Finsen, who in 1895 published his observations upon the stimulating action of light, is considered the pioneer in the use of so-called chemical rays in the treatment of disease. He had a circular room about thirty-seven feet in diameter, in which two powerful 100-ampere arc-lamps about six feet from the floor were suspended from the ceiling. Low partitions extended radially from the center, so that a number of patients could be treated simultaneously. The temperature of the room was normal, so that the treatment was essentially by radiant energy and not by heat. The chemical action upon the skin was said to be quite as strong as under sunlight. The exposures varied from ten minutes to an hour.
Light-baths containing incandescent filament lamps are also used. In some cases the lamp, sometimes having a blue bulb, is merely contained as a reflector and the light is applied locally as desired. Light-cabinets are also used, but in these there is considerable effect due to heat. The ultra-violet rays emitted by the small electric filament lamps used in these cabinets are of very low intensity and the bactericidal action of the light must be feeble. The glass bulbs do not transmit the extreme ultra-violet rays responsible for the production of ozone, or the middle ultra-violet rays which are effective in destroying animal tissue. The cabinets contain from twenty to one hundred incandescent filament lamps of the ordinary sizes, from 25 to 60 watts. In the days of the carbon filament lamp the 16-candle-power lamp was used. Certainly the heating effect has advantages in some cases over other methods of heating. The light-rays penetrate the tissue and are absorbed and transformed into heat. Other methods involve conduction of heat from the hot air or other hot applications. Of course, it is also contended that the light-rays are directly beneficial.
Light is also concentrated upon the body by means of lenses and mirrors. For this purpose the sun, the arc, the quartz mercury-arc, and the incandescent lamp have been used. Besides these, vacuum-tube discharges and sparks have been utilized as sources for radiant energy and "electrical" treatment. Röntgen rays and radium have also figured in recent years in the treatment of disease.
The quartz mercury-arc has been extensively used in the past decade for the treatment of skin diseases and there appears to be less uncertainty about the efficacy of radiant energy for the treatment of surface diseases than of others. Herod related that the Egyptians treated patients by exposure to direct sunlight and throughout the centuries and among all types of civilization sunlight has been recognized as having certain valuable healing or purifying properties. Finsen in his early experiments cured a case of lupus, a tuberculous skin disease, by means of the visible and near ultra-violet rays in sunlight. He demonstrated that these were the effective rays by using only the radiant energy which passed through a water-cell made by using a convex lens for each end of the cell and filling the intervening space with water. This was really a lens made of glass and water. The glass absorbed the ultra-violet rays of shorter wave-length and the water absorbed the infra-red rays. Thus he was able to concentrate upon the diseased skin radiant energy consisting of visible and near ultra-violet rays.
The encouraging results which Finsen obtained in the treatment of skin diseases led him to become independent of sunlight by equipping a special arc-lamp with quartz lenses. This gave him a powerful source of so-called chemical rays, which could be concentrated wherever desired. However, when science contributed the mercury-vapor arc, developments were immediately begun which aimed to utilize this artificial source of steady powerful ultra-violet rays in light-therapy. As a consequence, there are now available very compact quartz mercury-arcs designed especially for this purpose. Apparently their use has been very effective in curing many skin diseases. Certainly if radiant energy is effective, it has a great advantage over drugs. An authority has stated in regard to skin diseases that,
treatment with the ultra-violet rays, especially in conjunction with the Röntgen rays, radium and mesothorium is that treatment which in most instances holds rank as the first, and in many as the only and often enough the most effective mode of handling the disease.
Sterilization by means of the radiation from the quartz mercury-arc has been practised successfully for several years. Compact apparatus is in use for the sterilization of water for drinking, for surgical purposes, and for swimming-pools, and the claims made by the manufacturers of the apparatus apparently are substantiated. One type of apparatus withstands a pressure of one hundred pounds per square inch and may be connected in series with the water-main. The water supplied to the sterilizer should be clear and free of suspended matter, in order that the radiant energy may be effective. Such apparatus is capable of sterilizing any quantity of water up to a thousand gallons an hour, and the lamp is kept burning only when the water is flowing. It is especially useful in hotels, stores, factories, on ships, and in many industries where sterile water is needed.
Water is a vital necessity in every-day life, whether for drinking, cooking, or industrial purposes. It is recognized as a carrier of disease and the purification of water-supply in large cities is an important problem. Chlorination processes are in use which render the treated water disagreeable to the taste and filtration alone is looked upon with suspicion. The use of chemicals requires constant analysis, but it is contended that the bactericidal action of ultra-violet rays is so certain and complete that there is never any doubt as to the sterilization of the water if it is clear, or if it has been properly filtered before treating. The system of sterilization by ultra-violet rays is the natural way, for the sun's rays perform this function in nature. Apparatus for sterilization of water by means of ultra-violet rays is built for public plants in capacities up to ten million gallons per day and these units may be multiplied to meet the needs of the largest cities. Large mechanical filters are used in conjunction with these sterilizers, and thus mankind copies nature's way, for natural supplies of pure water have been filtered through sand and have been exposed to the rays of the sun which free it from germ life.
Some sterilizers of this character are used at the place where a supply of pure water is desired or at a point where water is bottled for use in various parts of a factory, hospital, store, or office building. These were used in some American hospitals during the recent war, where they supplied sterilized water for drinking and for the antiseptic bathing of wounds. In warfare the water supply is exceedingly important. For example, the Japanese in their campaign in Manchuria boiled the water to be used for drinking purposes. The mortality of armies in many previous wars was often much greater from preventable diseases than from bullets, but the Japanese in their war with Russia reversed the mortality statistics. Of a total mortality of 81,000 more than 60,000 died of casualties in battle.
The sterilization of water for swimming-pools is coming into vogue. Heretofore it was the common practice to circulate the water through a filter, in order to remove the impurities imparted to it by the bathers and to return it to the pool. It is insisted by the adherents of sterilization that filtration of this sort is likely to leave harmful bacteria in the water. Sterilizers in which ultra-violet rays are the active rays are now in use for this purpose, being connected beyond the outflow from the filter. The effectiveness of the apparatus has been established by the usual method of counting the bacteria. Near the outlet of the ordinary filter a count revealed many thousand bacteria per cubic inch of water and among these there were bacteria of intestinal origin. Then a sterilizer was installed in which the effective elements were two quartz mercury-lamps which consumed 2.2 amperes each at 220 volts. A count of bacteria in the water leaving the sterilizer showed that these organisms had been reduced to 5 per cent. and finally to a smaller percentage of their original value, and that all those of intestinal origin had been destroyed. In fact, the water which was returned to the pool was better than that which most persons drink. Radiant energy possesses advantages which are unequaled by other bactericidal agents, in that it does not contaminate or change the properties of the water in any way. It does its work of destroying bacteria and leaves the water otherwise unchanged.