human subject against small-pox, which may be done either with lymph from an infant or from a calf. A lancet or grooved needle is employed, on which there is a drop of lymph, and five or six punctures are made on the arms or thighs. We must not imagine that vaccination can become an absolute preservative from all diseases. For in- stance, in erysipelas, pneumonia, and gonorrhrea a first attack is so far from warding off a second attack of the same disease, that it creates a favourable field for relapses. It may, consequently, be assumed a priori that vaccination in such cases would do more harm than good (Cornil). It is the same with inter- mittent fever, tuberculosis, syphilis, etc. ; all diseases by which the same individual may be attacked several times, and at varying intervals of time a clear proof that the first attack has created no immunity against subsequent attacks. LABORATORY RESEARCH, ETC. 271 Immunity. : This term is applied to the property which the organism may acquire of being safe from attacks of certain diseases due to microbes, either in consequence of a former attack, or from a condition which doubtless arises from absorbing the pathogenic poison in minute doses, often repeated. Acclimatization frequently constitutes immunity. Thus, in countries where malaria, yellow fever, etc., prevail, the inhabi- tants are less apt to contract the disease than strangers. Such immunity is not absolute, and may be lost in course of time. This has been ascertained in the case of small-pox, so that it is prudent to be revaccinated every ten or twelve years. 272 MICROBES, FERMENTS, AND MOULDS. CHAPTER VIIL POLYMORPHISM OF MICROBES. MICROBES (bacteria, ferments, and moulds) display, like all the lower types of the animal and vegetable kingdoms, considerable polymorphism. It is necessary, therefore, that we should be on our guard, lest this phenomenon should be the source of errors and con- fusions very prejudicial to science, either by describing as distinct species different forms of the same species, or by being, on the other hand, led to regard as one and the same species several which are really distinct, and which for want of proper precautions, have been brought together in the same preparation, without the observer being aware of the fact. We have indicated in the foregoing chapter the scrupulous care which is indispensable in laboratories in order to guard against surprises of this kind. These precautions are not always sufficient, and ex- perience shows that a single act of forgetfulness or distraction on the part of the observer is enough to spoil the result of a long series of researches. More- POLYMORPHISM OF MICROBES. 273 over, these precautions often afford only a negative result, since some bacteria which have been reproduced for a long while in the same form in a given medium of culture, suddenly change their form and habits on being transferred to another medium. In order to give an idea of the difficulties which beset this branch of research, it will be enough to cite the history of lichens, a history well known to all cryptogamous botanists. The structure of these lower plants is at once simple and complex, since we may regard them as formed by the association, or symbiosis, as it is technically called, in each lichen of a species of green alga with a species of colourless fungus of the Ascomycetes group. De Bary and the botanists of his school, Schwen- dener, Bornet, Reess, Stahl, etc., state that in what is called a lichen the tissues of an alga and those of a fungus are intermingled in such a way as to form the structure which constitutes the lichen. Owing to this close association, a lichen can live like other plants, not as a parasite, like fungi : the green parts of the alga assimilate the carbon contained in the air in the form of carbonic acid, and thus supply nutriment to the fungus, which is consequently regarded as a sort of parasite to the alga. In return, the fungus supplies its mycelium to the lichen, by which the latter is enabled to fasten on the surface of rocks or trees. This attractive theory was in favour for a con- 19 274 MICROBES, FERMENTS, AND MOULDS. siderable time. It is now almost completely abandoned, and recent researches, made with the view of isolating the alga and fungus which were supposed to co-exist in the lichen, tend more and more to show that the lichen is an independent plant, and not merely an association of two plants of distinct families, algae and fungi. Errors of the same kind may occur in the study of microbes, which, from their minute size, their unicellular nature, the rapidity of their growth, the variety of their habitat, and the great resemblance of their form, are still more difficult to distinguish than lichens. Of this we will give some examples. Polymorphism of Leptothrix bucc'dis. Robin (1866-1873), after studying the development of Leptothrix, stated that this microbe first appears in the form of a micrococcus ; then of a moving bacterium, resembling B. termo, B. lineolum, etc., and finally it forms the long immovable rod (bacillus), which consti- tutes Leptothrix buccalis. This mode of evolution, supposed to be usual in the genera Bacillus and Leptothrix, is probably exact, and, with some reserve as to the specific identity of the different forms observed by Robin, modern micrographists are dis- posed to accept it. But Robin goes further: he regards the anthrax bacillus as specifically identical with Leptothrix buccalis. The recent progress of science no longer permits us to allow this identity. We have seen that there are, at any rate, two POLYMORPHISM OF MICROBES. 275 species, quite distinct in their action upon men and animals. Polymorphism of Moulds. The comparatively early researches of Hallier and others tend to show that the fungi of moulds display considerable poly- morphism, so as to completely overthrow the classi- fication of these cryptogams. These researches have been recently resumed by Coca rd as, who considers it proved that all the moulds found in saccharine liquids which have been allowed to ferment and in pharmaceutical extracts belong to one and the same species, which is highly polymorphic, and which he terms the Penicilliuin ferment. Cocardas asserts that he has seen this Penicillium ferment pass through the following successive stages : Corpuscular (Micro- coccus}, bacteridian (Bacterium, Bacillus), zooglairian (colonies, or zoogloea), submerged hyphae (torula, chaplets, or chains), fructiferous filaments (endogenous spores), the whole constituting the algous phase of the cryptogam which floats on the surface of syrup. The fungoid phase then begins. The swellings formed on the surface of the liquid by the endogenous spores bud ; these buds become elongated, partitioned, and ramified, constituting the aerial mycelium on which the aerial fructifications are developed, which can only form outside the liquid. These fructifications, although all issuing from the same mycelium, may present either the form of asper- gillus, of mucor, or of penicilliuin, according to the 276 MICROBES, FERMENTS, AND MOULDS. nature of the spores on the fructiferous hypha. In other words, the characters which have been hitherto considered as proper to the three genera, Aspergillus, Mucor, and Penicillium, themselves types of three Very distinct families, are found either simultaneously, Fie 107 The penicillium ferment (Cocarda*). Aerial fructific-tion in ey tract of liquorice: the three forms, Mucor (1), Penicillium (2), Aspergillus (3j, borne .y a single bypha A (x 225 diaiu.)- or successively, on the same hypha, and are only varied forms of a highly polymorphic species, the penicillium ferment (Cocardas). Fig. 107 represents the three forms of fructifica- POLYMORPHISM OF MICROBES. 277 tion, as Cocardas states that he has seen them, united and borne by a single hypha, magnified 225 diameters. Each form of Penicillium belongs to a special change in the syrup. In syrup which has become turbid, the ferment is in the corpuscular or bac- teridian stage; when the syrup is ropy, it is in the zooglairian or filamentous stage; when it has turned sour, it is in the stage of; aquatic fructification ; finally, when the syrup is mouldy, it is in the stage of aerial fructification. Cocardas states that he has observed this really astonishing polymorphism while making use of the ordinary precautions for averting gross errors. Not- withstanding facts of the same kind, which have been put forward previously, notably by Hallier, but which are frequently contradicted by more accurate research, it may be asked whether this is not merely a pheno- menon of confusion, analogous to that which was rightly or wrongly supposed to exist in the case of lichens. Fresh researches, made with greater pre- cision in sterilized liquids, and accompanied by the most scrupulous precautions, are necessary before these facts can be definitively accepted by science. Polymorphism of Fungi of the Human Skin. It is more easy to accept, at any rate in part, the poly- morphism recently noted by Grawitz in the fungus of 'Favus (ringworm), which we have already de- scribed under the name of Achorion Schoenleniir. , Grawitz asserts that Achorion Schoelenii of ring- 278 MICROBES, FERMENTS, AND MOULDS. worm, Trichopkyton tonsurans of cirinnate herpes, and Microsporon furfur of variegated pityriasis, are only different forms of one and the same parasite, of which he has made a successful culture on gelatine, repro- ducing its successive appearances. Grawitz, however, goes further than many micro- graph ists will consent to follow him. He asserts that all the fungi of the human skin are only trans- planted forms, modified by the medium, of Oidium lactis, the white mould found on milk, bread, paste, potatoes, etc. So, again, Ofrtium albicans, the fungus of thrush, is, as we have said, specifically identical with Sac- charomyces mycoderma, or flowers of wine, a ferment which is developed on the surface of liquids which are acid and contain little sugar. This must not be confounded with Mycoderma aceti, a true bacterium, causing the acid fermentation of wine and beer. Still more recently, in 1883, Malcolm Morris and G. C. Henderson have stated that in an artificial culture of peptonized gelatine at the temperature of from 15 to 20, spores of Trichophyton tonsurans were developed, forming ramified hyphse which were after- wards covered with fructifications resembling those of Penicillium. Injections of Mould-spores into the Blood. Grawitz injected spores of Penicillium and Aspergillus into the vascular system of rabbits, with the view of demonstrating their transformation into bacteria. He POLYMORPHISM OF MICROBES. 279 thus obtained the formation of small metastatic centres in the kidneys, liver, lungs, etc. The spores sent forth hyphse which were able to produce im- perfect organs of fructification, but failed to effect the formation of fresh spores. Gaffky, Koch, and Leber repeated these experiments, and showed that the acclimatization of any kind of mould in the interior of the system was impossible, whatever might be the more or less serious lesions produced by the introduction of foreign bodies into the blood of a warm-blooded animal. Errors caused in Laboratory Experiments by the Involuntary Mixture of Different Microbes. We should be the more cautious about accepting the real or apparent polymorphism of certain microbes, since the most scrupulous precautions do not always suc- ceed in preventing confusion. Of this Klein gives the following instances. While he was studying the microbe of anthrax in his laboratory at the Brown Institution, one of his friends was studying canine distemper in an adjoining room. This friend injected the blood of a dog affected by distemper into a guinea-pig's veins, and was sur- prised to see the animal die two days later with all the symptoms of anthrax, and to discover Bacillus antkracis in its blood. Yet he had made the injec- tion with a perfectly new hypodermic syringe ; while Klein, for his own injections, had made exclusive use of pipettes drawn to a point in the flame of a lamp, 280 MICROBES, FERMENTS, AND MOULDS. In this case, it must be assumed that the bacilli arid spores of anthrax had settled on Klein's clothes, had spread to the table and floor of the second cabinet, and had passed thence on to the guinea-pig's hair at the moment of the experiment. Another operator, who inoculated a guinea-pig with human tubercles, worked at the same table as that on which Klein performed his experiments on anthrax. Two of the guinea-pigs died with Bacillus anthracis in the blood. Yet the pipettes in use had always been repointed in the fire, and all the other instruments "had been thoroughly heated before the inoculation. In another case, on the contrary, a guinea-pig inoculated with an attenuated culture of Bacillus anthra.cis, of which the effect could not be fatal, was examined at the end of some weeks, and all its organs were found to be affected by the bacilli of tuberculosis. On consulting his notes, Klein found that on the same day he had performed experiments on tubercular matter in the same laboratory, but he had always been careful to use different instruments. The same phenomenon was produced in a rabbit which died, not of anthrax, with which he was supposed to have been inoculated, but of general tuberculosis. The inocu- lating liquid had clearly been impure. It is probable that Biichner's experiments on the bacillus of meat were vitiated by a similar error. Biichner inoculated mice with this bacillus. and believed POLYMORPHISM OF MICROBES. -that he had produced anthrax. But as he had per- formed numerous experiments on anthrax in the same laboratory, it is probable that his cultures of the meat bacillus were impure, and that he had really inoculated with. B. anthracis. The transformation of the bacillus of meat into that of anthrax is therefore not yet proved. 1 Jequirity Microbe. This is another instance of an analogous mistake, owing to which the Jequirity bacillus has baen r supposed to be transformed from a merely septic into a pathogenic microbe. This sub- stance, recently imported from India, is extracted from the seeds o Abrus precatorius, one of the leguminous plants. A few drops of the infusion of these seed,s applied to the eye produce conjunctivitis,, which is artificially excited in order to effect the disappearance of the granules (trachoma) -by which the inner surface of the eyelids is sometimes affected. In India, the same liquid is used to kill cattle by a simple puncture, with the object of skinning them. When Sattler noticed that an infusion of Jequirity became full of moving bacilli in a few hours, re- sembling bacillus subtilis of an infusion of hay (Fig. 80), he made cultures of this bacillus, and produced by their means serious ophthalmia in the eyes of rabbits. At the same time he ascertained that this microbe was harmless when floating in the -air, and that its pathogenic properties were only displayed tvhen it was cultivated in an infusion pf Jequirity. 282 MICROBES, FERMENTS, AND MOULDS. In spite of this, Sattler ascribes the pathogenic action of this substance to the microbe. Klein repeated his experiments with great care, and was successful in solving the contradictions which O appeared to result from Sattler's researches. He proved that the bacillus of jequirity, taken by itself, could no more produce an infectious ophthalmia than Blichner's meat bacillus could produce anthrax. The poisonous principle of jequirity is a chemical ferment (Abrine), analogous to pepsine, and independent of any microbe, and its assumed bacillus probably does not differ specifically from Bacillus subtilis. The transformation of an originally harmless mi- crobe into a pathogenic microbe is therefore not yet proved, and all known facts contradict the possibility of such a transformation. Septic and Pathogenic Microbes. Hence we are led to define, more precisely than before, the terms septic microbes and pathogenic microbes, which are in current use in bacteriology. The term " septic " is applied to the microbes or bacteria which generally live in decomposing organic matter and in dead bodies. These microbes, or their spores, are found in the air, in water, or the soil, in the mouth and intestinal canal of a healthy man or animal; but they are developed in greater number* when the tissues are dead or in a diseased condition, and also in pus, in the bronchial secretion of pulmonary catarrh, on the surface of intestinal ulceration, etc. POLYMORPHISM OF MICROBES. 283 Such are Bacterium termo and Bacillus subtilis, the microbes of putrefaction, those of the sweat of feet, etc., of which we have spoken above; such, again, is the bacillus of Biichner's meat infusion, that of Sattler's jequirity, and finally, Grawitz's Aspergillus, mentioned in this chapter. These yarious microbes, inoculated or injected into blood, may indeed produce different disorders, which in some cases always remain local (oedema) ; in others are limited to metastatic centres encysted in various organs the liver, kidneys, lungs, etc. ; or, again, they may produce a general infection of the blood, as in the septicemia produced by Davaine when he inoculated rabbits with the fluid of putrid beef. These rabbits died within two days, and their blood was found to be full of Bacterium termo. The same result has been obtained by Pasteur and Koch, by merely inoculating guinea-pigs and mice with a little putrid earth or water, in which the same organism was evidently present. But in no case a disease with distinct cha- racters was produced by this means, with special symptoms, epidemic or contagious, analogous to those of erysipelas, anthrax, tuberculosis, or cholera. Hence the name of experimental septicemia, since these diseases do not exist in nature. On the other hand, those microbes are termed pathogenic which always characterize by their presence a special disease, epidemic or contagious, and possessing special symptoms and lesions, whether this 284 MICROBES,. FERMENTS, AND MOULDS. microbe subsists in the blood, the inner part of the organs, or merely on the surface of the digestive canal. ,Such are the microbes of anthrax, of tuberculosis, and : of cholera-, natural diseases which are not produced by the experiments of man. Up to this time a septic microbe has not been proved to be transformed into a truly pathogenic microbe and consequently a com- pletely new djj&ease, characterized by the development of this .microbe in the body of man or animals, has not been cheated. It must also be . remarked and this peculiarity is common/to both classes of microbes that certain bacteria produce very different effects, according to the animals into whose bodies they are introduced. (Thus guinea-pigs cannot be inoculated with the , experimental septicemia of rabbits and mice ; and dogs and swine display more or less resistance to the inoculation of anthrax. Finally, there are cases in which the attempt to. inoculate an animal with a - contagious disease merely produces a septicemia which must not be confounded with it. This result will not astonish those who know that some species of plants, poisonous to man, can be eaten with im- punity by many animals. But it is well to keep this fact in mind in laboratories, when the attempt is made to inoculate animals of various species. CHAPTER IX. CONCLUSION. a THE MICROBIAN THEORY COMPARED WITH OTHER THEORIES PUT FORWARD TO EXPLAIN THE ORIGIN OF CONTAGIOUS DISEASES. THE parasitic theory of diseases is far from being generally adopted by medical men; at this very time the theory is actively opposed by medical practitioners of high standing,, who are advocates of the theory of the innate character of diseases. In their opinion, the disease is spontaneously developed in the patient, or, at any rate, under the influence of a contagion of which the nature is still unknown. They consider that it is only a secondary complication when microbes are found in the blood, and that these microbes are not the cause of the disease, nor even the contagious element, nor the vehicle of contagion. In a word, the microbian theory is in their eyes a purely gratuitous hypothesis. Admitting with them that the microbian theory is 286 MICROBES, FERMENTS, AND MOULDS. only an hypothesis, let us compare it with other hypo- theses which have been proposed to explain the virulent and contagious nature of certain diseases. This comparison may throw some light on the question at issue. The value of an hypothesis must be estimated by the number and importance of the facts of which it affords a clear, precise, and really scientific explanation ; it must also be estimated by its influence on the a Ivance of science. We will therefore enumerate the principal theories which have been proposed to explain the origin of virulent and contagious diseases, without the intervention of microbes. Robins Theory of Blastema. Although, as far as we are aware, Robin has not recently published any- thing with reference to his opinion of the value of the microbian theory, some of his pupils have set forth the theory of blastema as it was stated by their master in books published from ten to twenty years ago. In Robin's opinion, no cell is born from another cell, in the form of a bud, an egg, or a spore. Un- doubtedly there is no spontaneous generation, at the expense of elements of exclusively inorganic origin ; but this generation or genesis occurs every day at the expense of an organized substance which is living, but fluid and amorphous, and which has its source from other pie-existent cells. This fluid is termed blastema by Robin. Blastema is the surplus of the nutritive substance, organized by the cells and exuded CONCLUSION. 287 from them. New cells may be completely formed at the expense of this blastema, without having their source in one cell more than in another. According to Robin's theory, the pus-corpuscles, which #re a new creation, are produced in this way : they result from the exudation of a fluid which issues from all the organs, and are not produced by the enlargement, reproduction, and budding of pre-existent cells, as it is stated in other theories, and notably in those of Schiff and Cohnheim. When this is established, it follows that all diseases have their origin in a chemical or physiological change in the blastema, which at one time produces normal cells, adapted to replace those which die from natural decay, and at another engenders diseased cells, which are dangerous, either owing to their too great number, as in septicemia, or from their peculiar nature, as in tubercle and cancer. Here we will quote Robin's words : " The cause of morbid disturbance arises from the changes which take place in the quantity and nature of the immediate constituents of the actual substance of the tissues and secretions. These changes O make the development of minute spores possible. The multiplication of microscopic plants is a secondary phenomenon; not the scientific cause which actually determines it. The presence of the vegetable parasite is a complication which has been mistaken for the cause " (Ilistoire naturelle des vegetaux parasites de I'hommt, 1853, p. 287) 288 MICROBES, FERMENTS, AND MOULDS. These words were written more than thirty years ago, and it may be asked whether the immense pro- gress which science has made since that date has not somewhat modified the author's opinions. Jousset de Bellesme is scarcely entitled to take these words and paraphrase them as follows: "The microbe, where it really exists, is only a secondary phe- nomenon, and it would not be too much to say that no fresh element has intervened, either in small- pox, scarlatina, or tubercular disease ; in such cases there is only an exaggeration and reproduction of normal elements, which, influenced by wholly obscure con- ditions, are evolved in an altogether unusual manner." The definition given by Jousset de Bellesme is not that of contagious diseases, but of those which are combined under the generic name of cancer. If he means to compare these diseases with cancer, such a comparison is impossible. It is well known that cancer is not contagious, and this fact alone places a gulf between these two kinds of disease. Cancer is not only not contagious nor is it conveyed by inocula- tion, but it is only hereditary in about a tithe of cases. . Tuberculosis is, on the other hand, a con- tagious disease, because it is produced by microbes, and it may be set down as hereditary in nine cases out of ten. Jousset de Bellesme's theory, therefore, explains nothing, and leaves the question absolutely untouched, since it throws no light on contagion and virulence, CONCLUSION. 289 the precise points which it is essential to explain. But we must return to Robin's theory. When he states that the microbe is only developed in tissues which are already changed, Robin is not so far from the parasitic theory as his pupils represent him to be. It matters little that the microbe may be only a complication, a secondary phenomenon, if this secondary phenomenon dominates the whole disease and invests it with its dangerous character, its con- tagious and virulent nature. In the case of a viper's bite, it is not the bite from the animal's teeth which is dangerous, but the introduction of the venom which flows from them; that is, the secondary phenomenon. And it is the same with an anatomical puncture. Two men in similar circumstances are attacked by pneumonia; the first will recover with ease because he is only thirty years old, while the other is almost certain to die because he is seventy-five, but we should not therefore say that he died of old age, and that the pneumonia was only a secondary phenomenon. Oidium and the phylloxera have attacked the French vineyards which are exhausted by excessive cultivation, but it will not therefore be denied that these are two dangerous diseases ; nor should we say that they are secondary phenomena. It is therefore evident that Robin's theory, as it is set forth by his disciples, who have resuscitated statements made twenty or thirty years ago, is no longer on a level 20 290 MICROBES, FERMENTS, AND MOULDS with the present state of science, and is in no case applicable to virulent and contagious diseases. Theory of Charlton Bastian, and the English Fol- lowers of his School. This theory, held by the most ardent opponents of the school of Tyndall and Pasteur, is set forth in the writings of Lewis and Lionel Beale. It scarcely differs from the one we have just stated. Lewis thinks it very evident that the presence of microphyta of the blood is only a secondary pheno- menon; that the change in the fluids of the body is effected before the slightest trace of their presence can be discovered. This is plainly Robin's theory.* Beale is still more absolute and exclusive.! He holds that the solid particles of vaccine are not bacteria nor inicrococci, but bioplasts, or formulated elements which have their source in the living substance of the cow, and these bioplasts constitute the effective con- tagion of all virulent diseases. Bioplasts are extremely minute particles of the living substance of the species affected by the disease. The contagion is a bioplasma, and each species of contagious bioplasma manifests its peculiar specific action, and that only. We must leave it to others to admire and paraphrase this scien- tific jargon, which seems intended to take us several ages back. We must, however, observe that Beale's theory is somewhat allied to another, much more serious and complete, of which we have now to speak. * Les Microphytes du Sang, 1881. f The Microscope in Medicine, 1882. CONCLUSION. 291 Bechamp's Theory of Microzyma. According to this theory, diseases are not due to a fluid blastema which is changed in disease, but to an organized and solid blastema, resembling the constituents of the blood, and consisting of very minute particles of living matter, which are microzyma. These are the elemen- tary granules which may be seen under the microscope in the cells and in all the fluids of the organism. The mycrozyma, and not the cells in which they are encysted, are the real agents of all the functions of the organism. By the secretion of a fluid termed zymase, or ferment, by which they are constantly surrounded (both together constituting what is called protoplasm); these microzyma effect the various trans- formations which have for their final object the nutri- tion of the organism. Virulent and contagious diseases are not produced by parasites coming from without, but by the microzyma themselves, owing to a perver- sion of their normal functions. In such cases they secrete a vitiated zymase, and are transformed into micrococci and bacteria, which it is an error to regard as foreign bodies, since they are only the result of the special form of microzyma pre-existing in our tissues. It must also be said that these microzyma are im- perishable. The cells of our organism die and are renewed, but the microzyma which they contain are only associated with other microzyma in order to constitute fresh cells. After death, their transforma- tion into microbes produces putrid fermentation, -and 292 MICROBES, FERMENTS, AND MOULDS. their existence is prolonged far beyond that of the organisms of which they temporarily formed part. Thus the microzyma of chalk, which doubtless have their source in the animal and vegetable tissues of that epoch, are still living after a repose of many thousand centuries, and may be transformed into bacteria if supplied with the fitting nutritive liquid, as Bechamp has demonstrated. This is undoubtedly a very attractive theory, which would explain a larger number of facts than the theories previously stated, yet it is impossible to make it agree with some of these facts, while they are readily explained by the parasitic theory. Such, for example, are the phenomenon of putrefaction, and the benefits of Lister's dressing, and of Guerin's pro- tective method applied to wounds. Robin, in his theory of blastema, also stated that putrefaction took place without the intervention of any external agent. It is, however, now known that when dead bodies are protected from air-germs, they do not putrefy, but become mummies. Such is the case with the bodies which have been preserved for many centuries in the crypt of one of the churches in Bordeaux, and which, without any antiseptic preparation, have gradually passed into the state of mummies. Many underground buildings and caverns, in which the air is dry and the temperature invariable, present conditions favour- able to such transformation, doubtless because this CONCLUSION. 293 situation is unfavourable to the life of the lower plants. The theory of microzy.ma explains the transmission of diseases by the organized elements of the virus, while the filtered liquid of the same virus is unin- jurious, and in this respect it is more in accordance with facts than the theory of blastema; but it does not explain the effect of the exclusion or sifting of the air by Gue'rin's dressing, nor that of carbolic acid in Lister's dressing. In fact, if the virulent microzyma are in the patient's body, and have no external source, it is difficult to understand of what use this process can be. It is evident that the cotton wool, which only arrests the solid particles of the air, while admitting the air itself, must act by warding off something suspended in the air, and the matter in suspension can only be organized bodies, or air-germs. Theory of Ptomaines. Special alkaloids (septine) were discovered by Panum in pus and by Selmi and Gautier in putrefying matter (ptomaines), and par- tizans of the theory of non-organized virus appeal to these as a last resource. It has been supposed that these ptomaines or toxic alkaloids were the product of putrefaction, or morbid changes which were purely chemical, produced in the tissues and fluids of the system, without any external intervention of microbes. This a priori idea does not really differ from Robin's theory of blastema. If it is accepted, all pathogenic microbes resemble Battler's jequirity bacillus, which 294 MICROBES, FKRMENTS, AND MOULDS. certainly lives and is developed in the toxic juice of the seeds of Abrus precatorius, but which, as Klein has shown, has no influence on the artificial conjunc- tivitis produced by the aid of this liquid. This theory of ptomaines without microbes is, however, inconsistent with an impartial study of facts. It is true that a suitable nitration will separate the ptomaine from its microbe ; but the converse, as in the case of the jequirity liquid, is impossible. When this microbe is separated from the original liquid, and transferred to the infusions of successive cultures, so as to purify it from every foreign element, it continues to produce its characteristic ptomaine, which is manufactured completely at the expense of the culture liquid, as Pouchet's recent experiments on the ptomaine of cholera have shown. There is no ptomaine without its. special microbe, any more than there is ergotine without Claviceps purpurea, or vinegar without Mycoderma aceti". Pasteur s Microbian Theory is the only one which explains all Facts. The microbian theory is the only one which is not obliged to have recourse to the vague expressions with which medicine was formerly content to explain the contagion of diseases, and which still satisfies Jousset de Bellesme, when he speaks of the wholly obscure conditions which accompany the pro- duction of these diseases. All the expressions of miasmata, virus, effluvia, etc., which were in use twenty years ago to designate that unknown agency which CONCLUSION. 295 constitutes contagion, could only be denned by having recourse to the term " catalytic action," which merely placed the solution of the problem another step back, and substituted one unknown thing for another.* The parasitic theory will have done much for science if it only delivers us from " miasmata," " effluvia," and, above all, " catalytic action." As soon as it had been shown that miasmata and effluvia, as well as virus, were only air-germs that is, microbes and their spores a brilliant light was thrown on all pathology, of which the benefits may be measured by the great work accom- plished in this direction within the last ten years. This theory has given us Guerin's protective treat- ment of wounds, Lister's antiseptic dressing, and Pasteur's new vaccine, and these three great dis- coveries are enough to render the hypothesis immortal, even admitting that it is only an hypothesis. The adverse theories, when opposed to the microbian theory, can show us no progress effected in science, and this suffices to condemn them. Moreover, the microbian theory is no longer in the primitive stage in which it can be regarded as a pure hypothesis, since it has entered the domain of positive facts. Before an infectious disease can be considered due to the presence of a specific microbe, * See, for example, the article Miasmes in Nysten's Dictionary (Litire and Itdbin, edit. 1864): "Miasma is constituted by the organic substances of the air, in different stages of catalytic modification." These words arc printed in italics by Robin himself. See also the words Ejjluvesj Catalytiques, Virus, etc., in the same dictionary. 296 MICROBES, FERMENTS, AND MOULDS. it is indispensable to submit it to the test of the four following rules, which have been clearly established by Koch : 1. The microbe in question must have been found either in the blood or tissues of the man or animal which has died of the disease. 2. The microbe taken from this medium (the blood or tissues, whichever it may be), and artificially cultivated out of the animal's body, must be trans- ferred from culture to culture for several successive generations, taking the precautions necessary to prevent the introduction of any other microbe into these -cultures, so as to obtain the specific microbe, pure from every kind of matter proceeding from the body of the animal whence it originally came. 3. The microbe, thus purified by successive cultures, and reintroduced into the body of a healthy animal capable of taking the disease, ought to reproduce the disease in question in that animal with its charac- teristic symptoms and lesions. 4. Finally, it must be ascertained that the microbe in question has multiplied in the system of the animal thus inoculated, and that it exists in greater number than in the inoculating liquid. These four conditions are necessary and sufficient, and in the present state of science they may be regarded as fulfilled in a considerable number of diseases: in anthrax, fowl cholera, swine fever, glanders, small-pox, tuberculosis, erysipelas, and even CONCLUSION. 297 in Asiatic cholera. These,, are undoubtedly microbe diseases in every sense of the term. The opposition which the microbian theory encounters in pathology is not new, and need not surprise us. In all ages medicine has clung to its old traditions, and has been unwilling to renounce the habit of regarding disease as something mysterious, just as in the times of ancient magic, of which our modern seers and sorcerers are a relic. The parasitic theory is too simple and natural to be accepted without a struggle, but its earlier achievements are a good omen for the future. We need scarcely remind our readers that at the beginning of this century the parasitic theory of itch encountered the same opposi- tion, yet no physician now doubts that Sarcoptes scabiei is the sole cause of the disease. Somewhat later, towards the middle of the century, when the presence of special microphyta was ascertained in most skin-diseases, the importance of this discovery was denied; yet few physicians will now dispute that these microphyta are the chief, or rather the sole cause of these diseases. So, again, in anthrax, when we observe the blood and all the organs filled with bacteridia (Bacillus anthracis), it can hardly be denied that this disease is essentially parasitic. Since these bacteridia are living beings which grow, are reproduced, and breed with great energy, it must be admitted that their presence constitutes an immediate danger, especially 298 MICROBES, FERMENTS, AND MOULDS. since it is known that they elaborate, at the expense of the organism, a violent poison (ptomaine); which penetrates wherever the bacteridia cannot find their way. It can hardly be said that in this case the bacteridia are only a " secondary phenomenon ; " that is, an unimportant complication which gives no cause for uneasiness. What we have here said of anthrax also applies to other diseases : to diphtheria, small-pox, and inter- mittent fever. We venture to say that if our instru- ments were not sufficiently powerful to enable us to see the organisms which cause these diseases, reason alone would oblige us to admit their existence, from our general knowledge of the cause and nature of contagious diseases. The word "contagion" implies microbe, and the simplicity of the theory gives it value, and permits us to regard it as the expression of actual facts. After this, it is unimportant to know whether the microbe is itself the contagion, or only its vehicle ; if it acts by itself, or only by the production of ptomaine ; if there is a specific microbe for each kind of disease, or if this microbe is susceptible of transformation, like other living things, according to the nature of the medium in which it is nourished. These are secondary questions, of which the future will doubtless afford the solution, but which do not affect the principle of the parasitic theory. That theory is only just established ; each day brings a fresh stone to the edifice, but we CONCLUSION. 299 must not yet expect it to be complete in all its parts. The advance of science may modify its details, but it may be asserted that the foundation itself will remain, since it relies on the simple and natural interpretation of facts. APPENDIX. TERMINOLOGY OF MICROBES : VARIATIONS IN DENOMINATION AND CLASSIFICATION. IN consequence of the polymorphism of microbes, the terminology employed by different authors is very unstable. We have given the established morphological classification which is still most generally used, but we must here add some remarks which will make it more easy to understand the works recently published on microbes, such as Les Bacteries, by Cornil and Babes, and Micro-organisms and Diseases, by Klein. We must first note the tendency to eliminate the names of two genera : Bacterium and Vibrio. Cornil and Babes give the name Bacteria, which is the title of their work, to the whole group of Bacteriacece, or microbes strictly so called, regarded as a distinct order. They have consequently been led to suppress the genus Bacterium, in order to avoid confusion ; and most of the species formerly assigned to the genus Bacterium are regarded by them as Bacillus, whether the individual is long or short, mobile or stationary. In the description of the microbes of human diseases, we have conformed 302 APPENDIX. to this nomenclature, which appears to be adopted by histologists, so as not to overload the synonymy of microbes, which is already somewhat encumbered. It is probable, moreover, that this assimilation is correct, and that most bacilli pass through a phase in which they are short and mobile, before becoming elongated and stationary. On the other hand, certain types of the old genus Bacterium for instance, the bacteria in the form of an 8 should rather be assigned to the genus Micro coccus, or to the new genus Diplo coccus. With respect to the genus Vibrio, it seems to have been originally only a somewhat heterogeneous collection, comprising both the chains and chaplets of micrococci or of short bacteria, and the strictly unicellular organisms which might be assigned to the genus Spirillum. Klein, how- ever, reserves this genus for Vibrio rugula and V. Serpens. The genus Hicrococcus (Hallier) is also termed by Cohn, Spherobacterium, and these two names are now given to the only unicellular microbes which are round or oval, stationary, and consequently devoid of cilium or flagellnm, the organ of propulsion. These micrococci may be in the form of chains or chaplets (torula), dumb-bells (Klein), the figure 8 (Diplo- coccus, Billroth), groups of four, and zoogloeae or in masses of greater numbers. The genus Bacterium (Microbacterium, Cohn) differs from the foregoing, as Klein states, chiefly in the oval or cylindrical form of its cells, and still more by the presence of a cilium or flagellum at one extremity, which gives a spontaneous movement. They may thus assume the form ot: a sponge-cake and of a dumb-bell when they divide in two, and may also form short chains or zoogloeas. As we Lave already said, most of these organisms are assigned UFITBISIT7 303 by Cornil to the genus Bacillus; at any rate, in the case of organisms peculiar to human diseases. The genus Bacillus, according to Klein (Desmobac- terium, Cohn), includes microbes in the form of more or less elongated rods, which divide by fission into straight, curved, or zigzagged chains, formed of elements generally in contact by their square-cut edges, and which, may be considerably elongated in the form of Leptothrix. Some of these, when isolated or in short chains, pos- sess a flagellum at one extremity, and are consequently mobile such is the case with Bacillus subtilis and most of the bacilli of putrefaction but they lose this organ of movement on passing into the state of Leptothrix. Bacillus antliracis is always stationary, and devoid of flagellum. The fact that there is in this genus a vibratory cilium, and consequently motion, breaks down the barrier between the genera Bacterium and Bacillus^ and con- sequently justifies Cornil's view. The genera Spirillum (Spirolacterium, Cohn,) and Spirochoete are much more rare, and have not given rise to the same variations in nomenclature. We conclude by reproducing the classification of Rabenhorst and Fliigge, as it is given by Cornil and Babes, in order to serve as a convenient scheme for the pathogenic bacteria iu which we are specially interested : 304 APPENDIX. CLASSIFICATION OF RABENHORST AND FLUGGE. GEKEEA. 10VUMK In large numbers JUtC/ UWVVMMB Round and or /Solid colonies Regular colonies Ascococcus. oval cells. Forming 1 -JjrSi. In small definite zoogloeajj numbers in th e i and form of j regular groups ... . Sarcina. i * \A single circular layer Clathrocystis, / Short, isolated, in a mass or in zoogloeaa Bacterium. Short, jointed Bacillus. ^/Straight Lone itn . / S i end er j filaments. p |;JJf y f LeptothriXt 1 /Isolated, , jointed. \Thick Beggiatoa. inter- Hi Cylind: Forming long laced, or in bundles. 1 Spiral (Short, rigid ^ filaments -( Long, flexible ... Spirillum (Vibrio), Spirochcete. filaments. ( Streptothrix. \ With false ramifications ( Cladothrix. ^In zoogloese Myconostoc. B. APPENDIX TO CHAPTER III. (p. 131). MICROCOCCUS OF PHOSPHORESCENCE. The phosphorescence of the sea is due to the presence of Noctilucce, protozoaria of the group of Flagellata, which come to the surface in stormy weather. Many other marine animals present the same phenomenon. The phosphorescence of rotten fish is due to the presence of a special micrococcus which forms large circular zoogloeje. The same micrococcus also appears on putrefied meat and imparts to it a phosphorescent light. APPENDIX. 305 APPENDIX TO CHAPTER III. (p. 131). _ PLANT-DISEASES CAUSED BY BACTERIA. The presence of parasitic bacteria lias been recently pointed out as the cause of diseases in plants. In 1880, Burril, of Illinois, U.S., has declared the shrivelling of pears to be due to a bacterium which attacks fruit-trees, and of which he succeeded in making an artificial culture. In 1882, the jaundice of hyacinth bulbs was ascribed by Wakker. of Amsterdam, to the development of a bacterium between the layers, which may finally destroy the plant. In August, 1885, Luiz de Andrade Corvo presented a paper to the Academy of Sciences, in which he asserted that the vine-disease ascribed to Phylloxera vastatrix is really due to a bacillus, or rather, according to his de- scription, to a bacterium, which is always found in the tubercles of the radicles and in the tissues of the vine which are affected by this disease, termed by him tuber- culosis. They are also found in the body of the insect, which thus becomes simply the agent of contagion. Neither Wakker in 1882, nor Burril in 1880, was the first to point out the presence of microbes in the diseased tissues of plants. As early as the year 1869, Bechamp noticed the presence of microzyma, that is, bacteria, in the affected parts of plants (Gomptes rendus de I'Academie des j vol. Ixviii. p. 466). 21 S08 APPENDIX. D. APPENDIX TO CHAPTER IV. (p. 143). PTOMAINE OF THE MIC KOBE OF FOWL CHOLERA. Duclaux cites the following fact in his book, Ferments et Maladies: "If a fowl is inoculated with a few drops from a culture of fowl cholera, the bird sickens and dies ; but if the liquid has been filtered before using it, through plaster or porous china, the disease produced is not fowl cholera. The bird rolls himself up and falls into a passing sleep, from which he is roused by the slightest noise. "After a few hours, his recovery is complete. Thus there are two kinds of symptoms in fowl cholera, of which the most apparent is due to a species of narcotic (ptomaine) secreted by the microbe, but capable of independent action, and not in general ending fatally." E. APPENDIX TO CHAPTER V. (p. 171). CESSPOOLS. SYSTEM OF CARRYING EVERYTHING TO THE SEWERS. This system, so long advocated in Paris by Durand- Claye, implies that the water should pour into the recep- tacles, so as constantly to flush the drain-pipes. A minimum of ten litres per diem to each inhabitant is necessary for this purpose. The household water and rain-water likewise pass APPENDIX. 307 into evacuation pipes of the sewer by sypecial sphons, and help to flush them. This system has been applied to the Hotel de Ville, to the new Guards' barracks, to a certain number of primary schools, and to many private houses. The municipal administration proposes to apply this system to most of the schools, hospitals, and barracks, of which the sanitary condition is at present far from satis- factory. They hope eventually to extend the same system to all private houses, so as to do away with the cesspools a reform already effected in many foreign cities, and notably in Germany. F. APPENDIX TO CHAPTER V. (p. 172), THE SEWEES OF PARIS AND THE PLAIN OF GENNEVILLIERS. The water issuing from the main sewer of the city is partly turned into the Seine, partly into the plain of Gennevilliers, and used, by a system of irrigation, for fer- tilizing the soil. There was some fear lest the vegetable mould might be saturated with fertilizing matter, but the presence of a special microbe was ascertained, which re- duces organic matter to its inorganic constituents, and thus adapts them to be absorbed by plants. Schlcesing and Muntz, who have studied this microbe, term it the nitrifying microbe. The same system, of sewer-irriga- tion will shortly be applied to another place in the neigh- bourhood of Paris, Acheres, near the forest of Saint- Germain. 308 APPENDIX. G. APPENDIX TO CHAPTER Y. (p. 172). USEFUL MICROBES. We have said that numerous bacteria exist in the diges- t've canal of a man in good henlth. Recent researches by Duclaux, Richet, and Bourquelot tend to show that these microbes are not only innoxious, but that they play an active part in gastric digestion, and especially in the transmutation of albumins into peptones. Since they are, in fact, living ferments, the transmutation is retarded, if these microbes are eliminated. It is therefore probable that they manufacture pepsin. Pasteur's experiments also tend to show that microbes aid the germination of plants. If the microbes contained in vegetable mould are withdrawn from it, without taking away any other constituent, germination is retarded, and effected with difficulty. H. APPENDIX TO CHAPTER V. (p. 241.) PTOMAINES OF FISH. Salt and smoked fish often produce in those who eat them violent poisoning, which may even end in death. Aurep, of Kharkov, has recently studied these causes, and ascribes them to a ptomaine secreted by a microbe, or perhaps evolved from the fish itself during life, under the morbid influence of this microbe. INDEX. A brine, 282 Abrus precatorina, 231 A earns, 51 Acescence in wine, 99 Achorion keratophagus, 63 Schcenlenii, 52, 277 Acidity of wines, 99 Acinetae, 3 Actinospora chartarum, 46 Action by presence, 71 Aerobies, 117, 118 Aeroscope, 160 Agaricus comestibilis, 10, 12 melleus, 41 Agnail, 236 Alkaloids, 238-241 Alopecia, 60 areata, 131 Amertume, 98 Ammoniacal fermentation, 107 Amoebae, 3 Anaerobies, 117, 118 AnguilUdv, 97 Antheridium, 30 Anthracnosis, 38 Anthrax, 132-142 Antiseptic dressing, 242-215 Antiseptics, 253-257 Appert's process, 251 Apyrexia, 185 Ascarides, 248 Ascococcus, 91, 93, 304 Ascomycetes, 13, 20 Ascophora mucedo, 46 Aspergillus, 33, 275, 278 glaucus, 26 Attenuation of pathogenic mi. crobes, 269 Aubernage, 39 B Bacillus, 92, 304 oanylobacter, 110 butyricus, 110 komma, 198, 203 of anthrax, 133, 134 of cholera, 197, 198 of foot sweat, 232 of gangrene, 232 of glanders, 149 of leprosy, 228 of malaria, 183 of phthisis, 225 of pneumonia, 230 subtilis, 175 Bacteridia, 93 , their vegetable nature, Bacterium, 93, 3U1-304 ceruginosum, 130 bombycis, 152 ' cyanogenum, 129 310 INDEX. Bacterium decalvans, 131 lineola, 95 porri, 232 prodigiosum, 127 subtilis, 175 termo, 86, 87, 88 xanthinum, 129 Baregine, 120 Ba?ides, 12 BasidiomyceteSj 14 Bechatnp's theory, 291 Beggiatoa, 119, 304 alba, 119 Bitterness of wine, 103 Blastema, theory of, 286 Boil, 236 Boissons, 82 Botrytis baasiana, 50 Bougie Chamberland, 249 Butyric fermentation, 105, 109 Carbuncle, 236 Caries, dental, 177-179 , dry, 63 , of cereals, 17 Carpozyma apiculata, 75 Catallacta, 3 Catalytis, 71 Cattle plague, 146 Cellulose, 9, 10 Chcetonium chartarurn,, 46 Chalk, microbes of, 124 Chamberland filter, 240-248 Chlorococcus, 160 Cblorophyl, 10 Cholera, fowl, 142 , mode of propagation, 207 , microbe of, 195-206 Cilia, vibrating, 88 Cladothrix, 92 dichotoma, 93 Classification of microbes, 91, 301 of fungi, 13 Clathrocystis, 304 Claviceps purpurea, 20, 21 Coprins, 44 Cordiceps, 47, 49 Corpuscles, vibratile, 151 Cossus, 47 Cow-pox, 211, 214 Croup, microbe of, 215-222 Culture flanks, 162, 264 Culture of microbes, 163, 258- 268 Cyanophycese, 119 Dematium gigantemn, 45 Desmobacterium, 3u3 Diastase, 80 Diatomacece, 3 Diblastic theory, 168 Diphtheria, microbe of, 220 Diplococcus, 302 Disease, white, 33 Diseases, action of microbes in, 237-241, 294 of domestic animals, 132- 155 , human, 156-241 of plants, 305 of potato, 31 of silkworms, 50, 150-155 of the vine, 32-42 of wines, 98 -105 , produced by microbes, 7 Drawings of microbes, 2G3 E Earth-worms, 32, 137 Ehrlich (staining method), 225, 263 Elephantiasis, 228 Entomophthora 1'lanchoni, 49 rimosa, 49 Entomophthorese, 49 Ergot of maize, 24 of rye, 20, 21 Ergotine, 23 Ergotism, 23 Erisyphe, 27 INDEX. 311 Erisyphe Tuckeri, 27, 33 Erysipelas, microbe of, 232, 233 Kurotium repens, 25 Exanthemata, 209-215 Farcy, 149 Favus, 54 Fermentation, 66-84 , acetic, 95 , alcoholic, 75 , ammoniacal, 107 , butyric, 110 , lactic, 106 , of beer, 78 , putrefactive, 112 , vinous, 74 , viscous, 104 Ferment, of beer, 79-81 of bread, 84 of fruit, 76 of wine, 74, 75, 76 Ferments, 66-72 Fevers, eruptive, 209-215 , intermittent, 179-187 , jungle, 187 , of horses, 194 , recurrent, 187 ., typhoid, 191-194 , typhus, 191 , yellow, 189, 190 Filter, Chamberland, 240-248 Flacherie, 154, 155 Fbtgellata, 3 Flagellum, 88 Fleurs de vin, 98 Fowl cholera, 142 Fuchsin, 261 Fungi, 3, 9-65 Gangrene, 232 Germs of the air, 156-165 Glairine, 120 Glanders, 149 Glucose. 67 Goitre, 232 Gonorrhoea, 230 Graisse, 98 GregarinidfB, 3 Guerin's dressing, 212 Hay, infusion of, 162 Hepialus, 47 Herpes, circinnate, 56 Himantia cellaria, 43 Hymenium, 12 Hymenomycetes, 15 Hyphae, 10 Immunity, 271 Infusoria, 3 Inoculation, 269 for anthrax, 139 for cholera, 201 for pneumonia, 145 for rabies, 148 Instruments for research, 258 259 Isariapulveracea, 49 sphingum, 48 .Tcquirity, microbe of, 281 Kava, 83 Kirschwasser, Koumiss. 83 Laboratory research, 258-271 Labyrinthulce, 3 312 INDEX. Lamellae, 12 Leprosy, microbe of, 228 Leptothrix, 92, 304 buccalis, 175 . polymorphism of, 274 Lichens, 273 Liquids, culture, 162, 268 Lister's dressing, 244 M Malaria, 179 bacillus, 183 Malt, 80 Marsh fever, 179-187 Measurement of microbes, 263 Merulius destruens, 45 Methods of cult ire, 263 Methyl-violet, 261 Miasma, 170 , human, 191 Microbes, aerobic and anaerobic, 117 , chromogenic, 126-131 , classification of, 91, 304 , culture of, 263-269 , defence against, 242-257 destroyers of building ma- terials, 123, 124 , in general, 1-8 of bad bread, 130 of baldness, 131 of blue milk, 129 of domestic animals, 132- 155 of human diseases, 156-241 of jequirity, 281 of saltpetre, 121 of sulphurous waters, 119, 120 of the air, 156-161 of the mouth, 172-179 of the saliva, 173 of the soil, 166 of urine, 107 of water, 165, 166 , part played by, 6, 7 , pathogenic, 282-284 polymorphism of, 272-284 Microbes, ptomaines of, 237-241, 306 , septic, 282 , strictly so called, 85-90 , their mode of action, 237- 241 , useful, 6, 305 , vegetable nature of, 85-90 Microbian theory, Pasteur's, 2U4- 299 Micrococcus, 91, 92, 304. auriantiacus, 129 bombiicis, 154 candidus, 129 chlorinus, 129 cyanus, 129 diphthericus, 215 Julvus,l29 of gonorrhoea, 231 of peritonitis, 234 of pneumonia, 229 of scarlatina, 210 of srnall-pox, 211, 212 prodigiosus, 127 septicu*, 234 urew, 107, 108 viclaceus, 129 Microsporece, 58 Microsporidia, 152 Microsporon Audouini, 58 diphtericum, 220 furfur, 56, 57, 278 Microtome, 259 Microzoaria, 4 Microzyma, 4, 291, 305 Mildew, 35, 36 Mixture of different microbes, 279 Molinia, 46 Monera, 3 Montsouris, 159 Morts flats, 154 Motion of microbes, 88 Moulds, of dog's excrement, 27 of leather and fruit, 25, 26 of paper, 46 Mucor caninus, 27 herbarium, 46 mucedo, 28, 46 INDEX. Mucorineft, 27 Muscat-dine, 50 Mushroom, edible, 9, 11 Mycoderma aceti, 95 vini, 76, 96 Myconostoc, 304 Myxomycetes, 3 N Noctilucce, 304 Nosema bombycis, 152 Nostoc, 90 O GReidiospores, 16 (Ecidium berberidis, 17 rhamrti, 17 Oidiuin, 33 albicans, 61, 278 lactis, 278 Onychomycosis, 63 Oogoninm, 30 Oomycetes, 13, 27 Oospores, 27 Ophidomonas sanguinca, 128 Ophthalmia, purulent, 231 Orleans process, 96 Oscillaria, 9, 119, 186 Oscillatoria, 119 Osteomyletis, 236 Palmella febrilis, 182 mirifica, 127 Panistophyton ovale, 152 Pebrine, 150-154 Pelade, spurious, 24 , true, 58, 59 Pellagra, 18, 24 Pelletage, 19 Penicillium, 27, 275, 278 ferment, 275 racemosum, 47 Peronospora Barcinoncv, 202 calotheca, 29, 30 infestans, 31, 37 viticola, 35-37 Peyer's glands, 192 ; 195 Plilegmon, 237 Phoma uvicola, 38 Phosphorescence, 304 Photography of microbe?, 2 Phthisis, 223-228 Phycvrnmycecs, 90 Phylloxera vastatrix. 33 Pipjr meihysticum, 83 Pipette, 260 pityriasis capitis, 59, 60 versicolor, 56 Pneumonia, 229 Polymorphism of microbes, 284 Polypus, 232 Pows.se, 100 Powdered meats, 252 Preparations, 261 Protista, 3-8 Protococcus, 160 niralis, 1 28 Ptomaines, 239, 293 Puccinia coronata,, 17> 18 favi, 54 graminis, 15-17 Puerperal peritonitis, 234? Pus-corpuscles, 234, 235 Putrefaction, 112-117 Pyaenia, 235 Pyrochoris apterus, 49 Babies, 147-149 Reagents, non-staining, 261 , staining, 261 Ringworm, 52-54 Robin's theory, 286 Rcesleria hypogea, 40 Rot, 40 Rust, cereal, 14 Saccharomyces albicans y 61 apiculatus, 76 314 INDEX. Saccharomyces conglomeratus, 75 ellipsoideus, 74 exiguus, 75 minor, 84 mycoderma, 61, 62, 76, 278 Pastorianus, 75 Reesii, 76 Saprolegnia ferax, 47, 48 Sarcina ventriculi, 94, 95 Scarlatina, 210 Schizomycetes, 8, 86, 91, 158 Schizophyta, 8, 86, 91, 158 Scleroti*, 20 Septic and pathogenic microbes, 282 vibrio, 146 Septicaemia, 234 , experimental, 146 Septine, 238 Sleepiness of fruit, 31 Small-pox, 211, 212 Smut of wheat, 19 Solid nutritive substances, 267 Sphacelium, 20, 21 Sphaceloma ampelium t 38 Spherobacterium, 302 Spirillum, 92, 304 tenue^ 114 undulatum, 174 Spirobacterium, 303 Spirochcete, 92, 304 buccalis, 173 Obermeieri, 188 plicatilis, 173 Splenic fever, 132-139 Sporangium, 29 Sporendonema muscce, 47 Spores, air charged with, 1G4 , injected into the blood, 278 Sporisorium mctidis, 18 Staining methods, 261 Staphylococcus pyogenus, 236 Streptothrix, 204 Forsteri, 232 Sulphurous waters, 119 Sulphur, appl cation of, 34 Sweat, red, 231 Sweating foot, 232 Swine fever, 143 Sycosis, 55 Symbiosis, 273 Vaccination, 211-2' 5, 209 for anthrax, 131) Verdet, 18 Vibrio, 3, 93, 101, 117, 301, 304 rugula, 93, 118, 173, 174 sfepticus, 14H, 147 serpens, 93, 302 Vinegar, ferment of, 86, 95 Viscous fermentation, 105 W Whitlow, 236 Wine, diseases of, 98-105 , ferments of, 74-78 Xerosis, 232 Yeast of beer, 78-82 Znogalactina imetrnpha, 127 Zoogloere, 114, 115, 12l>, 175, 304 Zymase, 291 UHI7SRSIT7 D. 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THE CULTURE DEMANDED BY MODERN A Series of Addresses and Arguments on the Claims of Scientific Education. Edited, with an Introduction on Mental Discipline in Education, by EDWARD L. YOUMANS, M. D. 12mo. Cloth, $2.00. " A debt of gratitude is due to Dr. Youmans for this very interesting and in- structive volume. It meets a serious want in the popular literature of our time. We h we for some time sorely needed a book in which the subject of education should be philosophically discussed. We have needed a book in which the claims which divers branches of study rightfully have upon our attention should be fairly and lucidly set forth. In the present volume the claims of scientific studies a very important item in education are ably, not to say powerfully, presented. The idea of collecting the opinions of various great writers, each an authority in his own province, upon this most weighty subject, was a happy one. . . . We need do no more in behalf of the claims of science than refer to Dr. Youmans's book, where nearly all that can be urged on the subject is most forcibly urged. 11 The Nation. CORRELATION AND CONSERVATION OF FORCES. A Series of Expositions by Scientific Men. Edited, with an Intro- duction and Brief Biographical Notices of the Chief Promoters of the New Views, by EDWARD L. YOUMANS, M. D. 12mo. Cloth, $2.00. CONTENTS. I. By Professor W. E. GROVE : The Correlation of Phys- ical Forces. II. By Professor HELMHOLTZ : The Interaction of Natural Forces. III. By Dr. J. E. MATER: 1, The Forces of Inorganic Nature; 2, Celestial Dynamics ; 3, The Mechanical Equivalent of Heat. IV. By Dr. FARADAY: The Conservation of Forces. V. By Professor LIEBIG : The Connection and Equivalence of Forces. VI. By Dr. CARPENTER : The Correlation of the Physical and Vital Forces. " This work is a very welcome addition to our scientific literature, and will has not been paid to the publication of collected monographs or memoirs upon special subjects. Dr. Youmans's work exhibits the value of such collections in a very striking manner, and we earnestly hope his excellent example may be fol- lowed in other branches of science. 11 American Journal of Science. New York : D. APPLETON & CO., 72 Fiftli Avenue. App/etons* Popular Science Monthly. Edited by WILLIAM JAY TOUMANS. 7~ke Popular Science Monthly is not a technical magazine. It is the pioneer in educational im- provement, and is the best periodical for people who think. All its articles are by writers of long practical acquaintance with their s^lbjects, and are written in siich a manner as to be readily understood. It deals particularly with those general and practical s^lbjects which are of the greatest interest and importance to the people at large. 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