CHAPTER V

THE BACTERIOLOGY OF FERMENTED OR SOURED MILK

A CHAPTER FOR STUDENTS

During the last few years much work has been done in investigating the

action of various classes of organisms--bacteria, yeasts, and

moulds--upon milk and its products. While, however, the attention of the

dairyman has been chiefly directed to the propagation of acid-producing

organisms and the use of pure cultures of lactic acid bacteria in their

relation to butter and cheese making, a new sphere in micro-biology has

been disclosed by the study of the effects caused by the combined growth

of two or more different classes of organisms in milk and the consequent

production of lactic, alcoholic, and gaseous fermentations. The

simultaneous occurrence of these fermentative changes is responsible for

the formation of such beverages as keffir, koumiss, milk-wine, etc. It

has therefore become essential, in connection with the study of new

developments in the milk industry, that we should make a more intimate

acquaintance with the bacteriology of the ferments involved.

_Keffir_ (_kephir_, _kifyr_, _kiafyr_, _kephor_, _kyppe_) is the name

given to an acid, slightly alcoholic drink, which for many centuries has

been prepared by the nomadic tribes in the Caucasus. The characteristic

fermentation is induced by the addition of so-called keffir grains.

These are yellow or golden-yellow, warty, and furrowed flakes or

nodules, the former varying in size from that of a rice grain to that of

a bean, while the latter are often about an inch across and one eighth

of an inch thick. Bearing in mind the fact that the preparation of

keffir has been carried on for many centuries, it is not surprising that

the origin of these grains should be surrounded by myths.

The belief is prevalent among the Mohammedan tribes of the Caucasus that

keffir grains were, in the first instance, presented by Allah, as a sign

of immortality, to one preferred tribe. Others hold that, in past ages,

they were found by shepherds growing on a shrub in the Caucasian

highlands; while, according to Skolotowski,[47] they were originally

found adhering to the walls of an oaken vessel used for the preparation

of airam. This is a soured milk beverage similar to keffir, but

possessing a weaker alcoholic fermentation, and prepared from goats'

milk by the addition of pieces of calf's stomach. This would undoubtedly

serve to introduce various species of lactic acid bacteria, and will be

referred to in the portion dealing with soured milks. Keffir is prepared

by the Caucasians from cows', sheep's, or goats' milk, and the operation

is carried on in large leathern tubes or bottles. After the addition of

the grains or seeds to the milk the vessel is placed in a cool chamber,

and the fermentation is allowed to proceed for one or two days, by the

end of which time the normal fermentation is at an end. During this

period the keffir grains have increased enormously in size, assume a

bright yellow colour, and lose their sour buttery smell.

Previous to the removal of the fermented liquid, a portion of the bottle

is firmly bound from the rest by a stout cord, and the greater portion

of the remaining keffir is quickly removed for use, thus avoiding, as

far as practicable, any outside infection. After the addition of fresh

warm milk the cord round the end of the bottle is removed, and the old

and new milk thoroughly mixed for a time in order to ensure uniform

inoculation of the new milk for the next fermentation. During the winter

months the leathern vessels are often placed in the sunshine, so that

the temperature remains at 61° to 65° F.

The necessary agitation of the vessel is said to be supplied in the form

of kicks by passers-by or by the children during their play.

The beverage prepared in this way is so gaseous in character that it is

often blown forcibly from the vessel during removal, and possesses,

according to Podowyssozki,[48] a very acid taste.

During any interruption in the preparation of keffir in the above

manner, the grains are taken out, and after having been well washed in

clean water, are spread out on a clean cloth to dry in the sunshine.

They thereby assume a characteristic cheesy or buttery odour and become

rather darker in colour. Thorough desiccation is essential in order to

prevent subsequent mouldiness or disease of the grain.

In European countries the grains are subjected to a preliminary soaking

in water for five to six hours and then placed in four to five changes

of milk, each change having a duration of two to three hours. As soon as

the grains commence to rise to the surface of the milk, they may be used

for the actual preparation. To this end, a small quantity of the grain

is added to freshly boiled milk and allowed to stand for eight to twelve

hours at a temperature of 55°-62° F. with agitation of the flask every

two hours. By this time the milk, now known as Sakwaska, has become

abundantly inoculated with the organisms essential to the fermentation,

and after the removal of the grains, may be poured into well-corked

flasks for the secondary brew. The flasks should be kept at a lower

temperature for twenty-four to forty-eight hours, by which time the

product is ready for consumption.

According to the temperature and length of period to which this

subsequent fermentation is allowed to proceed, the resultant keffir is

more or less acid and gaseous. The grains may again be used for starting

a fresh portion of milk, and a regular supply obtained in this manner.

Well-fermented forty-eight-hours-old keffir should be an effervescent

beverage with prickling and acid taste and a consistency and smell

similar to sour cream. Large, persistent bubbles should form on the

surface of the liquid and the casein be present as an extremely fine

flocculent precipitate which remains suspended for a considerable time.

From the third day there ensues a gradual peptonisation of the casein.

If the temperature at which the secondary fermentation has occurred

should be higher than 72° F., or if the milk has not been sufficiently

agitated, then the casein will be present in the form of porous small

flakes, which on shaking form a fine emulsion.

The chemical changes undergone by the milk during the preparation of

keffir are confined almost exclusively to the milk sugar. As already

stated, a slight peptonisation occurs in old samples, but this depends

very largely upon the method of preparation and purity of the culture.

Hammersten[49] and Essaulow[50] show, however, that this is not a

concomitant of normal fermentation. According to Hammersten, normal

keffir contains--

Per cent.

Water 88.26

Fat 3.35

Casein 2.98

Lactalbumen 0.28

Peptones 0.05

Milk sugar 2.78

Lactic acid 0.81

Alcohol 0.70

Ash 0.79

In no case should the acid be higher than 1.0 per cent., and the alcohol

more than 0.75 per cent.

_Biology of the Keffir Grain._--The first communication on the biology

of the keffir grain seems to have been made by Kern.[51] He regarded the

grain as a zoögloea composed of bacilli and yeasts, the latter being

regarded as the ordinary beer yeast (_Saccharomyces cerevisseæ_), while

to the former he gave the name of _Dispora caucasica_. As the name

indicates, this bacillus possesses two polar spores, and germination of

these proceeded in the same manner as with _Bac. subtilis_. As, however,

pure cultures of the organisms were not made, and the descriptions and

illustrations made by Kern fail to show any distinctive characteristics,

it seems probable that accidental confusion with other organisms must

have occurred.

[Illustration: A MILK FILLING APPARATUS

FIG. 10--Where soured milk is handled on the large scale,

a special filling apparatus for bottles is desirable, and

the soured milk supply should be under cover as shown.

This apparatus is made by the Dairy Machinery and

Construction Company.]

Krannhals[52] succeeded in isolating ten different keffir bacteria among

which were several sporulating bacteria. Here too it is impossible to

attach any importance to the results, as the artificial preparation of

keffir, by means of these bacteria, was not attempted. Beijerinck[53]

studied the organisms constituting keffir grains and attached prime

importance to the occurrence of two organisms, viz., (_a_) a yeast,

_Saccharomyces kefir_, which was capable of inverting milk sugar by

means of an enzyme (lactase) and afterwards fermented the products with

the formation of alcohol and carbon dioxide, and also (_b_) a non-motile

non-sporulating bacterium, afterwards _Lactobac. caucasicus_. The

latter, when cultivated on gelatine, gave rise to tough warty colonies

about 1/40 in. diameter, and was regarded as one of the lactic acid

bacteria found in milk which has been incubated at 77° to 90° F. and

afterwards incubated at a higher temperature, 100° to 104° F. Scholl[54]

isolated three different organisms, of which a yeast inverted milk sugar

for the lactic acid bacteria, while _Dispora_ peptonised the albuminoid

matters.

Adametz[55] failed to isolate _Dispora_, and came to the conclusion

that ordinary lactic bacteria and yeasts played the most important part

in the fermentation.

Essaulow found in keffir grains six different organisms--yeast cells,

cocci, short thick bacilli, bent bacilli, long threads, and motile

bacteria. The two latter would seem to be _Bacillus subtilis_, while the

others may be regarded as _Bacterium acidi lactici_ (Hueppe), _Bacterium

aërogenes_, and _Streptococcus lacticus_ (Grotenfeldt). Pure cultures

were insufficient to produce keffir, while mixed cultures of _Bacterium

acidi lactici_ and yeasts were effective.

Freudenreich,[56] to whom we owe a record of very carefully executed

experiments, could not arrive at a satisfactory explanation of the rôle

of _Bacillus caucasicus_. This organism is described as being 5-6 µ long

and 1 µ thick, slightly motile, and possessing bright refractive spots

at the poles of the bacilli. It is extremely difficult to cultivate, and

forms flat, small greyish colonies of irregular outline. The bright

refractive spots above referred to are, however, granules taking the

usual stains quite readily, and not spores as supposed by Kern.

Freudenreich also found three other organisms--a yeast and two

streptococci. The yeast, to which he gave the name _Saccharomyces_

(Torula) _keffir_, forms small oval or roundish cells 2-3 µ wide and 3-5

µ long. The optimum temperature would seem to be about 72° F.; the

maximum 82° F. This organism is unable to ferment milk directly, but is

able to decompose maltose and glucose with gas production. It does not

coagulate milk, but imparts to it a characteristic taste and is unable

to withstand desiccation for more than a few days.

Of the two streptococci isolated, _Streptococcus a_ resembles organisms

of the group _Streptococcus lacticus_ in appearance, but is able to

ferment milk, with weak acid and gas production, and is capable of

inducing coagulation.

[Illustration: FIG. 11.--Section through a Kephir

Grain--highly magnified.]

Contrary to what one would expect in an organism existing in keffir

grains, this streptococcus is as little able to withstand desiccation as

the above-mentioned yeast. _Streptococcus b_ forms smaller cells as well

as smaller colonies than _Streptococcus a_, but produces more lactic

acid and more gas, and retains its vitality after desiccation. The

relation of these four organisms is, according to E. von Freudenreich,

as follows: _Sacch. keffir_ is unable to ferment directly milk or

lactose, so that its growth must be preceded by that of _Streptococcus

b_. _Streptococcus a_ does not seem to play this part, but, unlike

_Streptococcus b_, is able to coagulate milk on its own account. By the

combined action of the yeast and the two streptococci, then, milk can be

coagulated, milk sugar inverted, acid and gas produced by the

streptococci, while gas and alcohol are formed by the activity of the

yeast. The rôle of _Bacillus caucasicus_ is unknown, but it would seem

to play a part in the formation of the keffir grain itself. By means of

mixed cultures of the above organisms Freudenreich was successful in

obtaining a fermented product possessing in all respects the

characteristic properties of normal keffir. On the other hand,

experiments to induce the formation of keffir grains gave negative

results, but in this respect the cultural characteristics of

_Lactobacillus keffir_ would seem to give promise of success in the

synthesis of the keffir grain. Fig. 11 is a photo-micrograph of an

extremely thin section through a keffir grain, after a preceding

treatment with saffranin. The matrix is composed entirely of long thin

bacilli (_Bacillus caucasicus_), while the peripheral portions, which

are more deeply stained, consist to a large extent of dense masses of

yeast cells with occasional streptococci. In a normal grain the latter

organisms are present on the surface or in the cavities and grooves of

the grain, and only to a less extent in the matrix. Nikolaiewa[57]

claimed to have isolated a hitherto unknown bacillus capable of

coagulating milk by acid production, _Bacterium caucasicum_, not

identical with, but related to Freudenreich's _Bacillus caucasicus_, and

also a torula. Although no experiments were carried out, Nikolaiewa

asserts that this organism forms the matrix of the grains. He was able

to produce a beverage resembling keffir, just as Freudenreich and

Essaulow did with entirely different organisms, but his product would

appear to have been slightly too acid and to have lacked the

characteristic aroma of the normal product. In the course of an

extensive series of experiments Kuntze[58] found the following

organisms:

(_a_) True lactic acid forming bacteria, _Streptococcus

acidi lactici_ (Grotenfeldt).

(_b_) Bacteria of the group _Bacterium acidi lactici_

(Hueppe) and _Bacterium lactis aërogenes_.

(_c_) Various torula and yeast species.

(_d_) Two species of butyric acid bacteria, _Bacillus

esterificans_ and _Bacillus keffir_ (Kuntze).

His conclusions are: 1. In any case the presence of a yeast capable of

directly fermenting milk sugar is not essential. 2. The significance of

the presence of yeast lies in the fact that stimulation of the lactic

bacteria occurs; further, the yeast exerts a regulating influence upon

the rapidity of the fermentation proper. The variety is of minor

importance, provided always that the yeast does not produce an

unpleasant flavour. By the use of mixed cultures of _Bacillus

esterificans_, _Bacillus keffir_, and _Streptococcus acidi lactici_, and

a keffir yeast, Kuntze obtained a product that possessed to the fullest

degree all the characteristic properties of a normal keffir. In such

cultures he was successful in obtaining the formation of keffir-like

grains. Keffir fermentation is, according to Kuntze, the result of the

action of various organisms. During the initial stage butyric acid

fermentation takes place, but is prevented from becoming predominant by

the action of the keffir yeast. Simultaneously a true lactic acid

fermentation proceeds and eventually gives place to a subsequent

secondary production of butyric acid. Finally, then, we have a certain

amount of unison in the results obtained by Freudenreich, Essaulow,

Nikolaiewa, and Kuntze. These show that, for the production of a

characteristic keffir, specific organisms are not essential, provided

always that those used possess, either individually or collectively, the

essential capacity of acidifying, coagulating, and fermenting the milk.

For the growth of normal grains the presence of a matrix-forming

organism, such as _Bacillus keffir_, is indispensable.

[Illustration: FIG. 12--_Streptococcus lacticus_

(Grotenfeldt) growing on lactose-agar, stained by Gram's

method. ( X 900 diams.)]

_Diseases of Keffir Grains._--According to the age and the previous

treatment to which keffir grains have been subjected, the vitality of

one or more of the organisms constituting the grain may have been

impaired. The results of Freudenreich have shown that _Saccharomyces

keffir_ and _Streptococcus a_ are unable to withstand desiccation for

more than a few days, and this is sufficient to account for the frequent

failures to obtain normal keffir from the grain. Further, grains succumb

to a mucilaginous disease; the cavities become filled with a slimy

fluid, and the grains are covered with mucilaginous matter. They lose

their elasticity and become brittle or mealy, but large grains appear to

be more subject to this fault than do the small ones. Such grains

should be disinfected by immersion for a short time in two per cent.

salicylic acid solution, followed by drying in the sun, whereby they are

completely regenerated.

Another disease consists in the predominance of certain butyric acid

bacteria which impart an unpleasant rancid taste to the keffir

(Podowyssozki). This is generally attributed to the use of rich milk, or

too high a temperature during preparation.

_Koumiss._--Another product of the combined action of lactic acid and

alcohol-producing organisms is called koumiss, kumys, milk-wine, lac

fermentation, or vinum lactis. In the steppes of Southern Russia and

Asia, as we have seen,[59] it is prepared chiefly from mares' milk, but

occasionally from that of camels and jennets. The name is said to be

derived from that of a tribe mentioned by Xenophon and Pliny, viz., the

Kumanen, by whom its preparation was practised. After the war with the

Tartars in 1215 its use was adopted by the latter people, and eventually

spread to the Turkomanen, Kalmucks, Khirgiz, Mongolians, etc.

Rubruck, in 1253, records the use of a fermented drink--kosmos--prepared

from mares' milk, and about the same time Marco Polo mentions the

occurrence of a milk-wine, chumis or chemius, among the Tartars. The

fact that the Tartars were seldom ill, and were almost invariably free

from lung troubles, led to an influx of visitors from surrounding

countries, until finally its use spread to Russia, Austria, and Germany.

At the present time the best koumiss is that produced in the province of

Orenburg; but specially equipped koumiss establishments, under the

control of physicians, exist in Odessa, Samara, Ufa in the Urals, and

other districts. The curative properties of koumiss have long been

recognised and its use is indicated in cases of indigestion, chlorosis,

scurvy, tuberculosis, etc.

Rubinsky states that, among the nomadic tribe, of Khirgiz and Kalmucks,

a special leathern bottle (Turssuk, Orroth, or Soaba) is used for the

preparation of koumiss, while wooden tubs (Tschiljak) similar in shape

to the old-fashioned churn are used by the Bashkirs, and in koumiss

establishments.

The fermentation is induced by the addition of koumiss to fresh mares'

milk, in proportions which vary according to the cleanliness observed in

the actual preparation. Where the process is carefully controlled, one

part of koumiss to ten parts of milk is often used, but where gross

infection from outside sources takes place one part of koumiss to three

parts of milk is taken. The mixture is stirred at frequent intervals,

and stored at a temperature of 73°-90° F. Weak koumiss is obtained after

twenty to twenty-four hours in winter and twelve to fourteen hours in

summer, but is scarcely ever consumed immediately, as it possesses a

strong purgative action.

It is generally poured into bottles (bottled koumiss); or allowed to

remain in the tubs (tschiljak koumiss); in the former case the

fermentation is anaërobic, in the second it is aërobic.

Storage of the koumiss upon ice or in a cellar is necessary since medium

koumiss is converted to strong koumiss in twelve to sixteen hours at

ordinary temperatures, while at the lower temperature this occurs only

in two to four days.[60]

According to Biel,[61] either old koumiss or the dried sediment from old

koumiss may be used for the initial inoculation. It may also be prepared

by the repeated inoculation of mares' milk with soured cows' milk until

a fermenting product is obtained. Koumiss may be prepared by a method

stated by Allik[62] to be in general use in the Caucasian

health-resorts. One part of beer-yeast is added to four to ten parts of

fresh mares' milk (according to the strength of product required), and

after thorough mixture of the two liquids the whole is allowed to

ferment at a temperature of 70° to 72° F. for two days. One part of this

first product is then added to five parts of fresh cold milk, and

allowed to stand three to four hours at 75° to 77° F. It is then poured

into bottles, and after the expiration of another three to four hours is

stored away in a cellar at about 45° F. This koumiss may be used at any

time from one to five days (generally two to three) after bottling

according to the strength desired or prescribed in each individual case.

The changes undergone during fermentation consist in a vigorous gas and

acid production accompanied by alcohol formation and coagulation of the

milk. The coagulum exists in an extremely fine state of division, and

the liquid froths violently on the bottle being opened. It has a full

pleasant acid taste, but should not contain more than one per cent. acid

and two per cent. alcohol. The specific gravity of koumiss is 1.008 to

1.020 at 60° F. Appended is an analysis of two different samples of

koumiss:

---------------------------------------------------

Prepared from

---------------------------------------------------

Mares' Milk. Separated

Cows' Milk.

---------------------------------------------------

Per Cent. Per Cent.

Water 91.535 88.933

Fat 1.274 0.854

Nitrogenous bodies 1.913 2.025

Sugar 1.253 3.108

Ash 0.293 0.444

Carbon dioxide 0.876 1.027

Alcohol 1.850 2.647

Lactic acid 1.006 0.796

Glycerine .... 0.166

---------------------------------------------------

Fleischmann[63] gives a formula for preparing an artificial koumiss from

separated cows' milk, water, cane sugar, and milk sugar, with the

addition of distillery yeast. Needless to say, this product must possess

some of the characteristic by-flavour of the yeast employed, and is less

suitable than koumiss prepared by the aid of a lactic yeast. Schipin

investigated the fermentation of koumiss and found three distinct

organisms.

Rubinsky in a recent article threw much light on the phenomena of

koumiss fermentation. According to him, koumiss contains almost

invariably four different organisms, viz., koumiss yeast, koumiss

bacterium (_Lactobacillus_), _Streptococcus lactis_ (Lister), _Bacterium

aërogenes_, and occasionally _Bact. caucasicum_ (Nikolajewa). For the

preparation of normal koumiss only the two former organisms are

required; they exceed in number any of the other organisms whose

presence in the dairy is unavoidable. The presence of the two latter

organisms is favourable to the production of good koumiss, as, by

inducing a preliminary lactic fermentation, they tend to inhibit the

growth of undesirable extraneous bacteria, etc. In medium and strong

koumiss they die out on account of the amount of lactic acid formed

(1%).

Koumiss yeast possesses strongly differentiated protoplasm, but lacks

any cultural characteristics. Abundant growth occurs in milk, and lactic

acid (0.3%), alcohol, carbon dioxide, albumens and peptones, volatile

acids, and aromatic substances are formed.

Koumiss bacterium is related to the _Lactobacillus_ of various other

fermented milks, and is similar to _Bac. acidophilus_, and possesses

like these a distinct polymorphism (branched cells, long and short

bacilli, etc.). It is non-sporogenous, has an optimum temperature of 90°

to 97° F., and possesses cultural characteristics similar to those of

the rest of the _Lactobacilli_.

The by-products of koumiss yeast appear to favour the growth of the

koumiss bacterium, as this organism, like the other _Lactobacilli_, is

favourably influenced by the presence of small quantities of peptone,

alcohol, and acid.

The organisms found by Schipin consisted of a species of _Saccharomyces_

and two bacilli, _Bacillus acidi lactici_ and a non-sporulating

bacillus. The latter organisms coagulate milk at 98° F., but not at room

temperature, and although a minute description of cultural

characteristics is not given it would seem to be related to _Bacillus_

or _Lactobacillus caucasicus_.

_Leben Raïb_ or _Leben_ (_Laban._)--This is a beverage prepared largely

by the Egyptians, and differs from keffir, as does matzoon, in

possessing a characteristic aroma and taste. It differs also from the

former by having only a very weak alcoholic fermentation, and by the

coagulum being coarse and lumpy instead of being extremely fine. It is

made from buffaloes', goats', or cows' milk by the addition of roba (or

old leben) to the previously boiled and cooled fresh milk. The use of

leben is many centuries old, and it is used in Egypt as in Arabia for

medicinal purposes, although that of the Syrians and Arabians is said to

differ from that of the Egyptians and Algerians. The fermentative

changes occurring in the formation of the Egyptian leben have been

investigated by Rist and Khoury,[64] and also by Guerbet,[65] who found

that five organisms were normally present. These comprised a

chain-forming bacillus (_Streptobacillus_), a second smaller bacillus

(_Bacillus lebenis_), a diplococcus, a saccharomyces, and a mycoderma.

Of these five organisms, it would appear that four live in metabiosis,

the streptobacilli and bacilli hydrolyse the milk sugar, the components

of which are split up by the yeast to alcohol and carbon-dioxide. The

alcohol thus formed, together with the glucose formed by hydrolysis, are

eventually converted to acid or combusted by the mycoderma species. The

leben thereby assumes the sharp, unpleasant flavour met with in old

samples. The diplococcus merely produces acidification and coagulation

of the milk. Rist and Khoury were able, by the use of these organisms,

to produce normal leben, especially when the true yeast was allowed to

grow in the milk for some time before inoculation with the other

organisms was made.

Some of the half-civilised tribes of Siberia, the Tartars and the

Burgaten, prepare a strong alcoholic beverage, arakà or ojràn, from

fermented milk. This is really a product of distillation, and contains

seven to eight per cent. of alcohol and volatile fatty acids.

[Illustration: FIG. 13--Photo-micrograph of preparation

from Armenian soured milk (Matzoon). This is related to

Yoghourt, and contains, as will be seen from the above

photo, yeasts, streptococci, diplococci, and a bacillus

with the morphology of _Bacillus bulgaricus._ This, and

similar foods, owe their peculiar properties primarily to

the presence of _Bacillus bulgaricus_ (type A, White and

Avery), and only in a lesser degree to the yeasts and

lactic streptococci.]

_Matzoon._--This is a drink used largely in Western Asia, and is similar

in character to keffir, but has a peculiar taste which distinguishes it

from all other fermented milks. According to Weigmann,[66] it is

prepared from buffaloes', goats', or cows' milk, and is used partly as a

means of souring milk for butter-making and also as a lactic food, eaten

with spoons. In the same way buttermilk produced from milk which has

been previously ripened by matzoon is used as a beverage. Finally, the

coagulum (_than_) of such buttermilk is strained off, and, after being

pressed, is mixed with meal and dried by exposure to the sun's rays. The

preparation of matzoon is in many respects very similar to that of

keffir and koumiss, but differs by inducing a comparatively weak alcohol

fermentation. In common, too, with yoghourt, the prevailing temperature

is much higher than is required for keffir and koumiss.

In regard to the biology of matzoon, the occurrence of various organisms

has been recorded. Emmerling[67] isolated, in addition to a yellow

pigment-forming organism, _Bacillus subtilis_, _Bacillus lactis acidi_,

and several fungi, a small micrococcus capable of hydrolysing milk- and

cane-sugar. The organism produces and without gas formation, or

peptonisation of the medium. Of the nine yeasts isolated from matzoon by

Lindner[68] and Kalantharianz,[69] three were able to ferment milk sugar

without previous hydrolysis, while two others, by the simultaneous

production of lactic acid and fruit esters, gave to the matzoon its

characteristic taste and aroma.

_Yoghourt and Soured Milk._--Yoghourt is another fermented milk, and is

related to the matzoon of Armenia, the gioddu of Sardinia, and the leben

of Egypt. After a preceding boiling and reduction of the volume of the

milk, inoculation of the mass is made by the addition of a small

quantity of old culture, and it is then allowed to sour at a

comparatively high temperature. A moderately compact, jelly-like

coagulum is thus formed, while keffir and koumiss possess a liquid

consistency. The fermentation necessary for the two latter products only

proceeds, too, at a much lower temperature, at which yeasts play an

important part. According to Guerbet, yoghourt incubated for ten hours

at 113° F. contained 0.34 per cent. lactic acid and 0.012 per cent.

alcohol. Luerssen and Kühn[70] came to the conclusion that yoghourt

contained chiefly a mixture of _Bacillus bulgaricus_, diplostreptococci,

and a "granule" bacillus, so called on account of its granulated

appearance after treatment with methylene blue. According to these

authors, the first two organisms were found in each of eight samples of

maya (young yoghourt) and of yoghourt itself, but the occurrence of the

"granule" bacillus in plate cultures was by no means regular. In

addition, yeasts were found in almost every sample examined, but were

regarded more as accidental infections rather than as essential to the

formation of a typical product. The combined action of the three

organisms already mentioned gave rise to a product closely resembling

normal yoghourt. Piorkowski[71] subjected Bulgarian maya to examination

and associated himself with Metchnikoff[72] in finding three species, a

streptococcus, a diplococcus, and a specific organism to which he gave

the name _Yoghourt bacillus_. Similar results were also obtained by

Grigoroff.[73] Piorkowski's _Yoghourt bacillus_ is similar in form to

_Bacillus subtilis_, but does not sporulate, nor does it liquefy

gelatine. Young individuals are stained by Gram's method; older

individuals are, however, Gram negative. The optimum temperature is 112°

F. Kuntze attempted to isolate the organisms mentioned by Luerssen and

Kühn, and by plate culture procured growth of a spore-forming bacillus

similar to Weigmann's _Bacillus matzoon_. To this organism is attributed

the power to impart a specific taste to the matzoon, but as growth is

comparatively slow, it can only be of significance in determining the

quality of the curd and cheese prepared from this product. Cultures were

also obtained which resembled in general character those of the organism

described by Luerssen and Kühn as _Bacillus bulgaricus_ and named by

Kuntze _Bacterium W_. Granule formation was transient in this culture,

and the organisms eventually became inactive. Further analysis of maya

gave cultures of the "granule" bacillus, but these passed over from the

type forming irregular colonies (see Figs. 14, 15, 16) to that producing

smooth colonies. Further, although the granule formation persists

largely in milk, the organisms soon revert to the non-granular type if

cultivated on agar. By the use of the Gram-Weigert stain organisms from

a several-days-old culture on beer-wort-agar gave an interesting

reaction. The bacillar threads are in places Gram-negative, in others

Gram-positive, and bear small club-like swellings (see Fig. 14). Results

similar to these were also obtained with cultures of _Bacillus matzoon_

(Weigmann and Grübner) and also with _Bacillus acidophilus_.

Neisser's method of staining failed to give such good effects by the

examination of fresh maya, as did an alcoholic aqueous solution of

methylene blue in showing up the granules of the organisms. Again,

Grixoni[74] found, but did not isolate, a similar granule-forming

organism (_Bacterium sardous_) in Sardinian gioddu. As already

mentioned in the description of leben, Rist and Khoury found a long

bacillar lactic ferment (_Streptobacillus lebenis_) which also exhibited

the irregular greyish white hairy colonies and high optimum temperature

characteristic of this group. On account of the similarity in form,

staining reactions, temperature requirements, and cultural growth of the

organisms described by Emmerling, Düggeli, Weigmann, Grixoni, and Rist

and Khoury, Kuntze is inclined to regard them as belonging to one single

group of lactic ferments. According to him the granule formation is

rather variable, and may be induced or suppressed by cultural methods.

Not only do organisms of this group produce far more acid than the

normal lactic bacteria; they are also more resistant to acid, and are

able to develop in milk to which 0.5 per cent. hydrochloric acid has

been added. A comparatively high percentage of alcohol seems to

encourage growth, and this was obtained in milk containing 4 per cent.

alcohol. This would no doubt tend to explain the phenomenon observed by

Kuntze that milk is not so rapidly fermented by organisms of this group

as when cultures of diplococci and yeasts are added. Since organisms of

this group would seem to be widely distributed, the question of their

natural habitat arises. Luerssen and Kühn were unsuccessful in their

search for such organisms in Königsberg milk, but Leichmann records the

occurrence of a long bacillus (_Bacillus lactis acidi_) in milk that had

spontaneously soured at 112° to 120° F. This organism, too, showed

characteristic growth on agar media, and produces lævo-rotatory lactic

acid. The examination of calves' stomachs showed, according to Kuntze,

only occasional long bacilli, but inoculation of sterile milk and

incubation at 100° F. with repeated over-inoculation gave a culture

showing the characteristic granule reaction (see Figs. 18 and 20).

Although plate cultures made direct from calves' stomachs do not exhibit

the regular contours generally shown by the granule bacillus, yet this

growth may be induced by preceding cultivation in lactose bouillon to

which 0.5 per cent. acetic acid has been added. A similar organism,

_Bacillus acidophilus_, was isolated from calves' manure by means of

this acetic bouillon, as was also a diplostreptococcus which resembled

very closely the typical lactic acid streptococcus. This resemblance was

made all the more striking by the fact that they were capable of

coagulating milk at a temperature of 99° to 104° F. Since these

organisms are present in large numbers in manure and also in the

digestive tract of ruminants, it would seem probable that their

occurrence is not without significance for the operations of cheese

manufacture. According to Jensen, the practice of applying farmyard

manure to Swiss meadows has been regarded as absolutely essential to the

production of cheese of the best quality; while, on the other hand, the

application of artificial manures would seem to have been responsible

for an increase in abnormal cheese. Kuntze found further that by the

combined inoculation of sterile milk with the diplostreptococcus and the

"granule" bacillus from calves' stomachs, together with a yoghourt

yeast, he was able to obtain a product possessing a taste and aroma

little different from normal yoghourt. During their investigations upon

the ripening of Swiss hard cheese, Freudenreich and Jensen[75] isolated

five varieties of lactic acid bacilli, and were able to show that one of

these, especially _Bacillus casei [Greek: e]_, was of the greatest

importance for the production of good cheese. This organism has been

found by Thöni to be present in rennet tablets, while a related

variety, _Bacillus casei [Greek: d]_, was found in fresh calves'

stomachs. Unfortunately, staining tests with these organisms were not

carried out, so that no data are available in regard to the presence of

granules. The photo-micrographs of these organisms show the small clubs

and true-branched forms. The presence of these diplococci and bacillar

lactic ferments in the intestinal tract of ruminants and horses might

possess some importance for the preparation of yoghourt in bags or tubes

made from the stomachs of these animals. Finally, Moro[76] has isolated

an acidophilic organism from the dejecta of infants which resembles

closely, both in manner of growth, resistance to acids, true branching,

and temperature optimum, the granule bacillus and related forms.

[This group of sixteen illustrations (Figs. 14 to 29), showing various

aspects of the Yoghourt bacillus and others of a cognate nature, is

taken from the _Centralblatt für Bakteriologie_ of Jena.--L. M. D.]

[Illustration: FIG. 14.--Granule Bacillus from Yoghourt.

Shredded preparation of a fresh skim-milk culture at 37°

C. for six hours. Stain: aqueous methylene blue. (Enlarged

1:500.) In Figs. 15 and 17 will be noticed the chain

arrangement of the bacillus, which, in spite of the

supposed data of Luerssen and Kuhn, will be generally

noticed in the granule bacillus.]

[Illustration: FIG. 15.--Granule Bacillus from Yoghourt,

cultivated after the usual Agar method, for twenty-four

hours at 37° C. Stain: aqueous methylene blue. (Enlarged

1:500.)]

[Illustration: FIG. 16.--Granule Bacillus from Yoghourt.

Agar Milk Sugar Culture cultivated for forty-eight hours

at 37° C. Below is the true branching, above, the

distorted involution form. This production of involution

forms occurs chiefly in old cultures, and is an indication

of degeneration. Stain: aqueous methylene blue. (Enlarged

1:700.)]

[Illustration: FIG. 17.--_Bacteria W._ from Milk,

cultivated twenty-four hours at 37° C. Methylene blue.

(Enlarged 1:500.) The similarity in the pictures ought to

serve as a proof of the near relation of the granule form

and non-granule varieties.]

[Illustration: FIG. 18.--Agar Milk Sugar Culture. From the

original Bulgarian Yoghourt. In the centre, and beneath,

the characteristic hairy irregular colonies of the granule

bacillus (_Bacillus bulgaricus_ group), to the left, the

smooth contoured yeast colonies. The colonies of the

former organism always remain microscopic in size.

(Incubated several days at 20° to 25° C. Magnified X 10.)]

[Illustration: FIG. 19.--Agar Milk Sugar Culture. Surface

colony of granule bacillus from calf's stomach. The great

resemblance this colony bears to those formed by the

granule bacillus from Yoghourt will be apparent. This

fact, as well as close agreement in other cultured

features, induced Kuntze to place these organisms in one

group. (Incubated two days at 37° C. Magnified X 100.)]

[Illustration: FIG. 20.--Agar Milk Sugar Culture.

Deep-lying colony of granule bacillus from calf's stomach.

The form of the colony is often determined by the relative

presence or absence of air. (Two days at 37° C. Enlarged

about 1:50.)]

[Illustration: FIG. 21.--Agar Milk Sugar. Colony of

_Bacterium W._ from Yoghourt (non-granular variety of the

granule bacteria, as far as possible identical with

Luersen and Kühn's _Bacillus bulgaricus_), of a cubical

branching-out form.

According to Kuntze, the granule formation of this and

related organisms is variable, while White and Avery

regard it as a constant characteristic. (Incubated two

days at 37° C. Magnified x 50.)]

[Illustration: FIG. 22.--Two colonies of _Bacillus

acidophilus_ from calf's manure. Agar Milk Sugar Culture.

With this organism, also, we have conformation to one type

of colony, while, in other respects, temperature

requirements and production, etc., we have close agreement

with the granule bacillus (_Bacillus bulgaricus_). (Two

days at 37° C. Enlarged about 1:50.)]

[Illustration: FIG. 23.--Beer-wort Gelatine.

Fourteen-days-old colony of Yoghourt yeast. (Enlarged

about 1:50.)]

[Illustration: FIG. 24.--Shredded preparation of the

Bulgarian original Yoghourt. Stain: aqueous methylene

blue. Granule bacillus, diplostreptococci, and yeast. (See

also other photo-micrographs of Yoghourt. Enlarged

1:70.)]

[Illustration: FIG. 25.--Granule Bacillus from Yoghourt.

Cultivated in skim milk in twenty-four hours at 37° C.

Stain: aqueous methylene blue. (Enlarged 1:50.)

By means of this staining treatment the presence of

granules (not spores) can be easily detected. Treatment

with fuchsine fails to bring out these formations.]

[Illustration: FIG. 26.--_Bacteria W._, Agar Milk Sugar

Culture. Cultivated twenty-four hours (knobs, clubs).

Stain: Gram's method coloured with aqueous fuchsine

afterwards. (Enlarged 1:600.)]

[Illustration: FIG. 27.--_Bacteria acidophilus_ from

calves' manure, isolated by means of bouillon as acid as

vinegar. Shredded out of the usual Agar culture.

Twenty-four hours at 37° C. Stain: aqueous methylene blue.

(Enlarged 1:700.)]

[Illustration: FIG. 28.--Mucus from calf's stomach

inoculated into milk after eight transferrings. Shredded

preparation cultivated in milk for twenty-four hours at

37° C. Diplostreptococci and granule bacillus. Stain:

aqueous methylene blue. (Enlarged 1:500.)]

[Illustration: FIG. 29.--Diplostreptococcus from Yoghourt.

Pure culture in skim milk. A comparison of the

illustrations will show how close a resemblance exists

between bacteria found in the mucous membrane of calf's

stomach and those occurring in Yoghourt. In fact, by the

combined action of granule bacilli, and of

diplostreptococci from calf's stomach, together with a

Yoghourt yeast, it is possible to prepare normal

Yoghourt.]

In a review of the literature of the subject of soured milks, Makrinoff

suggests the adoption of the two names, _Streptobac. lebenis viscosus_

and _Streptobac. lebenis non-viscosus_, for the organisms of the

so-called Bulgaricus group, and known at present as

_Bacillus-bulgaricus_, _Streptobac. lebenis_, _Bacillus of Massol_,

_Granule bacillus_, _Bact. Mazun_, _Bac. lactis acidi_, etc.[77]

White and Avery[78] have made a comparative study of a large number of

varieties and species of lactic acid bacteria of the above type obtained

from various fermented milks and milk tabloids. Their descriptions are

so detailed and their conclusions are so important that we give them at

length. According to this work, the whole of the thermophilic lactic

acid bacilli of the so-called Bulgaricus type may be divided into two

sub-types, A and B.

_The Cultural Characteristics of the Bacillus Bulgaricus Group_

The cultural characteristics of all the strains of _Bacillus bulgaricus_

(granule bacillus) are as follows:

_In Whey Agar._--All strains exhibit wide variation in size, 2 µ to 50 µ

long and about 1 µ broad.

Almost all individuals are intensely Gram-positive, and show regularity

of outline. All strains show involution form, exhibiting vacuoles, and

often show empty cell membranes. The latter are Gram-negative, and vary

greatly in both dimensions as well as in form. All strains show tendency

to chain formation, some being arranged in chains of six to twenty-five

segments, which may contain both Gram-positive and Gram-negative

individuals. Type B exhibits Gram-negative spherical bodies varying from

0.25 µ to 1 µ in size, adhering to the sides of some of the

Gram-negative individuals.

_In Whey._--In this medium there is a marked tendency toward

degeneration and involution. In the early stages of incubation, at 100°

to 112° F., the bacilli are uniform in size and intensely Gram-positive;

in succeeding stages the irregular, vacuolated, inflated, and ruptured

forms predominate. Between the eighteenth and twenty-fourth hours of

incubation at 112° F. the strains of type A develop oval to

kidney-shaped nodules attached to a stem extending from the cell

substance. As the incubation is prolonged these nodules increase in

size, often measuring 1 µ to 2 µ in length; this nodule formation occurs

at the expense of the cell protoplasm, and appears to be a marked

characteristic of growth in whey. Cultures of type B do not form nodules

or clubs, but small spherical bodies more or less securely attached to

the cell wall are seen. Again, type A assumes the form of small bacilli

in chains, while type B strains develop to a greater length and exist

almost exclusively as single isolated forms. True branching has been

observed in strains of type B.

_In Milk._--In milk there is a tendency to thread-formation consisting

of four to ten segments in the case of type A, while type B shows longer

and more curved forms. With increasing age of the culture there also

appears to be increase in the length of the organisms. All strains are

non-motile, non-sporogenous, and non-capsule-forming.

_Staining Reactions._--All strains are readily stained by the usual

aniline dyes.

_A. Gram's Method._--Young individuals give an intense reaction with

this stain; old bacilli are easily decolourised, and degenerate forms

are always Gram-negative, while single individuals have been observed

which showed gradation from one pole of the cell to the other.

_B. Loeffler's Methylene Blue._--According to the behaviour of the

organisms studied, a separation into two types appears possible, type A

being uniformly impregnated, while type B shows distinct

differentiation. The cell body is seen to contain a varying number of

round to oval bodies or granules. This is the appearance already

mentioned by Düggeli, Luerssen and Kühn, and Kuntze, and from which the

granule bacillus derives its name. In opposition to the observations of

Kuntze, the occurrence of granules was not found to be variable; it was,

indeed, so constant as to constitute a distinguishing characteristic

between the two types. The organisms of this group are difficult to

cultivate, and freshly isolated growth is obtainable only on media

containing whey, malt, or in milk. They grow equally well under aërobic

or anaërobic conditions. The optimum temperature for growth is 113° to

115° F.; growth is fair at 85° F., slight at 75° F., and does not take

place at 68° F.

Colonies on whey agar are round to irregular, greyish white, curled and

filamentous, often streaming, and in a few cases smooth and even in

structure. Gelatine is not liquefied. There is no surface growth on

gelatine stab-cultures. Along the stab the growth is filiform, beaded,

with subsequent horizontally projecting ramifications. Milk is

coagulated in eight to eighteen hours at 112° F., and is the most

favourable medium for growth.

[I am indebted for this group of illustrations (seventeen in number) to

the editor of _Bacteriotherapy,_ New York, U.S.A.--L.M.D.]

[Illustration: FIG. 30--Photo micrograph of preparation

made from Yoghourt, showing yeast cells, large lactic

diplococci, small slender bacilli and many large bacilli

possessing the morphology of _Bacillus bulgaricus_. Yeast

cells are almost invariably found in native Yoghourt, but

do not appear to be essential to the production of a

tropical beverage. Indeed, they would seem to be

responsible for the unpleasant astringent taste often met

with in old samples of this product.]

[Illustration: FIG. 31--Photo micrograph of smear from

Greek Curdled Milk called "Giaourti," and showing yeast

cells, long bacilli and a mould (_Oidium lactis_),

possessing very large elongate cells. The presence of the

latter is very undesirable, as it rapidly combusts the

lactic acid, digests the casein, and imparts a strong

unpleasant cheesy flavour to the beverage.]

Type A produces 2.7 per cent. to 3.7 per cent. inactive lactic acid in

milk, while type B produces only 1.2 per cent. to 1.6 per cent.

lævo-rotatory lactic acid in milk. There is a small quantity of acetic,

formic, and succinic acids formed. The conclusions of White and Avery

are:

I. A review of the morphological culture and biochemical features of the

lactic acid producing bacilli from yoghourt, matzoon, and leben, appears

to justify their classification as a single group.

II. This group would seem to be identical with _Bacterium caucasicum_

(Kern).

III. The significant variations exhibited by these bacilli in regard to

the presence or absence of granules demonstrable by differential stains,

the degree of lactic acid production, and the nature of the acid

produced, suggest a division into two different types--the true type A,

and the paratype B.

Quite recently Hastings and Hammer[79] recorded the isolation from milk

of an organism producing more acid than either _Bacterium coli commune_

or _Bacillus lactis acidi_. It is characterised by possessing a high

optimum temperature, and by the limited conditions under which it grows

on nutrient media. On this account these investigators suppose it to be

related to those described in the paragraphs on fermented milks, leben,

matzoon, etc., and which are regarded by Kuntze as being identical.

Similarly Boutroux[80] found 1.5 per cent. acidity produced in a

solution containing albuminous matter and glucose; while Richet[81]

states that with the addition of gastric juice to milk as much as four

per cent. acidity may be formed. After storing samples of milk for eight

days at 100° F., Koning[82] found 2.35 per cent. and 2.5 acid; while

similar samples stored at 60° to 62° F. for the same period only

developed 0.9 per cent. Heinemann[83] records the production of 3.0 per

cent. acid in milk incubated at 100° F.; and Jensen states that

_Bacillus casei [Greek: e]_ is capable of developing 2.7 per cent.

lactic acid.

Dr. H. B. Hutchinson, bacteriologist at Rothamsted Experimental Station,

has also been successful in isolating a bacillus from English market

milk resembling in every particular those classified by White and Avery

as type A.

[Illustration: FIG. 32 is a photo-micrograph of soured

milk inoculated with a tablet containing viable and pure

cultures of _Bacillus bulgaricus_, and incubated for

seventy-two hours. These tablets constitute a valuable

means of preparing soured milk for therapeutic purposes.]

[Illustration: FIG. 33 is a photo-micrograph of milk

inoculated with a ferment tablet in which _Bacillus

bulgaricus_ is no longer viable, and the only growth

obtained is that of an organism allied to the _Bacillus

subtilis_ (Hay bacillus) group. Such milk would be

absolutely without value.]

It will thus be seen that organisms related to those of Oriental and

Occidental milk beverages are present in conditions where it is

impossible for them to attain to any active growth. The same class of

organism has also been found in many cases in butter and cheese

throughout the United States.

Of recent years the consumption of milk fermented by these organisms has

been introduced more or less successfully into all European countries.

This custom is due, as we have seen,[84] to a very great extent to the

announcement of Metchnikoff[85] that the action of such organisms in the

alimentary tract conduce to a prolongation of life. Moro found that the

dejecta of children contain large numbers of _Bac. lacidophilus_ and

_Bac. bifidus_, but, as age advances, the bacterial flora of the

intestines tends to change. The number of acid-producing organisms

gradually becomes less, and other bacteria capable of producing

far-reaching decomposition of albuminoid matter tend to increase.

Working on the assumption that senility is partially due to the

absorption of by-products formed from albuminoid food by the

decomposing or putrefactive bacteria mentioned, Metchnikoff instituted a

search for organisms capable of suppressing the growth of the

putrefactive bacteria.

It has long been known that milk allowed to become sour will keep for a

considerably longer period in hot weather than if lactic bacteria had

not grown. This preservative action of lactic acid also comes into play

in the manufacture of sauerkraut and in the preservation of meat by

immersion in sour milk.

[Illustration: FIG. 34.--Photo-micrograph of smear of

culture of _Bacillus bulgaricus_, recommended by

Metchnikoff for use in cases of intestinal

auto-intoxication. Unlike the ferments of normally soured

milk, which are sometimes indifferent, or even injurious,

in their action, this bacillus is capable of growth at

blood heat, and, by producing much larger quantities of

lactic acid than such organisms as _Streptococcus

lacticus_, _Bacillus coli commune_, or _Bacteria lacticus

aërogenes_, inhibits the multiplication of bacteria

responsible for the putrefaction of albuminoid food in the

intestines.]

Bienstock has shown that the growth of _Bac. putrificus_ is inhibited by

the action of _Bact. coli commune_, which is capable of setting up a

slight lactic acid fermentation. _Bact. coli commune_, however, gives

rise to substances of an injurious character, and, although present very

abundantly in the intestinal tract, it may by reduced almost entirely by

the active growth of lactic acid bacteria. This fact is of great value

to the cheese-maker, since by the addition of a lactic acid culture

(starter) to milk before renneting, gas-producing bacteria such as

_Bact. coli_ may be checked in growth. Since the ordinary lactic acid

bacteria such as _Streptococcus lacticus_, _Bac. lactis acidi_, and

others, are incapable of growth at blood temperature, it appeared

necessary to procure cultures of lactic bacteria able to grow at

temperatures of 100° F. to 112° F. Such an organism was found in

Bulgarian soured milk (yoghourt), and was considered pre-eminently

adapted to this purpose. As has been shown in the preceding paragraphs,

this organism is merely one of a large group of bacteria found

distributed in the intestinal canal of many domestic animals, in manure,

and in ordinary market milk. It is then not surprising that the

introduction into the intestinal tract of bacteria of the type

_Bulgaricus_ in the form of tabloids has not met with any decided

success. Although it was considered to be merely necessary to introduce

the desired type of organism into the body, and the amount of lactic

acid taken into the system by the administration of soured milks was

looked upon as of secondary importance, yet, it would seem, in the light

of recent investigations, that benefits derived from a soured milk

regimen are attributable in part to a chemical as well as a purely

bacterial action. This receives support from the fact that soured milk

beverages prepared by the use of ordinary lactic bacteria, distinct from

those of the _Bulgaricus_ type, often exert a beneficial influence upon

human beings even although the organisms responsible for the

fermentation are incapable of growth at blood temperature.

It may be mentioned in conclusion that cultures prepared by the use of

organisms of the type _Streptococcus lacticus_ combined with _Bac.

bulgaricus_ possess a more agreeable flavour and aroma than those

prepared from a pure culture of _Bulgaricus_ alone.

[Illustration: FIG. 35--_Bacillus bulgaricus_, showing the

cultures in English cow's milk. (Magnified 450 diams.)]

[Illustration: FIG. 36--Photo-micrograph of pure culture

of _Bacillus bulgaricus_. The administration of cultures

of this organism is indicated in all cases of intestinal

ailments, caused by the excessive growth of proteolytic

bacteria, and consequent putrefaction of foods in the

alimentary tract. By the formation of large quantities of

lactic acid, a state of asepsis is ensured, which is

particularly valuable in cases of operations on the

abdomen and intestines.]

[Illustration: FIG. 37.--Photo-micrograph of smear of

combined culture of _Bacillus bulgaricus_ and _Bacteria

paralacticus_. This double culture possesses an advantage

over single cultures in that, while the characteristic

disinfecting action of the former is retained, any

secondary action of the growth of this organism upon the

milk-fat is checked by the growth of _Bacillus

paralacticus_, thus ensuring the production of a more

palatable product.]

The Bacillus of Long Life A Manual of the Preparation and Souring of Milk for Dietary Purposes, Together with an Historical Account of the Use of Fermented Milks, from the Earliest Times to the Present Day, and Their Wonderful Effect in the Prolonging of Human Existence · 第 5 / 8 章