REPORT ON THE CAUSE OF AGUE.--BY DR. EPHRAIM CUTTER, TO THE WRITER

At your request I give the evidence on which I base my opinion that your

plan in relation to ague is true.

From my very start into the medical profession, I had a natural intense

interest in the causes of disease, which was also fostered by my father,

the late Dr. Cutter, who honored his profession nearly forty years.

Hence, I read your paper on ague with enthusiasm, and wrote to you for

some of the plants of which you spoke. You sent me six boxes containing

soil, which you said was full of the gemiasmas. You gave some drawings,

so that I should know the plants when I saw them, and directed me to

moisten the soil with water and expose to air and sunlight. In the

course of a few days I was to proceed to collect. I faithfully followed

the instructions, but without any success. I could detect no plants

whatever,

This result would have settled the case ordinarily, and I would have

said that you were mistaken, as the material submitted by yourself

failed as evidence. But I thought that there was too much internal

evidence of the truth of your story, and having been for many years

an observer in natural history, I had learned that it is often very

difficult for one to acquire the art of properly making examinations,

even though the procedures are of the simplest description. So I

distrusted, not you, but myself, and hence, you may remember, I forsook

all and fled many hundred miles to you from my home with the boxes you

had sent me. In three minutes after my arrival you showed me how to

collect the plants in abundance from the very soil in the boxes that had

traveled so far backward and forward, from the very specimens on which I

had failed to do so.

The trouble was with me--that I went too deep with my needle. You showed

me it was simply necessary to remove the slightest possible amount on

the point of a cambric needle; deposit this in a drop of clean water on

a slide cover with, a covering glass and put it under your elegant 1/5

inch objective, and there were the gemiasmas just as you had described.

I have always felt humbled by this teaching, and I at the time rejoiced

that instead of denouncing you as a cheat and fraud (as some did at that

time), I did not do anything as to the formation of an opinion until I

had known more and more accurately about the subject.

I found all the varieties of the palmellæ you described in the boxes,

and I kept them for several years and demonstrated them as I had

opportunity. You also showed me on this visit the following experiments

that I regarded as crucial:

1st. I saw you scrape from the skin of an ague patient sweat and

epithelium with the spores and the full grown plants of the Gemiasma

verdans.

2d. I saw you take the sputa of a ague patient and demonstrate the

spores and sporangia of the Gemiasma verdans.

3d. I saw you take the urine of a female patient suffering from ague

(though from motives of delicacy I did not see the urine voided--still I

believe that she did pass the urine, as I did not think it necessary to

insult the patient), and you demonstrated to me beautiful specimens of

Gemiasma rubra. You said it was not common to find the full development

in the urine of such cases, but only in the urine of the old severe

cases. This was a mild case.

4th. I saw you take the blood from the forearm of an ague patient, and

under the microscope I saw you demonstrate the gemiasma, white and

bleached in the blood. You said that the coloring matter did not develop

in the blood, that it was a difficult task to demonstrate the plants in

the blood, that it required usually a long and careful search of hours

sometimes, and at other times the plants would be obtained at once.

When I had fully comprehended the significance of the experiments I was

filled with joy, and like the converts in apostolic times I desired to

go about and promulgate the news to the profession. I did so in many

places, notably in New York city, where I satisfactorily demonstrated

the plants to many eminent physicians at my room at the Fifth Avenue

Hotel; also before a medical society where more than one hundred persons

were present. I did all that I could, but such was the preoccupation of

the medical gentlemen that a respectful hearing was all I got. This is

not to be wondered at, as it was a subject, now, after the lapse of

nearly a decade and a half, quite unstudied and unknown. After this I

studied the plants as I had opportunity, and in 1877 made a special

journey to Long Island, N.Y., for the purpose of studying the plants in

their natural habitat, when they were in a state of maturity. I have

also examined moist soils in localities where ague is occasionally

known, with other localities where it prevails during the warm months.

Below I give the results, which from convenience I divide into two

parts: 1st. Studies of the ague plants in their natural habitat. 2d.

Studies of the ague plants in their unnatural habitat (parasitic). I

think one should know the first before attempting the second.

_First_--Studies to find in their natural habitat the palmellæ described

as the Gemiasma rubra, Gemiasma verdans, Gemiasma plumba, Gemiasma alba,

Protuberans lamella.

_Second_--_Outfit_.--Glass slides, covers, needles, toothpicks, bottle

of water, white paper and handkerchief, portable microscope with a good

Tolles one inch eyepiece, and one-quarter inch objective.

Wherever there was found on low, marshy soil a white incrustation like

dried salt, a very minute portion was removed by needle or toothpick,

deposited on a slide, moistened with a drop of water, rubbed up with a

needle or toothpick into a uniformly diffused cloud in and through the

water. The cover was put on, and the excess of water removed by touching

with a handkerchief the edge of the cover. Then the capillary attraction

held the cover in place, as is well known. The handkerchief or white

paper was spread on the ground at my feet, and the observation conducted

at once after the collection and on the very habitat. It is possible

thus to conduct observations with the microscope besides in boats on

ponds or sea, and adding a good kerosene light in bed or bunk or on

lounge.

August 11, 1877.--Excursion to College Point, Flushing, Long Island:

Observation 1. 1:50 P.M. Sun excessively hot. Gathered some of the white

incrustation on sand in a marsh west of Long Island Railroad depot.

Found some Gemiasma verdans, G. rubra; the latter were dry and not good

specimens, but the field swarmed with the automobile spores. The full

developed plant is termed sporangia, and seeds are called spores.

Observation 2. Another specimen from same locality, not good; that is,

forms were seen but they were not decisive and characteristic.

Observation 3. Earth from Wallabout, near Naval Hospital, Brooklyn, Rich

in spores (A) with automobile protoplasmic motions, (B) Gemiasma rubra,

(C) G. verdans, very beautiful indeed. Plants very abundant.

Observation 4. Walking up the track east of L. I. R.R. depot, I took an

incrustation near creek; not much found but dirt and moving spores.

Observation 5. Seated on long marsh grass I scraped carefully from the

stalks near the roots of the grass where the plants were protected from

the action of the sunlight and wind. Found a great abundance of mature

Gemiasma verdans very beautiful in appearance.

_Notes_.--The time of my visit was most unfavorable. The best time is

when the morning has just dawned and the dew is on the grass. One then

can find an abundance, while after the sun is up and the air is hot the

plants disappear; probably burst and scatter the spores in billions,

which, as night comes on and passes, develop into the mature plants,

when they may be found in vast numbers. It would seem from this that the

life epoch of a gemiasma is one day under such circumstances, but I have

known them to be present for weeks under a cover on a slide, when the

slide was surrounded with a bandage wet with water, or kept in a culture

box. The plants may be cultivated any time in a glass with a water

joint. A, Goblet inverted over a saucer; B, filled with water; C, D,

specimen of earth with ague plants.

Observation 6. Some Gemiasma verdaus; good specimens, but scanty.

Innumerable mobile spores. Dried.

Observation 7. Red dust on gray soil. Innumerable mobile spores. Dried

red sporangia of G. rubra.

Observation 8. White incrustation. Innumerable mobile spores. No plants.

Observation 9. White incrustation. Many minute algæ, but two sporangia

of a pale pink color; another variety of color of gemiasma. Innumerable

mobile spores.

Observation 10. Gemiasma verdans and G. rubra in small quantities.

Innumerable mobile spores.

Observation 11. Specimen taken from under the shade of short marsh

grass. Gemiasma exceedingly rich and beautiful. Innumerable mobile

spores.

Observation 12. Good specimens of Gemiasma rubra. Innumerable spores

present in all specimens.

Observation 13. Very good specimens of Protuberans lamella.

Observation 14. The same.

Observation 15. Dead Gemiasma verdans and rubra.

Observation 16. Collection very unpromising by macroscopy, but by

microscopy showed many spores, mature specimens of Gemiasma rubra and

verdans. One empty specimen with double walls.

Observation 17. Dry land by the side of railroad. Protuberans not

abundant.

Observation 18. From side of ditch. Filled with mature Geraiasma

verdans.

Observation 19. Moist earth near a rejected timber of the railroad

bridge. Abundance of Gemiasma verdans, Sphærotheca Diatoms.

Observation 20. Scrapings on earth under high grass. Large mature

specimens of Gemiasma rubra and verdans. Many small.

Observation 21. Same locality. Gemiasma rubra and verdans; good

specimens.

Observation 22. A dry stem of a last year's annual plant lay in the

ditch not submerged, that appeared as if painted red with iron rust.

This redness evidently made up of Gemiasma rubra dried.

Observation 23. A twig submerged in a ditch was scraped. Gemiasma

verdans found abundantly with many other things, which if rehearsed

would cloud this story.

Observation 24. Scrapings from the dirty end of the stick (23) gave

specimens of the beautiful double wall palmellæ and some empty G.

verdans.

Observation 25. Stirred up the littoral margins of the ditch with stick

found in the path, and the drip showed Gemiasma rubra and verdans mixed

in with dirt, debris, other algae, fungi, infusoria, especially diatoms.

Observation 26. I was myself seized with sneezing and discharge running

from nostrils during these examinations. Some of the contents of

the right nostril were blown on a slide, covered, and examined

morphologically. Several oval bodies, round algae, were found with the

characteristics of G. verdans and rubra. Also some colorless sporangia,

and spores abundantly present. These were in addition to the normal

morphological elements found in the excretions.

Observation 27. Dried clay on margin of the river showed dry G. verdans.

Observation 28. Saline dust on earth that had been thrown out during the

setting of a new post in the railroad bridge showed some Gemiasma alba.

Observation 29. The dry white incrustation found on fresh earth near

railroad track entirely away from water, where it appeared as if

white sugar or sand had been sprinkled over in a fine dust, showed

an abundance of automobile spores and dry sporangia of G. rubra and

verdans. It was not made up of salts from evaporation.

Observation 30. Some very thick, long, green, matted marsh grass was

carefully separated apart like the parting of thick hair on the head. A

little earth was taken from the crack, and the Protuberans lamella, the

Gemiasma rubra and verdans found were beautiful and well developed.

Observation 31. Brooklyn Naval Hospital, August 12, 1877, 4 A.M. Called

up by the Quartermaster. With Surgeon C. W. White, U.S.N., took (A) one

five inch glass beaker, bottomless, (B) three clean glass slides, (C)

chloride of calcium solution, [symbol: dra(ch)m] i to [symbol: ounce] i

water. We went, as near as I could judge in the darkness, to about that

portion of the wall that lies west of the hospital, southeast corner

(now all filled up), where on the 10th of August previously I had found

some actively growing specimens of the Gemiasma verdans, rubra, and

protuberans. The chloride of calcium solution was poured into a glass

tumbler, then rubbed over the inside and outside of the beaker. It was

then placed on the ground, the rim of the mouth coming on the soil and

the bottom elevated on an old tin pan, so that the beaker stood inclined

at an angle of about forty-five degrees with the horizon. The slides

were moistened, one was laid on a stone, one on a clod, and a third on

the grass. Returned to bed, not having been gone over ten minutes.

At 6 A.M. collected and examined for specimens the drops of dew

deposited. Results: In every one of the five instances collected

the automobile spores, and the sporangia of the gemiasmas and the

protuberans on both sides of slides and beaker. There were also spores

and mycelial filaments of fungi, dirt, and zoospores. The drops of dew

were collected with capillary tubes such as were used in Edinburgh for

vaccine virus. The fluid was then preserved and examined in the naval

laboratory. In a few hours the spores disappeared.

Observation 32. Some of the earth near the site of the exposure referred

to in Observation 31, was examined and found to contain abundantly the

Gemiasma verdans, rubra, Protuberans lamella, confirmed by three more

observations.

Observation 33. In company with Surgeon F. M. Dearborne, U.S.N., in

charge of Naval Hospital, the same day later explored the wall about

marsh west of hospital. Found the area abundantly supplied with

palmellæ, Gemiasma rubra, verdans, and Protuberans lamella, even where

there was no incrustation or green mould. Made very many examinations,

always finding the plants and spores, giving up only when both of us

were overcome with the heat.

Observation 34. August, 1881. Visited the Wallabout; found it filled up

with earth. August 17. Visited the Flushing district; examined for the

gemiasma the same localities above named, but found only a few dried up

plants and plenty of spores. With sticks dug up the earth in various

places near by. Early in September revisited the same, but found nothing

more; the incrustation, not even so much as before. The weather was

continuously for a long time very dry, so much so that vegetables and

milk were scarce.

The grass and grounds were all dried up and cracked with fissures.

There must be some moisture for the development of the plants. Perhaps

if I had been able to visit the spots in the early morning, it would

have been much better, as about the same time I was studying the same

vegetation on 165th Street and 10th Avenue, New York, and found an

abundance of the plants in the morning, but none scarcely in the

afternoon.

Should any care to repeat these observations, these limits should be

observed and the old adage about "the early bird catching the worm,"

etc. Some may object to this directness of report, and say that we

should report all the forms of life seen. To this I would say that

the position I occupy is much different from yours, which is that of

discoverer. When a detective is sent out to catch a rogue, he tumbles

himself but little with people or things that have no resemblance to the

rogue. Suppose he should return with a report as to the houses, plants,

animals, etc., he encountered in his search; the report might be very

interesting as a matter of general information, but rather out of place

for the parties who desire the rogue caught. So in my search I made a

special work of catching the gemiasmas and not caring for anything else.

Still, to remove from your mind any anxiety that I may possibly not have

understood how to conduct my work, I will introduce here a report

of search to find out how many forms of life and substances I could

recognize in the water of a hydrant fed by Croton water (two specimens

only), during the present winter (1881 and 1882) I beg leave to subjoin

the following list of species, not individuals, I was able to recognize.

In this list you will see the Gemiasma verdans distinguished from its

associate objects. I think I can in no other way more clearly show my

right to have my honest opinion respected in relation to the subject in

question.

[Illustration: MALARIA PLANTS COLLECTED SEPT. 10, 1882, AT WASHINGTON

HEIGHTS, 176TH STREET, NEAR 10TH AVENUE, NEW YORK CITY, ETC.

PLATE VIII.--A, B, C, Large plants of Gemiasma verdans. A, Mature plant.

B, Mature plant discharging spores and spermatia through a small opening

in the cell wall. C, A plant nearly emptied. D, Gemiasma rubra; mature

plant filled with microspores. E, Ripe plant discharging contents. F,

Ripe plant, contents nearly discharged; a few active spermatia left

behind and escaping. G, nearly empty plant. H, Vegetation in the SWEAT

of ague cases during the paroxysm of sweating. I, Vegetation in the

BLOOD of ague. J, Vegetation in the urine of ague during paroxysm. K, L,

M, Vegetation in the urine of chronic cases of severe congestive type.

N, Vegetation in BLOOD of Panama fever; white corpuscles distended with

spores of Gemiasma. O, Gemiasma alba. P, Gemiasma rubra. Q, Gemiasma

verdans. R, Gemiasma alba. O, P, Q, R, Found June 28,1867, in profusion

between Euclid and Superior Streets, near Hudson, Cleveland, O. S,

Sporangia of Protuberans.]

List of objects found in the Croton water, winter of 1881 and 1882. The

specimens obtained by filtering about one barrel of water:

1. Acineta tuberosa.

2. Actinophrys sol.

3. Amoeba proteus.

4. " radiosa.

5. " verrucosa.

6. Anabaina subtularia.

7. Ankistrodesmus falcatus.

8. Anurea longispinis.

9. " monostylus.

10. Anguillula fluviatilis.

11. Arcella mitrata.

12. " vulgaris.

13. Argulus.

14. Arthrodesmus convergens.

15. Arthrodesmus divergens.

16. Astrionella formosa.

17. Bacteria.

18. Bosmina.

19. Botryiococcus.

20. Branchippus stagnalis.

21. Castor.

22. Centropyxis.

23. Chetochilis.

24. Chilomonads.

25. Chlorococcus.

26. Chydorus.

27. Chytridium.

28. Clatbrocystis æruginosa.

29. Closterium lunula.

30. " didymotocum.

31. " moniliferum.

32. Coelastrum sphericum.

33. Cosmarium binoculatum.

34. Cyclops quad.

35. Cyphroderia amp.

36. Cypris tristriata.

37. Daphnia pulex.

38. Diaptomas castor.

39. " sull.

40. Diatoma vulgaris.

41. Difflugia cratera.

42. " globosa.

43. Dinobryina sertularia.

44. Dinocharis pocillum.

45. Dirt.

46. Eggs of polyp.

47. " entomostraca.

48. " plumatella.

49. " bryozoa.

50. Enchylis pupa.

51. Eosphora aurita.

52. Epithelia, animal.

53. " vegetable.

54. Euastrum.

55. Euglenia viridis.

56. Euglypha.

57. Eurycercus lamellatus.

58. Exuvia of some insect.

59. Feather barbs.

60. Floscularia.

61. Feathers of butterfly.

62. Fungu, red water.

63. Fragillaria.

64. Gemiasma verdans.

65. Gomphospheria.

66. Gonium.

67. Gromia.

68. Humus.

69. Hyalosphenia tinctad.

70. Hydra viridis.

71. Leptothrix.

72. Melosira.

73. Meresmopedia.

74. Monactina.

75. Monads.

76. Naviculæ.

77. Nitzschia.

78. Nostoc communis.

79. OEdogonium.

80. Oscillatoriaceæ.

81. Ovaries of entomostraca.

82. Pandorina morum.

83. Paramecium aurelium.

84. Pediastrum boryanum.

85. " incisum.

86. " perforatum.

87. " pertusum.

88. " quadratum.

89. Pelomyxa.

90. Penium.

91. Peredinium candelabrum.

92. Peredinium cinc.

93. Pleurosigma angulatum.

94. Plumatella.

95. Plagiophrys.

96. Playtiptera polyarthra.

97. Polycoccus.

98. Pollen of pine.

99. Polyhedra tetraëtzica.

100. " triangularis.

101. Polyphema.

102. Protococcus.

103. Radiophrys alba.

104. Raphidium duplex.

105. Rotifer ascus.

106. " vulgaris.

107. Silica.

108. Saprolegnia.

109. Scenedesmus acutus.

110. " obliquus.

111. " obtusum.

112. " quadricauda.

113. Sheath of tubelaria.

114. Sphærotheca spores.

115. Spirogyra.

116. Spicules of sponge.

117. Starch.

118. Staurastrum furcigerum.

119. " gracile.

120. Staurogenum quadratum.

121. Surirella.

122. Synchoeta.

123. Synhedra.

124. Tabellaria.

125. Tetraspore.

126. Trachelomonas.

127. Trichodiscus.

128. Uvella.

129. Volvox globator.

130. " sull.

131. Vorticel.

132. Worm fluke.

133. Worm, two tailed.

134. Yeast.

More forms were found, but could not be determined by me. This list will

give an idea of the variety of forms to be met with in the hunt for ague

plants; still, they are as well marked in their physical characters as a

potato is among the objects of nature. Although I know you are perfectly

familiar with algæ, still, to make my report more complete, in case you

should see fit to have it pass out of your hands to others, allow me

to give a short account of the Order Three of Algæ, namely, the

Chlorosporeæ or Confervoid Algæ, derived from the Micrographic

Dictionary, this being an accessible authority.

Algae form a class of the thallophytes or cellular plants in which the

physiological functions of the plant are delegated most completely to

the individual cell. That is to say, the marked difference of purpose

seen in the leaves, stamens, seeds, etc., of the phanerogams or

flowering plants is absent here, and the structures carrying on the

operations of nutrition and those of reproduction are so commingled,

conjoined, and in some cases identified, that a knowledge of the

microscopic anatomy is indispensable even to the roughest conception of

the natural history of these plants; besides, we find these plants

so simple that we can see through and through them while living in a

natural condition, and by means of the microscope penetrate to mysteries

of organism, either altogether inaccessible, or only to be attained by

disturbing and destructive dissection, in the so called higher forms of

vegetation. We say "so-called" advisedly, for in the Algæ are included

the largest forms of plant life.

The Macrocystis pyrifera, an Algæ, is the largest of all known plants.

It is a sea weed that floats free and unattached in the ocean. Covers

the area of two square miles, and is 300 feet in depth (Reinsch). At the

same time its structure on examination shows it to belong to the same

class of plants as the minute palmellæ which we have been studying.

Algæ are found everywhere in streams, ditches, ponds, even the smallest

accumulations of water standing for any time in the open air, and

commonly on walls or the ground, in all permanently damp situations.

They are peculiarly interesting in regard to morphological conditions

alone, as their great variety of conditions of organization are all

variations, as it were, on the theme of the simple vegetable cell

produced by change of form, number, and arrangement.

The Algæ comprehend a vast variety of plants, exhibiting a wonderful

multiplicity of forms, colors, sizes, and degrees of complexity of

structure, but algologists consider them to belong to three orders: 1.

Red spored Algæ, called Rhodosporeæ or florideæ. 2. The dark or black

spored Algæ, or Melanosporeæ or Fucoideæ. 3. The green spored Algæ,

or Chlorosporeæ or Confervoideæ. The first two classes embrace the

sea-weeds. The third class, marine and aquatic plants, most of which

when viewed singly are microscopic. Of course some naturalists do not

agree to these views. It is with order three, Confervoideæ, that we are

interested. These are plants growing in sea or fresh water, or on damp

surfaces, with a filamentous, or more rarely a leaf-like pulverulent

or gelatinous thallus; the last two forms essentially microscopic.

Consisting frequently of definitely arranged groups of distinct

cells, either of ordinary structure or with their membrane

silicified--Diatomaceæ. We note three forms of fructification: 1.

Resting spores produced after fertilization either by conjugation or

impregnation. 2. Spermatozoids. 3. Zeospores; 2, 4, or multiciliated

active automobile cells--gonidia--discharged from the mother cells or

plants without impregnation, and germinating directly. There is also

another increase by cell division.

Scientific American Supplement, No. 384, May 12, 1883 · 第 25 / 40 题