File:Interstate medical journal (1917) (14597209577).jpg

Identifier: interstatemedica2419unse (find matches)
Title: Interstate medical journal
Year: 1917 (1910s)
Authors:
Subjects: Medicine
Publisher: St. Louis, : Interstate Medical Journal
Contributing Library: The College of Physicians of Philadelphia Historical Medical Library
Digitizing Sponsor: The College of Physicians of Philadelphia and the National Endowment for the Humanities

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for room decorations, its pollen re-sembles that of the ragweed morphologically and biologically, andits extract may therefore be used in combination with that of theragweeds, which is the case with some of the commercial pollenextracts. The only objection is that it tends to perpetuate thepopular myth that it is a cause of hay fever. In most cases the skin reaction is a fair index of the susceptibilityof the patient to pollen inhalation. It is, therefore, also a con- 492 INTERSTATE MEDICAL JOURNAL venient method of checking the effects of the prophylactic injec-tions. When the skin reaction disappears, which may occur afterthe fifth to twentieth injection, the treatment may be discontinuedif the hay fever season is far advanced, or the injections made atlonger intervals if this is not the case. In testing our patients at the hay fever clinic of the CharityHospital, we use the extracts of the different pollens separately.In the graminese (grass) group, for instance, we have the sweet
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Fig. I.—Pollen of careless weed (Amaranthus spinosus). Magnified 500 diameters.Size, 20 microns. Characteristic In appearance anil reaction of the pollen ofthe Chetnpodiacra- group. vernal (Anthoxanthus odoratum), rye, meadow (poa annua), timo-thy (Phleum pratense), and orchard grass (Dactylis glomerata).This is done in order to observe the different reactions, if any, inthese varieties, but prophylactically and therapeutically we makeno distinction between the grass extracts, using them either sepa-rately or combined. The tests are applied to the nasal mucosa, the conjunctival sac, Scheppegrell: Notes on the Treatment of Hay Fever 493 or the skin. In cases in which the hay fever has already developed,the skin method alone is applicable. The extract may be appliedto the scarified skin, or preferably injected into (not under) theskin (intradermic). Some of the commercial houses are.offeringindividual syringes with capillary tubes containing the extracts,which are convenient for this

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