QT4-4- y^zj/^*/- A HANDBOOK PHYSIOLOGICAL LABORATORY, CONTAINING AN EXPOSITION OP THE FUNDAMENTAL FACTS OF THE SCIENCE, WITH EXPLICIT DIRECTIONS FOR THEIR DEMONSTRATION. HTSTOT Or1 V' PartB l and 1I- By B' Klein> m,d> Assistant Professor in the Pathological Laboratory of the Brown Institute, London. PHYSTOT OPT"' Part r' BL00D CIRCULATION, RESPIRATION AND ANIMAL HEAT. By J. Burdox Sanderson, m.d., Pro- fessor of Physiology, University College, London. « Part II. THE FUNCTIONS OF THE MUSCLES AND NERVES. By Michael Foster, m.d., Prelector of Physi- ology, Trinity College, Cambridge; Author of a Text-boofc of Physiology, etc. ti . Part III. DIGESTION AND SECRETION. By T. Lauder Bhunton, m.d., Lecturer on Materia Medica and Therapeu- tics, St. Bartholomew's Hospital, etc. EDITED BY J. BURDON SANDERSON, M.D. WITH ONE HUNDRED AND THIRTY-THREE FULL-PAGE PLATES, CONTAINING 353 BEAUTIFULLY EXECUTED ILLUSTRATIONS. WITH BEFEBENCEfi \M> EXPLANATIONS PHILADELPHIA: BLAKISTON, SON & CO., No. 1012 Walm i Sti.-kjct. 188 I. TO WILLIAM SHARPET. M.D. LL.D. F.R.S. F.R.S.E. PROFESSOR OF AS ATOMY AND PHYSOT.OGT IX CX1VERSITY COLLEOE LOXO X. ET Dear Dr. Sharpey, To you, who have been these many years the friend of physiologists throughout the world, and who, by your original work, by your teaching, by your generous aid and judicious counsel, have been the mainstay of physiology in England, we desire to dedicate this attempt to promote the study of our science. Accept it as a token of our personal regard, as well as of the high value we set on your life-long labors. Your devoted Friends, MICHAEL FOSTER, J. BURDON-SANDERSON, T. LAUDER BRUNTON, E. KLEIN. Digitized by the Internet Archive in 2010 with funding from Columbia University Libraries http://www.archive.org/details/handbookforphysiOOburd EDITOR'S PREFACE. This book is intended for beginners in physiological work. It is a book of methods, not a compendium of the science of physiology, and consequently claims a place rather in the laboratory than in the study. But although designed for workers, the authors believe that it will be found not the less useful to those who desire to inform themselves by reading as to the extent to which the science is based on experiment, and as to the nature of the experiments which chiefly deserve to be regarded as fundamental. The practical purpose of the book has been strictly kept in view, both in the arrangement and in the selection of the subjects. Many subjects are entirely omitted which form important chapters in every text-book. They have been left out either because they do not admit of experi- mental demonstration, or because the experiments required are of too difficult or complicated a character to be either shown to a class or performed by a beginner. The mode of arrangement will be found to be somewhat different in the four sections into which the work is divided. This difference, although in part attributable to difference of authorship, is mainly due to the peculiarities of the modes of demonstration required in the several sub- jects. As regards the physiology of nerve and muscle, it is sufficient to refer the reader to the author's introduction for an exposition of the method followed. Iu the his- tological part will be found a purely objective description of anatomical facts and methods. Substituting chemical for anatomical, the same tiling might be said of the chap- ters relating to tin- chemical functions. Ilere, where minuteness of description is essential, great pains have been taken to -jive the student the most ample details as Vlll l'l'.KF ace. regards materials for work, instruments, and methods. In the chapter on the blood, the same object has been kept in view, but in those relating to the mechanical functions of circulation and respiration, where either man or the higher animals must he for the most part the subjects of observation, and where consequently the conditions of experiment are complicated by the interference of the ner- vous system to an extent which it is often difficult to estimate, it has been found impossible to avoid entering somewhat more largely into theoretical explanations. In the chapters on digestion and secretion, and in the remainder of the chemical part, those experiments or methods which arc most important and hist suited for demonstration are distinguished by two asterisks (**), the less important by a single asterisk (*). The absence of an asterisk at the beginning of a paragraph denotes either that the experiment is unimportant or that it is difhVult to perform. A dagger (f) is used, to draw special atten- tion to a test or procedure. I have to record Dr. Brunton's obligation to Dr. Arthur Gamgee, F.R.S., for many important suggestions in the preparation of the chapter on secretion. Dr. Brunton further wishes me to state that, although he has recom- mended no method as suitable for demonstration which he has not himself tried, he has freely availed himself of the well-known works of Hoppe-Seyler, Gorup-lU'sanez, and Ivuhne, both in the arrangement of the sections and in the selection of experiments. It has been judged expedient by the Publishers to sepa- rate the illustrations from the text. In this way full justice has been done to the engravings of the Histologi- cal part, which have been executed by Mr. Collings from the original drawings of the author. Most of the illustrations of the Physiological part are the work of the same artist, both as regards drawing and engraving. Of the remainder, several have been borrowed (with the kind permission of the author) from Mr. Sut- ton's work on Volumetrical Analysis. CONTENTS. HISTOLOGY.— PART I. CHAPTER I. PAGE Blood Corpuscles '. . .17 CHAPTER II. Epithelium and Endothelium 35 CHAPTER III. Connective Tissues 4G CHAPTER IV. Muscular Tissue 65 CHAPTER V. TISSUES of TnE Nervous System 70 HISTOLOGY— PART II. CHAPTER VI. Preparation op TnE Compound Tissues .... 100 CHAPTER VII. Vascular System 110 CHAPTER VIII. Lymphatic System 123 CHAPTER IX. Organs of Respiration 133 X CONTENTS. CHAPTER X. PA(iK Organs of Digestion 135 CHAPTER XI. Skin, Cutaneous Glands, and Genito-1 binary Apparatus 141 CHAPTER XII. Organs of Special Sense 150 CHAPTER XIII. Embryology 158 CHAPTER XIV. Appendix. — Study of Inflamed Tissues .... IG9 PHYSIOLOGY.— PART I. Blood, Circulation, Respiration, and Animal Heat. CHAPTER XV. The Blood 175 CHAPTER XVI. The Circulation of the Blood .2 17 CHAPTER XVII. Respiration 298 CHAPTER XVIII. Animal Heat S36 PHYSIOLOGY.— PART II. Functions of Muscle and Nerve. CHAPTER XIX. General Directions 350 CHAPTER XX. General Properties of Muscle at Rest .... 360 CONTENTS. XI CHAPTER XXI. PAGE Preliminary Observations on the Stimulation op Nerve and Moscle 364 CHAPTER XXII. Phenomena and Laws op Muscular Contraction . . . 365 CHAPTER XXIII. The "Wave of Muscular Contraction 369 CHAPTER XXIV. Tetanus 371 CHAPTER XXV. Electric Currents of Muscles 370 CHAPTER XXVI. Electric Currents op Nerves 381 CHAPTER XXVII. Electrotonus 382 CHAPTER XXVIII. Stimulation of Nerves 383 CHAPTER XXIX. Phenomena accompanying a Nervous Impulse . . . 393 CHAPTER XXX. Various Forms op Stimulation op Muscle and Nerve . . 395 CHAPTER XXXI. Dbar] Poisoning and Independent Muscular Irritability. 398 CHAPTER XXXII. The Functions OF the Roots ok Spinal Nerves . . . 402 CHAPTER XXXIII. Reflex Actions 406 CHAPTEB XXXIV. ome Functions of Cebtaih Parts of the Ekcephaloh . 418 x'li CONTENTS. PHYSIOLOGY— PART III. Digestion and Secretion. CHAPTER XXXV. TA'iP. Albuminous Compounds 1-'1 CHAPTER XXXVI. Chemistry of the Tissues .... 44! CHAPTER XXXVII. Digestion **'" CHAPTER XXXVIII. The Secretions '-'' CHAPTER XXXIX. Appendix.— Notes on Manipulation 561 HISTOLOGY. By Dr. E. KLEIN. PART I.-PREPARATION OF THE ELEMENTARY TISSUES. CHAPTER I BLOOD CORPUSCLES. In the microscopical examination of the blood, we have to do only with the study of the formed elements, namely, the colorless corpuscles and blood disks. Colorless Blood Corpuscles. — The colorless corpuscles are elementary organisms which are endowed with the power of spontaneous motion. This power belongs to them in virtue of the material of which their bodies are composed. This mate- rial is protoplasm. Their motion is of two kinds; it consists of change of form and change of place. The latter results from the former. As movements of this kind are seen in greatest perfection in rhizopods and amoebae, they are called amoeboid. Amoeboid Movements of Colorless Corpuscles. — Very active movements are seen in the colorless blood corpus- cles of the newt. The cells are large and easy of observation. It is of the first importance, in beginning our study of them, that they should be placed under conditions which, if not iden- tical with, are not materially different from, those under which they actually exist. The simplest method is the following: — Take a clean glass slide and an absolutely clean cover-glass, which, as we must use high powers (that is, objectives of which the focal distance is short), must be thin. Take the newt out of the water, dry the tail, cut off its end. If no blood comes, squeeze the organ from the root towards the tip until a drop is obtained. One of two methods may now be used: 1st, let the blood drop upon the middle of the glass slide, and place the cover-glass on it in such a way that one edge rests on its sur- face, while the opposite edge is supported by the finger or for- ceps. Then let the glass gradually down upon the drop. Or, 2 18 BLOOD CORPUSCLI ~. 2dly, collect the blood on the cover-glass by bringing it into contact with the drop, then place it on the slide with its clean surface upwards. By following either of these methods, the introduction of air-bubbles will be avoided, which would otherwise be a source of difficulty to the beginner. The drop should be neither too small nor too large. The following in- conveniences arise from its being too large: 1. The thin cover- glass does not lie steadily in its place, but floats on the drop in such a way that, by the slightest movement of the table, currents are produced in the liquid which render observation difficult or impossible. 2. If it is desired to keep the preparation for a length of time under observation, it is necessary to adopt some means to prevent the liquid from evaporating ; for, if this is not done, it gradually dries from the edges, and soon be- comes unfit for the observation of amoeboid movements, we therefore inclose the preparation in oil, as will be immediately described, and experience shows that, by so doing, the move- ments may be watched for twelve hours or more continuously — a time which is sufficient for a complete study of the phe- nomena in question. This, however, cannot be done unless the drop is very small. 3. If high powers are used, the front glass of the objective comes into contact with the cover-glass, and produces currents due to pressure. If, on the other hand, the drop is too small, the elements are pressed upon by the cover-glass, and thereby subjected to unnatural conditions. No definite rule can be given as re- gards the size of the drop, which must of course vary with that of the cover-glass. The mode of surrounding a preparation of blood with oil is as follows : Take a drop with a glass rod or camel-hair pencil, and let it fall at the very edge of the cover-glass in such a way that, although most of it is on the surface of the slide, it covers a little of the cover-glass also. Then incline the glass slide slightly, and with the rod lead the oil from the drop along the edge of the cover-glass, taking care not to press upon the latter. If one drop of oil is insufficient, of course another must be added. Take great care to avoid smearing the cover glass too far; for by so doing, the space available for observation may become inconveniently limited. Having thus obtained a preparation of blood entirely pro- tected from evaporation, we are ready to begin our study of the colorless corpuscles. Varieties of Colorless Corpuscles. — As soon as we have brought a field containing blood into focus, we see, in addition to a multitude of colored blood disks, to which we at present pay no attention, a greater or less number of color- less corpuscles, which themselves differ from one another both in size and aspect, and in their property of spontaneous BY DR. KLEIN. 19 movement. Three forms may be distinguished, which we will examine in succession : — 1. Common Large Colorless Corpuscles. — Supposing that a few moments have elapsed since the preparation was made, some of these pale corpuscles are sure to be seen float- ing hither and thither in the liquid with a rolling movement. The}r are much more numerous than the other forms. Fix the attention on one of these bodies, and observe, first, that it is so transparent that, as it rolls over and 6ver, a single granule embedded in its substance may be kept constantly in view. Continuing the observation, notice that the surface of the corpuscle, at first smooth, gradually becomes uneven. The cause of the unevenness is this. The surface is beset with a greater or less number of filamentous appendages, varying in lengtL^ and distributed over the surface with variable uniformity. These seem to consist of the same material as the body of the corpuscle. When they are short the}' may be compared to prickles, when longer they are often bent at the point. Sometimes we see one of the processes lengthen itself, while another disappears; sometimes a whole group of processes push out on one side, while others are re- tracted on the opposite side. Occasionally, from the small- ness and great number of the processes, it is scarcely possible to be sure as to the changes which occur. Here is a corpuscle which appears to be graduall}' enlarging. Let us follow the changes it will undergo. Already it covers a space three or four times as great as before. Simultaneous!}' with this in- crease of size, its form becomes irregular, and (as may be ascertained by the fine-adjustment screw) its vertical measure- ment is diminished, so that it now constitutes a thin layer limited by a distinct contour. Soon, however, the circumfer- ence thins out in certain directions, so that the edge can no longer be discerned ; the only evidence of its existence in these attenuated parts being that the field appears to be covered with a granulous film. In the layer of protoplasm we have now before us, some parts are hyaline, or contain at most a few minute granules. In others, you will notice, there are clear spots with well-de- fined contours, which differ indefinitely in size, and have no definite arrangement. Many of them are so clear that they look like perforations. It is characteristic of them that they are undergoing change, both as regards their relative position and relative distinctness, some coming into view while others are fading. These we call vacuoles. They are believed to be cavities filled with liquid, the origin of which is due to the fonstant commotion of the protoplasmic mass. If this be so, it is easy to understand why it is that they appear and dis- appear so rapidly. We next observe that at some part of the 20 BLOOD CORPUSCLES. corpuscle (often, but not always, towards the centre) one or more bodies may be distinguished of roundish, ovoid, or irre- gular form, and tolerably distinct contour, somewhat less re- fractive than the surrounding protoplasm, and containing one or more granules. These bodies are commonly close together, and arc called nuclei. The nuclei are usually invisible so long as the colorless blood corpuscle is spheroidal ; when it spreads out into a layer, they can be distinguished. But they can also be observed when the lamina draws itself together into an irre- gular clump ; and it may be then seen that they are subject to continual change, both as regards form and relative position. We now leave the corpuscle we have been hitherto studying and observe another, which is roundish, and exhibits a very few delicate processes. At present we see no nuclei. After a time we notice that one of the processes suddenly becomes longer and thicker, so that the corpuscle'is now club-shaped, consisting of a tapering stalk ending in a knob. The stalk incloses an oblong, compressed nucleus, and the knob two such nuclei close together, the surfaces of both being shaggy, with minute processes. We have not long to wait until the body loses this form. A new process, towards which the two nuclei tend, shoots out from the knob, at right angles to the stalk. The knob becomes smaller in proportion to the growth of the process, while the two nuclei gradually approach its ex- tremity. The next change is, that each process lengthens out in the direction of its axis into a filament, the two together being of such a length as to stretch over the whole field. These filaments spring from a small clump of granular proto- plasm— the original knob above mentioned. Each filament swells out at its end into a little mass, which, in the one case, contains a single nucleus, in the others, two nuclei. Continu- ing our observation, we notice that the clump at the junction of the two filaments disappears, while the other masses, which are now united \>y a straight thread of nearly equal thickness throughout, get larger, and send out new processes. The larger mass now creeps nearer the edge of the field ; the smaller is drawn after it, but moves more slowly, so that the hyaline thread which connects them gets thinner and longer. But while we are watching it, the large mass undergoes changes which are a repetition of what we before observed in the original clump. A process shoots out from it at right angles to the direction of the thread : into this process one of the nuclei finds its way; it then stretches out into a filament, wdiich is swollen at its extremity into a protoplasmic envelope for the nucleus. Still later, we find that the filaments become thicker and shorter; that the clumps between which they stretch, again approach one another, until, in their confluence, the original form reappears. A similar series of changes may BY DR. KLEIN. 21 be witnessed in any corpuscle of the kind we have been studying. 2. Granular Corpuscles. — Of the three kinds of pale cor- puscles which, as before stated, are to be observed in the blood of the newt, we have now to consider the granular cells. These are larger, but much less numerous than the others, and are distinguished by the large dark granules they contain. To observe them we must make a fresh preparation, for they un- dergo changes of form much more rapidly than the others. The granular corpuscle is at first spheroidal. Very soon its surface exhibits round and entirely hyaline prominences, into which, however, granules appear shortly to find their way. So long as the corpuscle presents this appearance, the only changes of form observable consist in heaving movements of the prominences. Eventualby, one of these suddenly shoots out into a prong-like process, into which the granular mass of the original cell flows. Soon the corpuscle throws out a second similar process, into which the mass again gathers itself, and in this way advances across the field, with more or less ra- pidity. After this has gone on for a certain time the move- ments change their type : the corpuscle lengthens itself out into a thread, in which the movement of the protoplasm is rendered visible by that of the dark granules which it contains. The thread swells out at the end into a little mass, from and towards which alternately the rolling motion of the granules is seen to be directed. Often a granular corpuscle may be ob- served to creep about among groups of colored blood-disks, stretching out its process with the terminal knob, as if this were a feeler. In other cases we may witness the whole series of changes described in the preceding paragraph as occurring in the ordinary form of colorless blood corpuscle ; the main difference being that the transformations are accomplished within shorter periods. Finally, it ma}' be noticed that in granular cells, even when they are spheroidal, the nuclei often show themselves as ovoid spaces free from granules. They are, however, much more readily distinguished after the cell has undergone changes of form. 3. Colorless Corpuscles of the third form. — In addi- tion to the common colorless corpuscles and the granular cells we have just had under observation, we notice a considerable number of colorless elements of a different character. These are of three kinds : (a) Small, well-defined bodies, resembling nuclei, which retain only for a very short time the spheroidal form which they had at first ; (b) larger corpuscles, consisting of finely granular protoplasm, with jagged outline, containing three or four distinct nuclei, which may be either roundish, or flattened against each other, exhibit a double contour, and contain a few fine nucleoli which arc relatively of a large size, 22 BLOOD CORPUSCLES. so ranch so, that they often appear to be surrounded by a narrow zone of protoplasm ; (<■) large masses of finely granular protoplasm, which commonly are of irregular form, and in- close bodies similar to the nuclei above described, varying in number from five to twenty in each mass.1 Methods of Warming a Preparation. — As in our fur- ther study of the blood corpuscles it will be necessary to em- ploy artificially increased temperatures, we proceed to describe the methods employed for applying heat to preparations whilst under microscopic observation. These methods are of two kinds. The first is used when we wish to subject the prepa- ration for an indefinite period to an increased temperature, to which it has been gradually raised ; the second when we wish to warm it suddenly, but for a very short period. To accom- plish the first of these objects, a very simple contrivance, shown in Fig. 1, may be used. Take a cover-glass, and spread all round the edge of its upper surface a thin layer of oil ; then take another cover-glass of the same size as the first, place on its centre the drop of the blood to be examined, and allow it to fall on the glass previously prepared, edge to edge, with the blood drop downwards. The drop will then occupy the space between the two, inclosed by the layer of oil in such a manner that it may be examined under high powers. The preparation may then be readily lifted with the aid of a lancet- shaped knife, and placed on the orifice of the copper plate (e). The copper rod (g) is then gently warmed by means of a spirit- lamp, a little cacao butter (or some other fat, the fusing point of which nearly corresponds to the desired temperature) having been previously placed on the copper plate, close to the prepa- ration. As soon as the cacao butter begins to liquefy, the flame of the lamp is diminished, or the lamp itself is removed to a greater distance, until the heat communicated by it to the plate through the rod is just sufficient to keep the fat from solidifying. If it is desired to employ higher temperatures, or to measure the temperature with greater exactitude, it is necessary to have recourse to Strieker's warm stage. Strieker's Warm Stage. — Of this there are two forms. In one the mode of heating, and consequently of modifying the amount of heat communicated, is that which has been already described (see Fig. 2). From its simplicity it is well adapted for the beginner, while it enables the more practised observer to maintain any desired temperature within very inconsidera- ble limits of variation. The other, in addition to the greater exactitude which can be attained, has the advantage that, by 1 Free nuclei of colored corpuscles, which may be seen if the prepa- ration has been subjected to pressure, must not be confused with these structures. BY DR. KLEIN. 23 its aid, it is possible to continue the observation for a long pe- riod. It is this which is employed by Sanderson and Strieker for the studjr of the circulation in mammalia. For our present purpose we do not require the whole apparatus, so that it is onlv necessary to refer to those parts of it which are shown in Fig. 3. In the employment of this apparatus several difficulties are encountered. For instance, the temperature of the water re- ceptacle is only in part controlled by the regulator. Then, again, the temperature of the stage is subject to variation ac- cording to the rate at which the water flows into and escapes from it ; so that, if great care be not taken in the adjustment, constancy cannot be relied on. Another practical difficulty lies in the fact that the temperature of the water in the recep- tacle is different from that in the stage, the rate of flow being so inconsiderable that there is necessarily a great loss of heat by radiation from the metal surface. If the stage be not fitted with a thermometer, this difference of temperature may be de- termined, once for all, by comparative measurements, so that the true temperature of the stage can then be known at any time by deducting the ascertained loss of heat, i. e., the ascer- tained difference above referred to, from the temperature to which the regulator is adjusted. Method of varying the temperature rapidly. — In connection with this apparatus, it is convenient to describe the method employed for subjecting a preparation to sudden alterations of temperature. With this view the following con- trivance is used : A clip is placed on the tube leading from the water receptacle (<7, Fig. 3), by means oX which the access of warm water to the stage ma}r be interrupted. The end of the escape-tube (D) is then allowed to dip into a vessel of cold water. This done, cold water may be readily introduced into the stage, so as to cool it suddenly, by suction through the tube (C), which must be provided with a branch (not shown in the figure) between the clip and the stage, for the purpose. This, of course, at once lowers the temperature. To effect a sudden rise, all that is necessary is to open the clip. For short experiments, it is not necessary to have a water receptacle spe- cially constructed for the purpose; a large flask, supported over a lamp, and without a regulator, may be substituted for it, provided that, in addition to the discharge-tube, a thermom- eter is passed through the cork, in order that the variations of temperature may be observed, and the application of heat mod- ified accordingly. Effects of Warmth on the Colorless Corpuscles. — We now return to the study of the drop of newt's blood, in- closed between two cover-glasses, with which we were occu- pied. On subjecting the preparation to a temperature of 38° 24 BLOOD CORPUSCLES. C, the first fact that we notice is that the movements of the colorless corpuscles in general, and of the granular ones in particular, art' much more active. We shall not, however, oc- cupy ourselves at present with these, but shall direct our atten- tion to the three kinds of corpuscles which we have included in our third division. On the warm stage we may observe in these bodies (which differ only in size) two kinds of change. One of these consists of alteration in the form of the protoplasm, from the surface of which processes shoot out in all directions. This is more particularly seen in the forms we have designated b and c. In the form a, although the nucleus at first appears bare, it is afterwards seen to be surrounded by a protoplasmic envelope ; this may throw out a pointed process, which, after stretching out to a considerable length, is retracted, to be succeeded by others. If the preparation is kept for a length of time at 38°, the elements of the form a undergo other remarkable altera- tions. They become strongly refractive, lose their double contour and sharplj'-defined aspect, and acquire a form which, at first globular, subsequently exhibits constrictions; so that they become in succession kidney-shaped, dumb-bell shaped, and rosette-shaped, until they eventually assume a nodulated aspect. In the course of the process it is common to observe the furrows or constrictions forming, disappearing, and reap- pearing repeatedl}'; but, sooner or later, they become more and more distinct and complete, so that the body assumes the ap- pearance of a clump of highly refractive minute globules. Con- sidering the coincidence of the changes of form and aspect of the nucleus with those which occur simultaneously in the cell, it is scarcely possible to doubt the dependence of the former upon the latter, especially if we bear in mind the concomitant changes in optical properties. So that we must regard these appearances as indicating that the nuclei take an active part in the changes of form. In the form c the cell-substance itself may be also the seat of a process of division. In one instance at least I have, of course after many hours of observation, witnessed the division of a cell which originally contained five nuclei. The cell in question in the first place exhibited a transverse furrow : this became deeper and deeper, so that, eventually, two masses were formed, united together by a neck, the smaller containing two nuclei, the larger three. These nuclei had already under- gone the process of cleavage above described. By the length- ening, thinning out, and final rupture of the isthmus, the two corpuscles came apart. In the larger of the two, which was now exclusively observed, there appeared gradually two boss- like prominences, each of which contained a number of small bodies resulting from the cleavage of the nuclei. By the con- BY DR. KLEIN. 25 striction of the base of each of these prominences it gradually separated from the rest of the cell. One of them, after separa- tion, sent out a process ; in the other, no alteration of form could be observed. It is probable that the forms a and b are the offspring of c. On the warm stage, division can also be observed in the first and second variety of colorless corpuscles. Thus, for example, it sometimes happens that the process described only results in actual separation by rupture of the filament. In other cases a corpuscle undergoes division by a process of cleavage, pre- ceded by the repeated formation, disappearance, and reappear- ance of furrows. In all cases of real division it is to be observed that the }'Oung cells produced exhibit very active movements, changing thereb}' in form and place. Colorless Corpuscles of Man. — The mode of examining the colorless corpuscles of other classes of animals is similar to that above described. It is, however, necessary to add some observations as to the characters which these bodies present in human blood. A drop of blood, taken from the finger, is placed between two cover-glasses, as above described, and examined on the warm stage at a temperature of 38° C. The human colorless corpuscles are smaller than those of the newt, and exhibit much less variety in their appearance. They are either quite pale, or they contain a variable number of dark granules. The movements are less active than those of newt's blood, but sometimes are comparable with them. When they are more active than usual, the mode in which their processes are thrown out and retracted, and the characters of their pro- gressive movement correspond witli the descriptions already given. On one occasion I have observed movements which were even more lively than those commonly seen in the newt, and resembled those of rhizopods in the extreme rapidity with which the successive protrusion of processes, and corresponding interstitial fluxion of the protoplasm occurred. This happened in the case of a patient suffering from hemorrhagic ansemia. Feeding of Colorless Corpuscles. — We have now to study the faculty possessed by the colorless corpuscles of taking, by virtue of their amoeboid movement, solid particles into their substance. For this purpose we emplo}^ either finely- divided fatty substances or coloring matters. The subject is of great interest in relation to the mode in which amoeboid cells take in nourishment. To the histologist it is further of Importance, as affording him a means by which to mark indi- vidual corpuscles, so as to follow them in their wanderings through the organism. The materials used are the following: ". Vermilion. Tins is prepared I13' prolonged trituration in a half per cent, solution of common salt. b. Carmine. Car- mine is dissolved in as little liquor ammonias as possible, in a 26 BLOOD CORPUSCLES. small beaker, and filtered. Common concentrated (commer- cial) acetic acid is then added with agitation, until a drop of the mixture, when examined under a low power, is seen to con- tain granules. If too much is added, the precipitate is not fine enough. The latter is then to be separated by careful decantation, and suspended in a half per cent, salt solution as before. It is well to dilute the liquid with its bulk of serum before using it. c. Aniline Blue is dissolved in common me- thylated spirit, and filtered. Water or salt solution must then be added gradually, so as to obtain a fine precipitate, the resulting liquid being mixed with serum as above, d. Fresh Milk. If it is intended to watch the process of feeding, a small drop of blood, to which one of the liquids above mentioned has been added, is examined, either in the ordinary way, in the case of amphibian blood, or on the warm stage if mammalian blood is employed. If our object is merely to observe corpus- cles already fed, the liquids in question may be injected either into the jugular vein (of rabbits or guineapigs) or into the abdominal vein (of frogs), care being taken to empio}' a suffi- ciently large quantity. After 10-30 minutes, a drop of blood may be taken for examination. (See Chapter VII., as to in- jection into the veins, and Chapter VIII., as to the lymphatic system.) Whichever plan is adopted, it is alike possible to satisfy ourselves that the cells not only take in foreign bodies, but that they also have the faculty of discharging them, and further, that when one cell comes into contact with another, it often gives up to it the solid bodies which it has itself before ingested. In general, the tendencj7 to ingestion varies with the activity of the amoeboid movement, for the first thing observed is an adhesion, either of the surface of the central part of the corpuscle, or of a process to the foreign body, fol- lowed by a retraction of the adherent part into its substance. Application of Liquid Reagents. — It is, in the first place, of importance to ascertain what liquids can be added without affecting the vital phenomena of the colorless corpus- cles. Such are designated by the adjective indifferent, and are those which are always to be used in the study of fresh living tissues. For example, we may use fresh serum or tran- sudation liquids, as also the aqueous humour of the eye, which has the important advantage of being entirely free from formed elements. The most commonly used indifferent liquid is the half per cent, solution of common salt already mentioned, which is of great value ; although, as may be readily under- stood, it is not altogether without action on living tissues. In the examination of blood, it is added as a preparatory step to the addition of other reagents. With this view the solution is dropped from a capillary pipette (Fig. 4) upon a slide; a BY DR. KLEIN. 27 drop of newt's blood being then added to it and covered. It is seen that the colorless corpuscles have undergone no mate- rial change, but that, in some instances, their movements are not quite so active. The colored corpuscles, which in our previous examination we have disregarded, are now seen as smooth oval elliptical disks, which, when looked at edgewise, present an outline as if they were oblong rods. Those which lie horizontally look, for the most part, like greenish-yellow bodies of oval form; in some of which we can distinguish a central elliptical nucleus. Soon, changes occur, in consequence of which the color becomes unequally distributed, the margins are more or less curved, or the surfaces marked with what look like folds. These appearances are referable probably to a pro- cess analogous to coagulation. Method of Retarding Evaporation.— If it is intended to keep a preparation of this kind long under observation, it is necessary to add saline solution from time to time from a pipette. If, however, as is often the case, it is of importance to keep an individual corpuscle in the field, this method can- not be employed without great risk of the object being carried away by the stream. To avoid this result, it is a good plan to place a drop or two of solution near each of two opposite margins of the cover-glass. Ity these drops the liquid under the glass is preserved from evaporation, because the space in the immediate neighborhood of the margin is kept saturated with moisture. We may now proceed to study the action of other reagents on blood already treated with saline solution. We use the so-called method of irrigation. On one side of the cover- glass a small strip of blotting-paper is placed, while the re- agent is discharged from the pipette at the opposite edge. When the paper has become saturated with liquid it is replaced by another, and the process repeated, so that a constant cur- rent is maintained through the preparation. If the colored corpuscles are the special subject of study, it is best to wait until they have shrunk, for we are then sure that many of them will have had time to sink and adhere to the surface of the slide. If this precaution is neglected, they are apt to be swept away by the current. Action of Distilled Water. — In blood preparations irri- gated with distilled water, the movements of the colorless blood corpuscles gradually cease. The inequalities, corre- sponding to the processes, disappear, while the corpuscle en- larges, and assumes the globular form. From one to four (or even more) round vesicular nuclei come into view. Soon the nuclei coalesce to form a single mass, also having a vesicular character, which not un frequently exliibits a rotatory move- ment within the corpuscle. The substance which surrounds 28 BLOOD CORPUSCLES. the nucleus is pale. It contains numerous distinct granules, which show active Brownian movement. It not unfrequently happens, that a much-swollen spheroidal corpuscle, after re- maining a length of time in its place without change, is torn away from its attachment to the glass by the current, in which case it may either divide into two masses, one < »f which con- tinues adherent, while the other floats away, or it may float away en masse, leaving behind it a long filament, b}' which it is still connected with its original point of adhesion. By re- newing the irrigation, the filament will probably be severed. It is thus proved that the colorless corpuscle consists of a soft viscous substance. The final result of the action of water on the colorless corpuscles is always disintegration; the mass suddenly disperses into the surrounding medium, all that re- mains of the previously so active entity is a collapsed, form- less clump, in which one or two motionless granules may be seen. In the colored blood disks, the first change is that their surfaces become smooth, their contour becomes circular, the nucleus rounder and brighter than before, the corpuscle paler and paler, until its outline is scarcely distinguishable. Two' phenomena are worth noticing before we proceed further. The first is, that, at the commencement of irrigation with dis- tilled water, it occasionally happens that, immediately their surfaces have become smooth, the corpuscles suddenly assume a rounder and smaller appearance, and are more intensely colored: quickly returning, however, to the elliptical form, and losing their color as before. The second will be explained later: a colored corpuscle appears to have separated into two parts, a pale elliptical disk and a yellow mass, occupying a central, or, more frequently, an eccentric position within it, from which colored processes often stretch out like rays toward the periphery. Strieker's Method. — There is another method of stiutying the action of water on the colored corpuscles. Fortius pur- pose wre require the warm stage (Fig. 2). A drop of water is placed on the floor of the chamber, and on the middle of the surface of the cover-glass a drop of blood, either pure or di- luted with salt solution. The cover-glass is then inverted over the chamber, the edges of which have been previouslj' oiled, or surrounded with a ring of putty, so that it is air- tight. By wanning the copper wire the water is made to evaporate from the floor of the chamber, and becomes con- densed on the under surface of the cover-glass. In this way we are enabled to study the gradual action of water on the corpuscles very advantageously. Action of Salt Solution on the Blood Corpuscles of Mammalia. — In mammalian blood which has been diluted BY DR. KLEIN. 29 with salt solution, the naturally bi concave colored corpuscles exhibit a remarkable alteration, which consists in their assum- ing a form very similar to that of the fruit of the horse-chest- nut. In those corpuscles which present their surfaces, the processes which project from the margin look like the rays of a star, while those which spring from the surface appear as dark points. In such a preparation it is not difficult to float away the colored disks altogether, by irrigating it immedi- ately with salt solution. The colorless corpuscles sink very rapidly, and stick to the glass, while the colored disks remain suspended. Let us seek for a field in which one or two colorless corpus- cles only are to be seen. By discontinuing the irrigation, at the same time replacing the bit of blotting-paper so as to with- draw the fluid, we bring the cover so near the slide that it compresses the corpuscles, which in consequence appear paler and larger. The paper is now taken away, and salt solution added at the opposite edge as before. The corpuscles at once become smaller and more globular, and seem to contract; but, immediately after, dilate again, as if they were relaxing. In the resumption by the corpuscle of its original form after compression, we have to do with a phenomenon which can only be explained on the supposition that the colorless corpuscle is elastic. The nature of the contraction and the subsequent re- laxation lead us, however, to suppose that the contraction is, at least partly, a result of the excitation produced by the irri- gation with saline solution. Action of Water on Mammalian Blood. — As regards the action of water on the corpuscles of mammalian blood, there is not much to be added to what has been said with re- ference to newt's blood ; the colorless corpuscles discontinue their movements, become globular in form, exhibit vesicular nuclei and vibrating granules, and finally are disintegrated. The colored disks lose their horse-chestnut form, become smooth and pale, and eventual]}' disappear. Action of Acids. — The general action of acids is so uni- form that it is not necessary to refer separately to each. We content ourselves with describing the action of acetic acid. A special action of boracic acid will be noticed further on. The final result of the action of acetic acid on the blood corpuscles is the same, whether it is diluted or concentrated. The rapid- ity witli which the changes take place is, however, different. It is always better to begin with dilute acid. If a salt solution preparation of newt's blood is, after the shrinking of the colored corpuscles, irrigated with a liquid containing one per cent, of the ordinary commercial acid, we observe, first, that the move- ments of the colorless corpuscles cease, and that they enlarge and display their nuclei as sharply-defined bodies, beset with 30 BLOOD CORPUSCLES. granules. If the action of the acid 1ms been prolonged, each corpuscle appears to consist of two parts — a distinctly gran- ular mass, which immediately surrounds the nucleus, and a bright transparent circle, with sharp outline, within which that body is inclosed. The nuclei are furrowed in such a way that their form is very variable, and, if the action has lasted long enough, they look as if actually split into smaller par- ticles. The colored corpuscles again become smooth, swell out somewhat, become cellular in their contour, just as after the addition of water, each showing an oblong granular nucleus, which is at first smooth, subsequently uneven and rough. Many of the blood disks return to their original elliptical form. All eventuall}' lose their color, but possess, even when entirely colorless, a much more distinct contour than those which have been acted upon by water. Occasionally, it happens that the nucleus becomes stained with coloring matter, and assumes a yellow tint. In human blood, the colorless corpuscles exhibit, after the action of acetic acid, the appearance of globular bodies, in which two, three, or more small shrunken nuclei are visible. The colored disks lose their stellate form and their coloring matter, but their outlines are still distinct. Action of Alkalies. — If a salt solution preparation is irri- gated with an alkaline liquid, whatever be the source of the blood used, the colorless corpuscles at first swell, and then rapidly disappear. The colored disks also swell out at first — those of mammalia becoming often what German authors have designated napfformig (cup-shaped); eventually they lose their color and disappear. Action of Boracic Acid. — We have now to describe a reaction which, especially in the blood of the newt, is of im- portance, as serving to illustrate the intimate structure of the colored blood disk. The action of a two per cent, solution of boracic acid on the colorless corpuscles in general, and on the blood disks of mammalia, does not differ from that of other weak acids. If, however, a salt preparation of newt's blood, in which the colored corpuscles have already sunk, is irrigated with the solution in question, we observe that those bodies swell and acquire a circular contour, showing, at the same time, a pale oval nucleus. It is now seen that, as the disk grad- ually pales, the nucleus becomes more and more spheroidal and yellow, while, at the same time, it increases in size. At first it is smooth, subsequently uneven. Here and there cor- puscles are met with in which the yellow central body (zooid of Briicke) is not round, but beset with processes which stretch like rays towards the periphery. Occasional^', it can be made out that the processes are withdrawn, so that the j'ellow centre acquires a roundish form. The zooids eventually lose their central position, and if the preparation is protected from evapo- BY DR. KLEIN. 31 ration for a sufficient length of time, the observer is sure to see man}' corpuscles in which the}7 lie, some parti}-, some entirely outside of the outline of the pale disk. The latter (again fol- lowing Briicke) we designate cecoid. Briicke teaches that the zooid consists of the nucleus and the haemoglobin ; that it with- draws from the cecoid which it previously, as it were, inhab- ited, and collects itself around the nucleus, so as to form an independent individual, capable of a separate existence. In describing further on similar appearances observed during the action of carbonic acid gas, we shall suggest another explana- tion of the phenomenon. Action of Tannin on Human Blood — Roberts's Re- action.— The action of tannin on the colored corpuscles of human blood resembles that of boracic acid on newt's blood. When two per cent, solution of tannin is added to human blood, the corpuscles, which have been already rendered star- shaped by salt solution, acquire an even contour. Soon after, a sharply-defined, yellowish-green, roundish body is seen, either just within or at the margin of each corpuscle, or even out- side of it, while the corpuscle itself has become colorless. Action of Gases on the Blood. — For the study of the action of oxygen and carbonic acid gas on the blood corpus- cles, either of the movable stages represented in Figs. 2, 3, and 16 may be used. Around the edge of the central chamber we form an annular wall of putty. We then make on a cover- glass a preparation of newt's blood, to which about half its volume of distilled water has been added. The glass is then inverted over the chamber (upon the floor of which a drop of water has previously been placed) with the preparation down- wards, so that its entire periphery presses evenly upon the putty ring. The chamber is thus converted into an air-tight cavity. In Fig. 3, two tubes (H, I), with India-r.ubber con- nectors fitted to them, are shown, both of which communicate with the chamber in such a way that when it is closed above and below, a stream of gas passing in by the one escapes by the other. By means of an apparatus in communication with the tube H, the construction of which will be readily under- stood from Fig. 5, the observer is able to fill the chamber at will with carbonic acid gas or with air. This is accomplished as follows: — If the bottle containing hydrochloric acid is raised, the clip n opened, and the India-rubber tube a shut between the teeth, the carbonic acid, which is developed in M, after it has passed through the wash-bottle V, flows into the chamber, and is dis- charged by the tube b. By proceeding in this manner one hand is left free, and can be used for adjustment. To inter- rupt the current of gas, all that is necessary is to close N and 32 BLOOD CORPUSCLES. to let down the bottle. The carbonic acid gas in the chamber is easily replaced by air, by aspiration through the tube a. Action of Carbonic Acid Gas. — The preparation having been brought into focus, the gas is allowed to pass through the chamber for a short time. At first, the only observable effect is that the nuclei of the slightly smoother disks are more distinct. If the carbonic acid is now replaced by air, the nuclei again become indistinguishable. We have to do, therefore, with a transitory coagulation of the substance surrounding the nucleus. An excess of the gas brings the nuclei perma- nently into view. If, however, we first add to our preparation a quantity of water, sufficient not merel}' to swell the colored disks, but to deprive them partly of their color, the result is somewhat different. After a short action of the gas, the ap- pearances are much as they have been already described ; but, if an excess is admitted, bodies similar to the zooids above described as produced by the action of boracic acid, come into view. Instead of the pale oblong nuclei, the areas of the decolor- ized disks inclose relatively large, yellow, roundish bodies, both the areas and the inclosed bodies being beset with fine gran- ules. In those disks which have previously lost their color, and are consequently scarcely visible, the nuclei become visi- ble after the addition of excess of carbonic acid, as pale granulous bodies, the disks themselves also containing nume- rous granules. If we now replace the carbonic acid by air, the corpuscles recover, in every respect, their previous aspect ; those in which the zooids had come into view becoming smooth, and of uniform color, so that neither nucleus nor granules can be distinguished. Those disks which have lost their color by the action of water become, as before, uniformly pale and in- distinct. The experiment may be repeated several times. It is not difficult to explain all these appearances by coagulation. It is a very good plan, in order to study the action of car- bonic acid on newt's blood, in all degrees of dilution, to examine a salt solution preparation of such blood on the mov- able stage (Fig. 2), which also serves the purpose of a gas chamber. On warming the metal rod, water vapor is disen- gaged from the floor of the chamber (into which a drop of water has been previously introduced), and acts upon the cor- puscles. In order to study the action of carbonic acid on the colored corpuscles of man, it is best to employ a drop of blood mixed with salt-solution, taking care that the individual cells are as much as possible separate from one another. If, as soon as the corpuscles become horse-chestnut shaped in consequence of the action of the salt-solution, the preparation is subjected to the action of the gas, we at once observe that the acuminate BY DR. KLEIN. 33 projections on the surface of the corpuscles become less marked in consequence of the levelling up of the intermediate parts ; and, although there are many which do not resume the bicon- cave form, being still saucer-shaped, they all have even surfaces. If the carbonic acid is replaced by air, the corpuscles again become horse-chestnut shaped. This reaction may also be witnessed several times in succession. The disappearance of the stellate form may be explained on the supposition that a spontaneously coagulated constituent is redissolved under the action of carbonic acid. Colorless corpuscles show their nuclei when acted on by carbonic acid, but are otherwise unaltered. Action of Electricity.— If it is intended to subject blood to the action of electrical discharges, or of the constant or in- terrupted current, we place a small drop of blood on the slide (Fig. 6) in such a position that, when it is covered, it spreads between the two poles of tinfoil, which we connect by means of either of the appliances shown in the figure with the secon- dary coil of the induction apparatus. According to Rollett, it is advisable, in using electrical dis- charges, that the tinfoil points should be six millimetres apart. The Leyden jar should have a surface of 500 square centi- metres, and give a spark one millimetre long. If, then, the discharges succeed each other at intervals of from three to five minutes" the following changes are observed in the colored cor- puscles of man. Firstly, the circular disks become slightly crenate. This effect gradually increases, the corpuscles become rosette-shaped, then mulberry-shaped, and finally, by the acu- mination of the projections, horse-chestnut shaped. Later, the processes are withdrawn, the blood corpuscle becomes round, and, at last, pale. In the corpuscles of the newt and frog the effects are not dissimilar. They become wrinkled and dappled, but these appearances are very transitory, and they are again seen to be circular and pale, while the nucleus becomes round and sharply defined. Not unfrequently it happens that one or more blood corpuscles coalesce before they lose their color, or that (in amphibian blood) the nucleus is discharged while the disk is still yellow. The effects produced by induction cur- rents are altogether analogous to those ahove described. Un- der the action of the constant current (a single Bunsen's cell) the corpuscles next the electrodes undergo changes, which at the negative pole correspond to the action of an acid, at the positive, to that of an alkali. In a salt preparation of batra- chian blood examined near the positive pole, the nucleus comes fust into view, and then the corpuscles lose their color. In a similar preparation of human blood in which the corpuscles are horse-chestnut shaped already, they become smooth, lose their color, and disappear. The colorless corpuscles, when excited electrically during 3 34 BLOOD CORPUSCLES. their amoeboid movements, assume the spheroidal form. Their movements, however, are resumed as soon as the excitation is discontinued. The motion is more undulating than before, but soon recovers its former character. After repeated excita- tion the corpuscles expand into lamina', but still exhibit changes of form. Under the influence of successive shocks of greater intensity, the colorless corpuscles swell out, their granules exhibiting molecular movement, and finally disappear. Blood Crystals. — In concluding this chapter, we propose to give the most simple methods of obtaining crystals of luemo- globin and hsemin for microscopic purposes, referring the reader for more detailed information to Chapter XV. Haemoglobin. — A large drop of blood is taken directly from a living guineapig, and allowed to coagulate on a watch- glass. We now add a small quantity of water, and then, taking up the clot with the forceps, let fall on a glass slide several small drops. As these drops evaporate haemoglobin crystals of varying size shoot out from the edge, separately and in bunches. Another plan is to cut out the heart and great vessels of a recently killed guineapig, placing them on a watch-glass in saturated air for twenty-four hours. Then take some blood from the heart by means of a capillary tube, and allow a very small drop to fall into an equally small drop of water on a slide. As it evaporates, crystals are formed as before. This method does not answer with rabbit's blood. Heemin Crystals. — The simplest method of obtaining hsemin crystals is the following: A small quantity of dried mammalian blood (human will do) is placed on a slide. A few small crystals of common salt are then added, and a cover- glass placed over. A drop of glacial acetic acid is then allowed to enter from the side. On warming the preparation carefulty until the greater part of the acid has evaporated, an immense number of the reddish-brown crystals of hoemin are seen. For a description of the corpuscles which occur in the lym- phatic system, see the chapter treating of that subject. The development of the blood corpuscles will be described in Chap- ter VII. BY DR. KLEIN. 35 CHAPTER II. EPITHELIUM AND ENDOTHELIUM. Under this heading are included the epithelium of the mucous membranes, of the cornea and conjunctiva, and of the integument, and the endothelium of the serous membranes. The epithelium-like structures which are in relation with the nerves of the various organs of sense will be examined in Part II. Ciliated Cylindrical Epithelium. — To investigate cili- ated epithelium in the living state, a frog should be selected, and its mouth opened with the handle of a scalpel. Then, using either a lancet-shaped needle or the blade of a sharp knife, we scrape from the projection in the roof of the oral cavit}', corresponding with the floor of the orbit, a little of its epithe- lial covering. This is transferred to a small drop of an indiffe- rent fluid (half per cent, solution of common salt) on a glass slide, slightly separated with needles, and covered in the usual manner. In such a specimen we find not only masses of epi- thelium in connection, but also smaller groups and single cells. In the masses of epithelium we cannot distinguish quite clearly the individual cells, but on the free border — on the coast, as it were, of the epithelial island — we observe the exceedingly lively movement of the cilia. In addition we see blood disks, small round particles of protoplasm and granules driven quick- ty along in the fluid ; and from these passing bodies we are able to recognize the direction of the movement of the cilia, an observation which could not otherwise be made, on account of the extreme rapidity of that movement. In the smaller epithelial groups we are able more easily to recognize the in- dividual shorts-conical cells. These groups are in more or less rapid rotation, the rotatory motion being due to the fact that onlj7 one portion of their surface is furnished with cilia — that, namely, which corresponds to the bases of the conical cells. Effects of Reagents on Ciliary Motion. — Dilute Alkalies. — After some time we perceive that the cilia here and there begin to strike more slowly, and, by-and-by, they come to rest. In a specimen prepared as above described, which has of course been prevented from becoming dry by the occasional addition of a drop of half per cent, solution of com- mon salt, if we choose a spot at which the ciliary movement 36 EPITHELIUM AND ENDOTHELIUM. is either exceedingly languid or has ceased altogether, and cautiousl}r allow a small quantity of a very delicate solution of potash to act upon it by the irrigation process, we soon ob- serve that the motion is renewed ; becoming equal in rapidity to that seen in the perfectly fresh preparation. The restora- tion of motion is not due to any special property of potash ; nor can it be attributed to the influence of that reagent in dis- solving coagulated material between the cilia, which might be supposed to interfere mechanically with their movements. This is proved bj' the fact that many other reagents act simi- larly as stimulants of ciliary motion — e. g., distilled water, half per cent, solution of common salt, dilute acetic acid, carbonic acid, or the induced current (applied according to the method described in Chapter I.). All these, if used with great care, accelerate the movement in the first instance. The accele- ration lasts only for a short time, and, in most cases, is quick- I3* followed by cessation of movement, consequent upon the destructive influence of the reagent used. After the addition of dilute acetic acid (and still more rapidly with concentrated) the bodies of the cells swell and become transparent, and their nuclei well defined, in the same manner as after the addition of water. The investigation of the respective actions of carbo- nic acid gas and oxygen upon ciliary movement is a very im- portant experiment. We make a preparation of the ciliated epithelium from the throat of the frog, in a half per cent, solu- tion of common salt upon a cover-glass, which is then placed on a ring of putty over the gas-chamber of the movable stage (Fig. 2). Into this chamber a drop of water has been previous- ly placed to keep it moist, and if we now allow a stream of carbonic acid to pass, we perceive, as has been already men- tioned, that for a few moments the ciliary motion becomes quicker, but, by-and-by, slower, until it finally ceases. On now substituting atmospheric air (oxygen), we find that the movement slowly recommences, and, before long, is quite as active as before the passage of the carbonic acid. The experi- ment ma}r be repeated several times with a like result, until at last the motion can no longer be excited. Ox3'gen is there- fore as essential for the continuance of motion in the indi- vidual ciliated cell as for the maintenance of animal life in general. Study of Ciliary Motion in Situ. — To demonstrate ciliary action on a membrane in situ, the most judicious plan is to remove from a female frog or toad that portion of peri- toneum which covers the cisterna hjmphatica magna, the so- called septum of the cisterna. Or, instead of this, a portion of the parietal peritoneum of the anterior abdominal wall of the newt may be employed. In either case, the part removed is to be quickly and carefully spread upon a glass slide with BY DR. KLEIN. 37 needles (avoiding every kind of mechanical injury) in such a manner that the peritoneal surface looks upwards : a drop of half per cent, solution of common salt is then placed on the under surface of the cover-glass, which is cautiously applied. In such a preparation we find places in which a bird's-eye view is obtained of the cilia in motion, as well as others, where, as in the preparation from the throat of the frog, we see the same in profile. The cells, which bear the cilia, are not cylindrical, but form a pavement endothelium, the elements of which are granular. We shall have occasion to return to these cells in the description of the endothelium of the septum. The sto- mata are almost always guarded by the cells above described. If we are uncertain of the direction in which the cilia strike, or if we wish to demonstrate this positively, we should transmit through the preparation, by the method of irrigation described in Chapter I., coloring matter, or some similar substance, in a finely divided state, such as ground animal charcoal, cinnabar, or Indian ink, suspended in half per cent, solution of common salt. We shall then be able to recognize, from the direction in which the particles are driven, the direction in which the cilia strike. Forms of Ciliated Epithelium. — For the study of the various forms of ciliated cells, we remove a mucous membrane covered with these from a freshly-killed animal, and place small pieces of it in a sherry-colored solution of bichromate of potash. After they have lain in the liquid for twenty-four hours or more, we scrape with a scalpel from the free surface a little of the epithelium — place it on a slide in a small drop of bichromate of potash solution or of common water, reduce it to fragments with the handle of a needle and cover it. The most suitable objects for such a studjr are the trachea of a mammal, the bell-shaped extremity of the Fallopian tube of the sow, and the mucous membrane of the mouth, throat, and 03Sophagus of the frog. By this mode of preparation the cells are preserved very perfectly. In the long conical cells with ciliated bases we have to notice the granular protoplasm which composes the bod}', the bright basal border, the sharply- defined ovoid nucleus, with its large single or double nucle- olus ; the long filaments, simple or divided processes which penetrate between the cells of the deeper layers, and finally the cilia which pass out from the central protoplasm, perfora- ting the basal border. Besides these, we find intermediate forms of ciliated cells, which are shorter and broader, and which run out into one or two short, thick processes; and varying forms of spindle- shaped cells, which, as we may convince ourselves, in large flakes of epithelium, wedge themselves, by means of processes of greater or less thickness, between the processes of the ciliated elements. They possess, likewise, an ovoid nucleus. 38 EPITHELIUM AND ENDOTHELIUM. Finally, there show themselves, here and there, long, conical cells (goblet cells), which, like the first mentioned, run into a Long process; and, in the thicker portion (Fig. 7«), are empty, or contain only a very few granules. The ampullate, or flask- shaped portion of these cells is bordered by a double-con- tonred membrane, which, at the basal end. is open, so that we have before us only the empty shell of the cell without the basal lid. Among a number of such cells swimming about, individuals occur in which the open ends of the goblets can be seen, both obliquely and from the surface. In the deeper and thinner part of the cell the protoplasm with the nucleus is, in most cases, still present, as represented in the figure. In a few examples part of the cell (Fig. lb) is torn off", so that an empty funnel remains behind, in the extreme apex of which a small bit of protoplasm remains. If we look over a series of preparations we shall certainly find examples in which the complete lid. or a portion of it, remains attached at one point only of the circumference, and floats freely otherwise. The appearances show that these goblet cells are nothing more than products of changes which have occurred in the ordinary conical ciliated cells. In the description of the epithelium of the intestine we shall again have an opportunity of referring to these cells. Non-Ciliated Cylindrical Epithelium. — For the in- vestigation of this form we use the epithelium of the papilla' of the tongue of the frog, and that of the intestinal canal of a mammal, either in the fresh condition or with the aid of re- agents. From the dorsal surface of the frog's tongue a minute portion is snipped with curved scissors, transferred b}- means of a needle from the scissors on to a glass slide, and then, either covered without addition, the glass being pressed lightly down, or mounted in a drop of serum, or of half per cent, solu- tion of common salt. The specimen must be examined with high powers (as, e. (/., Hartnack's Xo 10 immersion). We see the numerous, thin, conical papilla?, both from above and in profile ; the latter especially at the borders of the preparation. A papilla seen in profile exhibits on its surface a beautiful mosaic of pale cells, composed of finely granular protoplasm, marked off by sharp clear-shining lines of interstitial substance. If we fix our attention upon the borders and apices of the papilla?, we may convince ourselves that the mosaic is only the surface view of the conical or cylindrical cells, which cover and surround the papilla?. Here and there we may easily perceive that these cells are coarsely granular, and that each contains a clear oval nucleus. Such coarsely-granular cells increase in number after the preparation has been mounted some time. W may mention that the cylindrical cells around the bases of the papilla1 are generally ciliated. BY DR. KLEIN. 39 Epithelium of Villi of Intestine. — In the rabbit we proceed as follows: The animal is killed, the small intestine immediately opened, and from the borders (which then cnrl outwards) we remove a small portion with curved scissors as in the previous case. This is to be covered with the mucous surface upwards. The villi seen exhibit, on their surfaces, a regular mosaic of epithelium ; at their borders, where the epi- thelium is in profile, it is seen to consist of regular cylindrical cells. If the observation of the mosaic is continued for some time, granular spherical bodies come into view ; at first singly, but afterwards in numbers, which are raised above the general surface of the cells, as may be learnt by using the fine adjust- ment. These spherical bodies have escaped from the cylindri- cal cells. We shall see that it is by this means that the goblet cells already mentioned are produced. The epithelial cells on the borders of the villi display distinctly the broad, finely- striated border, which spreads over their ends like a cuticle. Equally instructive specimens may be obtained from the intes- tine of the cat, dog, guineapig, rat or hedgehog. The epithe- lium of the villi ma}' be as successfully studied, while still attached, in a preparation, mounted in serum, or half per cent, solution of common salt. For more prolonged examination, especially if we wish to study isolated cells, we put a piece of intestine, cut from the rabbit, dog, or cat, into a sherry-yellow solution of bichromate of potash, allow it to remain there for one or more days, and make our preparation in the manner al- ready described with regard to the trachea. In such speci- mens we find not only numerous isolated cells, but also com- plete villi, and parts of the same, on which the epithelium, when its surface is viewed, resembles, as in the fresh prepara- tion, a pavement of granular cells, each of which contains a relatively large, sharply-bordered, and apparently round nu- cleus. The lines of interstitial substance are sharp and dark. At the edges of each villus the epithelial cells are cylindrical, with finely-striated border. Each cell consists of granular protoplasm, and contains a sharply-defined nucleus, in which a distinct nucleolus is to be seen. If we examine attentively the surface of a villus, or of a por- tion of villus (especially in a preparation from the intestine of the dog or cat, which has been allowed to remain in a solution of bichromate of potash), we shall find, between the mosaic of granular cells, roundish structures, either single or in small groups, and with a diameter greater than that of the cells of the mosaic ; these are quite clear in the centre, have a doubly-con- toured membrane, and give the impression of vesicular'bodies. If we search on the borders of the villi for a structure in profile Corresponding to this surface appearance, we find between the cylindrical cells, which are full of protoplasm, bodies of a bell- 40 EPITHELIUM AND ENDOTHELIUM. or goblet-shape, containing in the part which is next the tissue of the villus, a hit of protoplasm of variable size, refracting light strongly; within this is included a compressed, nuclear body. Amongst the isolated cells, also, we meet with nume- rous goblet-shaped ones, which may be examined in various positions. These cells are most numerous in the intestines of the dog and cat, in which it often occurs in preparations which have been kept in dilute chromic acid, or bichromate, that the epithelium is almost entirely transformed into goblet cells. The facts show that they are transformations of cylindrical epithe- lial cells, and that they may either be produced spontaneously, or, as more commonly happens, may be the product of certain reagents. Pavement Epithelium. — This variety is well known to occur, chiefly as laminated epithelium, in the conjunctiva corner, mucosa of mouth and pharynx of mammals, and in the skin. In the urinary bladder of mammalia the epithelium is not purely pavement, but is mixed with, and shades off into, the cylindrical variety. We accordingly call it "transitional." The epithelium of the frog's urinary bladder is a single layer of pavement epithelium. That of the serous membranes, of the membrana Descemeti, and of the iris, consists mostly of a single layer of flat cells. Fresh specimens of the epithelium of the mouth may be pre- pared either with indifferent reagents or with very dilute solu- tion of bichromate of potash ; but, if we wish to stud}' the relation of the various layers of the laminated epithelium to each other, it is needful to make vertical sections through the superficial layers of the mucous membrane. To study the forms of the various cells of the separate layers, we ma}' ob- tain a thin shred from the surface of the tongue or gums of a mammal by energetically scraping it with a scalpel. What is removed is broken up with needles, and covered either in half per cent, solution of common salt, or, what is quite as good, a very weak solution of bichromate of potash. In the surface layers of the epithelium, we find flat tablet-shaped cells, with small, oblong, strongly refracting nuclei; the borders of these cells are sharp and doubly-contoured. Their substance is mostly clear, containing only a few granules, generally situated in the immediate neighborhood of the nucleus. Their surface is generally beset with irregular folds and furrows. If one of these cells is seen edgewise it appears spindle-shaped, because the thickness of the nucleus is greater than that of the cell. Besides these we find smaller polyhedric pavement cells, which consist of a nearly uniformly granular protoplasm, and possess one, or very rarely two, roundish, clear, and sharply-define'd nuclei, with one or two large granules — i. «., nucleoli — within them. Finally, if we have scraped very energetically with the BY DR. KLEIN. 41 scalpel, we meet with cells corresponding to the deepest layers, which possess more of a cylindrical form, and contain an oblong nucleus. Similar results may be obtained if we mace- rate a portion of the mucous membrane in bichromate of pot- ash solution. To study the epithelium of the cornea in the fresh condition we proceed in a somewhat similar wa}\ A frog is held by an assistant, its nictitating membrane drawn down, and from the anterior corneal surface a thin la3'er is scraped with a lancet- shaped, or a cataract knife; the fragment removed is then broken up and covered in aqueous humor, or in half per cent, solution of common salt. Here we find not only isolated cells, but connected masses of epithelium arranged in layers. By means of the fine adjustment the individual cells of these layers may be studied ; but we shall not at present occupy ourselves further either with the epithelium of the anterior corneal sur- face, or with the membrana Bescemeti, since they will be fully described when we treat of the cornea. The epithelium of the skin (epidermis), and especially of the elements of the stratum corneum, may be readily brought under investigation as follows : A small shred is raised from either the back, or palm of the hand, and covered in water ; reagents which act upon horny structures, as, e.g., dilute and concentrated acids and alkalies, may then be added. For the study of the cells of the Bete Malpighii, or portion of the epidermis which lies upon the corium, or true skin, the pointed condylomata so frequentl}r met with, are peculiarly suitable. Cancroid tumors are equally to be recommended. We place these structures in a sherry-colored solution of bichromate of potash, and let them macerate ttiere for several days. At the end of this time we scrape off a small portion of the epithelium with a scalpel, transfer it to a drop of water or bichromate solution on a slide, break it up with a needle-handle, and apply the cover-glass as usual. In such preparations we meet with very striking forms of the so-called ridged cells, i. e., polyhedric cells whose surfaces are covered with ridges and intermediate furrows, and whose borders therefore, when seen in profile, appear as if serrated. Wherever two such surfaces are applied to each other, the ridges of the one fit into the furrows of the other, the line of adaptation being a zigzag one. The granular protoplasm of the individual cells, the sharply-bordered, ovoid, single or double nuclei, which sometimes lie in a vacuole in the protoplasm, and the nucleoli are clearly seen. Very interesting are the nume- rous cells in various stages of division. These are represented by the following forms: 1. Ceils containing a single nucleus constricted into an hour-glass shape, with two nucleoli. 2. Cells which possess two nuclei lying quite close to each other, each with a nucleolus. 3. Cells with two nuclei lying at a 42 EPITHELIUM AND ENDOTHELIUM. distance from each other. Amongst those of the first form, some possess a shallow constriction ; in some the constricting furrow is so deep, that the two portions of the cell are con- nected by a short bridge, which in others is reduced to a slender filament. The division of the nucleus is not always into two; it is not uncommon to find cellswhose nucleus is rosette-shaped. Further, we meet with numerous huge, flat cells, belonging to the most superficial layers, in whose interior is a vacuole of variable size, and shut up in this a young brood of from two or three, to eight or ten cells. This variety of proliferation is known as endogenous. Epithelium of the Bladder. — As we have already re- marked, the epithelium of the mucous membrane of the urinary bladder of mammals is laminated and transitional. A thin shred from the internal surface of the urinary bladder of the rabbit, guineapig, dog, or cat, in the fresh state, may be covered in half per cent, solution of common salt in water, or in a bichromate solution. If the bladder has been kept from twenty-four to forty-eight hours in the latter liquid, specimens are obtained in which the following appearances may be ob- served: Firstly, large pavement cells, bounded by a double contour, and consisting of a uniformly granular protoplasm which contains from two to five clear vesicular nuclei, each with a double contour, and possessing a large, shining nucleo- lus. In these pavement cells we see that, as a rule, only one of the surfaces is even ; that, namely, which corresponds to the free surface of the mucous membrane. Of this we may convince ourselves by examination of connected masses of epithelium or of vertical sections. The deep surface of each cell is marked by depressions with prominent ridges between them, and is that by which it is in contact with the club- shaped or conical cells of the subjacent layer, so that the rounded summits of the latter fit into the depressions of the former. The cells of the second layer consist of a uniformly granular protoplasm, have a double contour membrane, and each contains an oval vesicular nucleus, and within this a shining nucleolus. They possess simple or divided processes of varying length and thickness. Among tliem there are spindle-shaped cells which insinuate themselves between the processes of the former layer. To study the single layer of epithelium of the urinary bladder of the frog, consisting as it does of large granular cells, we spread upon a slide a portion of this organ with the free surface upwards, and cover it with a piece of thin glass, on the under surface of which a small drop of half per cent, solution of common salt has been placed. Wherever folds occur in the mucous membrane the epithelial cells show them- BY BR. KBEIN. 43 selves in profile ; where this is not the case, the surface view alone is obtained. The Endothelium of the Serous Membranes.— The endothelium of the serous membranes, as well as that of the membranes related to them (for example, those which cover the posterior surface of the cornea and the iris of mammals, and the septa and walls of the lymph sacks of amphibia), is well known to consist of flat cells, the substance of which appears homogeneous when fresh, but becomes finety granular by the action of certain reagents. The nucleus is generally single, and occasions a projection of the free surface. It is usually oval and clear, and sometimes contains a nucleolus in its interior. Some cells contain two nuclei. By reason of the homogeneity of its protoplasm, the endothelium of the serous membranes is, with difficulty, brought into view in the fresh state. In folds, indeed, of a serous membrane which has been spread out upon a slide in a solution of common salt or in other indifferent reagents, the individual cells may be recognized in profile. Again, on the omentum, and on certain parts of the pleura of many animals, there occur bodies (which were first described by Sanderson as structures re- sembling lymph follicles, and which we shall describe at length in another place), the endothelium covering which may be seen in the fresh state to consist of granular cells which are polyhedral, but rounded on their free surfaces, each in- closing a rounded nucleus. On the fenestrated portion of the omentum, also, spots are met with where granular cells of the same form occur in groups, the elements of which appear to sprout out as it were from a common stem. Cells of the same kind are also found on the abdominal surface of the centrum tendineum of the diaphragm, over the structures to be after- wards described as lymph channels. Further, as we have already had occasion cursorily to remark, there occurs, in the mesentery and parietal peritoneum, and in the female of Bufo and Rana, on the septum separating the cisterna lymphatica magna from the peritoneal cavity, between the non-ciliated, homogeneous, large and flat endothelial cells, others which are ciliated, granular, small, and polyhedral, occuring either singly or in groups. To bring these into view we have simply, as we have said, to remove a portion of the membrane in question from the recently killed animal, to spread it out carefully upon a slide witli a couple of needles, avoiding all unnecessary dragging, and to cover it quickly before it be- comes dry, with a cover-glass, on which a small drop of half per cent, solution of common salt, serum, or aqueous humor has been placed. The Silver Method. — The best method, however, and the one most frequently employed for exhibiting endothelium, is 44 EPITHELIUM AND ENDOTHELIUM. that of coloring by means of a solution of nitrate of silver. This method consists in bathing the fresh membrane, which, of course, has not been allowed to conic into contact with blood or any injurious tluid, in a quarter or half per cent, so- lution of nitrate of silver. After immersion in this for a few minutes, it is washed out in ordinary water, which must be renewed as often as it becomes turbid, and is then exposed to the light until it assumes a brownish color. The portion of membrane thus treated is spread out upon a glass slide and covered, a small drop of glycerine having been previously placed on the under surface of the cover-glass. On superficial examination a system of dark lines is seen, which bound clear spaces of various forms and sizes corresponding to the indi- vidual endothelial cells. Hefore mounting such a portion of membrane in glycerine, after having colored it with silver, Ave may place it for a short time in very dilute ammoniacal car- mine solution (to which, however, two small drops of acetic acid have been previously added), and then wash it in slightly acidulated water. We shall then find, on mounting the speci- men, that nuclei appear in the spaces above mentioned : these are sometimes central, but more often to one side, and are ob- long in form. According to the duration of the action of the carmine solution, and to its strength, they are more or less intensely colored. By a modification of the silver method we may demonstrate, not only the nuclei and dark lines, but also the cell substance of the endothelia. This method always succeeds with the endothelium which lines the lymph sacs of the frog, and with that of the abdominal side of the diaphragm: sometimes also with the endothelium of other serous mem- branes. If we allow the membranes mentioned to lie for a longer time (ten to fifteen minutes) in a half per cent, nitrate of silver solution, and then simply wash them in water, and mount them in glycerine after they have acquired a browrn color, we shall be able to recognize, after an interval of from twelve to twenty-four hours, or often even earlier, the sub- stance of the endothelial cells as a 3'ellow or dark brown pre- cipitation surrounding the clear oval nucleus. In preparing specimens with silver it is in general much to be recommended to mount the objects in glycerine, as soon as they have assumed a brownish tint, and not to leave them exposed to the light for an unnecessarily long time, otherwise they are apt to lose their beauty and clearness, from the occurrence of dark precipitates. In man}' parts of silver-colored serous membranes a peculiar arrangement of the endothelium is observed, which consists in the existence of dark or clear spaces of various forms, around which the cells are set in a radiating manner. Each of these small apertures occurs at the point of junction of three or more endothelial cells, the interstitial lines of which radiate BY DR. KLEIN. 45 from the aperture. Such an arrangement we find on the por- tions of the abdominal side of the diaphragm, which corre- spond to the so-called lymph channels, on certain parts of the mesentery, and very abundantly in the pleura and omentum on the structures already mentioned as resembling lymph fol- licles. They are distinguished by the name of stomata, and are looked upon as the recipient openings of canals which be- long to the lymphatic system. In the case *of many of these cells this has not yet been proved ; some of them have even been regarded as small endothelial portions of larger cells ; while others give the impression of being accidental forma- tions. Of such openings, or stomata, those that occur on the septum of the disterna lymphatica magna of the frog may serve as the type. If we cut out this membrane from a frog or toad, spread it out and mount it in a solution of common salt, or in serum, or if instead we first color it in silver and then mount it in glycerine, we shall find a proportionately large number of roundish or oblong openings between large radiating endothelial cells. These discontinuities represent the openings to short canals, which pass through the mem- branes and connect the abdominal cavity with that of the cisterna lymphatica magna. These openings are bordered by small granular cells, the convexities of which project into them. They are compactly arranged together, and each pos- sesses a roundish nucleus. If the spreading out of the speci- men has not been accomplished with sufficient care, or the membrane is too much shrunk, we miss the above-mentioned regular openings, and there appear instead only groups of small roundish cells — i.e., the openings are collapsed, and the cells which line them have approached each other, so as to come in contact. The nature of the small bodies which pro- ject in the interior of the stomata has been disputed. It has been believed that they are nothing more than the nuclei of the large radiating endothelial cells which surround them. But, as we ma}T convince ourselves both in fresh and in silver preparations, they are really endothelial cells seen in profile, which line the apertures. In female frogs and toads these cells are provided with cilia. In the chapter on lymphatic vessels we shall have an opportunity of making several addi- tional remarks on the stomata. We shall, in conclusion, endeavor to show that the lines which are brought out by nitrate of silver in the serous mem- branes are caused by precipitations for the most part in the albuminous substance which connects the cells, and not merely, as many authors believe, in an albuminous fluid which col- lects between their surfaces. A serous membrane prepared from an animal just killed may be spread upon a cork plate and rinsed with one per cent, solution of sugar, or with a very 46 CONNECTIVE TISSUES. dilute solution of glycerine, may even be brushed with a camel- hair pencil moistened with water (of course not too vigorously), without preventing the occurrence of the silver lines. Again, in a section prepared from :i fresh mucous membrane, with laminated pavement epithelium, which section has been colored in silver, the silver lines corresponding to the borders of the individual cells are distinguishable throughout all the layers. Farther, silver lines corresponding with the borders of the in- dividual muscle cells are met with in anstriped muscular tissue which has been colored in silver, as, e.g., in the muscular coats of arteries. These facts justify the assumption that the silver lines are caused by precipitations in the albuminous intersti- tial substance which bounds and separates the individual cells. CHAPTER III. CONNECTIVE TISSUES. Under this heading we include the fibrous tissues, with the cellular elements which they contain, the elastic tissues, carti- lage, and bone. Fibrous Tissue. — Fibrous tissue consists of delicate gela- tigenous fibres, which are connected by an interstitial albumi- nous substance. The fibres form bundles of various thickness, which either have a parallel arrangement, as in tendons and fascia? ; or form a meshwork by the spliting and reunion of neighboring bundles, as in the omentum, the submucous and subcutaneous tissue; or, finally, have a felt-like arrangement in which the bundles cross each other, or twist round one another in the most complicated manner, as in the skin and mucous membranes. Fibrous tissue may be studied in the fresh state, or after maceration, or in hardened preparations. To examine the tissue in the fresh state it is best to make a preparation of a tendon \>y teasing. A small tendon (such as, e. g., one of the extensors of the toes) having been cut out from a recently killed frog or rabbit, is placed from ten to fifteen minutes in a five to ten per cent, solution of chloride of sodium, whereby the splitting of the tendon is considerabl}7 facilitated. Process of Teasing. — In making preparations by teasing, the following practical rules must be attended to: A very small portion must be used; this must be placed on the glass in a drop of the liquid to be employed, which must also be small, for if in too great quantity the particles teased out, swim away BY DR. KLEIN. 47 in the liquid, and lire difficult to seize upon with the needle. On the other hand care must be taken, as the liquid evaporates, to add more, so as not to allow the prepn ration to become dry. In the preparation of tissues which consist of several parallel bundles, such as nerves, tendons, or muscular tissue, our object is to divide the fragments in the direction of the fibres into smaller and smaller portions. Even when the tissue consists of elements which tend in no particular direction, it is still desirable to follow one direction in teasing — the object being best attained by first fixing the fragment with one needle, then piercing it with the other held in the opposite direction, and finally drawing the two apart. It is further noteworthy that the teasing must be performed on the centre of a slide, and limited within an area which is not larger than the cover-glass. The drop of fluid in which the preparation is to be mounted should be placed on the cover-glass, which must then be in- verted upon it. As the liquid evaporates it must be renewed from time to time. Action of Acetic Acid on Fibrous Tissues. — In a teased preparation of tendon in salt solution, bundles of very fine homogeneous-looking fibres are seen. If the preparation is irrigated with weak acetic acid the bundles are seen to swell out, become homogeneous, and completely disappear. If con- centrated acid is used the effect is more rapid. Areolar Tissue. — In a portion of fresh mesentery (of a frog or of a small mammalian animal) spread out on a glass slide and mounted in salt solution, we have the shining wavy bundles forming a felt-work. In the omentum or pleura of a guineapig or of a cat, prepared in a similar way, the arrange- ment is that of a meshwork. From each larger bundle we see several smaller ones splitting off, and then meeting with simi- lar ones which are branches of other larger bundles in the neighborhood. (See Fig. 8.) According to the abundance of these collateral or secondary bundles, and the way in which they run, the meshes vary in size and form, being round, rhom- bic, or oblong. Effect of Maceration. — For the purpose of macerating fibrous tissue, ten per cent, solution of common salt, lime water, baryta water, or solution of permanganate of potash may be used. By all these reagents the interstitial albuminous sub- stance is dissolved out, so that the bundles split into their con- stituent fibres. All that is then necessary to display them is to prepare a small fragment with needles. Diluted bichromate of potash solution may also be used, but its action is very slow. Elastic Tissue. — Elastic tissue is characterized specially by the facts that the elementary fibres of which it consists do not swell in acids, that they do not yield gelatin in boiling, and that in general they are not united into bundles, but occur 48 CONNECTIVE TISSUES. as sharply defined threads which run an isolated course, some- times straight, sometimes contorted, or even spiral. By repeated bifurcations and fusions of the branches again with one another, they form a network. These facts may be demonstrated very advantageously in a serous membrane, particularly in the meso- colon of the rabbit, or in that part of the parietal peritoneum of the same animal which lies on either side of the lumbar ver- tebra. In both of these situations the elastic fibres are very strongly developed. If preparations of these or similar mem- branes are treated with acetic acid, the bundles of common connective tissue disappear, so that the network of elastic fibres becomes prominent. To show the elastic fibres of the ligamentum nuchx, the best way is to make preparations by teasing a portion of that of the ox, in salt solution, either in the fresh condition, or after maceration for a day or more in sherry-colored solution of bichromate of potash. In either case we have before us thick, solid, shiny cords of homogeneous substance, which branch dichotomously, uniting by their branches so as to form a net- work. The individual fibres, however, run mostly in one direc- tion, and are so close to one another, that, on superficial exami- nation, they exhibit the appearance of a reticular arrangement. Such fibres as happen to be separated from the rest are often rolled up like a watch-spring. The dichotomously-branching elastic fibres of the pulmonary substance can be shown, either by teasing fragments of fresh lung (an operation which requires an immense deal of patience), or in sections of fresh lung hardened by freezing, as will be afterwards described. The elastic so-called fenestrated mem- branes which exist in the tunica intima of the large arteries may be demonstrated as follows: A part of the aorta of a rab- bit or guineapig, having been cut out, is pinned down on a flat cork with the internal surface upwards. The membrane having been fixed at a certain point with a needle, the intima is raised up close to the latter with sharp forceps, and then shreds as long as possible are stripped off — a process which requires no remarkable skill. Any one possessed of the requisite dexterity may then strip off thin lamella from the deep surface of these shreds ; these may be at once mounted, and are so thin that the fenestrated membrane can be seen at the edges without further preparation. If this does not succeed, the student must content himself with teasing out the shreds first obtained. Finally, a network of elastic fibres can be shown very beauti- fully in the vocal cords of the frog. To any one who is suffi- ciently acquainted with the general anatomical relations of the parts, it is not difficult to remove those structures even from the living animal. The easiest way is to place the vocal cord for a few minutes in dilute acetic acid, and then to scrape off BY DR. KLEIN. 49 the epithelium with a lancet-shaped needle— a process which is much facilitated by the previous steeping in the acid. The preparation is then mounted in glycerin. Cellular Elements of the Connective Tissue. — These are either amoeboid — i. e., migratory cells ; or branched — i. e., fixed cells ; the latter being distinguished further by the union of their branched or simple processes, so as to form networks of various densities. Amoeboid Cells. — These are to be found in every form of connective tissue. Normally, the}' occur only in small num- bers, and are irregularly distributed; but, in inflammation, they are numerous in proportion to the intensity of the process, their multiplication being sometimes scarcely observable, while, at other times, they are so numerous as to fill up the tissue. Two kinds may be distinguished : the cells of the first form entirely resemble the colorless blood corpuscles — i. e., they con- sist of finely granular protoplasm, contain two or more nuclei, exhibit amoeboid movements, and are similarly affected b}r re- agents ; while those of the second form are large, coarsely granular cells, which, like the granular cells of the blood, are characterized by the rounded contour of their processes. The former are to be found in every connective tissue, but the latter are more common in the subcutaneous and submucous tissue, in the intermuscular connective tissue, in the mesentery, in the neighborhood of bloodvessels, in the septa of the subcutaneous lymph sacs of the frog or toad, and in the neurilemma of the larger nerve trunks of the frog. The two forms graduate into each other. The method of studying these cells in the living condition consists simply in spreading out thin shreds of connective tis- sue on a glass slide, and mounting them in indifferent liquids. Where the integument is loose, as in the neck of mammalia, etc., it is easy to effect this, by first making a slit in the skin, and then, with curved scissors, snipping away a thin lamella of subcutaneous tissue. In the frog, the tongue ma}' be drawn out and fixed by an assistant, while the operator snips out a portion, so as to obtain a cut-surface, from which a thin la- mella can be readily taken, as above. In either case the lamella must be spread out, without loss of time, and with as little dis- placement as possible, on the slide, and mounted in humor aqueus or fresh serum. Blood corpuscles which exist on the surface of the preparation do not interfere with the object, be- cause the amoeboid cells are to be found in the interstices of the clear transparent fibrillated mass of fibrous tissue. It is somewhat more difficult to demonstrate the migratory cells of the normal cornea. The method is as follows: A frog is held by an assistant in such a way that the bulbus oculi is tense. The membrana nictitans is then drawn back, and the bulb pene- 4 50 CONNECTIVE TISSUES. trated with a cataract knife, just as in the operation for cata- ract, at the limbus conjunctivae next the inner canthus. The point of the knife is advanced until it approaches the limbus of the opposite side, without puncturing it, and is then carried outwards and upwards, so as to form a 11a}), consisting of the upper half of the cornea. The extreme edge of the flap must then be seized with the forceps, while the lower half of the cornea is cut away with the aid of scissors curved in the direc- tion of their edge. The cornea is next transferred to a drop of humor aqueus (previously obtained by puncturing the oppo- site eye) and spread out on the glass slide with the anterior surface uppermost. In order to avoid folds, it is desirable to make two or three radical incisions. The preparation is now covered and inclosed in oil. If it is desired to study the mi- gratory cells on the warm stage, the preparation must of course be mounted between two cover-glasses, as before di- rected. If a cornea is thus prepared with great care, nothing is to be seen excepting that a few pale lines of interstitial substance, referable to the anterior epithelium, may be distinguished where the membrane is folded. No other optical differences can be made out. If the individual epithelial elements can be distin- guished, this affords proof that the object has been injured in preparation. Notwithstanding its homogeneity, it is possible (with the No. 10 immersion objective of Hartnack) to find out the upper and under surfaces of the cornea by means of colored blood corpuscles, pigment, granules, or retina-elements which may happen to be in contact with them. As time goes on, the interstitial lines of the anterior epithelium come into view. If we then adjust the microscope so as to bring into view the most superficial layer of the propria, a few corpuscles of more or less irregular form can be detected, each of which consists of almost hyaline protoplasm, and contains a nucleus of ir- regular form, apparently finely granular. If one of these cor- puscles is watched carefully, it is seen that changes of form take place, both in the protoplasm and in the nucleus. The corpuscles throw out processes and retract them, and even per- form a certain amount of locomotion. The nuclei become con- stricted or compressed, and again resume their original form, to undergo similar changes. By and by similar corpuscles become visible in the depth of the cornea. On the warm stage the movements are naturally more active. (See Chapter XIY.) If a preparation is made in humor aqueus of the fresh peri- toneum (particularly the omentum) of the frog or of a mammal, or of a septum of a subcutaneous lymph sac of the former, in- numerable migratory cells are seen, especially in the neighbor- hood of the vessels, which present transitions between small BY DR. KLEIN. 51 pale corpuscles and large granular ones, all exhibiting distinct amoeboid movements. But the best place for observing these bodies is the tail of the tadpole. If a portion of the tail is taken from the thin membranous part, and mounted in half per cent, salt solution, migratory cells are to be found every- where, consisting of finely granular protoplasm, and displaying extreme^ active movements. With reference to the g?-anular corpuscles it is not necessary to add much to what has already been said. Among the best examples are certain coarsely granular elements, which occur in the intermuscular connective tissue of the frog. If the transparent membrane which separates the muscles of the thigh of the frog is spread out and examined in an indifferent liquid, it is found that,besides active migrator}7 cells, there are coarsely granular elements possessing oblong nuclei of the most various forms, which move very sluggishly. Perfectly similar bodies occur in the sheaths of large nerves of the frog. Another situation for studying these cells in great numbers is the tongue of the same animal. A living frog having been secured in the supine position, its mouth is opened and the tongue is drawn out by its two cornua. Thin shreds are then snipped from the substance of the organ (the epithelium having been first re- moved in the same way) and covered in fresh serum. In a preparation thus made, an immense number of large coarsely granular cells appear, presenting the most grotesque forms. (See Fig. 9.) Branched Cells (Connective Tissue Corpuscles). — These bodies are flattened cells, consisting of finely granular protoplasm: each contains a nucleus, which is also, for the most part, flattened and oblong. The}7 possess a greater or less number of processes ; and b}r these, which are sometimes branched, sometimes single, they are in continuity with each other, so as to form a network. In some connective tissues the processes exhibit a more or less regular relation to the body of the corpuscles ; in others, they are so short that the corpuscles are almost in contact with each other, being sepa- rated by scarcely any interstitial substance. In preparations made in the way already recommended for the demonstration of amoeboid cells of the subcutaneous connective tissue of the rabbit, bodies are also found which are distinguished from the others by their very irregular placoid form, greater size, and hyaline appearance, as well as by the possession of oblong nuclei. These cells contain very few granules, and those mostly in the neighborhood of the nucleus. At first sight these placoids seem to have only short projections, but, under high powers, they are found to possess numerous long hyaline radiating processes. 52 CONNECTIVE TISSUES. Fixed Corpuscles of the Cornea.— In a cornea prepared in the manner previously described, it is possible to recognize the network of pale branched corpuscles at all depths, after some time has elapsed. The}' ma}', however, be more distinctly shown with the aid of certain reagents. p;irticularl3r wood vinegar, nitrate of silver, chloride of gold, and some other metallic salts. Of these, the first is now laid aside in favor of the others. In preparations obtained by stripping off shreds of a cornea (of the rabbit or frog), which has been macerated for twenty-four hours in wood vinegar, the corpuscles are seen as large flattened cells, consisting of granulous protoplasm, com- municating with one another by processes. If vertical sections are made of such a cornea, the cells seem to be spindle-shaped ; but, if the section is made obliquely, it is found that the cor- puscles appear the more flattened and the more branched, the greater the obliquity of the section. This fact proves that the corpuscles are flattened in planes parallel to the surface, and that the processes also stretch out in similar planes. Treatment of the Cornea with Nitrate of Silver. — Nitrate of silver is used both in substance and in solution. In substance it may be employed in two ways: a. The centre of the cornea of a frog, which is held by an assistant in the manner previously described, is firmly cauterized with a pointed stick of lunar caustic. One or two drops of salt solution are then allowed to flow over the cornea to decompose the excess of nitrate of silver. About an hour after the cauterization, the cornea is excised in the manner directed in p. 49, washed in water for several minutes, and the surface of the slough cleansed by pencilling it lightly under water. In the case of the frog's cornea, the central cauterized part may be cut out and mounted in gbycerin at once; but the rabbit's cornea is so thick that it is necessary to split it into layers, with the help of fine pointed forceps. If the preparation has been exposed to daylight, clear spaces are seen on a brown, yellow, or dark ground, which communicate with one another by clear channels, either branched or single. These correspond in form and configuration with the network of corpuscles above described. This signifies that we have before us, as will be more com- pletely shown afterwards, the spaces which the coi'puscles occupy. This network of clear spaces represents the canalicular system (Saftcan'dlchen System) of the cornea: it must not be confused with Bowman's tubes, h. The second method of ap- plying the nitrate of silver in substance has the advantage that it shows the canalicular system in all parts of the cornea. It consists in first scraping the cornea of a living frog or small mammal with a sharp cataract knife, so as to remove the epi- thelium completely. After a little practise, and provided the bulb is properly fixed by an assistant, it is not difficult to per- BY DR. KLEIN. 53 form this operation without injuring the substance of the cornea. Thereupon the caustic is two or three times lightly rubbed over the whole surface, after which the eye is, washed with saline solution, and the animal is left to itself for twenty or thirty minutes. The cornea is then excised, washed in ordinary water for several minutes, and pencilled with a camel-hair brush. The mode of preparation is as before, care being taken to make one or two radial incisions, in order that the mem- brane may lie flat on the glass surface. After the preparation has been exposed for a few hours, the contrast between the spaces and the yellowish-brown interstitial substance becomes very obvious. [The endothelium of Descemet's membrane, with its dark interstitial lines, brownish-yellow cell substance, and clear ovoid or lobed nuclei, is well seen. It is to be noted that all preparations of this kind must be kept in the dark.] Similar results are obtained by the use of the nitrate of silver in solution. With this view the epithelium is either pencilled off from the anterior surface with warm water, or scraped off as above described. The cornea is then imme- diately excised and immersed for fifteen or twenty minutes in a half to one per cent, solution. It is then washed and pre- pared as above. If, however, after washing the preparation for a very short time, it is transferred to a ten per cent, solu- tion of chloride of sodium for five or ten minutes, and is then again washed in ordinary water and mounted in glycerin, the appearance is very different. We have before us in most parts the canalicular system marked out by a dark precipitate, while the interstitial substance remains almost clear. In other parts there are gradations of staining between this appearance and the negative staining obtained by the ordinary method. Preparation of the Cornea with Chloride of Gold. — The fresh cornea of a frog or mammal is placed in as much half per cent, solution of pure chloride of gold as is sufficient to cover it, and left immersed until it acquires a straw-yellow color — i. e., at most thirty minutes. Thereupon it is trans- ferred to distilled water, or water slightly acidulated. The preparation passes through pale gray, then dark gray, violet gray, violet and reddish, to dark red — the time required for the production of the last-mentioned color differing, cxteris paribus, according to the time during which it was immersed, and the in- tensity of the light. In the height of summer, twenty-four hours, or oven less time, is sufficient ; but in winter several days are required, in which case it is preferable to use distilled, rather than acidulated, water, because the latter is apt to produce too much swelling of the preparation. From a darkly colored cornea bo prepared, the anterior epithelium is removed by strip- ping it off from the cumulus conjunctivae inwards, with the aid 54 CONNECTIVE TISSUES. of a sharp pointed forceps. If that of a frog, the cornea may tlien lie mounted in glycerin without .farther preparation. The rabbit's cornea must be prepared as before directed. In this way one of the most beautiful preparations in the whole range of histology is obtained. The bodies and processes of the cor- puscles are seen to consist of a more or less granular proto- plasm of various shades of violet. Each corpuscle contains a flattened oblong, well-defined nucleus, which is of a violet color, and incloses one or two large, round, dark colored nu- cleoli. (Fig. 10.) Corneas stained with chloride of gold may also be advantageously studied by vertical sections, and by sections parallel with the surface : from such sections it is easy for any one to satisfy himself that the structures seen actually exist as such, and are not the products of the mode of prepara- tion. It is, however, necessary to demonstrate that the cana- licular network which we see with such distinctness in silver preparations, corresponds to and coincides with the network of branched corpuscles displayed in gold preparations, in such a way as to make it certain that the latter lit into and fill out the former. There are two modes of proof: a. A frog's cornea is prepared and mounted, lege aiiis, on the glass slide (Fig. 6), and is then examined with a No. 10 immersion, objec- tive, while an induced current of moderate strength is caused to act upon it. After the excitation, the system of branched corpuscles becomes distinguishable, and each is seen to be surrounded with a clear margin. After a time this appearance is lost, but can be reproduced b}T repeating the excitation. It admits of but one interpretation, viz., that the protoplasm contracts, under the excitation, in such a wa}r as no longer to fill out the space in which it is contained — again occup3'ing it as soon as the contraction ceases, b. A rabbit's cornea is gently rubbed with caustic until the epithelium is removed as a slough. After from twenty to thirty minutes a few drops of concentrated solution of chloride of gold are placed on the cornea. The eye is left to itself for fifteen or twenty minutes, after which time the cornea is shaved off with a razor, and steeped for twenty-four hours in water feebly acidulated with acetic acid. It is then not difficult to prepare from the parch- ment-like cornea, with sharp forceps, thin lamellse ; or to make thin sections, in planes parallel with the surface, with a razor. In preparations of either kind mounted in glycerin, even when examined with the naked eye, three different colors may be dis- tinguished. There are patches of gray and others of violet: and these two are separated from each other by intermediate regions of a dull violet-red. Under the microscope the gray parts exhibit the characteristic appearance of silver prepara- tions— a clear canalicular sj-stem on a yellowish-brown inter- stitial substance. In the violet parts the canalicular S3-stem is BY DK. KLEIN. 55 also clear, but the interstitial substance is violet ; whereas in the dull red parts, there are bluish or dull red corpuscles on a clear ground. Both in the first and in the second, there are transitions to the intermediate parts, i. e., the nearer the part observed is to the edge of the dull violet-red parts, the more possible is it to make out that the network of protoplasm occupies the canalicular system. It is alwa}rs possible to find points where the processes of protoplasm stretch from these parts into clear canaliculi. Branched Corpuscles of the Tail of the Tadpole. — Another object in which it is easy to demonstrate the branched corpuscles is the tail of the tadpole. In this organ, when prepared in the fresh state, as above directed, a very beautiful network of pale protoplasm, in a hj-aline interstitial substance, may be demonstrated. The network consists of nucleated cells, which communicate with one another by den- dritic processes. It is most dense near the edges and toward the tip of the tail. In order to obtain preparations of this structure, it is best to place a portion of the organ of a tad- pole (in which the posterior extremities have begun to sprout) in half per cent, solution of chloride of gold for from thirty to forty minutes. The preparation having been placed for twenty-four hours in distilled water and exposed to light, the epithelium of one side must be removed. For this purpose the organ must be fixed by a needle in the middle line close to the cut end : the epithelium, with the plexus of nerves and bloodvessels of one side, can be stripped off with the fine- pointed forceps in the form of a membrane — a process which is much facilitated by first placing the preparation for fifteen minutes in absolute alcohol. The separated structures are then covered in glycerin. Such preparations are of great value, serving not merely for the demonstration of the cells with which we are now concerned, but also, as will be seen, for the study of the structure and development of the capil- lary bloodvessels, of the most minute nerve fibres, and the relation of the lymphatic vessels to the connective tissue elements. The description and mode of demonstration of the branched cells of the serous membranes will be given in the chapter on the lymphatic system, in connection with which they are of most importance. Branched Corpuscles of the Skin. — In order to de- monstrate the branched cells of the cutis (or of the mucosa), it is best to snip off folds or ribands from the fresh structure with the curved scissors. These are placed in half per cent, solution of chloride of gold until they acquire a distinctly yellow tinge. They are then transferred into distilled water until they are tinged dark violet and finally hardened in ordi- nary alcohol. Sections must then be made parallel to the 56 CONNECTIVE TISSUES. surface and covered in glycerin. Sections in this direction are preferable, because the branching of the cells and their mode of communication cannot be so well seen in others. We shall return to these subsequently. In the membrana nictitans of the frog there occur networks of large, coarsely granulated cells, containing flattened oblong nuclei, and with branches which run for the most part parallel with the surface. This structure must be prepared with chloride of gold in exactly the same way as the cornea. Pigment Cells. — These are closely related to the fixed cells now under consideration. They are more or less branched corpuscles, which are sometimes isolated, sometimes form a network. They are, in general, larger than the ordi- nary connective tissue corpuscles. Each contains an oblong clear nucleus, while both their bodies and processes are beset with pigment granules. In mammalia they are found, as is well known, especialh- in the skin, and in the sclerotic, iris, and choroid. In the lower vertebrates, e.g.. in the frog, they are very numerous, not only in the skin, but in the peritoneum, and in several mucous membranes. Pigment cells can be made to retract their pigmented processes when stimulated either mechanically, chemically, or electrically, as well as under the influence of light. Let us examine them (a) in the web, (6) in the mesentery of the frog, (c) in the tail of the tadpole, and (d) in the choroid of a mammal, (a) A common frog (B. temporaria) is secured on a plate similar to that shown in Fig. 11, and the toes are extended by ligatures at- tached to their tips. With this view, the hole 0 is surrounded by five or six small perforations into which wooden pins can be stuck ; the ends of the ligatures are drawn through the holes and fastened with the pins. In those parts of the web, which appear to the naked eye dark, it is seen, even with a linear magnification of 100, that the pigment cells are con- nected by an extraordinary number of fine dark processes which are either penicilliated or dendritic. Often the distinc- tion between body and process is not marked ; it looks rather as if the whole network were made up of processes. In other parts, which are not so dark to the naked eye, groups of pigment cells arc found in which the bodies are round or oblong, and the processes broader and less numerous — the latter being either in continuity with those of neighboring corpuscles, or broken off abruptly by a gnawed edge. The pigment granules do not extend to the end of these broad processes ; so that it is possible to see that the substance in which they are embedded is hyaline. If the dark parts are touched once or twice with a camel-hair pencil (especially if it has been dipped in oil of turpentine), the processes are gradually retracted, while, pari pasm, the BY DR. KLEIN. 57 skin becomes visibly paler. On resuming the observation, after the lapse of one or two hours, it is found that the pigmented network is as dense, and the processes are as numerous, as at the beginning of the observation. It is a remarkable fact that the projection of the processes is much accelerated by the application of a drop of croton oil, with the aid of a capillary pipette, to the irritated part. In certain places where the cells are not entirely black, but have a more or less 3'ellowish-brown color, and possess only a few stumpy pro- cesses, these last undergo spontaneous changes of form as regards length and thickness. When the web is irritated, these, like the others, retract their processes altogether. If the circulation is arrested by placing a ligature around the leg, the pigment cells on the same side acquire a brighter color — the dull brownish-yellow tint returning with the resto- ration of the circulation. In the tail of the tadpole the pigment cells in several respects resemble the ordinary branched cells. The most superficial extend themselves by their processes between the epithelial cells. In the tadpole of the toad, which is distinguished from that of the frog b}r the breadth and shortness of the tail, they are spindle-shaped, and form by their processes a tolerably regular lattice-work, with nearly rectangular spaces, which is uniforml}- distributed throughout the tissue ; immediately un- derneath the epithelium, however, there are some cells, the mode of branching of which is dendritic. In fresh prepara- tions, or in preparations with chloride of gold, of the mesen- tery of the frog, a greater or less number of pigment cells are seen in the immediate neighborhood of the large bloodvessels, and especially the arteries, and often form a complete sheath around them. Isolated pigment cells occur also elsewhere in the tissue. With high powers (No. 10 immersion) and with dilute acetic acid, it is possible to make out in fresh prepara- tions of the nictitating membrane and mesentery that the whole cell is not pigmented, the pigment being confined to certain parts of the body and to the axes of some of the pro- cesses. In mammalia, the most varied forms of pigment cells occur in the choroid and sclerotic, from the irregularly formed cells with slight knob-shaped projections containing coarse pigment granules, to cells with regular dendritic branching and fine granules. Fat Cells. — Fat cells are distinguished from ordinary branched connective tissue corpuscles mainly by the fact that they contain drops of fat. When an ordinary branched cell undergoes conversion into a fat cell, the change commences by the appearance of small droplets in the protoplasm. By the confluence of these with each other a larger drop is formed. As this increases, the protoplasm of the corpuscles is dis- 58 CONNECTIVE TISSUES. tended more and more, until it forms around the globule a thin investment, in which lies the clear oblong nucleus. In well-developed fat cells, which usually lie together in groups, it is not possible to observe processes. They rather resemble closel}' packed globular structures. Transition Forms between Connective Tissue Corpuscles and Fat Cells. — If, in a rabbit, the skin and subcutaneous tissue are divided over the inner (anterior) third of the infra-orbital edge, and the thin membrane which stretches over the infra-orbital fossa is severed, it is easy to remove, along with the glandula infraorbitalis, a gelatinous hyaline mass. If, from this mass, a very thin portion is snipped off and placed in a drop of fresh serum on a glass slide and covered, it is easy to distinguish, among the ordinary branched cells, others which are larger and contain globules of fat. All transitions may be seen between those which contain one or two small droplets and those which are completely distended. These structures will be referred to again, under another heading. Fat cells are, as a rule, collected in masses around bloodvessels. Tendon Cells. — The cells of mature tendon tissue do not essentially differ from those of ordinary connective tissue. Like them, they are oblate branched masses of protoplasm, which are in communication with one another by their pro- cesses. They are not, however, flat, but curve themselves in conformity with the surfaces of the individual bundles to which they are applied. In order to study them, the best material is afforded by the tail-tendons both of young and full- grown rats or of rabbits, which can be examined either in the fresh state in serum, or by steeping them for a few minutes in silver solution, after they have been first pencilled with a camel-hair brush dipped in fresh serum. Another material which may be used is the centrum tendineum of the diaphragm. In very young animals the caudal tendons present a peculiar arrangement. If the tail of a very young rat is amputated, and the tip torn asunder from the cut end, a great number of isolated lengths of tendon are obtained, of almost microscopic tenuity. These may be at once separated, and covered in very dilute acetic acid. Such a preparation shows, between the in- dividual bundles, chains of apparently quadrangular masses of protoplasm, each containing a roundish nucleus. These chains alternate in position with the bundles. If, however, a single cylindrical bundle of fibrils is separated, it is seen that it possesses an envelope of granulous protoplasm, which ex- tends along one side of the bundle, covering nearly half of its circumference ; in this envelope nuclei lie arranged in linear series. If the preparations are treated with stronger acetic v acid, the protoplasm between the nuclei exhibits cross lines of BY DR. KLEIN. 59 interstitial substance. Hence it is evident that the sheath of protoplasm with which nearly the half of each individual bundle is surrounded consists of a series of hollow half-cylin- ders with their ends in apposition. To preserve the prepara- tions above referred to, the fresh tendon should be placed for a very short time in acidulated water, until it begins to swell just perceptibly ; it is then to be transferred to half per cent, solution of chloride of gold for ten or fifteen minutes, and washed in distilled water till it acquires a rich color, and then to be mounted in glycerin. In cross sections through young tendons of the rat or rabbit, in consequence of the anatomical facts already stated, the bundles look as if they were contained in the meshes of a network of protoplasm, with nuclei at the nodes. Such sections may be hest prepared from the caudal tendons, or from the T. Achilles treated with gold and then hardened in common alcohol. Adenoid Tissue. — It remains to describe the so-called adenoid tissue. By this term is understood a dense reticulum of branched cells, the processes of which are short but of great delicacy. The younger the individual, the more the material of which the reticulum is composed possesses the character of protoplasm ; the older, the more homogeneous the processes appear, and the smaller the quantity of protoplasm at the nodes, which correspond to the bodies of the cells. There are great differences between the several forms of adenoid tissue, which it will be most advantageous to study in connection with the tissues in which they are respectively met with, e. TISSUES OF THE NERVOUS SYSTEM. lated fibres which are distributed to the bloodvessels will be described elsewhere.) Nerves of the Peritonaeum. — For the demonstration of the fine fibres of the peritonaeum of the rabbit, the follow- ing is the best method: Three drops of concentrated acetic acid are added to twenty cubic centimetres of distilled water. To this mixture five drops of half per cent, solution of gold is added. The fresh peritonaeum is immersed in the solution, and allowed to remain exposed to the light for several days until it becomes darkly stained. Very instructive prepara- tions may be obtained by preparing in the same way the fold in the peritonaeum, which stretches backward and to the left, from the diaphragm to the upper surface of the stomach, close to the cardia. Nerves of Unstriped Muscular Fibres. — The bladder of the frog, the small arteries of the same animal, the muscular coats of the intestine, or of the vagina of the rabbit, may be employed. The following methods are applicable : As regards the bladder of the frog, the previously described method of pre- paring the muscular fibres themselves, also serves for the de- monstration of their nerves. In the bladder of mammalia, the mixture of acetic acid and gold, mentioned above in relation to the preparation of the nerves of the peritonaeum, answers well. After the preparation is sufficiently stained, thin shreds of muscular tissue are stripped from the external surface of the swollen membrane, and prepared in glycerin. In the large arteries of the mesentery of the frog, the method already em- ployed for the demonstration of the non-medullated nerve fibres of the mesentery generally, is to be used. The relatively large arteries of the frog (as, e. g., those of the root of the me- sentery) can, as a rule, lie advantageously prepared by placing them for five minutes in half or one per cent, acetic acid, and then either allowing them to stand in the gold solution twent}r to thirty minutes, or transferring them to chromic acid solu- tion of one-tenth per cent, for from thirty minutes to an hour. For the unstriped muscular fibres of the intestine, uterus, etc., sections of frozen organs may be treated with acetic acid and gold, or chromic acid, in the same way. Finally, small por- tions of the same tissues may be steeped in gold solution, washed in distilled water, treated with tartaric acid, hardened in alcohol, and employed for the preparation of sections. The facts thus demonstrated maybe summed up as follows : Nerve trunks of various size run in the sheaths of connective tissue which lie between the muscular bundles. These trunks consist either of non-medullated fibres, or of medullated, or of both kinds mixed, and form a plexus with wide meshes. In this (which may be termed the principal plexus) the ganglion cells which have been already described are intercalated. Its nerves BY DR. KLEIN. 97 give off numerous fibres, some of which are medullated, but soon lose the medullary sheath, others non-medullated. These last are pale, streaked longitudinally, and have nucleated sheaths. By their abundant ramifications, they form a network of rhomboidal or oblong meshes, having nuclei at their points of junction. This network involves the individual muscular bundles, and is called the intermediary network. Fine fila- ments, containing granules, spring from it, which penetrate be- tween the muscular cells, and divide dichotomously in this situation, forming by their connection the intra-muscular net- work. In addition to the fibrils which lie between the fibres, the network contains others, which penetrate the muscle-cells and become connected with the nucleoli of their nuclei, in such a wajr, however, that the nucleolus is not the end of the fibril, but is intercalated in it. It is only in a few, out of a great many successful preparations, that the iutra-muscular network can be demonstrated. Most serve to show only the interme- diary plexus. Nerves of the Striped Muscles. — The demonstration of the nerves of voluntary muscle has, hitherto, been accom- plished only in fresh preparations; there are, however, one or two cases in which the silver method can be used. It is, in the first place, to be borne in mind that only muscles that are still irritable are of any use for the purpose. Secondly, that the greatest care must be taken in making the preparation, especially to prevent the cover-glass from pressing, by strips of paper. Muscular Nerve Endings of the Water-beetle. — The muscles of certain invertebrate animals, e. g., Dytiscus, or, still better, Hydrophilus piceus, and particularly those which pass from the thorax to the legs, are best suited for the purpose. The. muscle is severed near its insertion with fine, sharp scis- sors, and at once placed on the object-glass and covered, or transferred to a drop of serum and spread out so as to sepa- rate a few muscular fibres. It is easy to recognize the broad, riband-shaped, medullated nerve fibres, each possessing a stri- ated axis-cylinder, which rapidly divide into finer non-medul- lated fibres, each distinctly streaked and beset with nuclei. A single muscular fibre may receive several non-medullated nerve fibres. At the point at which each enters the muscular sub- stance, a more or less marked elevation is distinguishable, the so-called Doyere's prominence. This consists of granular sub- stance in which clear, roundish nuclei are embedded. The prominence, with its nuclei, is lengthened out into processes in directions corresponding with that of the axis of the muscular fibre. These processes may either stretch along the surface of the muscular fibre, or sink into its depth. Sometimes the prominence is represented by a mere lamina of granular sub- 1 98 TISSUES OF THE NERVOUS SYSTEM. stance, which does not project above the surface. The axis- cylinder penetrates into the substance of the prominence, pass- ing through the sarcolemma, with which its Schwann's sheath becomes continuous. It usually divides dichotomously in the prominence, each branch ending in a rounded extremity. The prominence, therefore, consists of two parts, viz., the axis- cylinder, with its two branches, and the nucleated granular substance in which it is embedded. The granular substance consists, in all probability, of the same material as that which constitutes the so-called muscle-corpuscles. Muscular Nerve Endings of the Frog. — In many respects the nerves of the muscles of the frog differ from those above described. In the first place, there are many muscular fibres which are entered by only one nerve. In order to make out this fact, it is a good plan to place portions of muscle in a mixture of chlorate of potash and nitric acid at 40° C. ; or, better,%to place the tissue for twenty-four hours or more in diluted sulphurous acid, after which it is exposed, still remaining in the liquid, to a temperature of 40° for a few hours. If the muscle is then shaken with water in a test tube, the individual fibres separate very readily from each other, and may be covered without further preparation. For the study of the finer relation of the muscular nerves, separate fasciculi of the gastrocnemius may be employed, which must be cut out with their tendons — those parts being chosen to which vessels and nerves can be traced with the naked eye. The preparation is covered in humor aqueus, after it has been spread out with great care with needles. It is then possible to observe that a medullated fibre comes into contact here and there with a muscular fibre, and divides into several medullated branches. Just as the branches approach the point at which they enter the sarcolemma, in order to attain the surface of the muscular substance, they lose their medullary sheath. At this point, they resolve themselves into a number of small pale filaments, which run parallel to the long axis of the muscle, keeping close to its surface, and are beset with oblong structures resembling nuclei. Eventually, each terminates abruptly in a rounded end. Another excellent object for demonstration of the muscular nerves is the thoracic cutaneous muscle of the frog, which must be divided along its insertions, and then severed from its thoracic attachments, and carefully spread out in a drop of humor aqueus and covered, care being taken to interpose strips of paper underneath the edge of the cover-glass. It is also possible to demonstrate the nerve endings in frog-muscles with the aid of nitrate of silver — the same parts being used for the purpose. The isolated fasciculi are placed in serum, to which an equal quantity of distilled water has been added, for ten or BY DR. KLEIN. 99 fifteen minutes. Thence they are transferred to a quarter per cent, solution of nitrate of silver for thirty or sixty seconds, and then exposed to the light until they acquire a brownish color. They are further prepared in a drop of a mixture of equal parts of ordinary acetic acid, glycerine, and "water. In such preparations a s}'stem of clear lines shows itself in the striped brown ground of muscular substance. These lines correspond exactly, in their whole arrangement, with the intra- muscular nerves above described. Muscular Nerve Endings of Snakes and Lizards. — The most beautiful muscular nerve endings with which we are acquainted are those of the reptilia, e.g., Lacerta agilis, Lacerta viridis, and Coluber natrix. In preparations of the muscle of the thigh or of the back of the lizard in humor aqueus or serum, it is seen that the medullated nerve fibres divide into branches in the same way as in the frog. Here, as before, the branches lose their medullary sheath just as they enter the sarcolemma, and then resolve themselves into a beautiful digi- tate or fringe-like expansion of pale fibres embedded in a granular ground containing nuclei, resembling that described in Hydrojohilus, but of a laminar form. In the subcutaneous muscles of Coluber natrix, the terminal expansion forms a rich network of riband-shaped fibres embedded in a granular ground. The network is so close that it looks like a lamina in which round and oval orifices have been punched out. In silver preparations made as above directed, as well in the lizard as in the snake, the same facts may be demonstrated — the intra- muscular system of nerves exhibiting themselves as clear lines on a brown ground. The endings of the muscular nerves of mammals resemble those of reptiles. From the preceding details it appears that two forms of muscular nerve endings may be distinguished. In the first form, the ends of the axis-cylinder, or those of its branches, lie in immediate contact with the muscular substance under- neath the sarcolemma (frog). In the second, they are embed- ded in a granulous ground {Hydrophilus, reptilia, mammalia). The demonstration of nerve endings is one of the most difficult tasks which can be undertaken by the histologist. 100 METHODS. PART II. PREPARATION OF THE COMPOUND TISSUES. CHAPTER VI. METHODS. The methods of examining tissues in the fresh state, with or without the addition of reagents, and of isolating the ele- ments by the process of teasing with needles, have been fully described in the First Part. We have also seen that, in trans- parent structures, particularly membranes, the anatomical relations of the elements may be studied, either by observing them in the natural condition, or after preparation with the solution of chloride of gold, or with that of nitrate of silver. For the investigation of the compact tissues, other modes of preparation are necessary, in order to bring them into such a condition that fine sections can be made of them. It is the purpose of this chapter to describe the method by which this is accomplished. Preparation of Sections of Fresh Tissues. — There are a few organs or parts of organs which possess such a con- sistence that it is possible, without preparation, to make micro- scopical sections of them ; such as cartilage, some tumors, skin, hypertrophied lymphatic glands, prostate gland, kidney, liver, and under certain circumstances involuntary muscle. Sections of these tissues serve either for the study of the con- dition of the elements, or the action of reagents ; or are made with a view of treating them with gold or silver. They are, however, mainly useful as facilitating the preparation of the individual elements by the process of teasing. For this pur- pose the section may be either used in the fresh state with indifferent liquids, or after maceration in iodized serum, Mid- ler's fluid, or one per cent, solution of bichromate of potash. For the study of the anatomical relation of fresh tissues, other methods must be used. The simplest plan is to take the object in the hand, and use a sharp section knife. It is some- times recommended to fix the tissue between elder pith or BY DR. KLEIN. 101 cork, by mechanical means. This is not advantageous on the following grounds : Those tissues which are soft are so injured by the pressure that their elements are in a completely un- natural condition ; whereas, in the case of firm tissues, it is quite easy to do without such assistance. Preparation of Sections by Freezing. — For the pur- pose of obtaining sections of tissue without any dislocation or alteration of structure, the method of freezing is well adapted. A freezing mixture is prepared by introducing alternately small quantities of broken ice, or snow (not so advantageous), and of finely powdered salt, into a large vessel, mixing the two ingredients thoroughly after each addition. The tem- perature should be determined by the introduction of a ther- mometer. The object, which must be small, should be cut to an oblong form, and placed on a flat cork, much wider than itself. It must be pinned to this cork at the end opposite that from which the sections are to be cut. In the case of a mem- brane, the object must be folded, and fixed in the same way. The whole is then placed in a platinum crucible, which has been previously plunged into the freezing mixture. The cru- cible must be at once covered, and a little of the freezing mixture placed on the top of it. The section knife, which must be sharp, is cooled by laying it on ice. As soon as it is ascertained, by exploration with a needle, that the preparation is firm enough, the knife is handed to an assistant, who wipes it, and holds it in readiness. The cork is then taken out with the forceps, and seized by the fingers of the left hand in such a way that they do not come into contact with the preparation. A succession of sections having been rapidly made, the num- ber varying with the skill of the operator, the cork is replaced in the crucible. The sections may be employed either for immediate examination, or for teasing, or subjected to further processes of preparation. As soon as the portion of tissue in the crucible is again of the proper consistence, more sections can be made. As regards the temperature which should be employed, and the time during which the object should be frozen, no definite rule can be given. It may be stated, in general, that temperatures varying from — 6° to — 20° C. are sufficient for all purposes. The time necessary for the attain- ment of the proper degree of firmness is obviously dependent on the temperature of the freezing mixture, on the thickness of the object, and on the relative quantity of water it contains. Accordingly the time is very variable, so that the proper moment for removing the preparation can only be determined by frequently repeated exploration ; by which means alone it i~ possible to avoid the risk of carrying the hardening too far — a result which is alike prejudicial to the structure of the organ, and to the success of the section. 102 METIIODS. Methods by which Tissues are Hardened for the Preparation of Sections. — For the purpose of rapidly hardening tissues, small portions may be advantageously placed in the chloride of gold, osmic acid, or chloride of pal- ladium, and kept till they are sufficiently consistent. Such preparations must usually be embedded in the manner to be hereafter described, before sections are made from them. The sections themselves are then exposed to the light in distilled water, and covered in glycerin. Half per cent, solution of chloride of gold, solutions of perosraic acid varying from one- tenth to two per cent., or solutions of chloride of palladium from one-tenth to half per cent., are used. Other agents and methods in use are the following : Alco- hol, oxalic acid, boiling and drying, chromic acid and its com- pounds, (a) For thin membranous tissues, hardening in alco- hol answers well. It is more rapid than chromic acid, which, however, has superseded it for many purposes for which it was formerly employed. Absolute alcohol is used principally for hardening brain, and for injected tissues. Common alco- hol is also used for the hardening of pancreas, salivary glands, and the glands of the stomach and intestine, and of objects which have been already treated with gold or silver. Further, when tissues have been partly hardened in chromic acid com- pounds, the hardening can be accelerated and completed by subsequent immersion in common alcohol, (b) The use of oxalic acid and oxalates, and other similar salts, majr be en- tirely dispensed with. If used, weak solutions of from a half to two per cent, are preferable, (c) The process of boiling, etc., is entirely relinquished. In former times it was employed for intestine, kidney, trachea, and larynx. The intestine was boiled in a mixture of water, creasote, and vinegar, stretched on cork, and dried. Sections were made with scalpels, and then steeped in acetic acid, (d) The chromium compounds are the most valuable agents we possess for hardening — viz., chromic acid, in solutions varying in strength from one-tenth to half per cent.; bichromate of potash, in solutions from half to two per cent., and MiilLr's liquid, which consists of two parts of bichromate, and one part of sulphate of soda, in 100 parts of water. These have the immense advantage that they produce no marked shrinking or distortion of the tissues, so that they retain for the most part their natural characters. This is particularly the case as regards bichromate of potash and Midler's liquid. Very small portions of tissue must be used, particularly when chromic acid is employed, for it pene- trates much less readily into the tissues than the others ; so that if the preparation is too large, it is apt to become putrid in the centre, while the outside is too hard. If the objects are smeared with foreign matters, as, e. g., intestine by intes- BY DR. KLEIN. 103 tinal contents, blood, or mucus, it is desirable to rinse them in water colored \-ellow b}* bichromate of potash, before intro- ducing them into the hardening liquid. The quantity of liquid must be large in proportion to the size of the object. If the process does not go on quickly enough, the liquid must be re- newed. Chromic acid hardens much more rapidly than bi- chromate or Midler's liquid, from two to five days being often enough for the former, while as many weeks are required for the latter. Its greatest disadvantage is that the tissue be- comes brittle if it is left in it beyond the time that is neces- saiy. It is, on this account, a good plan to transfer the objects to common alcohol before they have acquired the requisite consistence. The alcohol not only serves to com- plete the hardening, but to preserve the objects in a state fit for use. For some tissues, chromic acid is not suitable to begin with, e. g., retina, ovary, or kidnej^s. For all these organs, the bichromate of potash must be used. After two or three weeks they are transferred to chromic acid or alcohol, to complete the hardening. Embedding. — It has been several times mentioned that small portions of hardened tissues must be embedded. This is effected by immersing the bits in a fluid mass, which can be rendered solid either by cooling it or depriving it of water; the purpose being, first, to render it possible to hold the bit, and secondly, to facilitate the cutting of sections equally thin throughout. Mixtures are used of stearin and oil, stearin and wax, paraffin and oil, paraffin and wax, paraffin spermaceti and oil, wax and oil, gum arabic, gelatin, gelatin and glycerin. Among the fatty mixtures, the best, cheapest, and easiest to prepare, is wax and oil. Next comes the mixture of paraffin spermaceti and oil. For portions of tissue which have an un- even surface, especiall}' if the inequalities are close together, embedding in gelatin or gum is more to be recommended, especially to those who have not had much practice. Embedding in Wax and Oil. — For this purpose pure white wax and pure olive-oil should be used. Equal quantities of these ingredients are warmed in a capsule till all the wax is fused; they are then thoroughly mixed with a glass rod. It is better to prepare a considerable quantity at a time, although only very little is required for one embedding. The propor- tion of wax to oil depends on the consistence of the object to be embedded ; the more wax being employed the firmer the object, and vice versa. When sections of compact tissues (e. g., glands of the organs of digestion, trachea, larynx and muscle, bone, the eye and its appendages) are to be made, the mode of procedure is as follows: If the organ has been hardened in alcohol, an oblong bit must be cut from it with a razor, in- cluding the part of which it is desired to make sections. If 104 METHODS. it has been hardened in any aqueous solution, e. g., chromic acid or bichromate of potash, it must be first steeped in com- mon alcohol. According to the size of the bit, a little box or case, of paper or any suitable material, such, for example, as zinc-foil, must be made, so that it will hold the fused mixture. "When paper is used, the sides are joined with gum or paste, or are merely pinned together. The box should be about half as loiii; again as the object used. When read}-, it is filled with the fused wax-mass to a depth sufficient to cover the object. As soon as the mass begins to solidifj' at the sides, the bit is introduced as follows: A needle is stuck slightly into the end opposite to that from which sections are to be cut, and the bit is plunged into the mass with its long diameter hori- zontal, and in such a position that the end furthest from the needle is near, but not in contact with, the side of the box, and, consequently, the other end is at a considerable distance from the side. In this way, although the whole is surrounded with the wax mass, there is a greater thickness around the end into which the needle is stuck, so that the whole can be se- curely and conveniently held. The solidification can be accel- erated by immersion in water or alcohol. If the portions of tissue are compact enough, it is possible to perforate the bit with a very slender needle, the point of which is stuck into the table or cork on which the box rests; by this means the ope- rator is saved the trouble of holding the needle till the wax- mixture solidifies. In finally withdrawing the needle, the greatest care must be taken to give it a twisting motion, as otherwise, especially if the object is thin, it is apt to be dis- placed. If the object contains a cavity communicating with the surface by a single opening (e. g., the cochlea), it is neces- sary first to fill the cavity with the mass : this is done either by placing it in vacuo, or by making an additional opening. If a thin membrane is to be embedded, of such tenuity that a needle could not be introduced without danger of destroying it, the following methods may be used: (1) A box is half filled with the mass, and then, as soon as it begins to solidify, the membrane is applied to the half-solid surface, in such a position as is most suitable with reference to the direction in which the section is to be made. The box is then filled with a thoroughly fused mass, care being taken that it is not too hot. (2) The fused mass is allowed to drop on an object-glass or a thin flat piece of cork, so as to form a layer thick enough to serve as a basis for the object, which is then laid upon it and covered with an additional layer of wax-mass. If an object-glass is used, it must be first covered with turpentine, otherwise it will be difficult to remove the solidified mass from it. In all cases the surface of the object must be nearly BY DR. KLEIN. 105 dried before embedding, otherwise the mass will not adhere to it. As regards the other fatty masses, the only one which can be recommended is a mixture of five parts paraffin, two parts spermaceti, and one of lard. It is, however, decidedly inferior to the mass of wax and oil. Embedding in Gum or Gelatin. — It has already been stated that objects with delicate projections in close proximity to each other (e. g., papillae or villi), can be better embedded in gum or gelatin than in wax and oil. The wax-mass, in solidifying, does not penetrate between the projecting parts, so that they are unsupported, and consequently are apt to be broken off in making sections. Gum is solidified by immersion in alcohol, gelatin by cooling : in both cases the process is so slow that the mass has time to penetrate between the inequali- ties of the surface of the object. The gum or gelatin solution must be concentrated ; to the gelatin a little glycerin should be added. I think gum preferable, first, because the consist- ence of the solid mass can be varied according to the time it is left in alcohol ; and even if it has already become too hard, it ma}r be softened b}' adding to the alcohol a few drops of water. No such modification is possible in the case of gelatin. It is also more easy to make sections in gum than in gelatin, the elasticity of which is a great disadvantage. On the other hand, it is easier to embed in gelatin, and the time required for solidification is much shorter. The method of embedding in gum is as follows : A thick solution of powdered and sifted gum arabic is prepared in a beaker, and allowed to stand in a water-bath until all air-bubbles have collected at the surface in the scum, which must then be removed by skimming ; after which the solution may be used. A little box of paper is then prepared, of suitable size, which is placed on a plate of cork. The bit to be embedded is then stuck through with a needle, the point of which is thrust into the cork through the bottom of the box ; the same rules being followed as regards the posi- tion of the bit in the box as in embedding in wax-mass. The whole is then transferred to a glass capsule. As soon as the bit is nearly dry at the surface, the solution is poured along a glass rod into the box until it is full to the brim. Alcohol is then carefully poured into the capsule, until the little box is immersed to half its height. The whole must then be covered over and left for two or more hours. As soon as the gum be- comes opaque and white on the surface, which occurs in about the time mentioned, the whole mass can be immersed in alco- hol until it is brought to the required degree of solidity. The process may be accelerated either by changing the alcohol frequently, or by using absolute alcohol. If the mass is too hard, it can be softened by adding a drop or two of water to 10G METHODS. the alcohol, as has been already stated. When gelatin is used, the mode of procedure, so far as relates to the preparation of the solution, is similar. The bit having been fixed into the box and surrounded with the solution, the whole is allowed to stand until it becomes solid. Whichever material is used, the mass is freed from the paper box as soon as it has acquired sufficient firmness, and the ends of the needle are snipped off above and below. Preparation of Sections of Hardened Tissues. — For making sections, razors are most used. Other instruments are also employed, the purpose of which is to make up for want of skill in the operator. The principal ones are Valentin's knife, the microtome of Hensen, that of His, another micro- tome lately described by Brandt, and the section cutter of Stirling, lately improved by Rutherford. Of these, the most useful is that of His, which has the advantage that it is possi- ble to cut with it successive sections of an organ in equidistant planes, parallel to each other, with the greatest exactitude. The razor or section knife, in the hands of a skilful operator, is superior to any of these contrivances. The knife I use is of the form shown in Fig. 1 G. The blade measures eight inches ; the wooden handle is massive, so that it can be firmly grasped. One side of it is flat, the others slightly concave, it is thus ex- tremely thin to a considerable distance from the cutting edge. When sections are to be made of objects embedded in wax- mass, the knife must be wetted with common alcohol, in which liquid each section must be immersed as soon as it is made. Sections of objects which have been embedded in gum or gela- tin must be placed in water, but the knife wetted with alcohol. Coloring of the Sections. — It is quite unnecessary to refer to all the colored liquids which have been used for stain- ing. It will be sufficient to describe the mode of using carmine and anil in. Carmine. — The most simple solution for the purpose is the following: Two grammes of carmine in fine powder are tho- roughly mixed in a beaker, with a few drops of water. Four cubic centimetres of liquor ammonhe are then added, and forty- eight cubic centimetres of distilled water. The liquid is filtered into the stoppered bottle, in which it is to be kept. The bottle is then left open for a few days, in order to get rid of the excess of ammonia. One or two drops of this solution are introduced into a watch-glass, and diluted with distilled water to such an extent, that when it is placed on a written or printed sheet of paper, the letters can onl}rjust be distinguished through it. The sections are immersed in the diluted liquid till, on inspec- tion, they appear to have the tint desired. Prolonged steeping in dilute solution gives, as a rule, better results than rapid straining in strong solution; for, in the former case, although BY DR. KLEIN. 107 the color is less intense, the different tissues are rendered dis- tinct by the different degrees to which they are stained. I use the carmine solution for this purpose as follows: The sections, having been allowed to remain for twenty or twenty-four hours in a liquid consisting of one part of carmine solution and nine to twelve parts of distilled water, are washed for a short time in distilled water, and transferred either to glycerin (if it is in- tended to mount them in this medium), or to alcohol (if they are to be mounted in Dammar). If the sections have not been previously in alcohol, it promotes the staining to put them for a few minutes into that liquid. If it is intended to preserve the sections in gtycerin, it is desirable to add a few drops of it to the staining liquid. The well-known liquid used by Beale for staining fresh tissues may be also employed for staining sections; but, in preparing it for this purpose, the alcohol may be omitted. The composition of Beale's liquid is as follows: — Beale's Solution. — Ten grains of carmine are heated in half a drachm of liquor ammonia?. As soon as the liquid is cold, two ounces of distilled water, two ounces of pure glycerin, and half an ounce of alcohol are added. The solution is then either filtered or decanted from the undissolved carmine. This liquid requires no dilution. A small quantity must be warmed in a watch-glass to get rid of the ammonia, and it is then ready for use. We shall find that, in the preparation of the mucous membrane of the stomach, it is of special value. Anilin — Anilin is used in aqueous and alcoholic solution ; the former being most useful. It is obtained by treating anilin blue with sulphuric acid. Two centigrammes of the soluble product are dissolved in twenty-five centimetres of distilled water, and twenty to twenty-five drops of alcohol. This solu- tion colors sections which have been in alcohol very rapidly. Picric Acid is used in very dilute solution for the purpose of staining sections yellow. Sections may be first stained in picric acid, then in carmine, in which case the muscles are col- ored yellow. Whatever the staining liquid employed, the sec- tions must be transferred, as soon as they are sufficiently col- ored, to distilled water with or without the addition of a trace of acid. Methods of Mounting Sections. — Sections maybe cov- ered either in glycerin, in mixtures of gelatin and glycerin, of glycerin and acetic acid, of glycerin acetic acid and alcohol, in Canada balsam, or in Dammar varnish. If glycerin is to be used, the sections should, if they have been in alcohol, be pre- viously placed in water. Glycerin alone, answers best for sec- tions of tissues treated with gold or silver. Sections of organs treated with osmic acid must be placed in acetate of potash. Very thin unstained sections of glandular organs and of con- 108 METHODS. nectivc tissue ma}- be temporarily mounted in glycerin, but cannot be preserved for a length of time in that liquid. All sections which are intended to be permanent, excepting those of tissues prepared by the gold or silver methods, must be mounted in Canada balsam or Dammar ; the last being preferable, as more easy to manipulate. It is prepared as follows: — Preparation of Dammar Varnish. — Half an ounce of gum Dammar in powder, is dissolved in an ounce and a half or two ounces of turpentine, and half an ounce of gum mastic in two ounces of chloroform. The two solutions are then separately filtered and mixed. This varnish so obtained is clear, and if exposed in a thin layer on a plate of glass solidi- fies rapidly. The sections which are to be mounted must be placed, for a quarter of an hour or more, in a capsule contain- ing absolute alcohol, which should be provided with a cover. Each section must be raised with the aid of a german-silver or copper lifter (the blade of which is then placed on blotting- paper, to remove the adhering alcohol), and transferred to a watch-glass containing oil of cloves. B}r this means it be- comes, in a few seconds, quite transparent. If it is colored, the color becomes more intense; if it is unstained, it becomes almost invisible. From the oil of cloves it is transferred by the same means to a drop of Dammar varnish, previously placed in the centre of an object-glass.1 If excessively delicate and thin sections are to be mounted, such, e. g., as sections of the retina, or of any thin membrane, it is not possible, without risk, to transfer them from one liquid to another. In this case it is, therefore, necessary to swim the section directly from the knife on to the object-glass, in which position they must be treated with the several liquids to be employed ; and each liquid must be allowed to fall on to the section, and, after producing its effect, removed by in- clining the glass, care being taken not to allow the object to float away at the same time. All delicate sections must be protected by the interposition, between the object and cover- glass, of a square of silver paper, with a window cut in it somewhat smaller than the latter. Methods of Preserving Preparations permanently. — Preparations which are to be preserved must be mounted 1 The lifter or spoon may be made by flattening the end of a copper or german-silver wire, and bending it at right angles. It is desirable to place the object-glass on a white ground if the object is stained, or on a black ground if it is unstained, in order that the folds, if present, may be seen and removed. If several sections are to be placed under one cover-glass, each section may be pressed gently down on the sur- face of the glass before covering ; the sections then adhere to the glass sufficiently to keep in their places. f BY DR. KLEIN. 109 permanently. Those which are in liquids, such as glycerin, acetate of potash, bichromate of potash, etc., must be sur- rounded with cement, in order to fix the cover-glass. For those which are in glycerin jelly, Canada balsam (neither of which, however, are to be recommended), or Dammar varnish, that is not neeessaiy. Various kinds of varnish are used for the purpose, such as Frankfort lac, asphalt, etc. I use always Dammar varnish. A streak of the varnish is placed on the edge of the cover-glass and carried all round it, with the aid of a glass rod drawn to a point, or a brush, care being taken that it extends only a very little over the cover-glass. Before apply- ing the varnish, the excess of liquid must be carefully removed with blotting-paper from the edge of the cover-glass. I dis- pense with the instrument frequently used for mounting, for the following reasons : If the cover-glass is already fixed, as, e. g., in Canada balsam or Dammar preparations, any additional mounting is unnecessary. If it is not fixed, i. e., when the medium in which the preparation is contained is liquid, there is much greater risk of displacement with the machine than without it. It should always be borne in mind that the pre- servation of the preparation is of more importance than the outside setting. The other kinds of varnish may be used in- stead of labels, for writing on the glass the name of the pre- paration. If it is desired to preserve a preparation already covered in water and solution of osmic acid, or bichronmte of potash, etc., without removing the cover, so as to avoid risk of displacement, the best way is to irrigate it with glycerin or acetate of potash, until the one liquid is replaced by the other. The excess of liquid must then be removed with blotting- paper, and the cover-glass surrounded with Dammar varnish. If, l>3' inadvertence, the upper surface of that part of the cover- glass which is above the preparation has been smeared with glycerin or Dammar varnish, and it is desired not to remount it, the only way is to wait until the setting is dry. The spot can then be removed with a camel-hair pencil soaked in water if it be glycerin, or in turpentine and afterwards in alcohol if it be Dammar. 110 VASCULAR SYSTEM. CHAPTER VII. VASCULAR SYSTEM. Section I. — Methods of Injection. » Before describing the structure of the bloodvessels and lymphatics, an account will be given of the methods of inject- ing. The processes of injection may be divided according as they are used during life or after death. Methods of Injecting during Life. — The method of injecting the vessels of an animal during life has, hitherto, not been much employed. It may be practised either for the pur- pose merely of introducing into the circulation any suitable liquid containing coloring matters, or other substances in solution or suspension, or with a view to empt3*ing the vessels of their contents and substituting another liquid. For ex- ample, we have already seen that insoluble coloring matters are introduced in order to feed the colorless blood corpuscles and those of the connective tissue ; and we shall subsequently see that hy the injection of colored solutions, a "natural injection," produced by excretion of the ducts of certain glandular organs, may be obtained. (See Chapter X.) The most important insoluble coloring matters are vermilion, car- mine, and anilin, which are used suspended in salt solution, as described in Chapter I. p. 26. Insoluble Prussian blue, as precipitated by the gradual addition of alcohol to the solution, can also be used in the same way. The methods are as follow : — Injection of the Frog during Life. — In a large frog, secured on its back, the abdominal vein is carefully exposed under a dissecting lens, in its course up the middle line of the anterior wall of the bell}'. A ligature is passed round the distal end of the prepared part and tightened. A small clip is then placed on the proximal end, and a ligature passed under the vein between the two, which is looped, but not tightened. The vein having then been opened just beyond the loop, with a pair of sharp scissors, a fine glass canula is introduced in the direction of the circulation. The loop is then tightened round the canula and knotted. The canula must now be filled, with the aid of a capillary pipette, with salt solution, and connected by a bit of india-rubber tubing with a brass syringe, in doing which great care must be taken BY DR. KLEIN. Ill not to tear the canula out of the vein. If it is desired to continue the injection for some time, it is better to employ the pressure of a column of liquid, for which purpose the following arrangement must be used: A moderate-sized flask, contain- ing the injection liquid, is supported on a retort-holder at a height of about two or three feet above the table. The flask* is fitted with a cork, in which two tubes are fixed, the one being straight for the admission of air, the other bent so as to form a syphon, the short leg of which dips under the level of the liquid. To the other end an india-rubber tube, furnished with a screw-clamp, is fitted, long enough to reach the canula. A current is now produced along the tube by suction, which can be regulated b}' the clamp so as to allow the liquid to flow in a rapid succession of drops. The tube is then momentarily closed b3r a second clip, and connected with the canula. The clip on the tube is now opened and that on the vein removed. As soon as the injection is finished the vein is ligatured on the proximal side of the canula, which is then withdrawn. In long injections, it is of course necessary to open the peripheral end of the vein. If it is desired tq, estimate the quantity of liquid injected, a cylindrical bottle is substituted for the flask, which must be previously graduated. When the object in view is to replace the blood completely with salt solution (with or without coloring matter), it is better to introduce the canula into the bulbus arteriosus. Injection of small Mammalian Animals during life. — The animal is secured with the aid of Czermak's holder. (See Chapter XYI.) The external jugular is then exposed by a sufficient incision, and cleared of the sorrounding tissue with the aid of dissecting forceps. The vessel having been ligatured at the distal end of the prepared part, and a clip placed on it at the central end, the vein is opened by a small incision, and a proper canula inserted and secured with a ligature. The canula is then filled with salt solution with the aid of a capillary pipette, and connected either with the syringe or the tube of the syphon previously described. Finally, the clip is opened, and the liquid allowed gradually to enter the vein. As soon as the injection is completed, the clip is immediately closed. Before the canula is removed, the vein is of course ligatured. If the quantit}r to be injected is small, it is simpler to use a small subcutaneous syringe, in which case all that is necessary is to compress the vein imme- diately above the clavicle, and to pierce it, when distended, with the point of the canula. The pressure having been discontinued, the liquid is at once injected. The aperture must be seized by means of clip-forceps as the canula is with- drawn, so as to prevent bleeding. 112 VASCULAR SYSTEM. Injection after Death. — The materials used for this pur- pose are Prussian blue, carmine, and nitrate of silver. Prussian blue, like carmine, can be injected either in solu- tion or suspension in water, or in solution in gelatin. Silver is mostly used in solution in water. Soluble Prussian blue, which is more used for injection than any other coloring matter, is prepared according to the method of Briicke. 217 grammes of ferro-cyanide of potassium are dissolved in a litre of water iu a large flask (Solution A). In another flask a solution (B) of chloride of iron is prepared, containing one part of the salt in ten parts of water. A third solution (C) is prepared of sulphate of soda, which must be saturated. Equal parts of the solutions A and B are mixed, each with twice its bulk of C. The chloride of iron mixture is then poured slowly into the mixture containing the yellow prussiate, care being taken to stir constantly during the addition. The precipitate having been allowed to settle, the greenish supernatant liquid is poured away, and the residue thrown into a flannel strainer. The blue liquid which passes through is returned to the strainer until it become^ transparent. Thereupon what re- mains on the filter is washed with water until what passes through is of an intense blue color. The filter is allowed to drain completely, and then placed between shreds of blotting paper, and left to dry gradually in a sufficiently cool place. It is then broken up into small fragments and kept in a glass bottle. The blue material so prepared is perfectly and readily soluble in water. A two per cent, solution of this material may be used either at the ordinary temperature or at the temperature of the bod\r. It can be injected with great facility. When it is used with gelatin, the mass is prepared by adding five parts of the fil- tered solution above mentioned to one hundred parts of solu- tion of gelatin, containing one part of gelatin to eight of water. The gelatin is first dissolved in the water over a water- bath in a porcelain dish ; the hot solution is then filtered through flannel or fine calico, it is replaced on the water-bath, and the blue liquid is gradually added to it with constant agitation. [There are some other blue liquids of the same kind in use : "Beetle's Prussian blue fluid" is prepared as follows : Take one ounce of common glycerin, one ounce of spirits of wine, twelve grains of ferro-cyanide of potassium, one drachm of tincture or solution of perchloride of iron, and four ounces of water. The ferro-cyanide is dissolved in half an ounce each of water and glycerin, and the iron mixed with similar quanti- ties of both ingredients. The chloride of iron mixture is thereupon added gradually to the ferro-cyanide, with constant agitation. Finally, the spirits of wine, and the remainder of BY DR. KLEIN. 113 the water are added gradually. " TurnbulV 's Blue." — Ten grains of protosulphate of iron are dissolved in an ounce of glycerin diluted with a little water. Thirty-two grains of ferro- cyanide of potassium are dissolved in the same quantity. The iron is then added to the red prussiate with constant agitation. Beale modifies this formula by substituting five grains of sul- phate of iron and ten of the red prussiate for the quantities above stated, and adding to the mixture an ounce of water and a drachm of alcohol.] Carmine. — A mass which is fluid at ordinary temperature is prepared, according to Beale, as follows : Take five grains of carmine, half an ounce of glycerin containing eight or ten drops of acetic acid, one ounce of pure glycerin, two drachms of alcohol and §ix drachms of water. The carmine is first mixed with a little water containing about five drops of ammo- nia. Half an ounce of pure glj'cerin having been added to this liquid, it is shaken in a flask, and then gradually poured into the acidulated glycerin, with constant .agitation. If the mixture is not distinctly acid, a trace of acetic acid is added to the remaining half ounce of glycerin, which with the alcohol and water is then gradually added to the rest. It is necessary to prepare this mixture each time that it is used. The alcohol may be omitted altogether without detriment. Carmine is usuall}- emplo}'ed in solution of gelatin. The following liquids are to be recommended : — Ge7-lach,is Carmine Mass. — Sixty-nine grains of carmine are dissolved in seventy grains of water with eight drops of liquor ammoniae. The solution, having been exposed to the air for several days, is mixed with a solution of one and a half drachm of gelatin in one and three-quarter drachm of water. A few drops of acetic acid are added to the warm mixture. Dr. Car- ter's Carmine 3fass. — Take sixty grains of carmine, 120 grains of liquor ammonias, eighty-six minims of glaciai acetic acid, two ounces of solution of gelatin, containing one part in six, one and a half ounce of water. The carmine is dis- solved in the ammonia and water and filtered. The filtrate is added to one and a half ounce of solution of gelatin. The other half ounce is mixed with the acetic acid, and added gut- tali in to the rest, with constant agitation. I found this mass answer extremely well with the following modification: Four grammes of carmine having been sus- pended in a few drops of water, eight cubic centimetres of liquor ammonia? and forty-eight cubic centimetres of water are added. As soon as the carmine is dissolved, the liquid is fil- tered— a process which requires several hours. A gelatin so- lution, containing one part in eight of gelatin, is next prei)ared and filtered through fine calico. The carmine solution is added gradually to two ounces of the filtrate, which is kept warm 8 114 VASCULAR SYSTEM. over the water-bath. Forty or fifty minims of glacial acetic acid are then added to another half ounce of warm gelatin solu- tion, which is mixed gradually with the rest, with constant agitation. Before the whole of the acid gelatin is added, the mixture changes its color from bright red to dirty red. I>y the addition of the last drops, the mass acquires the slight acid reaction which is necessary to render it indiffusible in the tissues. Silver Solution. — The solution of silver used for injection contains one-quarter or half per cent, of the salt. Apparatus and Instruments. — Syringes of the ordi- nary form answer well. They may be made of brass or German silver. They are, however, now used only for special purposes, e. g., for the injection of very small organs, and are open to the objection that much practice is required in order to regulate the pressure in such a way as to insure success; deficient pressure rendering the injection imperfect, too much producing extravasation. In general, and indeed in all cases in which it is desirable that the pressure should be constant throughout, the apparatus to be hereafter described must be used. Canulas. — When the syringe is used, it is better to employ metal canulas than glass ones. The former consist of three parts (Fig. 17), viz., a collar, with two cross arms, and a tubular beak. The beak is bevelled at the end, and is grooved at a short distance from the bevelling. The dimen- sions of the whole are accurately shown in the drawing. The point must be carefully rounded. The nozzle of the syringe is plugged into the collar, and is fitted with a stopcock, in order to prevent the mass from returning after the injection is completed. This object can also be answered by a ligature, but in many cases this would be difficult from want of space. Three or four such canulas with beaks of different calibres are necessary. Glass canulas should be made of the following form : A tube is drawn out in such a manner that it tapers to a degree which varies according to the size of the vessel into which it is intended to be introduced. The end must be trun- cated and smooth, and must have a constriction at a distance of about three millimetres. The large end should also be a little drawn out, so that an India-rubber tube can be easily slipped over it, and secured. The various forms of apparatus for injection all depend on the principle that the pressure which is required for injecting is produced by the influx of water or mercury into a closed vessel. The mechanical arrangements employed for this pur- pose are as follow : A bottle containing water is suspended by a pulley, so that it can be raised to any required height. From a tubulature near the bottom a flexible tube issues, which reaches to the table, and is connected with a glass tube, BY DR. KLEIN. 115 ■which is fitted by a cork into one of the tubulatures of a large WoolfTs bottle, the bottom of which it almost touches. In the other neck of the bottle a cork is also fitted, which con- tains a short glass tube bent at the top ; this is connected by a flexible tube with the stem of a T-shaped tube, one branch of which leads to a manometer, the other to a second smaller "WoolfTs bottle, in which the injection mass is contained. The long flexible tube which leads from the suspended bottle must be furnished with a clamp, and another is required on the tube which connects the T with the injection-flask. Another ar- rangement consists of a large flask holding several gallons, in the mouth of which a large India-rubber stopper can be fitted. At the bottom there is a side tubulature (for discharging the water when necessary), into which a second stopper must be fitted. The stopper contains a strong glass tube, having a bit of India-rubber tube fitted to it, guarded by a strong clamp. In the large stopper are two glass tubes, one of which is short, not extending beyond the neck, and bent at the top; it is con- nected with a T tube, which corresponds to the one employed in the apparatus first described. The second tube is of the same form as the first, and communicates with a supply-tap. In other forms of apparatus rnercury is used. The apparatus may then consist merely in a single WoolfTs bottle, into one of the necks of which a rose funnel is fitted, reaching to the bottom. The other neck contains a short bent glass tube, which communicates with the T tube as before.' In all forms of apparatus for injection, it is necessary to take the greatest care to make all the junctions absolutely air-tight. The injection mass is always contained as above described in a WoolfTs bottle, which should be previously graduated, so that the operator may know as he proceeds how much has been injected. One of the necks of the bottle is in communi- cation with the T tube, by means of a short glass tube fitted with a caoutchouc connector, which does not reach below the vulcanite stopper in which it is fixed. In the other, a long tube is contained, the end of which reaches to the bottom of the bottle, while the top communicates with the canula. If a metal canula is used, the India-rubber tube is fitted on to the stopcock. If the canula is of glass, it is guarded by a screw- clamp. When the organ or animal to be injected is small, it answers well to use the syringe as a compression air-pump, by con- necting it with the short tube of the WoolfTs bottle. The superiority of this method over the direct use of the syringe 1 Of the more complicated forms of mercurial apparatus, that devised by Hering (which is to be had of Heinitz, instrument maker in Vienna) is undoubtedly the best, and answers all requirements. A description of it will be found in the Wiener Sitzungsberichte. 116 VASCULAR SYSTEM. is obvious. The inequalities of the pressure, which are its chief disadvantage, are annulled by the elasticity of the air contained in the bottle, which serves as a kind of cushion. 'While the operator fixes his attention on the canula, an assistant gradually injects air into the bottle until the con- tents of the syringe are discharged. The tube must then be closed with a screw-clamp, and the operation, if necessary, repeated. "When warm masses are used, it is commonl}' necessary to place the injection-bottle in a water-bath, kept warm by a spirit lamp. It is also desirable to keep the object warm, for which purpose it is placed on a plate of glass over a water- bath ; or (as in Ludwig's arrangement) a warm chamber of metal supported on a tripod is used, which is large enough to hold both the animal and the bottle containing the injection. It is furnished with a cover and air opening for the admission of the compressed air. In order to illustrate the method more completely, I will describe three injections. In the first of these examples the syringe is used in the ordinary way ; in the second it serves as a pump for the injection of air into the "WoolrTs bottle con- taining the mass; in the third, the apparatus is used. Sup- pose that it is desired to inject the kidneys of a small mammal with cold two per cent, solution of Prussian blue. The animal having been just killed by bleeding, the abdomen is opened and the whole mass of intestines pushed aside to the right. The left renal artery is then separated from surrounding parts with the aid of two pairs of ordinary forceps without any cut- ting instrument. A silk ligature is placed round the artery, and looped near to the point at which it enters the kidney. The vein is next prepared in the same way, and a ligature placed round it close to its junction with the vena cava. By drawing on the renal vein, it is easy to make a valvular open- ing with fine scissors. The artery is similarly opened short of the loop, and the metal canula with its stopcock intro- duced, the edge of the incision being held aside with the for- ceps. In making the opening and inserting the canula, the greatest care must be taken to avoid rupturing the artery or cutting it through with the scissors. The moment that the canula is in the artery, the loop must be tightened round the groove. The canula and nozzle are then filled with half per cent, salt solution with the aid of a capillary tube : the syringe is charged with the liquid and connected with the nozzle. In injecting, the piston must be slowly pushed forwards. As soon as the organ becomes blue, and the liquid appears to pass unmixed from the opening in the vein, I stop, and then direct my assistant to close the vein with a clip, or to tighten a loop previously placed round the vessel for this purpose. This BY DR. KLEIN. 117 done, I make one push more with the piston, turn the stop- cock of the nozzle, and take away the syringe. I will next describe the injection of a whole animal, such as a rat or a small rabbit, with carmine gelatin mass. The animal is killed b}- inhalation of chloroform. A window is then cut out in the left wall of the chest, just large enough to expose the heart and the roots of the great vessels, taking care not to carry these incisions so near the middle line as to endanger the internal mammary artery. A fold of pericardium having been taken up with the forceps and divided, the apex of the heart is raised out of the thorax and pierced with a threaded needle through both ventricles. By the thread which has been brought through, the apex is then drawn downwards by an assistant, while the root of the aorta is cleared with the aid of two pairs of dissecting forceps. A ligature is then passed round it close to its origin, and looped. Thereupon the wall of the left ventricle is opened near its base, and as soon as blood has ceased to flow, the canula is passed into the aorta, to such a distance that its neck can be grasped by the ligature, which is then tightened. The blood in the canula is then re- moved with a capillary pipette, and filled with saline solution with another pipette, and an opening is made in the right ventricle. Up to this time the animal has been allowed to remain on a plate. The plate is now placed on a support, at a level which nearly corresponds with that of the WoolfFs bottle, in which the mass is contained, which is kept warm by immersion in a water-bath, heated by a spirit lamp. The noz- zle having been connected with the discharge tube of the flask by an India-rubber tube, and the syringe (the piston of which has been drawn up) with the other opening in the WoolfTs bottle, an assistant injects a little air so as to fill the discharge tube up to the orifice of the nozzle. The stopcock is then closed, and the point of the nozzle inserted in the canula. The stopcock having been reopened, the assistant pushes on the piston. As soon as the syringe is emptied, the screw-clamp between it and the injection bottle is tightened. Air is again injected, if necessary, in the same manner. If, however, a full- sized syringe is used, it is seldom necessary to repeat the pro- cess. When the vessels are sufficiently full, the heart is seized with strong clip-forceps, as near the base as possible, care being taken not to include the canula. The stopcock is then closed. As a third example may be taken the injection of the abdominal organs of a rabbit. The animal is decapitated. The whole of the left wall of the thorax is removed from the flanks forwards as far down as the costal origin of the anterior half of the diaphragm. The left lung and the heart having been drawn aside to the right, the thoracic aorta is prepared 118 VASCULAR SYSTEM. with two pairs of dissecting forceps as far down as possiMe. A ligature having been passed round the vessel and looped, and the vessel slit open, the canula is introduced and the ligature tightened. The canula having been then cleared of blood and filled with saline solution, the plate on which the animal lies is put into the warm chamber which contains the injection bottle. This bottle, which is charged with the warm Prussian blue mass, is connected with the pressure bottle, the manometer of which indicates a pressure of 00 to 120 milli- metres. It is, however, not in communication with it, for the connecting tube is closed by a clamp. This clamp is then slightly opened for a moment, so as to fill the discharge tube to the orifice, and immediately closed, the stopcock being shut at the same time. The nozzle having been inserted into the canula, the stopcock and clamp are simultaneously opened. The cover of the chamber is put on and the injection allowed to proceed, all that is required being to maintain the pressure in the apparatus as nearly constant as possible. When the injection is complete, a clip is placed on the vena cava, near its mouth, and the stopcock shut. [The special methods to be used for the injection of particular organs, and the methods of double injection, will be given under the proper heads.] Injection with Solution of Nitrate of Silver. — It is preferable for this purpose to work with the apparatus, as it is necessary to employ a considerable pressure. As soon as the injection is completed, it must be replaced by water. This is effected by substituting a flask containing water fo rthat used for the nitrate of silver solution. The vessels must be thoroughly streamed with water, otherwise the endothelial markings are concealed by the quantity of precipitate which is formed. Treatment of Injected. Tissues. — Organs injected with colored masses must be suspended in ordinary alcohol in a breaker. If a whole animal has been injected, the body must be left to cool for half an hour or more. It must then be trans- ferred to a large vessel containing common alcohol, to which a few drops of glacial acetic acid have been added. It is a good plan to transfer animals which have been injected with gelatin masses to ice-cold alcohol, immediately after the com- pletion of the injection; great care being taken in this, as in every other case, to secure the artery and vein so as to avoid all risk of escape of the mass. Section II. — Structure op the Bloodvessels. Endothelium. — The simplest method of demonstration is to color the internal surface with silver. If the vessels are of BY DR. KLEIN. 119 large size, they are prepared as follows: A portion of the vessel taken from the freshly killed animal is washed with di- luted serum and then dipped for a few minutes in half per cent, solution of silver. Its internal surface is then exposed to light until it acquires a brownish-yellow color. If the mus- cular wall is thick, the intima must be separated by the meth- od previously described (Chapter III. p. 48) and covered in gh'cerin, with its endothelial surface upwards. If the vessel is thin-walled, e. y., the vena cava of a small animal, it can be covered without an}r preparation. For the endothelium of capillaries in the kidney or bladder, or in the serous mem- branes, the best results are obtained by injection of the solu- tion of nitrate of silver. In the serous membranes, however, e. ticosae, are severally to be studied. The crystalline lens, with its several parts (capsule, epithe- lium lining the inner surface of the anterior portion, and the constituent fibres of the lens itself) should be made the subject of careful observation. The hyaline capsule, with the above- mentioned epithelium, can be demonstrated in a perfectly fresh preparation, in humor aqueus. The structure of the lens fibres may be made out in preparations from the lens of a fowl, or of some large mammal, macerated in very dilute sulphuric acid (one or two per cent.). The fibres exhibit a striated appear- ance, and, if they are sufficiently separated from each other, it may be seen that each possesses a spherical nucleus. In preparations of the same kind from the portion of the lens which corresponds to the margin between the anterior and posterior half of the organ, every stage of transition of the epithelium which lines the anterior part of the capsule, into true lens fibres, can easily be made out ; the elements be- coming progressively more and more elongated, and their nu- clei more and more distant from their bases. The best way to ascertain these facts is by means of sections, which show also that, posteriorly, the lens fibres are in immediate contact with the capsule. Vertical sections display the very regular mosaic due to the cutting across of the long, hexagonal fibres. They may be made after the lens has been hardened in solu- tion of chromic acid (one-tenth per cent.), or bichromate of potash (one-half to one per cent.). The hardening ma}' also be effected by exposing the lens to the air, and allowing it to become almost dry : sections so obtained must be mounted in glycerin. The structure of the corpus vilreum, consisting as it does of a perfectly hyaline gelatinous matrix, with a few extremely pale, small spheroidal cells imbedded in it, may be investigated in the fresh organ, but better in sections made after the bulb has been hardened in a one-eighth to one-half per cent, solution of chromic acid. The staining of the sec- tions with carmine or aqueous solution of anilin will prove very useful for the demonstration of the cellular elements. The retina presents, perhaps, a more difficult task to the histologist than any other organ ; the investigation of even the simplest relations of its constituent elements requiring much time and patience. The introduction of the perosmic-acid method of preparation, however, has, within the last few years, considerably bridged over our difficulties in this respect. BY DR. KLEIN. 158 The most useful preparations are those made with needles. The carefully excised fresh eye of a frog, newt, rabbit, ox, calf, or pig is divided into an anterior and posterior half. The latter is placed for from twenty-four to forty-eight hours in a one-tenth per cent, solution of perosmic acid, in the dark; thence it is transferred to distilled water for twenty-four hours. After this period small portions of the retina are snipped off and teased in a drop of nearly saturated solution of acetate of potash and mounted in the same fluid. The frog's retina in particular is extremely valuable for the study of the rods and cones with their outer and inner portions, the radial fibres, the nuclei of the outer and inner granular layers, and the nerve fibres and ganglion cells, all of which are much better seen than in retinas which have been macerated in Midler's liquid. When the object is to study the relations to each other of the different strata in the retina, either of the two following pro- cesses may be employed : — 1. The posterior half of the bulb (or, when small, the whole bulb, after two or three punctures have been made in it), is placed in a two per cent, solution of perosmic acid in the dark for twenty-four hours : it is then removed, and small, oblong pieces are cut from it with a razor (these including, of course, besides retina, corresponding portions of sclerotic and choroid), and placed in alcohol for twent3r-four hours or more, until they have attained sufficient consistence for sections to be made from them after embedding. The sections should be mounted in acetate of potash as before. This method answers very well for the retina of the rabbit, calf, or pig. 2. The other plan, which must also be looked upon as a good one, is the treatment with Midler's liquid. The entire bulb of one of the above-mentioned animals is placed in this liquid, having previously been punctured at two or three points. After from three to five weeks it is taken out, and cut into an anterior and a posterior half. From the portion of retina belonging to the latter, an oblong piece is removed with fine, sharp scissors (it is generally pretty easy to do this without involving the sclerotic and choroid, since the retina has usually become more or less separated from the latter by the action of the fluid), and transferred for a few days to ordi- nary spirit. From this it is put into dilute carmine solution for twenty-four hours, then washed in acidulated water, and, finally, after half an hour's or an hour's immersion in absolute alcohol, is embedded in the manner previously described (Chapter VI.). The sections are transferred in the manner there indicated from the razor to the object-glass, on which, after proper treatment, they are to be mounted in Dammar. A skilful manipulator can obtain good results with this method. Very thin sections show, in a sufficiently clear man- 154 ORGAN OF HEARING. ner, the general arrangement of the rods and cones, and their illation to the elements of the outer granular layer, that of the intermediate layer to the granules of the inner granular layer; the finely granular layer, and the relation of its fine fibrilla? to the fibrils of the inner granular layer on the one side and the processes of the ganglion cells on the other; and finally, the layer of nerve fibres. The general arrangement of the radial fibres, or, rather, bundles of radial fibres, may be also made out : each bundle, attached to the Umitans interna by a broad basis, enters the finely granular layer, thence pass- ing through the inner granular layer (where the bundles be- come ramified, and inclose nuclei), then on through the inter- mediate layer and outer granular layer (where again ramifica- tions and junctions are met with) to become attached, finally, to the Umitans externa. (See description of Figs. 139 and 140). Organ of Hearing. — The outer part of this organ, including the external ear, meatus, and Eustachian tube, should be studied in portions taken from a 3'oung human subject. To prepare the membrana tympani (human, or from a cat or dog), it must be exposed b}" the aid of saw and bone-forceps — a manipulation requiring an accurate knowledge of the topo- graphical details of the temporal bone. This done, the mem- brane is excised, and either stained with silver at once, to show the epithelium of the two surfaces, or pencilled on its outer surface with a brush moistened with serum, to show the lymphatics. If the gold method is used, the epithelium is also pencilled on the outer surface, and the membrane immersed in the solution from half an hour to an hour. It must then be treated in the usual way. The study of the membranous labyrinth, especially the canal of the cochlea and the semicircular canals — is a matter re- quiring an immense deal of care and practice. It should be undertaken both in foetal and adult organs. For the examina- tion of it in the embyro, a foetal calf or pig from ten to fifteen centimeters long may be used. The whole cartilaginous laby- rinth may be readily separated from the rest of the skull after the maceration of the latter in solution of bichromate of potash (half to one per cent.) for a week or two. After separation it is placed in spirit for a few clays. A second opening (besides the already existing fenestra rotunda) should then be made on the side opposite to it, or, better, at a point corresponding to the top of the cochlea. The whole organ is now stuck on a needle and immersed in a warm — but of course, not hot — mixture of wax and oil, so as to fill up, at least in part, the canals which exist in the organ ; this is then embedded in the ordinary way, marks being made on the mass for the purpose of indicating the exact position of the preparation. Sections BY DR. KLEIN. 155 are then made in succession across the axes of the several canals, and are stained in weak carmine. Such sections, being readily obtained in a perfect state in the foetus, serve as a most valuable key to the stud}' of the adult organ. The fully-developed organ is best studied in the ear of a small dog, guineapig, or new-born child. From the fresh jaw of the guineapig the whole of the petrous portion of the temporal bone can readily be removed, and placed for a week or fortnight in a half to a quarter per cent, solution of chromic acid, to which a few drops of hydrochloric acid has been previously added, the liquid being changed once or twice during that time. The cochlea is then removed, and after remaining in spirit for a few days, is filled with a mixture of wax and oil under the air-pump. Sections are prepared as before, after embedding. A second mode should also be employed, which is as follows : A horizontal section is made through the organ after removal from the spirit, so as to expose all the turns of the cochlear canal. Both halves are then embedded in gelatin solution, to •which a few drops of glycerin has been added, as mentioned in Chapter VI. The transparency of the gelatin enables us to be sure of the direction of our sections. These are placed first in warm water, to remove the gelatin. They may be then mounted in glycerin, or replaced for a short time in spirit, stained with carmine, and mounted in Dammar. I would, however, advise the student not to risk the manipulation required for the latter process, but to mount in glycerin at once after the warm water ; for the section, if it is as thin as it should be, would stand a considerable chance of injury. For the stud}'' of the organ of Corti, thin vertical parts of sections must be sought for in which the lamina spiralis near that organ is seen to be cut exactly across: this is more par- ticularly the case when the situation of the rods of the arch of Corti, the arrangement of the cells of Deiter and the ciliated cells, and the distribution of the nerves of the membrana basi- laris, are .under examination. To show the elements of the membrana reticularis, and the epithelium of Reissner's mem- brane, more obliquely cut parts of the section are to be chosen, or even portions where a surface view of these structures is obtainable. Organ of Taste. — For the study of the organ of taste the tongue of the frog or rabbit may be used. In the former, our attention may be confined to the papillae fungiformes, the most important subject of observation being the topographical rela- tions of their cellular covering. The perfectly fresh organ is spread out with pins on a plate of cork, care being taken to avoid unequal stretching, and placed in very dilute chromic acid. Vertical sections are then made in the usual way. Another way is to color the fresh organ, spread out on cork as 156 OROAN OF TASTE. above, in chloride of gold. Half an hour's steeping in half per cent, solution is sufficient ; but it is necessary, before cx- posing the preparation in water, to stream it thoroughly with the same liquid, in order to avoid the subsequent formation of colored deposit on the surface. As soon as the tongue has assumed the proper color, it must be hardened in alcohol, for the preparation of sections which must be prepared in glycerin. In vertical sections of fungiform papillae the following parts are seen : In the axis of the papilla, along with the vessels, a nerve twig is observed, consisting of medullated fibres, which ascends towards the summit of the papilla, and there pencils out into nerve fibres. Each of these is seen eventually to end in a non-medullated fibre. Along the border of each papilla are seen muscular fibres which divide dendritically as the}' ascend. The covering of the flattened summit consists of a relatively thick layer, in which two strata can be distinguished. The more superficial of these is thicker and paler, and is finely striated in the direction of the long axis of the papilla. In thin sec- tions it can be recognized that this material consists of pale longitudinally striated cylinders. The deeper and thinner stratum consists of a ground-substance deeply stained both by gold and carmine, in which several layers of nucleus-like struc- tures are embedded. It can be made out in very thin sections (and also in teased preparations) that the cylindrical nucleated cells take part in the formation of both layers, the outer seg- ment of each cell contributing to form the outer stratum, the other, which contains the nucleus, the inner stratum. The outer segment of each cell is pale and finely streaked longitu- dinally, while the inner segment, which consists of granular protoplasm, is divided towards the papilla into branched pro- cesses, which unite with each other and with those of neighbor- ing cells. In preparations successfully stained with gold, it can further be made out, that the non-medullated fibres re- solve themselves into a network of extremely fine fibrils, which spread under the stratum of cells. No connection, however, has been demonstrated to exist between this network and the anastomosing branched processes above mentioned. The forms of the cylindrical cells should be also studied in teased prepara- tions. Strips of fresh mucous membrane are placed in the dark for from twent3'-four to fort3'-eight hours, in one-tenth per cent, solution of perosmic acid. The object having been steeped in water one or two daj's, shreds must be torn off the free surface of each strip of membrane, with fine sharp needles. Each of these shreds, having further been teased carefully with needles, must then be mounted in a drop of acetate of potash. Another method consists in macerating similar strips in iodized serum, solution of bichromate of potash, or very dilute solution BY DR. KLEIN. 157 of chromic acid (one-twentieth per cent.). The teased prepara- tions must be mounted in glycerin. At the edge which unites the dorsal and lateral surfaces of the tongue of the rabbit, a round or oval depression is seen, on the surface of which an arrangement of furrows with inter- mediate ridges are visible to the naked eye. If a vertical sec- tion is made of this part, in a tongue hardened in one-tenth per cent, chromic acid, in such a direction that the plane of section crosses the ridges, a meshwork of trabecular of striped muscular fibres, in the spaces of which the numerous mucous glands are embedded, can be recognized. The short ducts of these glands rise for the most part vertically, but occasionally obliquely to the surface ; alwa3rs opening into the splits between the ridges. So much of the mucosa as lies underneath the furrows and ridges, contains a great number of non-medullated nerve-fibres. Each ridge is covered with a laj'er of epithelium which becomes thicker upwards, i. e., towards the arete ; and on either aspect of each ridge, certain bodies are seen, embedded in the surface b}T which it looks towards its neighbor : to these the term taste goblets (Geschmacksbecher) has been applied. They are, as the term indicates, bell or cup-shaped structures, which are limited by a special layer of flattened epithelium cells, which in profile look spindle-shaped. Into the space inclosed within this layer, there projects from the mucosa a bunch of oblong spindle-shaped cells, which towards their bases appear to be divided. Each contains an oblong nucleus. The forms of the elements just described, and of those which constitute the outer wall or investment of each goblet, should be studied in teased preparations. The circumvallate papillae of the human tongue and of other mammalia exhibit similar structures. Organ of Smell. — Teased preparations can be obtained by macerating the olfactoiy mucous membrane of the frog or of mammalia in one-twentieth per cent, chromic acid, in Miiller's liquid, or iodized serum, or perosmic acid. The whole of the head of the frog, after removing the lower jaw, and opening the nares, is placed in the liquid. In mammalia, the nares can be opened in the middle line, after Avhich portions of the olfactory tract can be removed. For the preparation of sections, the parts must be kept in one-fifth per cent, solution of chromic acid, which must be renewed as often as necessary till the bone becomes soft. In teased preparations it is seen that there is no marked distinction between the ordinary coni- cal epithelial cells and the special spindle-shaped cells, recog- nized as olfactory epithelium: for they are connected together by a continuous series of transitional forms. The most char- acteristic form of the olfactory cells is drawn out at both ends, viz., towards the mucosa into an extremely slender filament, which exhibits granular swellings ; and towards the surface 158 EMBRYOLOGY. into a somewhat stouter fibre, which is streaked longitudinally, like the ordinary epithelial element, and like it, bears at its extremity a bunch of cilia ; but, as has been already said, exam- ples are met with, in which the special peculiarities arc wanting. In the frog, the processes of the epithelial elements appear to penetrate the mucosa, so as to form a network of fine trabe- cular The finest branches of the olfactory nerve are seen to tend towards this network, but have not been traced into actual continuity with the extremities of the so-called olfactory cells. The mucosa and its glands must be studied in sections. CHAPTER XIII. EMBRYOLOGY. In treating of the methods which are commonly employed in the study of general embiyology, we shall follow the same plan as in special histology ; noticing only those points which are of importance to the beginner. As is well known, three parts are distinguished in every mature egg: the vitelline membrane, the yolk or vitellus, and the germ. The last-mentioned is the essential part, and as- similates itself to the general idea of the cell, viz., an organism composed of protoplasm, which possesses the capability, under certain conditions, of performing amoeboid movements. In the protoplasm of the germ the germinal vesicle, a body analogous to the nucleus of other cells, is embedded; and within this lies the germinal spot, the analogue of the nucleo- lus. According as the two elements of the egg, which are inclosed by the vitelline membrane, viz., germ and yolk, exist separately from one another, or form a single bod}', eggs are subdivided into two large groups, viz., meroblastic eggs, in which the germ is separate from the }'olk — such as those of the bony fishes, scaly reptiles, and birds ; and holoblastic eggs, in which the germ itself contains the elements of the yolk — those of the cartilaginous fishes, amphibia, and mammals. In eggs of the first group, the germ lies upon the yolk in the form of a disk; for which reason it receives the name of blastoderm : formerly it used also to be termed (after Reichert) " formative yolk," while the yolk itself was called " nutritive 3'olk." The first process that claims the attention of the embryologist is cleavage. The fertilization of the egg sets this process going. It is called cleavage because the germ divides into two cleavage masses, each of these again into two, BY DR. KLEIN. 159 and so on, until the whole germ is divided into a number of globules, each of which consists of protoplasm inclosing a vesicular nucleus, and, like the entire germ, is endowed with the capability of performing amoeboid movements. These cleavage globules are called " embryo cells." Only the germ or blastoderm takes part in the cleavage, since this alone is endowed with amoeboid movement. Consequently in mero- blastic eggs the cleavage is said to be partial. In the holo- blastic, on the other hand, the whole egg divides, for the whole is germ ; it is, therefore, said to exhibit total cleavage. Study of the Process of Cleavage in the Ova of Fish and Amphibia. — The cleavage process should be studied, in the first place, in the entire ovum ; the knowledge thus gained being completed by sections of the germ at the cleavage time. Of meroblastic eggs, those of the trout are best suited for this study. Several such eggs are examined under the microscope in a watch-glass, in the water in which the}' have lain since undergoing fertilization, strong trans- mitted light and a weak magnifying power (90-100) being employed (see figs. 159-163). At the tenth hour after fertiliza- tion, the blastoderm appears, lying upon the yolk like a lid over a saucer-shaped depression ; the yolk, which forms the bottom of this cavitj', contains closely packed oil globules, which have become aggregated at this pole of the yolk since the time of fertilization. In the blastoderm amoeboid move- ments are observable. About the twelfth hour, the first cleav- age line appears. About the twenty-seventh, almost all the eggs show two cleavage lines crossing each other. Between this time and the end of the second day, eight segments may be distinguished ; so that four cleavage lines are now seen on the surface of the blastoderm. At the end of the seventh day the process of cleavage has progressed so far that the surface of the blastoderm appears beset with a number of bosses, like a mulberry. The cleavage process is far more easily studied in the holoblastic eggs of amphibia. If eggs of the frog or toad, freshly spawned, are placed under the micro- scope, in a small cell, which may be conveniently prepared upon a slide by means of putty, it is seen (especially in the case of the latter, where they are placed one behind the other in rows in gelatinous strings), that only a very few are spherical: generally one part of the surface is flattened: so that it frequently happens that, in a long row of eggs, alternating conical ones are met with. About the sixth or seventh hour after spawning, it can be seen by transmitted light that most of the eggs have become round. As this period of time ap- proaches, the amoeboid movement of the germ becomes more distinctly visible, presenting the appearance of an oscillation at some point or other within the vitelline membrane. This 160 EMBRYOLOGY. appearance gradually increases, until a slight indentation like a notch is seen at some part of the margin by transmitted light. This first notch fills up, but soon a similar notch occurs in another spot, which is permanent. By strong reflected light, if the egg lies in such a position that the white pole is directed downwards, a crater-like dimple may be seen on the surface. This dimple extends itself over the margin of the hemisphere, diminishing at the same time gradually in depth. It is called the plaited band (Faltenkranz), because a number of smaller creases proceed from it at right angles. This appearance owes its name to the erroneous impression that it is due to a folding of the vitelline membrane, but in reality it merely depends on the amoeboid movement of the germ. In fact, it is possible, by close observation, to convince one's self that the furrows of the plaited band are subject to active changes, for succes- sive groups of them disappear, again crop up, become more extensive and deeper, and then again retire. After a longer or shorter time — commonly one hour from the appearance of the first dimple — one of the folds of the plaited circle becomes deeper, and spreads itself more and more towards the periphery of the hemisphere, whilst the others gradually disappear. Eventually a deep cruciform furrow is apparent in the hemi- sphere we have hitherto had under observation, and which, as previously stated, is on the opposite side to the white pole. We will call this the upper hemisphere. At this time, only a single shallow furrow is seen in the lower hemisphere. Subsequently the furrowing proceeds somewhat more rapidly ; for the third, or equatorial furrow, occurs half an hour after; other furrows then appear at right angles to the three first formed, generally in the same succession in which the principal furrows have originated; from these secondaiy furrows of the first order proceed others of the second, and from these, others of the third, and so on. The upper hemisphere divides much more quickly than the lower. The ova of the trout are prepared as follows : The egg is placed upon an object-glass between the points of a broad pair of forceps, so that the blastoderm is uppermost ; the forceps are held with their blades at a fixed distance from each other, while the egg is pierced near its equator with a lance-shaped knife. On rapidly withdrawing the knife it generally happens that the blastoderm in loto, with a large part of the tenacious semi-fluid yolk, spirts out. The object must now be surrounded with a ring of putty and covered. The attention of the ob- server should be directed to the appearance of the elements, their amoeboid movement, and to the various forms of cleavage. The preparation of the ova of Batrachia is far simpler. The egg is placed upon an object-glass, and as much as possible of the gelatinous investment is removed with the aid of forceps BY DR. KLEIN. 161 and scissors. The vitelline membrane is ruptured by means of needles, and a small portion of the escaping contents is spread out in a very thin layer. If the egg is not more than three days old, it can be investigated under low powers (Hartnack's 5 or 7) without a cover-glass. The yolk disks should be espe- cially observed, and the active movements of the pigment granules with which the embryo cells are filled. Attention should be further directed to the hyaline prominences which the latter send out and retract, particularly after the addition of a very small drop of distilled water. The Cleavage Cavity. — The second important point, to which the embryologist should direct his attention, is the cleavage cavity. In the trout, this comes into existence towards the end of the cleavage pi*ocess. The blastoderm appears to be separated from the yolk of the saucer-shaped depression by a cavity which gradually increases in width and depth. The blastoderm is not, however, entirely detached from the yolk, but remains connected with it here and there by chains of cells. These chains of cells — " sub-germinal processes" — may be com- pared to columns by means of which the blastoderm rests upon the yolk (see fig. 167). The cells of the sub-germinal processes, like those of the deeper layer of the blastoderm, are larger and more coarsely granular than those of the more superficial layers. By degrees the cells of the sub-germinal processes become separated from the blastoderm, and lie upon the floor of the cleavage cavity. The elements which are found in this position are characterized by their greater size, and by their distinctly granular appearance ; they are products of the blastoderm, which are either left lying on the floor of the cavity when it is formed by the raising of the blastoderm from the yolk, or fall to the bottom of the cavity as it increases in size. For the study of the formation of the cavity, that is, of the elements which are to be found on its floor (the destination'of which we shall again have occasion to mention) and of the simultaneous expansion of the blastoderm over the cavity, sections are alone available. Eggs of the requisite stage (10- 14 days) are placed in a very dilute (one-tenth per cent.) solu- tion of chromic acid, the liquid being frequently changed. After a few days the eggs will have become almost black and quite friable. An egg is now pierced with a lance-shaped needle, and the vitelline membrane carefully torn open at one place by means of sharp forceps, the rent being extended in a hori- zontal direction until it describes a complete circle ; the mem- brane is then removed from the upper hemisphere, which con- tains the blastoderm. Thereupon the blastoderm, together with the whole of the yolk of the saucer-shaped depression, is separated by a sharp scalpel and placed in dilute alcohol, where it may remain for any length of time. It is, however, ready 11 162 EMBRYOLOGY. for further treatment in one or two hours. It may he stained by steeping it for twenty-four hours in very dilute carmine (see Chapter VII.), anil it is then washed in weakly acidulated water. The object is now placed in absolute alcohol for from half an hour to an hour. After this, it is embedded in the following manner: A layer of the mass used for embedding (wax and oil) is poured upon aflat piece of glass, wood, or cork, or into a little box, and is allowed to harden ; the object, after its surface has been earefull}' dried, is placed in the desired position upon this mass, and a further layer is poured around and OArer it, which must be warm, but not too hot. When the mass is thoroughl}- solidified, sections are made as follows: The razor is moistened, by means of a small brush, with oil of cloves or with turpentine, and a section made, which is floated off from the razor to an object-glass with oil of cloves. When the section is thoroughly transparent, a process which occupies a few seconds, or at most minutes, if the object has been long enough in absolute alcohol before embedding, the excess of oil of cloves is to be carefully soaked up with strips of filter-paper. A window is cut out of fine tissue paper, and applied to the preparation in such a way as to afford protection from the pressure of the cover-glass. A drop of Dammar varnish is allowed to fall upon the preparation thus inclosed b}r the paper, and the whole is covered. The eggs having been placed in one-tenth per cent, solution of chromic acid until the gelatinous investment is entirely dissolved, they are transferred to common alcohol for two or three days and then preserved in glycerin. They may be used even after an interval of months. For the study of the cleavage-cavity of Batrachia, sections should be made of the eggs of Bufo, beginning with the stage at which the first furrows are already formed. The egg is taken, by means of a spoon, out of the glycerin, dried with filter-paper, and embedded according to the method above described. The razor in this case is to be moistened with absolute alcohol, and the sections floated on to the object- glass, with the same liquid. The alcohol is removed by filter- paper, and the section moistened with a drop of oil of cloves, after which the process is the same as above. Batrachian eggs require great care and attention, both in making and handling the sections; first, because the ovum is less easily fixed than is the case with the disk-like germ of the trout or chick, and, further, because it is extremel}r friable, so that sometimes, out often sections, only one will be brought entire under the cover-glass. The first indication of a cavity may be traced shortly after the appearance of the first two furrows. In sections made at this stage, it is seen that the upper two quarters of the germ, that is to say, those furthest removed from the white pole, and which are always smaller than the BY DR. KLEIN. 163 two lower, are rounded off at their inner angles, i.e., those turned towards the centre of the germ, as if they had retracted from it ; the lower two, also, are somewhat rounded at their inner angles, but not so markedly as those above : by this means a small cavity is formed, which lies just in the place where the four segments meet. In sections of progressively later stages, it will be observed, in the first place, that the upper segments have undergone cleavage much more rapidly — in other words, that their elements are considerably smaller ; and, secondly, that the cavity becomes enlarged at the expense of the upper half of the germ. In a still later stage of cleavage, forms will be met with in which the cavity takes up the greater part of the space occupied by the upper segments. The cavity is spanned by a thin dome, consisting of only two or three layers of small elements; whilst its floor is flat and lined by larger elements belonging to the lower segments. Under- neath these elements, which still contain pigment, elements occur which become larger as the white pole is approached. At this time it may be observed, that these large elements — which may be termed ''formative elements" — spread upwards from the floor of the cavity over the under surface of the dome, until at last a stage is reached at which the whole of that sur- face is covered with them. In the middle part of the dome these formative elements are disposed in a single layer ; on the parts which are in closer proximity to the floor of the cavity, the number of layers is greater. The dome consists, therefore, at this stage, in the first place, of two or, at most, three layers of small elements which originally belonged to it (and which are also continuous with the cortex of the rest of the germ) ; and secondly, below these, in its central part, of a layer of larger elements, which before formed part of the floor of the cavity. Simultaneously with the changes just mentioned, another important change occurs at the white pole, as may be ascer- tained by the stud}' of sections at different stages. This pole has been getting gradually smaller, and now presents the appearance of a sharply bounded white patch of the size of a pin's head — the so-called yolk-plug (Dotterpfropf ). A fissure occurs, which constantly extends further and further upwards, increasing at the same time in width, until it gradually ex- pands to a cavit}', which is eventually only separated from the cleavage-cavity by a single layer of the larger elements. As this cavity (called the visceral cavity, Rusconi's cavity, Leibeshohle) increases, the cleavage-cavity diminishes. In consequence of these changes, the position of the egg is altered ; that which before was the upper half now becoming the lower. (As regards the formation of the cleavage and visceral-cavities, compare figs. 169-173.) 1G4 EMBRYOLOGY. Formation of the Lamellae of the Blastoderm. — From a comparative study of sections of the egg of the trout at successive stages, from that at which the blastoderm begins to form a cover over the saucer-shaped depression, consisting of a middle thinner, and a peripheral thicker part (marginal swelling — Randwulst), to that at which it lias already grown round a quarter of the yolk and exhibits the first trace of the formation of an embyro, the following facts ma}- be made out: The large elements found on the floor of the cavity gradually tend towards the periphery of the blastoderm, where they form the peripheral thickening, or marginal swelling already men- tioned (see fig. 168). As this occurs the central part of the blastoderm by degrees becomes so thin, that it consists at length of only two layers of cells, an upper lamella of flattened elements, and a lower containing loosely arranged spherical elements (in single or, here and there, in double series). These two layers are continuous with the marginal swelling, the upper layer of which also consists of flattened elements, the lower of one or two strata of more or less cylindrical cells. In the marginal swelling two other strata exist underneath these layers, each of which consists of large spherical elements, and is at least two cells deep. We have therefore in the mar- ginal swelling, by the thickening of which the rudiment of the embyro is formed, four layers, the upper or corneal layer (Hornblatt) ; a second, or, as it may be termed, nervous stratum, because out of it is formed the central nervous sys- tem ; a third or motor-germinative ; and a fourth, or epithelial glandular layer (Darmdr'ilsenblatt). Of these four layers the two lower must be attributed to the formative elements which come from the floor of the cavity. To the conditions just described those found in the batra- chian egg are analogous. The mode in which, during the formation of the cleavage-cavity, formative elements spread from its floor over the under surface of the dome, adding a third stratum to the two of which it alread}' consists, has been already described. This third layer then splits into two, whilst the visceral cavity is growing upwards into the dome. At a point which corresponds to the central part of the cavity the cortex becomes thicker: this thickening, which is formed at the cost of the second layer, is the rudiment of the central nervous system of the embyro. We find the same four layers in the egg of Batrachia — the corneal, the nervous, the motor- germinative, and the epithelial glandular (Darmdrusenblatt) : the last two of which, as in the ovum of the trout, are derived from the formative elements of the floor of the cleavage-cavity (see fig. 1 73). Cleavage Cavity of the Chick. — For the study of the cleavage process and formation of the cleavage-cavity, in the BY DR. KLEIN. 165 blastoderm of the chick, it is necessary to intercept the eggs in their passage through the Fallopian tube ; for in eggs which are already laid, these processes have been gone through. The investigation of these phenomena is expensive, and de- pends somewhat on chance. Hens known to be in the habit of laying eggs in spring and summer must be sacrificed. Eggs may be examined in which the shell is either absent or consists of a very thin parchment-like structure, or is in pro- cess of calcification. They are placed for a few days in a deep capsule containing a one per cent, solution of bichromate of potash, and are hence removed to a one-sixth per cent, chro- mic acid solution for one or two days. After this time the part of the yolk which has the blastoderm resting on it, is cut off with a razor and laid in common alcohol, in which with due precaution the vitelline membrane can be readily stripped off from the blastoderm. The subsequent processes are the same as with the blastoderm of the trout. If eggs in the different stages of their passage through the Fallopian tube have been obtained, it is eas}^ to make out in prepared sections, that, during the formation of the cleavage- cavit}-, the large coarse^ granular elements (filled with the coarse granules of the yolk) which compose the deeper la}'ers of the blastoderm, remain lying in large numbers upon the floor of the cleavage-cavity; that these are most numerous towards the area opaca, that is, where the peripheral part of the blastoderm lies upon the white yolk (yolk-rim, Keimwall) and that they here become continuous with the large coarsely granular elements of the deeper laj'ers of the blastoderm. These elements lying on the floor of the cavity and derived from the blastoderm during the formation of the cavity, corre- spond to the formative elements on the floor of the cleavage- cavity of the trout's egg, and those elements which, in the batrachian egg, stretch up from the floor of the cavity to the under surface of the dome (see fig. 175). Lamellae of the Blastoderm of the Chick. — The study of the layers of the embryo of the chick must be commenced with fresh laid eggs. The egg is held with its long axis hori- zontal ; the shell is cracked at its upper pole ; the bits of shell in this place are removed with a forceps, and the outer mem- brane torn off the exposed part ; the shell is then broken in two, and the contents are let out into a flat capsule. With the aid of scissors and forceps, the egg (using the word in its more restricted sense) is freed from the investing albumen, which is carefully poured off. After having, by means of a lens, acquired a general notion of the grosser anatomical re- lations as they present themselves on a surface view (such as the Area pellucida, A. opaca, Pander's " nucleus of the white yolk," etc.), we pour into the capsule in which the egg lies a 1GG EMBRYOLOGY. small quantity of one per cent, solution of bichromate of pot- ash, which, after one or two days, is replaced by from one-sixth to one-tenth per cent, chromic acid solution. In two or three days more, the segment of yolk which hears the blastoderm is cut off and transferred to spirit ; the vitelline membrane is then carefully removed. Afterwards the object, which may or may not be stained, is treated with absolute alcohol, embedded, and employed for sections in the manner above described. This method may be employed during the first twenty-four hours of incubation. At a later period, or at all events after thirty-six hours, the egg must be treated in the following manner : — After the yolk is freed from albumen, the vitelline mem- brane is snipped with scissors at a point in its periphery as far removed from the blastoderm as possible; part of the yolk flows out through the opening, while the blastoderm adhering to the vitelline membrane remains in position. The vitelline membrane is then cut around the blastoderm, the circular piece not only including the blastoderm, but the vitelline mem- brane over it, together with a portion of yolk under it. This is placed in a small flat watch-glass, which is held by forceps, and is brought into a glass capsule containing a very weak solution of bichromate of potash. After from ten to fifteen minutes, the edge of the vitelline membrane is seized by for- ceps, and gently swayed to and fro in the liquid till that mem- brane is loosened and removed. The blastoderm, with the yolk adhering to its area pellucida, is thus completely iso- lated. In the superficial portion of the germ disks thus isolated, especially those of the early part of the second day of incuba- tion (provided that they are normally developed as is usually the case in spring and summer), the primitive streak, the rudi- ments of the central nervous sj'stem, of the chorda dorsalis, of the proto vertebrae, of the heart and great vessels, of the eyes, of the auditory vesicles, and of the olfactory pits, may be ob- served. For this purpose, the blastoderm is floated from the watch-glass on to an object-glass, and examined with a low power. For studying the first vessels it is necessaiy to use higher powers. The object, in solution of bichromate of potash, or in a mixture of this and glycerin, should be surrounded by a ring of zinc foil, wax mass, putty, or sealing wax, and covered. The whole germ disk of the second day of incuba- tion, which is very suitable for the demonstration superficially of the rudiments of the organs just named, may be preserved for a considerable time, if the wall of sealing-wax surrounding the blastoderm is high enough. The mixture consists of one part of one-sixth per cent, chromic acid, two parts of one-half BY DR. KLEIN. 167 per cent, bichromate of potash, and one part glycerin. The cover-glass is fixed by means of sealing-wax. Sections through the nnincubated germ-disk show that it consists of two layers, besides the formative elements which are to be found on the floor of the cleavage-cavity, and at the yolk-rim. (See fig. 176.) Sections made during the first half of the first day teach that these formative elements find their way from the yolk-rim in between the two la3?ers of the germ, so as to form, first (seventeenth hour), the central part of the middle layer of the area pellucida, and afterwards (at the twenty-third or twenty-fourth hour), the remaining portion of that layer. Thus, at the end of the first day, the germ-disk, which before consisted of two layers, consists in the area jjellu- cida of three — upper, lower, and middle — the last originating from the formative elements which had previously rested on the floor of the cleavage-cavity.1 As the central nervous system is developed from the central portion of the upper layer, the remainder of this layer giving rise to the epithelium of the skin and of the cutaneous glands, it follows that the upper layer in the chick represents the upper and nervous layers in fish and Batrachia ; it is therefore simply called corneal la3'er: the middle layer in the chick corresponds to the third in the trout and in Batrachia, and is therefore termed motor-germinative ; the lowest la}rer in the chick cor- responds to the fourth in the germ of trout and Batrachia, and is termed the epithelial glandular layer. AVhen the central part of the middle germinal layer is formed (seventeenth hour), the upper one is seen to be thickened at its middle portion ; it consists of cylindrical cells. At the same time, this middle portion of the upper layer is more or less fused with the just deposited central part of the middle layer. This condition shows on a surface view the primitive streak (Axenstrang). Along with the formation of the primitive streak, the dorsal groove is also developed, a differentiation of the middle layer of the germ takes place into the notochord and protovertebroe, and the dorsal laminae begin to project. In the first hours of the second day of incubation, the dorsal lamina; are seen to be already approaching one another, so that in the region of the neck they almost touch ; at the tail end they are still a considerable distance apart, so that the dorsal furrow is very shallow. A short time afterwards, the dorsal lamina? in the cervical region are observed to be completely closed, and the dorsal furrow is changed into a canal — the cen- tral canal of the central nervous system. (Figs. 117, 178.) In sections made later in the second day of incubation, the 1 The corneal, motor-germinative, and epithelial glandular layers cor- respond to the epiblast, mesoblast, and hypoblast of Huxley. — En. 168 EMBRYOLOGY. rudiments of the notochord and of the protovertebrrc appear in the central part of the middle layer of the germ ; the two outer portions of this same layer — the ventral laminae (Seiten- platten) — split into an upper parietal (Hautmuskelplatte) and a lower visceral lamella (Darmfaserplallc) ; between the cleft or split thus formed is the rudiment of the pleuro-peritoneal cavity. (Figs. 180-182.) At the same time, the rudiment of the Wollfian duct ap- pears on the upper surface of the middle laj-er of the germ, where the rudiments of the protovertebrae abut on the ventral laminae. In sections through the blastoderm made during the second day (3G-48 hours), the protrusion of the primary optic vesicles out of the anterior cerebral vesicles may be studied as well as the intrusion of the secondary eye vesicle into the primary (see fig. 185 b), which proceeds simultaneously with the formation of the rudiment of the lens by the thickening and subsequent separation by constriction of the intruded part of the corneal laj'er. Similarly the auditory vesicle pre- sents itself as a pit-like depression of the same layer ; this pit gradually deepens whilst the margins rise up and grow until they fuse into one another, so as to form the auditory vesicles. We may further notice the extrusion of the visceral lamella in the region of the neck, which forms the wall of the heart vesi- cle. Sections made on the second and the commencement of the third day serve for the study of the development of the amnion, as a fold-like elevation of the corneal and parietal Layers, as well as that of the intestinal groove, and of the fovea cardiaca ( Vorderdarm) by the closing in of the epithelial glandular la}Ter (.see fig. 181). The extrusion of the two pri- mary hepatic ducts out of the tube so formed, its partition into a posterior oesophageal and an anterior tracheal-tube, and the extrusion of the lungs from the latter must be followed at later stages of incubation. BY DR. KLEIN. 169 CHAPTER XIV. (appendix.) STUDY OF INFLAMED TISSUES. Inflammation of Epithelium.— The inflammatory changes of the epithelial elements of the cornea may be studied 03- abrading the epithelium over a limited surface in several frogs, and examining the organ at various periods after the injury. The cornea must be studied in the fresh state (with and without irrigation with serum), as well as after pre- paration with gold and hardening in alcohol. Sections in both directions must be made of the preparations so obtained. Evidence is thus obtained (1) of the division of the nuclei of the epithelial cells, (2) of the overgrowth of the bodies of the cells, and (3) of their subsequent division. The examination of the catarrhal secretions of any inflamed mucous membrane which is covered with pavement epithelium, is very instructive. If a small drop taken from the surface of such a membrane is examined, either without any addition, or diluted with a drop of serum, it is seen that among a great number of amoeboid young cells (pus cells) a few larger struc- tures are to be found, consisting of granular protoplasm, which, as regards their form and size, and the characters of their nuclei, resemble epithelial cells. Some of them contain vacuoles of very various size, each exhibiting in its wall a well- defined nucleus, which either shows constrictions or is already divided. In those vacuoles which are largest there are pus- corpuscles. Besides these, thin-walled vesicular bodies are seen, of great size, filled with pus-corpuscles ; and between them and the cells containing vacuoles there are all transitions. If vertical sections are made of a bit of the inflamed mucous membrane after treatment with gold, it is learnt that these structures correspond to the cells of the superficial layers. In fresh preparations taken in such a wa}r as to include the ele- ments of deeper layers, large epithelial cells are seen which exhibit very distinct indications of division both in their bodies and nuclei. On the warm stage these cells may be seen actually dividing. To obtain permanent preparations, the fresh inflamed mucous membrane must be placed in two per cent, solution of bichromate of potash. After two or three days, sections may be made by shaving off a portion of 170 STUDY OF INFLAMED TISSUES. the mucous membrane, and comminuting it in a drop of glycerin with a blunt instrument. It need scarcely be added, that both those cells of the deeper layers which are in the natural state, and those which exhibit appearances of division, have the ridged character. Similar changes can be studied in certain chronic diseases of the skin, as in acuminated condy- lomata. (See Chap. II.) Inflammation of Endothelium. — As regards the endo- thelium of the serous membrane, the changes consequent on inflammation have been already referred to. In the blood- vessels, the inflammatory changes may he studied by cauter- izing the external surface of any superficial vein (e.g., the ex- ternal jugular or femoral), or even by simply ligaturing the vessel. Three or four days after the injury, the vessel is ex- cised and hardened in chromic acid, or treated with gold and hardened in alcohol, for the preparation of sections. When the vessel is very thin-walled, it can be studied at once, with- out preparation, after straining with gold or silver. The appearances correspond to those observed in the serous mem- branes. Inflammation of Cartilage. — Germination of the cells of hyaline cartilage can be studied after mechanical injury of articular cartilages. The best method is to pass a needle into the knee-joint of a rabbit, in such a way that it penetrates into the tibia. A few days after, sections are made of the fresh cartilage, and stained in gold. It is more difficult to observe inflammatory changes of the cartilage cells in the frog. Much can be learnt from cartilages of human joints in a state of chronic inflammation. Inflammation of Bone. — Germination of the cells of bone may be induced in the long bones of mammalia by passing a red-hot needle as deeply as possible into a bone, previously freed of the soft parts covering it, and then cauterizing the hole with a pointed stick of nitrate of silver, or by violent fracture. After a week or more the bone is excised. Scale- like bits are then split off from the immediate neighborhood of the injury, and steeped in chloride of gold, and then placed in water acidulated with acetic acid till the}' are soft enough to render it possible to make sections, which must be prepared in glycerin. Another plan is to place the part in solution of chromic acid (§- to £ per cent.), to which hydrochloric acid has been added, as described fully in Chap. II. The sections should be so made as to comprise the transition between in- flamed and normal conditions. Human inflamed bones can often be studied in amputated limbs. In all of these cases the lacunne are seen to contain groups of young cells, instead of the ordinary branched cells. BY DR. KLEIN. 171 Inflammatory Changes in the Liver Cells. — Inflam- mation of the tissues of the liver may be induced by passing a needle into the organ. Twenty-four to forty-eight hours after the injury, the animal must be killed. The liver cells exhibit distinct appearances of division and germination. Similar appearances are seen in the neighborhood of the so- called psorosperm nodules in the liver of the rabbit. Inflammation of the Cornea. — Inflammation of the cornea may be studied in the frog in two ways : The cornea may be cauterized at the centre, to such a depth as almost to perforate it, or a thread may be drawn through it entering at the centre and passing out through the sclerotic, be3Tond the margin, the ends of which are then tied. After cauterization it is necessary to wash the part with a few drops of solution of common salt. In either case the animal is placed in a beaker glass, with some moist blotting-paper at the bottom of it. To study the successive stages of the process, half a dozen corneas should be prepared in this way at a time, which can then be excised after 8, 12, 18, 24, 36, and 48 hours. The best preparations are obtained from rana esculenta, during the summer months, from 8 to 24 hours after the introduction of a silk thread, as above described. The cornea should be studied first in the fresh state, and then stained with gold. It is excised in the manner directed in Chapter II. and pre- pared in humor aqueus, care being taken to protect it from pressure by inserting slips of fine paper under the edges of the cover-glass. The contrast between a cornea twelve hours after injury and a normal one lies, first, in the immense number of migrating cells it contains, and, secondly, in the marked dis- tinctness of the branched corpuscles. The migrating cells are most numerous towards the periphery, occurring more and more scantihr towards the centre. They are masses of proto- plasm of irregular form, beset with knob-like prominences, and exhibit very active amoeboid movement. To study their changes, the preparation must be irrigated with serum. For this purpose, a frog is decapitated and the blood received in a porcelain capsule and allowed to coagulate. The serum is collected in capillary glass tubes. The irrigation is performed as before directed (Chapter I.), a very small strip of blotting- paper being used. Under the immersion objective, the most active motions can then be observed; and if a single corpuscle is kept under observation for a length of time, it is sometimes possible to make out an appearance as if it were about to di- vide. A line presents itself on the surface, which after a time assumes the character of a furrow. Occasionally the furrow is seen to deepen till the two parts are severed. In other cases, one of the knob-like prominences enlarges and separates itself. As regards the branched cells, some of them appear 172 STUDY OF INFLAMED TISSUES. to be larger than natural, while their processes become thicker and less branched. Immediately under the epithelium, as well as under the endothelium of the posterior surface, the pro- cesses often exhibit node-like enlargements. Occasionally corpuscles occur which possess processes only on one side, while on the other they merely exhibit slight prominences. If a cornea of this kind is immersed in solution of chloride of gold for twenty minutes and treated as usual, the corpuscles are seen to be much more stained in certain parts than in normal corneas, although the latter may have been immersed twice as long. If a comparison is made between different parts, it is easy to satisfy one's self, that the strongly colored corpuscles are larger and look as if they were swollen, and that their processes are fewer in number and thicker. The nuclei of these corpuscles exhibit the most various phases; constrictions and bulgings are seen in some, complete division in others. This is by no means the final stage of the alteration of the corpuscles. It may be demonstrated at a later period that in some parts no branched corpuscles can be distinguished, their place being taken by a trellis-work of spindle-shaped cells, presenting the aspect of parallel streaks of granular protoplasm, running in two directions at right angles to each other. In each streak there are thickenings at intervals. Each thicken- ing ma}' contain either a few deeply stained small nuclei, re- sembling those of the neighboring migratory cells, or nuclei with constrictions which resemble those which are character- istic of the cornea corpuscles. Between these larger swellings containing nuclei, the streaks are beset with small nodosities of various sizes. If these streaky parts are compared with others, it is seen that there are all transitions between the streaks and regularly branched oblong cornea corpuscles, while in other directions their relation can be traced with chains of young cells, which run in the same direction as the streaks. The entrance of migratory cells, and even a beginning of the changes above described in the cornea corpuscles, may be imitated in an excised healthy cornea, as follows : Inflammation is produced in one eye by cauterization, and then, twenty-four hours after, a portion of the cornea of the other eye is excised, spread out carefull}', and lodged between the membrana nic- titans and the cornea of the injured eye. The membrana nic- titans is then drawn up and secured by two or three ligatures to the skin. After twentj'-four hours more, the sac is opened and the cornea taken out. It may be examined in the fresh state, and after preparation with gold. Corneas prepared in other ways (e. parts to 1, and then diluted with 8 parts of water, coagulates on the addition of paraglobulin.' 1 Lehrbuch der pbysiol. Chemie, p. 172. 182 THE BLOOD. 11. Diluted plasma which has been treated with carbonic acid gas docs not coagulate, even when Bhaken with air and subjected to the temperature of the bod}- (40° C). From the above experiments we learn that plasma contains two albuminous compounds, precipitable by carbonic aeid gas and by aeetic aeid; that one of them (paraglobulin) exists alone in serum in considerable quantity ; that the other (fibrin- ogen) exists alone in liquids effused into uninflamed serous cavities in very small quantity; that when paraglobulin is added to these effusion-liquids they become coagulable, justas serum may be made coagulable by the addition of fibrinogen. 5. Heynsius's Experiment.1 — From the properties of blood plasma demonstrated in the above experiments, we are apt to infer that this liquid is the exclusive source of the fibrin formed when blood coagulates. There is reason, however, for believing that a very considerable quantity of fibrin-producing material is contained while the blood is circulating, in the col- ored or colorless corpuscles, for it can be shown that if these elements arc separated as complttelyas possible by subsidence and decantation from a known quantity of blood, and added to a similar quantity of serum, this serum acquires the pro- perty of coagulating ; and the quantity of fibrin produced bears a very considerable proportion to the whole quantity which the blood would have yielded. Fifty cubic centimetres of blood are received directly from the vein of a horse or ass into a measuring tube surrounded with ice. The blood is immediately afterwards poured into a tall narrow glass cylinder, which ahead}7 contains half a litre of a two per cent, solution of com- mon salt, previously cooled by standing in ice. In this vessel the mixture is allowed to remain until the corpuscles have sub- sided, after which the liquid must be drawn off with the aid of a capillary pipette or syphon. The remainder is then mixed with a similar quantity of salt solution, again left to itself sur- rounded by ice, and the process repeated. Fifty centimetres of serum of ox blood previousl}- prepared, having been then added to the corpuscles which remain at the bottom of the vessel, the mixture is placed in water at a temperature of 40° C. Alter two or three minutes coagulation takes place. The clot is collected and washed, dried and weighed. In the mean time the fibrin yielded by an equal quantity of blood is deter- mined. On comparing the weights, it is found, as before stated, that the coagulum obtained from the mixture of serum and cor- puscles alone, is nearly equal to that obtained from the whole blood (corpuscles and plasma). It has been further shown by Heynsius, that if blood is received in an ice-cold, half per cent., or one per cent., solution of common salt, the quantity of fibrin 1 Pfluger's Archiv. B. III. p. 419. BY DR. BURDON-SANDERSON. 183 yielded by the plasma is much less (so to speak) than it ought to be, i. e., much less than that yielded b}r a corresponding quantity of blood. This fact, taken in connection with the result of our experiment, leads us to regard it as probable that in circulating blood, the liquor sanguinis contains less of the fibrin factors than it does immediately after its removal from the body. If this inference is correct, there can be little doubt that it somehow or other, in leaving the living vessel, acquires fresh properties of coagulation from its formed elements. Heynsius believes that the colored blood disks are alone con- cerned in this action, and attributes it to the discharge into the plasma of certain of their constituents. His results are, however, quite as consistent with the belief that the colorless elements are the chief agents, in favor of which several facts may be demonstrated. Vaccine and blister fluid are both co- agulable ; they contain no colored blood corpuscles, but always many colorless corpuscles. If the process of coagulation is watched in either of these liquids under the microscope, it is seen, not merely that it begins from these elements, but that it occurs nowhere in the liquid excepting where they are pre- sent. Again, if a ligature is drawn through a vein in which blood is circulating, as e. gr., through the external jugular of a rabbit or guineapig, and allowed to remain there for a time, and then removed and examined microscopically, it is found that the threads of the ligature are crowded, and its surface encrusted, with colorless corpuscles. These bodies are held together by fibrin, which appears to grow from their surface into the blood-stream. iox II. — Conditions wnicn Affect the Coagulation of the Blood. Although the circulating blood contains either in its colored corpuscles or plasma both the fibrin factors, i. e., the imme- diate principles necessary for its coagulation, it does not co- agulate. In other words, the blood, so long as it forms part of the normal living body, contains no fibrin. This remarkable fact is dependent on the maintenance in the corpuscles of those chemical changes which constitute their life. And inasmuch as these changes cannot continue in the absence of the physical and chemical conditions to which the blood is subjected, so long as it is contained in healthy bloodvessels, an}' derange- ment of those conditions leads to the formation of a clot. It can Ik: proved experimentally (1) That blood does not coagu- late in the living heart or in a living bloodvessel, even when tin; circulation is arrested; (2) That although normal blood ordinarily coagulates as soon as it is withdrawn from the body, there are certain circumstances under which the act of coajni- 184 TIIE BLOOD. lation cither does not take place, or is accomplished in so im- perfect a manner, that the clot is scarcely recognizable as such. 6. The following is a modification of an experiment of Briicke, devised by my friend Dr. Durante. In a rabbit, two small incisions are made across the course of the external jugu- lar vein, (see § 48) one near the clavicle, the other near t he origin of the vessel — great care being taken not to go deeper than is necessary in order to see the vessel through the fascia. A small needle is then passed under the vein near the proxi- mal incision, in a direction at right angles to that of its axis, and corresponding to that of the incision, but deeper. A second needle is then laid in the course of the incision, and drawn tightly towards the first by a ligature at either end, by which means the blood current is entirely arrested, while the coats of the vein are absolutely protected from injury. A second pair of needles is then inserted at the distal incision, and secured in a similar manner, so as to shut in the blood with which the vein becomes distended after the tightening of the first ligature. After the lapse of a couple of days, the ligatured portion of the vein is exposed at some part of its course, and punctured with a glass pipette, by means of which the blood is withdrawn from it by suction in a perfectly liquid state. On removing the needles the natural circulation is at once restored. This result, however, is onh/ obtained when t he- greatest care is used to avoid injury to the coats of the vein. This may be readily proved by repeating the experiment (which, in a practical point of view, is of great importance) in a different wa}r. If, instead of using needles, ordinary liga- tures are placed on the points indicated, a coagulum is formed, so that on pinching the vein no blood flows. On opening such a vessel it is found to be occupied by two clots (thrombi), each of which is thickest and firmest at the ligature, and becomes thinner and looser towards the middle of the deligated part. Dr. Durante has shown that, in this experiment, this absence of coagulation depends on the integrity of the endothelium. Wherever the endothelium of a vein is irritated so as to undergo germination, a clot is formed which is co-extensive with the alteration of the endothelial elements. 7. The arterial trunks leading from the heart of a frog or tortoise are first tied, and then (as soon as the heart has be- come distended) the venous trunks. The heart full of blood is removed from the bod}- and suspended in a small flask by one of the ligatures. The flask is allowed to stand so long as the heart continues to pulsate. If, then, before the pulsations have entirel}' ceased, the blood is allowed to flow from the heart by removing the arterial ligatures, it is seen to be fluid. BY DR. BURDON-SANDERSON. 185 As soon as it escapes it coagulates. This is also an experi- ment of Briicke. 8. Recklinghausen's Experiment. — A small porcelain crucible is heated to redness, and allowed to cool without re- moving the cover. The pericardium of a frog is then exposed and divided, and a snip made in the ventricle with absolutely clean scissors, the frog being held in such a position that the blood discharged from the wound in the heart may be received in the prepared crucible without coming in contact with the ex- ternal surface of the body. The quantity of blood used should not exceed ten drops. The crucible (without its cover) is then placed on a ground-glass plate, and covered with a wide bell- glass, the edge of which is also ground, so that it fits the glass plate perfectly. The blood coagulates immediately, but during the course of the next twenty-four hours it apjjears to become liquid again. If the experiment has been carefully performed, the blood remains unaltered (its colorless corpuscles retaining their vital activity) for many daj's: it is, however, necessary to renew the air contained in the bell-glass, by lifting it care- fully from time to time. This experiment may be also made writh mammalian blood, provided that a temperature is maintained equal to that of the body, for which purpose v. Recklinghausen uses an air bath furnished with a Bunsen's regulator. The capsule is heated to redness, because, if it were not so, the or- ganic matter adherent to the surface of the porcelain would determine changes in the blood, which would be fatal to the vitality of its elements. With a similar view every possible precaution is used against other modes of contamination, whether from the air or from surfaces with which the blood is brought into contact. The liquefaction of the coagulum in the preceding experiment is onl}r apparent. To prove this, the process must be observed microscopically under otherwise similar conditions. The following method, suggested by cer- tain experiments of Schlarewski (who, however, does not appear to have understood their significance), I owe to my assistant, Mr. Schafer. Several very thin walled capillary tubes, not more than \ millimeter in diameter, are filled with blood as it flows from the artery of a frog, and at once placed under the No. 9 immersion objective of Hartnack. The contents of the tube can be seen with perfect distinctness. At first the Avhole of the space inclosed in the tube is occupied by colored blood disks. After a few minutes it is seen that coagulation has oc- curred, and that the cylindrical mass in which the corpuscles arc contained is separated from the glass, by a transparent border in which there are no corpuscles. Next, the colorless corpuscles begin to squeeze themselves out of the coagulum and swim in the serum (see Fig. H)2). From the activity of the amoeboid movements which these corpuscles exhibit imme- 186 THE BLOOD. diately after their expulsion, the observer is inclined to attri- bute their escape from the clot to these movements ; this notion is, however, proved to be erroneous by what follows. In a short time (usually about forty-five minutes after the com- mencement of the observation), the colored corpuscles begin to participate in the process, and escape from the still sharply- defined edge of the clot in such numbers that the liquid becomes so crowded with them, that microscopical examination is no longer possible. If now the tube is removed from the stage and placed vertically, it is seen, after a time, that the corpuscles subside to the bottom of the tube, leaving a clear space con- taining serum above. Here, then, we have a process which we might at first sight be disposed to regard as a resolution of the eoagulum ; the appearance is, however, deceptive, for if the tube is discharged into a watch-glass and examined under a low power, the eoagulum is easihT found as a thin cord of fibrin floating in the liquid. In short, the whole process of emigra- tion of the corpuscles and liquefaction, of the clot is the conse- quence of the contraction of a reticulum of fibrin of such extreme looseness, that it is incapable of retaining the corpuscles in its meshes. 9. The two experiments last related prove, as regards the blood of the frog, that, under certain conditions, coagulation occurs very imperfectly, even though the blood be removed from the body, and consequently that Briicke's inference, that the circulating blood is prevented from coagulating by the in- fluence of the living A'essel, need no longer be maintained. The following experiment, devised by Mr. Schafer, which has been repeated a great number of times in the laboratory of Univer- sity College, proves this much more conclusively and satisfac- torily. A glass tube, three or four inches long, is drawn out atone end into an arterial canula of the usual form and of suitable size. A frog having been secured in the usual way (see § 46) in the prone position, the heart is exposed and the right aorta ligatured. A clip is then placed on the left aorta at its origin from the bulb. The canula (Fig. 103, a) is then inserted and secured in the left aorta, and the tube supported vertically by a suitable holder. This done, and the clip having been removed, the blood is allowed to flow into the tube. It rises to a height which varies according to the vigor of the animal and the quantity of blood which its vascular sj'stem contains, the blood column oscillating with the contractions of the heart. If now the tube is left to itself, no coagulation takes place. In a very few minutes the corpuscles begin to subside, leaving an upper layer of clear liquid, the depth of which gradu- ally increases. If it is removed with a capillary pipette and submitted to examination, it is found to possess all the proper- BY DR. BURDON-SANDERSON. 187 ties which are characteristic of plasma. It contains scarcely an}' colored but a considerable number of colorless corpuscles. Section III. — The Coloring Matter. 10. Methods by which the Blood can be rendered Transparent or Laky. — It has long been known that, when water is added to blood in quantity, the blood corpuscles are apparently dissolved in the diluted liquor sanguinis. This solution is, however, only partial ; for, if the liquid is examined under the microscope, each corpuscle is seen to be represented by a colorless spheroidal residue. This residue was formerly, described as the membrane of the corpuscle, rather in con- formity to the notion that, being a cell, it must have a mem- brane, than because the structure in question possessed mem- branous characters. We now recognize it, not as a membrane, but as the porous structure fully described in the histological part as the cecoid. There are many other methods by which the zooid may be compelled to relinquish its dwelling without altering the den- sity of the serum at all. So long ago as 1851, Dr. De Chaumont discovered that the vapor of chloroform had this effect. That of ether acts in the same way, but not so rapidly. More re- cently, it has been shown by Rollett that the same effects are produced by freezing, as well as by electrical discharges and induction currents. In all these cases (as has been already seen as regards some of them) the blood undergoes a remark- able change of appearance. In the natural state, blood, even in the thinnest layers, is opaque. One may judge of this by looking at it either by transparent light (as, e. g., in a very thin capillary tube) or by reflected light, spread out in a thin layer over the surface of a porcelain capsule. In the former case the blood presents the appearance of a solid-looking band in the axis of a glass rod,- in the latter it appears as a bright scarlet patch, completely concealing the white surface, and obscuring the light which would otherwise be reflected by it. If, however, the blood has been subjected to any of the pro- cesses above mentioned, the appearance it presents in the two cases are materially altered. The blood in the tube looks bright, because it is translucent, whereas that on the porce- lain looks as dark as if it were venous, because the corpuscles from which the light shone, reflected by countless convex sur- faces, arc now scarcely more refractive than the liquid in which they are immersed. In other words, blood in the natu- ral state lias the character of an opaque pigment, such as ver- milion ; whereas in the altered state it resembles a lake — a fact which Rollett, who, as I have stated, has studied these changes with great exactitude, expresses by the terms deck- 188 THE BLOOD. farbig and lackfarbig, as applicable to the former and the latter respectively. Blood may lie rendered transparent or laky by exposing it cither to extreme cold or to a temperature a little above G0° C. ; by subjecting it to the action either of induced currents or of shocks of frictional electricity. A similar effect, as already stated, is produced by the addition of water and of various other liquid reagents, such as ether, chlo- roform, and solutions of the bile acids in combination with alkaline bases. 11. Action of Cold. — A platinum capsule containing a couple of cubic centimetres of defibrinated blood is exposed to a temperature of — 6° to — 10° C.,1 by placing it in a vessel previously filled with alternate layers of pounded ice and salt, and leaving it in contact with the freezing mixture until it is completely frozen through. The solid mass of blood is then slowly thawed and poured into a beaker, which should be of such size that the blood contained in it is not more than half an inch deep. If readily crystallizable blood has been cm- ployed, as, for example, that of the guineapig, a sediment of crystals forms on the bottom. It is seen from the first that the freezing has completely altered its appearance. It has become darker in color, and if we place some of it on the sur- face of a white plate with a pattern on it, the pattern is visible with more or less distinctness through it, whereas if ordinary blood were employed it would be completely concealed. It is scarcely necessary to add that the crystallization is depend- ent on the discharge of the haemoglobin from the corpuscles into the liquor sanguinis. 12. Action of Heat.— (Method of Max Schultze.) This is a method which is only applicable to small quantities of blood. In experiments with the warm stage (see Chap. I., p. 22). Max Schultze found that when blood is heated from 60° C. to G4° C, the blood corpuscles dissolve in the plasma. The same effect is produced if a small quantity of blood is subjected to similar temperatures in a hot chamber, furnished writh Bunsen's regulator. Here, as in the former case, if the blood is derived from an animal in which the haemoglobin crystallizes readily, crystals are obtained. According to Preyer, remarkably fine crystals of haemoglobin ma3r be pre- pared by warming the colored corpuscles separated by subsi- dence and decantation from the defibrinated blood of the horse, in the manner above described. To insure success, care must be taken to maintain the temperature of the quan- 1 The effect of subjecting blood to the temperature of a freezing mix- ture was first studied by llewsou. His experiment was similar to that described in the text. His purpose was to show that cold is not the cause of coagulation. He was not aware that frozen blood loses its opacity. BY DR. BURDON-SANDERSON. 189 tity of blood operated on within the limits of temperature above mentioned. 13. Action of Electricity. — The effects both of shocks of friction al electricit}r and of induced currents have been de- scribed in the histological part. To what is there stated, it may be added, as regards induced currents, that the most marked effects are produced when the current is most analo- gous in its characters to a discharge of statical electricity, and, consequently, that the direct induced current which accompa- nies the opening of the primary current is more effectual than in the inverse one. In the results observed, it is important to distinguish between the direct action of the shock or shocks on the corpuscles, and the electrolytic action indicated b}' the liberation of gases at the tinfoil points (see Fig. 194). In so far as electrolysis occurs, the results may be in part attributed to the development of acid reaction at the positive pole, con- sequent on the decomposition of the salts of the blood. A dis- tinction ought also to be drawn between those effects which are only produced when the corpuscles are in a living state, and those which are manifested also in dead blood. The discharge of the coloring matter from the corpuscles is a phe- nomenon of the latter class, but there are other effects which manifest themselves only when the blood emploj'ed still retains its vital properties. 14. Action of Water on the Blood. — The mode of action of water on the corpuscles is full}' described in Chapter I. The coloring matter is entirely discharged, and probably the greater part of the globulin. That the whole is not expelled seems evident from an old experiment, made more than twent3'-five years ago b}r Dr. Buchanan, of Glasgow, who observed that the solid residue left behind, even when repeatedly washed with distilled water, still retained the power of determining coagulation in serous effusion-liquids, when added to them in small quantity. Again, when blood which has been acted on by water is subjected to a stream of carbonic acid gas, the stromata of the corpuscles show changes which indicate that they still retain a substance precipitable by that gas. 15. Action of Crystallized Ox-bile. — On the addition of a dilute solution of ;' bile crystals," i. e., crystals of glyco-cho- late and tauro-cholate of soda to blood, a great number of the corpuscles are dissolved, so that the blood becomes distinctly laky; and if it is derived from a suitable source, and not too much diluted, the coloring matter crystallizes.' On this fact one of the numerous methods of obtaining hsemaglobin is founded. With reference to the mode of obtaining " bile crystals," see Chap. XXXVI. 16. Preparation of Haemoglobin. — Any method by which the coloring matter can be caused to quit the corpuscles without 100 THE BLOOD. undergoing chemical change, or in other words, any of the methods by which the blood can be rendered transparent or laky, may be used for obtaining crystalline haemoglobin. Many of these methods yield the product very readily, when the blood is derived from one of those animals in which the coloring matter is prone to crystallize. There arc, however, only one or two of them by which pure haemoglobin can be obtained in considerable quantity. Thus by the method of freezing, large well-formed crystals cau be obtained from the blood of the guineapig or dog. In like manner the blood of the same animals crystallizes readily after it has been rendered laky b}r warming or by the trans- mission of induction shocks. When it is intended to prepare considerable quantities in a state of purity, it is best to emplo}' water as a solvent, and then to determine crystallization in the liquid by the addition of alcohol, in such proportions that the mixture is only just capable of retaining the coloring matter in solution. To insure success, it is to be borne in mind that the coloring matter crystallizes as oxyhemoglobin (see § 17), that crystallization is much impeded b}r the presence of non-crystallizable organic compounds, particularly albumin, and that haemoglobin is prone to undergo change when exposed in solution to tempe- ratures above that of freezing. To insure complete oxidation, the blood must be freely exposed to air. To obviate the interfering influence of albumin, the coloring matter must be derived, not from the whole of the blood, but in as far as pos- sible from the corpuscles alone. To obviate the risk of che- mical change, i. e., of the splitting of the haemoglobin into other products, the liquids must be subjected, as far as pos- sible, during the whole operation to a low temperature. These indications are fulfilled in the following process, devised by Preyer, which gives good results, when the weather is cold and when blood is used of which the coloring matter is com- paratively insoluble in water at 0° C, e. g., that of the dog or cat. The haemoglobin of the blood of the horse, on the other hand, is very soluble at all temperatures. It cannot therefore be prepared by Preyer's method. Blood to be employed is allowed to flow from a vein or artery into a porcelain capsule. It is then placed in a cool cellar to coagulate. On the follow- ing day most of the serum is poured off, and the remainder removed with the aid of a pipette. The clot is then cut into small fragments and placed on a filter of fine calico, on which it is washed repeatedly with ice-cold distilled water, until the washings give scarcely any precipitate .with a solution of cor- rosive sublimate. [This indicates that the clot is tolerably free from serum-albumin. The water must be ice-cold, because at freezing temperature haemoglobin is sparingly soluble.] BY DR. BURDON-S ANDERSON. 191 Then on the filter the clot is treated with distilled water at a temperature of about 35CC, the filtrate being allowed to drop into a measure-glass cooled in ice. It is of great importance that this part of the process should be carried out with as little loss of time as possible. I have found it a good plan to in- close the clot in the filterer, and then to knead it repeatedly in small quantities of warm water contained in the capsule; the products of all the extractions being collected on the same filter, and received in the cooled beaker. A measured portion (say ten cubic centimetres) is then transferred, with the aid of a pipette, to a test-glass, to which alcohol is added drop b}' drop from a burette. The precipitate formed by the first drops of alcohol redissolves on shaking or stirring: as more alcohol is added the precipitate at last remains undissolved. [By this means the proportion of alcohol required, in order to diminish the solvent power of the liquid sufficiently to render it prone to crystallize, is determined.] Alcohol is then added to the whole liquid, in proportion somewhat less than is required to produce a permanent precipitate. The clear solution on being left to itself, surrounded with iced water, soon begins to crystallize. The crystals are separated by filtration and washed on the filter with ice-cold water containing a little spirit, and subsequent^ with ice-cold water alone. To obtain the sub- stance in a state of purity it must be subjected to recrystalli- zation. For this purpose the crystals must be dissolved in distilled water at 40 °C. and evaporated in vacuo, the process being repeated until a product is obtained which on incinera- tion leaves pure oxide of iron without trace of phosphoric acid. Dr. Gamgee recommends the following process, which was recently communicated to him by Professor Kuhne, and has been successfulby emploj^ed by him on three separate occasions. Five hundred cubic centimetres of defibrinated blood of a dog are mixed in a flask with 31 c. c. of pure ether, and thoroughly shaken at intervals of a few minutes during an hour and a half or two hours. The mixture is then placed in a cellar for about twentj'-four or thirty-six hours. The flask containing the lake- red liquid is now surrounded with ice (not a freezing mixture) for twelve hours, at the end of which time it is found to have become converted into a magma of haemoglobin crystals. Dr. Gamgee states that the only objection to this method consists in the great difficulty of filtering the crystalline from the viscid serous portion of the mixture. In laboratories where the cen- trifugal apparatus is to be found, the magma may be placed in tubes and submitted to. excessively rapid rotation for three or four hours, at the end of which time the haemoglobin will have separated as a soft cake from the serum, which can be decanted. Where no centrifugal apparatus can be obtained, the magma of 192 THE BLOOD. crystals ma}' be diluted by the addition of an equal volume of a mixture consisting of one part of ninety per cent, alcohol and four parts of distilled water. The whole must be filtered through calico, and the soft haemoglobin freed from the greater part of the adhering water and spirit by being placed on a porous brick and exposed to a current of cold air. Whichever method of separating the crystals is used, they must be purified by recrystallization. The best method of obtaining haemoglobin crystals in small quantities, for microscopical purposes, is one founded on the same principles. A teaspoonful of defibrinated blood is treated with a sufficient quantity of water to render it transparent. A quarter of its bulk of alcohol having been added to it, the mixture is introduced into a platinum capsule, and plunged in a mixture of pounded ice and salt. A relatively abundant crop of crystals is obtained. The mere freezing and thawing the blood, as directed in § 11, will also give satisfactory re- sults. Another method consists in passing the vapor of chloro- form through the blood, which has alwaj^s the effect of render- ing it laky, and in some animals determines crystallization. 17. Chemical Properties of Haemoglobin. — Solubility. — The solubility of haemoglobin in water differs according to the species of animal from which it is derived. Thus the color- ing matter of the dog and cat are very soluble at 40° C; sparingly soluble in ice-cold water. That of the guineapig dissolves with relative difficulty at all temperatures, and crys- tallizes more readily than that of any of the common domestic animals. All kinds of haemoglobin are more soluble in warm water than in cold. Diffusibility. — Haemoglobin, although crystallizable, is indiffusible. This can be easily shown by placing a solution of blood or haemoglobin in a diffusion-cell, the septum of which is of good parchment paper.1 If an animal membrane is substituted, a certain amount of coloring matter passes from the solution into the water. The fact of the diffusibility of haemoglobin perhaps stands in relation with the enormous weight of its molecule. Coagulability. — Aque- ous solutions of haemoglobin coagulate when heated, just in the same way as albumin, and at about the same temperature (64° C). When this occurs, the haemoglobin splits into an albuminous compound and an insoluble coloring matter. Pre- cipitation by Alcohol. — Small quantities of alcohol ma}' be added to solutions of blood or haemoglobin without producing an}' appreciable change. In continuing the addition a precipi- tate is formed, which at first is redissolved on shaking, after- wards becomes permanent. Relation to Oxygen. — In a solution 1 For method of preparing and testing a diffusion-cell, see Chapter on Chemical Methods. BY DR. BURDON-SANDERSON. 193 freel}' exposed to air, the haemoglobin is always combined with oxygen (oxyhemoglobin). Consequently, whenever haemo- globin is spoken of, it is understood to mean oxyhaemoglobin. This oxygen is so loosely combined, that it begins to separate itself from the haemoglobin as soon as the pressure of that gas in the gaseous atmosphere to which it is exposed falls below a certain point, recently determined by Worm Mullet* to be about twenty-five millimetres of mercury. So that when blood is subjected to the air-pump, the haemoglobin it contains begins to part with its oxygen as soon as the pressure is reduced to about a sixth of an atmosphere. This is expressed by say- ing that the tension of oxj'gen in the blood is about twenty- five millimetres Hg. Haemoglobin in solution can be deprived of its oxygen by the addition to the liquid of certain reducing agents (see § 18). In animals completely deprived of air, the haemoglobin in the blood loses its oxygen completely in less than a minute (see § 111). This is, no doubt, owing to the rapid accumulation in the blood of oxidizable products. When blood or solution of haemoglobin is subjected to the barometer vacuum (see Gases of the Blood), it parts with the whole of its oxygen. Haemoglobin has the property of oxydizing tinc- ture of guaiacum. If a drop of concentrated solution of guaiac resin in absolute alcohol is dropped on to filtering paper, and the alcohol allowed to evaporate, and then a drop of solution placed on the brown spot, a deep blue ring is formed round the edge of the drop. This reaction must not be confused with that observed when fibrin steeped in peroxide of hydro- gen produces a similar effect. In the latter case, all that is shown is, that fibrin decomposes the peroxide; in the former, the reaction a fiords evidence of the presence of nascent oxy- gen. Action of Carbonic Acid — Blood which has been satu- rated with carbonic oxide is entirely deprived of its oxj-gen, which is replaced by an equal volume of carbonic oxide. On this fact is founded the excellent method of Bernard for the gasometrical determination of the oxygen of the blood (see § 32). The carbonic oxide combines with haemoglobin in the same way that oxygen does. Action of Oxide of Nitrogen. — When oxide of Nitrogen is passed through a solution of blood which has been freed from oxygen, by subjecting it to an atmos- phere of hydrogen in such a manner as to exclude atmospheric air during the process, the dark blood acquires a carmine color. Here, as in the case of carbonic oxide, a new compound is formed with haemoglobin, which crystallizes in the same form as oxyhemoglobin. The solution, however, undergoes no change when treated with reducing agents. Action of Nitrites. — Dr. Gamgee has shown that the blood of animals poisoned with nitrites, as e.g., nitrite of amy], assumes a chocolate color. This color may be observed strikingly if a few drops 13 194 THE BLOOD. of nitrite of amy! are added to a solution of haemoglobin. The color of the latter almost instantly becomes brown. On adding reducing agents to solutions so altered, reduced haemoglobin (see § 18) appears — a fact which seems to square hest with the assumption that the action of the nitrites on haemoglobin is to peroxidize it, and that on reduction, oxyhemoglobin is first formed, then reduced. The precise nature of the reaction is still matter for investigation. 18. Optical Properties of Haemoglobin. — Crystals. — The crystals are doubly refractive, ?'. e., they look luminous when examined with the aid of the polarization microscope (see Part I., Chap. IV.), between 'crossed Nicols. They shine in sunlight with a lustre compared by Preyer to that of silk. When formed in liquids freely exposed to air or ox}rgen, they are of the color of arterial blood, but have the wonderful pro- perty of becoming dark without altering their form when placed in vacuo at a low temperature. They then exhibit two colors, looking green along the arUts^ purplish-red elsewhere. On the admission of air or oxygen, the color is restored. If a glass plate to which crystals of hiemoglobin adhere is placed in front of the slit of the spectroscope, two characteristic absorption bands (Hoppe-Seyler) are seen in the 3'ellow between the Frau- enhofer's lines D and E (see Fig. 195, 1). Solution. — The bands just mentioned are also seen when solution of haemoglobin or of blood corpuscles is placed in the same position : they can be distinguished even when the solution contains only one ten- thousandth of its weight of coloring matter. The bands differ, however, in their characters according to the degree of dilu- tion. According to the experiments of Prej'er, solutions vary- ing in strength from one to five per 10,000, show both bands faintly ; in solutions of six per 10,000, it can be distinguished that the band next the line P is the darker of the two, the other being broader and fainter (see Fig. 195,5); in solutions of thirty per 10,000, the violet end of the spectrum is completely absorbed, and the blue partially. As the concentration is in- creased the two bands approach each other, until finally (when the solution contains seventy per 10,000) they form a single band, while the whole of the more refrangible rays are absorbed, so that the spectrum does not extend beyond the limits of the green (see Fig. 195, ft). In 18G2 it was discovered by Stokes that haemoglobin exists •in the blood in two states of oxidation, which are distinguished alike bjr color and by the spectroscope; that the oxygenized haemoglobin, or (as it has since been called) oxyhemoglobin, is deprived by reducing agents of its oxygen, and that when it has been so reduced, it can be restored to its original state by agitation with air. The nature of the change of color is ex- pressed in two facts, which can be observed with the aid of the BY DR. BURDON-SANDERSON. If' 5 spectroscope. The first is, that when solutions of haemoglobin, or of blood, are deprived of oxygen, either by placing them in vacuo or by the addition of reducing agents, the more refran- gible rays (blue and violet) are much less absorbed, and the green more absorbed than they were before. The second fact is, that in solutions so concentrated that most of the spectrum is extinguished, the last color winch is transmitted is orange- red if the blood is arterial, red if it is venous. These two facts may be shortly expressed by saying that the color of arterial- ized blood consists of orange-red plus green, of venous blood- red plus blue. These differences, however, are not the most remarkable which are observed when oxydized and reduced solutions of blood or its coloring matter are compared spectroscopically. The most striking change produced by reduction relates to the two bands of absorption in the yellow part of the spectrum whieh have been already mentioned. This change is most readily demonstrated by following the directions given by Stokes in his original paper. A solution of protosulphate of iron, to which a sufficient quantity of tartaric acid has been added to prevent its being precipitated by alkalies, is rendered decidedly alkaline by the addition of ammonia, and is intro- duced into the solution of blood. "The color is almost in- stantly changed to a much more purple red, as seen in small thicknesses, and a much darker red than before, as seen in greater thickness. The change of color, which recalls the dif- ference between arterial and venous blood, is striking enough, but the change in the absorption spectrum is far more decisive. The two highly characteristic dark bands seen before, are now replaced by a single band, somewhat broader and less sharply defined at its edges than either of the former, and occupying nearly the position of the bright band separating the dark bands of the original solution (see Fig. 195, 2). The fluid is more transparent for the blue, and less so for the green than it was before. If the thickness be increased till the whole of the spec- trum more refrangible than the red be on the point of disap- pearing, the last part to remain is green, a little beyond the fixed line 6, in the case of the original solution ; and blue, some way beyond F,in the case of the modified fluid. If the purple solution be exposed to the air in a shallow vessel, it quickl}' returns to its original condition, showing the same two char- acteristic bands as before; and this change takes place imme- diately, provided a small quantity only of the reducing agent were employed, when the solution is shaken up with air. if an additional quantity of the reagent be now added, the same effect is produced as at first, and the solution may thus be made to •uy through its changes any number of times." [Stokes, On the Reduction and Oxydation of the Coloring Matter of 196 THE BLOOD. the Blood. Proceedings of the Roy. Soc., vol. xiii. p. 355.] The same facts can be demonstrated quite as advantageously, and perhaps with greater ease, if the solution of the sulphhy- drate of ammonium is substituted for the solution of sulphate of iron used by Stokes. The change is, however, not so rapid: it is accelerated by subjecting the liquid to a temperature of 40° C. 19. Methaemoglobin. — If a pure solution of haemaglobin is left to itself at the ordinary temperature, it gradually loses its brightness, and if it is then examined spcctroscopically, it is seen that a new band has appeared in the orange at a point where in ordinary blood there is least absorption. This band is due to the presence of a new coloring matter, called by Hoppe-Seyler methaemoglobin. The same change occurs under other circumstances, e.g., when carbonic acid gas is passed through dilute solutions of haemaglobin, or when glacial acetic acid is added to dilute solution of defibrinated ox-blood, in ex- tremely small quantity. [In larger proportions, acetic acid determines the formation of haematon. — See § 22.] Haemoglo- bin undergoes the same transformation when acted on by per- manganate of potash. If a crystal of pure permanganate is dissolved in distilled water, and the solution added to very dilute solution of blood, before the slit of the spectroscope, at a temperature of about 25° C, the haemoglobin bands gradu- ally disappear. In their place we have a spectrum, in which there are not only the band mentioned above, but two others, of which one nearly corresponds in position to the second hae- moglobin band, while the other lies half way between the lines E and F. Methaemoglobin is a substance of which the chemi- cal constitution and relations are imperfectly ascertained. Its presence is indicated spectroscopically in all collections of blood which have been for some time extravasated within the body, e. g., in thrombi, sanguinolent transudation liquids, etc. 20. Preparation of the Crystalline Coloring Matters ■which result from the Decomposition of Haemoglo- bin, and Demonstration of their Absorption Spectra. — Hasmin. — When dried blood is treated with glacial acetic acid and warmed to the temperature of the body, a solution is ob- tained which yields crystals of a new coloring matter, of re- markable properties, which has been designated haemin. The erystals vary extremely in shape, sometimes occurring as rhombic plates, sometimes as rods crossing each other at vari- ous angles. They are not soluble without decomposition in any liquid excepting hydrochloric acid, and are so little liable to chemical change that they may be kept for years, exposed to a moist atmosphere, without undergoing any change. Hae- min difl'ers from haematin (§ 21) in containing an additional equivalent of hydrochloric acid, on which account it is also BY DR. BURDON-SANDERSON. 197 called hydro-chlorate of haematin. Its carbon, nitrogen, and iron are in the same relative proportions as in haematin, but necessarily it contains a little less iron per cent, than that body. The mode of preparing the so-called Teichmann's crystals — in other words, the mode of obtaining haemin for the purpose of demonstrating its crystalline form microscopically — has been fully described in the histological part (Chap. I., p. 34). Haemin majr be obtained from blood in quantity, as follows, but the process is one which appears to present great difficulty, as it frequently fails. Defibrinated blood is diluted with a vol- ume and a half of distilled water. The transparent liquid is then precipitated with neutral acetate of lead, for the purpose of separating the albumin. The excess of lead (with respect to which it is desirable to be careful not to add more than is necessary) having been got rid of by the addition of a con- centrated solution of carbonate of soda, the liquid is filtered, and the filtrate evaporated to dryness either in the air or in vacuo. The dry residue is then finely powdered and rubbed up with fifteen times its own weight of glacial acetic acid, to which a trace of chloride of sodium has been added. The brown liquid thus obtained is introduced into a flask and warmed in the water bath until it is entirely dissolved, and the solution is mixed with five times as much distilled water, and allowed to stand for many days, protected from evaporation. The crystals collect on the bottom of the beaker and may be readily purified by repeatedly treating them with distilled water, allowing them to subside and then decanting. As hae- min contains chlorin, it cannot be prepared from haematin unless chlorides be present. When it is prepared from blood, the quantity of chloride of sodium present is sufficient, so that the addition of that salt is not essential. The solution of hae- min in hydrochloric acid gives no characteristic spectrum. 21. Haematin. — Haematin can only be obtained in a state of perfect purity from the crystals of haemin, the mode of pre- paration of which has just been given. The process is simple : the haemin crystals are dissolved, i. e., decomposed in ammonia. The solution of haematin thus obtained is evaporated to dry- ness, the residue is then extracted with water, which removes the chloride of ammonium, and dried. The product is pure haematin. It is insoluble in water, alcohol, and ether, soluble in alkalies and alkaline carbonates, but not soluble in acids without decomposition. In the impure state, haematin may be obtained in various ways. The change occurs more gradually at ordinary tem- peratures in solutions of blood, or haemoglobin, which are de- cidedly alkaline, whether the alkalinity is derived from potash, soda, ammonia, or their carbonates. Solutions of haemoglobin 108 TIIE BLOOD. which have undergone this last change exhibit, when placed before the slit of the spectroscope, in place of the haemoglobin bands, a less distinct and paler bund on the opposite side of the D line, i. t\, in the orange. This change is characteristic of the presence of hsematin. It is attended with an obvious darkening of the color of the liquid. When an alkaline solution of haematin is subjected to the action of reducing agents, such as sulphuret of ammonium or protosulphate of iron, it exhibits, when examined spectroscopi- cally, two much more distinct bands (Fig. 195, 4), one of which is exactly opposite the bright space which separates the two haemoglobin bands ; the other, which is less intense, is close to Frauenhofer's line, E, i. e., nearer to the blue end of the spec- trum than the broader of the two haemoglobin bands. If the solution is fresh and dilute, and the quantity of the reducing agent small, these bands can be made to vanish b}' agitation with air, giving way to the so-called oxyhaematin band above described. All these facts ma}7 be as readily demonstrated in solutions of blood corpuscles ; i. p., of cruor, as in solutions of haemoglobin. Blood rendered distinctl}r alkaline either by soda, potash, ammonia, or their carbonates, shows the absorption band of oxyhaematin. After addition of sulphuret of ammo- nium, this is replaced by the more distinct spectrum of reduced hsematin. 22. Haematoin. — When acetic acid is added to blood, the iron of the haemoglobin is separated and takes the form of a protosalt, and a new coloring matter remains in solution, the spectrum of which was first described by Professor Stokes, and has been subsequently known as acid hsematin. More recently, Preyer has shown that it is not identical with hsematin, but with the body to which Hoppe-Seyler gave the name of iron-free hsematin. It is produced whenever concenti'ated sulphuric acid acts on haematin. According to Hoppe-Se3Tler, it is pre- pared by rubbing up finely powdered hsematin in concentrated sulphuric acid. A liquid is obtained which is green in thin layers, reddish-brown in thicker layers, and gives a brown pre- cipitate when diluted with water. This precipitate is easily dissolved in ammonia. On evaporating the ammoniacal solu- tion, a bluish-black residue with metallic lustre is left, wdiich is free from iron. It may be obtained in like manner by acting on methaemoglobin by sulphuric acid. The solution of haema- toin in ammonia exhibits four absorption bands. It is ad- mirably shown b}r the method recommended by Professor Stokes, i. e.< by extracting with ether blood which has been mixed with acetic acid. The ethereal liquid thus obtained ex- hibits a four-banded spectrum. Of these bands, three onl}' are easy to recognize — one in the orange, nearer to the red than the reduced hsematin band ; a rather broad band in the green; BY DR. BURDON-S ANDERSON. 199 and a narrow but well-defined one in the blue. (See fig. 195, 3.) 23. Quantitative Analysis of the Blood, with refer- ence to its Corpuscles, Serum, Fibrin, Haemoglobin, Albumin, and Salts. — The following summary of the order of proceeding in the analysis of the blood, will be found sufficient for the guidance of those who have been previously trained in quantitative methods. The student who has not learnt accuracy by practice, in the analysis of bodies of known composition in the chemical laboratory, should not attempt the quantitative determinations relating to the blood or other animal liquids, partly because the operations are complicated, but principally because the operator has no means of detecting his mistakes. The blood to be analyzed is received in four vessels, the contents of which are as follow: 1. Ten or twelve centimetres of blood are allowed to flow into a weighed porcelain capsule and covered with a weighed watch-glass: After weighing, the blood is evaporated in a water-bath, dried in the air-bath at 120° C, and the residue used for the deter- mination of the total albuminous constituents, fat and salts, as follows: After standing till it is cool in a receiver over sul- phuric acid, it is weighed. The weight, deducted from that of the capsule and watch-glass, gives the total solids. The dry residue is then pulverized in a glass or porcelain mortar with common alcohol (Sp. G. 890) and transferred to a small beaker, the mortar being subsequently carefully washed with alcohol, and the washings added to the quantity in the beaker. This done, the contents of the beaker are boiled, and the alcoholic solution thus obtained is poured into a small previously weighed filter. What remains in the beaker is similarly treated with a second quantity of alcohol, which is thereupon poured into the same filter. After carefully washing the filter with boiling alcohol, the filtrate together with the washings is evaporated on the water-bath, dried at 110° C, allowed to cool over sulphuric acid, and weighed. The weight gives the solids soluble in alcohol a. Distilled water is added to the residue in the beaker, which is warmed in the water-bath. The water-extract is then poured on to the filter last used, and the filtrate collected in a weighed covered capsule, evaporated on the water-bath, dried at 110°, cooled over sulphuric acid, and weighed. The weight, minus that of the capsule, is that of the solids soluble in water . b. The remainder on the filter is dried at 110°, and then over sulphuric acid, and weighed repeatedly, till it is found no longer to lose weight. For this purpose it must be inclosed between two watch-glasses, held together by a clamp. The weight, minus that of the watch-glasses, filter, etc., is that of the insoluble solids c. 200 THE BLOOD. The fats of the blood are contained in a, from which they are extracted by repeatedly treating it with ether and evapo- rating the ethereal extract. The residue is washed into a small platinum capsule for incineration. b is incinerated in the capsule in which it was weighed ; c, with the filter in which it is contained, is incinerated in another capsule. The ash of a and b represents the soluble salts of the blood, viz., the chloride of sodium (five-sixths of the whole), phosphate, sulphate, and carbonate of soda ; chloride and sulphate of potash. The ash of c consists of phosphates of lime and magnesia.1 2. A second quantity of twenty-five centimetres is used for the determination of the fibrin. For this purpose a small beaker is used, over the top of which a vulcanized India-rubber cap with a single neck (see Fig. 190) can be drawn without difficulty. Through the neck or tubulature, a rod of whale- bone, which, at its lower end, widens out into a blade, is grasped by the tubulature. The blood is received into the beaker, covered at once with the cap, and immediately agitated very briskly with the blade of the whalebone, the purpose of the whole arrangement being to prevent loss of weight by evaporation during the process. As soon as coagulation is complete, the beaker and its contents are weighed. The weight, minus that of the beaker, its cover and the oar, is that of the quantity of blood used. The cover is then removed and the beaker filled with water, to which a trace of chloride of sodium has been added. After agitation and subsidence the clear liquid is poured off, and the fibrin again treated with as much more water with a trace of salt. The fibrin is then collected on a weighed filter, and washed with distilled water 1 In incinerating, it is of importance that the capsule or crucible should be large enough to hold four or five times as much material as is used. Platinum vessels are preferable. If the substance contains much organic matter, and at the same time much soluble salts, e. g., chlorides, it is necessary to perform the operation in two stages, i. e., first to car- bonize the substance, then extract the ash with boiling water, collect the insoluble part on a filter free from ash or containing a known weight of ash. The filter, after careful washing, must be dried at 110° C, and gradually heated to whiteness until the carbon is entirely destroyed. Almost the whole of the soluble salts are contained in the extracts. Thus the decomposition of the alkaline carbonates and chlorides, which occurs at a higher temperature, is avoided. In incine- ration of the total solids of the blood this interruption of the process is desirable, if for no other reason, on account of the extreme difficulty of getting rid of the carbon in presence of so great a quantity of alkaline salts. If, however, the method described in the text is followed, these difficulties are got rid of in another way. For, on the one hand, the watery and alcoholic Extracts contain very little organic matter ; on the other, the insoluble residue (c) is free from alkaline salts. In both cases, therefore, the incineration can be proceeded with continuously. BY DR. BURDON-SANDERSON. 201 until the filtrate is colorless. The pink fibrin thus obtained is then finally washed on the filter with boiling alcohol, dried first in the air-bath, then over sulphuric acid, and finally weighed. 3. A third portion of blood is received in a similar apparatus, defibrinated, and the defibrinated blood strained through a calico filter and weighed. The filtrate is then mixed in a tall jar, with ten volumes of a solution of salt, prepared by adding nine volumes of water to one of saturated solution. After a day, the corpuscles having subsided, the liquid is decanted off, and replaced by a second similar quantity of saline solu- tion. Again the corpuscles are allowed to subside, and the liquor removed by decantation. The deposit is then washed with water into a porcelain capsule, evaporated on the water- bath, dried, pulverized with alcohol, and then proceeded with for the separation of the albuminous compounds from the soluble constituents, as in the first quantity. The weight of the insoluble residue (c), minus the weight of its salts, corre- sponds to that of the albumin and haemoglobin of the whole blood. 4. The fourth quantity is allowed to coagulate in a capsule. The serum is then poured off, and the albumin contained in a weighed quantity determined by the method already de- scribed. The results stand as follows : From 3, we learn the propor- tion in a known weight of blood, of albumin and haemoglobin contained in the corpuscles ; from 1, the corresponding pro- portion of albumin and haemoglobin contained in the corpus- cles and plasma together; and hence, by deducting the former from the latter, the proportion of albumin in the plasma. From 4, the proportion of albumin contained in the serum is known, and thereby that of the serum in the blood. The weight of the plasma is equal to the weight of the fibrin (2), plus that of the serum. Finally, by deducting the weight of the plasma from that of the blood, we have that of the corpus- cles in the moist. 24. Quantitative Determination of the Haemoglobin contained in Blood. — It is often of great importance to be able to determine the proportion of haemoglobin in a small quantity of blood ; such, for example, as may be obtained by cupping. This is accomplished by making a solution of a measured or weighed quantity of blood in water, and then ascertaining, with the aid of the spectroscope, what degree of dilution is necessary in order to bring it to such a strength that only the red rays are transmitted {see § 18). The point of dilution at which the green is entirely extinguished, has been found by Preyer to be so constant, that it may be used as a basis for quantitative determinations. 202 THE BLOOD. The determination of the percentage of haemoglobin which is required to yield the spectroscopic result above described, is accomplished by introducing a concentrated solution of a known weight of pure haemoglobin crystals into a glass cham- ber ( so-called hannatinomcter), of which the parallel sides are one centimetre from each other. . The chamber is then placed in front of the slit of the spectroscope, the source of light being a paraffin lamp. Distilled water is then carefully added from a finely divided burette, so \omx as all of the spectrum is extinguished excepting the red. The moment that the green begins to appear, the operation is ended. The volume of the diluted solution is determined ; and the exact conditions, viz., the distance of the lamp and chamber, and the width of the slit, are carefully noted. The percentage of haemoglobin con- tained in the solution is that at which, uncle?' the given condi- tions, complete absorption of the green takes place. It may be designated k. In order to ascertain the percentage of haemoglobin con- tained in any given specimen of blood, all that is required is to repeat the process just described. A small quantity of fresh blood, which has been well agitated with air and defibri- nated, is introduced into a finely graduated small pipette, from which exactly one centimetre is delivered into the glass chamber above mentioned, and diluted before the slit of the spectroscope (the liquid being carefully stirred after each addition) until the green begins to appear. At this moment the liquid contains a percentage of haemoglobin equal to k. If the volume of distilled water including the centimetre originally added, be designated c, and the original volume of blood 6, the percentage of haemoglobin which the blood con- tains is readily calculated according to the formula CC I) -J— 0 ■ . T — =_J_ Whence, if the quantity of blood used, as above k b H J ' supposed, be one centimetre, we have x=k (1 + c). 25. Determination cf the Quantity of Haemoglobin in Blood, by the Estimation of its Iron. — Assuming that haemoglobin contains 0.42 per cent, of iron, and that the whole of the iron of the blood is contained in its coloring matter, it is evident that if the percentage of iron existing in any quantity of blood is known, the percentage of haemoglobin can be readily calculated. Although the process has disad- vantages as compared with that last described, both as regards the time required for carrying it out, and the accuracy of the results, it cannot be omitted, as, under man}* circumstances (e.g., when the blood to be investigated is not perfectlj- fresh), the spectroscopic method is inapplicable. To ascertain the proportion of iron in blood, a weighed or measured quantity of the liquid must be incinerated. The ash must then be dis- BY DR. BURDON-SANDERSON. 203 solved in pure dilute hydrochloric acid, and the iron deter- mined volumetricalty with permanganate of potash. This is accomplished as follows : — The volumetrical solution of permanganate which is usual- ly employed, is prepared by dissolving the pure crystals in distilled water, in the proportion of 3.16 grammes to the litre. It is of such strength that 17.85 centimetres correspond ap- proximatively to one-tenth of a gramme of metallic iron. It is, however, necessary, before using it, to determine its exact strength, by means of a weighed quantity of solution of the double sulphate of iron and ammonia. The mode of preparing this salt will be found in Sutton's " Volumetrical Analysis." It contains exactly one-seventh of its weight of iron, so that 0.7 gramme represents 0.1 gramme of iron. The mode of ap- plying it is as follows: — 0.7 gramme of the salt having been dissolved in a beaker in distilled water, and five or six c. c. of dilute (1 : 5). sulphuric acid added, the permanganate solution is delivered from a bu- rette, having a glass stopcock, until a point is reached at which the rose color no longer disappears on shaking. As the per- manganate must be slightly in excess to produce a percepti- ble color, a correction should be made by ascertaining experi- mentally how much of the salt is required to produce the observed intensity of color in the quantity of liquid used. This quantity should then be deducted from the result. The number of cubic centimetres used for 0.7 gramme of the double sulphate, (i. e., 0.1 gramme of metallic iron) must be marked on the bottle. As the method depends on the con- version of the iron from the lower to the higher stage of oxi- dation at the expense of the permanganate, it is obviously necessary that the whole of the iron in the liquid to be ope- rated upon should be in the condition (to use modern lan- guage) of a ferrous salt. For this reason, the first step in dealing with the hydrochloric acid solution of blood ash, is to reduce it. With this view, the solution of ash is first intro- duced into the flask already mentioned, in which it is gently boiled with a few pieces of zinc until the latter is dissolved and the liquid is colorless. It is then allowed to cool and diluted to fifty centimetres, after which the solution of per- manganate is added to it from the burette, as before, until the rose color becomes permanent after agitation. For each centimetre of the red liquid emplo3'ed in attaining this result, the quantity of solution in the flask contains 0.0056 gramme of iron. 204 TIIE BLOOD. Section IV. — Gases of the Blood. 1. The gases of the blood are oxygen, carbonic acid and nitrogen. The knowledge we possess of the conditions under which they are contained in the blood, and of the relative quantities of each, is founded entirely on the researches of Ludwig and his pupils, published during the first }rear of the last decade. As regards ox}rgen,a correct method (that of displacement by carbonic oxide) had already been employed by Claude Bernard ; but, as regards carbonic acid, the methods previous- ly used were imperfect and the results erroneous. 2. In round numbers, one hundred volumes of arterial blood deliver to the Torricellian vacuum about twenty volumes of oxygen (estimated at 760 millimetres pressure and 0° temper- ature)— venous blood about twelve volumes. Of the quantity of oxygen so extracted, by far the greatest part is in combina- tion with haemoglobin — in other words, in the concrete state. The proportion of free oxygen in blood is so small that oxygen is absorbed from any atmosphere containing it in which its tension is greater than from twenty to twenty -five millimetres — in other words, from any space in which it exists in a pro- portion greater than about one-eighth of the proportion in which it exists in the atmosphere. Consequently, in subject- ing blood to the air-pump, no oxygen is given off till the press- ure sinks to about 125 millimetres (t. e., about a sixth of an atmosphere) ; whereas, in the case of other liquids (e. g., water), oxygen, with the other contained gases, begins to be disengaged, pari passu, with the reduction of pressure, in a quantity determinable according to Dalton's law. These facts are expressed by saying (1) that the absorption of oxygen by the blood is independent of Dalton's law, and (2) that the ten- sion of oxygen in the blood is from twenty to twenty-five millimetres of mercury. 3. When blood is subjected to the Torricellian vacuum, the disengagement of oxygen is complete. The blood is converted into froth, and rapidly assumes a dark color. This appear- ance is due partly to the discharge of the coloring matter from the corpuscles, partly to the complete reduction of the haemo- globin which accompanies the extraction from the liquor san- guinis, of its free oxygen. 4. When blood is subjected to an atmosphere which con- tains no oxygen, the result, so far as relates to the extraction of oxygen, is the same as if it were exposed to the vacuum. This is particularly the case if the gas employed be one which has the power of combining with haemoglobin. The gas which pre-eminently enjoj's this faculty is carbonic oxide. When blood is subjected to an atmosphere of this gas, the oxygen it BY DR. BURD0N-S ANDERSON. 205 contains, "whether free or combined, escapes from it, its place being taken by carbonic oxide. The blood-coloring matter in combination with this gas acquires optical and other characters which remarkably resemble those of oxyhaemoglobin. 5. Carbonic acid gas may be extracted from arterial blood by the Torricellian vacuum in the proportion of about 35 vol- umes (as estimated at TGO millimetres pressure and 0° tempe- rature) to 100 volumes of blood. Venous blood may yield 43 volumes, asphj'xial blood 50 volumes. Of this quantity a cer- tain but very varying proportion is merely absorbed, the rest is in loose combination, principally with the sodic carbonates of the plasma. It is probable that some of it is held by the bibasic sodic phosphate of the blood, and perhaps some other- wise. Hence it may be readily understood that serum con- tains as much carbonic acid gas as a corresponding volume of blood. 6. When a fixed acid, e. gr., tartaric acid, is added in vacuo to blood which has been already deprived of its absorbed and loosely combined carbonic acid (which together constitute what may be called its inexhaustible carbonic acid), an addi- tional quantity of carbonic acid may be obtained from it, which previously existed in the blood in the condition of neutral car- bonate, principally if not entirely sodic. Every apparatus for extracting the gases of the blood must consist of two parts, a mercurial pump and a recipient. The form and character of the latter necessarily depend upon those of the former. The most important forms of pump in use are those of Dr. Geissler, and others similar, employed in Ger- many, and of M. Alvergniat, in Paris. In this country, under the direction of Professor Frankland, Mr. Cetti has constructed a Sprengel's pump for the purposes of extracting the gases of water. Dr. Gamgee, of Edinburgh, has applied this form of pump to the extraction of the gases of the blood with complete success. 26. Alvergniat's Pump. — A long barometer tube, the scale of which is divided into millimetres, is fixed to a vertical board on a suitable stand. This tube is dilated at the top into a large bulb (a, Fig. 197), and is then continued upwards until it ends in a three-way stopcock (d), surmounted by a funnel. To the right, the stopcock is in communication with a glass tube, ending in a bulb (jy), and possessing a flexible joint at/. To the lower end of the barometer tube is fitted a long tube of thick-walled vulcanized caoutchouc, which ends in a globular mercury-holder (o). The vertical board is fitted at regular in- tervals with perforated shelves, on one of which the mercury- holder is resting. The pump is worked as follows: v having been filled with mercury, the metal enters the vulcanite tube, and rises to the same heijjht in the tube a c as in v. If v is 206 THK BLOOD. raised from its present level to that of the highest of the shelves, the stopcock being :it the same time turned so that the vertical tube communicates with the external air. but not with the bulb, the mercury will rise till the whole of the verti- cal tube is occupied. The stopcock is now turned so as to make communication only between a c and the bulb, and the mercury-holder is replaced in its original position. As the re- sult of this manipulation, tin: air previously contained in the bulb and the tube leading from it occupies the whole cavit}', and (according to Marriotte's law) is expanded, i. e., dimin- ished in density in the same ratio that the volume occupied by it is increased. In other words, the density of the air in the bulb, before the depression of u, is to its density after as the capacity of the barometer plus the bulb is to that of the bulb alone. To repeat the operation, the stopcock must first be placed in such a position that all channels are closed, v is then raised and the stopcock again turned as at first — viz., the horizontal way closed, the vertical way open. The ait- contained in a c having been discharged, the stopcock is again opened horizontally and closed vertically, and v depressed. The air remaining in the bulb is again expanded in the same proportion as before. If the capacity of the tube, together with its dilatation, be equal to that of the bulb and its tube, it is obvious that the effect of each stroke of the pump will be to halve the density of the air in the bulb ; consequently, if the operation is repeated ten times, the density of the air con- tained in the bulb (supposing it to be dry, and to have an ori- ginal density of 160 millimetres) becomes 760x(i),0=0.74 mil- limetre. By filling the bulb and the tube leading to it, before attaching it, with water deprived of its gases by boiling, the process of exhaustion can be very much shortened. No sooner does the mercury sink in the vertical tube (a c) than the water follows it, and can be discharged b}r raising the mercury- holder with the stopcock open vertically and closed horizon- tally, as before. A vacuum which is almost perfect is thus obtained at a single working of the pump. In the pumps recently made by M. Alvergniat, he has substituted a movable support which works up and down the vertical board by a winch. 27. Geissler's Pump — The instrument (see fig. 198) con- sists, like that just described, of a fixed vertical tube (a), which is dilated into a large bulb near the top and communicates near its lower end by means of a flexible tube of thick walled caout- chouc with another vessel (b) which can be moved up and down by turning a winch. Above the bulb, the vertical tube, which is nearly a metre in length, ends in a stopcock (g), so con- structed that the bulb can be completely shut off, or may be brought into communication either, with the external air or with BY DR. BURDON-SAXDERSON. 207 the cavity to be exhausted. The pump is worked in the same manner as that just described. In order, if necessary, to dry the vacuum, a Pfliiger's drying apparatus is interposed between the pump and the recipient. This may be described as a U tube, the bend of which is dilated into a bulb (c). It is so constructed that the fragments of pumice or the glass* balls moistened with sulphuric acid which are used for drying can be readily introduced into either limb. The tube leading from the dessicator to the pump communicates with a vacuum gauge (m). The advantage which this instrument possesses consists in the relatively large size of the bulb, the perfection of the workmanship (particularly of the stopcocks) and the arrange- ment whereby the vacuum obtained is dry. 28. Frankland-Sprengel Pump— Sprengel's pump as modified b}r Frankland, consists essentially of a vertical glass tube (o Fig. 199) about four feet long, with thick walls and nar- row bore, the lower end of which is bent up in such a way that, if filled with mercury, and closed at the top, it would constitute a barometer. At its upper end, however, it is not closed, but is continuous by a bend with the second vertical tube (g) or ascending limb of the Sprengel (the supply tube), which is of wider bore, and runs parallel to the first. At the top, or con- vexity of the bend, a third tube, about four inches in length (the exhaustion tube), is sealed on, by which the barometer tube or descending limb communicates with the cavity to be exhausted. The ascending limb communicates by a flexible tube, strengthened by a covering of strong canvass and guarded by a screw clip, with the descending limb of another bent tube (c) of similar construction to the first; the only dif- ference between it and the one just described being that it com- municates at the bend, not with any cavity, but merely with a bulb (d) closed at E by mercury. Its other limb finally com- municates by a second flexible tube with a reservoir of mer- cury (b), the arrangement of which will be best understood from the figure. It consists of two glass funnels, each having long stems, the relative sizes of which are such that the one can be contained within the other. To work the pump, the exhaust- ing tube of the first bent tube must be connected with the cavit}' to be exhausted by means of a junction of vulcanized caout- chouc, guarded by a chamber filled with glycerin. Mercui^ is then poured into the inner funnel (the tube leading to the first bend having been previously closed) until it rises in the space between it and the outer to the same level. This done, the clip is opened, and a stream of mercury is allowed to flow over the two bends in succession, great care being taken that the stream is not so abundant as to cause the mercury to ascend in tin; exhausting tube above the level of the bend. The flow must then be gradually diminished with the aid of the clip, 208 TIIE BLOOD. until the column of mercury in the descending limb of the Sprengel tube is broken into fragments by intervening spaces containing air. This happens whenever the quantity of mer- cury which readies the bend by the ascending limb in any given time, is less than that which leaves it by the descending limb. In a time which varies according to the capacity of the cavity to be exhausted, vacuum is attained. No more bubbles are discharged at the lower end of the Sprengel. Each drop of mercury as it falls produces a peculiar click, and if the current is stopped, it is seen that the height of the column in the de- scending limb is less than that of the barometer at the time, by a number of millimetres which is equal to the tension of aqueous vapor at the temperature. The apparatus is so arranged that the bend of the first tube is supported at a level several inches higher than that of the second. Consequently, as the process of exhaustion approaches, the bulb with which it communicates becomes emptied of mercury, the vacuous space thus formed gradually extending till the level of the mer- cury in the descending limb coincides with that of the bend of the second tube. We next pass to the description of the method of obtaining blood from an artery or vein, and of transferring it to the vacuum. Although it is not possible to produce a vacuum with the Sprengel pump above described, as rapidly as with the ordinary mercurial pump,1 its action in other respects is very satisfactory. It completely fulfils the conditions enume- rated by Ludwig as essential to an efficient blood-pump. The vacuum produced is perfect; it is bounded by mercury which, having previously passed through a vacuum (in the first tube), is completely deprived of air; and it can be renewed any num- ber of times after the blood is introduced. 29. Method of Transferring the Blood to be Ex- hausted from the Artery or Vein to the Vacuum. — It is essential that the transference should be effected without contact with air; the blood must therefore either flow as directly as possible from the artery or vein into the vacuum tube: or, if it is intended to de fibrin ate it, it must be received in a space previously occupied by mercury. Before describing the mode of transferring, an account must be given of the chamber or re- cipient in which the blood is exhausted, and of tiie mode in which it communicates with the pump. The exhaustion tube (sec Fig. 199, ii) is connected by a vulcanite union, inclosed in an external tube containing glycerin, with a long nearlj' capil- lary tube, of such form and length as to reach the table by the side of which the pump stands. Near its lower end it is bent 1 The instrument probably admits of considerable improvement in this respect. BY DR. BURDON-SANDERSON. 209 at an obtuse angle, so that the last few inches are horizontal. A little above the bend there is a bulb: the horizontal part is firmly supported on a block. With this tube the recipient is united either by a mercurial joint (i) or by a connector of vul- canized India-rubber, inclosed in a glycerin chamber. The recipient is a large glass tube (j), of about an inch and a quarter diameter, and forty inches long. At its lower end it terminates in a capillar}' tube, which is guarded by a stopcock (l). Its capacitj' is about 250 centimetres, consequently six- teen times that of the blood it is intended to receive. In selecting a method of transference, preference ought to be given to those plans which are least complicated and most rapid in execution. The method I have found to answer is as fol- lows: The animal having been secured, a canula fitted with an India-rubber connector is inserted in the vessel, which is closed by a clip lege artis. For receiving the blood as it flows from the artery or vein, a straight-glass tube (Fig. 199, m) of known capacity is used ; one end of this tube is guarded b\' a stop- cock, while the other is drawn out, and so formed that it can be accurate!}' stopped by the finger. A trough having been filled with mercury, completely freed from air by passing through the pump, the narrow end of the tube is dipped into it. The tube is then easily filled up to the stopcock by aspira- tion and the stopcock closed. It having been ascertained that the tube is perfectby full, it is placed in an inclined position, with the stopcock end downwards, and the open end at such a distance from the canula that the India-rubber tube can be easily slipped over it at the required moment. This having been accomplished, and the other end of the tube having been fitted with a bit of India-rubber tubing of sufficient length to conve}' away the mercury to a convenient receptacle, all is ready. The clip on the canula is opened, and blood allowed to flow freely from the tube for a few moments while the mercuiy tube is grasped by the operator. The warmth of the hand causes the mercury to expand and project from the open end of the tube: at that moment the India-rubber connector from which blood is flowing is slipped over it, and the connection is completed without the slightest risk of the introduction of air. Withont a moment's loss of time the stopcock is opened, and the blood allowed to replace the mercury. The stopcock having been closed, the India-rubber connector is slipped off, and the open end of the tube closed with the finger. The tube is now placed with its open end downwards in the mercurial trough (u i, the finger being still kept on the orifice, while an assistant fills the bit of capillary tube beyond the stopcock with boiled distilled water, and connects it with the corresponding end of the recipient by means of an India-rubber connector. The mo- ment that this is accomplished, the finger is removed from the 14 210 THE BLOOD. orifice of the tube, and both stopcocks are opened. The blood passes rapidly into the recipient, followed by a column of mer- cury, and is at once converted into froth. A few drops of mer- cury having been allowed to enter, the stopcocks are finally closed. It will be understood from the figure that the joint between the measuring tube and the recipient, as well as the stopcocks, are under water, the purpose of which arrangement is, it need scarcely be said, to obviate the risk of the entrance of air. At first the water in the wooden trough (n, which is not in- troduced until M has been joined to l) is kept cool with frag- ments of ice, in order to prevent the blood from coagulating during the preliminary operations. As soon as all is complete, hot water is graduall}' added until the temperature rises to about 40° C, care being taken not to expose the stopcocks to the air during the process. The only moment in the process at which air can be admitted, is that of joining the measuring tube to the recipient. For this reason it is desirable, before opening the second stopcock of the measuring tube, to keep the pump in action for a few minutes so as to be certain that the vacuum is unimpaired before admitting the blood. This is not- attended with inconvenience, ifthe blood is kept at a tempera- ture approaching that of freezing. When it is desired to defibrinate the blood before exhausting it, it must be collected over mercury. This is best effected in Ludwig's recipient. This recipient is a tube closed at one end and furnished with a Geissler's stopcock having a remarkably large way. The tube is inverted over mercury, with the stop- cock open, and the blood allowed to flow directly from the ves- sel into it until it is nearl}7 filled. It is then closed by the hand, defibrinated by vigorous shaking with mercury, and replaced in the trough. The stopcock is now closed, and the tube, from which the blood contained outside of the stopcock has been washed, is united with the recipient of the pump by an India- rubber joint. To carry out this method, Sprengel's pump is scarcely applicable ; for, inasmuch as the process of exhaustion cannot be begun until the connection is made, a long time must elapse before the tap can be opened. Blood alters so rapidly after removal from the body — the oxygen diminishing, the car- bonic acid increasing — that if much time is lost the results are of little value. 30. Method of Analysis. — In France most of the analy- ses which have been published by Bernard and his pupils have been made by a method which, although rapid, is inexact. In Germany the analyses of Ludwig and his pupils, as well as those of Pfliiger, have been made according to the accurate methods first introduced by Bunsen, and commonly known by his name. Bernard's method is practised in the physiological BY DR. BURDON-SANDERSON. 211 laboratory of the Jardin des Plantes, in Paris. The analysis is made in a circular mercurial trough, in the centre of which is a well sixteen inches deep, and large enough to contain about 12 lbs. of mercury. The gas having been transferred from the tube in which it is collected from the pump, to a eudiometer, the latter is plunged into the mercury, in order that its contained air may acquire the temperature of the metal. It is .then raised with the aid of a wooden tube-holder until the level of the mercuiy inside is the same as that out- side. The quantity of gas having been measured, a fragment of caustic potash is introduced, which rapidly dissolves in the few drops of water which always float on the surface of the mercury. The column of mercury is then gentty agitated by alternately raising and lowering the eudiometer, which, after the completion of absorption, is again plunged into the mercury. The gas having been again measured, about a centimetre of strong solution of pyrogallic acid is introduced with the aid of a pipette with a bent beak. The agitation is repeated and continued for some time. As soon as the absorption of the ox}Tgen appears to be complete, the tube is transferred to a basin containing water, into which the mercury with the pyro- gallate of potash is allowed to fall. The residue, consisting of nitrogen, is read over water. The results obtained by this rough- and-ready method must necessarily be erroneous, not only be- cause the measurements are inaccurate, but because the absorp- tions must always be incomplete. If, however (as in certain pathological inquiries), it is more important that the analy- ses should be numerous than that they should be exact, it may be available. For class illustrations of the general nature of the blood gases, it is completely adapted. For more exact purposes the process of gas analysis has been during the last few years much shortened by Frankland, Russell, and others. With a view to the analysis of the gases of drinking water, Frankland has introduced an apparatus of great simplicity (see Fig. 200), the working of which will be readily understood by the diagram. It consists of two parts, viz., a laboratory tube (&), in which the gas to be analyzed is first received, and a measuring apparatus to which it can be transferred from the laboratory, in order that its volume may be determined before and after each absorption. The measur- ing apparatus consists of two tubes (a, 6), fixed vertically side by side in a stand, surrounded by a chamber containing water (n). They communicate below both with each other and (by the long flexible tube) with a mercury-holder (t), like that of Alvergniat's pump. One of them can be brought into communication by the arm (g) with the laboratory tube ; the other (b) is open at the top. A scale of millimetres is en- graved on it, the zero of which is opposite o. A corresponding 212 THE BLOOD. scale, starting from a zero at the same level, is engraved on the measuring tube. The apparatus is filled with mercury by raising the mercurj'-holder (/) to a sufficient height, the stop- cock (f) remaining open ; in doing which the surface of the mercury in t must not be more than a few millimetres higher than the tap. As soon as the mercury appears at g, the stop- cock is closed. The next step is to fill the laboratory tube. Having inverted it in the trough, which has been previously raised to the proper height, the operator draws out most of the air by means of a bent tube, the point of which rises to the top of the laboratory tube, and shuts the stopcock as soon as the mercury rises. The removal of the air is completed by joining g and g' so as to connect the laboratory tube with the measuring apparatus, and then causing the air contained in the former to pass over into the latter, by depressing t. The stopcock h must now be closed and g and g' disconnected to allow of the expulsion of the air from a. This having been accomplished, g and g' are again brought together and care- fully secured. The whole apparatus is now full of mercury ; as soon as it has been ascertained that the joint is air-tight at all pressures, it is ready for use. Before proceeding further, however, the measuring tube, which, as already stated, is graduated in millimetres measured from an arbitrary zero line near the bottom, must be calibrated. In other words, it must be ascertained as regards each principal mark of the gradu- ation, what volume of air or water (as the case may be) the tube contains, when the upper convex surface of the mercury stands exactly level with it. For this purpose the orifice a is connected by means of an India-rubber tube with a reservoir (a funnel) containing distilled water. The mercurial column is then allowed to descend until it stands exactly at zero. A weighed beaker having been then placed under a, water is ex- pelled till the column stands at a height of fifty millimetres, and the beaker again weighed. In a similar manner the out- flow of water corresponding to a rise of the mercurial column from fifty to one hundred millimetres is determined, until the capacit}' which corresponds to each fiftj' millimetres of the scale is ascertained. To insure accuracy', the process must be repeated several times. If the results, after correction for difference of temperature, are in close accordance, the means may then be taken as expressing the capacities required. In the upper part of the tube, calibration must be made at short- er intervals. In calibrating, as in all subsequent measure- ments, the height of the column must be read horizontally through a telescope, so adjusted that its axis is at the same height as the surface of the mercury. The temperature is read by a thermometer suspended in the cylinder of water by which the barometer and measuring: tube are surrounded. BY DR. BURDON-S ANDERSON. 213 31. Introduction of the Gas to be Analyzed. — The measuring and laboratory tubes having been brought into con- nection in the manner described above, and both filled with mercury, the gas to be analyzed is introduced into the labo- ratory tube from the test tube to which it has been discharged b}7 the Sprengel. It is then at once transferred to the mea- suring tube by depressing t until the mercury rises in the laboratory tube as far as the stop-cock g'. This done, the stop-cock g is closed, and t raised or depressed till the column stands at one of the marks of the graduation, in reference to which the capacity of the tube has been determined. The temperature is then observed, and the pressure determined by adding the difference between the height of the column in the measuring tube and that in the pressure tube, to the reading of a barometer which stands by. A few drops of solution of caustic potash having been introduced into the laboratory tube, the gas is returned from the measuring tube. Absorption takes place rapidly. It is accelerated by slightly agitating the trough, and by allowing the mercury to stream into the labo- ratory tube after the gas has passed. The measurement of the gas after absorption is performed in the same manner as before. About half a centimetre of strong solution of pyro- gallic acid is then introduced in the same way as the potash, and the gas again returned. After absorption of the oxj'gen, what remains is nitrogen. In analysis of blood gases, the proportion of nitrogen is nearly constant, viz., about 2.5 vol- umes in 100 volumes of blood. If a larger quantity is obtained, the fact indicates that air has entered. Whatever method of analysis is employed, the results must be reduced to 0° tem- perature and 760° millimetres pressure — t. e., they must be expressed as if the measurements had been made under those conditions. A further deduction must be made from each measurement in respect of the aqueous vapor which the gas contains (the measuring tube being always moist). This is accomplished by the following well-known formula : — v = J!_ H'-/ 1 + t 0-00367 760 V denotes the corrected volume; V the volume read; t the temperature; H' the observed pressure; and f the tension of aqueous vapor at the temperature t. The values of 1 -f t 0.003G7 and / are always obtained from tables. For these, and many other important practical details relating to the performance of gas analysis, the reader is referred to Mr. Sutton's " Volu- metrical Analysis,'' whom I have to thank for two of the woodcuts with which this section is illustrated. To illustrate the application of the method to the analysis of the gases of the blood,! give the following example: — 214 TIIL BLOOD. Analysis of Gases of Arterial Blood of Dog. 2d Measurement 1st Measure nt. After absorption .'id Measurement. Total quantity of carbonic acid After absorption of gas extracted. gas, of oxygen. Height of column in measur- ing-tube 230.0 270.0 450.0 Height of column in pres- sure-tube 312.8 369.0 320.0 Difference 82.8 99.0 —130.0 Reading of barometer 7G4.0 846.8 764.0 764.0 H'= 863.0 634.0 Tempcrature=19.8°C.=t. Tension of aqueous vapors from table=f= 17.2 17.2 845.8 17.2 H'— f= 829.6 626.8 Volume of gas as measured in cubic centimetres=V — 11.822 3.865 0.562 1 + t 0.00367 (from table) Hence from the first measurement we have — 11.822 829.6 1.0725. V = V. 1.0725 From second measurement — 3.865 1.0725 ' From third measurement — y 0.562 760 845.8 = 12.030. 760 = 4.010. 626.8 = 0.432. 1.0725 760 Thus the total volume of gases obtained as measured at 0° C. and 760 in. m. was 12.030 cubic centimetres ; of carbonic acid gas was 12.030 — 4.010 = 8.02 c. c.; of oxygen 4.010 — 0.432 = 3.578 c. c, and of nitrogen 0.432 c. c. As the volume of blood employed was 20.266 cubic centime- tres, we have the following final result : — In 100 volumes of blood — Carbonic acid <^as 39.585 volumes 8.020 Oxygen Nitrogen Total 17.652 2.138 59.375 0.20266 3.578 0.20266 0.432 0.20266 12.030 0.20266 (= vols. vols. vols. vols. BY DR. BURB-ON-SANDERSON. 215 In the preceding example such variations of temperature and barometric pressure as may occur during the analysis are disregarded. The readings are taken immediately after the absorption of the carbonic acid gas ; as the time occupied in the analysis up to this point is very short, the error arising from the variations in question is inconsiderable. As regards the absorption of oxygen, the error might be of more conse- quence, were it not that the residue of nitrogen is so small. As it is, it can be easiljr shown that it would require a differ- ence of pressure amounting to three millimetres, and a dif- ference of a degree of temperature, to make an error of one- hundredth of a percentage in the result as regards nitrogen or oxygen. Within these limits, therefore, the errors arising from this source may be regarded as trivial. Although determinations of oxygen made by absorption with hydrate of potash and pyrogallic acid are not entirely free from objection on the score of accuracy, the results ob- tained by the method above described are quite accurate enough for most of the purposes of physiological research, for the small errors are practically inappreciable, as compared with the varia- tions hi the proportion of oxygen contained in the blood to be analyzed, produced by what might be regarded as very trifling differences in the mode of collecting it. If it is desired to have recourse to explosion with hydrogen, the best methods for the purpose are those of Dr. W. Russell, and of Frankland, and Ward. The following short description of the latter will be readily understood from what has preceded. The apparatus (Fig. 201) consists of two parts, corresponding to the labora- toiy-tube and measuring-tube of the instrument previously de- scribed. The measuring-tube communicates, as in that instru- ment, with a second tube (the one most to the right in the figure) containing a column of mercury, by the height of which the pressure to which the gas to be measured is subjected, can be estimated. The chief difference is that, whereas in the for- mer more simple instrument the pressure-tube is open at the top, so that if air is contained in the measuring-tube, and the stopcock by which it communicates with the laboratory-tube is closed, the difference between the heights of the two columns indicates the difference between the tension of the gas in the measuring-tube and that of the atmosphere; in the instrument now before us the tube is closed, and constitutes a barometer, so that the difference expresses the actual tension of the gas in inches of mercury. In the horizontal channel, by which the measuring-tube and barometer communicate at the bottom, is a three-way stopcock (not shown in the figure), by which they may lie brought into communication cither with a vertical escape-tube, the end of which dips into a receptacle containing mercury several feet below, or with a tube open at the top (the 216 THE BLOOD. middle and longest in the figure), called the filling-tube. In this way the gas can be expanded or compressed at the will of the operator, and consequently can (in most analyses) be readily brought to the same volume after each successive ope- ration. The convenience of this is very great, for obviously the tensions of different quantities of gas when expanded to the same volume are proportional to the volumes they would assume if they were all under the same pressure, so that the original volume of gas to be analyzed being known, the rela- tion between that volume and the volume of the other quanti- ties to be measured can be readily calculated, the several vol- umes being proportional to the corresponding readings of the barometer. The original volume of gas to be analyzed is mea- sured as before described, with this difference, that the absolute pressure to which it is exposed is known without reference to the barometric pressure outside at the time. The explosion is effected in the eudiometer, into the upper end of which two platinum wires are fixed for the purpose ; the arrangement of these wires is the same as in Bunsen's eudiometer. As to the mode of preparing and introducing pure hjdrogen, and of ex- ploding the mixture, the reader will find sufficient information in Roscoe's translation of Bunsen's Gasometry. 32. Bernard's Method of Determining the Propor- tion of Oxygen combined "with the Coloring Matter of the Blood by Displacement with Carbonic Oxide. — As was before stated, the property which carbonic oxide pos- sesses of displacing the oxygen combined with the coloring matter of the blood, has been used by Bernard, as a substitute for the vacuum, for the determination of the quantity of free and combined oxygen contained in the blood. Bernard's -method consists in agitating the. blood to be analyzed in a tube half filled with carbonic oxide. The carbonic oxide to be used must be perfectly pure. The tubulated retort into which the oxalic and sulphuric acid are introduced must l>e cleared of atmospheric air, by passing a stream of carbonic acid through it, before heat is applied. The gas is best collected in flasks, over water containing potash in solution. Two re- sults are produced. In the first place, the oxygen of the hae- moglobin is replaced by cai'bonic oxide ; and, secondly, the atmosphere of carbonic oxide acts on the blood as if it were a vacuum, the displaced oxygen and other gases passing out into it until equilibrium is established. Inasmuch as the pro- portion in wdiich oxygen is absorbed is very small, as com- pared with the quantity held in combination by haemoglobin, nearty the whole is discharged, so that if the proportion of that gas contained in the gaseous mixture which fills the place originally occupied by the carbonic oxide be determined, it is found to fall very little short of the proportion obtained from BY DR. BURDON-S ANDERSON. 217 the same blood by exhaustion. The remainder of the mixture contains, in addition to the excess of carbonic oxide, nitrogen and carbonic acid gas, derived from the blood, but the propor- tions of these gases discharged are very variable. As regards oxvgen, the method has yielded, in the hands of Bernard, re- sults of the greatest value. It has the immense advantage that it can be carried out without a mercurial pump, and for pathological purposes is sufficiently accurate. CHAPTER XVI. THE CIRCULATION OF THE BLOOD. In commencing the study of the circulation of the blood, it is desirable to direct our attention first to that part of the circulatory apparatus in which the phenomenon presents itself in its simplest form. In systematic physiological treatises the heart is usually described first; but for our present purpose, considering that the heart is an organ of very complicated structure, that it is constantly influenced by ever-varying conditions of the vessels on the one hand, and of the nervous centres on the other, it is much better to begin with the arterial system. Part I The Arteries. At the commencement of the period of relaxation of the heart — t. e., of the period which intervenes between one con- traction and its successor — the progressive movement of the blood in the aorta all but ceases. At that moment, and during the remainder of the time which precedes the bursting open of the aortic valve, the pressure exercised by the wall of the vessel on its contents is the only cause of the continuance of the blood-stream. During each ventricular systole the aortic pressure is reinforced by the motion communicated to the blood by the contracting ventricle. Consequentl}', if, for the sake of facilitating our understanding of the matter, we assume the heart to be a mere pump, acting regular^, and discharging at each stroke an invariable quantity of liquid, we have the force by which the circulation is carried on at any moment expressed by the tension of the arteries, and varying with that tension; or if, on the other hand, we assume the tension of the arterial system to remain constant, then the quantity of work done varies with the mean velocity of the 218 CIRCULATION OF THE BLOOD. stream at the commencement of the aorta — in other words, with the quantity of blood delivered by the heart per minute. The work done by the heart in maintaining the circulation, manifests itself in the aorta in two modes, those of pressure and progressive motion of the blood. These two phenomena are not, however, collateral results, i. e., they do not stand in the same relation to the agent which produces them. The former is rather the efficient cause of the latter; for so long as the arterial pressure continues, i. e., so long as the pressure in the aorta is greater than that in the vense cava*, progressive movement also continues. As soon as equilibrium is estab- lished, circulation stops. Systemic death consists in decline of aortic pressure. This decline may occur rapidly, as in syncope ; but usually, even in deaths by violence, it is very gradual. In deaths from disease it may last for days, weeks, or even months. Section I.— Arterial Pressure. 33. The arterial pressure, although in the mean remarkably constant, almost as constant as the temperature of the body, is subject to recurring variations — ?'. t?., alternate augmenta- tions and diminutions, which are of three orders. Of these, the first is dependent on the rhythmical injection of blood into the arteries by the contraction of the heart ; the second, on the influence which the respiratory movements, or rather the alter- nate acts of breathing, exercise on the circulation; the third, on augmentations or diminutions of what is called the tonus of the arteries, by virtue of which they are constantly undergoing changes of diameter, consequent on varying conditions of the nervous system. In the measurement of the arterial pressure we have, there- fore, two distinct problems. The first is the determination of the mean or average pressure, which, as I have said before, is almost as constant as the temperature in the same animal so long as it remains in a natural state; the second is the investi- gation of the variations due to the heart's action, to respira- tion, or to arterial contractility, respectively. For the determination of the mean arterial pressure, and of those variations which belong to the secontl and third class, preference is to be given to the ordinary mercurial manometer, one branch of which is connected with the artery to be investi- gated, while the other is open. This instrument, as so applied, constitutes what Poiseuille designated by the term hsemadyna- mometer. It was employed in this simple form until Ludwig, in 1848, by his invention of the kymograph, laid the foundation of the more exact methods of investigating blood-pressure which are now in use. Just as the first method of Poiseuille originated in the ruder experiments of our countryman Hales, BY DR. BURDON-SANDERSON. 219 so the notion of the kymograph is said to have been suggested by a contrivance of Watt's for registering the pressure of the steam-engine. The principle of the kymograph consists in causing a pen, fixed horizontally at the upper end of a vertical rod, the lower end of which rests by a floating piston on the surface of the mercurial column in the distal open limb of the manometer, to write the up and down movements of the column on a surface of paper progressing horizontally at a uniform rate by clock- work. Since the time that Ludwig first employed it, the con- trivance has developed into a method now commonly known as the graphic method. Description of the Kymograph and Accessory Ap- paratus now used in the Laboratory of University College.1 — 1. The arterial canula is a T-shaped tube of glass, of the size and form shown in fig. 193, c. By its stem it is con- nected with the manometer; one branch is drawn out and bevelled, the other is of the same size as the stem, and when in use is fitted with a short bit of caoutchouc tubing, guarded by a steel clip. The canulated end is made as follows: The tube which it is intended to use for the purpose is first softened in the flame of the gas blow-pipe, and drawn out gently at the softened part. It is then allowed to cool, and again heated in a pointed flame at x, and drawn out so as to make it assume the form 193, b. It is then scratched with a sharp three-cornered file opposite x, and sundered by drawing the one end of the tube from the other in the direction of its axis. The last step in the process consists in filing off the cut end in the direction of the dotted line, and smoothing the edges b}r touching them with the border of an ordinary gas flame. A tube of this kind can be inserted with great ease into an artery of considerably less diameter than itself. Canulae of glass are always to be pre- ferred to those of silver, not merely on the ground of facility of introduction, but because a glass surface is much less apt than one of metal to determine coagulation of the blood which comes into contact with it. 2. The stem of the arterial canula communicates with the proximal arm of the manometer (see fig. 202) by a tube (c), of which the part next the canula only is of India-rubber. The rest is of lead; the purpose of the arrangement being to avoid a certain modification of effect due to the yielding of the wall of the tube, which becomes appreciable if the whole connector is elastic. 1 This instrument was made for me by Mr. Ilawksley, of Blenheim Street, and has advantages over any other form with which I am acquainted. 220 CIRCULATION OF THE BLOOD. 3. The proximal arm of the manometer communicates at its end, by means of along flexible tube (b) guarded by a clip, with a " pressure bottle" containing solution of bicarbonate of soda. A horizontal arm, which springs from it near the top, is con- tinuous with the lead tube already mentioned. 4. The manometer is fixed to the edge of the small mahogany table on which the recording apparatus stands by means of a brass clamp, which admits of its being raised or lowered at will. The floating piston and rod (a) are made of black vul- canite. The piston is in the form of an inverted cup, which embraces the convex surface of the mercurial column. The rod is quadrangular, and works in a guide, fixed at a height of six inches above the upper end of the tube, b}r which it is kept vertical. The writer, a fine sable miniature pencil, is supported on the rod by a horizontal arm of thin wire, one-third of an inch in length. One end of the wire is coiled round the rod, the other round the stem of the pencil. From the guide just men- tioned springs a horizontal arm, from which a silk plummet-line is allowed to fall in such a way that it rests against the hori- zontal part of the wire. By this means the point of the writer is kept in constant contact with the paper, without exercising too much pressure. G. The recording apparatus consists of a single cylinder, which revolves at a constant rate of one revolution per minute. The clock-work by which it is moved is constructed b}' Mr. Hawksley on the model of the so-called " Foucault's Regula- tor." To the right of the cylinder, as seen in the drawing, is shown a large brass bobbin, of the same width as the cylinder, on which a riband of paper is tightly rolled b^y machineiy, of sufficient length to serve for many hundred observations. From the bobbin the paper riband is drawn off by the cylinder as it revolves, against the surface of which it is accurately applied, furnished with ivory friction wheels. 34. Rules and Precautions to be observed in mak- ing a Kymographic Observation. — Before commencing, it is necessaiy to see that the manometer is in proper order. The mercury in the distal column must be clean and dry, and the writing pencil moist and free from the remains of the ink. To insure this, it should always be steeped in water after each observation. To dry mercury, the best Swedish filtering paper is used. It is cleaned by straining it through calico, or still better through chamois leather. If the latter is used, it must be strained under a considerable pressure. The system of tubes communicating with the proximal limb of the manometer must now be filled with solution of bicarbonate of soda. To accomplish this, the arterial tube is first closed by a clip, and the solution introduced with the aid of a pipette into the open BY DR. BURDON-SANDERSON. 221 end of the proximal limb. Some of the solution is then allowed to flow from the bottle by the long communicating tube (b) so as to fill it completely, after which its end is brought into communication with the manometer. If any air bubbles are introduced, they are readily got rid of through the artery tube. According to the height to which the press- ure bottle is raised above the level of the manometer, the mercurial column in the distal limb rises above that in the proximal. It must be adjusted so that the difference between the two is a little less than the probable arterial pressure of the animal to be used. This having been accomplished, and the communication between the manometer and the pressure bottle closed, all is ready. The only arteries which are used for observations of arterial pressure are the carotid and the crural. On the whole, the latter is preferable ; for the carotid cannot be exposed without some risk of disturbing the vagus nerve. In the rabbit, the carotid is prepared as follows : The animal having been secured on Czermak's rabbit-board, and the fur clipped, the skin is pinched up between the finger and thumb on either side of the upper end of the trachea, so as to form a horizontal fold, which an assistant divides vertically. As soon as any slight bleeding has ceased, the wound is dabbed with a sponge moistened with saline solution, and the fascia, which stretches from the edge of the sterno-mastoid to the middle line, is seized with blunt forceps and opened with knife or scissors. The opening having been enlarged with the aid of a second pair of blunt forceps, the sterno-mastoid is slightly drawn aside, so as to bring the artery, with its three accompanying nerves, the vagus, the depressor, and the sympathetic, into view. The sheath having been opened, the artery is raised on a blunt hook, and easily cleared from its attachments to a distance of three-quarters of an inch in either direction. The distal end of the prepared part is tied, and the proximal end closed by a clip. A splinter of wood, or a bit of card of similar shape, is slipped under the artery close to the ligature, and a second ligature looped round it. Finally a V-shaped snip is made in its wall with scissors which cut well at the point ; the canula is inserted, and the ligature tightened round the constriction. The whole operation ought to be accom- plished in three minutes ; it is desirable to have an assistant. The instruments required are indicated by the italics. (See fig. 203.) They must be placed in readiness on the table of the kymograph. Czermak's rabbit supporter is shown in fig. 204. It consists of a strong wooden board, about 8 inches wide and 30 inches long. At one end it is strengthened with an iron plate, into which a strong vertical stem is screwed. This stem bears a sliding block of brass, in which an iron rod 222 CIRCULATION OF THE BLOOD. also slides horizontally. Near its base it is bent twice at right angles, so that the upper part on which the block slides is not in the same line with the lower part. Consequently the rod, while still remaining horizontal, can be moved in four different ways. It can be shortened or lengthened, heightened or lowered, rotated round its own axis, rotated round the axis of the stem, or moved from side to side without change of direction. It ends in a kind of forceps the blades of which, when kept closed by the adjusting screw, seize upon the head of a cat or rabbit in such a manner as to hold it firmly without inflicting the slightest injury. The neck of the animal rests on a cylindrical cushion, covered with water-proof cloth, and the rest of the body on a mattress of similar material. Along the edges of the board there are convenient attachments for the extremities. The preparation of the crural artery is even more simple than that of the carotid. The skin having been divided in a line leading from the middle of Poupart's ligament towards the inner side of the knee by first pinching up a fold of skin as above directed, the pulsation of the artery is felt by the finger in the hollow between the adductor muscles and those which cover the femur. The sheath of the vessels having been exposed from Poupart's ligament downwards, the vein and crural nerve are seen, the artery lying behind and to the outer side of the former. On drawing the vein inwards it is easily got at, and must he prepared from the origin of the arteria j)rofunda close to Pou- part's ligament, nearly to the point at which it enters the ad- ductor ; first giving off the arteria saplwna, which accompanies the saphenous nerve and veins. The lower of the two circum- flex arteries which are given off within a short distance from the profunda must be tied doubly and divided hetween the liga- tures, as it is desirable to place the clip as high as possible. In the dog or cat, the operation is equally simple, but requires more time on account of the greater abundance of fat in these animals. The canula having been inserted, the next step is to bring the artery into communication with the manometer. The clip on the artery remaining closed, that on the stem of the canula is opened for a couple of seconds. At once the soda solution fills the canula and passes out bj' its open branch. In doing this, great care must be taken not to allow the solution to flow into the wound. Air bubbles, if they exist, are got rid of by passing a thin rod of whalebone into the canula, which must then be closed by means of the terminal clip. All being now ready, the stem of the canula is finally opened, and the clip re- moved from the artery. The mercurial column at once begins to oscillate ; but no record should lie taken until a minute or two have elapsed, for it often happens that a small quantity of BY DR. BURDON-S ANDERSON. 223 soda solution enters the artery and produces a slight and transi- tory disturbance of the circulation. If, indeed, the previously existing pressure in the artery tube is somewhat less than that of the artery, no such effect occurs; but inasmuch as we have no means of knowing the arterial pressure of any particular animal beforehand, it is usually unavoidable. A kj-mographic observation may last a few minutes or several hours, according to the question to be investigated. In the latter case, tracings are taken at intervals. Two persons are required, one of whom performs the experiment, while the other undertakes the charge of the writing apparatus, and notes on the paper-roll, with a soft pencil, the events as they occur and the times of beginning each tracing. In this wa}- the roll stands in the place of a protocol, and is less liable to errors of 'time and order than any other kind of record. 35. Measurement of absolute Arterial Pressure at any given moment during the period of observation. — For this purpose it is necessary to draw the abscissa of the pi*essure curve, i. e., the horizontal line which the writer would have drawn had the arterial pressure been equal to that of the atmosphere. This is accomplished immediately after the ter- mination of the experiment, by closing the stem of the canula and then removing it from the artery, and immersing it iu a capsule containing soda solution, standing at a level equal to that of the artery. The clip having been opened, the clock- work is set in motion for a moment, and a horizontal line drawn which coincides with the abscissa required. In this line the paper is then pierced with a pointed instrument in such a wa}r as to perforate the several layers of paper at the same level. By removing the roll from the cylinder and connecting the holes, a horizontal straight line is obtained which runs from end to end of the record. By drawing an ordinate from any point in the tracing to this line, measuring its length in milli- metres and doubling the result, the absolute arterial pressure at the corresponding moment is obtained in millimetres of mercury. The mean arterial pressure is obtained by drawing ordi- nates at regular intervals and measuring the length of each. The mean of the lengths corresponding to the period investi- gated, multiplied by two, is the mean pressure required. [I never use paper divided into squares — in other words, with the ordinates ready measured — finding by experience that they do not tend to accuracy. Moreover, such paper is expensive, and thereby furnishes an inducement for an undesirable economy in its use.] In all normal kymographic records it is seen that the arterial expansions due to the contractions of the left ven- tricle are indicated by oscillations which differ very materially in form, and that these differences are dependent on their fre- 224 CIRCULATION OF THE BLOOD. qucncj\ (See Fig. 206.) When extreme]}- frequent, they are mere undulations; but when the intervals are longer, they ex- hibit forms which, as we shall afterwards see, have a definite relation to the changes of tension which actually occur in the arteries during each cardiac period. It is further seen that there are larger waves which correspond, not to the beats of the heart, but to the respiration — the valley and ascending limb of each of these greater undulations corresponding to inspira- tion, the summit and descending limb to expiration and to the pause. These and other details will be referred to in future sections. Section II. — Observation op the successive Changes of Arte- rial Tension wnicn occur during each Cardiac Period. In studying tracings obtained by the mercurial kymograph, it is to be borne in mind that what is inscribed on the cylinder is not the record of the actual movement of the artery, but of the oscillations of the mercurial column. It is true that the latter are the immediate results of the former, and that the elevation of the distal column produced by each arterial ex- pansion has some relation to the increase of lateral pressure, of which the expansion is the expression ; but the curve drawn is not that#of the arteiy, but of the manometer. The artery expands suddenty, the mercury rises comparatively slowly, so that at the moment it attains its acme the artery has already collapsed. Consequently, if the interval between each pulsa- tion and its successor is very short, the extent of oscillation (or, as it is usually called, the excursion) of the manometer is relatively too small ; and converse^*, if the interval is much prolonged, the excursion is relatively too great. The descent of the column is almost entirely independent of the collapse of the artery. It falls back to equilibrium, and describes a curve, which (as may be learnt by comparison) has the same characters as that made by the lever in returning to its origi- nal position, by whatever wa}T — as, e. g., by squeezing the con- necting-tube— the equilibrium of the manometer may have been momentarily disturbed. This being the case, it is eas}' to understand that no conclu- sion can be derived from observations with the mercurial mano- meter, either as to the duration of the effect produced by each contraction of the heart, or as to the relative duration of the periods of expansion and collapse. The use of the instru- ment is limited to the investigation of the mean pressure, and of those varieties of pressure of which the periods of recur- rence are long enough to prevent their being interfered with by the proper oscillations of the instrument. BY DR. BURDOX-SANDERSOX. 225 36. The Spring Kymograph. — If we desire to obtain a record of the complicated succession of variations of arterial pressure which constitute an act of pulsation, precisely as they occur as regards order, duration, and degree, or of the exact interval of time between the close of one arterial expan- sion and the commencement of the next, the instrument with which we write must be of such a nature that it shall transmit the movements communicated to it without mixing with them any movements of its own. The most perfect of such instru- ments is the so-called Federkymographion of Professor Fick. The construction of the instrument will be readily understood with the aid of Fig. 205. It consists essentially of a C-shaped hollow spring of thin metal. The cavity of the spring is filled with spirits of wine, and communicates with the arteiy by means of a connecting-tube containing bicarbonate of soda. As the pressure increases, the crescentic spring tends to straighten, and vice versa. Hence, if the proximal end is fixed, the distal end performs movements which follow exactly the variations of arterial tension. These movements are of very small ex- tent, but they are so exact that the slightest and most transi- tory variations are expressed by them. Before they are writ- ten on the cylinder they must be enlarged by a lever. It is not necessary to make any remarks as to the mode of connecting the spring kymograph with an artery, the modus operandi being the same as that described in § 34. It is, how- ever, to be noted, that if it is intended to use the tracing ob- tained by it for the purpose of determining the absolute arte- rial pressure, the instrument must be first graduated by com- parison with a mercurial manometer. This is effected as follows : The kymograph being placed so as to write on the recording cylinder, its artery tube, which communicates by a side opening with a pressure bottle, is united with the proxi- mal arm of the manometer. The pressure bottle is first lowered until the liquid it contains stands at the same level as the mercuiy in the proximal arm. A tracing is made on the cylinder, which is the abscissa. The bottle is then raised till the distal mercurial column is ten millimetres higher than the proximal, and a second tracing taken, and so on at suc- cessive increments of 10 mill, pressure, up to 150 mill, or more. LJy measuring vertically the distances in millimetres between the horizontal lines so traced and the abscissa, a series of results are obtained which express the values of the ordinates of the tracing in millimetres of mercurial pressure. In tracings obtained by the spring kymograph it is seen that the ascent of the lever, which corresponds to the period during which the artery is acted on by the contracting ven- tricle, is abrupt — indeed, nearly vertical ; that towards the vertex the tracing changes direction, gradually approaching 15 22«3 CIRCULATION OF THE BLOOD. a horizontal line touching it at the highest point; that the line of descent — much more oblique than that of ascent — ter- minates in the same way by gradually approaching a horizon- tal line touching the curve at its lowest point. (See fig. 207.) 37. Observation of the Expansive Movements ■which accompany the successive Changes of Arte- rial Pressure above described. — When an artery is ex- posed in a living animal, as, e. ;/., when it is prepared in the manner described in § 34, two kinds of motion are seen. The bit of artery which is separated from the surrounding parts lengthens, and its diameter visibly increases each time it is acted on by the contracting heart. Of these two phenomena, the first is commonly called locomotion, because in certain superficial arteries of the human bod}- (especially when 1 1 1 c- v are enlarged in advanced life), the artery, as it lengthens, is compelled to bend to one side or the other, and thereby visibly changes its place each time that it is distended. The other, viz., the expansive movement, is called pulsation, and is practically of great importance, seeing that it is the only phenomenon of the arterial circulation which admits of being investigated without exposing the artery, and consequent!}7 affords the only direct means by which we can judge of its ever-varying conditions in man. Arteries being elastic, their changes of diameter express all changes of the pressure exercised by their liquid inelastic con- tents on their internal surfaces. J f. therefore, the expansive movements of an exposed artery were to be measured and re- corded graphical^7, the record would correspond closely with that of the pressure obtained by Fick's k3Tmograph. For just as in that instrument the variations of pressure are converted by the C-shaped spring into nearl}' rectilinear movements, the artery expands with every increase of pressure on its internal surface, and contracts with eveiy diminution of it, so that any point taken on its surface is constantly performing, in relation to its axis, orderly successions of rectilinear movements in opposite directions. In both cases — that of the spring and that of the arteiy — the expansion, and the pressure which produces it, vary in the same directions during the same times, but not in the same degree. As regards the spring, we can readily determine the relation of expansion to pressure by the method of graduation described in the preceding paragraph, and so use the former as an expression for the latter. In the case of the artery, no such empirical graduation is possible. The expansion of an artery, or any other elastic tube, due to any given increase of pressure against its internal surface, depends upon the degree in which the tube is already distended at the commencement of the act of expansion. The greater the original distension, BY DR. BURDON-SANDERSON. 227 the less will be the effect ; so that the condition of an artery in which the expansive movement is relatively greatest, is that in which its walls, when the expanding agency is suspended, are in the state of elastic equilibrium, i. e., when the minimum pressure is least. A moment's consideration teaches us that there are two circumstances which must diminish the minimum pressure in the arteries, viz., diminution of the mean arterial pressure, and prolongation of the period which intervenes be- tween one expansive act and its successor. In other words, the less frequent the contractions of the heart and the lower the arterial pressure, the greater the expansion in proportion to the expanding force which produces it. 38. The Sphygmograph. — In man, no artery can be di- rectly measured either as regards pressure or expansion. In feeling the pulse, we attempt to measure both by the sense of touch, and obtain results, which, although incapable of nu- merical expression, are sufficiently exact to be of great value. In the sph\-gmograph, an attempt has been made to obtain the same kind of information by a mechanical contrivance, which the physician obtains by the tactus eruditus ; the supposed advantage of the instrumental results over the others being, that they can be estimated by measurement and weighing, and that they are unaffected by variation in the skill and tactile sensibility of the observer. The purpose of the sphygmograph is to measure the com- plicated succession of alternate enlargements and diminutions which an artery undergoes whenever blood is forced into it b}r the contracting heart, to magnify those movements, and to write them on a surface, progressing at a uniform rate by watch-work. The construction of the instrument is so well known, that it is scarcely necessary to give a detailed description of it. It consists essentially of three parts: a frame of brass which is applied along the outer edge of the volar aspect of the fore- arm, in such a way that it is maintained in a fixed position with reference to the bones of the wrist and radius — a steel spring which, when the instrument is in use, presses upon the radial artery and receives its movements — and lastly, mechani- cal arrangements for magnifying these movements and record- ing them. Both of these ends are accomplished by means of a light wooden lever (a a', fig. 208) of the third order, which is supported by steel points (c). There is a second lever of the same order (b b) which has its centre of movement near the attachment of the spring (at E). It terminates in a vertical knife-edge (n),and is traversed by a vertical screw (t). When the extremity of the screw (\) rests upon the spring above the ivory plate, every movement of the plate is transmitted to this lever (b e), and, by means of the knife edge, to the wooden 228 CIRCULATION OF THE BLOOD. lever (a a'). The purpose of the screw (t) is to vary at will the distance between the wooden lever and the upper surface of the spring, without interfering with the mechanism by which the movement is transmitted. As the distance between the steel points (c) and the knife-edge (d) is much less than the length of the lever, the oscillations of the extremity of the lever (a7) are much more extensive than the vertical move- ments of the spring. The lever ends in a metal point, which writes on a glass plate blackened by passing it rapidly back- ward and forward through the flame of a spirit-lamp trimmed with paraffin. When this instrument is applied in the proper manner to the wrist, the radial artery is compressed between the surface of the radius and a spring, the bearing of which is in a fixed position in relation to that surface. This being the case, the spring performs movements which are more or less conform- able with the variations of the diameter of the artery. These movements are transferred in a magnified, but otherwise little altered, form to the lever. As regards the relative and actual duration of the movements, the correspondence is exact; but as regards their extent, this is true only in so far as the lever follows the movements of the spring with precision,1 and as the strength of the spring, i.e.., the pressure exercised by it on the artery, is adapted to the antagonistic pressure exerted by the blood stream on the internal surface, and to the extent of the movements it is intended to measure. The relation between the pressure of the spring and its effect on the artery is a complex one, and need only be considered here in so far as is necessary for the interpretation of sphyg- mographic results. To facilitate our understanding of it, let us call the position which the spring takes when left to itself its equilibrium position ; and as regards the artery, let us de- signate a plane parallel to the surface of the skin, and touch- ing the surface of the artery, when most dilated, the plane of expansion; and a plane in similar relation to it, when least expanded, the plane of collapse ; and to simplify the problem, let us suppose that the artery is not covered by skin. It is evident that, if the sphygmograph accomplished its professed end completeby, the under surface of its spring would coincide with one of these planes at the moment of the pulse, and with the other during the interval. The question is, How ought the spring to be set, in order to obtain a movement which shall approach this standard of perfection as nearly as possible ? We may proceed one step towards answering this question without difficulty. It should be set so that if the spring were in the equilibrium position its under surface would lie within 1 See note on p. 235. BY DR. BURDON-SANDERSON. 229 the plane of collapse — i. e., nearer the axis of the artery. For if it were further from the artery it would be affected by the arterial movement only during its period of expansion, remain- ing the rest of the time motionless. If, on the other hand, it were much nearer, the vessel would be flattened against the bone during the period of collapse, so that in this case, as in the other, there would be no motion (of the spring) during diastole. Hence it is easy to understand how it happens that the tracings obtained with excessive and defective pressure are very similar to each other in their general characters. Stating the same tiling in other words, we arrive at the general rule that the spring must be so set that the ivory plate on its under surface is at such a distance from the opposed surface of bone that the artery is pressed upon at all degrees of expansion, j-et not so strongly pressed upon as to bring its wails into contact even when it is relaxed. Within these limits, the variations of form of the tracing — in other words, its departure from truth — are very inconsiderable ; so that observations made on the same individual at different times yield closely correspond- ing forms. As, however, the results obtained by strong press- ure are less subject to accidental error than those obtained with weaker ones, it is better always to begin with a pressure sufficient to flatten the artery, and then to weaken the spring until the effects of over-compression disappear — i.e., until it is found that the lever continues to descend until the very end of diastole. 39. Use of the Sphygraograph as a Means of Appre- ciating those Changes of Mean Arterial Pressure which occur in Disease. — We have already seen that the sphygmograph is of no use as a gauge of arterial pressure. It is possible, however, by the comparison of observations made at successive periods on the same individual, to determine whether the arterial tension has changed, and in what direc- tion the change has taken place. We have seen that if the spring is so strong that the artery is either partially or en- tirely flattened against the radius, the fact is indicated b}' tire cessation of the motion of the lever. The strength of spring which is required to bring about this result varies with the pressure; by which the artery is distended ; so that if in any in- dividual the arterial pressure is increased, a greater tension of the spring is required to compress it than was required before. With Marey'a sphygmograph, as imported, it is not possible for the observer to avail himself of this principle, because the instrument is not graduated — i.e., there is.no means by which the pressure exerted by the spring at any moment can be ascer- tained. I have therefore modified that instrument as follows (see Fig. 20'.». a : The brass frame, instead of being bound on to the arm by bandages, rests firmly on the bones of the wrist 230 CIRCULATION OF THE BLOOD. (particularly the scaphoid) by a plate of brass, the under sur- face of which is covered with ebonite. In the middle of the upper surface of this plate is a socket for the reception of the point of a finely-cut screw, which revolves in it freely. Above, the screw ends in a milled head (y), between which and its point it passes, first loosely through a guide, which is of the same piece with the brass plate; and, secondly, through a hole in the end of the brass frame of the sphygmograph (f), in which it fits closely. This being the construction, it is scarcely necessary to explain that, by turning the milled head, the dis- tance between the ebonite surface and the frame is varied according to t lie direction of revolution, and that in this way the pressure on the arteiy may be readily modified when.the instrument is in use. The extent of the modifications thus produced, however, still remains undetermined, for they vary according to the form of the limb and the relative position of the arm and forearm at the time of observation. To measure them, we must have recourse to another method which is at once simple and accurate. It is obvious that, provided that the spring is firml}- and immovably fixed in its place, the press- ure which it makes against any object pushed against it from below is determinable by the force which is exerted in pushing it. If, for example, I turn the instrument upside down, and place a weight of 200 grammes on what was before the under surface, now the upper surface, of the spring, I push it back some fraction of an inch from its position of equilibrium; I learn that, whenever it is pushed back to this extent, the press- ure it exerts on the surface opposed to it is that of 200 grammes' weight. Repeating the experiment with a series of other weights, I can in a similar way obtain other measure- ments of distance corresponding to them, and thus, by com- bining the results, accomplish the graduation of the spring in .such a way that the pressure made by it can be alwaj's known from the extent of its deflexion. The most convenient wa}r of determining this deflexion is either to measure the distance between the head of the steel screw, the point of which rests on the upper surface of the spring, and the surface of the brass lever, with a scale (as shown in Fig. 210); or, better still, to have the screw itself graduated. In either case, care must be taken to fix the writing lever in the proper position — i.e., in a direction which coincides with the direction of movement of the writing surface — before making the measurements. 40. The Artificial Artery or Arterial Schema. — The phenomena of arterial pulsation can be best studied in a well- constructed schema or artificial artery, consisting in an elastic tube through which water is propelled by an artificial heart, i. e., by a pump of such construction that it discharges its contents into the tube in a manner which mechanically BY DR. BURDON-SANDERSON. 231 resembles that in which the heart discharges its blood into the arteries. Several instruments of this kind have been con- trived, from the simple schema of E. H. Weber, to the com- plicated " artificial heart" of Marey. It may be stated generally that those forms of schema are most instructive which are of the simplest construction ; and inasmuch as the object in view is not to illustrate but to explain, it is of no importance whatever that the schema should have any outward resemblance to the organs of circu- lation for which it stands. What is essential in a schema is, that as regards the quantity of liquid discharged at each stroke of the pump, the period occupied in the discharge, the distribution in time of the pressure exercised on the mass of liquid expelled, and the resistance opposed to the terminal outflow of liquid from the elastic tube, the representation should resemble, as closely as possible, the thing represented. To the student, it is far from an advantage that the resem- blance should extend beyond this to the details of external form and arrangement; for his attention is thereby apt to be drawn oft" from the essential conditions of the act, to the accessory peculiarities of the machine which produces it. Two kinds of schema may be usefully employed for the study of the phenomena of the pulse, which differ from each other in the construction of the pump which does the work of the heart. The first is represented in fig. 211. Here the pump consists of a glass tube (a), closed at the upper end, and connected below by two branches — on one side with a cistern, at a level of some eight or ten feet above the table ; on the other, with the experimental tube which represents the artery. These communications are controlled by valves, placed at the opposite ends of a horizontal lever (e, d) of such construction that the same act which closes the one must necessarily open the other ; so that, as regards their actions, one represents the semilunar, the other the auriculo-ventricular valves of the heart. By means of a spring (shown in the figure to the right of d), when the apparatus is not working, i. e., during the period corresponding to diastole, the former is kept closed, the latter open. Under these circumstances, the water rises in the tube, compressing the column of air which it contains in a proportion which is determined by Marriotte's law. If, as in the present instance, the pressure is about one-third of an atmosphere, the volume of the inclosed air is diminished in the proportion of 2 : 3, and so on. When, by depressing the opposite end of the lever, the aortic valve is opened, and the mitral closed, the compressed air suddenly expands, and forces the water which the tube contains into the aorta. We shall see, when we come to consider the modes of contraction of the heart, that the above is as close an imitation as could be 232 CIRCULATION OF THE BLOOD. made by any artificial means. Just as, when the heart con- tracts, it compresses its contents most energetically at the outset, while its force rapidly diminishes towards the end of the systole, so here the most rapid movement of the column is at the first moment after the depression of the lever. The arterial tnhc where it passes under the valve D is ahout four lines in thickness. Soon it divides into two branches of smaller diameter, each of which is several yards long. One of these tubes passes under the spring of the sphygmograph, which is fixed at ri in such a manner that tracings may be conveniently taken. Both open finally into a waste basin ; but each is provided with screw clamps, by which it can be compressed or constricted at any desired distance from the pump. The purpose of the bifurcation is, that the observer may be enabled, without interfering in any way with the con- dition of the tube, of which the expansive movements are re- corded sphygmographically, to vary the quantity of liquid which is discharged through it per minute. To experiment with the schema satisfactorily, it is desirable to leave the working of the lever to an assistant, or, still better, to arrange the apparatus so that the work can be done by an electro- magnet. The observer is then at liberty to watch the effect of modifications of resistance, etc., on the form of the tracings while they are in progress. The most important facts to be demonstrated with the aid of the schema, as above described, are the following: — 1. It is shown that the artificial and the natural pulse resemble each other closely, each consisting in a succession of expansive and contractile movements which always occur in the same order (.see Fig. 212, a). In describing these movements, it is convenient to speak of the experimental tube as the artery, and to assume that elevation of the lever of the sphygmograph is equivalent to expansion of the tube, and depression to contrac- tion. This granted, the tracing shows that when the valve D is opened, a sudden expansion of the artery takes place; that so long as the heart continues to act the vessel remains full, and that the cessation of the injection of liquid from behind de- termines a contraction of the artery which is as rapid as the previous expansion. Xo sooner has the artery accomplished its contraction than it begins a second expansion inferior to the first both in extent and rapidity ; and then finally contracts, continuing to get smaller until the aortic valve again opens. 2. It can next be shown that just as the expansion of the lever is consequent on the opening of the aortic valve, so its descent is consequent (not on the closing of the valve, but) on the cessation of the injection of liquid by the pump, i. e., the cessation of the systolic contraction of the ventricle.' To prove this, I use a contrivance which will be readily understood from BY DR. BUBDON-SANDERSON. 233 the figure. Its purpose is to write on the plate of the sphyg- mograph the duration of the injection of liquid. It consists of a cylinder of box-wood (Fig. 211, h), the steel axis of which rests horizontally on bearings so placed that the cylinder revolves in a direction at right angles to that of the movement of the plate at a short distance from it. From one side of the cylinder a steel needle projects, which, when the cylinder turns, makes a mark on the smoked surface. Hound one side of the cylinder runs it cord of spun silk, the two ends of which stretch, one from either side of it, to the point of a vertical arm (l) ; this arm springs from the wooden lever already described, by which the valves are opened and shut. Of the two cords, the upper one is rendered partly elastic by the interposition of a short length of caoutchouc. So long as the aortic valve is closed, the needle remains in contact, but the moment the valve is opened, it is withdrawn, and we obtain, first, an upper horizontal line, broken at regular intervals — which are, of course, limited in time by the opening and closing of the aortic valve — and, secondly, a pulse-tracing (Fig. 212, 6), which may be compared with it. This exact correspondence between the length of time the heart is acting and the time which elapses between the begin- ning of the expansion and the commencement of the contrac- tion, affords evidence that the latter is dependent on the former. 3. Lastl}*, it can be shown that the second expansion is not, as might be supposed, connected with the closure of the com- munication between the pump and the elastic tube (the shut- ting of the aortic valve), but is a consequence of the disturb- ance of equilibrium produced in the tube itself by the act of distension. To demonstrate this, the second expansion must be studied under various conditions and by various methods; among the best is the following: A narrow tube, closed at one end, and containing air, is connected by means of a T-piece with the experimental tube or artery. The volume of air con- tained in the tube varies with the pressure, indicating its varia- tions with great sensitiveness. If the surface of the liquid in the tube is watched during the action of the pump, it is very easy to see that the volume of air is diminished as the valve D opens, enlarges for a moment, and again contracts after the injection has ceased. If now the action of the pump is so modi- fied that, after opening the valve D, the discharge of liquid is continued for some seconds (both valves remaining open), we learn that the first expansion is followed by a second just as before. If the same experiment is made with the sphygmo- graph, a tracing is obtained in which the ascent due to the open- ing of the valve is succeeded by a momentary descent, then a second ascent, the lever finally assuming a position correspond- 234 CIRCULATION OF THE BLOOD. ing to the increased pressure produced by tlie continuous cur- rent which is now passing through the tube. From tins experiment we learn, as regards the artificial artery, first, that the second beat of the pulse is not, as has been sometimes imagined, a mere product of the instrumental method we employ to demonstrate it, for it can be shown quite as distinctly in other ways ; and secondly, that it is a result of the disturbance produced in the tube by the sud len disten- sion of its proximal end, independently of any subsequent move- ment or action of the pump. 41. Experiments -with the Schema relating to the Form of the Arterial Pulse. — In the schema, the injection of liquid by the artificial heart into the proximal end of the elastic tube produces two effects, which can not only be dis- tinguished in the tracing, but can be proved experimentally to be independent of each other. One of these consists in the transmission of a series of vibratory movements of the liquid (t. e., movements in alternately opposite directions) from the proximal to the distal end; the other, in the communication of the pressure existing in the artificial heart at the moment that the valve D is opened to the contents of the arterial tube. The first of these effects can be readily demonstrated on the schema. If you take an elastic tube, distended with water, and closed at both ends, and give it a smart rap with a hammer at one end, an effect is transmitted along the tube which, although of an entirely different nature to that which constitutes the pulse, yet mixes itself up with it under certain conditions. This effect is called, from its mode of origin, a percussion-wave. To produce it, close the communication between the schematic heart and artery, and arrange the lever (Fig. 211) in such a manner that, by striking on it with a hammer (at d), the required percus- sion may be produced. The tube being placed under the spring of the sphj'gmograph (at Q), in such a position that the length of tubing between the point of percussion (d) and the spring (o) is equal to two metres, a succession of percussion-waves is produced, and a tracing obtained similar to those shown in Fig. 213, in which the interruptions in the upper line indicate the moment of percussion, the vertical ascents in the lower line the effects. In the figure, the interval of time between cause and effect corresponds to the portion of the horizontal line, (in the lower tracing) which lies between the short vertical scratch and the commencement of the ascent. The rate of movement of the clock-work during the experiment being 8 centimetres per minute, this distance corresponds to about a fifteenth of a second. The other effect, the communication of pressure from the artificial heart to the elastic tube, may be readily illustrated BY DR. BURLON-SANDERSON. 235 with the aid of a schema in which the heart is represented by an elastic bag of such size that it can be squeezed with the hand. This bag communicates at one end with a long elastic tube representing the arterial system, at the other with a vessel con- taining water, the apertures being furnished with valves which open in directions corresponding to those of the heart. If three levers, like those we have just been using, are so arranged as to receive the successive expansion-waves — produced by repeatedly squeezing the bag — at different distances from their origin, the three tracings are obtained which are represented in Fig. 214. It is instructive to observe that these tracings have no resemblance to those of the arterial pulse. The reason is, that the contracting hand is entirety unlike the contracting heart. The real heart, like the schematic heart used in the pre- vious experiments, contracts suddenly, exerting its greatest vigor at the commencement. The hand contracts gradually, and is, moreover, incomparably weaker, as compared with the resistance to be overcome, than the heart. Hence the expan- sion of the tube is slow, lasts a long time, and is followed by no rebound. This very slowness of the process enables one to see the steps of it better. In the distal part of the tube, to which the upper tracing corresponds, the expansion culminates later than in the proximal part, because the motion commu- nicated to its contents by the grip of the hand at the outset does not begin to tell on the former (distal) until the latter is fully expanded. In the pulse tracings obtained with the schema arranged as in Fig. 211, so as to imitate the natural pulse, the two effects produced in the preceding experiments separately, are combined with each other. Thus in Fig. 212 a, the abrupt initial ascent of the lever is the first of a series of vibratory movements of the same kind as those shown in Fig. 213, and is instantly fol- lowed by a recoil. In the same tracing, the more gradual ac- cumulation of arterial pressure manifests itself in the fact that the lever jerked up1 by the vibration does not (as in Fig. 213) descend to its previous position, but remains elevated for a period, which, as already seen, depends on the duration of the injection of liquid. This combination of effects is seen with equal distinctness in the natural radial pulse. The abrupt line of ascent with which 1 In the sphygmographs, lately made by Bregnet, the movement of the spring is communicated to the writing lever by a mechanism shown in Fi'_r. 209 b, more simple and effectual than that described on p. 237. 'Die screw is hinged to the, upper surface of the spring in such a way thai it presses gently against the axis of the lever, and acts upon it as a rack on its pinion. In this way the lever follows the movements of the screw much more exactly, and the jerk is diminished. (See Garrod on Spliygmography. Journ. of Anat. and Phys., May, 1872, p. 399.) 236 CIRCULATION OF THE BLOOD. every normal tracing begin-, expresses not the more or less gradually increasing arterial distension, but the antecedent transmission of a vibration. 42. Postponement of the Pulse. — There is :i sensible dif- ference in time between the beat of the carotid artery and that of the radial. Any one can satisfy himself of the fact by feel- ing his own carotid with the left thumb and forefinger, while he feels the left radial with the other hand. The reason why time is lost in the transmission of the expansion from the centre to the periphery, is that the arteries are elastic. Let us sup- pose a tube. A, b, c, to represent the arterial system — A the proximal end, c the distal. At the instant that blood bursts suddenly out of the contracting heart into a, it yields to the pressure against its internal surface and expands. In tins expansion great part of the sensible motion of the blood momentarily disappears, and consequently, so long as the expansion lasts, produces comparatively very little effect in distending b; but immediately that A becomes tense, the lost, or rather converted, motion again becomes sensible, and adds itself to the motion which the contracting heart is still communicating. And, inasmuch as B deals with the accumu- lated effect which it receives from a in exactly the same way as a dealt with that which it received from the heart, c is as far behind b in attaining its maximum of distension as b was behind a. This being the case, it is easy to see that the loss of time between A and c, or between aorta and radial, depends on the yieldingness (extensibility) of the tube by which the two points are connected. If the tube is absolutely rigid, there is no postponement; if, though elastic, it is tense at the moment that it receives the discharge, there is scarcely any ; whereas that condition of the tube is most favorable to postponement, in which it is longest in attaining its maximum of distension, or in which the time taken by any part of it to expand to the uttermost is longest. The preceding explanation relates exclusively to so much of the pulsation as is due to the communication of pressure. As regards the antecedent vibration-effect, we have also time occu- pied in transmission, but the rate of propagation is so rapid that in the case of an artery, or of an elastic tube of similar length, it is inappreciable. This fact enables us to explain how it is that in some persons the pulse seems to be much more postponed than in others. The reason of tins is, not that there is more time lost in the former case than in the latter, for even if this were so the difference would be certainly too inconsiderable to be judged of by the finger, but that in some BY DR. BURDON-SANDERSON. 237 individuals, and under certain conditions of health, the instan- taneously transmitted vibration-effect is more felt by the fin- ger; in others, the moment at which the artery attains its greatest extension. Thus a pulse of the form shown in Fig. 215 a seems to the finger delayed, because the vibration-effect is in abeyance on account of the existence of an obstruction between the heart and the wrist; whereas, in the pulse re- presented in b, the initial shock is so intense that it masks the other. 43. Cause of the Second Beat. — The facts relating to the postponement of arterial expansion are also the key to the understanding of the phenomenon of dicrotism. In applying them in explanation of the production of the second expansion in arteries which, like the radial, are not far from the periphery, there are two facts to be borne in mind: first, that these arte- ries, as they become smaller, become more distensible; and secondly, that in the capillaries themselves the resistance to the passage of blood is much greater than any which is en- countered in the arteries. Just as the expansion of the aorta determines that of the radial, the radial expansion determines and is followed by that of the peripheral arterioles. Hence at a certain moment the radial is subsiding, while the arterioles are still swelling; so that, when they are at their acme of dis- tension, the pressure is greater at the periphery than in the radial itself. From the other fact — the resistance to the flow of blood in the capillaries — it results that, immediately behind this resistance, pressure accumulates so long as blood enters the arterioles from behind more rapidly than it is discharged in front. The state of the arterial circulation during the period of cardiac diastole may therefore be described as follows: The arterial system is closed by the aortic valve behind, and vir- tually closed in front by the capillary resistance. In the largest arteries the expansion is ebbing, in the smallest it is culminating; so that, for an instant, the pressure is greater in the latter than in the former. There is but one effect possible. The restoration of equilibrium must take place by increase of pressure towards the heart and diminution towards the peri- phery. This restoration of equilibrium constitutes the second beat. It may manifest itself in very different degrees, accord- ing to the yieldingness of the arteries. When, as in health, the arteries are tense, it is seen merely in a slight arrest or in- terruption of the arterial collapse — a break in the descending limb of the tracing. In fever, when the arteries are relatively much more distensible, the second expansion is separated by so distinct an interval of relaxation from the first that the pulse feels double to the finger. To facilitate the comprehension of the subject, the S3'nchronous conditions of central, peripheral, and intermediate arteries may be stated in parallel columns. 238 CIRCULATION OF THE BLOOD. Carotid. Ra, between the vena cava inferior and the ventricle, and between the vena; cava? superiores and the right auricle, in such a position that when it is tightened it will grasp the line of junction between the sinus venosus and the right auricle. The ligature having been looped by an assistant and carefully adjusted in the proper position, the heart is left to itself. As soon as it is seen that it is con- tracting regularl}', the ligature is tightened. After one or two beats, the heart stops in a state of relaxation. The pulsations of the sinus, however, continue at the same rate as before. After a time the ventricle also begins to beat ; but on com- paring its rhythm with that of the sinus, it is seen that they do not agree. 2. In another heart, prepared in the same manner, the sinus is cut off from the right auricle, the line of amputation corre- sponding with that of the ligature in 1. In doing this, the heart must be drawn forwards with the forceps by its apex as above directed. The result is more striking when the scissors used are not very sharp. 3. If in either of the above experiments the ventricle is cut off from the auricles immediately after the ligature or amputa- tion, as the case may be, it begins to beat again at once. 4. In a third heart, the line of ligature, i. e., the junction between the sinus venosus and the right auricle, is excited by the induced current. For this purpose Du Bois Reymond's induction apparatus is used. The points of the excitor must be very close to each other. The effect resembles that of the ligature. If the electrodes, instead of being placed so as to include the sinus, are applied to the auricles, no effect is produced. 5. In another animal, TTn>o °f a grain of atropin (or less) is injected underneath the skin. After a few minutes the heart is removed, and experiment 4 is repeated. The electrical exci- tation produces no effect, the ganglion of the septa being para- lyzed. Experiment 1 is then repeated. The heart stops as before. All the preceding results can be obtained in the separated heart. The method recommended facilitates the manipulation without in the slightest degree impairing the value of the re- sults. Stannius's experiment admits of two different explana- tions, which are not, however, inconsistent with each other: — BY DR. BURDON-SANDERSON. 277 1. The arrest of the heart may be regarded as a result of the excitation of the ganglion of the septum, i. e., the mechani- cal irritation of that part produced by the scissors or ligature ; in other words, as an effect of the same nature as that pro- duced in experiment 4, where that centre is subjected directly to electrical stimulation; or, 2. It is dependent on the severance of the sinus venosus from the rest of the heart. In this case it must be regarded as of a different nature from the arrest produced by electrical excitation. If it were not for experiment 5, we should be inclined to adopt the former of these views : for it is very easy to imagine that it is not likely to make much difference whether we squeeze the ganglion with a ligature, nip it between the blades of a pair of scissors, or excite it by Faradaic electricity. In- deed, any one who compares the two results — the arrest of the heart by electrical excitation of the sinus on the one hand, and that produced by ligature across the upper part of the auricles on the other — would probably at once decide on their identity. By previously subjecting the heart to the influence of atropin, we are enabled to demonstrate that such a conclu- sion would be erroneous ; for if the effect of ligature were of the same nature, it would be counteracted by the same agency. In order to explain the phenomena, it is necessary to assume, what has not }Tet been proved anatomically, namely, that the venous sinus contains an automatic motor centre. By this term we understand (in accordance with the general notions entertained as to r3rthmical action) a ganglionic centre, in which energy tends to accumulate and discharge itself in the form of motion at regular intervals, the length of which varies (a) with the resistance to the discharge, and (b) with the rapidity of accumulation. The phj'siological ground for this assumption of the exist- ence of a motor centre in the sinus venosus is, first, that the succession of acts which make up a cardiac contraction com- mences distinctl}' in the sinus, and that it is the only part of the heart which contracts independent!}', i.e., without being affected by the action of any other part of the organ; and, secondly, that electrical stimulation of the sinus induces in- creased frequency of the contractions of the whole organ. Ad- mitting the existence of such a centre, and assuming also that the ganglion of the vagus, situated, as we have seen it to be, close to the line of ligature or amputation on the auricular Bide of it, has the power of inhibiting, i.e., increasing the re- sist ance to the discharges from that centre, and further that it exercises a similar inhibitory influence on the motor ganglia at the base of the ventricle, we are enabled to harmonize the experimental results completely thus: In the ligature and am- 278 CIRCULATION OF THE BLOOD. putation experiments, the heart stops for two reasons: first, because the ventricle is separated from the motor centre; and, secondly, because, by the pressure or mechanical irritation of the ligature or blunt scissors, the vagus ganglion is excited. In electrical excitation, on the other hand, the second of these effects is produced without the first ; consequently, when under the influence of atropin, the vagus ganglion is paralyzed — the influence of ligature and amputation, in so far as they are de- pendent on severance of the sinus from the rest of the heart, are unaltered, but electrical excitation is without result. On this subject the student will do well to consult the ori- ginal papers, the references to which are as follows : As regards the anatomy of the ganglia, the most important paper is that of Bidder, in Midler's Archiv, 1852, p. 1G3; as regards their functions, Stannius (Midler's Archiv, 1852, p. 85), Nawrocki (Der Stanniusche Herzversuch, Heidenhain's Studien, 1861, p. 110), and Schmiedeberg (Untersuch. liber einige (jiftwirkungen am Froschhcrzen. Ludwig's Arbeiten, 1871, p. 41). 71. Study of the Influence of Changes of Tempe- rature on the Heart. — (a) In the Frog. Inasmuch as the influence of temperature is obviously dependent on the in- trinsic nervous system, the present is the proper time for con- sidering it. The modes of investigation are the same as those already described in the section on endocardiac pressure. Ex- act and extended researches have been made by both of the methods there given, the first having been employed by Cyon, the second by Blasius. Of the two, the latter is preferable, on account of the greater ease with which the work done can be measured. The general result is, firstl}', that the quantity of mechanical work which can be done by the heart in a given time increases with the temperature up to a certain point (about 20° C, but it differs in different animals, and no doubt also at different seasons), so that it may be doubled or trebled by a gradual rise from ordinary winter temperature to that of summer; and, secondly, that under the same circumstances the frequency of the contractions increases in much greater proportion than the mechanical effect. Hence it results that, although the total quantity of work done in a given time is less at lower temperatures than at higher, the effect of each in- dividual contraction is much greater. If it is desired merely to observe the effect of changes of temperature on the frequency of the pulse, much simpler ap- paratus will answer the purpose. Either the whole heart may be used or a part of it. In the former case, the organ having been removed from the body is suspended by a thread attached to the aorta in the interior of a tolerably wide test-tube fur- nished with a cork, through the centre of which the thread is drawn. At the bottom of the tube there is a bit of blotting- BY DR. BURDON-SANDERSON. 279 paper, soaked with water. The " moist chamber" so prepared is immersed vertically in a test tube filled with cold water, which also contains a thermometer. The water in the beaker is then very gradually warmed, while its temperature and the frequency of the contractions of the heart are noted from time to time. It is then seen that the frequency gradually increases up to about 34° C, above which the contractions become ir- regular, and are difficult to count with exactitude, until at last the condition known as " heat rigor" (with reference to which see Chapter XX.) supervenes. Similar observations may be made with respect to portions of the heart, as, e. #., the base of the ventricle or the sinus venosus. For this purpose it is convenient to place the fragment on a cover glass in a drop of serum, and invert it over the chamber of Strieker's warm stage. 72. (b) In Mammalia. — From the observation of the very remarkable effects which diminution and increase of the in- ternal temperature of the body respectively produce, the one in diminishing, the other in increasing, the frequency of the pulse inrabbits and dogs, it seems probable that the mammalian heart is more sensitive to temperature changes than that of the amphibia. As, however, it is not possible to eliminate the in- fluence of the central nervous system, this cannot be proved experimentally. Section VIII. — The Inhibitory Nerves of the Heart. 73. 1. Demonstration of the Influence of the Vagus Nerve on the Heart in the "Frog.— Description of the Vagus Nerve. — The vagus nerve originates in the frog from the posterior aspect of the medulla oblongata by three or four roots, the lowest (analogous to the spinal accessory) being more to the front than the rest. The nerve passes out of the cranial cavity through the condyloid foramen of the occipital bone, outside of which it forms a ganglion, and is in close relation with the sympathetic trunk. After leaving the sym- pathetic (see fig. 237), it divides into two branches, of which the anterior contains the glossopharyngeal, the posterior the nerves which are distributed to the heart, lungs, and other viscera. The vagus itself and its cardiac branch run along- side of and in the same direction with the lower of the three petrohyoid muscles, as far as the extremity of the posterior horn of the hyoid bone, into which the muscle is inserted. During this part of its course it is accompanied "by the laryn- geal nerve, which leaves it just before it reaches the insertion of the muscle. At about the same point it crosses the apex of the lung, passing behind the pulmonary artery, and gives off pulmonary branches which accompany that vessel. Having 280 CIRCULATION OF THE BLOOD. crossed the lung, the nerve finds its way directly to the sinus venosus, but is so surrounded with gray-looking connective tissue, that in small frogs it is difficult to trace it. As it enters the heart it is closely applied to the superior vena cava and to the wall of the sinus. 74. Method. — A frog, having been slightly curarizcd or rendered motionless by section of the medulla, is fixed in the prone position. The sternum is then divided in the middle line, and the two halves of the wall of the chest drawn to either side, so as to expose the pericardium and lungs, while a stout glass rod is passed down the oesophagus. The following objects (.see fig. 237) are then seen : 1. The two aorta?, parting from each other in the middle line, ascend outwards and up- wards close to the cartilaginous tips of the posterior horns of the hyoid bone. 2. From each of these horns muscular fibres are seen to stretch backwards and upwards, towards the occipital region; these are the petrohyoid muscles already mentioned, which originate from the petrous bone, and are inserted into the cartilaginous processes just referred to. The lower of these nearly parallel bundles of fibres, is the guide to the vagus nerve, which always lies along its lower edge. 3. Following the muscles backwards, they are seen to be crossed by a white nervous cord (the hypoglossal nerve), which ascends upwards and inwards towards the muscles of the tongue. Nearer the middle line, lying somewhat further from the surface, but following the same general direction, another nerve is seen, the glossopharyngeal. 4. Crossing upwards to the larynx, over the tip of the inferior horn of the hyoid, the laryngeal nerve is seen. This is the onl}' nerve which is likely to be mistaken for the vagus ; it must therefore be traced back for a short distance from the cartilage and divided. It is convenient also to get rid of the hypoglossus. The vagus, with the muscular slip which accompanies it, can now be readily placed on or between the electrodes. On opening the ke}', the heart usually stops in diastole, with its cavities full of blood, the arrest not being preceded by any previous slowing. If, however, Helmholtz's arrangement of the induction apparatus is used, and the secondary coil is placed at a sufficient distance, a degree of excitation ma}' be attained which, while it falls short of stopping the heart, is enough to diminish its frequency. With reference to this effect, it is to be noticed that, although it is mainly due to mere lengthening of the diastolic intervals, it is also accompa- nied with an impairment of the vigor of the ventricular systole; so that if the heart is connected with a manometer (see § G3), the manometer rises less during the period of slow- ing than it did before. Another interesting and important BY DR. BURDON-SAXDERSON. 281 fact is, that the effect does not attain its maximum till several seconds after the commencement of the excitation. [In this and all other experiments in which it is desired to note the time which elapses between the application of a stimulus and its effect, we use the electrical indicator. It is an arrangement exactly similar to an electrical bell, with the exception that the hammer, instead of striking a bell, writes on the recording cylinder of the kymograph. By a simple mechanical arrangement, the same act which opens the Du Bois' key closes another circuit, of which the electro-magnet of the indicator forms part, and vice versa. This being the case, the instrument makes vertical strokes on the cylinder at the moment that the excitation of the nerve begins and ends.] 75. 2. Demonstration of the Influence of the Vagus Nerve on the Heart in Mammalia.— In mammalia, the inhibitor}' nerves contained in the vagi are in constant action, consequently division of both vagi produces acceleration of the contractions of the heart. In the dog, this effect is much more considerable than in the rabbit, and is attended with an increase of the arterial pressure, which in the latter is absent (see fig. 238). On the other hand, electrical excitation of the vagus, whether previously divided or not, retards the contrac- tions of the heart in all animals, and, if the induced current is strong enough, arrests the organ in diastole. (See fig. 239 a, 6.) To show these facts in the rabbit, all that is necessary is to narcotize the animal, to insert a needle in the heart at the upper part of the praecordia (i. e., about an inch to the left of the middle line, at the level of the third cai'tilage), and to ex- pose the vagi on both sides of the neck. If, now, either nerve is placed between the electrodes, and the key opened, the movement of the needle either stops, becomes irregular, or is mereby retarded and diminished in extent, according to the strength of the current. To observe the effect of section, loose ligatures must be placed round both nerves, and the animal then left to itself, while the number of pulsations per fifteen seconds is carefully counted. The two nerves are then divided at once, and the countings repeated. The increase of frequency usually amounts to about twenty percent. Finally, the peripheral end of one nerve is excited, and the same effects produced as by excitation of the undivided trunk. In demonstrating the influence of the vagus on the heart in the dog, it is desirable to connect the carotid or crural artery with tlic kymograph ; for the most important effects are those which relate to the changes in the arterial pressure. The pre- liminary steps of the experiment are those described in § 34. Loose ligatures having been placed round both vagi, and a kymographic observation made, to determine the normal arte- rial pressure and frequency of the pulse, both nerves are 282 CIRCULATION OF THE BLOOD. divided simultaneously. The mercurial column at once rises, mid the contractions of the heart become so frequent, that the oscillations can no longer be followed by the eye, all that can be distinguished being a vibratile movement of the column. On exciting the peripheral end of either vagus, the same effects are produced as in the rabbit. If the current is sufficiently strong to stop the heart, the mercurial column sinks rapidly, inscribing a parabolic curve on the paper (fig. 2:>!)/;). the exact form of which depends on the condition of the arterial system ; the rate of descent varing inversely as the arterial resistance encountered by the blood in its progress towards the veins. On discontinuing the excitation, the heart begins to beat again, at first at long intervals, subsequently more frequently, the pressure rapidly increasing until (for a few moments) it exceeds that observed before excitation. In man, the trunk of the vagus may in some persons be excited by pressure, and results produced which correspond with those of electrical ex- citation in animals. Prof*. Czermak, of Leipsic, is able, by making pressure at the proper spot on the right side of the neck, to arrest the action of his heart for a few moments.1 76. 3. Demonstration of the Influence of certain Afferent Nerves, in reflex Relation with the Inhibi- tory Nerves contained in the Vagus, on the Heart. Bernstein's Experiment. — The inhibitory heart nerves contained in the vagus are in intimate relation, through the heart centre in the medulla oblongata, with certain afferent fibres contained in the sympathetic system ; so that when these fibres are excited, the same effects are produced as if the vagus itself was directly acted upon. This may be shown in the frog as follows: A frog is secured in the supine position. The pleuro-peritoneal cavity is then opened, and the intestines and other viscera are removed, great care being taken not to injure the mesentery or the vessels and nerves which it con- tains. Nothing now remains excepting the heart resting upon the oesophagus. By carefulljr dividing the double layer of serous membrane which forms the lateral wall of the cisterna magna on both sides (see Chap II.), the ganglionic chains (fig. 240) are brought into view along with the rami com- mutneantes b}r which the ganglia are severally connected with the anterior roots of the corresponding spinal nerves. In the thoracic part of the visceral cavity the two aortas are seen converging downwards, till at the level of the sixth vertebra the}' meet to form one trunk, from which at its origin the me- senteric artery is given off, to be distributed to the stomach and intestines. If now the two aortas are raised near their junctions, with the point of the forceps, it is seen that one of 1 Populare Vortrage, p. 27. BY DR. BURDON-SANDERSON. 283 the ganglia of the cord sends towards the mesenteric arter}r a branch which meets with its fellow from the corresponding ganglion of the opposite side, to form a plexus of nerves which surrounds the artery; and that from or through this plexus a nerve or nerves (nervi mesenterici) can be traced which follow the vessel towards its distribution. It is in these nerves that the fibres which are in reflex relation with the vagus are contained. To excite them, the best method is to raise the aortae with the forceps from the bodies of the verte- brae, drawing upwards with them at the same time the two ganglionic cords; then to divide the abdominal aorta and the two cords at the level of the seventh or eighth vertebra, sever- ing at the same time some of the rami communicantes on either side; and lastly, to place the two aortse and the cords which accompany them, on the excitor in such a position that the two ganglia next the junction are in contact with the electrodes. On opening the key, the heart is arrested in dias- tole, beginning to contract again rhythmically as before, when the excitation is discontinued. To demonstrate that the channels by which stimulation of the mesenteric nerves affects the heart are the vagus nerves and their centres in the me- dulla oblongata, the experiment must be thrice repeated; first, after section of both vagi ; secondby, after destruction of the medulla oblongata; and thirdly, after destruction of the brain, the medulla remaining intact. In the first and second cases the effect is annulled, in the third it is unaltered.1 77. Reflex Excitation of the Vagus of the Frog, by Mechanical Means: Goltz's Klopfversuch. — It is now many years since it was discovered by Goltz that excitation of the ends of the mesenteric nerves by mechanical means produces the same effect as the electrical excitation of their trunks. To show this, a frog is secured on its back, the pleuro-peritoneal cavity opened, and the heart exposed as before. The surface of the intestine is then smartly tapped. After a few moments the heart is arrested in diastole. If the ganglionic cord is then divided on each side opposite the junction of the two aortae, and the experiment repeated, no effect is produced. Another frog is prepared in the same way, with the exception that both vagi are divided. On repeating the tapping, the result is negative. The same thing happens if, instead of dividing the vagi, the cord is divided immediately below the medulla. 78. Reflex Excitation of the Vagus in Mammalia. — The constant action of the inhibitory heart nerves in the higher animals is dependent on the constant action of the centripetal nerves in reflex relation with them. This may be shown as fol- 1 " Unterrachtrogen fiber den Mcchanismus dee regulatorischen Herz- nerrensy stems." Archiv f. Anat. u. Physiol., 18G4, p. G14. 284 CIRCULATION OF THE BLOOD. lows : Tn a rabbit, the trachea is connected with the apparatus for artificial respiration, and the vagi arc exposed in the neck. Thereupon the spinal cord is divided immediately below the medulla oblongata. On the cessation of breathing, artificial respiration is commenced. The cervical sympathetica are then divided, and a needle is inserted in the heart. A succes- sion of observations of the frequency of the heart's action is then made, and both vagi are divided. No acceleration of the pulse rate occurs. The purpose of the experiment is to show that when the affer- ent sympathetic nerves which are known to be in reflex relation with the vagus heart nerves are severed, the same effect is pro- duced on the vagus as if it were itself divided. There is no way of accomplishing this directly, without such interference with other nerves as would affect the heart, and thereby render the result ambiguous. The most complete method would be to remove the whole, ganglionic cord on both sides. Without reference to the extreme difficulty of such an operation, it is clear that it would involve the accelerator nerves (see § 80), and thereby perhaps produce an effect the opposite of that which we intended — a slowing instead of an acceleration of the pulse. So also, when the spinal cord is divided immediately below the medulla oblongata, the effect is modified not only by the de- struction of the accelerator nerves, but b}r the general paralysis of the vasomotor system. Consequently no answer to the question is to be obtained by direct observation of the changes which are produced by any such operation in the rate ofpulsa- tion of the heart, so that the end we have in view can only he accomplished indirectly. We already know that both vagi are in constant action, i. e.. that the heart is constantly under their inhibitory control; and that when this control is removed by dividing them, the frequency of the pulse increases. It is ob- vious that this effect can only be witnessed so long as the con- trol is in actual exercise ; in other words, that if the vagi are not acting, it would make no difference as regards the heart whether they are divided or not. The consideration of this fact suggests the method which is employed in the experiment above described, which shows that in an animal in which the spinal cord has been divided below the medulla, the rate of the pulse is the same before and after section of the vagi. Bernstein has further shown that the same thing happens after destruction of the whole ganglionic cord, or of the cervi- cal part, provided that the spinal cord is at the same time severed at the seventh vertebra. In the dog, section of the cord generally diminishes the frequency of the pulse. There is no such effect in the rabbit. The difference can only be ex- plained by supposing that in the former the activity of the accelerator nerves is less, as compared with that of the nerves BY DR. BURDON-SANDERSON". 285 in reflex relation with the vagus, than in the latter. In the frog, section of the sympathetic at the level of the junction of the aorta? has no direct effect on the frequency of the pulse, for the same reason, viz., that in this animal the heart-beat is not quickened by section of the vagi. The influence of reflex excitation of the vagus through the fifth nerve may be easily shown in the rabbit by causing the animal to smell ammonia. The effect is immediate. Accord- ing to the strength of the ammonia, the heart is arrested in diastole, or the diastolic intervals are lengthened. The inha- lation of chloroform, which is so apt to be fatal to rabbits, stops the heart in the same way. When sudden death occurs in a man by a blow on the epigastrium, or by drinking a large quantit}' of cold water, the heart is arrested in diastole by the agency of the same nerves as in Goltz's experiment. 79. Demonstration of the Influence of Increase or Diminution of the Arterial Pressure on the Fre- quency of the Contractions of the Heart. — The pulse is retarded by increase, accelerated by diminution of arterial pressure. That these effects are mainly dependent on the in- hibitory heart nerves, can be shown in the rabbit as follows : Ligatures having been passed round the vagus nerve on each side, and a needle inserted in the heart, the fingers of the right hand are placed under the animal's back, while the thumb is firmly pressed upon the aorta, the beats of the needle having been previously counted. On making pressure, the frequency of the contractions of the heart is diminished, and this effect continues so long as the pressure lasts. Both vagi are now divided and the experiment repeated. The frequency of the pulse is still slightly diminished, but the degree of diminution is not to be compared with the previous effect. This experiment can be made with greater exactitude by applying the pressure to the aorta directly, at the same time connecting the carotid artery with Fick's kymograph. To accomplish the first of these objects, the abdominal cavity is opened in a chloral ized rabbit in exactly the same way as for excitation of the left splanchnic nerve. It is then easy to place the thumb directly on the aorta as it passes between the crura of the diaphragm. Tracings are thus obtained which show that, during obstruction of the aorta, the arterial press- ure is doubled, or even trebled, and the pulse rate much di- minished, the status quo being re-established when the thumb is removed from the aorta. After division of the vagi, the effect as regards pressure is of course as marked as before, but there is scarcely any slowing of the pulse. The fact that the effect of aortic obstruction in diminishing the frequency of the pulse is so markedly weakened by section of both vagi, shows that these nerves bear a large part in its 286 CIRCULATION OF THE BLOOD. production, and therefore that the relation between cause and consequence is in this case not dependent on the lengthening of the systole by resistance, as supposed hy Marey. The question, however, remains, whether the mechanical explana- tion may not be accepted as regards the remainder of effect which is observed after the vagi are divided. There are two reasons why this is not possible. One is, that here, as in other cases when the pulse rate is retarded, the retardation does not signify that the systole is lengthened, but that the diastolic intervals are more protracted. The other reason is, that even after section of the vagi, the retardation of pulse produced by increased arterial pressure is postponed, whereas if it were merely mechanical it would certainly be immediate. We must therefore turn to the nervous system for its explanation — either to some influence exercised on the heart by means of accelerator nerves, which after section of the vagi are the only channel by which the heart is in communication with the cere- brospinal centres, or to excitation of the inhibitory nerves in the heart itself. Considering that in the frog the same effects are produced by exciting the ganglion of the vagus in the cut- out heart as by exciting the vagus itself, and that we have no reason to believe that increased pressure produces any paralyzing influence on the accelerators, we need have little hesitation in concluding that the effect of increased blood- pressure in retarding the heart's rl^-thm is exercised entirely through the inhibitory heart-nerves ; and that it is due princi- pally to the increased supply of blood to the intra-cranial vagus centre — i. e., to the medulla oblongata, but partly also to the influence of the increased endocardial pressure on the vagus ends in the heart itself. 80. Demonstration of the Functions of the Accele- rator Nerves. — It has been already seen that when, after severance of the spinal cord just below the medulla oblongata, the organ is excited electrically below the section, two effects are produced — the arterial pressure, reduced by the section, is enormously increased, and the heart beats much more fre- quently. Bczold thought that both of these effects were due to the direct action of the spinal cord on the heart. Ludwig and Thiry showed that, as regards arterial pressure, this was a mistake. They also showed that the acceleration of the pulse was in part a secondary effect of the increased resistance to the flow of blood ; for they found that even after the complete severance of all nervous communication between the heart and the spinal cord, the pulse became markedly more frequent on excitation of the cord. Hence Ludwig was led to doubt whether, after all, the central nervous system exercised any direct accelerative influence on the heart. We now know that while v. Bezold was wrong in believing that the spinal nerves BY DR. BURDON-SANDERSON. 287 have any power of augmenting the energy of the heart's con- tractions, or of causing it to do more work in a given time, there are certain nerves by which the distribution of its efforts in time may be modified in the direction of greater frequency. By the following experiment it can be shown that the accele- ration of pulse which is produced b}' electrical excitation of the severed spinal cord is independent of increase of arterial pressure. In a curarized rabbit in which respiration is maintained arti- ficially, the spinal cord is severed from the medulla, and the vagi, sympathetica, and depressors are divided. The arterial pressure of course sinks to about an inch of mercury, and the pulse becomes slower. The cord is then excited electrically. The pressure rises at once to four or five inches, the rate of the heart's contractions also increasing, but not in proportion to the rise of pressure. As soon as the effects of stimulation have subsided, and the circulation has had time to resume its former condition, both splanchnics are divided, in consequence of which the pressure again sinks a few millimetres. The ke\r is opened : again we have acceleration of the pulse, but this time, the verm pressores having been divided, the excitation produces hardly an}r effect on the arterial tension. The results of one of Ludwig's experiments are as follows : After section of the depressors, vagi, and sympathetics, arterial pressure 60 millimetres, pulsations in 15 seconds, 52 ; after section of cord, arterial pressure 20 millimetres, pulsations 45 ; during excita- tion of cord, arterial pressure 80 millimetres, pulsations 61; after section of splanchnics, arterial pressure 10 millimetres, pulsations 27; during excitation of medulla, arterial pressure 12 millimetres, pulsations 42. 81. Proof that the Inferior Cervical Ganglion is the Channel by •which the Direct Influence of the Spinal Cord on the Heart is exercised. — Before pro- ceeding to describe the experiments by which this is shown, it will be necessary to give an account of the anatomical rela- tions of the lowest cervical ganglion in the rabbit and dog. It is obvious, from what we know of the anatomy of the cardiac nerves as well in man as in the lower animals, that, with the exclusion of the vagus, the only channels by which the spinal cord can influence the heart directly are the rami communicantes, by which it is united with the ganglia. By experiment we learn that the communicating filaments by which the accelerating influence of the cerebro-spinal centres is transmitted, are those which enter the inferior cervical ganglion. In the rabbit, the trunk of the cervical sympathetic ends at the root, of the neck, in the inferior ganglion. This ganglion lies deeply on the surface of the muscles which cover the spinal 2S8 CIRCULATION OF THE BLOOD. column (longus colli), and consequently to the inner side of the tendinous origins of the scalenus milieus from the trans- verse processes. It has the oesophagus on its inner .side, the vertebral artery on its outer, and lies behind the carotid artery and internal jugular vein. The following are the best guides to its discovery: Superficially, the junction of the external jugular vein and subclavian vein to form the vena innominata, in the angle between which vessels the phrenic nerve appears lying on the scalenus anticus ; more deeply, the origins of the scalenus anticus, from the two last cervical transverse pro- cesses; and particularly the vertebral artery where it passes to the inside of these insertions, to enter the foramen trans- veraarmm of the sixth cervical vertebra. The upper end of the ganglion is to be found close to the artery on its inner side. The ganglion receives from above, in addition to the sympathetic trunk, communicating branches from the brachial plexus and from the vagus, and a branch (the so-called radix brevis) which accompanies the vertebral artery. Downwards, the ganglion sends (besides those leading to the first thoracic ganglion) branches wdiich go towards the heart. One of the most internal of these is the continuation of the depressor nerve, to be hereafter mentioned, which rather passes by the ganglion than springs out of it, and looses itself in the plexus of nerves between the aorta and pulmonary artery. The com- munication between the lower cervical and the first thoracic ganglion takes place by two nerves, one of wdiich passes in front of, the other behind, the subclavian artery, before that arteiy gives off the vertebral. The accelerator fibres enter the ganglion by the vertebral nerve, and thence find their way to the heart through the cardiac plexus already mentioned. (See explanation of fig. 241.) In the dog, the arrangement of the accelerator nerves is somewhat different. In this animal, as in the rabbit, the lower cervical ganglion lies on the longua colli immediately to the inner side of the vertebral artery, and above the subclavian. It is connected with the first thoracic ganglion by two twigs, one of wdiich passes behind the subclavian and vertebral arte- ries, the other in front of them. Of its cardiac branches, of which three have been distinguished by Cyon, the most im- portant accompanies the recurrent nerve until that nerve bends upwards to its distribution, and then follows the sub- clavian or innominate artery to gain the cardiac plexus. From above, the ganglion receives, first, the combined trunk of the vagus and sympathetic, which here separate from each other, the former continuing its course into the thorax ; and secondly, two branches corresponding to those described in the rabbit. The accelerator fibres are very variously distributed among these several branches, sometimes finding their way to the BY DR. BURDON-SANDERSON. 289 heart from the inferior cervical ganglion along the vagus, or the recurrent, but most frequently by the cardiac branch above described. For further details, see the explanation of fig. 242. Before entering on an}' experimental inquiry relating to the accelerator nerves, it is absolutely necessary to make several dissections. The mode of experiment is as follows: In a cu- rarized rabbit in which artificial respiration is maintained in the usual way, an incision is made in the middle line extending from the upper third of the sternum to the upper end of the trachea. The external jugular vein of one side is then brought into view, tied in two places, and divided between the liga- tures. The steruo-mastoid muscle is also divided between ligatures : a strong, threaded aneurism needle is thrust under the sterno-clavicular ligament and the upper fibres of the pectoral muscles ; these, with the ligament, are divided be- tween ligatures, and the cut ends drawn aside. By this pro- ceeding, the carotid artery, the internal jugular vein, and the subclavian vein, are brought into view. These veins and the vena anonyma are tied and divided in the manner already in- dicated, and any other vessels which come in the way are se- cured. A simpler and more rapid mode of performing the operation is the following : The superficial parts having been exposed by two lines of incision, one of which is in the middle line, while the other extends from it on either side in the di- rection of the sterno-clavicular ligament, and the jugular vein having been divided between ligatures, the next step is to find the pneurnogastric nerve at the upper part of the wound, and free it from the surrounding tissues. This done, a blunt aneu- rism needle is threaded and passed carefully, with its convexity backwards, along the course of the nerve, between it and the carotid artery. Its point is then made to penetrate the sheath and fascia immediately above the long, cord-like, sterno-clavi- cular ligament. The thread is then severed, and the ends having been drawn out to a sufficient length, the two ligatures are tightened, the one inside and the other outside of the aneurism needle, after which the whole of the tissues which are tied off between the ligatures, including the great veins, may be raised on the needle and divided. The needle, which has been carefully kept in its place, is now again threaded, and its point pushed downwards under the edge of the pectoral muscles, as far as the upper surface of the first rib. The point is then pushed outwards and forwards through the muscles, the thread is again severed, and the muscles are divided be- tween the two ligatures in the manner already described. By this proceeding a deep hollow (see fig. 243) is exposed, in which, among other important parts, the ganglion inferiics lies, covered by a layer of fascia. This hollow is bounded 19 290 CIRCULATION OF THE BLOOD. below by the crescentic upper border of the first rib, behind and to the outside by the scalenus anticus, and to the inside by the trachea and (on the right side) by the oesophagus. In the depth of the hollow, to the outside, lies the subclavian artery on its way to cross outwards over the first rib : the vertebral artery springs from it just as it is about to leave the hollow space. This vessel is the guide to the ganglion which lies on its inner side concealed in a good deal of cellular tissue. To find it, the most certain method is to seek for the trunk of the sympathetic in the upper part of the space where it lies con- cealed behind the carotid artery, and then to trace it down to the ganglion. All this having been accomplished without bleeding, there is no difficulty in passing a ligature round the ganglion, so that at any desired moment it may be extirpated. The same operation is then performed on the opposite side of the body. Both ganglia having been thus prepared with as little loss of time as possible, the sympathetic and vagus are divided (so as completelj' to sever the nervous connection be- tween the heart and the central nervous system), and one of the carotids is connected with the kymograph. The medulla oblongata is then divided, and comparative observations are made, in the manner already directed, as to the effect of excitation of the peripheral end of the spinal cord on the arterial pressure, and on the frequency of the pulse before and after extirpation of both ganglia. In the one case, the rise of pressure is attended with acceleration ; in the other, the frequency of the contractions of the heart remains un- altered. This result proves, first, that the accelerative influ- ence of the cordon the heart is conveyed by nerves which pass through the ganglia; and secondly, that these nerves are not in constant action. Although the cord, when excited, acts throughout by means of them, their destruction produces no effect on the heart when the cord is quiescent. To complete the proof that the nerves which pass to the heart from the sympathetic trunk, and particularly those which spring from the ganglion, are concerned in shortening the diastolic inter- vals, direct observations are necessary. Such observations were first made by the brothers Cyon, who found that both in the dog and rabbit most of the accelerator fibres reach the ganglion by the nerve which accompanies the vertebral artery. In both animals, but especially in the dog, as has been already stated, the path followed by these fibres from the ganglion to the heart varies considerably in different individuals. The experiments by which these facts have been established are among the most difficult in physiology, and consequently the description of them lies beyond the scope of this work. From the preceding experiments and observations, we learn that it is the function of the accelerator nerves to shorten the BY DR. BURDON-S ANDERSON. 291 diastolic interval, and thus, indirect^, to render the individual contractions of the heart feeble and less effectual. How they act, and what is their anatomical and physiological relation either to the ganglion cells, or to the vagus of which they are the antagonists, it is not at present possible to explain. As has been already stated, the heart of the frog does not receive any accelerator nerves. From the following experiment, how- ever, it appears that the vagus nerves in that animal contain accelerator fibres. To demonstrate this, the animal must be placed under the influence of nicotin, which alkaloid, as lately shown by Schmiedeberg, possesses the power of paralyzing the terminations of the inhibitory fibres contained in the trunk of the vagus, without affecting the intrinsic inhibitory ganglia of the heart. If in a frog, into which about a thirtieth of a grain of nicotin has been injected, one vagus nerve is excited, the excitation, instead of arresting the heart in diastole, or dimin- ishing its frequency, accelerates its contractions. And if, instead of injecting the solution under the skin, the heart is prepared after Dr. Coats's method, supplied with serum con- taining nicotin, and connected with the kymograph, and observed before, during and after excitation of the vagus, tracings are obtained which show that the frequency of the heart-beats is increased sixty per cent.; that the acceleration commences about four seconds after the opening of the key, and lasts about a minute and a half after the cessation of the excitation; and that it is due to shortening, or rather annull- ing, of the diastole, each systole following immediately on the close of the preceding one (see fig. 244). 82. Demonstration of the Functions of the Depres- sor Nerve. — In the rabbit as well as in the cat, a cardiac branch separates itself from the vagus at the level of the thy- roid cartilage, high in the neck, and ends in the inferior cervical ganglion. In the rabbit, the nerve commonly originates in two roots, one of which springs from the superior lar}'ngeal, the other from the vagus itself, near the point at which the laryngeal leaves it ; but very often it is derived exclusively from the superior laryngeal. In its course towards the inferior cervical ganglion, it is close to the carotid artery, and still closer to the sympathetic trunk, from which it is distinguished by its smaller size and whiter aspect. From the ganglion the fibres of the depressor are continued downwards, forming the two most internal of the filaments which in the rabbit pass be- tween it and the heart. They can be traced to the connective tissue between the origin of the aorta and pulmonary artery. The depressor contains centripetal fibres, the function of which is to diminish the activity of the vasomotor centre, and thereby diminish the arterial pressure. A rabbit is chloralized ; one carotid is connected with the 202 CIRCULATION OF THE BLOOD. kymograph, and the vagus of the same side divided opposite the thyroid cartilage. The depressor is isolated, and a loop of thread passed round it. An observation is then taken of the arterial pressure and pulse rate, after which the depressor is divided. There is no alteration either in the height of the mercurial column, or in the number of pulsations per ten seconds. On exciting the peripheral end, there is still no effect ; but on exciting the central end the pressure sinks to about two-thirds of its previous height, and the pulse often be- comes slower. On discontinuing the excitation, the status quo is gradually restored. The results of such an experiment are shown in the tracing (fig. 245). It i3 seen that the excitation produces no change whatever either in the character or frequency of the pulsations, the only effect produced being diminution of pressure. In other instances there is perceptible slowing, but the variations of the two effects are never parallel. In the observation recorded in the tracing, the vagus of the side opposite to that on which the depressor was excited, was left intact ; consequently the heart was still partly under the control of the intracranial inhibitory centre. Notwithstanding this, the slowing was not appreci- able. When it does occur, it must be attributed, without doubt, to reflex excitation of the inhibitory heart centre, the effect of which is conveyed to the heart by the undivided vagus. The diminution of the arterial pressure cannot be referred to any direct influence exercised by excitation of the depressor on the heart, but to diminution of the resistance in the arterial system ; i. e., to relaxation of the minute arteries. This may be shown in the same animal which is used for the preceding experiment, if the left splanchnic is divided (see § 56) and the depressor excited as before. The mercurial column, which has already fallen, sa3r, to two-thirds of its former height, is further depressed during excitation ; but the amount of sinking is much less than it would have been if the splanchnic had not been divided. The same conclusion is confirmed by two other observations, viz., (1) that if the aorta is obstructed so as to raise the arterial pressure and conceal any changes in the state of contraction of the abdominal vessels, the effect of the excitation of the de- pressor is imperceptible : and (2) that if the abdominal organs are exposed and inspected during excitation of the depressor, they are seen, according to Cyon, to become congested. The effect is most perceptible in the kidneys, which (if care is taken to avoid the previous occurrence of congestion from exposure or other conditions) change color from pale to red, and back again, as the induced current is closed or opened. BY DR. BURDON-SANDERSON. 293 SUPPLEMENT. Absorption by the Veins and Lymphatics. Under this head, certain experiments will be referred to re- lating to the mode in which soluble and insoluble substances find their wa}- into the vascular system from the tissues. This kind of absorption may be termed, in order to distinguish it from that which takes place at the cutaneous and mucous sur- faces, internal absorption. The other kind will be dealt with in succeeding Chapters. It is obvious, so far as relates to the bloodvessels, that con- sidering that the whole vascular system, with the exception of that of the spleen, the medulla of bone, and some other smaller tissues, is lined with a continuous membrane, no substance can enter them excepting in a state of solution, and consequently that the process of venous absorption is one of filtration or diffusion; and that, of these two, the former is excluded by the fact that the pressure inside of the vascular system is every- where greater than the pressure outside. As regards the lym- phatic system, on the other hand, the anatomical facts des- cribed in Chap. VIII. will show that there is no obstacle to the entry of solid substances, provided that they are in a state of extremely fine division ; so that we are led to infer that, whereas it is the function of the bloodvessels to absorb sub- stances which are soluble and diffusible, those which are inca- pable of diffusion are taken up by the lymphatics. From experiments we learn, not merely that this inference is correct, but that the process of absorption from the tissues by the veins is, like the analogous process of secretion (Chap. XXXVI.), dependent on the nervous system. 83. Proof that Solid Matters in a State of Extremely- Fine Division are Absorbed from the Tissues by the Lymphatics. — In Chapter VIII. it has been shown that, without reference to the origin of the lacteals from the mucous membrane of the intestine, or to the stomata, by which the lymphatic system communicates with the serous cavities, the absorbent S3rstem originates from those forms of interstitial tissue which for the present we designate lymphatic, the char- acteristic of which is that they consist of ground substance, riddled in all directions by cavities containing protoplasm masses — z. «., cells, these cavities being in communication with each other, as well as with the lymphatic capillaries, by a net- work of channels (lymphatic canaliculi or Saftkanalchen). The distribution in the body of interstitial tissue having these characters has not yet been sufficiently investigated ; for it is only during the last year or two tWat its anatomical relations have been more or less completely made out. We already 294 CIRCUF.ATION OF THE BLOOD. know, however, that it is to be found almost everywhere, par- ticularly in the tunica adventitia of bloodvessels, underneath the endothelial lining of serous cavities, and of the vascular system, and on the surface and in the inter-fascicular splits of tendons and aponeuroses ; and that, wherever it occurs, it is in anatomical relation with lymphatic capillaries. The proof that the absorption of solid matters in line division takes place mechanically, has already been given in Chapter VIII., where it is shown that the lymphatics leading from the peritonaeum can be filled with Prussian blue or other coloring matters in suspension, by injecting'the liquid charged with them into the peritomeal cavity; and that if the mechanical conditions are favorable, the injection takes place in the same manner in the dead body as in the living. It has also been shown in the same Chapter, that in order to obtain good anatomical pre- parations of lymphatic capillaries, the best method is that there described as the method of puncture, the reason being that, wherever these vessels are abundant, they are in open communication with the canaliculi, and, consequently, that it is impossible to introduce the point of a syringe into the tissue between them without penetrating many of these cavities. This may be instructively shown as follows. 84. Method of Showing the Mode of Entry of Col- ored Liquids into the Lymphatic Vessels. — The best tissue for the purpose is the mucous membrane of the larynx and trachea ; those of an ox or sheep may be used. An ordi- nary subcutaneous syringe, with as fine a point as possible, is charged with solution of alkanet in spirits of turpentine. The point is then inserted horizontally into the mucous membrane, at some part where it rests upon cartilage. A drop of the liquid is then pushed out into the tissue as slowly as possible. If the operation is successful, it at once fills the lymphatic net- work, the character of the result varying according as the point of the S3rringe has entered the submucosa or has not penetrated beyond the mucosa. That the liquid progresses along the vessels by capillarity is learnt by observing that the injection continues to spread long after all pressure from the syringe has ceased. The alkanet solution is employed in this and similar experiments, because it is quite incapable of pass- ing through organic membranes, is immiscible with water, and enters capillary channels with extraordinary facilit}'. The further progress of liquids along the lymphatics towards the venous system is due partly to capillarit}-, partly to the fact that the lymphatics pass through spaces in which the pressure is less than that in which their capillaries originate, and partly to the variations of pressure due to muscular action, to which they are subjected,. That in certain parts of the body BY DR. BURDON-SANDERSON. 295 the lymphatic trunks are subjected to a less pressure than their absorbing orifices, does not need special experimental proof. Thus, for example, it is certain that the h/niphatics of the peri- toneum enter the thorax, i. e., pass from a cavity where the pressure is usually greater, to another where it is much less than that of the atmosphere. The influence of muscular move- ments admits of being demonstrated by the following experi- ment, which at the same time affords a striking confirmation of the evidence already given as to the mechanical nature of lymphatic absorption. In a large dog, which has been just killed by opening one carotid, the skin, costal cartilages, and muscles of the flank are severed by a transverse incision, which extends from the ensi- form cartilage as far as the middle line on either side. The wall of the abdomen is then split vertically in the linea alba, and the diaphragm cut away from the ribs. The bladder hav- ing been squeezed empty, two ligatures are tightened round the rectum, which is divided between them. Ligatures must now be placed round the cardia, the hepatic vessels, and duct, and the mesentery, so as to remove the stomach and intestines en manse without bleeding. This having been accomplished, the vena cava is tied above and below the liver, and that organ removed, after which the body is bisected by sawing through the eighth vertebra, and completing the division of the soft parts. Finally, a glass canula, fitted with a flexible tube guarded by a clip, is inserted in the thoracic duct and secured with a ligature. If now the spinal column is fixed near the edge of the table, and the lower limbs alternately flexed and extended by an as- sistant, the lymph flows freely and may be received in a test tube. If the passive movement is discontinued and then re- sumed from time to time, the quantity of lymph collected is very considerable, so that it is easy to fill several test tubes ; but none is discharged during the intervals of cessation. The lymph which is collected at first, resembles ordinary lymph both in its microscopical characters and in its composition. It is ob- vious that it is the liquid which at the moment of death occu- pied the canaliculi of the tissues from which it is gathered. The course taken by the lymph stream can be further demon- strated in the same preparation, by introducing solution of alkanet, by puncture, into the intertendinous splits of the lower part of the fascia lata. If a sufficiently fine syringe is used, it is easy to produce in this way a satisfactory injection, first, of the tymphatic capillaries contained in the splits them- selves, and secondly (if the passive movements are continued), of the rich net-work of lymphatics which exists in the " cellular membrane" which covers the aponeurosis on its cutaneous 29G CIRCULATION OF THE BLOOD. aspect.1 Soon the discharge from the thoracic duct is reddened by the alkanet. It has been shown by Ludwig that in the ex- tremities, the tendons and aponeuroses are the special seat of the net-works of capillaries by which the lymphatics commence, and that they have here an arrangement similar to that observed in the central tendon of the diaphragm. The experiment proves that even passive movements of the limbs, by alternately tight- ening and relaxing these structures, press forwards the lymph stream. The influence of active movements must be much greater. 85. Internal Absorption by the Veins. — The propo- sition stated at the beginning of the section, that substances in solution enter the capillaries from the tissues by a process of absorption, which is under the immediate control of the nervous system, may be strikingly illustrated as follows : — Two frogs having been slightly curarized are prepared thus: The heart having been exposed lege artis ; a small opening is made in the skin in the occipital region. In one of the frogs, the brain and spinal cord are completely destroyed by passing a needle upwards and downwards from the occipital region, and then both are hung vertically on a board, side by side. looking in the same direction. A small funnel, the stem of which is drawn out into a narrow beak, is now passed from the incision downwards under the skin of each animal, till its end reaches the dorsal Emphatic sac. This done, the bulbus aortse is divided in both animals, and the results are observed. In the frog deprived of its central nervous system, only a few drops of blood escape — the quantity, that is to say, previously contained in the heart and in the beginning of the arterial system. In the other, the bleeding is not only more abundant, but continues for several minutes after the section. As soon as bleeding has ceased, a quantity of saline solution (say, 5 to 10 centimetres) is injected into the lymphatic sac of each animal until it is distended, and the exact quantity used carefully noted. In the frog in which the central nervous system is intact, the discharge of blood from the opening in the bulb begins again, and goes on increasing; while the liquid, which at first is nearly pure blood, becomes more and more diluted with serum. The discharge of sanguineous liquid goes on for one or two hours ; and if, during the progress of the experi- ment, the vasomotor centre is stimulated reflexl\- by exciting a sensory nerve or the surface of the skin, it is seen that the rate of flow is at once augmented, but becomes less after the cessation of the excitation than it was before. This last fact 1 Colored drawings of the injections so obtained "will be found in Lud- wig and Schweigger-Seidel's beautiful monograph on the lymphatics of tendons and aponeuroses. BY DR. BURDON-SANDERSON. 297 is thought by Goltz,1 the author of this experiment, to indicate that when a sensory nerve is excited, venous absorption is in- creased. It may perhaps be attributable rather to the contrac- tion of the vessels which is determined by the excitation. To render the observation of the result as accurate as possible, the quantity discharged should be measured. The quantity found in the test-glass in which the mixture of blood and serum is collected should, together with the residue remaining in the lymph sac, be equal to the quantity originally injected. — In the other frog there is no discharge. The heart remains flaccid although contracting regularly, and the skin dry from the arrest of the secretion of the cutaneous glands. In this experiment it may be supposed, either that the liquid contained in the lymph sac passes into the circulation directly, or that it first diffuses out into the surrounding tissue, and is then absorbed by the veins. The first supposition is negatived b}r the obser- vation that the contractions of the lymph hearts have ceased in both frogs, and that consequently the mechanism by which alone the liquid could be directly transferred to the venous system is wanting. We are, therefore, compelled to admit that it enters the blood-stream by the only other channel open to it; and the conditions of the experiment prove that it does so under the direct influence of the nervous system. The precise nature of the agency by which the living ele- ments which surround the bloodvessels determine the diffusion of liquid into the blood in opposition to pressure, cannot at present be stated. In the instance before us, two sets of effects may be distinguished as referable to one cause, i. e., destruc- tion of the central nervous system — those due to paralytic relaxation of the bloodvessels, and those which are attributable to absence of absorption. In how far those of the second kind are the immediate result of the others, may perhaps be open to question. They do not, however, afford any explana- tion of them, for there is no reason why a relaxed vessel should not absorb quite as much as a contracted one ; the fact of relaxation affords no explanation whatever of the absence of absorption. Both are manifestations of properties enjoyed by the living elements only so long as they are in communica- tion with cerebro-spinal nervous centres. 1 " Ueber den Einfluss dcr Nervencentren auf die Aufsangung," Pflugers Arcbiv. B. v. p. 53. 29S RESPIRATION. CHAPTER XVII. RESPIRATION. Section I. — Preliminary Study of the External Movements of Respiration. 86. Respiratory Movements of the Frog. — To ob- serve the respiratory movements in the frog, the animal must be fixed on its back. It is seen that that part of the floor of the pharyngeal cavity which corresponds to the submaxillary space, e. e.. to the space which lies between the episternal car- tilage, and the two branches of the lower jaw bone, alternately rises and falls at intervals of about one or two seconds. On more attentive examination, it is found that these movements are clue to the alternate retraction and advance of the body of the hyoid bone, the general form of which can be readily dis- tinguished under the skin. To study their nature, the skin must be divided in the middle line from the mouth to the sternum, and detached from the subjacent muscles as far out- wards on either side as the jaw. In this way a view is ob- tained of all the muscles attached to the hyoid bone, without interfering with the mechanism of respiration (see fig. 246). By its long and slender anterior horn, the hyoid bone is con- nected with the skull (t. e., with the cartilaginous part of the petrous bone) in such a manner that, although the two car- tilages are not united by a joint, the hyoid works on the petrous bones as if it were hinged to them. This being borne in mind, it is easy to understand the action of the muscles which are attached to it. Those which come from the sternum and bones connected with it, in drawing the hyoid backwards, cause it, at the same time, to descend in such a way as to in- crease the space between its upper surface and the roof of the mouth and pharynx, and to extend that part of the submax- illary space which intervenes between the arch of the hyoid and that of the lower jaw. On the other hand, those muscles which stretch from the chin (the genio-hyoid), and from the petrous bones (the petrohyoid muscles) to the bod}* of the bone, combine in drawing it upwards and forwards, to such a degree, indeed, that when the latter are in action, the sub- maxillaiy space becomes concave. All this can be readily seen in the living animal; for although the muscles above- mentioned are covered by the submaxillary or mylohyoid BY DR. BUR DON-SANDERSON. 299 muscles, this muscular membrane is so thin that they can be easily perceived through it. To investigate the part taken by these movements in the mechanism of respiration, it is necessary to ascertain in what relation they stand to the influx and efflux of air. This is accomplished by inserting a suitable glass canula into one of the nostrils and connecting it with the tympanum, shown in fig. 231. In this way the curve is obtained, which is copied in fig. 246 bis. By watching, at the same time, the motions of the hyoid bone and of the lever, it is easy to satisfy one's self that the retraction of the former towards the sternum corres- ponds with the depression of the latter, and with the entrance of air into the pharyngeal cavity. It is further seen that the motions are by no means uniform, and that in connection with this want of uniformity they present certain peculiarities which, from their intimate connection with the mechanism by which air is introduced into and expelled from the lungs, require careful attention. The tracing enables us to divide the respira- tory acts into two kinds, viz., smaller alternative movements (a a a), which occur at pretty regular short intervals, and larger movements (bbb), which differ from the others in this respect, that the less energetic expiratory act by which the movement begins, terminates in a sudden expulsion of air, indicated by a more rapid rise of the lever, and determined by a more vigor- ous contraction of those muscles which connect the body of the hyoid bone with the skull. This sudden elevation of the floor of the pharynx is the act by which the frog injects air into its lungs. The student must now fix his attention on the nostrils, when he will see that whereas during the small movements (a a) those organs are motionless, the sudden expulsions (b b) are accompanied by contraction of the little constrictor mus- cles of the nares, and, consequently, that the latter differ from the former not merely in their greater vigor, but in their being executed witli the nostrils more or less closed, so that the air, instead of passing freely out, is injected through the glottis into the lungs. To prove this, watch the expiratory muscles of the flanks (the external oblique particularly). At the first moment, it will perhaps appear as if the sudden contraction of these muscles were coincident with the closure of the nares, but it is soon seen that the former movement follows the latter at an interval of time, which, although very short, is not difficult to appreciate even without instruments. This may be demon- strated graphically by puncturing the anterior wall of the vis- ceral cavity, and introducing through the puncture a canula in such a way that it communicates with the cavity of one lung. The canula being connected with a tympanum, a tracing is ob- tained, which shows that the period during which the air is contained in the lungs is extremely short, that the entry of air 300 RESPIRATION. into the lungs coincides with the closure of the nares, and is determined by the approximation of the body of the hyoid bone to the roof of the pharynx, and that the expulsion of air from the lungs by the contraction of the Hanks occurs while the hyoid is still drawn upwards, so that the two muscular movements form part of the same act. 87. External Respiratory Movements of Man and Mammalia. — The alternate emptying and filling of the air cells of the lungs, which is the final cause of respiration, is effected by the alternate enlargement and contraction of the chest. If the whole of the thorax were occupied by the air cells, these changes of capacit}' could be measured by the quan- tity of air entering and leaving the respiratory cavity in each act of breathing. As, however, in addition to the lungs, the chest contains various other organs, some of which alter their volume very considerably, according to the degree of expansion of the cavity in which they are contained, there is no constant relation between the enlargement or diminution of the available intra-thoracic air space and the external enlargement or dimi- nution of the thorax. There is no practicable method of determining the changes of volume which the chest undergoes in respiration with exacti- tude. As, however, the imperfect methods we possess differ from most of those employed in physiology, in being quite as applicable to man as to the lower animals, and are sufficiently accurate to yield valuable results in the study of disease, they are well worthy of the attention of the phj'sician, though of comparatively little interest to the physiologist. 88. The external movements of the human chest maybe in- vestigated by recording the variations either of its diameters or of its circumference, at different parts, or of both simulta- neously. For the graphic measurement of the circumference, an instrument contrived by Marey, and much improved by Bert, is used. It consists of an air-tight cylinder of brass and India-rubber, of the shape and construction of a common drum, the cylinder being of brass and the membranous ends of India- rubber. The cylinder communicates by a flexible tube with a tympanum, the lever of which records its variations of capacity. To the centre of each of the two terminal membranes a metal disk is attached, which is furnished with a hook, and is thus connected with one of the ends of an inelastic cincture, which encircles the circumference to be measured. As the circum- ference augments, the membranes are extended, and the ca- pacity of the drum increased, and vice versa. It is obvious that before the instrument is used it must be graduated. The mode of accomplishing this will be given further on. 89. The graphic measurement of the diameters of the chest is much more simple, inasmuch as it merely involves the trans- BY DR. BURDON-SANDERSON. 301 lation to the paper of the movement produced by the alternate recession from each other, and approximation to each other, of two points in the chest wall at the opposite extremities of the diameter to he measured ; so that if either of these points be taken as fixed, the recording of the movement of the other point amounts to nothing more than the conversion of one rectilinear movement into another. This is readily accom- plished by the contrivance we have already employed for re- cording the external cardiac movements (see § 60), that is, by the employment of two tympana, the one for receiving the movement to be investigated, the other for inscribing it on the cylinder. The receiving tympanum must be so placed that the distance of its India-rubber membrane from the fixed extremity of the diameter to be investigated, is subject to no variation during the period of measurement, and that its ivory button is applied to the movable end in such a way that the diameter, if produced beyond the surface of the chest, would coincide with its axis. All these conditions are completely fulfilled in the instrument I use. It consists of two parallel bars of iron, the opposite ends of which are screwed firmly at right angles into a cross bar, so as to form a rigid frame re- sembling in shape the Greek letter n. The diameter to be investigated is placed between the extremities of these bars. One of these carries an ivory knob, similar to that of the cardiograph, the convexity of which looks towards the oppo- site arm. Its distance may be varied by a screw. The other arm beai's the receiving tympanum, the knob of which faces the knob just mentioned, their axis being in the same line. The mode of application of the instrument, which may be conveniently called a recording stethometer, varies according to the diameter to be measured. The most important diame- ters are those which connect the 8th rib in the axillary line with the same rib of the opposite side, the manubrium sterni with the 3d dorsal spine, the lower end of the sternum with the 8th dorsal spine, and the ensiform cartilage with the 10th dor- sal spine. The mode of application for the first of these diame- ters is shown in fig. 247. The subject stands or sits, as is most convenient, and the stethometer is hung over his neck by a broad band, the length of which can be regulated by a buckle. The movements recorded are not those which the middle of the 8th rib performs in relation to its stdrnal and vertebral attachments, but those which the one end of the diameter executes in relation to the other, which is for the moment regarded as a fixed point. In measuring the diame- ters which lie in the middle plane, it is most convenient to take the vertebral spines as fixed points, although, of course, the results would not be affected by doing otherwise. The records obtained by the stethometer are of value for two pur- 302 RESPIRATION. poses, viz., for the appreciation of the relative and absolute duration of the respiratory acts, and for the measurement of their extent. For the latter purpose, the instrument must be graduated every time that it is Used. To facilitate this pro- cess, I employ a set of five standard wooden measures of length, differing from each other by two millimetres. With these, the graduation is effected in less than five minutes. The recording and receiving tympana having been brought into communication, and the whole system tested as regards the perfection of the joints, and found to be air-tight, one of the wands (the one of which the length is equal to the mean of the five) is placed between the two buttons of the stcthometer, which are then approximated until the India-rubber membrane of the tympanum is slightly concave. A horizontal tracing having been drawn on the cylinder, the two next longest and shortest wands are substituted for the first, and the process is repeated in respect of each, and then the next two, until five parallel horizontal lines have been drawn, by comparison with which, the variations of the diameters investigated may be estimated in millimetres from the vertical measurements of the tracings. By this method we learn, for example, that in a healthy muscular j-oung man, aged 22, the diameters above given vary respectively in each respiration as follows : Upper sternal diameter= 146, varies one millimetre; the lower ster- nal diameter = 203, varies 1.5 — 1.8 millimetre; the transverse costal diameter = 228, varies 1.7 — 2.0 millimetres. As regards the duration and succession of the respiratory acts, the most instructive curves are the costal and lower sternal (see fig. 248). It must be carefully borne in mind that they apply strictly to natural respiration. In forced breathing, the thoracic movements acquire a different char- acter. Dr. Arthur Ransome, who has studied the subject with great accuracy, allows me to refer to his measurements. He has found that the variations of the antero-posterior diame- ters of the upper part of the chest are very extensive, and that the whole thoracic framework participates in them — the ends of the upper ribs moving horizontally forward, i. e., in a plane parallel to the middle plane of the body, from 12 to 30 millimetres; the advance of the third rib is greater, by several millimetres, than that of the fifth. Dr. Ransome con- siders that this advance cannot be otherwise accounted for than b}' an actual bending of the ribs. We shall see afterwards that the difference between natural and forced breathing consists partly in increased constriction of the chest during expiration, partly in increased expansion during inspiration. In the meantime, it is sufficient to note that when the thoracic movements become excessive, the change affects the antero-posterior diameters of the upper part BY DR. BURDON-SANDERSON. 303 of the chest more than of the lower part, so that the normal .relation between the two is reversed. 90. Measurement of the Intra-Thoracic Pressure. —In consequence of the elasticity of the lungs, and of the fact that they are contained in a cavity of which the capacity is much greater than the volume which these organs assume in their unextended condition, and that their external surface is inseparably applied to the inner surface of the cavity, the pressure to which the heart, arteries, veins, and other intra- thoracic organs are subjected, is considerably less than that of the atmosphere. What is required to measure the difference is to connect one pleural cavity with a manometer. This is easily effected in the following manner : A glass tube of about three millimetres in diameter is sealed at one end, and drawn out to a blunt point. A hole is then cut with a sharp three- cornered file on one side of the tube, close to the sealed end, and the open end temporarily closed with a plug of wax. A rabbit having been secured on the rabbit support, the skin is perforated with a scalpel close to the left edge of the middle of the sternum. This having been done, the point of the tube is easily passed into the right pleura by pushing it in a hori- zontal direction behind the sternum, with its point against the posterior (i. e., as the animal is placed, the under) surface of the thoracic wall. The wax plug is then removed, and the open end is connected with a water manometer; but while this is being done, great care must be taken to keep the side of the tube on which the orifice is, firmly but gently applied against the chest wall. The quantity of water in the manometer is then increased or diminished until the two columns stand at the same level. If now the tube is twisted round so that its orifice looks towards the cavity of the chest, the distal column sinks, the difference between the heights of the two columns in millimetres being about thirteen times as great as the dif- ference in millimetres of mercury between the atmospheric pressure and that to which the thoracic organs are subjected in the animal under observation. The intra-thoracic pressure may also be measured indirectly immediately after death, by connecting the trachea air-tight with a manometer, and then, after seeing that the two columns stand at the same level, opening both pleural cavities. This time the distal column rises above the proximal. The difference between them, if the same kind of animal is used, will be the same, though in the opposite direction. If it is desired to obtain a record of the variations of intra-thoracic pressure during the respiratory acts, it is easily done by bringing the tube into communica- tion with a Marey's tympanum, by means of a somewhat thick- walled India-rubber connector. In this way the tracing, fig. 249, is obtained. >04 RESPIRATION. Section II. — Study of tiik Mode of Action of the Muscles of Respiration. In man, the entry of air into the chest in tranquil breathing is accomplished exclusively by the diaphragm. In the dog, it is effected partly by the descent of the diaphragm, partly by the widening of the chest. In the rabbit, the respiratory movements resemble in their general character those of man, on which account this animal is preferable to any other for the purposes of study. From the fact just stated, it is ob- vious that in our examination of the action of the muscles of respiration, we must not confine ourselves to the normal breathing, for if we were to do so, our studies would relate almost exclusively to one muscle. To observe the action of the others, we must direct our attention to the excessive tho- racic movements of animals affected more or less with dyspnoea, the phenomena of which condition, so far as they relate to the action of muscles, must therefore be entered upon here, although its nature and cause will form the subject of a special section. The muscular movements by which the chest is expanded, must be studied in their relation to a certain definable position of the thorax, which is called the position of equilibrium. It is the position assumed by it at the end of normal expiration. For as no muscle takes part in the normal expiratory act, the whole thoracic muscular apparatus is at that moment in a state of rest, the bones and cartilages assuming that position which results from the balance of the opposed elastic forces, which act upon them from within and from without. Of these elastic forces, the most important is that of the lungs ; which organs, being contained in a cavity much larger than they are themselves, to the inner surface of which their external sur- face is inseparably applied, constantly draw together its walls with a force to be investigated in a future paragraph. Next in importance is the elasticity of the ribs and cartilages, by virtue of which the thoracic wall ever tends to be larger than it is, in opposition to the contractile influence of the lungs. Co-operating with these, we have, thirdly, the "tonus" of the thoracic muscles, different indeed in its nature, but indis- tinguishable as regards its action. All the muscles by which the chest is enlarged beyond the position of equilibrium are called inspiratory ; all those by which it is contracted to a capacity less than that which it possesses when in equilibrium are called expiratory. 91. Inspiratory Muscles. — The Diaphragm. — To demon- strate the action of the diaphragm, several methods may be used. The most striking is to expose it in an animal made completely insensible by the injection of from twenty to forty BY DR. BURDON-SANDERSON. 305 minims of a ten per cent, solution of chloral into the crural vein. For this purpose the abdominal cavity must be opened in the linea alba, immediately below the ensiform cartilage, and then two incisions must be made, extending from the opening in opposite directions parallel to the edges of the costal car- tilages, according to the instructions given in § 56. Another method consists in merely making an opening in the linea alba, close to the ensiform cartilage, sufficient to receive the finger, the tip of which must be pressed against the centrum tendi- neum, when the movements can be appreciated with great ex- actitude. The plan most used consists in introducing a long and slender needle into the chest through the ensiform carti- lage, close to the lower end of the sternum, the direction of which is such, that it grazes the upper surface of the diaphragm, if possible piercing it at one or two points, so as to be in some part of its course on the abdominal side of the membrane. For this experiment, the rabbit must be carefully chloralized, and secured on Czermak's supporter in such a way that the spinal column is immovable. A long silk thread is then passed through the eye of the needle and connected with the little bow-wood pulley shown in fig. 250, the movements of which are inscribed by means of the horizontal lever on the blackened cylinder. The tracing so obtained enables us not only to de- termine to what relative distance the dome of the diaphragm descends in each inspiratory act, but also the mean relaxation of the muscle, i. e., the mean height to which it ascends during each expiration. This, as we shall see further on, is much affected by conditions which act on the muscle by its motor nerve. 92. Intercostal Muscles. — To demonstrate the action of the intercostal muscles, a rabbit is used which has been deprived both of voluntary motion and of sensibility by the ablation of the cerebral hemispheres as well as of the corpora striata and thalami optici. This operation is performed as follows : The animal having been rendered insensible by chloroform, both carotids are tied. It is then secured on the supporter in the prone position. The calvarium is now exposed by an incision extending from the occiput to the frontal region in the middle line, and the integument drawn aside in either direction. The parietal bones having been first perforated with the trephine, to allow of the introduction of the cutting pliers, the roof of the cranium is rapidly removed so as to expose the hemi- spheres completely. These organs are then scooped out with the ivory handle of a scalpel, an assistant being at hand with the actual cautery to arrest the bleeding. The animal at once passes ii'to a state resembling deep sleep, breathing regularly, bat much more slowly than before the operation. The action of the respiratory muscles of the chest can now be investigated 20 306* RESPIRATION. without any misgiving as to the infliction of suffering, by re- moving the integument and superficial layer of muscles 80 as to expose the ribs and intercostal Bpaces. The first lesson to be learnt relates to normal breathing. It it seen that so long as air enters the chest freely, ami the res- piratory apparatus is not interfered with, there is no appreci- able expansive movement of the ribs, ami the intercostal mus- cles, in so far as they are visible, do not contract. Dyspnoea may now be produced, either by letting air into one or both of the pleural cavities, by diminishing the opening by which the chest communicates with the atmosphere, or by combining the two methods. It is most convenient to begin with puncturing one pleura. The effect of this operation is to increase the respiratory movements, and to alter their character by bringing the tho- racic muscles into action. The upper ribs, particularly the second, third, and fourth, which were before motionless, move upwards and outwards in each inspiration, while the external intercostal muscles, and the intercartilaginous parts of the in- ternal intercostal, are seen to grow hard in contraction at the same moment. To produce a higher degree of dyspnoea, the other pleura may be opened; the principal effect observed is that the upward and outward movement of the upper ribs is increased, and that the scaleni, which were before inactive, now begin to contract in concert with the external intercostals. These muscles, although from their anatomical arrangement the}' must act as elevators of the ribs, cannot be shown to be so experimentally ; for there is no appreciable diminution of the costal movement when they are divided. The function of the external intercostals and intercartilagi- nous muscles, having been proved by direct observation in the manner above described, at a very earl}' period in the history of physiology, has never been seriously disputed. This is not however the case as regards the interosseous part of the internal intercostals — that part of those muscles which is covered by the external intercostals. In the rabbit, the interosseous intercos- tals differ from the intercartilaginous, both in being less oblique and in being somewhat thinner. The experimental evidence as to their function is negative — that is to say, it can be shown that the}' do not contract with the external muscles, but it cannot be shown that the}' act antagonistically to them. It admits of demonstration as regards any of the lower ribs, from the fourth to the eighth or ninth, that if all the muscles at- tached to it from above are removed, excepting the external intercostals and the levatores costarum breves (muscles which connect each transverse process with the rib next below it, and can be seen to contract with the external intercostals), the rib BY DK. BURDON-S ANDERSON. 307 still rises outwards in inspiration; but if these muscles are completely severed, no more costal movement is perceptible ; nor is there any hardening of the exposed intercostal muscles at the moment of inspiration. In a word, it must still be ad- mitted that the action of these muscles is as }ret undetermined. Most probably they may be regarded as constrictors of the chest — as the agents of forced expiration. 93. Movements of the Nares and Larynx. — In the rabbit, the nostrils dilate with each ordinary inspiration, and contrast in expiration; but from their frequency these move- ments are very difficult to observe. To study them satisfac- torily, the student must avail himself of the excessive and in- frequent respirations of animals in which both vagi have been divided. It is then seen that the dilatation of the nares is the first act of inspiration. It precedes by a distinct interval the expansion of the chest, and appears even to precede the contraction of the diaphragm. Whether it actually does so is very difficult to determine. The muscles b}' which this movement is effected are, the subcutaneous faciei which springs from the lateral surface of the intermaxillary bone, and from the anterior supraorbital process of the frontal bone, to be in- serted into the skin of the nose and forehead, and the levator nasi, which springs from the lower edge of the orbit, and is also inserted by a long tendon into the skin, covering the edge of the nose. Of the two, the former is the more super- ficial. The respiratory movements of the larynx in the rabbit are scarceby perceptible in perfectly natural breathing; but the slightest interference with the access of air to the chest is suf- ficient to produce them. The larynx is drawn downwards in inspiration hy the muscles connecting it with the sternum, and returns to the position of muscular equilibrium in expira- tion. One of these muscles, the sterno-thyroid, has also the effect of tilting forwards the thyroid cartilage, so as to bring its lower edge nearer the cricoid. 94. To study the intrinsic respirator}' movements of the larynx, the rima glottidis must be exposed to observation, by making a suitable opening either above or below. The best view of the movements is obtained by dividing the hyothyroid membrane. The skin having been carefully divided in the middle line, lege ariis, the membrane must be exposed with the aid of two pairs of forceps. The veins (which are the principal source of difficulty) can then be readily seen, and must be carefully secured above and below by ligatures, be- tween which the membrane may be cut across without risk of hemorrhage. The head must of course be so supported that a strong light is thrown on the vocal cords. If now the epi- glottis is drawn forwards, the motions of the vocal cords and 308 RESPIRATION. of the arytenoid cartilages are well seen — the chink becoming wider in inspiration, narrower in expiration. To observe the motions of the arytenoid cartilages, the best way is to excite the recurrent nerves, when it is seen that during excitation the vocal cord of the same side approaches the middle line. If both recurrents are excited, the rima is completely closed, the arytenoid cartilages applying themselves to each other just as they do in the production of a musical note. Con- sidering that the recurrent nerve is distributed to all the muscles, and not merely to those which act as constrictors {aryteenoidei and crico-arytsenoidei laterales), and that the movements produced are of the same nature as those which occur in ordinary expiration, though much more vigorous, we arrive at the inference that in both cases the widening of the glottis is a condition of general muscular relaxation, or, in other words, that all the intrinsic muscles of the larynx are expiratory — their combined effect manifesting itself in ap- proximation of the vocal cords, not because the posterior crico-arytenoid muscles and the other dilating muscles do not act with the rest, but because they are overpowered by them. Section III. — Measurement of the Quantity of Air respired in a given Time, and of the Volume of Air inhaled in each Re- spiratory Act. 95. The apparatus for this purpose consists of three parts, viz., (a) a receiver or chamber in which the air to be breathed during the period of observation is contained; (b) a face-piece and tube for connecting the receiver with the respiratory cavit}^ of the subject of observation; (c) arrangements for supplying fresh air to the receiver, to take the place of the air breathed. To obtain results which are reliable, the first and most im- portant condition is that the air should be respired without the slightest effort. To insure this, the receiver must be of such construction that the pressure to which the air contained in it is subjected should be the same as that of the atmos- phere. Consequently, it must have the form either of a gaso- meter, the cylinder of which is accurately counterpoised, or that of a membranous bag, the material of which is so thin that it offers no resistance either in contracting or expanding. The best material for the latter purpose is vulcanized India- rubber; it is, however, difficult to obtain bags of this descrip- tion which are perfect. Whatever be its form, the receiver must have two openings, one communicating with the face- piece, the other for the reception of air. It must be also so constructed that the moment at which it is full may be easily and accurately observed. BY DR. BURDON-SANDERSON. 309 The receiver is brought into communication with the expira- tory cavity of the subject of experiment by means of a face- piece or mask of very perfect construction, furnished with two valves, by one of which the air is expelled, while the other, opening inwards, guards the orifice of a tube about an inch in width, which leads from the receiver. By its second opening, the receiver communicates with a gasometer filled with air, under a pressure somewhat greater than that of the atmosphere. Between the gasometer and the receiver, the tube of communication passes first through a stop-cock of brass, the aperture of which can be regulated very accurately by means of a long handle, and then through an accurately graduated gas meter, specially constructed for the purpose. Each observation lasts ten minutes. The gas- ometer is kept full of air by means of a pair of bellows, which must be worked by an assistant (in default of other motor) during the whole period; while the quantity of air which is driven through the meter to the recipient is so regulated with the aid of the stop-cock, that the receiver is kept exactly at the same degree of fulness. The chief mechanical source of inexactitude in this appara- tus is to be found in the imperfect closure of the valves, and imperfect fitting of the face-piece. These defects may be obviated by substituting for the face-piece a couple of tubes of ivory, which accurately fit the anterior opening of the nostrils. The wide tube with which these ivory nose-pieces are connected, at once divides into two branches. Of these, one is guarded by a mercurial valve leading outwards, the other by a similar valve leading inwards for inspiration, the arrangement of these valves being the same as that shown in fig. 251 to be imme- diately described. 96. In making observations of the same nature on the lower animals, it is convenient to use an apparatus which not only admits of accurate measurement of the quantity of air breathed, but renders it possible to modify its composition by the introduction of definite proportions of other gases or vapors. And inasmuch as in such investigations it is, as a rule, of more importance that the conditions should be accurately known than that they should be identical with those normally existing, the principle of completely avoiding resistance, which was regarded as fundamental in the con- struction of the apparatus described in the preceding para- graph, must be abandoned ; for it is a mechanical impossibility to construct valves which, while they close with perfect accuracy, work without resistance. The apparatus to be now described is so constructed that any gaseous mixture may be kept in it for a length of time without change of composition by diffusion, and the valves act so perfectly that the experi- 310 RESPIRATION. mentcr is absolutely certain that the whole of the air which leaves the receiver, and no more, is actually used in respiration. The receiver may he constructed us follows: Two glass cylinders are selected, about eight inches in length, open at both ends, one of which is about half an inch wider than the other; the outer is about three inches in width, the inner (e fig. 251) two and a half inches. Both of them are cemented in the most perfect manner possible, with their axes in the same vertical line into a circular horizontal plate, so that they are separated from each other by a narrow space of the same width everywhere. This space is to be filled with mercnry. Through the central part of the plate rise three vertical tubes of glass, of about a quarter of an inch internal diameter. Underneath the plate, which is supported on a tripod, each of these tubes passes downwards for a short distance, and is then bent horizontally at right angles. A third cylinder (o), closed at one end and made of iron carefully protected, con- stitutes the bell of the gasometer. Its diameter is the mean of the diameters of the two cylinders of glass, so that it descends without touching them into the space containing mercury, by which they are separated from each other. It is suspended by a silk cord, pulley, and counterpoise. The counterpoise consists of a cup containing shot, and there is a second and similar cup on the top of the cylinder. Of the three tubes which enter the receiver from below, one (a) com- municates with the atmosphere (when in use), a second (b) with the respiratory cavity of the animal, the third (c) is usually closed. The India-rubber tubes by which these com- munications are made, are guarded by the simple contrivances, known as Midler's mercurial valves. Each such valve consists of a rather wide bottle containing a shallow column of mer- cury, and closed air-tight with an India-rubber stopper. Through the stopper pass two tubes, one of which is of such length that its end dips just below the surface of the mercury; the other is much shorter. The valve (a) is so placed that the short tube is in direct communication with the receiver, the long one with the atmosphere ; in (c) this arrangement is re- versed. To complete the apparatus, all that is required is a T tube and a third valve. The stem of the T tube communi- cates with the respiratory cavit}- b}' means of a canula secured air-tight in the trachea; the one arm with the receiver, and the other with the valve (b), through which the expired air is dis- charged into the atmosphere. The quantity of air used by the animal during any given period of observation must be measured in the same way as before. The objection to which this apparatus or any other of similar construction is liable, lies, as has been already hinted, in the resistance offered by the mercurial valves, which is BY DR. BURDON-SANDERSON. 311 sufficient to retard the respiratory movements to a sensible degree. As, however, the most important applications of the method are those which relate to the influence of variable con- ditions on the quantity of air breathed, this fact is of little consequence; for the error arising from it may be entirely eliminated b}- substituting, as a standard of comparison, the respiration already modified by the resistance, for normal respiration. For the purpose of obtaining such a standard, the animal must be allowed to breathe common air through the apparatus for some time before making any other observa- tion. Section IV. — Determination of the Quantity op Carbonic Acid Gas discharged by an Animal from the Lungs and Skin in a given Time. 97. There are two leading methods by which this can be accomplished. One of them is that of Regnault and Reiset, which, with important modifications, has been used by Ludwig and his pupils. The animal under observation is contained in an air-tight chamber, which communicates with a second chamber containing oxj-gen. The chamber communicates with an absorbing apparatus, through which the air passes in a continuous current, so that the expired carbonic acid gas is removed from it as rapidly as it is formed, its place being taken up by exactly the same volume of oxygen, so that the constitution of the air remains unchanged. The quantity of carbonic acid gas absorbed is calculated from the increase of weight of the absorbing apparatus during the period of obser- vation. As improved by Ludwig, the method is the best suited for exact experiments. The apparatus is described in Ludwig's Arbeiten for 1869. The second method, which is much simpler, and sufficiently exact when for comparative investigations as to the influence of various physiological and pathological conditions on the discharge of carbonic acid gas, is that of Pettenkofer. It is applicable either to large animals or small. A short account of Pettenkofer's complete apparatus will now be given, as an aid to the understanding of the application of the same method to the small animals in common use for physiological and pathological investigations. Pettenkofer's apparatus consists of three parts, viz., a chamber in which a man can sit or stand comfortably; a large wet gas meter, which communicates with the chamber by a tube ; a double-action air-pump, by which air is continuously drawn through the meter from the cham- ber ; and, lastly, clockwork, by which the pump is worked. The chamber, which is of metal and glass, communicates with the external air during the period of observation by the inter- 312 RESPIRATION. stices round the door, which serve for the entrance of air, and by the tube, which leads to the meter. The quantity of air which is drawn through it by this tube amounts to about 20,000 litres (706.4 cubic feet) per hour, a quantity not merely abundantly sufficient for ventilation, but to prevent loss or error by diffusion into the air through the chinks round the door. It is quite unnecessary to describe the aspirating appa- ratus excepting in so far as to state that the clockwork is moved by a weight, which, by a well-known mechanical con- trivance, is constant^ wound up by a steam-engine. To obtain a result, we must be able to determine with accu- racy, first, the duration of the period of observation, and, secondly, the quantitj' of carbonic acid gas contained in the air which passes out of the chamber during that period. The latter object ma}' be attained either by estimating the total weight of carbonic acid discharged, or by measuring the volume of air aspired, and, simultaneously, the proportion by volume of the same gas contained in it. In the apparatus above described, the quantity of air discharged is so large that it would not be possible to analyze the whole of it, so that the second of the two alternatives must be adopted. This is effected not by taking one or more specimens of the discharged air from time to time and analyzing them (for this plan, unless a very great number of analyses were made, would, in consequence of the constant irregularities which occur in the rate of discharge, give wrong results), but by causing a definite proportion of the used air to pass through an absorb- ing apparatus, and measuring the total quantity of carbonic acid gas contained in it by a volumetrical method to be imme- diately described. This division of the aspired air into two parts, one to be measured and analyzed, the other merely to be measured, is a matter of great difficulty ; for it obvioush/ involves the carrying on during the period of observation of two continuous measurements — i. e., the employment of two meters instead of one, each of which must give results which are not only accurate in themselves, but must correspond exactly with those of the other. As, in applying the method to animals so small that the whole quantity of air can be analyzed, this difficulty is not met with, it is not necessary to say anything as to the means of obviating it, or the errors which, in spite of all precautions, it occasions. 98. Application of Pettenkofer's Method to the Determination of the Discharge of Carbonic Acid Gas in Small Animals. — The apparatus consists of a metal chamber of iron, which communicates in one direction with the Bunsen's water air-pump; in the other, with the apparatus for the absorption of carbonic acid gas. Its lid closes air- tight by means of a mercurial joint. For a guineapig or rat, BY DR. BURDON-SANDERSON. 313 it should have a capacity of about 500 cubic inches (8193 c. c). Between the blower and the chamber is interposed a flask of about 6 oz. capacity, through the cork of which two tubes pass ; of these, one is prolonged nearly to the bottom ; the other, the exit tube, ends just below the under surface of the cork. This flask is filled with pumice, moistened with solu- tion of potash. In this way the chamber is supplied with a constant and perfectly steady stream of air, free from carbonic acid. As, however, the quantity of air supplied by the blower is much larger than is required, it must be diminished by allowing a certain quantity to waste. For this purpose a T tube is" interposed between the blower and the potash flask, the stem of which is connected by an India-rubber tube with a kind of safety-valve, the construction of which is the same as that of valve b, in fig. 251 ; the waste of air may be in- creased or diminished by raising or lowering the longer of the two tubes. The absorbing apparatus consists of two or a greater number of absorption tubes (fig. 252), which are charged with absorbing liquid. When each tube is placed at its proper inclination, and the difference between the pressure on opposite sides of the column of liquid is not too great, the air, which enters the short limb by an end of India-rubber tube which reaches nearly to the bend, passes up the long arm in a regular succession of bubbles so small that it is thoroughly acted on b3r the liquid. The two tubes are charged with a solution of baryta, which in the longer is three times as strong as in the shorter. The strengths of both solutions are deter- mined volumetrically by a standard solution of oxalic acid before and after every period of observation. Preparation of the Solutions of Baryta and Oxalic Acid. — Of the two solutions of baryta which are in use, the stronger contains about 21 grammes of hydrate of baryta in a litre, the other 7 grammes; the former is obtained by adding suf- ficient distilled water to 420 cub. cent, of saturated baryta water to make up a litre ; the latter contains 140 cub. cent, in a litre. These liquids must be kept in bottles which have no communication with the air, excepting through a flask or ab- sorption tube filled with pumice, moistened with potash. The oxalic acid solution must be prepared with the utmost accuracy. It must contain 2.8636 grammes of pure well-crystallized oxalic acid, free from efflorescence, in a litre. Before making the solution, it is necessary to dry the crystals over sulphuric acid for a few hours. The strength of this solution stands in the ratio of exactly 1 to 22 to that of the ordinary volumetri- cal solution of the pharmacopoeia. It keeps badly, being apt to become mouldy, so that if a large amount is required, it is better to keep the weighed quantities of oxalic acid than the liquid. 314 RESPIRATION. Mode of determining the Strength of the Baryta Solution. — Thirty centimetres of baryta water having been introduced into a small flask, the solution of oxalic arid is cautiously added from a finely graduated burette. Between each addi- tion, the flask is closed with the thumb and shaken. As an indicator, Pettenkofer has found that turmeric paper gives better results than litmus. The paper must be prepared by digesting turmeric root in weak alcohol, and dipping strips of Swedish filter paper into it, which must then be dried in a dark place, and kept in the dark. "When the liquid is so nearly neutralized that it does not brown a strip of paper dipped into it, a drop is placed with a rod on the strip. If there is still a trace of alkaline reaction, a brown line appears at the periphery. As soon as this is no longer the case, the point of complete neutralization has been attained. This reaction is so delicate, that it is sensibly affected by the presence of one- tenth of a cubic centimetre of solution of oxalic acid, i. e., one-tenth of a milligramme of carbonic acid gas, so that the results of two determinations of the same liquid ought not to differ from each other by more than the quantity named. It is well, in order to save time, to make a first experiment with a small quantity (say 5 cub. cent.). It is of great practical importance to notice that the baryta solution must contain no trace of caustic potash, or soda, the smallest quantities of which render the determination impossible — for the oxalate of potash or soda formed in this case reacts on the carbonate of baryta present, so as to produce oxalate of baryta and carbo- nate of soda. Consequently, the liquid never loses its alkaline reaction, for each renewed addition of oxalic acid re-converts the alkaline carbonate into oxalate, which is again decomposed by the carbonate of baryta as before. Mode of preparing and filling the Absorption Tubes. — Tfie short arm of each tube is filled air-tight with an India-rubber cork, pierced with a tube. The larger tube is connected at its opposite end with the smaller, from which the air finall}' escapes through an India-rubber tube, guarded by a screw-clip. By adjusting this clip, the size of the bubbles is regulated, their magnitude varying inversely as the resistance. To fill the tubes, the required quantities of liquid are introduced into flasks, fitted with air-tight corks, having necks sufficiently wide for the introduction of a pipette. The strength of the solution having been determined in thirty centimetres, as above de- scribed, the stronger solution is to be delivered into the first absorption tube in three quantities of 45 centimetres, and two such quantities of the weaker into the second. [Tubes of the size required for these quantities are made by Cetti & Co., of Brooke Street, Holborn.] The tubes are then closed and adjusted to the proper inclination (previously ascertained by BY DR. BURD0N-5ANDERS0X. 315 trial). At the close of the experiment, the liquids are trans- ferred once more to flasks, similar to those above described, and their strength determined as before. The calculation of the result is simple. The quantity of carbonic acid absorbed by each 30 cub. cent, of the liquid is indicated by the difference between the corresponding quantities of oxalic acid solution used, before and after absorption. This quantity must be mul- tiplied in the one case by 133q5 = 4.5, in the other by f£=3. The sum of the two products is the total quantity of carbonic acid disengaged during the period of observation. If an animal larger than a guineapig is used, it is necessary to employ two sets of absorbing tubes, or a greater number. Section V. — Innervation of the Respiratory Movements. The rhythmical movements of respiration depend on the activity of a centre contained in that part of the floor of the fourth ventricle from which the roots of the vagus nerve spring. The proof of this fact lies in the fundamental ex- periment of Legallois, by which he showed that the cerebrum, the cerebellum, and even part of the medulla oblongata itself may be removed, without arresting respiration. This experi- ment has already been described in § 92. By motor nerves this centre is in relation with the muscles of which the combined rhythmical actions have been studied in the same paragraph. Its discharges of energ}', like those of the motor centres of the heart, are automatic, but their rhythm is constantly subject to modification by impressions received through the afferent fibres of the vagi. Consequently, the study of the innervation of the respiratory movements resolves itself into experiments relating to the respiratory functions of these nerves. The results of such experiments ma}* be divided accord- ing as they relate to the effects of section of both vagi, to ex- citation of the central end of the divided nerves, or to excita- tion of the superior laryngeal nerve. 99. Section of both Vagi in the Neck. — In the para- graph relating to the functions of the vagus as a heart-nerve, directions have been given as to the mode of preparing it. The rabbit is preferable to the dog or cat, for in those animals the vagus is united in one trunk with the sympathetic. Section of the vagi is the simplest and at the same time one of the most instructive experiments relating to the physiology of the ner- vous system. The animal having been secured in the usual way on Czermak's rabbit support, a ligature is passed round each nerve a little below the cricoid cartilage. The ends of each ligature are then knotted together, so as to facilitate their being found at any moment. To observe the effect, the animal should be placed before and after section, under the same cir- 316 RESPIRATION. cumstances. If it is not intended to record the results graphi- cally, it may be allowed to run about while the respirations arc counted, and careful observations are made as to the respira- tory movements. For more exact observations various methods may be used, each of which is of some value. The first consists in recording the movements of the diaphragm on the kymo- graph, as directed in § 91.1 The second and third are so con- trived as to show not only the duration and rhythm of the respiratory movements before and after section, but the extent of the respiratory exchange of air. The apparatus for this purpose is constructed as follows: A large bottle, capable of holding five gallons or more, is closed air-tight with an India-rubber cork, into which the stem of a glass "|" tube is carefully fitted. Of the two branches of the T tube, one communicates with the respiratory cavity of the animal, by a connector of India-rub- ber and a glass canula secured air-tight in the trachea, the other is left open and can be readily closed with the finger. The bottle also communicates by a second glass tube which passes through its India-rubber stopper, with a Marey's tympanum, the lever of which writes on the blackened cylinder of the k}'mo- graph. This tube is controlled by a screw clamp. So long as the arm of the T piece is left open, the animal of course breathes the external air freely. On placing the finger against the aper- ture, it begins to breathe the air of the bottle, but inasmuch as the capacity of this vessel is 250 times as great as the respira- tory cavity of the rabbit, it can do so for some time without the slightest dyspnoea, as is proved by the observation that the depressors of the larynx do not come into action. The resist- ance is, however, sufficiently great to affect the lever of the tj'mpanum, the rise and fall of which in each respiratory act is in exact proportion to the quantity of air breathed. The animal having been chloralized and both nerves prepared as above de- scribed, a few tracings should be taken of the normal respira- tion. This done, the clockwork is again set in motion and botli nerves are divided at the same moment. In this way a tracing (fig. 253) is obtained, which strikingly exhibits the effects of section, both as regards the rhythm and extent of the thoracic movements. Another method consists in measuring the quantity of air inspired in a given time with the aid of the apparatus shown in fig. 251. In this way the effect of section on the respiratory exchange can be estimated with much greater precision than in any other, but obviously no information is obtained as to the respiratory movements. 100. The most important results are as follows: 1. In the 1 The tracing so obtained is shown in the first (normal) part of fig. 255. BY DR. BURDON-SANDERSON. 317 adult rabbit, the number of respirations per minute diminishes from 120—140 to 40—50. That this is only to a very slight extent dependent on the narrowing of the glottis due to the relaxation of the intrinsic muscles of the larynx, is proved by the fact that if the two recurrents are divided, the retarding effect of the operation is very inconsiderable, while the re- tarding effect of section is diminished in no appreciable degree by previous tracheotom}\ 2. The mechanism of breathing is completely altered. Each respiration is about five times as deep as it was before. This depends partly on increased action of the diaphragm, partly on the participation of the accessory muscles in the inspiratory act. The belly is projected and the larynx drawn down by the sternal muscles in each inspiration, while the upper ribs, which before were motionless, are drawn upwards and outwards by the external intercostals and inter- cartilaginous muscles. The inspiratoiy expansion of the upper part of the thorax lasts for several seconds, at the end of which it suddenly collapses, expelling the air with such force as to make an audible sonorous noise in the air-passages, often accompanied, if the trachea has not been opened, with a coarse rale. This sudden collapse, which is a non-muscular act, is followed by a long pause, the existence of which is characteristic. At the end of it there usually occurs a short expiratory movement, attended with hardening of the muscles of the abdominal wall, which is the immediate precursor of the inspirator}7 act. The mode of breathing just described is that of dyspnoea; but there is this important difference between ordinary dyspnoea and that produced by section of the vagi, that whereas in the former the frequency of the respiratory movements is increased, in the latter it is diminished ; with this exception, all the characteristics of dyspnoea are present. 3. The quantity of air breathed per minute is as great after section of both vagi as before, the diminished frequency of the respirations being counterbalanced Irv the increased depth of the respiratory act. This is proved by measuring the quantity of air breathed in a given time in the manner above directed. 4. These facts afford ground for inferring that although section of both vagi does not materially either in- crease or diminish the work done in a given time by the re- spiratory muscles, it interferes very considerably with the accomplishment of the purpose of their movements — the ar- terialization of the blood. Notwithstanding the vigor of the respiratory movements, the blood becomes more or less venous. 101. Death after Section of both Vagi. — Rabbits in which both vagi have been divided, commonly die before the end of the first day. Dogs live longer — often two or three days. After death, the lungs are found in an altered condi- tion, of which the following are the leading features: The 318 RESPIRATION. mucous lining of the air-passages is reddened (especially in dogs), the color being due to the injection of the capillaries of the mucosa with blood. The lungs collapse much less than naturally when the chest is opened. The pulmonary paren- chyma is, to a greater or less extent, devoid of air. The air- less parts are soaked with a brownish-red serous liquid, and here and there choked with a grayish-white material, which, on microscopical examination, is found to consist of young cells (pus corpuscles). Similar cells are seen in the serous liquid along with numerous blood corpuscles. These changes may be accounted for as follows: When the vagi are divided, all the parts to which the branches below the point xof section are distributed are affected, e. g., the larynx, air-passages, lungs, oesophagus, etc. 1. The glottis is partially closed, just as it is after death. 2. The mucous lining of the air-passages is de- prived of sensibility, so that, when it is irritated, no cough is produced. 3. The muscular fibres of the oesophagus are para- lyzed, so that regurgitation of food from the stomach is apt to take place; the muscular fibres of the bronchial tubes are in a similar condition. With reference to these co-efficients in the production of the lung affection we have the following facts, showing that the first two are at all events the only ones which are of importance: (a) A lung affection of the same nature as that induced by section of both vagi, though of in- ferior intensity, follows section of the inferior laryngeal nerves, (b) In animals with divided vagi, life is prolonged by tracheotomy, the degree of prolongation depending on the efficiency of means used to prevent the entrance of foreign bodies into the air-passages, (c) In animals of which the vagi are intact, a lung affection is produced b}' injecting mucus from the pharynx into the air-passages which is of the same nature with that now under consideration. The combination of these facts leads to the inference that the inflammation of the lungs of which animals with divided vagi die, is dependent on the intrusion of foreign bodies from the pharynx into the air passages and lungs, rather than to an}' direct effect of the section on the lung tissue. 102. Demonstration of the Respiratory Functions of Afferent Fibres of the Vagus, by Excitation of the Central End of the Divided Nerve. — The method of preparing the nerve has been already described. The excitor, shown in fig. 225, is used. It is better to employ Helmholtz's side wire (see next paragraph), but not necessary ; for even when strong unmodified induced currents are used, there is little danger of unipolar effects, the extent to which the nerve can be separated being such, that there is no difficulty in inter- posing a considerable air space between it and the surrounding parts. BY DR. BURDON-SANDERSON. 319 The phenomena which accompany excitation of the central end of the divided vagus vary according to the state of the animal and the state of the nerve. It will be convenient to describe them under heads corresponding to these conditions: 1. Animal breathing naturally. To observe what may be re- garded as the normal results of excitation, care must be taken that the subject of experiment is not exhausted, and that, in placing it on the support, nothing is done which can interfere with its breathing. The movements of the diaphragm must be recorded1 either with the aid of the apparatus, fig. 250, or in the manner described in the preceding paragraph ; but for the present purpose, by far the best method is to introduce into the peritonaeal cavity, by means of a small opening in the linea alba close to the ensiform cartilage, a small flat bag of India-rubber, of such size that it can be conveniently slipped between the diaphragm and liver. If this bag is slightly dis- tended with air and connected with a Marey's tj'mpanum, it gives excellent tracings of the diaphragmatic movements. To the student who witnesses the experiment for the first time, a still more convincing mode of appreciating the effect of ex- citing the central end on the diaphragm is to feel the con- traction of the muscle with the finger during the period of ex- citation. The nerve having been prepared, and the excitor placed under it, a preliminary tracing must be taken of the normal respiration. In a tracing, taken by the method de- scribed in § 99, it is seen that in each respiratory act three parts may be distinguished, one of which, the ascent, expresses in- spiration, or active contraction of the diaphragm ; the whole of the remainder of the period corresponds to relaxation or that muscle. Sometimes the part of the curve which imme- diately precedes the ascent indicates that towards the close of the period of relaxation air neither enters nor leaves the chest. If a straight line is drawn through the angle formed in each curve at the point corresponding to the commencement of in- spiration, it ma}' be taken as indicating the position of the lever when the diaphragm is at rest after an ordinary expi- ration. So long as air is passing out of the chest, the lever keeps below this line, but as soon as the outflow ceases, pro- vided that the diaphragm is still relaxed, it returns to it. Hence the line corresponds to the position of equilibrium. These facts are well seen in the first (normal) part of tracing, fig. 255. The tympanum having now been connected with the bag between the diaphragm and liver, as above described, and the secondary coil placed at a considerable distance from the pri- mary, the key which has been connected with the telegraph is 1 See fig. 254a. 320 RESPIRATION. opened. The effect cannot be predicted with certainty. Probably the respiratory movements will be quickened, the lever assuming a somewhat higher position during the period of excitation than it did before. This indicates that the dia- phragm descends further in each inspiration, and does not relax quite so much in expiration. The secondary coil must now be gradually brought up nearer, while the excitation is repeated after each shifting, until it is observed that the lever ascends and remains station- ary each time the key is opened, drawing a nearly horizontal line at a much higher level than that of the previous part of the tracing. (See fig. 254 &.') If the excitation is continued only for a few seconds, the elevation of the lever which indi- cates contraction of the diaphragm not only continues during the whole time, but lasts a second or two after it. The lever then gradually falls, and after a few moments resumes its up- and-down movements, always beginning with a descent. In other words, the diaphragm, after a period of contraction, which somewhat exceeds its cause in duration, is for a moment relaxed before it assumes its rhythmical action. The conduct of the other respiratoiy muscles should be carefully watched (by another observer) during these experiments. It will be seen that, provided that the animal is breathing perfectly naturally at the moment that the key is opened, the descent of the diaphragm determined by the excitation of the vagus is not attended by any other muscular movement, and in par- ticular, that the upper ribs remain as motionless as before, and that the larynx does not descend.2 2. Animal in the state of apneea. In a rabbit of which the blood has been sur- charged with oxygen by excessive artificial respiration, the effect of exciting the central end of the vagus is negative. No respiratory movement is produced. To demonstrate this, experiments must be made before, during, and after apnoea. It is found that the same current which tetanizes the dia- phragm in the normal state, has no effect when the blood is over-arterialized. This is an experiment of fundamental im- portance, because it shows that the relation between the vagus 1 Fig. 2545 shows that during the whole period of excitation (indi- cated by the horizontal line below) the diaphragm remained contracted ; then followed a few irregular movements, after which the rhythmical movements were resumed with a slightly increased frequency. The period of contraction was interrupted, as frequently happens, by a momentary relaxation. 2 Fig. 254a was obtained in the same animal as 2546 with the aid of the apparatus, Fig. 250. The tracing shows that the rhythmical move- ments were not resumed until a second or two after excitation had ceased. They were at first somewhat more frequent than before, and the diaphragm was in a lower position. In less than a minute the pre- vious conditions were restored in both respects. BY DR. BURBON-SANDERSON. 321 and the motor nerves of respiration (and particularly the phrenic) is entirely different from that which exists between the afferent and efferent nerve in the ordinary case of reflex action. 3. Animal in the state of dysjmoea. When the blood, instead of containing too much oxygen, contains too little, the effect of excitation of the central end extends itself to all the extra muscles which are at the time in action ; consequently, J;he greater the dyspnoea, the greater is the number of muscles which respond to the stimulus. This is best seen in an animal in which after perforation of one side of the chest, respiration is maintained artificially ; the same rabbit which has served for the other experiments may be used. The result may be varied according to the degree of dyspnoea produced, by regu- lating the frequency and quantity of the injections of air. If, for example, the dj'spncea is sufficient to bring into action the external intercostals, intercartilaginei, and scaleni, all these muscles contract simultaneously with the diaphragm when the central end is excited, so that the chest remains during the time that the key is open, in a state of tetanic expansion. 103. Excitation of the Central End of one Vagus after Sec- tion of both. — By very careful graduation of the induced cur- rent (with Helmholtz's modification), it is sometimes possible to supply the precise degree of excitation to the vagus centre, which is required to make up for the loss sustained by the sec- tion of its afferent fibres, and in this way to restore the normal respiratory rhj'thm. More frequently the experiment fails, and effects are produced which correspond to those described above. Exceptional Cases. — It very frequently happens, particularly in animals under the influence of chloral, that effects are pro- duced by excitation of the central end which are just the oppo- site of those whic,h we regard as normal. The diaphragm, in- stead of contracting, relaxes, and remains relaxed during the whole time (see Fig. 255') that the key is open. The imme- diate cause of this generally is that the nerve is exhausted. The reason why it happens is that the vagus contains (in addi- tion to the fibres which, when excited, act on the vagus centre in such a way as to lessen the hypothetical resistance by which it is normally prevented from discharging itself in muscular contractions) other fibres, which in the language of physiolo- 1 The tracing, Fig. 2o.r>, was obtained by the method described in U 90. During the whole period of excitation the diaphragm remained stationary in the position of ordinary expiration ; almost immediately after, the rhythmical movements were resumed, the first movement be- ing an ordinary inspiration. The period was interrupted by a single respiratory movement, caused by the accidental removal of the elec- trodes from the nerve. The notches in the horizontal part of the tracing express cardiac pulsations. 21 322 RESPIRATION. gists arc "inhibitory" — t. c, tend to increase the resistance above referred to. In the fresh state of the nerve, the influ- ence of these fibres is completely overbalanced by that of the others. In the exhausted state, this relation is reversed, so that the two sets of afferent fibres are as much distinguished from each other by their difference of endurance as by their differences of function. Recent experiments (Burkhart) make it probable that the "inhibitory" fibres come mostly from the recurrents. 104. Excitation of the Superior Laryngeal Nerve. — The experimental investigation of the superior laryngeal is much more difficult than that of the trunk of the vagus, partly because the nerve is difficult to reach and runs a short course, partly because it is very slender. To expose it in the rabbit, an incision should be made extending from the side of the tra-. chea, at the level of its first and second rings, to the hollow between the angle of the jaw and the laiynx. After severing the skin in the usual way, the fascia which extends forwards from the edge of the sterno-mastoid muscle must be carefully broken through with the aid of two pairs of dissecting forceps, so as to expose the parts seen in Fig. 227. The space is di- vided into two by the artery, the direction of which coincides exactly with that of the original incision. Near its lower end the arteiy gives off its thyroid branch. At the top the space is limited by the tendon of the stylohyoid muscle, and the pos- terior cornu of the hyoid bone. Immediately below the muscle is the trunk of the ninth nerve, which arches forwards towards the tongue. The descending branch of that nerve passes down- wards and forwards to reach the muscles which cover the front of the trachea, giving communicating branches to the cervical plexus, and a branch which arches forwards over the artery to gain the muscles which draw the larynx upwards. Before pro- ceeding to expose the deeper nerves, it is well, in order to avoid confusion, to remove the descendens noni; the next step is to draw the larynx well to the side opposite to that chosen for the incision, so as to widen the space between it and the caro- tid artery. This done, the exposure of the superior laryngeal becomes eas}-. Its exact position is indicated in the figure ; its course is much twisted, so as to allow of the up-and-down movements of the laiynx. In preparing it, no cutting instru- ments must be used. It must be freed from the surrounding structures with the aid of two pairs of forceps, any veins in the way having been divided between two ligatures. Care must be taken, however, to leave a certain quantity of cellular tissue about it to serve as a kind of protective sheath, and make it somewhat less liable to get dry. The nerve having been prepared, a ligature must be tied round it as near as pos- sible to the thyrohyoid membrane, after which it must be di- BY DR. BURDON-S ANDERSON. 323 vided beyond. In the dog or cat the mode of preparation is very much the same as in the rabbit. In the cat, the compara- tive thickness of the nerve facilitates the manipulation. In exciting the superior laryngeal, the great source of difficulty is the proximity of the vagus and the consequent liability of that nerve to be acted on by the induced current in a unipolar way. This accident, which is of course fatal to the success of the investigation, the functions of the two nerves being opposite, is to be avoided, not by the use of complicated arrangements for the insulation of the nerve, but b}- placing it in such a way on the ordinary copper points that the part acted on is separated by a considerable air space from the surrounding tissues. Before beginning the excitation, the secondary coil must be shifted to a distance from the primary, and the primary current divided by means of Helmholtz's side wire into two branches, one of which only passes through the breaker. The other is led directly from the battery to the coil, so that the primary current is never entirely opened. In this way the opening induction shock, which, in the ordinary arrangement of the induction apparatus, possesses a much greater tension than that of the closing shock, is so reduced that the two become nearly equal to each other.' Conse- quently, as the risk of unipolar action varies with the maxi- mum intensity of the current, it is very much diminished by this contrivance — so much so, indeed, that if care is taken to prepare the nerve properly, even nioderateby strong currents ma}' be used without any effects referable to unipolar excita- tion of the vagus manifesting themselves. Excitation of the central end of the superior laryngeal produces, according to the strength of the current used, either diminution of fre- quency of the respiratory movements or complete relaxation of the muscles of inspiration. The most advantageous way of judging of its effect on the diaphragm, is to expose that muscle in the way directed in § 91. It is then seen that that muscle becomes absolutely flaccid during excitation of the nerve, and it is drawn up by the elastic contraction of the lungs, so as to assume its highest possible position. When the excitation is discontinued, the relaxation either gives way to natural breathing or is immediately succeeded by one or two vigorous inspirations. If the current is so feeble that it merely diminishes the frequency of the respirations, without arresting them, the tracings show that there is no diminution of the duration of the inspiratory acts, and that the slowing is entirely due to a prolongation of the intervals, i. e., of the 1 For a fuller explanation of the difference between the two induced currents and of the effect of Helmholtz's modification, see Rosenthal, "Electricitatslehre," p. 120. 324 RESPIRATION. periods during which the diaphragm remains in the position assumed by it at the elose of ordinary expiration. To record the effects graphically, any of the methods recommended in the preceding paragraphs may be used. If the method de- scribed in § 99 is employed, a tracing is obtained which exactly resembles fig. 255. The tracing, fig. 250, ' was drawn by inserting a bag between the diaphragm and the liver. Section VI. — Influence of the Respiration on TnE Circulation. 105. If the stethoscope is applied to the prsecordia of a dog, it is easity observed, especially if the animal has been narco- tized, that the rate at which the contractions of the heart succeed each other is subject to rhythmically recurring varia- tions, and that the acceleration follows each expansion of the chest, lasting during the first part of the succeeding expiration ; while during the latter part of the expiratory period — the period during which, as we have seen, air is expelled very slowl}r — the diastolic intervals become longer. These facts admit of much more precise demonstration by the graphic method. For this purpose the most convenient instrument is that shown in fig. 257. It is a kymograph so constructed as to record the arterial pressure and respiratory movements simultaneously. The mercurial manometer consists of two limbs of equal length, one of which, the distal (A), is much wider than the other near the top, the relation between the lumen of the one and that of the other being 1 : 10. The float wdiich rests on the distal column is of boxwood. Its under surface is concave, so as to fit the convex surface of the mercury. By the vertical rod it is connected with a light lever, d, about two feet in length, which is counterpoised by a weight suspended to it on the other side of the brass bearing, e. At its thin end, the lever carries a pen, the distance of which from d is such, that for every inch of variation of difference between the two col- umns of the manometer, it rises or falls three-tenths of an inch. It will be readily understood that the movement of the pen, instead of being rectilinear, is circular; consequently, it is vertical only when the lever is horizontal ; for which reason the fulcrum, e, which is so constructed as to slide up and down on the brass uprights, must alwa}^ be placed in such a posi- tion that the lever is horizontal. The height of the mercurial 1 The tracing, fig. 256, shows that during the whole period of excita- tion the diaphragm remained motionless in the position of expiration, with the exception that at gradually lengthening intervals it executed momentary contractions. When, after the cessation of excitation, the respiratory movements were resumed, they were slower hut more ex- tensive than before. BY DR. BURDON-SANDERSON. 325 column corresponds to the average arterial pressure. That part of the instrument which is intended for recording the re- spiratory movements, consists of a Marey's tympanum, c, and a lever, F, similar to D, and of the same length, with which it is connected. The tube, H, of the tympanum may be either brought into communication with one arm of a glass T tube, the stem of which is inserted in the trachea, or with a stetho- meter applied to the chest. The lever of the tympanum is connected with the recording lever by a vertical rod seen in the drawing. In this way two tracings are obtained simul- taneously, of which fig. 258 is an example. The arterial trac- ing is marked A p, the respiratory r. In the latter, the begin- ning of inspiration is indicated by the vertical stroke a; of expiration by b; of the pause b}' c. The coincident points in A P are indicated by similar strokes. The break is made by removing both pens from the paper by the same act. In man, the variations of frequenc}' (which, of course, can alone be in- vestigated) are absent in most healthy persons, although very obvious in certain conditions of disease. In the rabbit they are much less marked than in the dog. They are regarded by most physiologists as dependent on variations of activity of the intracranial centre of the cardiac vagus: until very re- cently it has been assumed, by way of explanation, that the respiratory movements affect the cerebral circulation in such a way that during the period of relaxation of the muscles of respiration, the supply of blood to the medulla oblongata is diminished, and increased during their contraction — and that the inhibitory nervous system of the heart is affected by these changes. This explanation has always appeared unsatisfactory, and could only be accepted provisionally; for it seemed ex- tremely improbable that there was any appreciable difference in the supply of blood between the inspiratory and expiratory periods. We now know that the respiratory variations in the arterial pressure and in the frequency of the contractions of the heart, are not necessarily dependent on the mechanical effect of the respiratory movements on the heart, inasmuch as they persist when these movements are abolished; and that they have their primary source in the vasomotor and cardiac- inhibitory centres, which act rhythmically, not because they are subject to any rhythmical excitation, but because they have periods of waxing and waning activity which correspond to those of the respiratory centre. A very little consideration ■hows that this inference carries the admission that the cardiac- inhibitory centre and the vasomotor centre act alternately, for it can lie seen in every tracing that the increase of arterial tension determined by increased vascular tonus, alternates with the retarded pulse and diminished tension produced by " vagus excitation." In other words, the phase of maximum 326 RESPIRATION. activity of the inhibitory centre always coincides with that of minimum activity of the vasomotor centre. The experiment by which it is proved that the respiratory phases of arterial pressure and pulse frequency are independent of the thoracic movement, consists in curarizing a dog by the injection into the venous system of a dose of curare only just sufficient to paralyze the respiratory muscles (5 to 10 millig. for a dog of 10 lbs. weight), and observing graphically the changes of ar- terial pressure which occur during the gradual extinction of the respiratory movements, with the aid of the apparatus de- scribed above. The tracings, figs. 259-261, show what is ob- served at three different stages of curarization. Curve 259 was drawn when the animal's muscles were still active. It may be regarded as normal. Curve 2601 corresponds to a period at which each inspiration and expiration is represented by a scarcel}' perceptible contraction and dilatation of the chest. Curve 261 to a still later condition, in which the inspi- ratory movements are indicated by a mere vibration of the lever, produced (as was observed at the time) by momentary contraction of certain inspiratory muscles which were not yet completely parabyzed. We learn from these observations, that during the gradual extinction of the respiratory movements, the intervals between them correspondingly lengthen ; and that at first the variations of arterial pressure and pulse fre- quency exhibit the characters which closely correspond to those they exhibit normally. Subsequently, the ascents and descents of the mercurial column become much more gradual, and the changes of frequency less abrupt. Finally they as- sume, so far as relates to arterial tension, the characters of the variations known as Traube's curves, to be described in the next paragraph. 106. Traube's Curves. — This term is applied by physio- logists to the rhythmical variations of arterial pressure which occur in curarized animals, after complete cessation of the re- spiratory movements, and section of both vagi. They can be demonstrated in the rabbit, cat, or dog, but most readily in the last. Traube described them as the}' occur in the absence of artificial respiration, i. e., when the inflations are for a time discontinued. During the gradual rise of arterial pressure which, as we have already seen, takes place under those cir- 1 In fig. 260 the notches in the lower tracing represent rudimentary inspirations and expirations. The expiratory movements, e e e, are only traceable, however, in the last half of the tracing ; they follow the inspiratory, i i i, at an interval of about five mill. = 1£ sec. In fig. 201. the expiratory movements are wholly indistinguishable. All the tracings of this series are reduced one-half to save space. The distance between the respiratory and arterial tracing is also diminished for the same reason. BY DR. BURDON-SANDERSOST. 327 cnrastances, the arterial pressure-curve exhibits the undula- tions in question. It has, however, been lately shown by Hering, that the state of asphyxia is far from being essential, and that the most certain way of producing the phenomenon is to bring the blood of the animal into a state which corre- sponds to dyspnoea, not b}r stopping the artificial respiration altogether, but by gradually diminishing the quantity injected at each stroke. In the arterial tracings so obtained it is seen that the cardiac intervals are of uniform duration — in other words, that there are no variations of pulse-frequency, the vagi having been divided. When these nerves are left intact, curves are obtained (fig. 2621) in which the variations of the pulse intervals exhibit the same relation to those of the arterial tension as in the normal condition — the pulse-frequency being greater in the ascending limb of each respiratory wave than in the descending. From this we learn that the variations of frequency are dependent on the integrity of the vagi. The proof that the variations of pressure are vascular in their origin, and depend on corresponding changes of arterial tonus, is shown by two experimental results, viz. : (a) that although after section of the spinal cord, arterial pressure is still sub- ject to variations which are no doubt dependent on changes of arterial tonus, these are very irregular ; and (6) that the rhythmical variations of pressure persist after the influence of the heart has been eliminated. The latter fact has been de- monstrated b)r Hering, who has shown that if circulation is maintained artificially, independently of the heart, in an ani- mal which is placed in other respects in conditions favorable to the production of " Traube's curves," they exhibit them- selves with the same distinctness as when the heart is in action. The conclusion to be derived from the preceding experiments may be expressed as follows: The rhythmical variations of arterial pressure which are associated with the respiratory movements, are dependent on corresponding variations of arterial tonus, but the variations of the frequency of the con- traction of th£ heart are governed by the inhibitor}' nervous sj-stem of that organ. In accepting this proposition, it must not be forgotten that under normal conditions the thoracic 1 The tracings, fig. 2G2, are those of a curarized dog with undivided vagi, in which air is injected into the lungs at regular intervals, but in insufficient quantity. The arterial curve differs from "Taube's" only in this respect — that in the ascending limb of each wave, the wavelets which express the arterial pulsations are more frequent than in the descending. In the lower tracing the ascents mark the strokes of the artificial respiration apparatus, which was working at intervals of five seconds ; the variations of arterial pressure shown in the upper tracing follow the rhythm of the natural respiratory movements, and conse- quently do not correspond with the inflations. 328 RESPIRATION. movements co-operate in the most powerful manner in the pro- duction of the result; for in every inspiration, so long as the pleural cavities remain closed, the diastolic impletion of the heart is favored by the filling of the venie cavae, and thereby the vigor of the succeeding contractions of the heart is in- creased. This is particularly the case in animals which (like the dog and cat) breathe thoracically. Section VII. — Apncea, Dyspncea, and Asphyxia. The terms apncea, dyspnoea, and asphyxia, are applied in physiology to the states of functional disorder which are produced by excess and defect of oxygen in the blood, the differences between them being — in accordance with a gene- ralization so well established that it may be regarded as a law — that the activity of the respiratory movements varies in- versely as their effect on the blood. 107. Apncea. — When the blood is saturated with ox3rgen, respiratory movements cease, and the animal is said to be in a state of apncea. The fact can be demonstrated with great ease in the rabbit by the ordinary method of artificial respira- tion. If the intervals between the inflations of the lungs are gradually shortened, the inspiratory movements become shallower and shallower, and finally cease. The heart con- tinues to beat vigorously and somewhat more frecpaently than before. The visible mucous membranes present a perfectly natural appearance. The eye closes instantly when the con- junctiva is touched, and the state of the pupil is normal. In short, all the functions excepting the respiratory movements go on as before.1 108. Dyspncea. — We have already studied the phenomena of dj'spncea so far as relates to the muscular movements. We have seen that in the rabbit, when the access of air to the cir- culating blood is gradually diminished, other muscles begin to co-operate wdth the diaphragm in the inspiratory act, in an order which, as a rule, is a follows: Inter costale$ externi, leva- tores costarum breves, intercartilaginei, scaleni, serrati jyostici. As external signs of dyspncea, the drawing down of the larynx in inspiration by the muscles which cover the trachea, and the expansion of the upper part of the chest by the intercartilagi- 1 The fact of apncea was first demonstrated by Hook, before the Royal Society in October, 16G7. His experiment consists in opening the chest of a dog, distending the lungs witli bellows, and keeping up a constant stream of air through the organ through punctures made in its surface for the purpose. He found that, although "the eyes were all the time very quick, and the heart beating regularly," there were no respiratory movements. The term "apncea" was first applied to this condition by Rosenthal, in 1864. BY DR. BURDON-SANDERSON. 329 nous muscles and external intercostals, are the most important, as indicating successive stages. For a comprehensive study of dyspnoea, as it affects not merely the respiratory movements, but the circulation and the functions of the nervous system, those experiments are best in which the disorder can be watched from its beginnings in mere increase of functional activity (hy- perpncea), to its issue in asphyxia or suffocation. These may consist, either in complete obstruction of the air-passages, in which case death occurs very rapidly (in 4-5 minutes in the dog, a shorter time in the rabbit), in allowing the animal to breathe out of a bag with which its respiratory cavitj- is in air-tight communication, or from a gasometer (the instrument represented in Fig. 251), into which definite mixtures of gases can be continuously introduced. 109. Asphyxia by Complete Occlusion of the Tra- chea.— For this purpose, a canula must be fixed air-tight in the trachea, the mouth of which is of such form that it can be plugged with a cork. If it is desired to obtain a tracing of the variations of tension which the air so inclosed in the respira- tory cavity undergoes, the cork must be perforated and fitted with a tube which communicates with a mercurial manometer, the movements of which are recorded on the cylinder of the kymograph, simultaneously with the variations of pressure in the crural artery. The tube must be of small bore and have thick walls. The phenomena, as they present themselves in the dog, may be enumerated as follows: First minute. — Ex- cessive respiratory movements, in which at first the expansive efforts of the thoracic muscles, afterwards the expulsive efforts of the muscles of the abdominal wall, are most violent. During this period the arterial pressure increases, but it is extremely difficult to measure it, on account of the modifying influence of the thoracic movements. Towards the close of the first minute the animal becomes convulsed. These convulsions must be attentively studied, because they are the type, by compari- son with which all other convulsions of the same order are de- scribed or defined. The prominent fact with respect to these convulsions is that they are expiratory. At first, indeed, they seem to be nothing more than exaggerations of the previous expulsive efforts. Afterwards, the contractions of the proper expiratory muscles are accompanied by more or less irregular spasms of the muscles of the limbs, particularly of the flexors. Second minute. — Early in the second minute the convulsions cease, often suddenly; simultaneously with their cessation, the expiratory efforts become indistinguishable. The iris is now dilated to a rim ; the eye does not close when the corneals touched, nor does the pupil react to light ; all reflex reaction to stimuli has ceased. All the muscles, except those of inspi- ration, are flaccid, and the animal lies in a state of tranquil- 830 RESPIRATION. lity, which contrasts in the most striking way with the storm which preceded it. The condition of the circulation at this stage can be best judged of by the tracing, Fig. 2036. ' Inspi- rations occur at long but tolerably regular intervals, and eacli inspiratory act is accompanied, not, as in normal inspiration, by an increase of arterial pressure, but by a marked diminu- tion. The mean arterial pressure, which at the beginning of the second minute is far above the normal, sinks considerably below it towards the end. Third and fourth minutes. — As death approaches, the thoracic and abdominal movements, which are entirely inspirator}', become slower and slower as well as shallower. The diminution of frequenc}' is, however, never uniform, the inspirations occurring, for the most part, in successions of two or three efforts, with long pauses between them. In each act the accessory muscles of inspiration co- operate with the diaphragm in the production of the result, and towards the close other muscles come into spasmodic action which are not usually regarded as inspiratory muscles at all, although, in all probability, they act by virtue of motor impulses originating in the inspiratory centre. In these spasms, which accompany the final gasps of an asphyxiated animal, the head is thrown back, the trunk straightened or arched backwards, and the limbs are extended, while the mouth gapes and the nostrils dilate. They are called by pli3rsiologists stretching convulsions, and must be carefully distinguished by the student from the expiratory convulsions previously described. 110. Asphyxia by Slow Suffocation. — When an animal is allowed to breathe the same quantity of air repeatedly and continuously out of a bag, the process being of much longer duration, the phenomena can be studied with greater facility. As, however, its duration depends on two variable conditions, viz., the respiratory capacity of the animal and the capacity of the receptacle from which it breathes, it is not pos- sible to describe the phenomena with reference to periods of fixed duration. It is sufficient to divide the process into two stages, the limits of which will be readily understood from the preceding paragraph. The first may be called that of hyper- pnoea. The respiratory movements, at first natural, are gradu- ally exaggerated, both as regards their extent and frequency, while the arterial pressure rises. Towards the end of the period, as in the former case, the expiratory movements gain in vigor, both absolutely and relatively to those of inspiration, so that each inspiratory act is immediately followed by a sud- 1 Fig. 2636 is taken toward the end of the second minute of asphyxia by occlusion. The mean arterial pressure is gradually sinking; each in- spiration is accompanied by a depression of arterial pressure. BY DR. BURDON-SANDERSON. 331 den tightening of the anterior abdominal wall, accompanied by convulsive twitchings of the limbs. The second stage begins by a change in the phenomena quite as marked as when the exclusion of air is complete. Suddenly, the violent expulsive efforts cease, and the inspiratory movements assume the charac- ter already described, consisting in spasmodic contractions of the diaphragm, accompanied by gasping movements of the head and neck, the most marked difference being that the arte- rial pressure, instead of sinking with each inspiratory effort, rises, the rise being accompanied by an equally considerable acceleration (see Fig. 263a1). In the dog this phenomenon is so obvious that it can be judged of quite as well by watching the mercurial column of the manometer as by the tracing. As re- gards the gradual diminution of the frequency of the contrac- tions of the heart during the first part of the period of collapse, and their gradual acceleration as extinction approaches, the phenomena are the same whatever be the mode in which asphyxia is produced. As regards the final respiratory move- ments, and the stretching convulsions which are associated with them, nothing need be added to the description previously given. The preceding facts may be summed up as follows: In the first stage of asphyxia (understanding by the term, that part of the process which culminates in the struggle), the phenomena are of two kinds. At first, we have merely over-activity of the respiratory apparatus (hyperpncea) ; at the end, expiratory convulsion. The convulsive movements are so distinct from those proper to expiration, that we are compelled to assign their origin to a special centre. This centre is often called the ''convulsion centre." It is probably identical with that from which the co-ordinated expiratory movements of dyspnoea (hy- perpncea) spring; for in asphyxia we see that these last pass into convulsions by insensible gradations.3 When the struggle with which the first stage closes is succeeded by the calm of the second, all voluntary muscles, excepting those which are 1 Fig. 2G3« is taken at the beginning of the second stage of slow asphyxia. Almost every inspiration is immediately followed by two or three cardiac contractions, succeeding each other at very short in- tervals. 2 It is important to notice that the convulsion of asphyxia is identical with that produced in Kussmaul and Tenner's experiment, both having the expiratory character. If that experiment is performed in an animal in the state of apncea, the arrest of the arterial circulation in the intra- cranial nervous centres at once induces respiratory movements; and if the closure of the arteries continues, the animal passes through the suc- cessive stages of dyspnrea, and finally becomes convulsed just as in as- phyxia. If at this point the arteries are released, the animal relapses gradually, after one or two vigorous inspirations, into the condition of apncea. 332 , RESPIRATION. either inspiratory or associated in their action with inspiration, become relaxed. The inspiratory muscles, on the contrary, act with great vigor. 111. State of the Circulation in Asphyxia. — This may be best studied by actually observing the condition of the heart and great vessels in a narcotized animal, of which the chest has been opened while respiration is maintained artificially. In a perfectly chloralized animal, the heart may be exposed very rapidly, as follows: The integument covering the left side of the chest having been turned hack, a series of strong ligatures are passed round the costal cartilages, close to the left edge of the sternum, in such a way that each ligature enters the thoracic cavity by one intercostal space and passes out by the next; a second set of ligatures are passed in a similar manner round the ribs in a vertical line outside of the prsecordia. The ligatures having been tightened, the quadrangular space between them can be cut away without any bleeding. The pericardium having then been opened, the thoracic organs can be perfectly well seen. If now after continuing the artificial respiration till apnoea is produced, it is suspended, all the degrees of respiratory activity, viz., apncea, natural breathing, hyperpnoea, dyspnoea, convul- sion, asphyxia, will be witnessed in the order in which they have been mentioned, and it will be seen that no very obvious change in the condition of the heart and great vessels will occur until the last stage (corresponding to what I have called the second stage of asphyxia) is approached. During the convulsive strug- gle, and particularly towards its close, the heart enlarges to something like the double of its former dimension, this enlarge- ment being due (as the attentive observer will have no difficult}' in satisfying himself) to the lengthening of the diastolic inter- val and to the quantity of blood contained in the great veins, which in fact are so distended, that if cut into they spirt like arteries. If at this point air is again injected, the heart begins after a few seconds to contract more rapidly, and in a moment or two, emptying itself of its overcharge of blood, resumes its former size. The effect of these changes on the arterial pres- sure can be best studied in a curarized animal, of which the crural or carotid has been connected with the kymograph. If, in such an animal, artificial respiration is discontinued till the arterial pressure, after first increasing, sinks as low as 20 to 40 millimetres, the tracing shows that the diastolic intervals are much lengthened. If then air is injected, the arterial pressure after an interval of 5 or 6 seconds suddenly rises, while the curve expressing the rise indicates the extreme frequency of the contractions by which the heart empties itself of its con- tents, or rather pumps on the blood contained in the over-full veins to the arterial system. (See fig. 2G4, in which i indicates the moment of injection of air.) During this effort, the mer- BY DR. BURDON-SANDERSON. 333 curial column usually rises above the normal, but after it is over, subsides to a height which is nearly the same as that about which it oscillated before artificial respiration was sus- pended. The explanation of these phenemena may be given in a few words. One of the effects of diminishing the proportion of oxygen in the circulating blood is to excite the vasomotor centre, and thus determine general contraction of the small arteries. The immediate consequence of this contraction is to fill the venous S3rstem, in the production of which result the contraction of the expiratory muscles of the trunk and extremi- ties powerfully co-operates. The heart being abundantly sup- plied with blood, fills rapidly during diastole and contracts vigorously, in consequence of which and of the increased resist- ance in front, the arterial pressure rises. This last effect is however temporary ; the diastolic intervals being lengthened by the excitation of the inhibitory nervous system, and the heart itself weakened by defect of oxygen, the organ soon passes into the state of diastolic relaxation already described. Its contractions become more and more ineffectual till they finall}' cease, leaving the arteries empty, the veins distended, its own cavities relaxed and full of blood. That the small arte- ries are contracted in asphyxia we learn by inspecting them (see § 49). The narrowing is as marked as it is during elec- trical excitation of the medulla oblongata. In both cases the contraction induces increased arterial pressure, but there is this difference, that whereas in the latter case the heart is not interfered with, in the former its functional activity is much im- paired by the condition of the blood. Consequently, the rise of the arterial pressure is much greater in proportion to the degree of contraction of the arteries during excitation of the medulla than in asphyxia. 112. Examination of the Heart after Death by- Asphyxia. — If the heart is rapidly exposed immediately after death by asphyxia, and a strong ligature tightened round the roots of the great vessels, the organ may be readily cut out without allowing any blood to escape from its cavities. The quantity of blood contained in the right and left side re- spectively may be measured by carefully opening the ventri- cles and allowing their contents to flow into separate measure glasses. It is always found that all the cavities of the heart are filled to distension, the quantities in the right and left cavities respectively, usually being to each other about in the proportion of 2 to 3. The lungs are always pale; if, however, the body is kept for a few hours, those parts of the organs which are lowest becomes airless and soaked with sanguino- lent liquid. 113. Demonstration of the Chemical Changes -which occur in the Blood in Dyspnoea and Asphyxia. — It 334 RESPIRATION. being known that in suffocation two changes take place in the chemical condition of the blood — diminution of oxygen and increase of carbonic acid gas — it is obviously not unreasonable to attribute the phenomena either to the one or the other of these changes, or to the combination of both. In the preced- ing pages it has been assumed that the}' are due to the dimi- nution of oxygen. The chief proofs that this is so are as fol- lows: In order to demonstrate in a striking way and in one experiment that diminution of ox}-gen in the air breathed does, and that excess of carbonic acid gas does not, produce the phenomena of dj'spncea, the following method, devised by Rosenthal, may be employed. The mercurial gosometer (fig. 251) is filled with oxj-gen. The animal is then allowed to breathe the gas in the way described (§ 95) until it ma}' be reasonably supposed that the air contained in the air-passages is displaced by it. This occurs in the rabbit in about ten respirations. The communication is then opened between the valve B and the receiver, while the exit tube is clipped so that the animal both inspires from the gasometer and expires into it. As the experiment goes on, it is obvious that the propor- tion of carbonic acid increases and must continue to increase, until that gas attains such a tension in the gasometer that no further escape from the blood is possible. At first the volume of gas in the gasometer undergoes no sensible diminution, for the animal expires nearly as much of carbonic acid as it inspires of oxygen ; afterwards, as the quantity of carbonic acid gas given off becomes less and less, the cylinder sinks in each inspiration more and more. As soon as this is the case it is of course absolutely certain that the animal is breathing an atmosphere containing a large excess of carbonic acid gas, yet notwithstanding, there is no sign of asphyxia, the reason being that the oxygen still exists in the mixture in a propor- tion exceeding that in which it exists in the atmosphere, or at all events, not falling far short of it. When at a still later period the breathing begins to be excessive, the dyspnoea can at first be relieved by increasing the pressure to which the gases contained in the gasometer are exposed. This, of course, while it favors the absorption of oxygen, equally favors that of carbonic acid gas ; that the latter has no physiological effect cannot be maintained, but the experiment proves that its effect is very inconsiderable. The direct proof that dyspnoea is dependent on defect of oxygen, is obtained by the analysis of the gases of the blood in an animal which has been asphyxiated by the inhalation of pure nitrogen. Pfluger has found that an animal (dog) breath- ing nitrogen becomes hyperpnoeic in 15 seconds. In 20 seconds the struggle is at its height, the blood being already very dark. In Pfluger's experiments, blood was allowed to flow from an BY DR. BURDON-SANDERSON. 335 artery into a recipient for the analysis of its gases, at from half a minute to a minute after the beginning of the inhalation of nitrogen, the animal being already in the second stage of as- phyxia. It was found, for example,' that the blood of an animal which before breathing nitrogen contained 18.8 per cent, per vol. of ox}rgen (at 760 millim. and 0° C), contained after breath- ing nitrogen for one minute a mere trace of oxygen (0.3 per cent.) ; during the same period the carbonic acid gas had dimin- ished from 47.2 per cent, to 39.4 per cent. These experiments are referred to here on account of their fundamental importance. The}^ are much too difficult for repetition. 114. Demonstration that the Pulmonary Termina- tions of the Vagus Nerves are Excited by Distension of the Lungs. — It was long ago surmised by physiologists (particularly by Rosenthal) that the pulmonary branches of the vagus nerves contain afferent fibres, which are excited by the expansion of that organ, and that these fibres take part in the regulation both of the movements of the heart and those of respiration. The proof of this has been lately given by Hering. A dog having been narcotized with morphia or opium, one arm of a T-shaped canula is secured in the trachea, the other being- connected with a mercurial manometer. To the stem an India- rubber connector is fitted, which is guarded by a screw clip, and ends in a blowing tube: a canula is placed in the carotid and connected with the kymograph. These preparations having been made, an observation of arterial pressure is taken. The clockwork being still in motion, the experimenter distends the lungs of the animal until the distal column of the manometer stands about 30 or 40 millimetres above the other, and then closes the clip. Two important results are produced. In the first place, the inspiratory muscles are thrown out of action, and remain relaxed so long as the distension lasts, while those of expiration are brought into continuous and energetic con- traction ; and secondly, the frequency of the contractions of the heart is more than doubled. In the preceding experiment the circulation is considerably affected by the increased pres- sure exercised by the distended lungs on the heart and great veins ; consequently, the increased frequency of the pulse might be attributed in whole or in part to this circumstance rather than to the pulmonary distension. To meet this objection, the experiment may be modified as follows: A dog is narcotized and respiration maintained artificially, the apparatus being so arranged that at any moment the lungs may be distended as in the last case. This done, the thoracic organs are completely exposed by removing the anterior wall of the chest in the man- ner described in § 49 : it is then seen that the effect of inflation 1 Pfliiger's Archiv., vol. I. p. 94. 336 ANIMAL HEAT. on the heart is just the same as when the thorax is closed. These results are sufficient to show the pulmonary distension and acceleration of the contraction of the heart, stand in the relation to each other of cause to effect. That the influence of the former on the latter is exercised through the nervous sys- tem, and consequently through the vagi (these being the only known channel by which the lungs are in communication with the nervous centres) is sufficiently obvious. Accordingly, we should expect that if this channel were interrupted the effect would be annulled, and experiment proves that it is so. The demonstration is, however, very difficult, for in the dog the pulsations of the heart are already so rapid after section of the vagi that no further acceleration is possible ; a negative result, therefore, would mean nothing. Hering has met this difficulty by carefully exciting the peripheral end of one of the divided nerves after section of both (using Ilelraholtz's modification), so as to reduce the frequency of the heart's action, and repeat- ing the pulmonary distension under these altered conditions ; the result was still negative. These experiments teach us two important facts relating to the innervation of the lungs, viz., that the pulmonary branches of the vagus contain afferent fibres, the excitation of which by pulmonary distension tends to weaken or paralyze both the inspiratory and cardiac centres in the medulla oblongata ; the one action showing itself in the complete cessation of the rhythmical efforts of the inspiratory muscles, the other in the shortening of the diastolic intervals of the heart. The subject requires much fuller investigation than it has yet received. CHAPTER XVIII. ANIMAL HEAT. The temperature of the body is dependent on the relative activit}T of two sets of processes, viz. : those by which heat is produced or generated, and those by which it is destroyed or lost. The subject admits of being correspondingly divided into two parts — the study of the processes, and the stud}' of the resulting state. The former is based on the measurement of the quantity of heat set free at the surface during a given period (Calorimetry) ; the second on the measurement of the temperature existing in the circulating blood and the tissues at the moment of observation (Thermometry). BY DR. BURDON-SANDERSON. 337 Section I. — Calorimetry. The production of heat is one of the essential functions, of living tissue ; consequently, wherever there are living cells, heat is generated at all times. We assume, at the outset, that the source of production is the sum of the chemical processes which take place in the body ; and that under all circum- stances, so long as the tissues are neither growing nor wasting, the quantity of heat produced by the oxidation of the food consumed is equal to the quantity which would have been produced had the same quantity of oxidizable substance been converted into similar more or less oxidized products out of the bod}7. 115. There are two distinct methods by which a theoretically complete determination of the quantity of heat products in the body in a given time can be arrived at. The first consists in deducting the heat-producing power (heat value) of the substances discharged from the body in a given time, from the heat value of the substances consumed. The second is based on the actual measurement of the quantity of heat discharged in a given time. In the former case the difference obtained expresses the amount of heat produced in the period, 'provided that the animal is in a state of nutritive equilibrium — i. e., that its tissues are neither growing nor wasting. In the latter, the measurement gives the desired result, provided that the discharge is exactly equal to the production of heat — i. e., that the temperature of the body remains the same. With reference to the first method, as it reposes entirely on chemical and .physical operations, some of which do not fall within the scope of this work, while others will be described under other heads, all that is necessary is to make clear the principles of its application. So long as an animal is in nutritive equilibrium (see above) the combustible material actually consumed, i. !>' is diminished (in the neighborhood of the kathode), while that at a a' is increased (in the neighborhood of the anode). If the direction of the polarizing current be reversed, if it be 384 ELECTROTONUS. made to flow from p' to p, then a a' will be diminished and b b' increased. Ob*. VII. Repeat the observation, placing the galvanometer electrodes, not at the cut ends as before, but on any two points from which a natural current can be obtained. Similar results will be observed. With most dispositions of the electrodes the natural current is increased in the neighborhood of the positive and diminished in that of the negative pole. The region of the negative pole is said to be thrown into katelectrotonus, that of the positive into anelectrotonus. Obs. VJII. Having determined the amount of diminution of b b' and the amount of increase of a a' when the polarizing electrode is exactly in the middle line between the other two pair, shift the polarizing electrodes nearer to b b'. Be very careful that the electrodes in their new position are exactly the same distance from each other as before, and that the nerve touches the plugs of the electrodes exactly as before, so that the only difference established is that a different part of the nerve is placed between the electrodes. Be careful also not to disturb the position of the nerves on the two pair of galvano- meter electrodes. If all has been done properly before the polarizing current is allowed to break into the nerve, the amount of deflection at a a' and b b' should be the same as when the polarizing electrodes were in the middle. Now open the key of the polarizing current and determine the deflection at a a' and b b'. The diminution of deflection at b b' should be greater, and the increase at a a' less, than when the polar- izing electrodes were in the middle. Reverse the direction of the polarizing current. The increase at b b' will be greater, the decrease at a a' less, than when the electrodes were in the middle. Obs. IX. Shift the electrodes (carefully as before) towards a a/ instead of towards b &', and repeat as in Obs. VIII. It will be found, as before, that the nearer the galvanometer electrodes are to the polarizing electrodes, the greater the effect either in way of decrease or increase, as the case may be, of the natural current. The amount of electrotonic increase or decrease is greater the nearer the points tested lie to the polarizing electrodes. Obs. X. Having determined the amount of electrotonus es- tablished by the passage of a current from a single cell, use two cells (keeping everything just the same), and compare the results ; then three cells ; then four. The amount of electrotonic increase or decrease of the natural current increases with an increasing intensity of the polarizing current. Obs. XI. Determine the electrotonic increase and decrease BY DR. MICHAEL FOSTER. 385 ■with a given current on a perfectly fresh nerve from a strong frog. Allow the nerve to remain for some time exposed in the moist chamber, and repeat the observation. The electrotonic effects will be found to be less. The amount of electrotonic variation is dependent on the vital conditions of the nerve. CHAPTER XXVIII. STIMULATION OF NERVES. Other things being constant, we ma}' now take variations in the contraction of the muscle of a nerve-muscle preparation as a measure of variations in the condition of the nerve. A muscular contraction is a token of a nervous impulse passing along the nerve, the extent and character of the one being a measure of the extent and character of the other: a tetanus in the muscle indicates a series of impulses in the nerves, follow- ing each other with not less than a certain velocit}'. 1. The Effects of the Constant Current.— Obs. I. Ar- range a nerve-muscle preparation in the moist chamber, with the nerve on non-polarizable electrodes, the muscle loaded with 10 or 15 grammes, lever attached, recording surface pre- pared, etc. Have a battery of two or more cells, and between the battery and the electrodes introduce the rheochord (Chap. XIX., sec. VIII.). Let all the plugs be in, and the travelling mercury cups close up. The resistance now offered by the rheochord, compared with that offered by the electrodes, is practically nil ; consequently none of the current from the battery will pass through the latter; there will, therefore, be no contraction in the muscle. Remove one of the plugs, viz., that one the removal of which tli rows the least resistance into the rheochord. A certain fraction of the current will now pass through the electrodes on account of the resistance thrown into the current through the rheochord by the removal of the plug. If a contraction be the result, let it be recorded ; if none, let that fact be recorded too, noting on the recording surface the plug removed. Re- move the plugs one by one, recording the result each time. Replace the plugs one by one, also noting the results. It will be found that a contraction of the muscle takes place, a nervous impulse is originated, only at the moment when the plug is withdrawn or replaced. It may be present 25 386 STIMULATION OF NERVES. at both withdrawal or reinsertion, or at either, or at neither; but no contraction occurs in the interval during which the plug or plugs remain away from the board or in their place, provided that the current in the battery be constant and the condition of the nerve-muscle normal. A nervous impulse is generated in a nerve only when there is a sudden change in the intensity of a constant current passim/ through it {including the changes from and to zero, i. e., the total breaking and making of the current). So long as the current remains uniform in intensity, there is no contraction of the muscle, no uervous impulse generated in the nerve. The contractions so obtained are simple contractions, indica- tive of the advent of a single nervous impulse. Very often, especially in working with winter frogs in early spring, the con- tractions thus obtained by variations in the intensity of a con- stant current are not simple, but tetanic. This is an abnormal result, which has not yet been investigated. The contractions obtained above are not only variable, inas- much as they come either at a diminution (breaking) or increase (making) of the current, or at both, but also differ in extent, i. e., the nervous impulses differ in intensit}r. These variations depend on the strength of the current (amount of variation of the current), the direction of the cur- rent, and the condition of the nerve. II. Law of Contraction. — Obs. II. Arrange in the moist chamber a nerve-muscle preparation as fresh and lively as pos- sible. Place the nerve on a pair of non-polarizable electrodes, about a centimetre apart. Insert between the electrodes and a battery of two or more cells, first the commutator, and then the rheochord. Let the positive and negative wires have different colors, the same throughout the whole apparatus in each case, and arrange so that when the handle of the commu- tator is raised, the current is ascending in the nerve ; when depressed, descending. The handle of the commutator being horizontal, and the plugs* of the rheochord all in, withdraw the mercury cups a few de- grees of the scale, and depress the handle of the commutator. If there be any contraction, record it. This is equivalent to the making in the nerve of an extreme^ feeble descending cur- rent. Then bring the handle of the commutator horizontal, and so break this feeble current, recording any result. After waiting a few minutes, repeat the observation, using an ascending current instead of a descending. Thus will be obtained the effects of breaking and making an extremely feeble constant current both ascending and descending. Then shift the mercury cups several degrees, and repeat the whole observation. This will give the effects of making and BY DR. MICHAEL FOSTER. 387 breaking a still feeble but yet rather stronger descending and ascending current. Proceed in this way, shifting the mercury cups by stages, until the}7, are brought to the other end of the board ; then remove the plugs one by one, the removal of each plug mark- ing a corresponding augmentation of the strength of the current sent through the electrodes on the nerves. Wait some minutes between each observation to allow the nerve to recover itself. Tabulate the results. They should be such that, throwing the various intensities of current into four categories, they illustrate the following law: — Descending. Make. Break. Ascending Make. Break. Weakest Yes No No No Weak Yes No Yes No Moderate Yes Yes Yes Yes Strong Yes No No Yes where " Yes" means a contraction ; " No," none. The making of the descending current is the first to make itself manifest by its effects, and maintains its pre-eminence throughout the series as the most certain and strongest stimulus. Next, the making of the ascending current also becomes effi- cient; then the breaking of the descending ; lastly, the break- ing of the ascending ; so that with a certain intensity of current which we here call " moderate," a contraction is called forth both by making and breaking both ascending and descending currents. With a further increase of intensity, the contraction which follows upon the making of the ascending current gets less, and finally disappears altogether. The contraction due to breaking the descending current suffers subsequently the same fate, so that wijh a " strong" current we have only a single contraction with each current; but it is a contraction on mak- ing in the case of the descending, on breaking in case of the ascending. We have seen that when a constant current is sent into a nerve, katelectrotonus is established at the negative pole, ane- lectrotonus at the positive. Both conditions remain during the whole time of the passage, and both disappear (with more or less rebound) when the current is broken. It is evident from the above observations that the rise of a nervous impulse is connected with the transition of a nerve from its ordinary condition into that of either katelectrotonus or anelectrotonus, or both, or with its return from katelectrotonus or anelectrotonus into its normal condition, and not witli its being or remaining in either katelectrotonus or anelectrotonus. 388 STIMULATION OF NERVES. Further, it is evident from the different results of breaking and making, that the entrance into katelectrotonus and ane- lectrotonus has not the same relation to the origin of a nervous impulse as has the exit from those states. Lastly, from the different behavior of the ascending and descending currents, it appears that the effect of the entrance into katelectrotonus is not the same as that of the entrance into anelectrotonus, and that the effects of the exits from these states likewise differ. III. Electrotonus as affecting Irritability. — Arrange a nerve-muscle preparation in the moist chamber, with lever, etc. Prepare two pair of non-polarizable electrodes. Place the end of the nerve on one pair, about 1 or 2 cm. apart ; connect this, the polarizing pair, with a batteiy of one or two cells, the commutator intervening. Place the second pair between the first pair and the muscle, and connect this, the exciting pair, with an induction coil. When the polarizing current is made a descending one, the portion of the nerve on which the exciting electrodes rest, will be in the region of katelectrotonus ; when ascending, in anelec- trotonus. Obs. III. The polarizing current being shut off (the handle of the commutator horizontal),- pass a single induction (open- ing) shock through the " exciting" pair, and record the con- traction. Shift the secondary coil, if necessary, until a con- traction of moderate excursion is obtained, and note the dis- tance of the secondary coil from the primary. Now let the polarizing current ascend in the nerve (through the polarizing pair of electrodes) ; the exciting pair will ac- cordingly now be in the region of anelectrotonus. Neglect the contraction which may be caused by the making (and subsequent breaking) of the constant polarizing current ; and while the current is thus passing in an ascending direc- tion, send a single induction shock of the same strength as before through the exciting pair, and record the contraction. Shut off the polarizing current, and after a few minutes' rest, send a third time the same induction shock through the exciting pair. Of the three contractions thus called forth by the same stimulus (the induction shock) under different circumstances, it will be found that the second is much smaller than the first, but the third nearly of the same size (it may be larger) as the first. During the passage of a constant current, the irritability of a nerve is lessened in the anelectrolonic region, the same stimu- lus giving rise to a weaker nervous impulse, and so to a smaller contraction. Obs. IV. Shift the secondary coil until it reaches such a BY DR. MICHAEL FOSTER. 889 position that the induction shock given becomes the mini- mum stimulus required to produce a muscular contraction, that is, any further removal of the secondary from the pri- mary coil will lead to the absence of all contractions. This minimum stimulus then giving, in the absence of the polarizing current, a slight but obvious contraction, send an ascending polarizing current through the nerve ; the contraction will be wholly absent. Remove the polarizing current, and excite again ; the contraction will again make its appearance. Obs. V. Remove the secondary coil a little further away from the primary, so that an induction shock gives no con- traction where the polarizing current is cut off from the nerve. Pass a descending current through the polarizing pair, i. e., throw the portion of nerve in which the exciting pair rest into katelectrolonus. Again pass the same induction shock as before : a contraction will follow. Shut off the polarizing current, and after waiting a few minutes, send the induction shook through the exciting pair a third time. No contraction, or at best a very slight one, will be obtained. During the passage of a constant current, the irritability is increased in the region of katelectrotonus. Obs. VI. The other arrangements being the same, put the magnetic interruptor into connection with the primary coil. Record the movements of the lever on the revolving cylinder. With a not very strong interrupted current, throw the mus- cle into tetanus, and as soon as tetanus is established, send an ascending current through the polarizing electrodes for a few seconds only, and afterwards close the key of the inter- rupted current. The curve of the tetanus on the recording cylinder will ex- hibit a marked fall (down even to zero if the polarizing current be strong enough) at the moment when the polarizing current breaks into the nerve, and a corresponding rise when the polarizing current is shut off. This is simply another way of showing the diminution of irritability in an electro ton us. Obs. VII. Repeat the observation, using a very weak teta- nizing current, and let the polarizing current be descending. The making of the polarizing current will be marked by a rise, and the breaking by a corresponding fall in the tetanus curve, indicating, as before, an increase of irritability in katelectro- tonus. Obs. VIII. Ligature the nerve between the two pair of elec- trodes, and repeat all the observations. The polarizing current will have no effect at all upon the results of the exciting cur- rent. Otherwise, part of the effects described above will have 390 STIMULATION OF NERVES. been due not to vital changes in the nerve, bat to escape of current or simple electrical changes. Obs. IX. Having arranged a nerve-muscle preparation with the polarizing, but without the exciting pair of electrodes, let the nerve between the electrodes and the muscle hang down in a loop. Let the extreme end of the loop dip into a drop of concen- trated solution of common salt. As soon as the irregular tetanic contractions resulting from the action of saline fluid on the nerve make their appearance, pass an ascending current through the electrodes. The tetanic spasms will be much less- ened, or cease altogether. Pass a descending current through the electrodes, the spasms will be increased. The general irritability, therefore, of the nerve is affected in electrotonus, not simply its susceptibility to electrical modi- fications. Obs. X. By introducing a rheochord between the battery and the polarizing electrodes, and by varying the number of cells used, the student will ascertain that the amount of in- crease of irritability in katelectrotonus and decrease in anelec- trotonus depends on the strength of the polarizing current, being greater with the stronger. Obs. XI. B3' placing the polarizing electrodes at a variable distance from each other, it will be found that, with the same strength of current, the effect is greater the longer the piece of nerve between the polarizing electrodes. Obs. XII. By shifting the exciting electrodes nearer to and farther from the polarizing electrodes, it will be found that the effects of both anelectrotonus and katelectrotonus are greatest in the immediate neighborhood of the polarizing pair, and diminish the farther the exciting pair is from the polarizing. In all the above observations, the stimulus, whether electric or chemical or other, is brought to bear on the nerve between the polarizing pair and the muscle. Obs. XIII. They may be repeated with the polarizing pair placed between the exciting pair (or chemical stimulus) and the muscle. An ascending current will now throw the region of the exciting pair into katelectrotonus, a descending into anelectrotonus. The general results will be the same, but they will not come out with the same distinctness, for the following reason: When the exciting pair is placed nearer to the muscle than the polarizing pair, the nerve between the exciting pair and the muscle is simply in a state of katelectrotonus, the intensity of which diminishes towards the muscle onwards. There is nothing between the exciting electrodes and the muscle to BY DR. MICHAEL FOSTER. 391 moilify the increase of impulse due to katelectrotonus. When the exciting pair is on the other side of the polarizing pair, and the region of the exciting pair thrown into katelectroto- nus, for instance, the increased impulse due to katelectrotonus after passing through the region of katelectrotonus has to make its way through a region of anelectrotonus before it can reach the muscle — it has to struggle in this region against an- tagonistic influences, and whether it reaches the muscle as an impulse greater than, or less than, or simply equal to, that which occurs in a nerve not electrotonized, will depend on the relative amounts of the katelectrotonic increase of irritability and the anelectrotonic decrease of conductivity. This will be found to depend largely on the intensity of the polarizing current. If the current be weak, the katelectrotonic increase over the normal impulse (of the non-electrotonized nerve), though less- ened by having to pass through an anelectrotonic region, will be evident as a larger contraction in the muscle. If the polarizing current be strong, the contraction caused b}- the impulse originated in the katelectrotonic region will not only not be greater than the normal but will even be less, or may be absent altogether with a very strong (three or four Grove cells) polarizing current, owing to the impulse being completely blocked in the anelectrotonic region. Mutatis mutandis, the same results are witnessed when the effect of an anelectrotonic decrease has to pass through a kate- lectrotonic region on its way to the muscle. Obs. XIV. By placing the polarizing electrodes sufficiently far apart from each other, the exciting pair may be inserted into the intrapolar region, and the following results ob- tained : — In the intrapolar region, as in the extrapolar, there is an in- crease of irritability in the neighborhood of the negative, and a decrease in the neighborhood of the positive pole. The increase and decrease respectively are greatest close to the poles, and diminish towards a neutral point situate between the poles. With a weak current, this neutral point lies rather nearer to the negative pole than the positive. By increasing the strength of the current it is driven nearer and nearer to the positive pole. IV. Other Variations in Irritability. — The farther from the muscle the part of the nerve excited, the greater the contraction. Obs. XV. Arrange a nerve-muscle preparation with two pair of eleel rodes, one dose to the muscle, the other near to the cut <-uarts of (he body. Stimulation of the peripheral stump produces no movement whatever ; stimu- lation of the central stump produces considerable movement*. These movements, be they simple re flex actions or more compli- cated voluntary movements set going by conscious sensations, are evidences of centripetal sensor impidses, excited in the posterior sensory roots. Obs. IV. Examine now the sensibility of the hind limb on which you have been operating. It will be found that pinching the toes or the skin of the hind surfaces of the limb produces little or no reflex action. The anterior surface of the leg, how- ever, still retains considerable sensibilit}'. Obs. V. Divide the posterior roots of the 7th and 8th nerves, and also that of the small 10th nerve. The whole limb will now be found to be totally insensible. Movements of the leg, however, may readily be called forth by pinching the skin of the back, or any other part of the body except the leg itself. Division of the posterior roots stops the passage of sensory, but not of motor impidses. Obs. VI. Carefully cut away the posterior roots on which you have been experimenting. The anterior roots, which are thin- ner than the posterior, will now come into view. Repeat on one of these anterior roots (9th nerve) Obs. II. Mere touching the nerve will probably produce a movement of the hind limb of that side. This result will at all events follow upon ligature and section. Stimulation of the peripheral stump, with even a very feeble stimulus, will produce tetanus in the limb. Obs. VII. Repeat on the anterior root next above Obs. III. No effect whatever will be produced by stimulating the cen- tral stump. BY DR. MICHAEL FOSTER. 405 The anterior roots convey motor impulses centrifugally, but not senso7~y impulses centripetally. Obs. VIII. In a fresh, strong frog lay bare the roots of the spinal nerves and divide the posterior roots of the 7th, 8th, 9th, 10th nerves on the right side and the corresponding anterior roots on the left side. The left leg will remain motionless, being simply dragged along by the rest of the bod}*, but never moving of itself. [If the brain has been previously destroyed or separated from the spinal cord, the right leg will be drawn up as usual (see Chap. XXXIII.), but not the feft leg.] Pinching the right foot, or otherwise irritating the right leg, will give rise to no movement whatever in any part of the body, will call forth no signs of sensation. Pinching the left foot, or otherwise irritating the left leg, or an}' part of the body except the right leg, will produce move- ments which ma}' occur in any part of the body except the left leg itself. In this case the right leg has had all its posterior, the left all its anterior, roots divided. No centripetal impulses pass up from the right leg to the central nervous system ; no centrifugal impulses pass down from the central nervous system to muscles of the left leg. The posterior i-oots are the channels of the centripetal (sen- sory), the anterior of centrifugal (motor) impulses. Recurrent Sensibility. — This is never witnessed in the frog. It can only be shown in the higher animals, the cat or dog being best adapted for the purpose. The method adopted is very similar to the above — the arches of one or two verte- brae being carefully sawn through or cut through with the bone forceps, and the exposed roots being very carefully freed from the connective tissue surrounding them. If the animal be strong, and have thoroughly recovered from the chloroform and from the operation, irritation of the peripheral stump of the anterior root causes not only contractions in the muscles supplied by the nerve, but also movements in other parts of the body indicative of pain or of sensations. On dividing the mixed trunk at some little distance from the junction of the roots, the contractions of the muscles supplied by the nerve cease, but the general signs of pain or of sensation still re- main. These disappear when the posterior root is also divided. Hence it is inferred that fibres conveying centripetal impulses pass downward along the anterior root to the mixed trunk, and thence, turning round, run back again to the central ner- vous organ along the posterior root. (For further details, see Iicrnard, Lecons sur la Phys. clu Systeme Nervcux, Vol. I., p. 02 et seq.) 40G REFLEX ACTIONS. CHAPTER XXXIII. KEFLEX ACTIONS. Reflex actions are best studied in the frog, the brain hav- ing first been removed, or at least separated from the spinal cord. The strongest and healthiest frogs should be chosen for the purpose. The student should make himself acquainted with the general form of the dried frog's skull. This having been done, the position of the occipito-atlantal articulation may readily be recognized on the living animal. Division of the Medulla Oblongata. — Having wrapped a cloth round the hind legs and body of the animal, clasp the fore legs round the ring finger of the left hand, and hold them in posi- tion by the middle and little fingers, which should also hold tight the cloth. Press down the tip of the frog's nose with the thumb of the same hand, so as to bend the neck as much as possible. If the fore-finger of the right hand be now made to glide over the roof of the skull, exactly in the mid-line from before backwards, a slight but distinct depression will be felt in the neck at the point where the occiput ends, and where the medulla is covered, not by bone, but by the occipito-atlantal membrane. It lies in a line drawn across the skull at a tan- gent to the hinder borders of the two membrana tympani. (Fig. 266, line a-b.) The position of this point being satisfactorily ascertained, with a sharp-pointed scalpel make a small transverse incision across it about a few millimetres long. The incision should not be carried too far on either side. If the blood, which comes freely, be rapidly taken up with a sponge, and the neck be kept well bent, the medulla will be clearly seen. This should now be completely cut across, and the wound be rapidly sponged, in order that the division ma3T be ascertained by actual inspec- tion to be complete. The encephalon may then be completely destroyed by introducing a blunt piece of wire into the wound, and eviscerating the skull. If the wound be then left to itself the bleeding will, in most cases, soon cease ; if not, a small plug of wood (the sharpened end of a lucifer match) ma}' be thrust into the skull. This, however, should be avoided if possible. It is better to conduct the operation in this way, seeing clearly what is being done, than to divide skin, membrane, and medulla by one thrust, without being able to tell exactly whether the division is complete. BY DR. MICHAEL FOSTER. 407 Decapitation. — Introduce one blade of a strong pair of scissors into the mouth, and bring it, transverse to the long axis of the head, as far back as possible. Bring the other blade down to the skin behind the occiput, and quickly cut off the head, being careful that neither blade slips forward. Simple inspection will, at once, determine whether the whole of the encephalon has been removed or no. The bleeding, in man}' cases, is excessive, and must be staunched by astringents or by the actual cautery. Indeed, where decapitation seems desirable, it is far better to employ the galvanic cauture, introducing the loop of platinum wire into the mouth, and bringing it out through the occiput along the line a-&, fig. 266. For the general study of reflex actions, division of the medulla is preferable to decapitation. The large amount of bleeding, the exposure to the air, and possibly other causes, often lead, in the latter case, to abnormal results, ex. gr., pseudo-voluntary movements on the one hand, and lack of reaction on the other. Obs. I. Place the frog, immediately after the division of the medulla, on its belby, with its legs extended. In most cases the legs will remain extended, and at first no movements will be produced by stimuli applied to any part of the body. The animal (or rather its spinal cord) is in a state of shock, consecpuent upon the operation. If the animal be watched, it will be found that after a while the hind legs, apparently without the intervention of any external stimulus, are suddenly, first one and then the other, drawn up to the body, and assume the wonted flexed posture. This is a token that the condition of shock has passed away. If now one of the legs be pulled out, and then let go again, it will be immediately drawn up once more under the bod}r. After the shock has passed away, the legs having been drawn up, the animal will appear to have assumed a natural posture. On observing it more closety, however, it will be found that the posture is not quite natural. The line of the back is too horizontal, the head lies flat, with the neck almost touching the table, and the fore limbs spread out; whereas an entire frog keeps the head and neck raised high up on the almost vertical fore limbs, and the line of the body makes a large angle with the plane of the table. If left to itself, the frog will exhibit no movements whatever, will not stir from the spot in which it is placed unless sbme external stimulus be brought to bear upon it. This absence of spontaneous movements is most marked, when sudden variations of temperature are avoided, and the skin is not allowed to get dry. Eence it is advisable to place the animal on ;i dish containing a small quantity of water, and to cover it with a glass shade. 408 REFLEX ACTIONS. If turned over and placed on its back, it remains for an indefinite period in that position, without making any attempt to regain its natural posture. While on its back, the heart may be observed beating, but the respiratory movements will be wholly absent. If thrown into a basin of water, it will sink to the bottom like a lump of lead (unless the lungs be too much distended with air), without making any attempt whatever to swim. 15y irritating it in various ways, it may be made to execute a variety of movements (see following observations), but can- not, by any means, be made to leap or spring forward. Obs. II. With the point of a needle gently stroke the abdominal walls on one side. A slight twitching of the muscles of the region so stroked will be witnessed. This is one of the simplest forms of reflex action. Contraction takes place in muscles on that side of the body only, the afferent nerves of which are affected by the stimulus, and it will be found that the afferent and efferent nerves concerned in the action belong tolerably exactly to the same segment of the spinal cord. On increasing the stimulus gradually by stroking more forcibly, the twitchhigs will be seen to spread over a wider and wider area, to invade the other side, and finall}' to pass into the hinder and fore limbs. With a stimulus, sufficiently slight, of an afferent nerve, a definite small group of efferent fibres are alone affected by reflex action. On increasing the intensity of the stimulus, the effect spreads into a larger and larger number of efferent fibres. Obs. III. Pass an S hook through the lower jaw, and thus suspend the animal on a suitable upright, with the legs and body hanging freely down. Or, take a piece of thin wood, about an inch broad and five long ; place the frog, belly downwards, on it, in such a wa}r that the wood reaches no farther down than the lower part of the abdomen, and secure the frog to it by two slight India- rubber bands, one immediately below the fore limbs, and the other a little above the thighs. If the wooden slip be now fastened vertically in an upright, the hind limbs will hang freely down, completely loose, while the body will be held sufficiently firm. For most purposes the former simpler method is sufficient. When it is desired to study the movements of the legs alone with some accuracy, the latter method must be adopted. The legs hanging freely down, and the bod}' being com- pletely at rest, with a smooth pair of forceps gentl}- pinch the tip of one of the toes. The leg will immediateljr be drawn sharply up, and after being kept in the flexed position for a variable time, will be slowly dropped again. BY DR. MICHAEL FOSTER. 409 Repeat the observation on the other leg. Only that leg, the toes of which are pinched, is drawn up : and if the toes be not too roughly treated, no other movement than the drawing up of the leg is witnessed. Obs. IV. With more force pinch the folds of the skin around the anus. Both legs will be suddenly complete^' drawn up, so that the toes of both feet are brought above the forceps, and are then as suddenly and completely extended again. This movement of sudden flexion and extension, that is of kicking, may be repeated rapidly several times as the result of one for- cible pinching of the region in question. Obs. V. Pinch with some force the skin at a point on one side of the loins. The leg of the same side will be suddenly flexed over the back, and brought round back again with a sweeping movement. Obs. VI. The hind limbs hanging down as before, place a watch or other small glass containing very dilute sulphuric acid (one drop to 20, 30, or 50 CCm, strong enough to give an acid taste) underneath the frog, and bring it close up to one of the feet, so that the extreme tip of the longest toe just dips into the acid. Within a short time, the exact length of time being determined by the strength of the acid and the condition of the frog, the leg will be flexed, and the foot withdrawn. Very frequently the movement, even after the fluid has been taken quite out of the wa}', is not confined to a single flexion followed by a relaxation, but consists of a series of flexions and relaxations, each succeeding flexion being less marked than its predecessor. Repeat the observation with varying degrees of acidity, beginning with simple distilled water, and gradually adding acid. Be careful to wash the foot carefully with water after each observation, to wait some minutes between each applica- tion, and to dip only the tip of the toe, and that to the same extent in each case. .Measure by means of a metronome, beating very rapidly, the exact time intervening between the actual entrance of the toe into the fluid, and its withdrawal. With an acid of a given strength, applied to the same frog under varying circumstances, the duration of this interval may be taken as a measure of the power of reflex action. The shorter the interval, the more prone is the cord to reflex actions. In making observations on the length of this interval, it is as well to use very dilute acid, such as will only just give a sensation of acidity when applied to the tongue. Obs. VII. Simple water of a sufficiently high temperature (25°- 35°C.) may be used instead of the acid. It has the ad- vantage of being less likely than the acid to produce a perma- nent action on the skin. The difficulty, however, of keeping 410 REFLEX ACTIONS. up exactly the same temperature renders it unsuitable for com- parative experiments. In all the above experiments the movements produced bear marks of purpose. As the result of stimulation of a particular region of the surface of the body, we find a complicated move- ment, a movement brought about by the contraction of certain muscles and sets of muscles, acting in a definite combination and sequence. The movement thus produced is apparently directed towards an end. Thus when the foot is pinched or irritated by the acid, the resulting movements appear at least directed towards, and frequently actually effect, the withdrawal of the foot from the offending object ; when the flank is pinched, the movement is such as tends to thrust away the points of the forceps ; when the anus is pinched to kick away the forceps, and so on. This purposeful character of reflex actions may be still more conveniently shown b}r adopting the following method : — Obs. VIII. Arrange the frog with the legs alone free ac- cording to the second method given above. Cut small pieces of blotting-paper about 1 or 2 millimetres square, dip them in strong acetic acid, remove from them all superfluous acid, and then place them on definite regions of the skin. In this wa}' the stimulus may be limited to very small areas chosen at pleasure ; and it will be found that very different movements of the hind limbs will be produced by applying the morsel of paper to dif- ferent regions of the body. Thus if the morsel be placed on the heel of one foot, both feet will be violently rubbed together, while the legs remain foreibty extended. If the morsel be placed on one flank, it will be rubbed off by the foot of the same side ; if it be placed in the mid-line of the back, either or both feet will be employed to remove it, and so on. The student will do well to map out the limbs and bod}r of the frog into small areas, and to determine the characters of the movements, which result from the stimulation of each area. He will in this way find abundant instances of an appa- rent purpose. 06s. IX. It has been seen that where the morsel of acid paper is placed, say on the right flank, it is the right leg, and the right leg only, which under ordinary circumstances is used to rub off the paper. Choosing a strong frog, in which reflex action has been found to be highly developed, suspend it ac- cording to the second method, hold the right leg firmly down, or load it with a greater weight than the leg is able to lift, and apply a morsel of acid paper to the right flank. Twitchings and convulsive movements of the right leg are first witnessed, and then the left leg is brought up to rub the right flank. Place a similarly strong frog with powerful reflex capabilities on its back on the table. BY DR. MICHAEL FOSTER. 41 1 If a morsel of paper were now placed on the surface of the right thigh, the right foot would be brought up to rub away the paper, the left foot remaining quiet. Hold tight the right foot, or better still, place a ligature below the right knee, and cut away the whole lower leg and foot. If the acid paper be now placed on the right thigh, convulsive twitching of the stump (ineffectual as far as the removal of the paper is con- cerned) will follow, and then the left foot will be brought across to rub the paper away. % In both these cases we have instances of an apparent power of the organism, even in the total absence of the brain, to change its customary proceeding and to adapt itself at once to new circumstances, instances which have led some to speak of a conscious intelligence residing in the spinal cord. Obs. X. As an instance tending directly to the contrary supposition, the following experiment may be performed: — In a shallow glass or porcelain dish, place enough water to reach up to the head of a frog. Line the sides and bottom of the vessel inside with felt or blotting-paper. Place an unmutilated frog in the water, and then graduall}" raise the temperature. Cover the top of the vessel with a piece of gauze or netting, to prevent the escape of the frog. As the temperature rises the frog becomes uneasy, and after 20° C or 30° C is reached makes violent attempts to escape. Place in exactly similar circumstances a frog whose medulla has been divided ; the water should cover the whole of the animal up to just below the wound in the neck (care being taken that the water gains no access to the spinal cord). Up to 30° or above, no movement of any kind is visible. About 35°, slight twitch ings may be observed in some of the muscles of the limbs and flanks. At 38°-40° the whole body becomes rigid (rigor caloris), and the frog is dead without having made the slightest attempt to escape from the hot water. This observation goes quite as far to prove that the frog, in the absence of the brain, has no consciousness or volition as Observation IX. seems to point to the contrary. Both obser- vations are probably to be explained without any reference, negative or positive, to consciousness or volition. Oba. XI. As a useful exercise, the student may lay bare the roots of the 7th, 8th, 9th, and 10th spinal nerves as directed in Chap. XXXII., the medulla having previously been divided. Let him now divide the posterior root of say the tth nerve, and determine on what parts of the skin the acid papers may be placed without producing reflex actions. In this way he may ascertain the distribution in the skin of the sensory fila- ments of that nerve ; and in the same way with the other nerves. 412 REFLEX ACTIONS. 068. XIT. Having divided the medulla, make a tran verse incision over the spine a little below the level of the fore limbs (fig. 2C>C), line c-d) cut through very carefully a vertebral arch on each side of the middle line and remove the piece. With a sharp-pointed scalpel, the spinal cord may be divided right across. After the shock has passed away, it will be found that reflex actions xmxy be called forth in the fore limbs by stimulating the skin of the fore limbs or of the fore part of the body, without any movement whatever being produced in the hind limbs ; and vice verm. By the operation, the body hns be- come divided into two segments, which, as' far as all reflex actions are concerned, are quite independent one of the other. Sometimes, when the movements of one segment are very violent, the other segment becomes displaced, the displace- ment serves as a stimulus, and a reflex action is thereby indi- rectly brought about. But this will not be confounded with direct reflex actions, which can only be called forth by stimu- lating the respective segments. Obs. XIII. In any of the above frogs which have shown good reflex actions, destroy the spinal cord entirely by thrust- ing a wire or blunt needle down the spinal canal. All reflex actions will at once and for ever cease. Obs. XIV. The orderly and purposeful character of reflex actions may be modified by the action of certain poisons, more particularly by strychnia. Having divided the medulla in a frog, suspend the animal as in Obs. III. and determine the readiness with which reflex action is produced by mechanical stimulation. This may be taken as a measure of the reflex excitability of the spinal cord (the acid method being unsuitable in this case). Introduce into the back of the frog a ^oVff or Wott °f a grain of strychnia sulphate and determine again after a short interval the effects of mechanical stimulation. They will be found to be increased, i. e., the reflex excitability has become heightened. Now inject a larger quantity of the poison, and in a very short time a very marked change becomes obvious. The movement resulting from the stimulus is no longer a simple movement, for instance, a simple withdrawal of the foot, but a tetanic extension of the leg, which becomes more and more violent and prolonged. Soon each application of the stimulus will give rise to a prolonged tetanic movement which is no longer confined to the limb, or even to the side stimulated. The hind limbs are forcibly extended, the fore limbs bent over the sternum, and every muscle of the trunk is thrown into a state of prolonged tetanic contraction. BY DR. MICHAEL FOSTER. 413 After a while these contractions pass off and the body and limbs become once more relaxed. With each application of the stimulus the same tetanus of the whole body is called forth, no matter to what part of the body the stimulus be applied, or what be the character of the stimulus. The purposeful nor- mal reflex actions are lost in a complete spasm of the whole body. It is possible to conceive that this result might be brought out by an abnormal intensity of the impulses generated in the afferent nerve by the stimulus, or by an abnormal irrita- bility of the total muscular system, or by an abnormal condi- tion of the spinal cord. That the last and not either of the former two is the real cause, is shown by the following obser- vation. Obs. XV. In a frog with divided medulla, ligature the hind limbs, leaving the nerves free as directed in Chap. XXXI. for urari, and afterwards inject a small dose of strychnia. In spite of the absence of the blood-current in the lower limbs, the reflex actions will be as manifest in them, and as easily brought about by stimulating them, as under ordinary circumstances. But by the ligature the strychnia has been prevented from having access to either the sensory nerves or the motor nerves and muscles of the hind limb. Hence the tetanic character of the reflex actions produced in them must be due entirely to the changed conditions of the spinal cord itself. CHAPTER XXXIV. ON SOME FUNCTIONS OF CERTAIN PARTS OF THE ENCEPHALON. Most of the experiments illustrating this part of the sub- ject, like those having to do with the conduction of impulses through the spinal cord, are of a kind which the student can- not be expected to perform for himself, and are consequently not introduced here. Several observations, however, of a very instructive character may be made on the frog. The brain of the frog may be considered, for present physio- logical purposes, as consisting of three segments. We have first the medulla oblongata (fig. 296 M. 0), and small cerebel- lum c. next the optic lobes, L. Op., easily recognized in an operation by the pigment contained in their pia mater, and lastly, the cerebral hemispheres H. C lying over the corpora 414 ON SOME FUNCTIONS OF THE ENCEPHALON. striata, with the small optic thalami Th. 0 between them and the optic lobes. The position of the optic lobes pretty well corresponds to the hind part of the fron to-parietal bones, which are distinctly seen when the skin over the skull is removed. A transverse incision made through the skull with a narrow strong blade. in a line which runs as a tangent to the anterior borders of the membranse tympani, will separate the cerebral from the optic lobes. This may be done without removing even the skin. In most cases, however, it is better to remove the roof of the skull and to see the parts of the brain which are being operated on. The frog being placed under chloroform, make a longitudi- nal incision over the mid-line of the skull from behind the nose backwards, and convert it into a T incision by a trans- verse cut immediately behind the membranse tympani (fig. 266, e.f a b.). Hook back the flaps. With a pair of fine bone forceps or strong scissors cut right across the fronto-parietal bones where they overlap the ethmoid. Each bone may then be easily seized by its front end and torn away without any injury to the cerebrum below. That being done, the blade of a pair of scissors may be carefully slipped under eacli parietal bone close to its external border and the bone cut through. The bones may then be carefully seized at their front border with a pair of forceps, lifted up and torn away. If the blood- vessels at the side have been avoided, there will be but little bleeding, and what does occur will soon cease. The cerebrum may now be simply divided from the optic lobes by a trans- verse incision and removed. A better method, in order to prevent any injury to the optic nerves and optic thalami, is to cut across the cerebral lobes at their junction with the olfac- tory lobes, fig. 296 L. oh, to lift up their cut ends and so to remove them carefully, working gradually backwards. To separate the optic lobes from the medulla, nothing more than a simple transverse incision is necessary, taking care not to injure the cerebellum ; but it is as well to remove all the parts in front of the incision. The flaps of skin may then be brought together and united by a couple of sutures, and the animal left to recover from the operation. All plugging, etc., should be avoided. Obs. I. The phenomena of a frog when the animal possesses the medulla oblongata and cerebellum as well as the spinal cord, but all the rest of brain has been removed. The follow- ing facts may be observed after the animal has completely recovered from the operation, and should be compared with the phenomena of a frog possessing a spinal cord only. The attitude is completely normal, quite different from that BY DR. MICHAEL FOSTER. 415 of a frog possessing the spinal cord only. The head is well raised on the fore limbs. Respiration goes on in an almost normal manner. If left to itself, and protected from all external stimuli, the animal will remain perfect^ motionless. For some little time after the operation has been performed, movements apparently voluntary, that is, occurring without any obvious cause, are frequently witnessed. These, however, generally cease after a little while, and if the animal lives long enough for the wound to heal, entirely disappear. The animal will not feed of itself. Flies, worms, etc., may be placed close to it, and even introduced between the teeth, without any notice being taken of them. If, however, the mouth be opened and a morsel be introduced into the pharynx, it is swallowed. In this way the animal may be kept alive for an indefinite period, being fed on pieces of worm or flesh ; frog's flesh does very well ; care must be taken not to introduce too large pieces, and not to feed too often. If the skin round the anus be pinched, the animal does more than simply kick out its hind legs : it leaps forward, often repeating the leap several times, and springing forward a con- siderable distance ; sometimes it crawls instead of leaping, and not unfrequently does both. If placed on its back, it imme- diately turns over again to its normal position. This it does instantly and with vigor. It has to be held down forcibly in order to keep it on its back for any length of time. If thrown into a basin of water, it at once begins to swim, and continues swimming about with considerable energy till it finds some resting-place. Having found a suitable support, it crawls upon it, and assumes the normal attitude, and there remains motionless until again disturbed. If the cerebellum be removed, all these movements and habits become much impaired, much feebler, and less striking; or may (with the exception of the respiratory movements) be wholly absent, but it is difficult to remove the entire cerebellum without injury to the medulla. Hence the share taken bjT each organ in keeping up these powers of executing complicated movements cannot be readily ascertained. The above facts all point to the existence in this part of the brain of some mechanism connected with the co-ordination of movements. The crawling, leaping, swimming, and turning over on to the belly all demand a more complex nervous machinery than is needed for the purely spinal reflex actions, intricate as many of these are. The persistence of what we have called the normal attitude is very remarkable. Strictly speaking, the natural frog varies its attitude constantly, but its most common posture, the one into which it naturally falls when at rest, is the one we have 41G ON SOME FUNCTIONS OF THE ENOEPHALON. described. This attitude is the one to which the frog with cerebellum and medulla clinga most rigidly, to which it always returns after being disturbed, and in which it eventually dies if left alone and not fed. Obs. II. Influence of the presence of optic l<>l,r.<, — Remove the parts in front of the optic lobes as directed ; the best re- sults are obtained when the animal is allowed to remain per- fectly quiet for a day, or for several hours at least, after the operation. All the facts mentioned in Obs. I. may also be observed in this case ; in addition, there are certain phenomena which are only witnessed when the optic lobes are present. Goltz's Balancing Experiment. — Place the frog on a rough board (about eight or nine inches square), somewhat near to one of the edges. Hold the board horizontal, and the frog will remain motionless in the normal attitude. Tilt the board gradually up, with that edge uppermost which is farthest away from the frog, and towards which he should be looking. Up to an angle of about 45° and beyond no change will be observed in the frog. As soon, however, as the board becomes so much inclined that the centre of gravity of the frog is thrown outside the lower edge, the frog will begin to creep up the board. As the inclination proceeds, the frog moves higher and higher up, until, wdien the board at last becomes vertical, the frog will be found seated in the normal attitude, on the upper edge. On continuing the movement of the board, so that what was the upper surface becomes the lower, the frog will move from the edge downward over the now upper surface ; and when that surface, by the continuance of the revolving motion, again becomes inclined upward, will again creep over it as before towards the new upper edge. Evidently here the disturbance of the centre of gravity pro- duces such an effect as to give rise to movements which are directed towards the re-establishment of equilibrium, and which are continued until that result is achieved. At first sight this may appear very much like an act of conscious intelligence, but if the student carefully observes the different behavior of an entire frog and of a frog in this condition, the contrast between the two will be found very striking. This frog does nothing but crawl, and stops crawling as soon as the stimulus of the disturbed equilibrium passes away. When the experiment is successful, he remains perched motionless on the edge of the vertical board, and never leaps away. The entire frog leaps away at once. Goltz's Croaking Experiment. — Place the frog on the table, and with the thumb and forefinger gently stroke down the flanks on either side. A little very gentle pressure must be ex- ercised. As the thumb is thus carried backward along: the BY DR. MICHAEL FOSTER. 417 sides of the animal, he will utter a single distinct, sharp, short croak, and as often as the movement is repeated the croak will be heard. This again is very different from the behavior of the entire frog. The entire frog, when thus stroked, may or may not croak; for a single stroke he may croak several times, or not at all. The frog without the cerebral hemispheres, but posses- sing the optic lobes, and otherwise in good condition, croaks at every stroke, and croaks once only for each stroke. One seems driven to regard this behavior as the result of a, so to speak, croaking mechanism ; and not as the act of a con- scious intelligence. Obs. III. The cerebral hemispheres having been carefulby re- moved, in such a way as to leave intact the optic nerves, the student may attempt the following experiment of Goltz to test the persistence of any visual sensations. Place the frog on the table, with his head towards the window, and some six or eight inches in front of him place a large book, or other thoroughly opaque mass. Gently pinch him behind, in any spot which is exactly in the median line of his body. Under ordinary circumstances, he would spring for- ward in a straight line, and, in the absence of all vision, would strike his head against the book. It will be found in this case, however, if the experiment be successful, that instead of spring- ing forward in a straight line, he turns a little to the right or to the left, so as to avoid the book. If he turns to the left, shift the book to the left and then repeat the experiment. He will now move in a straight line or to the right. In the same way, if the book be to the right he will incline to the left. The student will do well to try this experiment, but it fre- quently fails. Care should be taken to have the light coming into the room as directly in front of the animal as possible, in order to exaggerate the shadow cast by the book. Apparently the image of the opaque book produces some sort of visual im- pression sufficient to guide the movements of the animal. But it would be hazardous to say that the animal sees, for it is diffi- cult, or rather impossible, to obtain any other evidence of the influence of vision in a frog in such a condition. These observations arc; introduced to illustrate the fact that, in the absence of the cerebral hemispheres, whether the optic lobes be present or no, the frog possesses no volition. He exe- cutes none of those so-called spontaneous movements which we are in the babit of attributing to volition. This leads us to infer the absence of at least that amount of consciousness which we find inseparably connected with volition. At the same time, we learn that the presence of certain parts of the brain lying behind the cerebrum, determines the nature of the movements 27 418 ON SOME FUNCTIONS OF TIIE ENCEPIIALON. which arc called forth by external stimuli, rendering them very complicated and delicate, especially giving them features which cause them closely to resemble ordinary voluntary movements, and suggesting the idea of intricate arrangements within certain parts of the brain, of afferent (including nerves from the sense organs) and efferent nerves and nervous centres, winch maybe set into action by volition on the one hand, or by some external stimulus on the other. Obs. IV. Inhibitory Influence of parts of the Brain over the Reflex Actions of the Spinal Cord. The reflex actions of the cord much more readily occur, and are much more vigorous and complete, in the absence than in the presence of the brain. The brain, therefore, must in some way or other prevent reflex actions. Irritation of the optic lobes. — Having prepared a frog, as in Obs. II. etc., ascertain the intensity of the reflex activity by the sulphuric acid method. (Chapter XXXIII., Obs.'YI.). Touch with a small crystal of sodium of chloride, or with the point of a brush dipped in saline solution, the cut surface of the optic lobes and determine, after a few seconds before con- vulsions, which may occur, have set in, the duration of the interval between the exposure of the foot to the acid and its withdrawal. It will be found to be greatly prolonged. In other words, irritation of the optic lobes has interfered with, or partially inhibited, the reflex action of the eord. If the optic lobes be removed, and the medulla irritated instead, the result will be much less marked. Obs. V. Having prepared a frog with optic lobes, and deter- mined the reflex interval as above, inject into the back \ grain of quinine sulphate, and determine the interval again from time to time. It will be found to be much prolonged. Having prepared a frog with divided medulla (Chapter XXXIII.), and determined the duration of the reflex interval, inject the same quantity of quinine, and again determine the interval as before. No prolongation of the interval will be ob- served. These results may be explained bj* supposing that the quinine is unable to act directly on the reflex activity of the cord, but is able either to stimulate an inhibitory mechanism in the brain, or at least to affect the brain in such a manner as to interfere with the reflex actions of the cord. Obs. VI. Removal of the Cerebral Hemispheres in the Bird. — Select a vigorous pigeon, so young as to be just able to fly well. Keep it on dry food for a few days, in order to avoid an excess of bleeding. Having placed it under chloroform, using as little chloro- form as possible, make an incision in the median line over the roof of the skull, and hook back the two flaps of skin. The thin skull may now be easily cut through with a pair of scis- BY DR. MICHAEL FOSTER. 419 sovs. and the roof removed. Without waiting to stop the bleeding, draw the cerebral hemispheres gently forward, and cany a traverse incision from side to side with a blunt- pointed bistoury through the brain in front of the corpora bigeminal, and with a narrow spatula remove the hemispheres en masse from behind forwards. Place the animal on a perch, and leave it to itself. Do not attempt to plug or staunch the bleeding ; a clot will soon form and serve as the best protec- tion against further bleeding. Postpone putting sutures into the flaps of skin until the bleeding has wholly ceased. If it be desired to keep the animal alive for any length of time, it will be as well to allow it to remain perfectly quiet for some time after the operation, avoiding all observations and experiments upon it. Only on the second or third day begin to feed it gradually with a few grains of softened barley or of rice. Otherwise, observations may be begun as soon as the bleed- ing has ceased. The bird so deprived of its cerebral hemispheres (together with its corpora striata and optic thalami), if placed on the finger or on a perch, will settle itself in a balanced position, and remain thus for an indefinite period motionless, or all but motionless, except as far as the breathing is concerned. It seems to be plunged in the most profound sleep, with the head drooping and the ej'elids closed. If irritated, it appears to awake; it opens its eyes, raises its head, and more or less opens its wings, and otherwise moves its bod}' or limbs. If, while in a state of complete rest, perched on the fore- finger, the finger be gently revolved, so as to throw the centre of gravity outside the finger, the wings will immediately spread out as if for the act of flight. If thrown into the air, it will actually fly for some little dis- tance, eventually settling down into its lethargic but balanced condition. If in its flight it meets any objects it blindly strikes against them. For a detailed description of the phenomena exhibited by such a bird, see Flourens's Systome Nerveux, p. 123. 06*. VII. Removal of the Cerebral Hemispheres in the Mam- mal.— A young rabbit, about two months old, is the most suit- able animal to operate upon. It should be fed for some days previouslj- on dry food. The method of operating is very much the same as in the bird. Fasten the animal on a Cer- mak's rabbit-holder (Fig. 204), which should be raised at an angle of 60° or so, in order that the head may be as high as possible, and, consequently, the bleeding diminished. The removal of the roof of the skull will be facilitated by first making a small hole in each parietal with a trephine about a 420 ON SOME FUNCTIONS OF THE ENCEPIIAL0N. third of an inch in diameter, and thou slipping the blade of the scissors from one hole to the other between the bone and the dura mater, and cutting the bone through. The rest of the roof may then be removed piecemeal. Carefully avoid wound- ing the venous sinuses, and carry the operation through as speedily as possible. The amount of ether or chloroform given should be no more than is absolutely necessary just to send the animal off. Previous ligature of the carotid does very little good, and only complicates the operation. The animal will not survive the operation very long, but for several hours after the operation the phenomena of complicated movements consequent on stimulation, with total absence of volition, may be witnessed as in the bird and in the frog. Obs. VIII. Division of the Semi-circular Canals. — This is best performed on the bird, ex. gr., a young pigeon'. The stu- dent should first make himself acquainted with the position and relation of the ganals in a dead bird. Make a vertical incision along the back of the head, hook back the flaps of skin, scrape away the insertion of the muscles of the neck, remove the outer tablet of the diploe of the skull behind each ear, and pick away in minute pieces with a small pair of forceps the cancellous bone, embedded in which the hard bony canals will then easily be found. Having thus determined their exact position in the dead bird, the student will find no great difficulty in reaching them by a similar proceeding in the living bodj'. Having found them, cut one o,r, better still, two on each side right through with a pair of small but strong scissors. The bleeding, which is generally excessive, may be staunched by styptics. Immediately after the operation, and for an indefinite time afterwards, the bird exhibits the utmost disorder in its move- ments. Though able apparently to move each and every mus- cle of its body, it has completely lost the so-called co-ordina- ting power. For a particular account of this condition, see Flourens's Systeme Kerveux, p. 454, and Goltz Pfluger's Archiv. Vol. III. p. 172. PHYSIOLOGY. PART III -DIGESTION AND SECRETION. WITH INTRODUCTORY CHAPTERS ON THE ALBUMINOUS COMPOUNDS, AND ON THE CHEMISTRY OF THE TISSUES. By Dr. LAUDER BROTTOK CHAPTER XXXY. ALBUMINOUS COMPOUNDS. Section 1. — Properties of Albumin. 1. Albuminous bodies occur in all the tissues of the higher animals, and form the chief part of their bulk. They derive their name from white of egg, which may be taken as a t3rpe of the group, and they all resemble one another very closely, both in properties and composition. They contain 52.7-54.5 per cent, of carbon, 6.9-7.3 per cent, hydrogen, 20.9-23.5 per cent, oxygen, 15.4-16.5 per cent, nitrogen, and 0.8-1.6 sulphur. In the body they occur partly in a solid form and partly in solu- tion. The herbivora derive them from vegetables in which they are contained, and the carnivora from the animals on which they feed. They do not diffuse, and only a small part of the albuminous matter taken as food passes through the walls of the alimentary canal into the circulation unchanged. The greater portion is converted into diffusible bodies nearly allied to albumin, called peptones, which are readily absorbed. The organism not 011I3' possesses the power of transforming albuminous bodies of one kind into those of another, so that, e. fj., the casein of milk is converted into the muscles of the sucking infant, but of combining them with other substances, BO as to form such compounds as the haemoglobin of blood, and of altering them in such a way as to obtain from them the so- 4-2:2 ALBUMINOUS COMPOUNDS. called albuminoids of which connective and elastic tissue, carti- lage, and epithelium are composed. Alter serving their purpose in the organism, the}' are ex- creted, not, however, in the form of albumin, but in that of urea. It is extremely improbable that they are converted di- rectly into urea, but rather into leucine and tyrosine, uric acid, kreatin and [creatinine, and other substances, from which urea is produced by further decomposition. Lately, some have seemed inclined to put forth the opinion that peptones, after their absorption, instead of being raised again to the rank of albuminous bodies, undergo still further decomposition, and yield hydro-carbons, which serve as fuel to the body, and nitro- genous substances, which are rapidly converted into urea and excreted, while the waste of the tissues proper is supplied by albumin absorbed as such from the alimentary canal (Fick). * * 2. Preparation of a Solution of Albumin to be used in testing. — Egg Albumin. — In order to get a solu- tion of albumin for examination, pour the whites of two or three hen's eggs into a beaker, and cut them up with a pair of scis- sors, so as to liberate the albumin from the network of line mem- branes in which it is inclosed ; stir the viscous fluid vigorously with a glass rod, and then press it through a piece of linen. Mix it with an equal quantity of water, allow it to stand at rest for some time, and then filter it. It passes very slowly through the filter and chokes it very quickly. Several small filters should therefore be used in preference to one or two large ones, and they should be changed as soon as they get choked. The filtration should also be quickened by the use of the air-pump (see Appendix, § 211). This filtrate contains inorganic salts as well as albumin, but it will serve perfectly well to show most of the properties of albumin. For some purposes, however, serum albumin is to be preferred (.see § 18). * 3. Preparation of Pure Albumin. — If pure albumin is wanted, it may be prepared by separating the inorganic salts from it by dialysis, and this operation is also useful in showing that albumin does not diffuse. Before subjecting the diluted and filtered albumin to dialysis, it is advisable to concentrate it by evaporation at 40° C, so as to quicken the diffusion of the salts. Then place the concen- trated liquid in a dialyser (App. § 212), and let it remain over distilled water. Change the water every six hours, till the water no longer gives a turbidity with silver nitrate. As sodium chloride is the chief salt contained in the egg albumin its ab- sence in the ditfusate may be regarded as a sign that the albu- min is free from all salts which diffuse. The vessels used must be perfectly clean, and the distilled water tested beforehand, as this test is very delicate. The albumin still retains a certain BY DR. LAUDER BRUNTON. 423 proportion of inorganic salts, but there is no way known of removing them without completely altering its constitution. 4. Preservation of Albumin. — If kept in solution, albumin will quickly decompose, and it is inconvenient to prepare it from eggs every time that a solution is required. It may. however, be preserved for a long while by evaporating the solution to dryness at 40 c C. (see App. § 208). The dry albumin forms a j-ellowish transparent glassy substance, which may be kept in a stoppered bottle, and dissolved as required. 5. Serum Albumin. — Preparation: Add very dilute acetic acid, drop by drop, to serum of blood or hydrocele fluid, stirring it constantly all the time, till a flocculent precipitate is produced. Filter. Add a dilute solution of sodium carbo- nate to the filtrate till it is nearly neutralized ; evaporate it to a small bulk at 40° C. ; separate the salts by diffusion, and evaporate the solution at 40° C. to dryness, in the same way as directed for egg albumin. It still contains small quantities of salts, but it is almost impossible to separate them from it. 6. Differences between Serum Albumin and Egg Albumin. — Serum albumin agrees with egg albumin in most of its characters, but it differs from it in the following re- spects:— 1. Its solutions are not coagulated by ether. 2. It is more easi^ precipitated from its solution by hydro- chloric acid. 3. It dissolves more readily in concentrated nitric or hydro- chloric acid, and the precipitate thrown down by dilution from the solutions in these acids, as well as that thrown down by these acids from solutions in other menstrua, is readiby and completely soluble in the concentrated acids, while the pre- cipitate of egg albumin is not. When injected under the skin of an animal it does not appear in the urine, while egg albumin does so either when injected under the skin or introduced in large quantities into the stomach or rectum (Stockvis). * 7. Solubility of Dry Albumin.— In testing the solu- bility of albumin or other substances to be afterwards men- tioned, they ought first to be pulverized and then agitated or stirred with the liquid. If the powder runs into masses, these ought to be broken up with a glass stirring rod ; this ma}' be done much more easily if the rod is very thick or has a bulb- ous end. If simple agitation or heat suffices to dissolve a substance, it may be placed in a test-tube, but if it requires stirring it should be put in a test-glass (as the rod is apt to break the tube), and afterwards transferred to a tube if heat is to be applied. The fact of a substance being soluble in a liquid is ascer- 424 ALBUMINOUS COMPOUNDS. tained by the quantity which was at first put in becoming gradually less, and finally disappearing. When it is only sparingly soluble no diminution in the substance may be observable, and the liquid is then to be decanted or filtered off, and something added or done to it which will indicate the presence of the substance, if any has become dissolved. It is sometimes more convenient, especially when alcohol and ether are employed as solvents, to evaporate the filtered liquid to dryness, and see whether it leaves any residue or not. Pulverize a little albumin in a Wedgwood mortar. Put a little of it in several test-tubes, and test its solubility in the following reagents: — fl. Water: The albumin will dissolve, and may be shown to be present in solution by boiling, when it will be precipi- tated. f 2. Liquor Potassse : The albumin will dissolve, and may be precipitated from the solution by neutralizing. 3. Alcohol. 4. Ether : The albumin does not dissolve either in alcohol or ether. The clear liquid, when filtered and evaporated, will leave no residue. f 5. Acetic Acid dissolves albumin. On adding potassium ferrocyanide to the solution, a precipitate falls. fO. Concentrated Hydrochloric Acid: The albumin dis- solves, and the solution gradually becomes blue, then violet, and, lastly, brown. Test this with one portion at the tempera- ture of the room, and with another heated over a spirit-lamp. The same changes will occur in both, but much more quickly in that which is heated. A precipitate falls when either solu- tion is neutralized. 7. Concentrated Sulphuric Acid : The albumin dissolves, and more quickly if heated. 8. Concentrated Nitric Acid : The albumin dissolves, form- ing a yellowish solution. When boiled it dissolves more quickly. When the solution is allowed to cool, and ammonia added to it, it becomes orange colored. ** 8. Coagulation of Albumin. — One of the most re- markable properties of albumin is its precipitation from neutral solutions as an insoluble coagulum by boiling. In heating albuminous solutions care must be taken not to hold them too near the flame, and also to shake or stir them about, as otherwise the coagulum sticks to the tube and be- comes burnt, and the test-tube cracks. Boil a watery solution of albumin in a test-tube; a coagulum separates. Alkali ajypears to be set free during Coagulation. — Add a few drops of neutral solution of litmus to a solution of albumin and boil. The color will become more decidedly blue. BY DR. LAUDER BRUNTON. 425 Circumstances ivhich influence Coagulation. Temperature at ivhich Coagulation occurs. — Although solutions of albumin are generally boiled in order to produce coagulation, it takes place much below the boiling point. The temperature at which it occurs sometimes serves to separate albuminous bodies which could not otherwise he distinguished (see § 60). The method of ascertaining it is as follows : Put some aqueous solution of albumin in a test-tube; place it along with a thermometer in a beaker containing water, and apply heat very gradually till coagulation begins to take place and the solution grows milky from the formation of a precipitate. Then note the tempera- ture of the water. If the liquid is heated over a naked flame, it cannot be so equally and gradually warmed throughout, nor the temperature at which coagulation occurs so accurately ascertained. Effect of Acids and Alkalis on the Temperature of Coagula- tion.— The addition of very dilute acetic or phosphoric acid causes coagulation to take place at a lower temperature. The addition of a very little sodium carbonate pi'events coagulation from taking place till the solution has been raised to a higher temperature than is necessary in neutral solutions. A large quantity will prevent it altogether. Put some albumin solution into three test-tubes, acidulate one slightly with very dilute acetic or phosphoric acid, add to another a drop or two of a solution of sodium carbonate, and keep the third without any addition, for the purpose of com- parison. Put a drop or two of litmus solution into each, so that they may be distinguished by their color, or attach a small label to each. Place all three in a beaker, and warm them as in the previous experiment. As the temperature rises coagu- lation Avill occur, first in the acid, next in the neutral, and lastly in the alkaline solution. Effect of neutral Alkaline Salts on the Temperature of Co- agulation.— The addition of neutral alkaline salts, such as sodium chloride or sulphate, to a solution of albumin causes it to coagulate at a lower temperature than it would otherwise do. The salts produce this effect in neutral, in acid, and in alkaline solutions of albumin. Repeat the previous experiment, dividing each solution into two parts and adding to one of them some saturated solution of sodium sulphate. In each case coagulation will take place at a lower temperature in the solution to which the salt has been added than in the corresponding one to which no addition has been made. As the acetic acid alone lowers the temperature of coagula- tion, and the addition of neutral salts does so still further, the solution to which both have been added will coagulate first. J5y adding a large quantity of the salt and of acetic acid coagu- 426 ALBUMINOUS COMPOUNDS. lation may be produced at a temperature between 20° C. and 30° C. (Hoppe-Seyler). f Coagulation is not due to heat alone, but to the presence of Water. — Take some perfectly dry albumin, put it in a test-tube, cover the mouth of the tube and plunge its lower end into boiling water. Keep it there sufficiently long to be certain that the albumin has been heated to 100° C. Take it out, let it cool, and then add water to the albumin. It will be found solu- ble. Plunge the tube a second time into the boiling water, and the solution will be coagulated. ** 9. Precipitation of Albuminous Bodies. — Though the action of the following reagents may be conveniently tried with a solution of egg albumin, their power of precipitating albumin is not limited to that obtained from eggs, but extends equally to all other albuminous bodies. Take a solution of albumin in water, put some of it into ten test-tubes and add the following reagents. They all precipitate albumin. fl. Concentrated nitric acid. 2. Concentrated lrydrochloric acid. 3. Concentrated sulphuric acid. f4. Acetic acid, or a little hydrochloric acid, and afterwards a solution of potassium ferrocyanide. 5. Acetic acid and a considerable quantity of a concentrated solution of sodium sulphate. [Other neutral salts of the alkalis or alkaline earths as well as gum arabic or dextrin have a simi- lar action to sodium sulphate.] 6. Basic lead acetate. 7. Mercuric chloride. 8. Tannic acid. 9. Powdered potassium carbonate thrown into the solution till it is almost saturated. 10. Alcohol. ** 10. Detection of Albumin. — The three tests ordina- rily used to detect the presence of albumin in a fluid are 1st. Its precipitation when boiled and acidulated with nitric acid. 2d. Its precipitation by acetic acid and ferrocyanide of potassium. 3d. Its precipitation when boiled with acetic acid and a strong solution of neutral salt. The student should first try these tests with a solution known to contain albumin, so as to become familiar with tlu2tn, and afterwards with a solution which may or may not contain it. 1. Put some of the fluid in a test-tube and heat it over a spirit-lamp or Bunsen's burner till it boils. Add a drop or two of nitric acid so as to give it a most distinctly acid reac- BY DR. LAUDER BRUNTON. 427 tion. If a precipitate is formed by boiling and is unchanged by the nitric acid, or if one forms after the addition of the acid, the fluid contains albumin. The acid is added for two reasons, (a) To dissolve any substance which might be present in the solution, and being precipitated by boiling might simulate albuminous coagula- tion. Such substances are calcium phosphate which is present in human urine, and calcium carbonate in the urine of herbi- vora. As this test is very frequently used for detecting albu- min in urine, these substances might very easily lead to error. Albumin which has been coagulated b}r heat is not soluble in nitric acid, and if the precipitate produced in the fluid by boiling disappears on the addition of acid, no albumin is present. (b) To neutralize alkali which might hinder the albumin from being precipitated by boiling. Take some solution of albumin in water, add a few drops of liquor potassoe and boil. No precipitate occurs. Add one drop of dilute nitric acid — any precipitate which forms disap- pears on shaking the tube. Add sufficient to make the fluid very distinctly acid, and a permanent coagulum will he pro- duced. The quantity of acid added must therefore not be too small, or some albumin may remain in the solution. Some- times, instead of using nitric acid, the fluid is kept boiling, and acetic acid added very gradually till the fluid is neutral. Unless very great care is taken to neutralize the fluid exactly, this method may fail, for if an excess of acetic acid be added it will retain the albumin solution. If neutralized exactly, the albumin will be precipitated, and may be separated from the fluid by filtration. 2. Acidulate the fluid strongly with acetic acid, and then add several drops of a solution of potassium ferrocyanide. If albumin be present, a white flocculent precipitate will occur. 3. Add acetic acid to the fluid till it is very distinctly acid, mix it with its own volume of a strong solution of sodium sul- jmate, and heat to boiling. If albuminous bodies are present, a permanent precipitate will be formed. This last method enables us not only to discover albumin when present, but to separate it from the solution, so that tests for other substances, such as sugar, with which the pres- ence of albumin would have interfered, may then be applied to it. 11. Separation of Albuminous Bodies from other Substances in solution. — 1. The usual way of separating albuminous bodies from solutions is by boiling, so as to coagu- late the albumin. If the solutions are already acid, they are boiled without adding anything, but if not, a little dilute 428 ALBUMINOUS COMPOUNDS. acetic acid is to be added before boiling, excess being carefully avoided. 2. If complete coagulation is not produced by boiling with acetic acid alone, an equal volume of concentrated solution of sodium sulphate may be added, and the liquid again boiled. ** 12. Tests for traces of Albumin in solution. — 1. Caustic Potash and Copper Test. — It is advisable, before try- ing this test, which is also used for the detection of sugar, to become acquainted with the reaction presented when a caustic alkali is added to a solution of cupric sulphate, and the mix- ture heated without any foreign substance being present in the solution. Put a little distilled water into a test-tube, with a drop or two of a dilute solution of cupric sulphate. Pour into it some liquor potassa?, and a light blue precipitate of hydrated cupric oxide will be thrown down. Boil the liquid, and the blue precipitate will be converted into a black powder, which is anhydrous cupric oxide. If it is gently warmed, in- stead of boiled, the powder will be dark brown. The hydrated cupric oxide is not soluble in excess of ordi- nary liquor potassa?, but is slightly soluble in very concen- trated solutions of potash, and imparts to them a light blue color. The presence of certain organic substances renders hydrated cupric sulphate soluble in weaker alkaline solutions. Put some water and cupric sulphate solution in a test-tube ; add a small crystal of tartaric acid, or a few drops of its solu- tion, and then liquor potassa?. Either no precipitate will form, or it will redissolve, and, on shaking the tube, the liquid will become of a bright blue color. Boil it: no precipitate will fall, and no change in the color will take place. Application of this Test to Albumin. — Put some solution of albumin in a test-tube ; add a drop or two of cupric sulphate and liquor potassa? ; an excess of liquor potassa? does not inter- fere with the reaction. Either no precipitate will fall, or it will be dissolved on shaking the tube, the liquid assuming a violet color. Boil it. No precipitate falls, but the violet color will become deeper. ** 2. Xanthoprolein Reaction. — Add to the fluid some con- centrated nitric acid, and boil. Let the liquid cool, and then add a little ammonia. If albumin is present, an orange color will be produced. This is one of the most delicate tests for albuminous substances. ** 3. Millon's Reaction.— KM to the fluid a little of Mil- Ion's reagent and heat. If albumin be present in considerable quantities, a white precipitate will fall and become red on heat- ing ; if only a trace be present, the fluid will become red. The red color is produced even at ordinary temperatures, but it is increased by heating. To prepare Millon's reagent take two beakers, one of which BY DR. LAUDER BRUNTON. 429 may be considerably larger than the, other ; place one on each pan of a pair of scales, and add shot or weights to the pan containing the lighter beaker till the other is counterbalanced. Four into the smaller beaker a little mercury, and into the other the same weight of nitric acid (sp. gr. 1042). Dissolve the mercury in the nitric acid at first without, and afterwards with gentle warmth. Pour the solution into a graduated glass measure, and add to it twice its volume of water. Let it stand for some hours, and then decant the fluid from the crystalline deposit. Section II. — Alteration of Albumin by Alkalis. Ew albumin is converted into alkali-albuminate when it is CO dissolved in caustic potash or soda, or when they are added to its solutions. Alkali-albuminate is the substance first described b}' Mulder under the name of protein. He considered it to be the essential part of all albuminous bodies, and regarded them as compounds of it. Albuminous bodies are not converted immediately into alkali albuminate, but they undergo this change when allowed to stand with caustic alkalis, and it is greatly accelerated by the application of heat. Alkali albuminate is not coagulated by heat. It is soluble in weak alkalis. It is precipitated when the alkaline solutions are neutralized by acids. It is soluble in very dilute acids, especially hydrochloric acid, and when the acid is added in excess to an alkaline solution, the precipitate which was thrown down by its neutralization is again dissolved very readily by the acid. When the acid solution is neutralized by an alkali the albumin is again precipitated. If the alkali albuminate is precipitated by neutralization, and the precipitate immediately dissolved in acid, it is quickly converted into syntonian. If it is precipitated, and allowed to stand for some time, it will still be dissolved by dilute acids, but not so readily as immediately after precipitation, and it must be warmed with them to 60° C. in order to convert it into syntonian. If alkaline phosphates are present in the solution, alkali albuminate is not precipitated by neutralization. When just sufficient acid has been added to a solution of alkali albumi- nate to convert the basic phosphate into acid phosphate, the slightest excess of acid, or even C02 will produce a precipitate. In studying the action of alkalis on albumin, it is as well to begin with their action on solution of albumin, and afterwards to examine the solid alkali albuminate. ** 13. Alkali Albuminate. — Dissolve some albumin in water in a beaker ; add to it a few drops of liquor potassaj, and 430 ALBUMINOUS COMPOUNDS. put a little of the mixture into four test-tubes. The, Alkali Albuminate is not formed immediately. — To the solution in the first tube add a drop of watery solution of litmus (see App. § 217). Then add very dilute acid till the blue color of the litmus begins to change to red. No precipitate, or only a very slight one, will take place. Boil the neutral liquid ; a precipitate is produced showing that much unchanged albumin is still present. If a precipitate falls, the presence of much unchanged albumin may still be demonstrated by filtering and boiling the filtrate, or adding tannin to it, when a precipitate will be produced. It is quickly formed when heat is applied. It is not coagulated by boiling. Gently warm the fluid in the second test-tube till it boils ; no precipitate forms. Let it cool, add a drop of litmus to it, and neutralize. Just when the blue begins to change to red the fluid will become turbid from the precipitation of the alkali albuminate. Let the pre- cipitate settle, and filter the fluid. Boil the filtrate ; no pre- cipitate is formed, showing that the whole of the albumin has become insoluble in water, and has been precipitated b}' neu- tralization. It is soluble in dilute acids. Warm and neutral- ize the solution in the third tube as in last experiment, then add an excess of hydrochloric acid to the neutralized solution, and the liquid will again become clear. On neutralizing the solution a second time the precipitate re-appears. It is formed at ordinary temperatures, but more slowly. Let the solution in the fourth tube stand for some time, and then neutralize it. The precipitate will be greater than in that which was neutral- ized immediately after adding the potash. Filter and test the amount of albumin in the filtrate by adding tannin. It will vary, being greater or less, according to the shorter or longer time the solution has been allowed to stand. * 14. Preparation of Solid Alkali Albuminate. — a. From esrafs. Put the white of one or two esus in a beaker, cut it up with scissors and shake it vigorously with air in a flask until the membranes separate and come to the top with the foam. Filter it through a piece of linen. Add strong solu- tion of caustic potash to it drop by drop, until the whole mass becomes transformed into a stiff' jelly. Cut it into pieces about the size of a horse-bean and throw them into a large quantity of distilled water. Stir them round and round a few times and then pour off the water, keeping back the pieces bjr a piece of gauze stretched across the mouth of the beaker. Wash the albuminate with fresh water several times in order to remove the free alkali until the pieces begin to turn white at the edges and exhibit only a faint though distinct alkaline reaction. As the albuminate is soluble in water containing alkali, a good deal of it is lost in the process. When deprived BY DR. LAUDER BRUNTON. 431 of its alkali by prolonged washing or by soaking in dilute acids it forms 2)seild°fibrin. Like fibrin this substance is elastic, and it swells but does not dissolve in dilute hydro- chloric acid. Unlike fibrin it contains no ash, and when put into ln'drogen peroxide does not readily decompose it ; so that few hubbies of gas appear. b. From milk. Alkali albuminate may be prepared from milk by shaking with caustic potash and ether, removing the ether, precipitating the albuminate by acetic acid and washing the coagulum with water, alcohol, and ether. 15. Properties. — Boil some pieces of albuminate in water; it still contains alkali, and is soluble in boiling water, forming a feebly alkaline solution. Let it cool, divide it into several portions and apply the following tests : — 1. Pass CO., through the solution and a precipitate will fall. No precipitate is produced if the solution is strongly alkaline. 2. Add alcohol to the solution ; no precipitate is produced. 3. Add magnesium sulphate in substance till the solution is saturated. The albuminate will be precipitated. Calcium chloride will have the same effect. It is precipitated by metallic salts like other albuminous solutions. It is precipitated by neutralization, and behaves to alkaline phosphates like the solution of alkali albuminate prepared by heating solutions of albumin with potash. * It is not precipitated by Neutralization in presence of Alkaline Phosphates. — A very small quantity of acid is suffi- cient to give a distinctly acid reaction to a pure solution of alkali albuminate, but if sodium or potassium phosphate is present a considerable amount of dilute acid may be added to the liquid after the point of neutralization has been reached without given it a very distinctly acid reaction ; for the acetic acid and neutral phosphate react on each other, forming- sodium or potassium acetate and acid phosphate. Whenever the solution becomes distinctly acid, the albumin is precipi- tated, whether sodium phosphate be present or not. If suffi- cient acid has been added to convert all but a trace of the sodium phosphate present into acid phosphate, the further addition of C02will cause a precipitate. Heating the solution will also cause a precipitate, for it converts the acid phosphate into neutral phosphate, and by thus liberating free acid acts just as the addition of more acid would do. Put some solution of alkali albuminate into two test-tubes ; add solution of sodium phosphate to one of them, and color them both equally witli solution of litmus. Neutralize them both with very dilute acetic acid. Very little acid will neutralize the pure solution of albuminate, and the slightest excess will at once turn the litmus red. A 432 ALBUMINOUS COMPOUNDS. greater quantity may lie added to the other without turning it red. and till it turns red no precipitate will fall.1 16. Alkali Albuminate should contain no Sulphur. — The sulphur which is contained in albumin is said to he re- moved by the alkali used in converting it into alkali albumi- nate, and it therefore differs from casein and syntonin, in both of which sulphur is present. The presence of sulphur is thus tested: Put a piece of alkali albuminate into liquor potassa?, add a drop of solution of lead acetate and boil. The solution should not become brown, as it would do from the formation of lead sulphide, if sulphur were present in the alkali albumi- nate. The sulphur is, however, by no means always removed during the preparation, and it is very probable that a brown color will be got. Section III.— Alteration of Albumin by Acids. Acid Albumin or Syntonin. When a solution of albumin is treated with very dilute acids, or when solid albumin is dissolved in concentrated acids, it is converted into acid albumin, which is identical with syntonin, or, at any rate, appears to be so. Myosin, vitellin, and fibrin are quickly dissolved by dilute acids, and converted into syntonin. It is soluble in very dilute acids, but is insoluble in water, and it is, therefore, precipitated by neutralization. It is redissolved by excess of alkali, as it is soluble in alkalis and alkaline carbonates. Unlike alkali albuminate, its pre- cipitation is not prevented by the presence of alkaline phos- phates. It is not precipitated from decidedly acid solutions by boiling, but when the solutions are nearly neutralized, and only very faintly acid, boiling precipitates it. 1 It is usually stated that alkali albuminate is precipitated by neutral- ization. In the text I have made use of this expression, which is per- haps a convenient one, since the quantity of acid necessary to produce precipitation being extremely small and the precipitate soluble in excess, the direction to neutralize rather than to acidulate is more likely to lead to the desired result, I believe the student will readily convince himself that alkali albuminate is not precipitated from its solutions by exact neutralization, and is only thrown down when a slight excess of acid is present. I am inclined to think that the sodium phosphate acts simply by preventing the inadvertent addition of a slight excess of acid, which is extremely liable to occur in solutions of alkali albuminate, and that syntonin is precipitated by neutralization in presence of sodium phosphate, while alkali albuminate is not, because the point of slight acidity at which the albumin is precipitated is reached before that of neutralization in the former case, so that, before neutralization is effected, the albumin is thrown down ; while in the latter, the solution does not become acid, and the albumin is therefore not precipitated, till after neutralization. On this subject compare Rollett, Wien. Sitz. Ber. XXXIX. p. 547, and Molcschott's Untersuch, VII. p. 230, also' Soxhlet, Journ. f. pract. Chemie, N. F. 1872, VI. p. 1. BY DR. LAUDER BRUNTON. 433 ** 17. Preparation of a Solution of Acid Albumin or Syntonin. — Put some solution of albumin in water into a beaker and mix it with its own bulk of dilute hydrochloric acid (four cubic centimetres of strong commercial acid in one litre of water). Pour some of the mixture into several test- tubes. The dilute acid does not convert the albumin immedi- ately into syntonin. Add to the fluid in the first test-tube a drop of litmus solution, and then neutralize it exactly with dilute liquor potassae. Little or no precipitate will fall. If any should be produced, filter, and boil the filtrate or add tan- nin to it. A copious precipitate will appear, showing that there is much albumin in the solution. The prolonged action of the acid converts it into syntonin, which is precipitated by neutralization. Let one tube stand for some hours, and then examine it, or prepare it some hours before, and examine it at the same time as the rest. Put a drop of litmus into it, divide the liquid into two parts and then neutralize one part exactly. The whole of the albumin will be precipitated from the liquid. To show this, filter and boil the filtrate; no precipi- tate will be produced. Acid albumin is not precipitated from acid solutions by boiliyig. Boil the other part of the liquid. The albumin in it has been already shown to be converted into syntonin. No coagulation will occur. The formation of acid albumin is accelerated by heat. Warm a test-tube containing albumin solution mixed with acid gently to boiling. Add a drop of litmus solution, and neutralize. The albumin will be completely precipitated, and the solution, when filtered, will give no precipitate on boiling. f Syntonin is precipitated from its solutions by neutraliza- tion, even though alkaline phosphates be present. Repeat the last experiment, adding a little sodium phosphate before neutralizing. The S}rntonin will be precipitated as before. ** 18. Behavior of Syntonin with Acids. — Syntonin is solnble in concentrated mineral acids ; it is insoluble in them when they are moderately dilute, and it is soluble in them when very dilute. Heat a watery solution of albumin gently to boiling, with its own bulk of very dilute hydrochloric or nitric acid (four parts of commercial acid in 1000 of water). No coagulum will be produced. Add a small quantity of strong acid and a precipitate will form which will dissolve in a large quantity of the acid, especially when heated. Put a little serum albumin into three test-tubes, and add to one concentrated nitric acid, to another hydrochloric, and to a third sulphuric acid. Dissolve the albumin in the acid by heating. Dilute the solutions with twice their volume of water, and a precipitate will fall. Let it settle, and pour off the superna- 28 434 ALBUMINOUS COMPOUNDS. tant liquid or filter it ; throw the precipitate, still moist with acid, into water, and it will dissolve. This is not a solution in water, but in dilute acid, for a considerable quantity of acid still remains in the precipitate. Egg albumin differs from serum albumin in its behavior with acids, and this, and its coagulability by ether, form the chief distinctions between them. Repeat the last experiment with egg albumin. It will not dissolve so readily in nitric or hydrochloric acid, and when precipitated by dilution will dissolve slowly and imperfectly in more water, instead of doing so readily, like serum albumin. The precipitate from hydrochloric acid will be brittle and fibrous if the solution has been recently made, but if the solu- tion is boiled until it begins to become violet, or allowed to stand for some days, the precipitate will be flocculent and soluble, like that of serum albumin. * 19. Preparation of Syntonin. — (a.) From serum or ess; albumin. Neutralize the solution in dilute acid, obtained in last experiment, with dilute liquor potassa- ; a gelatinous flocculent precipitate of pure syntonin will fall. (&.) From fibrin. Dissolve it in concentrated hydrochloric acid ; filter the solution if necessary, and then proceed as with serum albumin. (c.) From muscle. Mince some muscle, wash it with water, add to it a considerable quantity of dilute hydrochloric acid (four cubic centimetres of strong acid to one litre of water), and let it stand for several hours, stirring it frequently. Fil- ter it through a plaited filter. Dilute the filtrate with water, neutralize it with a solution of sodium carbonate, and wash the precipitate with water. 20. Characters. — When freshly precipitated, syntonin forms a sticky jell}', but it is not tenacious. Solubility. — It is insoluble in water, and in dilute XaCl solution. It is readil}" soluble in lime water, in dilute hydro- chloric acid, and weak alkaline solutions. It is not soluble in a solution of six parts of potassium nitrate in 100 of water. Its solutions behave like those made by heating albuminous solutions with dilute acids. 21. Tests. — Dissolve some syntonin in lime-water and boil it. Coagulation will occur. Add magnesium sulphate or calcium chloride to a cold alka- line solution of syntonin. Unlike alkali albuminate, it will not be precipitated. Boil the solution, and precipitation will occur. Boil an alkaline solution of syntonin, and then add magne- sium sulphate or calcium chloride, and a precipitate will fall at once. This would seem to be due to the syntonin being converted into alkali albuminate bv boiling. BY DR. LAUDER BRUNTON. 435 22. Syntonin contains Sulphur. — Dissolve some syn- tonin in liquor potassre, add a drop of a solution of lead acetate to it, and boil. It will become brown from the formation of lead sulphide. 23. Distinction between Alkali Albumin and Syn- tonin.— If a solution of alkali albuminate contains an alkaline phosphate, the alkali albumin is not precipitated when the solution is neutralized, but syntonin is precipitated from its solutions b}' neutralization whether an alkaline phosphate be present or not. Synopsis of the Chief Albumixoes Bodies. (Hoppe-Seyler.) 24. I. Albumins. — Albuminous bodies which are soluble in water, and are not precipitated by very dilute acids, alka- line carbonates, NaCl, or platino-hydrocianic acid. Their solutions are coagulated by boiling. 1. Serum Albumin. — Not coagulated by shaking with ether. Readily soluble in concentrated hydrochloric acid ; water added to this solution causes a precipitate which is readily dissolved by more water. 2. Egg Albumin. — Precipitated by ether. Less readily solu- ble in concentrated hydrochloric acid : water added to this" solution causes a precipitate which dissolves with difficult}* in a large quantity of water. 25. II. Globulins. — Albuminous substances, insoluble in water, soluble in dilute NaCl solution. The solution is coagu- lated by beat. Very dilute hydrochloric acid dissolves them and converts them into syntonin. 1. Vitellin. — Not precipitated by the addition of NaCl in substance to the solution until it is saturated. 2. Myosin. — Precipitated from its solution in dilute NaCl solution by the addition of NaCl in substance. 3. ttbrinogenic Substance and — 4. Fibrinoplastic Substance {Paraglobulin) agree with myosin in their reactions, but together in neutral solutions they form fibrin. 26. III. Fibrins. — Insoluble in water or in NaCl solution. In dilute acids they swell, and also in solutions of soda, though to a less extent. The swollen substance is coagulated by heat. 27. IV. Albuminates. — Insoluble in water or in NaCl solution. Easily soluble in very dilute hydrochloric acid and in alkaline carbonates. The solutions are not altered by boil- ing. They are not precipitated from their solutions by neutrali- zation if alkaline phosphates are present. 1. Casein yicids potassium sulphide when allowed to stand with liquor potassce, and still more quickly when heated with it. 436 ALBUMINOUS COMPOUNDS. 2. Alkali albuminates (Proteins) do not yield potassium sul- phide with liquor potassse. 28. V. Acid Albumins, or Syntonin.— Insoluble In water or in NaCl solution. Easily soluble in dilute hydro- chloric acid. Precipitated from solution by neutralization, even in presence of alkaline phosphates. 29. VI. Amyloid. — Insoluble in water, dilute hydrochloric acid and sodium carbonate ; in solutions of NaCl it does not perceptibly swell. It is colored reddish-brown or violet by iodine. It is not digested by gastric juice at the temperature of the blood. 30. VII. Coagulated Albuminous Bodies. — Insoluble in water, very dilute hydrochloric acid and sodium carbonate; in NaCl solutions thejr do not swell up perceptibly. They are colored yellow by iodine. They are readil}' converted into peptones by gastric juice at the temperature of the blood. 31. VIII. Peptones. — Soluble in water, not precipitated from the solution by acids, alkalis, or heat. 33. Decomposition of Albumin. — The decomposition of albumin by various agencies is of great interest, as it is only by a study of the way in which it splits up that a knowledge of its constitution can be obtained. When treated with powerful oxidizing agents albuminous bodies yield formic, acetic, propionic, butyric, valerianic, ca- proic, and benzoic acids and the corresponding aldeli3Tdes, am- monia, and volatile organic bases. Such substances are, however, too far removed from albumin ; it is not from these final products of its decomposition that much information is to be got, but rather from those bodies of a tolerably complex nature into which it first splits up when treated with less active decomposing agents. These may after- wards undergo further decomposition, and yield substances of a simple constitution. The most important decomposition is that which albuminous bodies undergo when boiled with water or with acids, or when subjected to the action of one of the pancreatic ferments. Under such circumstances peptones are first formed, and afterwards split up, yielding leucine and tyrosine. 34. Peptones. — These are distinguished from other albu- minous bodies by not being precipitated by boiling, by alkalis or acids, nor by acetic acid and potassium ferrocyanide. They are precipitated by alcohol. Unlike albumin, they diffuse easily through vegetable parchment. With caustic potash and a trace of cupric sulphate, the}- give a precipitate, which dissolves on shaking, and forms a solution of a red color, becoming violet on the addition of more copper sulphate. Bodies which closely resemble the peptones formed during digestion may be prepared by boiling albuminous bodies, such BY DR. LAUDER BRUNTON. 437 « a a d •B P .2 2 2 .2 "3 S rc 2 in S W 02 o • — . bfj a, rj O O •1 .2 .2 — ST" f-"- r^ ^ fe o«3 < P- O CO CD •fH h3 O m in o S3 CN CO .2 ■=> ^ • * ® L "3 "jS *» ^ P £ o « 55 a £o a O &0 ' 5 fe QJ ■Ms . >>'2"£ , C 3 8 2 o "3 Jg"C .2 -5 ,2 ■§ if c c ~ ^ .2 =3 c a &0° P- *5 .- os "3 a J? £ 2 £ » g a fc a ? T1 ■9 »fe g "5 o £ o 2 Pk H '"" _ «3 fee a ■-" . a. 2 o :§B s • 2^2." * S3 p .3d TJ ^ fc». £< ,H ^ O ft .2" « 2 2 o o o a g 08 l>3 5£ rSco a ^ M a -= o « 0J ci m &a« a -u rt c ^ ^s o s s s .2 *- to •«,« as .a" a; 0 c? pP-1^3 a PM OS O -° a^= o^2 •- ° '2< 3|u «2; c ; a (-- -2 « "a-^a o o o iZi 438 ALBUMINOUS COMPOUNDS. as fibrin, for along time with water, especially under pressure, in a Papin's digester, in a sealed glass tube, or in a soda-water bottle. By boiling with dilute sulphuric acid or concentrated hydrochloric acid, they are produced in a shorter time. The production of peptones by the digestive ferments will be con- sidered a ft e r w a rds. 35. Leucine. — Preparation. — It may be obtained by boil- ing fibrin with dilute acid for a long time, or by digesting it with pancreas, but it is more usually got from horn chips. Boil two parts of horn shavings with five parts of sulphuric acid, previously diluted with thirteen parts of water, for twenty- four hours, loss of water by evaporation being prevented by the arrangement shown in fig. 329. Saturate the fluid while hot, with chalk, filter, evaporate the filtrate to half its bulk, add oxalic acid to precipitate the lime, filter and evaporate till a scum forms on the surface, and then set it aside to crystallize. A considerable amount of tyrosine will crystallize out first. Pour off the liquor, let it stand till crystals of leucine form. Purify them by boiling with water and lead hydrate, filter, re- move the lead by sulphuretted hydrogen, filter, evaporate the filtrate in a water-bath to dryness: dissolve the residue in hot weak alcohol, and let it cool and evaporate till crystallization takes place. Leucine can be formed synthetically, and if wanted pure, this is the best way of obtaining it. For this purpose a mixture of valeral-ammonia, hydrocyanic and hydrochloric acids are boiled together in a retort till the oil}' ammonium compound has disappeared. The liquid is then evaporated to dryness, the residue is boiled with water and lead hydrate, and the product purified as already directed. Characters. — Leucine forms extremel}" slender, white, glisten- ing plates. Allow a drop of a solution in water or alcohol to evaporate on an object-glass and examine it under the micro- scope. It will form round balls, which arc either hyaline, and strongly resemble fat globules, or exhibit radiating lines. Or it may appear as very thin plates grouped in a radiating fashion. They differ from urates presenting a similar form in not being strongly refractive. Solubility. — 1. Water: Pure leucine dissolves slowly, and is soluble in about twent3*-seven parts of cold water. It dissolves more easily in hot water. When impure it is more easity solu- ble. 2. Alcohol: Pure leucine dissolves in 1040 parts of cold, and in 800 of hot alcohol. If impure, it is much more soluble. 3. In Liquor potassa>, 4, ammonia, and 5, dilute acids, it is readily soluble. 6. Concentrated hydrochloric or sulphuric acids. It is dis- BY DR. LAUDER BRUNTON. 439 solved without decomposition. Neutralize them, and it is precipitated. f Effect of Heat. — At 170° C. it sublimes unchanged : a higher temperature decomposes it. Put a little leucine into a dry test-tube and heat it gently. It will rise in white clouds and be deposited on the cool part of the tube. Heat the deposit strongly and a strong smell of amylamine will be perceived. Decomposition. — When decomposed by heat it yields C02 XH3, and amylamine. To show this put a portion of leucine into a hard glass bulb, and connect this by means of India-rubber tubing with a glass tube long enough to reach to the bottom of a test-tube. Pre- pare two other similar pieces of glass tubing and three test- tubes, the first of which should be about half filled with caus- tic baryta solution, the second with Nessler's reagent, and the third with water. Heat the bulb containing the leucine, apply- ing the heat first to the upper part of the bulb and gradually moving it downwards, so that as the leucine sublimes its vapor may be strongly heated and decomposed. Pass the fumes into the baryta solution, then disconnect the glass tubing, and after attaching a clean piece, pass them into Nessler's reagent and then into water. The baryta will be precipitated as white car- bonate, the Nessler's reagent will become brown, showing the presence of ammonia, and the water in the third test-tube will acquire the peculiar smell of amylamine and an alkaline reac- tion. Add to the barium solution a little nitric acid. It will become clear and evolve gas, showing that the precipitate was barium carbonate. A minute quantity onljr of NH3 is disen- gaged when leucine is heated alone, and the coloration of Ness- ler's reagent is therefore very slight. If a little lime and caus- tic soda or potash are heated with the leucine much more NH3 is given off. 36. Preparation of Nessler's Reagent. — Dissolve 4 grammes of potassium iodide in 250 cub. cent, of distilled water. Set aside a few cub. cent, and add a cold saturated solu- tion of mercuric chloride to the remainder, till the precipitate of mercuric iodide is no longer dissolved on stirring. Add that part of the potassium iodide solution which was set aside, to the rest, so as to dissolve the remaining precipitate, and then add mercuric chloride again very gradually, till a slight per- manent precipitate is produced. If a few cub. cent, of the potassium iodide solution were not set aside, great caution would be required in adding the mercuric chloride so as to avoid excess. Dissolve 150 grammes of potassium hydrate in 1 50 'ul). cent, of distilled water, allow the solution to cool, and arid it gradually to the potassium iodide solution. Pour the mixture into a measuring-glass or flask, and add distilled water 440 ALBUMINOUS COMPOUNDS. to make up a litre. Pour it into a large well-stoppered bottle, taking care that there is no ammonia near it at the time. It will deposit a brown precipitate, and become quite clear and of a pale greenish-yellow color. It is then ready for use ; a little of it should be poured into a smaller bottle when wanted. 37. Detection of Leucine in Tissues. — In order to de- tect the presence of leucine, cut up the organ (the pancreas of a sheep or ox, for example) into small pieces with a large knife or sausage-making machine. Mix it with water and let it stand for a little while, stirring it frequently ; filter it through a piece of cloth, and press out the water first with the hand, and then with a screw-press. Extract it with water a second time in the same way. Mix the watery extracts together, acidify slightly with acetic acid, and boil, to coagulate the albumin. Filter: add a solution of lead acetate to the filtrate. Filter: pass sul- phuretted hydrogen through the filtrate to remove the excess of lead. Filter : evaporate the filtrate to dryness. Extract the residue with boiling alcohol. Filter: evaporate the filtrate to a syrup, and set it aside for several days to crystallize. If leucine is present, it will crystallize in a day or two in balls or knots, or, possibly, in shining plates, but will not form good crystals. It is not pure, but is mixed with a number of other substances. In order to free it from these, the following method is recommended by Hoppe-Seyler. Dissolve it in ammonia, add lead acetate till no further precipitate is produced. Filter: wash the precipitate with a little water. Suspend it in water, and pass sulphuretted hydrogen through it. Filter, and evaporate the filtrate in the water bath. 38. Tests for Leucine. — The formation of round lumps or plates is not sufficient to prove that a substance is leucine, and other tests must be applied to them. Before doing so, the}' should be purified by drying them between two folds of blot- ting-paper, dissolving them in boiling alcohol, and letting them crystallize out again. The following tests may be applied: — 1. Put a portion into a dry test-tube and heat it over a Bunsen's burner or spirit-lamp. If it consists of leucine, it will emit the smell of amylamine. 2. Scherer's Test: Put a small portion of the supposed leucine with a drop of nitric acid on a piece of platinum foil, and evaporate it gently. If it is pure leucine, a colorless, almost invisible, residue will remain on the foil. Add a few drops of liquor potassa: to it, and heat. It will become yellow or brownish, and then form an oily drop, which runs about upon the foil without adhering to it. 39. Tyrosine. — Prej>aration. — Boil horn shavings with dilute sulphuric acid, crystallize out the tyrosine, as directed in the preparation of leucine, wash the crystals with cold BY DR. LAUDER BRUNTON. 441 ■water, dissolve them in ammonia, and allow the solution to evaporate, until the tyrosine cr3rstallizes. It forms fine colorless microscopic needles, with a silky lustre, and without taste or smell. Or digest fibrin with pancreas, see § 171. Characters. — Let a drop of a solution of tyrosine in hot water evaporate on an object-glass, and examine it under the microscope. Long needle-like crystals will be seen which are often united in single tufts, or in radiating groups of tufts. Solubility. — 1. Cold water dissolves it with difficulty. 2. Boiling water dissolves it easily. Almost all the tyrosine crystallizes out on cooling. It is insoluble in, 3. Absolute alcohol, 4. Ether. It is easy soluble in, 5. Ammonia, 6. Liq- uor potassse, 7. Concentrated solution of potassium or sodium carbonate, 8. Alcoholic solution of caustic potash, 9. Concen- trated 113-drochloric or sulphuric acid, and, 10. Dilute mineral acid. 11. Acetic acid dissolves it with difficult}'. 12. Nitric acid dissolves it. Let the solution stand a while. A yellow ciystalline powder of nitro-tyrosine will separate. Pour off the liquid and add liquor potassse to the powder. It will dissolve and form a red solution. 40. Detection of Tyrosine. — Treat the organ exactly as described in the process for the detection of leucine. The dried residue, after it has been extracted with boiling alcohol to remove the leucine, consists of tyrosine. Dissolve it in boil- ing water or ammonia, and let it ciystallize out. 41. Tests fcr Tyrosine. — It is distinguished b}r its micro- scopic appearance, and by the following reactions. 1. Hoffmann's Test. — Put a little of the solution supposed to contain tyrosine in a test-tube ; add some water, and a few drops of mercuric nitrate solution. Boil it for a little while. If tyrosine is present, the liquid will become rose-colored, and will afterwards deposit a red precipitate. 2. Piria's Test. — Pour a few drops of concentrated sulphu- ric acid on two or three pieces of t3rrosine the size of a pin's head in a wTatch-glass. Gently warm it for a little. Let the solution cool. Mix it with a little water, and add chalk or barium carbonate till all effervescence has ceased. Filter. Evaporate, if necessary, to a small bulk at a gentle heat, and add a few drops of a neutral solution of ferric chloride. The fluid will become of a beautiful violet. •';. Scherer's Test. — Put a little of the supposed tyrosine, witli a drop or two of nitric acid, on a piece of platinum foil, and evaporate gently. If it is really tyrosine, it will quickly become of a bright yellow color, and will leave a deep yellow shining residue. Add a few drops of liquor potasses to it, and it will form a yellowish-red solution. Evaporate, and it will leave a brown residue. 442 CHEMISTRY OF THE TISSUES. CHAPTER XXXVI. CHEMISTRY OF THE TISSUES. 42. Epithelial Tissues. — The epithelial tissues — nails, hair, epidermis, and epithelium, as well as horns and feathers — contain a small quantity of fat, and a substance which con- stitutes the chief part of their bulk, and to which their form is due. To this substance the name of keratin has been given. It is prepared by removing the fat, etc., from any of the epi- dermal tissues by boiling with ether, alcohol, water, and dilute acid. As the elementary anatyses of it do not agree, it is rpiite possible that it is a mixture of several substances, but this is not yet certainly made out. It is nearly allied to albumin, as is shown by its yielding the same products, leucine and tyro- sine, when decomposed by boiling with dilute sulphuric acid (.see § 35). It contains sulphur, which seems to be in a very loose state of combination. Hair, as is well known, becomes blackened by lead sulphide when a leaden comb is used. To show the presence of sulphur, put a few parings of nails into a test-tube; add a little liquor potassre, and boil. Add a little hydrochloric or sulphuric acid to the solution thus obtained. Hydrogen sulphide will be given off", and may be recognized by the smell. 43. Connective Tissue. — In the group of tissues so desig- nated, there are several which do not seem very like one another. Such are mucous tissue, reticular and ordinary connective tis- sue, adipose tissue, cartilage, bone, and dentine. Their close relation to one another is shown by their being linked together by intermediate forms, by one tissue sometimes passing into another so that the boundary between them cannot be defined, and \>y one occasionally replacing another. Thejr all contain substances which* are either derived from albumin or are nearl3r connected with it, and have received the name of albuminoids. 44. Albuminoids. — These are nitrogenous, and resemble albuminous bodies in composition, but differ from them in their behavior with acetic acid, potassium ferrocyanide, nitric and hydrochloric acids. The}' are mucin, gelatin, and chondrin. ** 45. Mucin. — This is found in foetal connective tissue, and although not present in the fasciculi is an important con- stituent of tendon tissue. It occurs also in all mucous secre- tions, and gives them a tenacious character. It is distinguished by its solutions not being coagulated or rendered turbid by EY DR." LAUDER BRUNTON. 443 boiling ; by giving with acetic acid a precipitate which shrinks together in pure acid, instead of swelling and dissolving as albuminous bodies do. The addition of potassium ferrocyanide to the acetic acid prevents it from precipitating mucin, so that no turbidity is produced unless albuminous substances are also present. It gives no precipitate with mercuric chloride ; when heated with liquor potassas and cupric sulphate, the solution remains of a clear blue. Preparation, (a) From Saliva?~y Glands. — Wash the sali- vary glands of an ox or sheep well. Cut them up into small pieces. Wash away any remaining blood with a little water. Mix the glandular substance well up with a considerable quan- tity of water, and filter through linen. Add acetic acid gradu- ally to the filtrate, till a precipitate parti}' fibrous and partly flocculent is obtained. Filter through linen. Wash the pre- cipitate with water, and then with alcohol and ether, to remove the fat. (b) From Tendons. — Free the sinews of the legs of an ox or sheep from muscle. Wash them well, and cut them up in small pieces. Extract them with water. Put them into a large quan- tity of lime or baryta water, and let them stand in a closed ves- sel for several days. Filter. Add acetic acid in excess to the filtrate to precipitate the mucin. Wash the white flocculent precipitate with dilute acetic acid and then with dilute alcohol. (c) From Ox Gall. (See § 134). Solubility. — 1 . Water : — It does not dissolve, but swells very much; when the mixture is filtered, part of the mucin often passes through, forming a turbid filtrate. The mixture with water is not tenacious, and no foam is produced on shaking it. 2. XaCl solution. Add a little solid NaCl to a mixture of mucin and water. It will become clearer. Put a glass rod into the liquid. It will now be found to be tenacious, and on with- drawing the rod a long thread will follow it from the fluid. Shake it, and foam will form. Add a large quantity of water to the solution or mixture (for it is not certain which it is), and the mucin will be precipitated. 3. Very dilute hydrochloric acid of less than 1 per cent., or other mineral acid, does not dis- solve mucin. 4. Dilute hydrochloric acid of 5 per cent, partly dissolves it. Shake the solution and it foams. Add a little NaCI to it, and the mucin will dissolve much more readily. "i. Concentrated hydrochloric, or other mineral acid, dissolves it completely. 6. Liquor potassae dissolves it; add a little to some mucin, but not enough to dissolve the whole of it. Filter. The filtrate is not tenacious, and is neutral, t. Baryta and limewater dissolve mucin, and when used in small quantity give, like liquor potassse, a neutral filtrate. Precipitation of Mucin. — f 1. Boil the neutral or slightly alkaline solution. It will not be altered. 444 CHEMISTRY OF TIIE TISSUES. f 2. Add acetic acid. A precipitate will fall. Let it settle. Pour off the liquid and pour on glacial acetic acid. Generally it will not dissolve. f 3. Add acetic acid with solution of potassium ferrocyanide. If the mucin is pure no turbidity will appear at first, but will do so after the solution has stood for some time. 4. Add mercuric chloride. No precipitate. 5. Add basic lead acetate. A copious precipitate will form. f Reaction with Cupric Oxide. — Add liquor potassre and a little cupric sulphate to a solution of mucin. The cupric hy- drate will be dissolved. Boil. The liquid will still remain of a clear blue color. This distinguishes mucin from albumin, pepsine, and gelatin, which give a violet or red color. ** 46. Ordinary Connective Tissue. — Tendons. — Gelatigenous Substance, or Collagen. — This substance forms the organic basis of bones and teeth, and the principal or fibrous part of connective tissue, tendons, ligaments, and fascire. Preparation, (a) From Bones Soak some bones in hydro- chloric acid diluted with 8 or 9 times its bulk of water, chang- ing the acid several times. This will remove the inorganic salts which are deposited in the bone and impart hardness to it; so that when they are entirely removed, the bone will retain its original shape, but be quite soft and pliable. The time during which the bones must be soaked in order to remove the whole of the salts they contain, varies with their size ; but if the bones be cut into small pieces, or thin bones such as ribs are used, a dajr or two is sufficient. Wash them well with water to remove the acid and dry them over the water bath. (b) From Tendons. — After removing the mucin from tendons by means of lime or baryta water {see § 45), wash the swollen pieces first with water, and then with a little acetic acid much diluted, so that they contract and do not again swell. Then soak and wash them for a while in water, changing it several times. Characters. — When fresh, it is soft, but it shrinks and be- comes hard when it is dried or alcohol is added to it. Solubility. — 1. In cold water, it will not dissolve. 2. Boil the water. It will dissolve and be converted into gelatin. On cooling, it will form a jell}'. 3. In cold dilute acetic or other acid, it will swell up. 4. In boiling dilute acids, it is dissolved and converted into gelatin still more readily than b}7 water. 5. In hot liquor potassae, it dissolves tolerably easily. 47. Gelatin. — Preparation. — Boil collagen obtained from bones or siuews in the manner already described. Filter the solution hot. Divide the filtrate into three parts. Allow one of them to cool; it will form a jelly. Evaporate another to BY DR. LAUDER BRUNTON. 445 dryness on the water bath. Use the third for testing various precipitants. Solubility. — 1. Cold water. Dried gelatin will swell, bnt will not dissolve. 2. Boil the water, it will dissolve. 3. Cold dilute acids, and 4. Cold dilute alkalis, will dissolve it readily. Precipitation. — It is precipitated by 1, tannic acid ; 2, mercuric chloride. Unlike albumin, pure gelatin is not pre- cipitated by, 1, acetic acid and ferrocyanide of potassium ; 2, man}' metallic salts, as lead acetate, cupric or ferric sulphate. It is not precipitated by acids or alkalis. Alteration by Boiling. — Boil a solution of gelatin for some time with an acid or alkali and let it cool. It will remain fluid and will not form a jelly. Test its reactions. They will be found the same as before. The same effect is produced by prolonged boiling with water alone. 48. Elastic Tissue. — Elastin. — The elastic fibres which occur in the connective tissue in various parts of the bod}", and are especially abundant in the middle coats of the aorta and large arteries, and in the ligamentum nuchas, and ligamenta subjlava, are supposed to consist of elastin. Preparation. — Remove the adhering cellular tissue from the fresh ligamentum nuchee of an ox. Cut it into small pieces, and boil it with alcohol and ether to remove the fat. Boil it for 24 hours with water, to dissolve the collagen, renewing the water as it evaporates, or preventing evaporation (see § 207). Boil the residue with concentrated acetic acid for a consider- able time ; remove the acetic acid by boiling with water, and then boil with moderately dilute liquor soda? or potassre till it begins to swell. Remove the alkali by boiling with dilute acetic acid, then with water. Put the residue into cold hydro- chloric acid ; let it remain for 24 hours, and then wash it with water till the washings have no longer an acid reaction and leave no residue on evaporation. Characters. — The elastin which remains after the treatment just described is yellowish and elastic while moist, but when dry becomes hard and brittle. Solubility. — 1. Put a piece of dry elastin in' water. It will swell up but will not dissolve. 2. Boil the water. Unlike the collagen of connective tissue, it will not dissolve. It does not form gelatin, and the water will not gelatinize on cooling. 3. It does not dissolve in alcohol, ether, or acetic acid, though it swells in the latter. 4. Boil it with a strong solution of caustic potash ; it will dissolve. Precipitation. — Neutralize the solution in potash with hy- drochloric or other acid. No precipitate will fall. Add tannin to the neutral solution. A precipitate will be produced. No other acids cause a precipitate. Reactions. — 1. Xanthoprotein reaction. Put a piece of elas- 440 CHEMISTRY OF THE TISSUES. tin in concentrated nitric acid, and let it stay some time. It will swell up, then become yellow, and lastly form a mucilagi- nous solution. Add ammonia, and it will become a deep orange-red. 2. Millon's reaction. Test a piece of elastin with Millon's reagent. It will become slightly red. Decomposition. — On boiling elastin with concentrated sul- phuric acid, it is decomposed and yields leucine, but no tyrosine. ** 49. v Cartilage. — Chondrogen. — The intercellular sub- stance of hyaline cartilage, and that which lies between the fibres of fibrocartilage, consists mainly of chondrogen, so named because it is dissolved b}' boiling in water and forms chondrin. Solubility. — Take a piece of costal cartilage of a sheep or ox and test its solubilitj' in the following reagents : 1. Cold water. It is insoluble. "When allowed to dry before it is put in water, it swells up slightly. 2. In boiling water, it dissolves. On cooling, it forms a jelly. 3. In acetic acid it is insoluble. When dry, it swells very little in acetic acid. 50. Chondrin. — Preparation — Boil the costal cartilages or trachea of a sheep or ox in water till the perichondrium strips easily oft", Bemove the perichondrium. Cut up the cartilages into very small pieces, and boil them with water for several hours. If a Papin's digester is at hand, boil them in it under a pressure of 2-3 atmospheres. Filter while hot. The fil- trate will be strongly opalescent. Put part of it into a beaker and allow it to cool. It will form a jelly. To the remainder of the filtrate add acetic acid, and the chondrin will be pre- cipitated. Solubility. — Test the solubility of chondrin, using either that precipitated b}r acetic acid, or the jelly which formed on cooling, in the following reagents: 1. In cold water it is in- soluble. Heat it, and it is dissolved. It is soluble in 2. Solu- tions of alkaline salts, as sodium sulphate, and is easily solu- ble in 3. Dilute mineral acids, 4. Liquor potassa?, and 5. Liquor ammoniae. It is insoluble in G. Alcohol, and 7. Ether. Precipitation. — Add to a warm solution of chondrin in water, f 1. Acetic acid. It will be precipitated, f 2. Add to this a little sodium chloride or sulphate. The precipitate will redissolve. 3. Add sodium sulphate to a watery solution of chondrin, and afterwards acetic acid. No precipitate will fall. 4. Dilute hydrochloric or other mineral acid. The chondrin is precipitated and is dissolved by excess of acid. 5. Alum pre- cipitates chondrin ; excess dissolves it. 6. Lead acetate, 7. Sil- ver nitrate, 8. Chlorine water, all precipitate chondrin. Effect of Boiling. — Boil a watery solution of chondrin for a long time. Let it cool, and it will be found to have lost its BY DR. LAUDER BRUNTON. 447 power of gelatinizing, but it will give the other reactions just as before. Decomjiosition of Ghondrin. — By boiling with concentrated hydrochloric acid, chondrin is decomposed, and yields grape sugar, and certain nitrogenous substances. The presence of grape sugar may be tested by the reactions given in § 17 or § 155. 51. Distinctive Characters of Mucin, Chondrin, Gelatin, and Albumin. Mucin. — Precipitated by acetic acid, the precipitate is not dissolved by sodium sulphate. Chondrin. — Precipitated by acetic acid, the precipitate is dissolved by sodium sulphate. Gelatin. — Not precipitated by acetic acid, nor by acetic acid and potassium ferrocyanide. Albumin. — Dissolved by acetic acid, the solution is precipi- tated b}' potassium ferrocyanide, or by the addition of alkaline salts and heat. Gelatin and Chondrin are most generally recognized by their hot solutions forming a jelly on cooling ; but as they are both deprived of this property by long boiling or boiling with acids, this test is not always to be depended on. ** 52. Bone. — When bone is subjected to the action of acids, the earthy salts are removed. The remainder, to which the name ossein has been given, consists chiefly of gelatigenous substance. The earthy salts are tribasic calcium, and magne- sium phosphates, calcium carbonate, and small quantities of calcium fluoride. To remove the earthy salts, and leave the ossein, place a bone for some time at a low temperature in very dilute hydrochloric acid. When treated with warm dilute hydrochloric acid, bone gives out CO., and is apt to separate into lamellae. The ossein is soft, flexible, and elastic while moist, but becomes hard when dry. It retains the form of the bone. In its chemical characters it resembles the arelatisenous substance from con- nective tissue. To get the earthy salts, incinerate the bone, when the organic substance will be consumed, and they will remain behind, mixed with other salts formed during the combustion, for here as in other cases the salts in the ash differ considerably from those which exist in the tissue. ** 53. Adipose Tissue. — Fats. — Fats differ from each other in appearance and consistence. Their general properties may be conveniently studied in olive oil, for which cod liver oil or train oil may be substituted, if an animal fat is desired. 8olubility^—F&tB are insoluble in 1. Water, and 2. Cold al- cohol, f 3. Hot alcohol. Warm a test-tube containing oil and alcohol over a spirit-lamp or Bunsen's burner. As the 448 CHEMISTRY OF THE TISSUES. spirit becomes warm, part of the oil will be dissolved. Pour off some of the clear alcoholic solution into another tube and cool it. It will become milky from tin- deposition of oil. f 4. Cold ether. Shake a little oil wit h ether and it will dissolve readily. The test-tube containing the ether must not he brought near a flame, as its vapor is readily inflammable. ;">. Chloroform ; 6. Oil of turpentine, and other volatile oils, also dissolve fat readily. * JEmulaionizing of Fats. — Shake a little oil with a solution of albumin in a test-tube. The oil will become finely divided, and form a milky-looking fluid or emulsion. Put a drop of this under the microscope, and it will be found to consist of minute globules of fat. The globules in the emulsion unite again and form large globules, but very slowly. Add a little acetic acid to the emulsion and shake it. The globules will unite much more quickly. Repeat the experiment with a solu- tion of gelatin. This also will emulsionize the fat. Reaction. — Wash a piece of lard in water and press a piece of litmus paper against it, or melt it in a test-tube, and put a drop of it or of olive oil on the paper. Its reaction will be neutral. Composition of Fats. — Fat consists of a triatomic radicle, propenyl or glyceryl, combined with three atoms of a mona- toinic fatty acid. The glyceryl may be displaced by inorganic bases, such as potassium, lead, etc., and glyceryl hydrate, or glyceryl alcohol (glycerin) is produced. The replacement of glycerin by other basis is termed saponification. Boil two and a half grammes of olive oil with one gramme of very finely powdered lead oxide, and about fifty cubic centi- metres of water in a beaker or evaporating dish for some hours, stirring the mixture well to prevent the lead oxide from falling to the bottom, and replacing the water as it evaporates. The lead will combine with the fatty acid in the oil, forming a slightly yellowish mass, and the glycerin will be set free. To obtain the glycerin, filter the fluid ; pass sulphuretted l^drogen through the filtrate, add a little animal charcoal to decolorize it; let it stand for a while in a warm place ; filter and evapo- rate the filtrate. 54. Glycerin. — Gl3"cerin is a S}*rup3- fluid, with a sweet taste and a neutral reaction. Solubility. — 1. With water, and, 2, with alcohol, it mixes very readily. 3. With ether it does not. Solvent Foiver — It dissolves many metallic oxides. Add a little liquor potassae to a solution of copper sulphate or lead acetate, a precipitate will fall. Add a little glycerin, and the precipitate will redissolve. It also acts to some extent as a solvent for fatty acids. Decomposition. — Put a little glycerin, free from water, into BY DR. LAUDER BRUNTON. 449 .1 test-tube, with glacial phosphoric acid or acid potassium sulphate, aud heat. The glycerin will be decomposed, aud yield water and acrolein or acrol, a body which has an extremely unpleasant smell, and causes great irritation of the nose and eyes. Test for Glycerin. — As no other body yields acrolein when decomposed in the way just mentioned, its formation serves as a test for glycerin ; and as it is very pungent, small quantities of glycerin can easil}' be detected. 55. Muscle. — For the structure of muscle, see Chap. IV. Reaction. — Muscles which have been at rest have an amphi- cromatic reaction ; i. e., they change red litmus to blue, and also blue litmus to red. They do not alter the color of blue litmus so much as that of red, and they are therefore alkaline. Alteration in the Reaction by Contraction. — The reaction changes to acid after contraction of the muscle or after death. See Chap. XX., Obs. YI. 56. Composition of Muscle. — The Sarcolemma is usually said to agree with elastic tissue in its characters, and to yield no gelatin, but it has been recently stated to be solu- ble, though slowly, in alkalies and acids, as well as in gastric juice, and would thus more nearly resemble connective tissue. 51. Sarcous Elements. — Little is known regarding the chemical composition of the sarcous elements, except that they swell slightly, and lose their power of double refraction when boiled or when heated with alkalies or very dilute acids. Alcohol does not alter them. f 58. Muscle Plasma. — When muscles are subjected to pressure at 0° C, a fluid termed muscle plasma is obtained. The plasma of muscles resembles the plasma of the blood, in possessing the power of coagulating spontaneously, and sepa- rating into a clot, and serum. To this clot, corresponding to the fibrin of the blood, the name myosin has been given. Co- agulation of the plasma causes the muscles to lose their elas- ticity and become stiff and hard, and thus gives rise to rigor mortis. After some time, decomposition sets in, and the mus- cles again become soft and flexible. Muscle plasma is some- what troublesome to obtain, as it coagulates too quickly in the muscles of warm-blooded animals to allow of its preparation from them, and the muscles of frogs, in which it coagulates more slowly, are not always to be had in sufficient quantity. Preparation. — Prepare a freezing mixture by mixing to- gether equal parts of salt and snow, or pounded ice. Intro- duce it into a large beaker, and plunge a platinum crucible or small tin box into it. Fill another beaker with half per cent, salt solution, and put it in a vessel containing snow or ice. Prepare several frogs in the following manner: Open the thorax, cut off the apex of the heart, push a canula up into the aortic 29 450 CHEMISTRY OF. THE TISSUES. bulb, and inject a half percent, salt solution through it, in the manner directed tor artificial circulation in Chap. XVI. § I-"'. till the fluid which issues from the veins is quite colorless. Cut away the muscles close to their attachments, and wash them with half per cent, salt solution cooled to 0° C. When washed, squeeze them tightly together into a ball, and tie them up in a piece of thin linen ; put them into the crucible or tin box. As the muscles of each frog are prepared add them to those in the crucible, and let it remain in the freezing mixture until they are all frozen quite hard. Take a sharp knife and cool it in the freezing mixture; cut the frozen mass of muscle into very thin slices; throw them into a mortar cooled in the same way, and break them up small. Tie them up in a piece of strong linen, and put them into a strong screw-press. As the temperature of the muscle is gradually raised by the warmth of the room to 0° C, the frozen plasma melts and issues from the press. It must be collected in a vessel cooled in ice, and filtered through paper moistened with cold half per cent, salt solution, and collected in a cold beaker. The funnel may be kept cold during filtration by placing it in a double cop- per filtering stand of the form shown in fig. 336, but filled with snow or pounded ice, instead of hot water. As the filters get soon choked, they must be frequently renewed. The filtered plasma is a slightly yellowish and opalescent, syrupy, but not tenacious, fluid. Reaction. — Its reaction is alkaline, like that of muscle. Coagulation of Muscle Plasma. — Transfer a little plasma from the beaker to cooled test-tubes and observe the following facts : — It will coagulate spontaneously when allowed to stand at the temperature of the room, and form a gelatinous clot, which will begin at the sides of the tube, and extend inwards. B}' stirring, a coagulum is obtained, which is flocculent, and not fibrous like the fibrine of blood. Heat greatly accelerates its coagulation, and at 40° C. it coagulates almost instantaneous^. Cold water coagulates it at once, so that the plasma when dropped into it, forms white elastic balls. Cold NaCl solution, of fifteen per cent., also coagulates it, but a solution of five per cent., does not. Dilute hydrochloric acid of ten per cent, coagulates it at once, but dissolves the coagulum, and forms syntonin almost immediately. ** 59. Examination of the Aqueous Extract of Muscle. — In order to obtain an aqueous extract of muscle, a dog must be killed by decapitation, and the blood removed from the vessels of the lower extremities by artificial circula- tion. For this purpose open the abdomen quickly, and insert a canula iu the aorta. Inject ten per cent. NaCl solution into BY DR. LAUDER BRUNTON. 451 it till the blood returns colorless by the vena cava. Cut off some of the muscles of the thigh quicklj", and mince them up small. This is best done by a sausage-making machine. Mix the mass with distilled water, stir it up well, and let it stand for a quarter of an hour. Filter it through linen, aiding its filtration by pressure. ** 60. Albuminous Substances in Muscle. — Alkali Albuminate. — The watery extract thus obtained contains alkali albuminate. It is at first alkaline or neutral, but after- wards becomes acid, and the alkali albuminate is then thrown down as a flocculent precipitate. The source of the acid is not known. If the extract has been made from muscle which has already become acid, this precipitate will not fall. To a portion of the extract add dilute hydrochloric, acetic, or lactic acid very gradually. A flocculent precipitate will fall. Repeat the last experiment, using exactly the same quanti- ties of extract and acid, but add a little sodium phosphate to the extract before acidulating it. No precipitate will fall. See § 15. Albumins. — Besides alkali albuminate, the extract contains two other albuminous substances, one of which coagulates at 45° C, the other at 75? C. Filter the fluid from which the alkali albuminate has been precipitated either by the develop- ment or the addition of acid. Put some in a test-tube and warm it in a water bath to 45° C. A precipitate will form. The coagulation is not affected at all by previously rendering the liquid neutral or alkaline. Let the fluid stand till the precipitate subsides, and then remove it by filtration, and warm the filtrate to 70° C. A second coagulation will take place. ** 61. Myosin. — Free the remainder of the muscles from fascia, tendons, fat, nerves, and vessels, and cut them up small. Put the mass of finely-divided muscle into five or six times its weight of water and stir it well. Let it stand for several hours and then strain it through a linen cloth, and express the fluid with the aid of a screw-press. Treat the muscles a second time with water in the same way, and strain and press again. Unite all the fluids thus obtained and keep them for examination. Wash the muscle, which remains on the linen, with water, as before, till it becomes of a grayish color, and the water is no longer colored. Throw it into a mortar, and rub it up with ten per cent, salt solution in sufficient quantity to prevent it from being too thick and to allow it to flow tolerably easily. Let it stand for several hours ; filter, first through linen, then through paper, and add to the filtrate several pieces of rock salt. As the salt dissolves, the myosin, which is insoluble in a concentrated NaC 452 CHEMISTRY OF THE TISSUES. solution is precipitated in flocculi. If any salt remains undis- solved after the myosin seems fully precipitated, remove it, and then filter the solution. The myosin which contains a large amount of NaCl remains on the filter. In order to free it from this, dry it as well as possible by pressing it between folds of filtering paper ; dissolve it in a little water, and throw the solu- tion into a large beaker full of water, when it will again be pre- cipitated. Let it stand for a day, pour off the clear fluid as well as possible, and then collect the precipitate on a filter. After the greater part of the water has passed through the filter, but while the precipitate is still moist, remove it into a beaker, as it cannot be separated from the filter after it becomes dry. Solubility. — Test the solubility of the moist myosin in the following reagents : f 1. Ten per cent. NaCl solution. The myosin will dissolve. Put some sodium chloride in substance into the solution. As it dissolves, and the solution becomes saturated, the myosin will be precipitated. It is soluble in 2. Solution of sodium sulphate or other neutral salt ; 3. Very dilute liquor potassa? ; and 4. Very dilute h}-drochloric acid. Action of Acids and Alkalies. — Dilute acid and alkalies dis- solve myosin, as has just been seen. At first it is simply dis- solved, but is very soon converted into acid albumin or alkali albuminate. Divide the solutions of myosin in dilute liquor potassoe and dilute lrydrochloric acid just made, into two por- tions, add salt solution immediately to one portion of each, put in a drop of litmus, and neutralize both. No precipitate will fall, for the myosin being unchanged is soluble in the salt solu- tion. Let the other portions stand for ten minutes, and then treat them in the same way. A precipitate will fall on neutral- izing them, for the myosin, being now converted into alkali al- buminate and syntonin, is no longer soluble in NaCl solution. Coagulation of Myosin. — 1. Boil a NaCl solution of myosin ; it will coagidate. 2. Add alcohol to its NaCl solution, and a similar coagulum will form. Effect of Drying. — Dried myosin is tough and difficult to powder, and almost insoluble in NaCl solution. ** 62. Extractive Matters in Muscle.— The cold watery extract of muscle contains, beside the albuminous mat- ters, creatine, creatinine, hypoxanthine (sarkin), xanthine, uric acid, inosic acid (apparently not always present), glucose, ino- site, salts of lactic acid, and volatile fatty acids and acid phos- phates of the alkalies. Unless a large quantity of muscle can be got, it will be better to use Liebig's extract for the prepara- tion of these substances. Put the wateiy extract of muscle in a tin kettle; heat it quickly to boiling, so as to coagulate the albumin. Filter it through a linen cloth. Let the filtrate be- come quite cool, and add acetate of lead to it as long as a pre- cipitate is formed. Excess of lead must be avoided as much as BY DR. LAUDER BRUNTON. - 453 possible. Collect the precipitate on a filter, and keep it for after examination. . ...... (a) 63. Creatine. — Precipitate any lead present in the filtrate b}' hydrogen sulphide : filter ; evaporate the filtrate to a thin syrup on the water-bath. Put it in a cool place for several daj's, and the creatine will separate in short colorless crystals. Let it stand till no more crystals are deposited ; pour off the mother liquor from the crystals, and add to it two or three times its volume of alcohol of 88 per cent., so as to cause the sus- pended creatine to be deposited. Filter it, and wash the crys- tals with a little alcohol. Wash off the crystals which still re- main on the evaporating dish with the alcohol which drops from the filter, throw them also on the filter, and wash them with a little alcohol. Collect the filtrates, mix them and put them aside. ......... (b) Dissolve the ciystals in a little boiling water, and allow the solution to cool, when the creatine will crystallize out in color- less transparent and lustrous oblique rhombic prisms, which, when gently heated on a piece of platinum foil, lose water of crystallization, and become dull and whitish. Solubility. — Creatine is sparingly soluble in cold water ; easiby soluble in boiling water ; almost insoluble in strong alco- hol ; insoluble in ether. Reaction. — The solution in hot water has a neutral reaction, and bitter taste. Test. — Creatine has no very characteristic reactions, and it is best recognized by converting it into creatinine. If it is pure, no precipitate will fall on the addition of zinc chloride to its solutions, but if mixed with creatinine a precipitate will be produced. Decomposition. — When it is boiled for a considerable time with caustic baryta, creatinine decomposes into urea and sar- cosin. If the boiling is continued still longer, the urea decom- poses into carbonic acid and ammonia. This reaction is very interesting as indicating one source of urea in the body. When boiled with water for a long time or with acids, it loses water and is converted into creatinine. 64. Creatinine. — Boil creatine for half an hour with dilute hydrochloric acid ; neutralize with h}*drated lead oxide ; filter ; evaporate the filtrate to dryness on the water-bath. Extract the residue with alcohol, and evaporate the extract. The crea- tinine will crystallize in colorless lustrous prisms, which, when heated on platinum foil, do not dry like creatine. Solubility. — It is soluble in water, especially when hot. Un- like creatine, it is soluble in hot alcohol. Reaction. — Test the watery solution with litmus or turmeric paper ; it will be found strongly alkaline. It has a taste like dilute ammonia. 454 CHEMISTRY OF THE TISSUES. Characters. — Creatinine nets like a strong alkali, and forms double salts with metals. Themosl importanl is its compound with zinc chloride. Add to an alcoholic or not very dilute watery solution of creatine, a concentrated Byrupy solution of zinc chloride free from hydrochloric acid ; a precipitate of warty granules will fall at once if the solution is concentrated : but if dilute, groups of needles will slowly form. The granules are seen under the microscope to consist of radiating groups of fine needles. They are very sparingly soluble in cold water ; more so in hot ; insoluble in alcohol ; but very soluble in mine- ral acids. This test is sufficient to distinguish creatinine. It is fur- ther precipitated by silver nitrate, by mercuric chloride, and by mercuric nitrate with the gradual addition of sodium carbo- nate. 65. Sarkin (Hypoxanthine). — Evaporate the alcohol from the filtrate (b) upon the water-bath ; dilute it with water ; render it alkaline by ammonia, and then add an ainmoniacal solution of silver nitrate. Sarkin will be precipitated. Let the flocculcnt precipitate subside ; wash it several times by decan- tation with water containing ammonia; throw it on a smooth porous filter, and wash it thoroughly ; push a glass rod through the bottom of the filter, and wash the precipitate with nitric acid of 1.100 sp. gr. into a small Bask. Heat it to boiling, and add more nitric acid till the whole is dissolved. The fluid should be kept nearly boiling. Sometimes a few flakes of silver chloride remain undissolved. Decant the liquid from them into a beaker, and let it stand for six hours. A double nitrate of silver and hypoxanthine will crystallize out. Decant the liquid (c) from the crystals and preserve it for the preparation of xanthine. Wash them with an ammoniacal solution of silver nitrate to remove the free acid. Suspend them in water, and pass hydrogen sulphide through it. Filter from the silver sulphide, and evaporate the filtrate. The hypoxan- thine will crj-stallize out. In its reactions it resembles xanthine, but differs from it in being precipitated by silver nitrate. 66. Xanthine. — To the mother liquor (c) of the hypoxan- thine add ammonia in excess. A flocculent precipitate of nitrate of silver and xanthine will fall. Wash it by decantation ; sus- pend it in boiling water, and decompose it by hydrogen sul- phide. Filter and evaporate. The xanthine will separate as a scaly film. I'ests. — Put a little xanthine in ammonia. It will dissolve. Add a little nitric acid to a portion of xanthine in a porcelain capsule; evaporate to dryness. A yellow residue will remain. Add a drop of caustic soda to it, and it will become red. Heat it, and the color will change to purple red. BY DR. LAUDER BRUNTON. 455 Put liquor soda? in a watch-glass with a little chloride of lime ; stir it, and introduce a portion of xanthine. A ring will form round it, at first dark green, but soon becoming brown, and then disappearing. 67. Uric Acid. — Suspend the lead precipitate (a) in water ; decompose it complete^ by hydrogen-sulphide ; filter; concen- trate the filtrate in a water-bath. Uric acid will separate gradu- ally. Filter, and set the filtrate aside (d). Wash the crystals on the filter with a little water and then with alcohol. If desired, they may be further purified by dissolving them in a little liquor sodae, precipitating by ammonium chloride ; filtering and decomposing by dilute hj-drochlorie acid. Jfurexide Test. — Put a small portion of uric acid on a watch- glass, with one or two drops of nitric acid, and evaporate to dryness at a moderate temperature. A yellow residue will re- main, which becomes red when quite dry. Put a drop of am- monia on the side of the glass, and let it run gently down to the uric acid, which will then become of a beautiful purple. If a drop of liquor potassre or liquor sodas is used instead of am- monia, a bluish-violet color will be produced. Inosite. — Evaporate the filtrate (d) till a permanent tur- bid it}r is produced by the addition of alcohol. Then add its own volume of alcohol to it and warm it, when the turbidity will disappeai*. Set it aside for several days. Inosite ma}' then crystallize out. If it does not, add ether ; and if still no crystals form, evaporate almost to dryness ; add a little nitric acid, evaporate to dryness; moisten it with calcium chloride, and evaporate to dryness again. If inosite is present, a rosy red spot will remain. If crystals have been formed, dissolve some in water, in which they are easily soluble, and apply the same test. 68. Brain. — The brain contains cholesterin, lecithin, and cerebrin, besides albuminous substances, which chiefly form the axis cylinders, and are insoluble in water. Cerebrin probably belongs to the white substance of nerves. The specific gravity of the brain may be ascertained in the manner directed in A pp. § 210, and the amount of water it contains by weighing it, drying it in a hot chamber, or over sulphuric acid, and estimating the loss. To separate the sub- stances contained in the brain, remove the membranes and ves- sels as much as possible from it, wash its surface with water, and rub it to a paste in a mortar. Mix it with great excess of alcohol, and let it stand for several days, stirring it frequently. Separate the alcohol by filtration, and set it aside for the pre- paration of lecithin. ....... (a) Knit up the brain again, and extract it with large quantities Of ether, as long as they take up much lecithin or cholesterin. 456 CHEMISTRY OF THE TISSUES. This is known by evaporating a small quantity of the ether each time it is taken from the brain. Put the ether aside ; ex- tract the brain with hot alcohol several times, and filter it hot. On cooling, cerebrin will crystallize out, mixed with lecithin. 69. Cerebrin. — Purification. — Filter off the alcohol from the crystals, wash them with cold ether, and boil them for an hour with baryta water. Pass C0.2 through the liquid to pre- cipitate the excess of baryta ; filter, and wash the precipitate first with cold water and then with cold alcohol. Put the pre- cipitate in a beaker with alcohol and heat it, to extract the cerebrin from it, and filter it hot. On cooling, crystals of cerebrin will be deposited, which should be again dissolved in hot alcohol, allowed to crystallize out again, washed with ether, and dried at a moderate temperature. Cerebrin forms a white hygroscopic powder. Put a little on a piece of platinum foil and heat it. It will become brown, melt, and then burn. From the mode of preparation, it is evident that it is inso- luble in cold but soluble in hot alcohol, and that it is not de- stroyed by boiling with baryta water. Put it in water. It will slowly swell up, somewhat like starch. 70. Lecithin. — Add to the alcoholic extract (a) a solution of platinum chloride, acidified with hydrochloric acid. A }'el- low flocculent precipitate of lecithin platinum chloride will fall. Filter, and dissolve the precipitate in ether ; pass hydro- gen sulphide through the solution to precipitate the platinum. Filter and evaporate. Lecithin chloride will remain a waxy mass. Decomposition. — When treated with acids or with boiling baryta water it is decomposed, and yields glycerophosphoric acid, neurin, and fatty acids. Dissolve some lecithin chloride in alcohol and pour it into boiling baryta water. It will be decomposed, and a smeary precipitate will fall. 71. Neurin. — Filter ; pass CO., through the filtrate to re- move the baryta ; filter ; evaporate to dryness ; extract with alcohol. Add to the alcoholic extract platinum chloride, and a precipitate of neurin platinum chloride will fall. The pla- tinum may be removed by hydrogen sulphide and the neurin chloride obtained, but it is with difficulty crystallizable. BY DR. LAUDER BRUNTON. 457 CHAPTER XXXVII. DIGESTION. Section I. — Saliva and its Secketions. 72. Mode of obtaining Mixed Saliva. — To obtain a sufficient quantity of human saliva for examination, the secre- tion of the salivary glands must be stimulated artificially. For this purpose anj7 of the mechanical or chemical stimuli to be mentioned in § 85 may be used. To avoid the risk of the saliva becoming altered by mixture with the substance used to quicken its secretion, the mechanical stimuli should be pre- ferred. There is no objection, however, to the employment of ether vapor. ** 73. Examination of Mixed Saliva — Appearance. — Saliva is transparent or opalescent. It sometimes deposits a white precipitate almost immediately after it has been col- lected. When poured from one vessel to another, it is seen to be more or less viscid, in consequence of which it is gen- erally filled with air-bubbles. If none are present, they are readily produced by blowing into the liquid through a narrow glass tube, when it is seen that they take a long time to subside. If the saliva is allowed to stand long, a thin pelli- cle of carbonate of lime forms on its surface. Microscopical Examination. — Saliva contains numerous air-bubbles, paAre- ment epithelium cells from the mouth, and round cells (sali- vary corpuscles) resembling tyrnph corpuscles, within which are numerous granules in constant movement. ** 74. Determination of the Amount of Water and of Solids. — Take a small porcelain crucible with a lid, dry it in an air-bath at 100° C, put it under a bell-jar over a dish containing strong sulphuric acid till it is quite cool, then weigh it immediately and note its weight carefully. After weighing it, replace it in the air-bath for another hour, cool it and weigh it again as before. If the weight is less the second time than the first, the process must be repeated till no further loss of weight occurs. Introduce some saliva into it and Weigh again. The amount of saliva used is ascertained by de- ducting the weight of the crucible alone from the weight of the crucible and its contents, thus : — 458 DIGESTION. Wright of crucible and saliva 33.562 grm. Weight of crucible alone 23.296 grin. 10.2GG = weight of saliva used. Evaporate the saliva to dryness either in the air-bath or over a water-bath, but finish the desiccation in the air-bath. Cool and weigh the crucible as before. The amount of solid residue is determined in the same way as that of the saliva itself, thus : — Weight of crucible and dried residue 23.342 grm. "Weight of crucible alone 23.200 grin. Difference .046 grm. = weight of residue. The amount of water is found by subtracting the weight of the solid residue from that of the saliva used, thus : — Weight of saliva used 10.266 "Weight of solid residue .046 10.220 weight of water. 10.220 x 100 nft . , Hence percentage of water = •— = yy.O and 7> -,.-,., 0.046 x 100 n .. Percentage of solid residue = — . =0.44 10.266 * 75. Qualitative Investigation of Inorganic Con- stituents.— For this purpose the saliva must be filtered so as to separate the epithelium and mucus. It contains carbo- nates, chlorides, phosphates and sulphates of potassium, sodium, calcium, and magnesium, and in most cases also potassium sulphocyanide. The presence of these several salts may be demonstrated as follows : Carbonates. — If a drop of saliva is placed on an object-glass and covered in the usual way, and a drop of acetic acid added, bubbles of gas will be seen to form under the cover-glass. Chlorides. — The saliva is acidulated strongly with nitric acid, after which solution of silver nitrate is added ; the precipitate formed is insoluble in excess of acid, but dissolves readily in ammonia. Sulphates. — The turbidity produced b}r solution of barium, chloride, or nitrate does not disappear when nitric acid is added, and the liquid is boiled. Potassium. — If a little saliva is gently evapo- rated on a platinum wire and then heated in the flame of a Bunsen's lamp, the flame seen through blue glass exhibits a violet color. Sodium. — Without the glass it presents the well- known yellow color due to the presence of sodium. Calcium may be precipitated as oxalate by the addition of ammonium oxalate. Magnesium as ainmoniaco-magnesian phosphate. To obtain the latter, ammonium chloride, and ammonia must first BY DR. LAUDER BRUNTON. 459 be added, then sodium phosphate. Potassium Sulphocyanide. — This is generally, though not invariably, present in mixed saliva. It is derived from the saliva secreted b}^ the parotid gland, and is not contained in that of the submaxillary gland. To show its presence, add a drop of solution of perchloride of iron, so very dilute as to be almost colorless, to a little saliva, in a porcelain crucible or capsule, and stir it. A reddish color is developed, which remains unchanged after the addition of hydrochloric acid, but is at once removed by a solution of cor- rosive sublimate. Perchloride of iron gives a similar color with acetic acid and with meconic acid, but the color produced in the former case is destnryed by h3'drochloric acid and in the latter by mercuric chloride. When undiluted perchloride of iron is used, the color is deep red, and ma}' be shown to persons at a little distance. If the test does not at first suc- ceed, the saliva should be evaporated to one-third of its bulk, and the test then applied. To determine the percentage of inorganic salts, the dry resi- due must be incinerated (see § 214), weighed, and calculated, as in § 74. * 76. Organic Constituents. — These are albumin, mucin, ptyalin. Albumin. — If saliva is strongl}' acidified with nitric acid, it becomes turbid, but no precipitate is formed. On then boiling it becomes clearer, and the color changes to yellow ; the addition of ammonia changes the yellow to orange-red. If to another portion a mixture of acetic acid and potassium ferrocyanide is added, a white precipitate is produced. Saliva contains two albuminous bodies — albumin proper dissolved in salts, and globulin. Globulin is precipitated from dilute solu- tions by CO,,, ordinary albumin is not. To separate them, a stream of carbonic acid gas must be passed through saliva, di- luted with a large quantity of water, for some time. A very fine flocculent precipitate is formed, which tends to disappear when the turbid liquid is agitated with air. After the precipi- tate has settled, the liquid may be decanted off with a syphon, and, if needful, filtered ; it can then be proved to contain albu- min by the addition of acetic acid and ferrocyanide of potas- sium. This process requires considerable care. Mucin. — To this body is due the stickiness and tenacity of saliva. If acetic acid is gradually added to saliva while it is stirred with a glass rod, it becomes more and more tenacious, and finally the mucin separates in white stringy flakes ; these must be washed with water and acetic acid, and tested by the reactions given in § 45. ** 77. Action of Saliva on Starch Paste. — Saliva con- verts starch into sugar. To show this, prepare some thin mucilage by rubbing up a little starch with cold water into a smooth paste and pouring a large quantity of boiling water 460 DIGESTION. over it (one grain of starch to one hundred centimetres of water), or by boiling it in a flask or large test-tube, and then allowing it to cool. Filter the saliva to be used, and distribute it in three test-tubes, introducing into the first, starch mucilage alone — into the second, saliva — and into the third, saliva with about three times its bulk of starch paste. Mix them well together by agitation. Then put all three for a few minutes into a water-bath at 40° C, or warm them gently over a spirit- lamp. Add to each of them liquor potassee in excess, and a drop or two of solution of cupric sulphate. In the first and second, a light blue precipitate will be thrown down, and the liquid will remain colorless ; but in the third, the precipitate just formed will be redissolved, and give a blue solution. If now the liquids are boiled, the precipitate in the first tube, containing starch paste, alone will be blackened, but the liquid will remain colorless. In the second, containing saliva, the precipitate will be partly dissolved, and give to the fluid a violet color, due to albumin in the saliva, § 12. In the third, a yellow or orange precipitate will be formed. This reaction, which is known as Trommer's test, shows that there is no sugar either in the saliva or starch used, but that it is formed by the action of the one on the other. Rapidity of concertina of starch into sugar. — Bidder and Schmidt erroneousl}- con- sidered that the conversion of starch into sugar was almost instantaneous. To illustrate this view, introduce saliva into a small beaker. Place it in a water-bath at 40° C, and when it is warmed through, let a little dilute starch mucilage, colored with iodine, fall into it drop by drop. As each drop falls it becomes decolorized. The disappearance of the blue color is not dependent on the conversion of starch into sugar, but on the conversion of the iodine into hydriodic acid. Other or- ganic fluids, such as the urine of dogs, according to Schiff, ex- hibit the same reaction, which is probably due to their con- taining deoxidizing substances, for the same effect is produced by sulphurous acid or morphia, both of which absorb oxygen readily. This ma}r be shown by putting starch mucilage colored with a little iodine into a test-tube and diluting it till it forms a clear blue transparent solution. If it is now placed in the warm bath at 40° C., it will remain unaltered, but will at once lose its color on the addition of either of the reducing agents above mentioned. * 78. Effect of Temperature on the Diastatic Action of Saliva. — Take four test-tubes, and carefully introduce a little saliva into each with a pipette. Put the first into a mix- ture of snow or ice and salt, the second into a test-tube rack on the table, the third into a water-bath at 40° C. ; boil the fourth briskly for two or three minutes, and then allow it to cool. Theii add starch paste to each of them, and allow them BY DR. LAUDER BRUXTOX. 461 lo remain where they are for five or ten minutes. Take a part of the fluid from each, and test it for sugar, either by Trom- mer's or Moore's tests. (See § 155.) Xone will be found in the first or fourth, a little in the second, and more in the third. Thus we learn that saliva does not act, or acts very slowly, at the freezing point, that it acts at the temperature of the air, and still more quickly at the temperature of the body. Now place the first and fourth test-tubes in the water-bath at 40 C, allow them to remain for several minutes, and test again for sugar. It will be found in the first but not in the fourth. This shows that the power of saliva to transform starch into sugar, is merely suspended by exposure to a very low temperature, but is totally destroyed b}- boiling. * 79. Influence of Acids and Alkalies on the Dias- tatic Action of Saliva. — Dilute acids do not arrest the action of saliva upon starch ; stronger acids do so for a time, but when they are neutralized the action again goes on. Take three test-tubes, and put into each equal parts of saliva and starch paste. Add to the first its own bulk of water, to the second a similar proportion of distilled water, containing 0.65 per cent, of commercial hydrochloric acid, and to the third the same quantity of dilute acid of 10 per cent., and keep them for five minutes at 40° C. Add liquor potassae to the first and second, and test for sugar. It will be found in nearly equal quantity in both. Take part of the fluid in the third tube, and test it for sugar. Xone will be found. Neutralize the remainder with .carbonate of potash, carefully avoiding excess, and replace the test-tube in the water-bath for a little while. On again testing it, sugar will be found to be present. — As the greater part of the starch we eat is uot transformed into sugar in the mouth, but is swallowed un- changed, it is important for us to know whether the trans- formation goes on in the stomach or whether it is arrested by the acid gastric juice. The strength of the dilute acid just employed (0.2 of real hydrochloric acid) is nearly the same as that of the gastric juice, and the experiment shows that in the healthy stomach the conversion of starch into sugar may go on rapidly. In some pathological conditions the acidity of the gastric juice is abnormally increased, and the action of the saliva may be suspended so long as the food remains in the stomach, but when the acid is neutralized by the intestinal secretion, the action will go on again. Alkalies. — Caustic potash and soda, when added to the saliva in excess, put a stop to its action on starch, and its diastatic power is not restored by neutralization. Its action is suspended by sodium and potassium carbonates, ammonia and lime-water, but restored by neutralization. Put saliva in two test-tubes and add to one several drops of liquor potassie. 4G2 DIGESTION. and to the other a few drops of a solution of potassium car- bonate, mix a little starch mucilage with both, and let them stand in a water-bath at 40° C. for half an hour. Test a small portion of the liquid from both tubes, and having ascertained that neither contains sugar, put a drop of litmus solution in each, and neutralize with dilute hydrochloric acid. After both have stood for another half hour, sugar will be found in the one to which the carbonate was added, but not in the other. * 80. Action of Saliva on Raw Starch. — As has been seen, the saliva rapidly converts starch mucilage into sugar, but it does not act so quickly on raw starch. The starch granules consist of a number of layers arranged in an eccentric manner round a point called the hilum. These laj'ers consist alternately of two substances which have been termed respec- tively, starch-cellulose and starch-gran ulose. The latter is colored blue by iodine alone ; the former is not colored unless the granules have been previously acted on by sulphuric acid or zinc chloride. When starch is digested with saliva, the granulose onty is dissolved, and although the starch granules still retain their form, they are no longer colored blue by iodine. To show this, potato starch must be mixed with saliva, and subjected for two or three days to a temperature of 35° C. The saliva used must be decanted off, and a fresh quantity added every two or three hours. The starch is prepared for the purpose by placing a quantity of the pulp obtained by scraping the cut surface of a raw potato on a bit of calico stretched over the mouth of a beaker, and theu washing it with a gentle stream of water. The starch granules pass through into the beaker, leaving a fibrous residue on the calico. 81. Artificial Saliva.— As ptyalin is present, ready formed, in the salivary glands, a fluid which, like saliva, will convert starch into sugar, can be obtained by making an infu- sion of the glands. Take the salivary glands of an ox, sheep, rabbit, or guinea- pig. Remove the cellular tissue from them, chop them up fine, and let them stand with a little water upon them for several hours. Strain through muslin and filter. The filtrate may be used instead of saliva for the experiments already described. * 82. Preparation of Ptyalin from the Salivary Glands. — Ptyalin may be separated from the infusion of the glands in the same manner as from saliva, but as it dissolves very readily in glycerin, it is much more advantageous to ex- tract it by that agent. For this purpose prepare the salivary glands of an ox or sheep, as above directed. Place the well- minced gland in a flask, and cover it with absolute alcohol. Cork the mouth of the flask, and let it stand for twenty-four BY LR. LAUDER BRUNTON. 463 hours. Then, having poured off the liquid, squeeze the re- mainder in a cloth, so as to get rid of as much of the alcoholic extract as possible. The cake so obtained must now be mixed with as much glycerin as will cover it in a beaker, and allowed to remain for several days, during which the mixture may be occasionally stirred. At the end of this period, the whole must be strained through muslin, and then filtered through paper. In the filtrate, ptyalin is precipitated by the addition of alcohol in excess. The precipitate, after having been col- lected by subsidence and decantation, must be dried over sul- phuric acid. 83. Separation of Ptyalin from Saliva. — The method emploj-ed for separating ptyalin as well as other ferments from the secretions in which they are contained, depends on the fact that when a copious precipitate is produced in the fluid, the fer- ment adheres to the particles of the precipitate, and is carried down along with them. It does not, however, adhere very closely to the precipitate, and can readily be washed off. The precipitate employed to carry down ptj'alin is calcium phos- phate. This carries down with it not onty the ptyalin, but also the albumin in the saliva. The albumin, however, adheres more closel}T than the ptyalin to the precipitate, so that the ptyalin is dissolved away by the first wash -water, while the albumin remains adherent. Collect a considerable quantity of saliva by filling the mouth with ether; while fresh, acidify it strongly with phosphoric acid, so that the precipitate to be pro- duced may be voluminous; then add milk of lime till the fluid has a faintly alkaline reaction, and filter. When the fluid has drained from the precipitate, remove the latter into a fresh beaker, add to it a little water, not exceeding in amount the saliva originally employed, stir it well and filter again. Add to the filtrate an excess of alcohol. After some time a fine white flocculent precipitate will separate, which must be col- lected in a filter and dried over sulphuric acid. It then forms a snow-white powder, and consists of pt3'alin mixed with some inorganic salts. To obtain it free from ash, dissolve it in water, and precipitate it again by absolute alcohol. Pour off the alco- hol, dissolve again in water, and precipitate again. Repeat this several times, collect the precipitate on a filter, wash with dilute alcohol, and then with a little water, and finally dry it at a low temperature, under a bell-jar over sulphuric acid. * 84. Properties of Ptyalin. — The reactions of ptyalin may be examined either in the filtered aqueous solution of the calcium phosphate precipitate, or in solutions of pure ptyalin. Ptyalin differs entirely from albumin in its reactions. 1. Add nitric acid; there is no precipitate. Boil the liquid, allow it to cool, and add ammonia. No yellow color is produced. 2. Add to several portions in test-tubes, mercuric chloride; 4G4 DIGESTION. tannic acid ; acetic acid and solution of potassium ferrocyanide ; platinum chloride; solution ofiodine. No precipitate appears in any case, but the iodine produces a yellow color. 3. Add lead acetate, and to another quantity basic lead ace- tate. In both cases a precipitate is formed after a time, and on filtration it is found that the filtrate is without action on starch, the ptyalin having been carried down with the precipitate. 4. Add liquor potassaiand cupric sulphate. No reduction of the copper oxide occurs. ** 85 Secretion of Saliva. — The secretion of saliva goes on very slowly or ceases entirely when the glands are not under the influence of some stimulus. The stimulus may be either mechanical, chemical, electrical, or mental. The student may estimate the effect of different stimuli by experiments on him- self, thus : Swallow all the saliva contained in the mouth, so as to empty it completely. At the end of two minutes spit out the saliva which has collected in the mouth into a small beaker previously counterpoised (see § 215) and weigh it. Again empty the mouth, apply the stimulus and collect the saliva for two minutes more, and weigh as before. B}' the comparison of the two, the action of the stimulus may be judged of. The best modes of stimulation are the following: — 1. Mechanical Roll a pebble or glass stopper in the mouth, and attempt to chew it. 2. Chemical. — Touch the tongue (1) with a crystal of tartaric or citric acid, or (2) of sodium carbonate; (3), fill the mouth with ether vapor, allowing it to pass back into the pharynx, and retaining it for some time in the mouth. 3. Electrical. — Touch the tongue and inside of the cheeks with the electrodes of Du Bois Reymond's induction coil. The effect which a stimulus applied to the mouth produces in man, on the secretion from the parotid and submaxillary glands, may be studied with greater precision by means of a canula or syringe. If a syringe is used, its nozzle must end in a funnel-shaped dilatation. This is applied to the papilla at the orifice of Wharton's or Stenson's ducts, and gentle traction made upon the piston. A stimulus may be applied to the mouth, and the rate at which the saliva flows afterwards ob- served. It is, however, more satisfactoiy to use a canula, which, with a little practice, can be introduced into the ducts with great ease. *86. Mode of Collecting the Secretions of the Sali- vary Glands unmixed in Man. — Insertion of a Canula into the Submaxillary Duct. — Draw out a narrow glass tube to a fine point, and at the place where it seems small enough to enter the orifice of the duct, notch it with a triangular file, break it off, round the edges at the border of a glass flame and allow it to cool. To insert a canula thus prepared into his own BY DR. LAUDER BRUNTON. 465 submaxillar}' duct, the student must now place himself before a mirror, with a bright light directed into the mouth. Fill the mouth with vapor of ether, or chew a piece of pyrethrum. Turn the end of the tongue back against the palate. At the root of the frsenum linguae a papilla with a little black dot is seen at each side of the middle line. From these two dots, which mark the orifices of Wharton's ducts, the saliva will be seen to issue. Insert the end of the canula into one of them, and hold it steadily in its place. The entrance of the canula is attended with an unpleasant sensation, not amounting to pain. At first the canula fills pretty rapidly, but as the effect of the ether passes off, the flow soon diminishes. If it is desired to collect the secretion, a piece of India-rubber tubing must be attached vto the wider end of the canula before inserting it. Insertion of a Canula into the Parotid Duct. — As it is hardly possible to insert a canula into one's own parotid duct, a second person must be employed, who should sit opposite a good light and chew pyrethrum root as before. The method is as follows: Draw one angle of the mouth outwards and forwards so as to stretch the cheek. Opposite the second molar tooth of the upper jaw the small papilla is seen which marks the orifice of Stenson's duct. Insert the canula and hold it steadily but carefully in its place, then a third person may blow into the mouth some vapor of ether, or introduce a little diluted tincture of pyrethrum. By these methods a sufficient quantity of secretion can be collected for the investigation of the leading properties of the two secretions. Both possess the property of determining the transformation of starch and sugar. 87. Study of the Secretions of the Salivary Glands in Rabbits. — The ducts of the salivary glands in rabbits are too small to allow of the easy introduction of a canula, but the secretion may be readily studied by cutting the duct across. The saliva escapes from the cut end and collects in drops. When the secretion is slight, it may be rendered readily visible by putting over the end of the duct a piece of bibulous paper reddened with litmus. The saliva is absorbed by the paper, and produces a blue spot, which increases in size, more or less rapidly, according to the rate of secretion. * Parotid Gland. — The duct runs from behind forwards across the masseter muscle about its middle, covered by fascia. It lias branches of the facial nerve on each side of it, and is parallel with the transverse facial artery. At the anterior edge of the masseter it takes a direction towards the middle line, in order to enter the mouth. If a vertical incision is made in a line with the cornea through the skin and fascia of the cheek down to the masseter, 30 466 DIGESTION. the facial nerves and transverse facial artery are cut across as well as the duct. As soon as the bleeding has ceased, the discharge of saliva from the cut end may be investigated in the manner directed in § 90. 88. Investigation of the Secretions of the Salivary Glands in the Dog. Permanent Salivary Fistulae. — Permanent fistulae may he made either with or without insert- ing a canula in the duct. In the method to be described, that of Sch iff, no canula is used. Permanent Submaxillary Fis- tula.— The animal having been placed on the table, and its head secured with the aid of Bernard's holder, it is put under the influence of chloroform.1 Shave the hair from the under surface of the lower jaw. Make an incision akuig the inner border of the ramus of the lower jaw, extending forwards from the anterior margin of the digastric muscle, and dividing the skin and platj-sma. Secure every vein that presents it- self with two ligatures, and divide it between them. Divide the mylohyoid muscle cautiously. Underneath it will be found the submaxillary and sublingual ducts, which run side by side, the submaxillary being somewhat larger and nearer the ramus of the jaw. Isolate the duct and divide it as near as possible to its entrance into the mouth. Close the wound with sutures, leaving the end of the duct projecting. To prevent its retrac- tion, pass a suture through it. When the wound heals, the end of the duct will come away, leaving a fistulous opening. Examine it daily, and if it has a tendency to close, pass a fine probe into it and along the duct. Permanent Sublingual fistula. — This is made in the same way as a submaxillary fistula, and the same animal may be used for both, but the two fistulae should be on opposite sides of the head. 89. Parotid Fistula. — The animal having been secured and placed under chloroform as before, the hair is clipped from the cheek between the orbit and the angle of the mouth. On running the finger along the lower border of the z3-gomatic arch from behind forwards, its anterior and inferior root is felt at its insertion into the superior maxilla, forming an arch, of which the convexity is directed backwards. At the end of this arch, between its insertion into the maxillary bone and the alveolus of the second molar tooth, a little depression-is 1 In administering chloroform to a dog, great care must be taken that the vapor is sufficiently diluted with air, and that the sponge does not come into contact with the muzzle. The breathing must be carefully watched during the period of administration, and if it fails it must be continued by alternately compressing and relaxing the thorax. If this does not succeed, no time must be lost in opening the trachea and com- mencing artificial respiration. BY DR. LAUDER BRUNTON. 467 felt. Exactly on a level with this depression, and in a line with the insertion of the zygomatic arch, make an incision through the skin, cutting obliquel}' in a direction from the inner canthus of the eye towards the angle of the mouth. On dividing the subcutaneous cellular tissue, the facial vein and artery, a nerve, and the parotid duct will be found all together. The duct lies most deeply and runs from behind forwards, while the artery, with its accompanying vein, pass from above downwards. It is of a pearly white color. Isolate it, and divide it as near the mouth as possible. The wound must be closed round the duct, and the duct secured in it by a suture, just as in the case of the submaxillary gland. * 90. Effect of Stimuli on Secretion. — In animals with permanent fistulse, whether parotid or submaxillary, it can be demonstrated that these glands do not secrete excepting when secretion is excited by stimulants. The stimulation ma}- con- sist in the introduction into the mouth of sapid substances, such as vinegar (which, in common with acid substances in general, acts most on the parotid), quinine, or coloc3rnth, or of ether, or in electrical excitation of the tongue. The action of mental stimuli may be also shown, as, e. g., by placing a bone before the nose of a fasting dog without allowing him to reach it. From SchifTs experiments, it appears that this kind of stimulation has no effect on either the parotid or submaxillary. The mastication of a bone produces an abundant secretion from both glands, but mastication of a tasteless substance, as, e. g., a piece of wood, has no effect on the parotid, and a very slight one on the submaxillary. For rabbits a piece of hard biscuit should be used in place of a bone. Experimental Investigation op the Functions of the Submaxillary Gland. 91. Owing to its comparatively exposed position, the sub- maxillary gland has been more completely studied than either of the other two. The investigation of its functions has yielded results which have acquired an importance far beyond that which they possess as bearing on the secretion of saliva. They form, indeed, the basis of all that is known as to the nature of glandular action, and of the influence exercised on it by the nervous system. Before proceeding to describe the methods employed, it will be necessary to give a short account of its anatomical relations, and particularly of the bloodvessels and nerves which are distributed to it. Nerves. — The gland receives nerve fibres from three sources, viz., from the facial, from the submaxillary ganglion, and from the cervical sympathetic. The branch of the facial (known as the chorda tympani) reaching the neighborhood of the duct, as part of the trunk of the lingual nerve, leaves that nerve as it 468 DIGESTION. crosses the duct, in order to accompany the latter to the gland (see fig. 307). In the angle which it thus forms with the lin- gual lies the submaxillary ganglion or ganglionic plexus above mentioned. From it fibres originate which reach the gland along with the chorda. The sympathetic fibres are derived from the superior cervical ganglion. Physiologically, the nerves derived from the submaxillary ganglion cannot be distinguished from those of the chorda. When the chorda is irritated, the arteries of the gland dilate, the blood-stream becoming much more rapid ; consequently, the veins leading from the organ pulsate, and if they are opened they jet like an artery. At the same time, the secretion dis- charged from the duct becomes copious and watery. When the sympathetic fibres are excited, the arteries contract, and the circulation in the gland is retarded, and if the veins are opened, they discharge " black" blood in a slow stream. The secretion becomes scanty and tenacious. It was first demonstrated experimentally by Ludwig that the increased secretion produced by excitation of the chorda is immediately dependent on increased activity of the function of the secreting elements of the gland, and not on changes in the bloodvessels; in other words, that in the submaxillary gland the process of secretion is not a mere filtration, but is effected by changes which go on within the gland itself, of such a nature as to determine a current from the circulating blood towards the duct. This conclusion was based by Ludwig on the ob- servation : first, that if the duct is constricted, secretion con- tinues, notwithstanding that the pressure in the interior of the gland is greater than that in the arteries ; and, secondly, that secretion continues after circulation has ceased, e. g.} after the head has been severed from the body. More recent observations make it probable that by the chorda tympani two kinds of fibres find their way to the gland, viz., fibres by which secretion is influenced directly, and others which are " vaso-inhibitory," i. e., diminish arterial tonus. Among the most important observations bearing on this ques- tion are those lately published by Heidenhain, who has found that injection of atropiainto the arteries or veins of an animal deprives the chorda of its power of over-secretion, without in- terfering with its vaso-inhibitory function ; and the earlier ex- periments of Gianuzzi, made under Ludwig's directions, in which a similar effect was produced by the injection of solution of quinine, half per cent, hydrochloric acid, or five per cent, solution of sodium carbonate into the gland itself. ** 92. Demonstration of the Functions of the Chorda Tympani and Sympathetic Fibres of the Submaxil- lary Gland in the Dog. — The animal having been secured, as directed in § 88, and placed under chloroform, with the BY DR. LAUDER BRUNTON. 469 usual precautions, the hair is clipped from the jaws and neck, and the skin cleaned with a wet sponge. This having been ac- complished, proceed according to the following Directions. — 1. Make an incision along the inner boi'der of the lower jaw, beginning about its anterior third, a little in front of the insertion of the digastric muscle, and extend it backwards to the transverse process of the atlas, dividing the skin and platysma {see figs. 308 and 310). — 2. Expose the jugular vein at or near the point where it divides into two branches (j' and j"), and lay bare those branches also. One of them (j') passes upwards behind the gland ; the other (j") passes forwards below it, and then subdivides into two branches. The gland itself has two veins. One of them (d' fig. 308) issues from its posterior aspect and enters the vein j'. The other (d) comes from its lower side and enters the vein j". Sometimes one vein (d) is larger, sometimes the other (d'). — 3. Tie both branches of the lower division of the jugular opposite 3" (fig. 310). Tie the upper branch where it crosses the ramus of the jaw, and remove the part between the ligatures. — 4. Tie the other division (J') on the distal side of the place where it receives the vein (d' fig. 308) from the gland. — 5. Remove the cellular tissue from the surface of the digastric muscle, and from the groove between it and the masseter. Be careful not to injure the facial artery, and the duct of the gland which passes forwards and inwards between the muscles. — 6. Separate the digastric muscle by means of a director or aneurism needle from the facial artery. Tie the arterial twig which supplies the muscle. Separate the muscle from its attachment to the jaw, or divide it about its anterior third, cutting it through very carefully, so as not to injure the duct and nerves which lie below it. — 7. Lay hold of the lower end of the digastric with a pair of artery forceps, and draw it backwards. This brings into view a triangular space, whose apex is directed forwards, and whose base is formed by the reflected digastric. Its lower margin (the dog being supposed to be in the upright position, as in the figures) is formed by the genio-hyoid muscle, and its upper one bj' the ramus of the jaw and the lower edge of the masseter. The anterior half of its floor is formed by the mylo-hyoid muscle, on which some nerves ramify. The carotid artery enters the triangle at its lower angle, and runs along its base, giving off first the lingual artery, secondly the facial. Just as the carotid begins to pass in front of the digastric, it is crossed by the hypoglossal nerve P, and is accompanied by filaments of the sympathetic tt'. At the upper angle of the triangle, several structures pass from it to the hilus of the gland close to the margin of the digastric. These are — 1, the duct; 2, the nerves ; 3, the principal artery of the gland. The artery is given off 470 DIGESTION. by the facial at the upper angle of the triangle. It lies beneatli the nerves, but is easily reached by drawing them aside. — 8. Carefully isolate the digastric by a director or aneurism needle from all the structures just mentioned. Divide it close to its insertion into the temporal bone. — 9. Divide the mylo-hyoid muscle, cutting its fibres across about their middle, and reflect the upper half, taking care not to injure the mylo-hyoid never ■which lies upon it, and tying all the veins which come into view on its surface with a double ligature. This brings into view the lingual nerve L, which issues from under the ramus of the jaw just opposite the groove between the masseter and digastric muscles, and after passing across the floor of the triangle towards the middle line, enters the mucous membrane of the mouth — 10. Draw the parts a little towards the middle line with the fingers, and follow the lingual nerve to the ramus of the jaw. A small twig T will then be seen, which passes off from its posterior aspect, bends down, making a sort of loop, and then runs backwards to the gland in close relation to the duct. This nerve is the chorda tympani. In the angle between .the corda and the lingual lies the submaxillary gan- glion.— 11. Isolate the chorda tympani, pass a thread under it, and tie the two ends together, so that the nerve may be raised from its place at will. — 12. Isolate the lingual nerve close to its entrance into the mouth, and pass a thread under it. — 13. To reach the sympathetic, divide the hypoglossal nerve P just where it crosses the carotid, and raise up its central end. Close to the inside of the carotid lies the vagus, and when this is raised the sympathetic is seen underneath and inside of it. The sympathetic separates from the vagus at this point and goes to the superior cervical ganglion (see fig. 309). From the ganglion, fibres accompany the carotid and enter the gland, some along with the chief artery (0), and others with the other arteiy P'. The ganglion can easily be found by following the carotid filaments backwards. — 14. Place a canula in the submaxillary duct. The ducts of the sub- maxillary and sublingual glands pass along the middle of the triangle close to each other. The submaxillar}' duct lies nearer the ramus of the jaw, and is larger than 'the sublingual duct. Isolate it slightly with an aneurism needle. Pass under it a thread for the purpose of tying in the canula. Place under the duct a smooth splinter of wood or a piece of card half an inch long by one-eighth of an inch wide, on which it may rest. Close the duct as near the mouth as possible with a clip, or tie a thread round it so as to obstruct it. Pvaise the chorda by the thread which has been passed round it, irritate it by a weak interrupted current; the purpose of this is to distend the duct witli secretion, and thus render the introduction of a canula much easier. Let an assistant lay hold of one edge of BY DR. LAUDER BRUNTON. 471 the duct with a pair of fine forceps while the operator lays hold of the other just over the splinter of wood on which it rests; open the duct between them with sharp-pointed scissors. Insert the canula into the duct and tie it in. — 15. Put a liga- ture round the jugular vein half an inch or an inch below its bifurcation, so as to be able readily to introduce into it a canula when necessary. In the preceding directions, all the steps of the operative procedure required for the complete investigation of the func- tions of the submaxillary gland during life are detailed. The method may, however, be modified, according as it is intended to limit the observation to the influence of direct or reflex ex- citation of chorda tympani on the secretion of the gland, or to extend it to this investigation of the vascular changes and to the functions of the vascular nerves. 93. Direct and Reflex Excitation of the Chorda Tympani. — Proceed as above directed, omitting 13 and 15. 2, 3, and 4 may also be omitted, provided that all such veins as are necessarily involved in the succeeding steps are doubly ligatured and divided between the ligatures. Reflex Excitation. — Divide the lingual nerve close to its entrance into the mouth, and excite its central end with the secondary coil at a con- siderable distance from the primary. The secretion of saliva is increased. The animal must previously be allowed to recover from the chloroform, or no increase will be observed. The reflex action of the lingual is abolished during narcosis by opium, as well as by chloroform. ** Direct Excitation. —Divide the chorda close to the point at which it leaves the lingual, and place the peripheral cut end on theexcitor (fig. 225), removing the secondary coil to a considerable distance from the primary. On opening the key, saliva is discharged from the canula (to which an end of India-rubber leading into a test-tube has been fitted). It begins to flow a few seconds after the excitation, but not immediately. By repeating the excitation at regular short intervals, the discharge can be maintained, and a con- siderable quantity collected. ** 94. Demonstration that the Pressure produced by Secretion in the Duct of the Submaxillary Gland -when it is Obstructed is greater than the Arterial Pressure. — A canula having been placed in the carotid of the opposite side of the body and connected with a mercurial ma- nometer, a second manometer is connected with the canula in the duct of the gland. The pressure indicated by the latter gradually increases until it attains a height greater than that indicated by the former. In this experiment it is desirable that the tube of the manometer connected with the duct should be narrow. Its proximal arm should be connected by a side opening with a pressure bottle at a height of about four feet 472 DIGESTION. from the table, the arrangement being the same as in the man- ometer of the kymograph. In this way a mercurial pressure of about 50 mill, of mercury is produced in the duct before excitation is commenced. On exciting the chorda tympanic it rises, as above stated, to double that height or more. For this experiment the same preparations are required as for the pre- ceding, and the same animal may be used. The ineasureinent of the arterial pressure in this experiment may be advanta- geously omitted. The pressure in the particular case may be assumed to be equal to the average. ** 95. Excitation of the Vascular Nerves. — If the filaments which accompany the carotid or principal artery of the gland are excited, a few drops of secretion may be dis- charged, but the quantity is so small that unless care is taken that the canula and duct are quite full before the key is opened, the effect will be scarcely perceptible. The secretion thus ob- tained is so thick and viscid, that the canula is apt to become ch'oked b}r it. ** 96. Demonstration of the Influence of Excitation of the Chorda, and of the Vascular Filaments on the Circulation of the Submaxillary Gland. — For this pur- pose it is necessary to insert a canula into the jugular vein, which has been exposed fortius purpose (see direction 15). In doing so. great care must be taken that the vein is not twisted, and that the canula is properly inserted so as to allow the blood to flow freely out of it from the gland; it will be remembered that all the tributaries of the vein, excepting those from the gland, have been previously tied. On exciting the chorda, the blood flows from the canula more rapidly, and acquires a brighter color. The opposite effect is produced by exciting the vascular filaments. 97. Simultaneous or Alternate Excitation of the Chorda Tympani and Vascular Filaments of the Sub- maxillary Gland. — The same degree of excitation of the chorda which is sufficient to induce a marked increase of the secretion of the gland, is without effect if the sympathetic fila- ments are excited at the same time. Hence it is concluded that the functions of the two sets of fibres are antagonistic to each other, not only in relation to the circulation of the gland, but as regards their direct influence on secretion. The experi- mental proof of this consists in first exciting the chorda with the secondary coil at such a distance that the effect produced is only just appreciable, and then repeating the excitation while the vascular filaments are excited at the same time. In the latter case, the effect of the excitation of the chorda is annulled. If with a Pohl's commutator the same induced currents are directed alternately through the chorda and the sympathetic filaments at short intervals, the preventive influence of excita- BY DR. LAUDER BRUNTON. 473 tion of the latter manifests itself in the same way as if the ex- citation were simultaneous. Here, as before, the effect must be verified by comparative experiments. 98. Simultaneous Section of the Chorda Tympani and Vascular Nerves. — Paralytic Secretion. — After divi- sion of both nerves, the secretion of the submaxillary gland, which in the normal state only goes on when the gland is directly or reflexly excited, becomes constant and abundant. This effect does not occur until some time after section, and may last for days or weeks. A similar condition of the gland is produced by the introduction of curare into the blood, which is supplied to the gland by its arteries. To show this, proceed as follows : Find the facial artery and prepare it. Then insert and secure a canula, to which an end of India-rubber tubing has been previously fitted in the usual way. Fill the canula with saline solution, and connect it with the nozzle of a Pravaz's syringe previously chai'ged with one per cent, solution of curare, taking care that the India-rubber tube is firmly tied round the nozzle. Open the clip, inject five divisions (about two milligr. of curare), and then close the clip. The same mode of injection may be used for the introduction of solution of atropin, if it is desired to repeat the experiments of Heidenhain previously referred to. 99. Function of the Submaxillary Ganglion. — Bernard found that excitation of the central end of the lingual, when divided near the mouth, produces effects similar to those of excitation of the chorda, i. e ., causes the submaxillary gland to secrete even when the trunk of the lingual and chorda has been severed at a point nearer the brain than that at which it is in relation with the ganglion. From this, Bernard concluded that the submaxillary ganglion acts as a reflex centre, independently of the central nervous system. More recent observations render it probable that Bernard's result derives its explanation from the anatomical fact that a filament of the chorda exists, at all events in some animals, which accompanies the lingual nerve for about an inch and a half beyond the point at which the chorda separates from it. The effect in question is to be attributed to excitation of this filament, which runs back parallel with the lingual nerve to the submaxillary plexus, and so to the gland. (On this subject, nee Schiff, Physiol, de la J)igestion, t. I., p. 288, and Haartman's Thesis, 1846. Helsingtbrs, p. 37, and PI. I. 142.) 100. Parotid Glands. — In most animals the parotid, like the submaxillary gland, does not secrete unless the nerves which regulate its secretion are stimulated, but in the sheep it is said by Eckhard to secrete constantly. Secretion occurs when sapid substances are applied to the posterior part of the tongue, and still more when they are chewed ; but the mere 474 DIGESTION. motion of the jaws in chewing a tasteless substance does not induce secretion. The gland receives two secreting nerves, one of which is derived from the facial, and the other from the sympathetic. The branch from the facial is the lesser superfi- cial petrosal nerve, which leaves the facial in the petrous por- tion of the temporal bone, passes to the otic ganglion, and thence to join the auriculo-temporal branch of the fifth, in which it proceeds to the gland. These facts have been experi- mentally ascertained by observing, first, that irritation of the roots of the facial within the cranium determines flow of saliva from the parotid gland ; secondly, that excitation of the fifth nerve within the cranium has no such effect ; and, thirdly, that after section of the facial nerve at its exit from the stylo- mastoid foramen, the application of stimuli to the mouth de- termines secretion from the parotid as before. These facts, taken in combination, show that the secreting fibres for the parotid are given off by the facial in its passage through the petrous part of the temporal bone. This conclusion receives direct confirmation from an experiment of Bernard, who found that destruction of the facial nerve in the temporal bone stops the secretion of the parotid. Of the three nerves given off" bjr the facial in its passage through the temporal bone, viz., the chorda lympani, the greater superficial petrosal and the lesser, the last-mentioned was proved by Bernard by exclusion to contain the secreting fibres for the parotid, for he showed that the chorda could be divided in the tympanum without affecting the parotid secretion ; and as regards the greater superficial petrosal, it was known ana- tomically that it did not go to the parotid, and also found ex- perimentally that excision of Meckel's ganglion had no effect on that gland. Bernard's conclusion has received direct con- firmation from later experiments, which have shown, first, that the secreting function of the parotid gland is much impaired by the extirpation of the otic ganglion, and entirely annulled 1>3' section of the auriculo-temporal nerve. After division of this nerve, Schiff has shown that discharge of saliva cannot be induced by the application of stimuli to the mouth, and that electrical excitation of the peripheral end excites secretion just in the same way as excitation of the chorda tympani.1 1 For a description of the method of dividing the facial at its exit from the stylomastoid foramen, see Eckhard's Beitr'age zur Anatomic und Physiologic, Bd. III. p. 49. Section of the facial within the temporal bone is described in Bernard, Lecons sur la Physiol, et la Pathol, du Syst. Nerv., II. pp. 58 and 141. As regards section of the chorda in the tympanum, excision of the sphenopalatine ganglion, and division of the lesser superficial petrosal nerve, see Schiff, Physiol, de la Diges- tion, torn. I. p. 229. Excision of the otic ganglion, do. p. 227. For the method of exciting the auriculo-temporal nerve, see Nawrocki Stud, d. Physiol. Inst, zu Breslau, lit. IV. p. 185. BY DR. LAUDER BRUNTON. 475 ** 101. Secretion of Saliva after Decapitation. — Make a parotid fistula in a rabbit; decapitate it; split the head in the middle line by a knife and hammer; remove the brain from that half of the head on which the fistula has been made, apply a piece of filter-paper colored red by litmus to the orifice of the duct, and irritate the roots of the facial as they enter the internal auditory foramen, either electrically or by touching the nerve with a drop of acid. A blue spot will appear on the paper, showing that saliva has been secreted. Section II. — Digestion in the Stomach. 102. In the stomach the albuminous constituents of the food which were unaffected by the saliva are dissolved by the gas- tric juice, and to a great extent converted into peptones. If they were merel}T dissolved, they could only be absorbed in very minute quantities, for albumin will hardly diffuse through animal membranes. The peptones into which the albuminous substances are converted, on the contrary, diffuse very readily, and are thus easily absorbed. The gelatinous substances in the food are also changed somewhat h}' the gastric juice, so that after the}' have been acted on by it they no longer gela- tinize. The transformation of starch into sugar by the saliva, which was begun in the mouth, also goes on in the stomach, the acidity of the gastric juice being too slight to arrest it. Unlike saliva, gastric juice cannot be readily obtained from man or animals, at any rate in a state of purity, without an operation. It is therefore necessary to establish a gastric fistula in a dog in order to collect a sufficient quantity of gas- tric juice for examination. ** 103. Establishment of a Gastric Fistula.— The object of making a gastric fistula is twofold : 1st, to obtain gastric juice for examination ; and, 2d, to observe the process of secretion within the stomach itself. The method adopted by Bassow was simply to make an in- cision in the abdominal parietes, to sew the stomach to the edge of the wound, and then to make an-opening in the stomach itself. The fistula was plugged with a piece of sponge. It was, however, very liable to close, and was too small to allow the interior of the stomach to be observed. Blondlot pre- vented the wound from closing by placing in it a canula, which was closed with a cork, so that the gastric juice and products of digestion might not be lost during the intervals between his observations. This method, as improved by Bernard, is the one usually employed. Bernard's canula consists of two tubes, each of which lias at one end a broad flange. One tube screws into the other, so that the distance between the two flanges can be 470 DIGESTION. altered at will. This- is effected by means of a key which fits on two projecting points in the inner tube, and turns it round, while the outer one is held fast by the fingers. The advantage of this form over a simple tube with a shield at each end, is that the cicatrix of the wound often thickens in healing, and if the tube is not proportionately lengthened the outer plate presses on the skin and causes ulceration. The disadvantage of Bernard's canula is, that it is too small to allow the in- terior of the stomach to be conveniently observed, and also, I think, that the edge of the wound comes into contact with the screw of the inner tube, and not with a smooth surface. These advantages may be readily obviated by increasing the diameter of the tube and the width of the flange, and adapting a key to the projecting points by which the outer tube may be placed in the stomach and turned round as necessary. Such a canula is represented in fig. 311. 104. Operation for Gastric Fistula. — Give the dog a hearty meal, so as to distend its stomach completely and make it lie close against the intestinal walls.1 Anaesthetize the animal by chloroform, taking care that the vapor is mixed with a sufficient proportion of air. Lay it on its back on the table, shave off the hair from the epigastric and hypochondriac regions, and remove the hairs carefully by a sponge, so as to prevent the risk of their getting into the peritoneal cavity. Make a vertical incision about an inch and a half to one side of the linea alba, preferably the left, and parallel to it, extend- ing downwards from the lower edge of the costal cartilages to a distance somewhat less than the diameter of the flange of the canula. Divide the muscles parallel to the course of their fibres. Tie every bleeding point before opening the perito- neum, so that no blood shall get into its cavity. Open the peritoneum on a director. Lay hold of the stomach with a pair of artery forceps at a point where there are not many ves- sels, and draw it forwards. Pass two threads with a curved needle into the gastric walls at a distance from each other about equal to the diameter of the tube of the canula, and bring them out again at a similar distance from the points where they were introduced. Make an incision into the gastric walls, between the two threads, rather shorter than the diame- ter of the tube of the canula. Put a pair of forceps, with the blades together, into the incision, and then dilate it by sepa- rating the blades till it is large enough to allow the canula to be introduced. Push the canula into the stomach up to its outer plate. Tie the stomach to it by the threads, and then 1 Holmgren recommends the inflation of the stomach with air, by means of a tube passed down the oesophagus, as preferable to distend- in? it with food. BY DR. LAUDER BRUNTON. 477 pass their ends through the edges of the wound in the abdo- minal wall in such a way as to fasten the stomach to it, and at the same time to keep the cut edges in apposition. No other suture is required. Leave the canula uncorked for at least half an hour after the operation is finished, for when the dog recovers from the chloroform it will vomit, and if the ca- nula be corked, the fluid contents of the stomach are apt to be forced past the side of the canula into the abdominal cavity. Feed the dog on milk for one or two days, and if the operation be performed in winter, keep it in a place warmed night and day. The day after the operation the edges of the wound will be much swollen, but the swelling will subside in a day or two. After the wound has begun to heal, the cicatrix may thicken, and the outer plate of the canula begin to press too much on the skin, so that it ulcerates. If this should occur, the canula must be lengthened by screwing the two flangs further apart. The canula may be closed by an India-rubber stopper, or by a cork. If the dog tears out the cork with his teeth, soak it in decoction of colocynth, or put a little phosphoric acid on its outer end. In order to collect the juice, let the animal fast for several hours, so that its stomach may be quite empty, but not for more than a da}-, as the mucous membrane would become covered with a thick coating of mucous. Let an assistant pat the dog, and keep him quiet ; withdraw the cork from the canula, and tickle the inside of the stomach with a feather tied to a glass rod. Put a small beaker underneath, so that the end of the rod rests on its bottom : the gastric juice will flow into it down the sides of the rod. ** 105. Examination of Gastric Juice.— The gastric juice is thin, almost colorless, very faintly opalescent, and has a faintly acid taste. Its specific gravity is nearly the same as that of water. Its reaction is strongly acid; blue litmus paper becoming bright red when dipped into it. Composition. — In the dog, it contains three per cent, of solids; in man, only one per cent. About two-thirds of this is organic matter, consisting of pepsin and peptones ; and one- third of inorganic matter, consisting of chlorides of potassium, sodium, ammonium, calcium, and phosphates of calcium, mag- nesium, and iron. The specific gravity and amount of solids, organic and inorganic, are to be determined in the same way as those of saliva. The acidity of the gastric juice is really due to free acid, and not to acid salts. To show this, the amount of bases and of acid contained in it must be determined. When this is done, it is found that the quantity of acid is more than suffi- cient to form acid salts with all the bases present which are capable of forming such salts ; it must, therefore, exist partly 478 DIGESTION. in a free state. For the details of this process, consult Bidder and Schmidt, Verdauungssafte, u. Stoffweehsel, 1852, p. 44; or Hoppe-Seylei's Handbuch d. Chemischen Analyse, third edi- tion, p. 434. 106. Estimation of the Acid in Gastric Juice. — Fill a burette with dilute standard solution of soda (one part in ten), letting- the standard solution flow gently into it, so as to avoid air-bubbles, till it is filled above the zero mark. Then place it in the stand, and take care that it is perfectly vertical. If any bubbles of air arc present they must be allowed to break or be removed by a glass rod. Let the fluid flow out by pressing the clip till its level corresponds to the zero mark on the burette. Measure out 10 cubic centimetres of gastric juice into a beaker, and add a little litmus solution to it till a dis- tinct red color is produced. Place the beaker containing it under the burette, and let the alkaline solution flow gradually into it at first, and at last only drop by drop, stirring all the time till the red color of the litmus changes to a violet. Then note exactly the level at which the surface of the fluid stands in the burette. The difference between this level and the zero mark gives the number of cubic centimetres used. Calculate the amount of soda contained in this quantity. One hundred cubic centimetres of the original soda solution contained four grammes, or one-tenth of an equivalent of soda. One hundred cubic centimetres of the diluted solution, therefore, contains one-tenth of this amount, 0.04 grammes, or one-tenth of an equivalent. Let us suppose that the amount of soda solution actually used to neutralize the gastric juice is 21.6 cubic centimetres. Then, as 100 cubic centimetres contain 0.04 grammes ( = 0.01 equivalent), this quantity will contain only 0.00G grammes ( = 0.00216 equivalent). The quantity of gastric juice neutral- ized was 10 cubic centimetres. Had we used 100 cubic centi- metres of juice instead of 10, we should have required ten times as much soda to neutralize it, i.e., 0.0216 equivalent. One hundred cubic centimetres of the juice, therefore, contains 0.021 of an equivalent of acid, supposing that the acid be monobasic. If the acid be bibasic or tribasic, an equivalent of soda would only saturate a half or a third of an equivalent of acid, and the proportion of acid would be 0.015 or 0.00?. 107. To Determine the Nature of the Acid.— The gastric juice is introduced into a large retort connected with a Liebig's condenser, and distilled till the fluid in the retort becomes very concentrated, and clouds begin to form in it. To remove the excess of water from the distillate, it must be neutralized with sodium carbonate, evaporated to dryness over a water-bath, extracted with absolute alcohol and filtered. The filtrate is then evaporated to dryness on a water-bath, and BY DR. LAUDER BRUNTON. 479 the residue dissolved in a small quantity of water. A little of the solution is now put in a test-tube, and a few drops of a neutral solution of ferric chloride added. If acetic acid is present, the fluid will become of a dark red color, and when boiled will deposit a 3'ellow precipitate. A solution of silver nitrate ma}' be added to second portion. If hydrochloric acid is present, a white precipitate will fall, and will not be dis- solved on adding nitric acid, but will be dissolved by ammonia. To the remainder, dilute sulphuric acid is added, and the mixture allowed to stand for some time. If butyric acid is present, a smell like rancid butter will be perceived. The residue of the gastric juice, which remained in the retort after the hydrochloric and other acids were distilled off', is poured into a large test-tube or flask, and agitated with ether. The ethereal layer is then decanted off and evaporated over a water- bath. If acetic acid be present in the gastric juice, it will remain as an acid residue. Crystals of zinc lactate (square prisms with one or two oblique surfaces at the ends) may be obtained on allowing the residue to stand after the addition of zinc, oxide, and water. 108. Action of Gastric Juice. — The power of gastric juice to dissolve coagulated albuminous substances is best shown by using fibrin from blood. To prepare fibrin the blood is to be stirred, as it flows from the vessel, with a rough stick or piece of ragged whalebone, and the fibrin collected and washed till it is perfectly white. It may be preserved for a considerable time under glycerin, from which it must be washed before it is used. Put a small piece of fibrin into a test-tube along with gastric juice, and place the tube for an hour or two in the water-bath at 35° C. The fibrin will swell, become somewhat transparent, and then dissolve, forming an opalescent fluid, which is not precipitated by boiling, and slight^, or not at all, by neutralization. As no other fluid except gastric juice has this action on fibrin, the production of all these effects is used as a test for it, and is called the pepsin test. Pepsin alone will not produce them, however, unless free acid be present as it is in gastric juice. In this process, boiled fibrin ma}' also be used as recommended by Kiihne. ** 109. Artificial Gastric Juice. — All the actions of gas- tric juice can be more conveniently studied with an artificial juice than with the natural secretion, as the former can be ob- tained in much larger quantities. The method of preparing it is as follows : Open the stomach of a newly-killed pig or rabbit, or the fourth stomach of a calf, remove its contents and wash it thoroughly with a gentle stream of water without much rub- bing. Lay it on a piece of board with its mucous surface up- wards, fasten it down with a few pins, and then with the back 480 DIGESTION. of a knife or an ivory paper-cutter, scrape off all the mucus from the surface. Rub it up in a mortar with clean silicious sand or powdered glass and water, let it stand some time, stirring it from time to time, and then fdter it. The filtrate is gastric juice in a state of very considerable purity. It is slightly opa- lescent, and contains a large quantity of pepsin and but little peptone. When acidulated with its own bulk of dilute hydro- chloric acid of 0.2 per cent., it digests fibrin with great rapidity. It may be kept in a bottle for a long time, and though fungi grow on its surface, it still retains its digestive powers. A much stronger gastric juice, though not so pure, is ob- tained by scraping the mucus from the stomach as in the first process, or by dissecting off the whole mucous membrane from the muscular layer, cutting it into small pieces, then rubbing it up with dilute hydrochloric acid of 0.1 per cent, and filtering. The gastric juice so readil}' prepared by this method is very strong, and does very well for experiments on digestion, al- though it contains a good deal of albumin which is dissolved in the acid. It maj- be freed in a great measure from albumin b}' putting it into the water-bath at 35° C, for several hours, so as to convert the albumin into peptones, and then transfer- ring it to a dialyzer, and changing the water several times. The peptones will diffuse out into the water, a great part of the pepsin will remain in the dialyzer. ** 110. To Prepare Hydrochloric Acid containing 0.2 per cent, of real HC1. — The ordinary strong hydrochlo- ric acid sp. gr. 1.16 contains 31.8 per cent, by weight of II CI. gas. To prepare a dilute acid, containing 0.2 per cent, of real HCL, measure out with a graduated pipette 6.25 cubic centi- metres of such acid into a litre flask ; fill the flask up to the neck with distilled water, and shake so as to mix thoroughly. ** 111. To Prepare a Solution of Pepsin in Glycerin. — The solubility of digestive ferments in glycerin was dis- covered by Yon Wittich ; and by its means they may be ob- tained with great facility. Cut open the stomach of a pig or rabbit (best when newly killed), and wash the mucous membrane as directed ; cut off the pyloric part ; stretch the re- mainder on a piece of board, and dissect off the mucous mem- brane from the muscular layer. Cut up the mucous membrane into small pieces and put it into a beaker, with sufficient gly- cerin to cover it. It will acquire peptic properties in a few hours, but it is as well to let it remain for several days. Then strain off the glycerin and put on a fresh quantity. This may be repeated several times, and each time the glycerin will take up a fresh quantity of pepsin. An artificial gastric juice may be readily prepared whenever it is wanted by adding a little of the glycerin extract to hydro- chloric acid of 0.1 per cent. BY DR. LAUDER BRUNTON. 481 ** 112. Preparation of Pure Pepsin from Glycerin Solution. — Let the mucous membrane, prepared and cut into pieces, as already directed, lie for 24 hours in absolute alcohol. Filter off the alcohol ; dry the pieces of mucous membrane with a cloth or filtering paper, cover them with glycerin, and let them stand for several days or weeks. Filter the glycerin, first through linen and then through paper. Add a large excess of absolute alcohol to the filtrate and a flocculent precipitate will fall. Filter off the alcohol, pour IIC1. of 2 per cent, over the precipitate on the filter, and it will dissolve. Boil a little of the solution with strong nitric acid, and after cooling, add am- monia. It should not give the slightest trace of the xantho- protein reaction. Let a piece of fibrin, either boiled or un- boiled, remain in another portion of the solution for several hours, at 40° C, and it will be digested. Apply the other tests mentioned in § 118. Very probably no precipitate may be occasioned by platinum chloride. 113. Preparation of Pepsin (Brucke's Method). — The process by which Briicke separated pepsin, and thus for the first time succeeded in isolating any of the digestive ferments, depends on their being tarried down from their solutions along with precipitates produced in them. This has already been mentioned when speaking of saliva, from which Cohnheim separated ptyalin by Brucke's process. Separate the mucous membrane from the stomachs of two pigs, and cut it up into small pieces, as directed in § 109. Digest it at 40° C. with a considerable quantity of dilute phosphoric acid, of the British Pharmacopoeia, mixed with its own bulk of water (it thus con- tains 5 per cent, of acid). If necessary, remove the acid, and add fresh portions till the whole of the stomach has been dis- solved, with the exception of a slight residue, continuing the process till the liquid which passes through on filtering gives no precipitate with potassium ferrocyanide. Filter the liquid, put a little of the filtrate aside in a test-tube, and add lime- water to the remainder till it turns blue litmus paper slightly violet. Collect the precipitate on a cloth filter, press all the fluid out of it with the aid of a screw-press, and dissolve it while still moist, in water, with the addition of dilute hydrochloric acid (50 cubic centimetres of commercial acid in a litre- of water). Precipitate the solution a second time with lime-water, col- lect the precipitate on a cloth filter, press out the liquid, pour a little water on it while still moist, and add phosphoric acid to it in small quantities and at long intervals. The pasty tri- basic phosphate Ca((P04)., is thus converted into sandy bibasic phosphate Ca II P04. Filter off the fluid; it contains pepsin still mixed with albuminous substances. Test its digestive power by adding a few drops of it to 0.1 per cent, hydrochloric 31 482 DIGESTION. acid, and digesting fibrin in it. It will be found still to give the xanthroprotein reaction, though not quite so strongly as the original solution. Wash the precipitate upon the filter several times with distilled water, plug the funnel, and pour on dilute phosphoric acid, so that a part of the Ca II P04 is dis- solved, Ca II4(POJ.,, being formed. After several hours remove the plug and let the fluid run off. It will digest fibrin, and lias a still weaker xanthoprotein reaction. Wash the precipitate several times with distilled water, plug the funnel again, pour on fresh phosphoric acid, and repeat this several times. At last a fluid is obtained which, although it digests, gives scarcely any xanthoprotein reaction. To prepare pure pepsin in sub- stance, prepare a solution with phosphoric acid and lime-water, as directed above. After precipitating a second time with lime- water, and pressing the precipitate, dissolve it in dilute hy- drochloric acid and filter it into a large flask. Prepare a cold saturated solution of cholesterin in a mixture of 4 parts of alco- hol of 808 sp. gr. and one part of ether. Put a long funnel which will reach to the bottom of the flask into it, and pour in the cholesterin solution in small quantities. It will separate and form a thick scum on the surface of the fluid. After it has attained the thickness of about an inch, take out the funnel, close the mouth of the flask and shake it well, so that as much pepsin as possible may stick to the cholesterin. Filter and wash the precipitate, first with water acidulated with acetic acid, and then with pure water. Continue the washing until the wash-water no longer has an acid reaction, nor gives a pre- cipitate with silver nitrate. Put the moist cholesterin into a precipitate glass, and shake it with some ether which has been previously agitated with water to free it from alcohol. The ether will dissolve the cholesterin, and the adhering water will separate and form a turbid layer at the bottom of the glass. Pour off the ether and shake the watery solution with new quantities of ether several times, until a few drops of the ethe- real solution no longer leaves behind crystals of cholesterin when evaporated. Then let the glass stand open, to allow the last thin layer of ether, which cannot be poured off*, to evapo- rate. Filter; a small quantity of a slimy substance remains in the filter, but the filtrate is clear. It is a concentrated solution of pepsin, and the following reactions may be tried with it, or with the solution of pepsin obtained directly from the lime pre- cipitate. * 114. Reactions of Pepsin. — To show the following reac- tions the solutions referred to in §§ 112 or 113 may be employed. It is not precipitated bj- — 1, concentrated nitric acid ; 2, tannic acid; 3, iodine ; 4, mercuric chloride. It is precipitated by — 1, platinum chloride; 2, lead acetate, both neutral and basic. If absolutely pure, it gives no xanthoprotein reaction. When BY DR. LAUDER BRUNTON. 483 allowed to evaporate over sulphuric acid, it leaves a grayish amorphous body, which contains nitrogen, and is not hygro- scopic. It is sparingly soluble in water, more readily in dilute acids, and digests fibrin. 115. Digestive Action of Pepsin. — Neither pepsin alone nor dilute hydrochloric acid alone will digest fibrin, but when mixed together they do so readily. Pepsin alone has no action on fibrin whatever ; hydrochloric acid of 0.2 per cent, alone causes it to swell up, but does not dissolve it for days, or even weeks, at ordinary temperatures. At 35°-38° C, it dissolves fibrin readily in from twent3'-four to forty-eight hours, but only converts it into syntonin, so that the whole of the albuminous matter (with the exception of a trace which Von Wittich says is really converted into peptone), may be precipitated by neu- tralization. Pepsin with dilute hydrochloric acid likewise causes fibrin to swell and dissolves it, forming at first an opa- lescent solution of syntonin which can be almost entirely pre- cipitated by neutralization, a little peptone only remaining in solution. Its action does not stop here, for it very quickly con- verts the syntonin (parapeptone) into peptones which are not precipitated by neutralization nor coagulated by boiling, but are precipitated by alcohol, and possess all the characteristic reactions of albuminous bodies. 116. Products of the Digestion of Albuminous Com- pounds.— During digestion several substances are formed, to which the names of parapeptone, dyspeptone, and metapeptone have been given by Meissner. Parapeptone. — Briicke considers that albuminous bodies are converted into syntonin, and that the syntonin is transformed entirely into peptones during digestion, but Meissner thinks that the syntonin, instead of undergoing this transformation, splits up iuto peptones and parapeptones. Parapeptones agree with syntonin in every respect, except that they cannot be converted into peptones by any amount of digestion, while syntonin can be digested. When an albuminous body is sub- jected to the action of gastric juice, the solution first obtained yields, on neutralization, a precipitate of syntonin, which, when again treated with gastric juice, is converted into pep- tones. After digestion has gone on a little longer, the pre- cipitate consists, according to Meissner, partly of syntonin and partly of parapeptones, for he states that if this precipitate is digested with fresh gastric juice, a less proportion of it than of the former precipitate is converted into peptones, and that this proportion diminishes more and more as digestion goes on, and the remaining syntonin is split up. Briicke and others have found, however, that fibrin can be completely converted into peptones; consequently, Meissner is not correct in sup- posing that syntonin splits up into peptones and parapeptones. 484 DIGESTION. Sometimes, however, several clays are required to convert the whole into peptones. Dyspeptone. — The dyspeptone of fibrin is a part of the syn- tonin or parapeptone, which becomes insoluble in 2 per cent, hydrochloric acid, and therefore falls as a fine precipitate. It also, according to Meissner, is incapable of further digestion, and only differs from parapeptone in being insoluble in dilute alkalies and dilute acids, and therefore is precipitated sponta- neously from gastric juice without neutralization. The dyspeptone of fibrin still requires investigation. The dyspeptone of casein has lately been examined by Hoppe- Seyler and Lubavin ; as it consists partly, at least, of a non- albuminous substance, they consider casein to be composed, like haemoglobin and vitellin, of an albuminous, combined with a non-albuminous, body. Metapeptone is merel}- an intermediate stage between syn- tonin and peptone. Peptones. — There are several kinds of peptones, but they still require further investigation. Meissner distinguishes three sorts, which he names a, b, and c peptones ; c is the final product, the others being probably only preliminary stages in its production ; a is precipitated from neutral solu- tions by concentrated nitric acid, and from solutions slightly acidulated with acetic acid by potassium ferrocyanide ; b is not precipitated by concentrated nitric acid, but is precipitated by acetic acid and potassium ferrocyanide; c is not precipitated by either of these reagents. ** 117. Demonstration of the Digestive Action of Pepsin. — Take three test-tubes, and put into the first, water with a few drops of glycerin extract of pepsin ; into the second, 0.1 per cent, hydrochloric acid; and into the third, the same acid with a few drops of the glycerin extract. Throw into each a small piece of fibrin, taking great care to choose pieces not only of the same size, but of the same texture, as hard pieces are much more slowly acted on either by acid or by gastric juice. Label each, or note the number of the hole in the rack in which each is placed, and put them all in the water- bath at 40° C. (fig. 331). In order to obtain a sufficient quantity of solution of peptones for testing, is is desirable at the same time to put a larger quantity of fibrin in a beaker with dilute acid, and when it has swollen up and become transparent, add some gh'cerin extract to it, and place it with the rest. Look at the test-tubes again in five minutes or so, and if the pepsin extract is strong,, the bit of fibrin in the gas- tric juice will be partly dissolved, while the one in the acid will have swollen and become translucent, still retaining its form, while that in pepsin alone will be unchanged. Filter the artificial gastric juice from the residue of fibrin. Put a BY DR. LAUDER BRUNTON. 485 drop of litmus in the nitrate and neutralize it; a precipitate of syntonin or parapeptone will fall. Filter the liquid: the neutral filtrate containing peptones will not be precipitated by boiling, but it will give the xanthoprotein reaction strongly, and will give a precipitate with tannin.1 For the further examination of the products of digestion, filter the solution in the beaker from any undissolved residue. Neutralize, and parapeptones will be precipitated. Let the precipitate settle, and then filter : the filtrate will contain pep- tones. Test for a and b peptones. If they are present, put the beaker back in the bath for a while, and then test for them again. If they are no longer present, apply the follow- ing tests : — ** 118. Reactions of Peptones. — True or c peptones possess the following characteristics : They are not precipitated by (I) neutralization, (2) boiling the solution, either neutral or acid, (3) nitric acid either in the cold or on boiling, (4) hydrochloric acid in the cold, (5) acetic acid and potassium ferrocyanide — (after standing, the fluid becomes turbid and gives a precipitate) — (6) copper sulphate in small quantity (if more is added it causes turbidity, which partly disappears on adding excess). They are precipitated by (1) tannic acid, (2) silver nitrate, (3) mercuric chloride, (4) platinum chloride, (5) lead acetate, both neutral and basic. (The precipitate is soluble in excess.) The solution, when treated with caustic potash and an extremely minute quantity of copper sulphate, or a drop of diluted Fehling's solution, gives a precipitate which dissolves on shaking, and forms a red solution. If more copper sul- phate is then added, it becomes violet. Peptones thus differ from albumin, which gives a violet at once. ** 119. DifFusibility of Peptones. — Put a solution of peptones into a small dialyzer, and let it diffuse into distilled water for an hour or two. Then test the water by the tests given above, and peptones will be found to be present. In this they differ from albumin, which, as has been already seen, hardly diffuses at all. * 120. Action of Gastric Juice on Gelatin. — Pepsin, with dilute hydrochloric acid, deprives gelatin of its power to 1 For showing the action of pepsin to a class, Griinhagen's method maybe employed. A piece of moist fibrin is placed in 0.2 per cent. hydrochloric acid till it swells to a stiff jelly. It is then, laid on a funnel, either with or without a filter, and after the superfluous acid has drained off, a few drops of glycerin solution of pepsin, or artificial gastric juice, are added to it. The rapidity with which the fibrin is converted into peptone is shown by the number of drops which fall from the funnel. By using two similar lilt"rs, the power of different digestive fluids may he compared, and the effect of temperature shown by using Planta- mour's funnel. 486 DIGESTION. form a jelly sooner than dilute hydrochloric acid alone. Soak gelatin in cold water till it swells up completely, and then add sufficient boiling water to it to form a concentrated solution. Put some of it into two test-tubes, and add to each its own bulk of 0.2 per cent, hydrochloric acid. Put into one test- tube a little glycerine solution of pepsin, and into the other the same amount of glycerin, and place them in the water- bath at 40° C. Take them out after an hour or so. and let them cool. If both gelatinize, replace them for a while, and then cool them again, repeating the experiment if necessary. In this way the gelatin in the gastric juice will be found to lose its power of gelatinizing somewhat sooner than the other. * 121. Effect of Temperature on Digestion. — A low temperature arrests the action of pepsin temporarily, but does not destroy its activity. It acts more and more rapidly as the temperature increases, until it attains its maximum between 30° C. and 50° C. Above this the action becomes slower. It is completely annulled by boiling. The activity of a dilute solution of pepsin is destined by exposure to a temperature of 70° C. for two minutes, and by a still lower temperature when exposed for a longer time. The activity of a concen- trated solution is not so readily destroyed, and that of an undiluted glycerin solution is retained after being exposed to 80° C. for two minutes. To show the action of temperature, take four tubes, and put into each equal quantities of 0.1 per cent, hydrochloric acid, to which a little gtycerin solution of pepsin has been added. Put one in pounded ice, the second in a test-tube rack on the table, the third in the water-bath at 40° C, and boil the fourth, and then put it also in the water-bath. Put into each a bit of fibrin, and let them stand. The fibrin in the third tube will dissolve quickly, that in the second much more slovvlj'-, that in the first and fourth not at all. After a while — say half an hour — take the tube out of the ice and put it in the water- bath. The fibrin will then dissolve quickly, showing that the activity of the pepsin has been only suspended. That in the fourth will not dissolve at all, showing that the pepsin has been destro}*ed. * 122. Strength of Acid required for Digestion. — The strength of acid with which albuminous bodies are most quickly digested by pepsin varies with the nature of the body, and also with the amount of pepsin present. Very dilute solutions of pepsin digest best with veiy dilute acids, while more concentrated pepsin solutions act more quickly with a somewhat stronger acid. There seems, indeed, to be a definite relation between the amount of pepsin and the strength of the acid, though what this is has not yet been determined. The proper strength of acid for any albuminous body may be BY DR. LAUDER BRUNTON. 487 ascertained by placing a number of test-glasses in pairs, the first pair containing very dilute acid, and each succeeding pair a stronger acid. In each glass is placed a little of the albu- minous substance, and to one of each pair au equal quantity of solution of pepsin is to be added. They are then allowed to stand, and the rapidity with which digestion goes on in each is noted. The glasses with acid alone are required for the purpose of comparing its effects with those of the pepsin and acid together. It can be shown as follows that digestion is hindered when the acid is either too weak or too strong: Take three test- tubes, and put into the first 10 cubic centimetres of 0.1 per cent, hydrochloric acid, mixed with three times its bulk of water ; into the second the same quantity of a similar acid undiluted; and into the third 9^ cubic centimetres of this acid, and half a cubic centimetre of commercial hydrochloric acid. Place in each a bit of fibrin, and put them all in the water- bath at 40° C. The fibrin in the second one will be quickly digested ; that in the first and third tube much more slowly. The reason of the slow digestion in the third tube will be seen in the next experiment. * 123. Influence of the Swelling of Fibrin on its Digestion. — If fibrin is prevented from swelling up under the action of gastric juice, either by mechanical means, such as a thread tied round it, or by chemical agents, such as salt solu- tions or too strong acids, its digestion is much retarded. Put about 10 cubic centimetres of 0.1 percent, hydrochloric acid into four test-tubes, and add to that in the fourth test-tube half a cubic centimetre of commercial hydrochloric acid. Take four bits of fibrin as nearly as possible of equal size. Wind a thread firmly round one of them, and drop it into the third test-tube. Put another piece into each of the other tubes. As soon as that in the second tube begins to swell, add a saturated solution of sodium chloride to it till it shrivels again. Then add to the fluid in each tube half a cubic centimetre of glycerin-pepsin, and let them stand. The fibrin in the first tube, which merely serves for comparison, is soon digested, and dissolves from without inwards. The bit in the second tube does not swell again, but dissolves from within outwards; so that a sort of shell remains, which, on shaking, falls to pieces. That in the third tube, which has been tied with a thread, behaves in the same way. That in the stronger acid, in the fourth tube, swells incompletely, but dissolves from without inwards, like the first. ** 124. Pepsin is not destroyed during Digestion. — Although the aigesti-oe power of pepsin appeal's to be indefinite, yet a limited quantity of gastric juice will not dissolve an nn- 1 1 in ittd quantity of fibrin — Adda little glycerin-pepsin and a 4S8 DIGESTION. quantity of fibrin to some 0.2 per cent, hydrochloric acid in a test-tube, and place it in the water-bath at 4o 0. for several hours. If all the fibrin is digested, add more, and repeat the addition until at last it remains undissolved, however long it may be digested. The arrest of digestion in this experiment is not due to de- struction of the pepsin '., but to the accumulation of the products of digestion in the liquid, andto the want of acid. Dilute the mixture with water, and put it in the water-hath again, and di- gestion will go on for a while and then stop. Jf again diluted, it will go on again, but the action will be slow from the dilu- tion of the acid. If more aeid be added, digestion will proeeed more quickly, and by adding fresh quantities of acid, a very large quantity of fibrin may be digested. The same thing may be shown by putting the fibrin and di- gestive fluid in a dialyzer and letting the peptones diffuse out. The digestive fluid is then to be evaporated to its original bulk, and acidulated, when it will digest the same amount of fibrin as it did at first. It is well to keep an excess of fibrin always in the dialyzer. This experiment is interesting, because diges- tion in the stomach takes place under somewhat similar con- ditions, the peptones being absorbed by the gastric vessels. A stronger acid is required for digestion if the products of di- gestion are present in guanti/;/ in the solution. When digestion stops, as in the previous experiment, it may be renewed by acidulating the solution more strongly with hydrochloric acid instead of diluting with water, and when it stops a second time a second addition of acid will set it on again. As too strong hydrochloric aeid arrests digestion, a limit is soon put to the addition of acid, but if phosphoric acid is used instead, diges- tion may be kept up for a considerable time by fresh additions of acid. * 125. Pepsin Test. — The power of pepsin to dissolvealbu- minous substances and convert them into peptones, has been em- ployed as a test for its presence. For this purpose either fibrin or coagulated white of egg maybe used. The process is given by Briicke in " Moleschotts Untersuchungen" for 1860, p. 490, and from this the following description has been taken: — f Pepsin Test with Fibrin. — To test for the presence of pep* sin in any substance or organ (as for example, any part of the digestive system of an invertebrate animal), it must be finely divided, treated with distilled water, and then allowed to stand for some time, with frequent stirring, and filtered. If the filtrate is alkaline it must be neutralized, after which as much hydro- chloric acid must be added to it as will bring the percentage of acid to one-tenth. A bit of fibrin is then thrown into it; if it swells it is allowed to stand, but if it does not swell, dilute acid is added by drops at intervals till the edges and free fibres BY DR. LAUDER BRUNTON. 489 of the hits of fihrin hecome translucent. If the filtrate is acid, a hit of fihrin is thrown into it; if it swells up, it is allowed to stand, if not, acid is added as before directed till it does swell : the digestion is then allowed to go on at the temperature of the room, and the result observed. The residue which remains on the filter is introduced into a beaker covered with 0.1 per cent, hydrochloric acid, and placed in the water-bath at 40° C. for an hour and a half or two hours, or allowed to stand 24 hours at the temperature of the room, with frequent stirring. It is then filtered, and the filtrate used in the same manner as before. The reason why Briicke recom- mends that the watery extract should be tested separately from the acid extract, is that by this means pepsin already excreted from the peptic cells can be distinguished from pepsin still con- tained in them, inasmuch as the former is easily taken up by water alone, while the latter is taken up with difficulty by water, but easily by dilute acid. This process has also the ad- vantage that when soluble albuminous bodies are present in any quantity, the}' are, for the most part, removed by the watery extract. If neither of these objects is of importance, the substance may be at once treated with dilute hydrochloric acid, and when it is small, as, for example, the salivary glands of insects, it may be at once thrown with a bit of fibrin into dilute hydrochloric acid, and digestion looked for. If a fluid is to be examined it must be filtered, and the filtrate and residue treated as above directed for solids. Pepsin Test with White of Egg. — White of egg is more readily got than fibrin, but it dissolves mere slowly, so that the test takes a longer time. Hard boiled white of egg, cut into dice, may be left for a long time in dilute hydrochloric acid without undergoing any changes, but the coagulum which is produced by boiling white of egg diluted with water undergoes partial solution pretty rapidly. The free alkali contained in white of egg is the cause of this difference in its -behavior when prepared in these different ways, and the inconstancy of its amount ren- ders it difficult to determine what degree of acidity must be given to the liquid. To obviate this, add acetic acid to white of egg diluted with water until it turns blue litmus paper violet, but not red. Filter from the precipitate; test the reaction of the filtrate again, and correct it if necessary. Then coagulate it in the water-bath, wash it with water, and use it like fibrin, but iimj an acid of 0.15 per cent. If pepsin is present, diges- tion will go on just as with fibrin. The acid alone will not dis- solve the albumin for many days. 126. Theory of Pepsin Digestion. — It has already been leen that neither pepsin alone, nor hydrochloric acid alone, will digest. 0. Schmidt supposes they do so when mixed, by forming a compound acid — pepto-hydrochloric acid, lie thinks 490 DIGESTION. that digestion consists in the combination of this acid with albuminous bodies, and explains the fact that digestion can be renewed by the addition of hydrochloric acid after it has ceased, by supposing that the pcpto-hydrochloric acid, thus liberated, is enabled to begin to digest anew. The combination of pepsin and hydrochloric acid to form a new acid is supported by several facts, and is very generally believed, but Schmidt's hypothesis regarding its mode of action is open to the objection that it is not merely a com- pound of albumin with acid which is formed during digestion, but peptones. It therefore seems more probable that the pep- sin acts as a ferment only in acid solutions, causing the albu- minous bodies to take up water and split up.1 That pepsin and hydrochloric acid mutually combine when mixed, as in digestive liquids, is rendered probable, not only by the fact already shown that they produce effects together which neither is capable of producing separately, but that in such mixtures the characters of both are modified. This is seen by comparing the action of dilute hydrochloric acid alone with that of hydrochloric acid pepsin. The former extracts all the salts and leaves a gelatinous substance, while the latter extracts this substance and leaves a brittle mass containing a large proportion of inorganic salts. As regards pepsin, a modification of property is shown in Yon Wittich's observation, that, although pepsin alone does not diffuse through vegetable parchment, pepsin with hydrochloric acid does so readily. That the decomposition of albuminous sub- stances is essentiall}' connected with their taking up water, is rendered probable by the fact that digestion does not take place in its absence, and that products similar to those of digestion can be obtained by boiling albuminous bodies with water for a very long, time, or for a shorter time with dilute acid. The former of these facts can be easily demonstrated by treating fibrin which has been soaked in glycerin and not washed at 40° C. with a glycerin solution of pepsin undiluted with water, acidulated to the proper degree by the addition of a few drops of strong acid ; under these circumstances the fibrin is not digested. The latter may be shown by boiling fibrin with dilute sulphuric acid for an hour or two, and then neutralizing the liquid, filtering and testing the filtrate for peptones. * 127. Secretion of Gastric Juice. — Pepsin is contained in all parts of the peptic glands, but free acid is only formed near their orifices. To show this, kill a pigeon, open it imme- 1 For a clear account of the probable mode of action of ferments, see " Betrachtungen iiber die Wirkungsweise der ungeforinten Fermente," by Dr. G. Hufner ; Barth, Leipzig, 1872. BY DR. LAUDER BRUNTON. 491 diately and dissect off part of the muscular layer from the proventriculus, which lies between the crop and gizzard. The ends of the gastric glands are thus laid bare. With a pair of curved scissors snip off the ends of the glands, taking care not to cut much below the surface. Squeeze the shred so obtained between two bits of blue litmus paper. It will have a neutral or at most an extremely weak acid reaction, while the inside of the stomach will be found to be strongly acid. The pres- ence of pepsin in the part of the glands where little or no acid is contained may be shown by dissecting oft* this part along with the muscular layer, and placing it in a test-tube with 0.1 per cent, hydrochloric acid in the water-bath at 40° C. Part at least of the muscular la}7er will be digested. The presence of acid only on the surface of the stomach can be shown, also, b}r injecting first a solution of half a gramme of ferric lactate, and then a solution of potassium ferrocyanide into the jugular vein of a rabbit, killing it about an hour afterwards, and open- ing the stomach immediately. These two salts form Prussian blue onl}7 in the presence of an acid. On making a section of the wall of the stomach, it is seen that the blue color is en- tirely confined to the surface, the deeper part of the mucous membrane remaining colorless. After Death Acid continues to be formed in the Glands. — Thus, if the stomach of a pig or rabbit is cut in pieces, washed until it no longer gives a trace of acid reaction, and then left to itself, it is found after a time to be again acid. * 128. Digestion of the Stomach by itself.— If there is only a small quantity of acid present in the stomach it will not be completely digested after death ; but if it contains anything which will supply acid, not only the stomach, but a great part of the adjoining organs may be digested. Give a cat a quantity of milk, or introduce the. same liquid into the stomach of a rabbit or guineapig by means of a Byringe and a gum-elastic catheter. For this purpose a perforated cork should be placed between the animal's teeth, and the catheter passed through the hole into the stomach. In an hour after kill the animal, and let it lie in a warm place for twenty-four hours. The whole of the stomach will probabty be found digested. The stomach is not digested during life, because the alkalinity of its walls is preserved by the circulation of blood in them. * 129. Digestion of the Stomach during Life. — When the circulation of the blood is arrested in one part of the organ, it becomes digested, and ulceration occurs. This is best shown by Sharpey's modification of Pavy's original experiment. The method consists in opening the stomach of a rabbit, narcotized by subcutaneous injection of chloral, by a longitudinal incision, seizing a part of its posterior wall with a pair of artery forceps and drawing it forward. This having been done, a ligature is I 492 DIGESTION. passed round the part seized, so as to include a piece of about half an inch in diameter. Finally, the wound in the stomach ami that in the abdominal wall are sewn up. and the animal placed in a warm place for some hours. 130. Influence of Nerves upon the Secretion of the Stomach. — The stomach, like the submixillary gland, has two secretions; one thin, watery, and acid — the gastric juice proper ; the other thick, tenacious and alkaline — the gastric mucus. The latter is secreted and accumulates on the surface of the gastric mucous membrane during fasting, while the former is only secreted when an irritant is applied to the inside of the stomach. The irritant may be mechanical, e. tHm05). — Preparation.— Boil bile (or solution of gtycocholic acid) with strong solution of caustic potash, or hot saturated solution of baryta water, for twelve or fourteen hours, precipitate by hydrochloric acid, wash the precipitate with water, dissolve it in a little liquor potassre, add ether, precipitate by hydrochloric acid, and allow the liquid to stand for several days. The ether causes it to become crystalline, and form quadrilateral prisms with pyramidal ends. Pour off the ether, dry the crystals between folds of blotting paper, dissolve them in hot alcohol, and add a little water until a turbidity just commences. Cholic acid crystallizes out on cooling in tetrahedra. Cholic acid exists in two con- ditions. In one it is soft and waxy, and somewhat soluble in water ; in ether tolerably, and in alcohol very readily soluble. In the crystalline condition it is insoluble in water and ether, but tolerably soluble in alcohol. When heated on platinum foil, it becomes brown, melts and burns, giving off incense-like fumes. Heat, or boiling with sulphuric acid, converts it into resinous-looking substances, choloidinic acid and dyslysin. * 147. Cholesterin. — Cholesterin is not generally pre- pared directly from bile, but from gall-stones, most of which consist chiefh' of cholesterin, along with a little bile pigment and earthy salts. Preparation. — Extract pulverized gall- stones with boiling alcohol, and filter while boiling. Crystals of cholesterin separate from the filtrate when cool. In order to purify it, boil the crystals with alcoholic solution of caustic potash. On cooling they will again separate. Wash the pro- duct .with cold alcohol, and then with water; dissolve it in a mixture of alcohol and ether; allow it to evaporate. Crystal- lized cholesterin forms rhombic, plates, the corners of which are often broken (fig. 314). It is quite insoluble in water and in cold alcohol. In boiling alcohol it dissolves with ease. Cho- lesterin may be conveniently prepared from the ethereal extract of gall stones obtained in the preparation of bilirubin by evapo- 504 DIGESTION. ration. The crystals must be purified as above directed. Reactions. — (1) Put a few crystals of cholesterin under the microscope ; add a drop of a mixture of Ave volumes of sul- phuric acid and one of water, and warm the object-glass gently. The edges of the crystals will acquire a carmine color. If three parts of acid arc used to one of water, the edges are violet, and if it is still more dilute they become lilac and dis- solve in the acid. (2) Add to some crystals strong sulphuric acid, with a little iodine or zinc chloride ; they acquire a tint which varies from greenish-blue to violet. (3) Put a drop of concentrated nitric acid on a costal in a porcelain capsule, and evaporate to dryness at a gentle heat ; touch the residue with a drop of ammonia. A deep red color is produced. (4) Rub up cholesterin with strong sulphuric acid, and add chlo- roform. A solution varying in color from blood-red to purple is produced, which, after changing successively into violet, blue, and green, finally disappears. * 148. Action of Bile. — The bile appears to aid the ab- sorption of fat. Lenz, Bidder, and Schmidt found that, after ligature of the gall duct, a dog absorbed less fat than before, and that the chyle in the thoracic duct contained veiy little fat. They calculated the amount absorbed by comparing the quantity of fat eaten with the amount passed with the freces. The bile emulsionizes fat, as can be seen by shaking a little oil with it. It is doubtful, however, whether it is to this property that the absorption is due. In forcing oil through animal mem- branes or filter-paper, either by pressure or by suction, it passes with much greater facility if it has been previously mixed with bile. 149. Bile precipitates Syntonin and Pepsin. — Digest a piece of fibrin with artificial gastric juice, and then add a large quantity of bile to it; a precipitate is at once produced. Filter, put another piece of fibrin in the filtrate, and acidulate with hydrochloric acid to the proper degree. The pepsin having been precipitated, the fibrin is not digested. Unless the quan- tity of bile is large, the whole of the pepsin will not be thrown down. It is not known what purpose is served by the pre- cipitation of the chyme by the bile in the duodenum. In the stomach the presence of bile must be injurious. 150. Secretion of Bile. — The secretion of bile goes on constantly, but is more rapid at one time than another. It is accelerated after taking food, usually attaining its maxjmum from two to four hours after each meal. The secretion is observed by tying the gall duct and introducing a canula into the gall bladder. A detailed account of the method of perform- ing this operation on dogs is given by Rutherford and Gamgee in the report of the British Association for 1868. The principal facts may be demonstrated in the guineapig, as follows : — BY DR. LAUDER BRUNTON. 505 ** 151. Mode of Producing Biliary Fistula in Guineapigs. — Chloroform the animal and secure it on the rabbit-support. Make an incision from an inch to an inch and a quarter long through the abdominal parietes in the linea alba from the xiphoid process downwards. The pyloric end of the stomach is thus exposed. Pull gently on the stomach until the duodenum is brought into view. The part correspond- ing to the superior transverse part in man forms a loop with its convexity directed towards the diaphragm, into the top of which convexity the ductus choledochus enters. Tie the duct in this situation, then seize the gall bladder with a pair of forceps. It is always full, and cannot be missed if the forceps are passed immediately under the edge of the costal cartilages. Make a small incision into the gall bladder, introduce a canula and tie it in. The diameter of the canula should be from two to three centimetres, and the end to be inserted should have a project- ing rim. This can be made very readily by heating the end of a piece of glass tubing of the proper size, and pressing it, while hot, against a flat piece of iron. Sew up the wound, leaving the free end of the canula outside. The bile in guineapigs is secreted in very large quantities, being as much as 7.3 grammes in an hour per kilogramme of body weight. It contains a very small proportion of solids, about 1.3 per cent. When the bile duct is tied the guineapigs die in less than twentj'-four hours, but when it is not tied they will live for a week. The bile is se- creted under a very low pressure. For estimating this pressure, prepare a manometer by attaching a piece of glass tubing, eighteen inches long, to a wooden or pasteboard scale. Fit an India-rubber tube to its lower end, fill the manometer and tube with water, and close the latter with a clip. Tie the ductus choledochus of a guineapig, and secure a canula in its gall bladder. Having ascertained that the water in the manometer stands at about 100 millimetres above the zero point, place the tube in a horizontal position at the same level as the canula. Connect the India-rubber tubing with the canula, and remove the clip. As the bile is secreted, the column of water advances, and the rapidity of secretion is thus indicated. When it reaches 150 millimetres on the scale, raise the tube to a vertical position. If the maximum pressure under which secretion occurs in the animal experimented on be used, the water will descend in the tube, but if not, it will continue to rise. ** 152. Absorption by the Liver. — The bile which has been secreted by the liver is re-absorbed either when the pres- sure is diminished in the bloodvessels, or when it is increased in the bile capillaries (Heidenhain) ; jaundice may thus be pro- duced in two ways. To show absorption from diminished pressure in the bloodvessels, compress the aorta just under- neath the diaphragm. The pressure in the manometer some- 506 DIGESTION. times falls, but as the vena cava and other parts are generally compressed likewise, the result is not constant. To show ab- sorption from increased pressure in the ducts, replace the water in the manometer by aqueous solution of indigo-carmine, taking care that the column of fluid stands several inches above the highest level previously attained by it. The solution is gradu- ally absorbed, muscular tremors occur, and the animal dies just as if water had been injected into the veins. At the same time the surface becomes colored blue by the indigo-carmine. The experiment enables us to understand how a very slight obstruction to the orifice of the bile duct is sufficient to deter- mine re-absorption, and the production of jaundice. GLYCOGEN. 153. It would form a marked exception to the economical use of material which we find in the body if the liver, the largest gland in it, had as its sole function the secretion of bile; a fluid of much less importance in digestion than the gastric or pancreatic juices. This, however, is not the case, for, in addition to secreting bile, the liver has the power of forming glycogen, a substance which resembles dextrin in its reactions, and like it, can be converted into sugar by the action of ferments. It is always present in the liver in larger amount during digestion than during fasting. What the materials from which it is formed actually are is uncertain. Its amount is increased by the use of starchy food ; but as it continues to be formed in considerable quantity when the food consists of flesh alone, it is evident that it can be produced from albumin- ous bodies. In support of its origin from albumin, it has been argued that the increased amount which is met with after the administration of starchy food, is due to the sugar derived from the starch being burnt off instead of albumin, in con- sequence of which more albumin remains to be converted into glycogen. The experiments of Cyon (if the}7 are to be relied upon) make it probable that urea is formed in the liver. As the amounts of sugar and urea excreted by diabetic patients fed on an animal diet, run parallel with one another, it might be supposed that when the diet is exclusively albuminous, glycogen is formed by albumin or peptones splitting up and yielding glycogen and urea. Again, when the diet consists of starch and sugar, glycogen is formed abundantly, and at the same time a deposit of fat takes place in the liver. From this it might be supposed that the sugar absorbed from the intes- tine is decomposed so as to yield glycogen and fat. Glycogen seems to be of great importance for cell growth, for it is found wherever this is going on actively, as in new formations, or in embryonic tissues. A remarkable experiment of Hoppe-Seyler BY DR. LAUDER BRUNTON. 507 shows that it is an ingredient of colorless blood corpuscles so long as they are active, but that when they lose their power of motion their glycogen disappears, and is replaced by sugar.1 In early foetal life, the muscular fibres and lungs contain much glycogen, which subsequently diminishes. The liver and other glands, and the nervous system of the embryo, contain little or no glycogen ; but it is found in large quantities in the pla- centa. After birth it is confined almost entirely to the liver and muscles. In the latter it seems to have some relation to the work done b}r them, for the quantity present in them is diminished by activity. The glycogen of the liver does not remain in it long, but is soon converted into sugar, so that the large quantity which is present after a meal is quickly dimin- ished by fasting, and disappears altogether during starvation, while that present in the muscles does not increase so much after food, nor is it so quickly lessened by starvation (Weiss). Although both the liver itself and the blood contain a fer- ment which transforms glj'cogen into sugar, its conversion is probably effected in great measure by the blood, for it takes place more rapidly when the circulation through the liver is quickened. It is uncertain what the use of the sugar in the organism is, but possibly it, as well as glycogen, has some- thing to do with muscular action, since the quantity of sugar (or a substance reducing copper) in blood becomes much dimin- ished in its passage through the vessels of contracting mus- cles (Genersich). While Bernard considers that the formation of sugar goes on in the liver constantly during life, this has been denied by Pavy, Ritter, Meissner, and Schiff, who hold that it only occurs after death, or under pathological condi- tions, such as disturbance of the respiration or circulation during life. They base their opinions on the observations that the liver contains little or no sugar when examined imme- diately after death, and that the blood of the hepatic vein does not contain more sugar than that of the portal or jugular veins. It is quite true that sugar is found only in very small amount in fresh livers ; but the smallness of the quantity is in all pro- bability due to the constant circulation through the liver during life, washing the sugar out of it as soon as it is formed (Flint). The statement that the blood of the portal contains as much sugar as that of the hepatic vein, rests on experiments vitiated by the omission to place a ligature on the former while removing the liver, so that the hepatic vein having no valves, the blo«d from it flowed back into the portal S3rstem. When this fallacy is avoided, sugar is found in much larger propor- tion in the hepatic than in the portal vein. To meet the objec- 1 For the details of this experiment see Med. Chem. Untersuch., 1871, p. 480. 508 DIGESTION. tion that BUgai thus found has been formed after death, blood has been taken from the right side of the heart, or vena cava, and the quantity of sugar it contained compared with a similar specimen of blood from the jugular vein. Every precaution was taken to avoid disturbance of the circulation, yet the sugar in the former was found to exceed that in the latter con- siderably (Lusk). ** 154. Mode of demonstrating the Glycogenic Function of the Liver. — The Liver contain* Sugar which can be removed by Washing. — Kill a large rabbit in full diges- tion, by decapitation with a long knife. Open the abdomen, remove the liver, and place it in a large flat dish, such as is used for photographic purposes. Tie a canula into the portal vein, and another into the hepatic vein. Pass a stream of water through the portal vein. This may be effected by a syringe ; but a more convenient method is to connect the canula in the portal vein by means of India-rubber tubing with a pressure-bottle containing water. (See page 1 14.) Proceed in every respect as in injecting the liver for anatomical pur- poses, using a pressure of two or three feet of water. The liquid which flows from the hepatic vein as the water enters the portal vein, will be at first blood, then blood diluted with water, and, lastl}', pure water. Collect portions of each of these fluids in small beakers as they flow out. The remainder which is not collected is allowed to run into the dish in which the liver lies. Test each of the fluids for grape sugar. It will be found in the portions first collected, the quantity gradually diminishing as the washing is continued. Eventually it disap- pears. Allow the stream to flow until none can be detected by any of the tests described in the next paragraph. As soon as this is the case, disconnect the canula without loss of time, and cut the liver into three pieces. Mince one of them as rapidly as possible, put it immediately into water boil- ing briskly, and acidulate it very slightly with acetic acid, to coagulate the albumin. Put another into strong alcohol for a minute or two, pour off the alcohol, and squeeze the remainder of it from the liver. Then cut it up small, cover it with abso- lute alcohol and let it stand. Allow the third piece of liver to lie on the table. After the liver has been boiled for a few min- utes filter the water from it. The filtrate is milky. Test it for sugar. If the operation has been rapidly performed, little or none will be found, showing that all the sugar has been re- moved from the liver. Sugar is again formed in the Liver after its removal by Washing. — After the third piece of liver lias lain on the table for some time, cut it up and boil it like the first ; filter, and test for sugar ; in most cases it will be found. As there was none BY DR. LAUDER BRUNTON. 509 in the other piece, this sugar must have been formed after the liver was cut in pieces. The Liver contains Glycogen, a Substance whieh can be changed into Grape Sugar by the action of Ferments. — Take a little of the milky filtrate obtained by boiling the liver which has been already found to contain no sugar. Add to it a little saliva, and let it stand in the water-bath at 35° C. for a few minutes, or warm it gently over a spirit-lamp. Then add liquor potassas and cupric sulphate, and boil ; sugar is found. Evapo- rate the milky remainder of the filtrate to a small bulk, and add alcohol in excess. A white flocculent precipitate of gly- cogen is formed. The Liver also contains a Diastatic Ferment. — From the other piece of liver which has been placed in alcohol prepare a glycerin solution, as directed in § 160. Add some of this to a solution of glycogen, let it remain in the water-bath at 40° C, and test small portions of it from time to time. Sugar will at length be found, but very many hours may be necessary. 155. Mode of Testing for Sugar in Blood. — As the albumin and coloring matter of the blood would interfere with the reaction, they must be removed before the test is applied. Bernard's method is as follows: Put the blood, if pure, in a mortar, and rub it up with a quantity of animal charcoal, suffi- cient to form a dry paste. Add a little water, rub it up again, and throw the mixture on a filter. The water filters through quite clear, holding in solution any sugar which may be pre- sent, and Trommer's test may then be applied to it. If the blood is diluted, agitate it well with sufficient animal charcoal to form a thick paste ; filter it, and test as before. Another method, which is preferable if the quantity of sugar is to be estimated, is to mix the blood with three or four times its bulk of strong spirit, and after allowing it to stand for some time, to filter. The residue is then extracted with much alco- hol, and after the addition of the extract to the filtrate, the alcohol is evaporated off and the residual liquid tested. Trom- mer's test answers for saliva, but in the present case it is inade- quate, as many other substances capable of reducing cupric oxide might be present. Other tests are therefore required. Moore's Test. — Put the solution in a test-tube and add suffi- cient liquor potassoe or liquor sodae to make it strongly alka- line. Heat it gently to boiling. If sugar is present in con- siderable quantit}r, the fluid will become first yellow, then reddish-brown, and, lastly, dark brown or black ; but if there is only a little sugar, the color will only become yellow or red- dish-brown. Bottehers's Test. — Put the solution in a test-tube, and add to it as much bismuth oxide or subnitrate as will lie, on the point of a knife, and a considerable excess of a very strong solution 510 DIGESTION. of caustic potash or soda, and boil for some time. If sugar is present, the bismuth oxide will be reduced and become at first gray, and lastly black. If only traces of sugar are present, a small quantit}' of bismuth must lie used, or the whole will not be reduced; if a first trial gives only a gray color, it should be repeated with a smaller quantity of bismuth. Fermentation Test. — A solution of grape sugar mixed with yeast should at once ferment and give oil" carbonic acid. A convenient apparatus for testing this is described by Bernard. It consists of a test-tube, about three inches long, fitted with a tight cork, through which a piece of small glass tubing passes to the bottom. The tube is to be completely filled with the fluid to be tested, mixed with a little yeast, and then put in the water-bath at 35° C. If sugar is present, carbonic acid is given off, and as it cannot escape, it drives the fluid out through the small tube. As the yeast may contain sugar itself, a similar tube should be filled with yeast and water for comparison with the first. The gas may be shown to be carbonic acid by shak- ing it with baryta water. The fluid which escapes should be collected by means of a piece of India-rubber tubing attached to the upper end of the small tube, and tested for alcohol by boiling it with a little potassium bichromate and sulphuric acid. If alcohol is present the fluid becomes green. ** 156. Preparation of Glycogen. — In order to obtain a large amount of glycogen from a liver, the animal must be healthy, and must be killed during digestion, as otherwise the liver would contain but little glycogen. Conversion into sugar after death must be prevented by rendering the ferment which acts on it inactive, as quickly as possible ; this is done by heat- ing the liver to 100° C. Kill a large and well-fed rabbit an hour or two after it has had a full meal, by decapitation with a long knife. Open the abdomen instantly, tear out the liver, chop it into pieces as quickly as possible with a few strokes of the knife, and throw it into a capacious capsule containing water, which is kept briskly boiling by a large Bunsen's burner. The burner must be large, because the liver cools the water into which it is thrown, and unless ebullition be kept up briskly it may be some time before the pieces of liver are heated to 100u C. throughout, in which case the transformation of glycogen into sugar will go on in those parts which are insufficiently heated. Let the liver boil briskly for a short time ; then pour the liquid out of the capsule into a large beaker, and put the liver into a mortar. Return the liquid to the capsule, rub the liver to a fine pulp, put it back into the capsule and boil it again. Then filter the liquid and cool the filtrate rapidty, by placing the vessel con- taining it in iced water. The filtrate contains a considerable quantity of albuminous substances, which must be removed in BY DR. LAUDER BRUNTON. 511 order to get the gtycogen pure. This is best done by precipi- tating them with potassio-mercuric iodide, as recommended by Briicke. This solution is made by precipitating a solution of mercuric chloride with potassium iodide, washing the precipi- tate and adding it to a boiling solution of potassium iodide till the latter is saturated. When the filtrate from the liver is cool, add hydrochloric acid and potassio-mercuric iodide solution to it alternately, as long as they cause any precipitate. Stir the mixture, let it stand about five minutes, and then filter. Add alcohol to the filtrate till glycogen begins to be copiousl}' precipitated, taking care not to add an excess of alcohol, lest other substances be also precipitated. The glycogen is best precipitated when the mix- ture contains 60 per cent, of absolute alcohol. Collect the gly- cogen in a filter, wash it, first with dilute alcohol, then with strong alcohol of 90 per cent. (sp. gr. 822), which makes it more easy to separate from the filter. Extract it with ether and dry it rapidly on a flat plate. Instead of separating the albumin from the glycogen by potassio-mercuric iodide, the boiling solu- tion of glycogen may be slightly acidulated with acetic acid and filtered. The filtrate is then quickly evaporated to half its bulk and mixed with its own volume of strong alcohol of 90 per cent. The glycogen is precipitated along with a little glu- tin. To separate it from this it is boiled with liquor potass* for an hour or more, neutralized with acetic acid, precipitated with alcohol, collected on a filter, washed first with strong alco- hol and then with absolute alcohol till all traces of water have been removed, and then the alcohol displaced by absolute ether. The glycogen remains as a white powder. It is to be quickly dried by spreading it in a thin layer on a warm porcelain plate and passing a current of air over it. If the glutin has not been perfectly removed, or if the water has been incompletely dis- placed by the alcohol and ether, the glycogen in drying becomes converted into a gummy mass, instead of forming, as it ought to do, a white powder. * 157. Properties of Glycogen. — Glycogen is amorphous, colorless, and tasteless. In water it is readily soluble. The solutions are strongly opalescent, and when concentrated are quite milky. They are, apparently, true solutions, as the}7 pass unchanged through filters and through animal charcoal, and no particles can be observed in them by the microscope. Briicke, however, considers that they are not true solutions, but merely suspensions of particles of glycogen swollen up in the fluid. The opalescence disappears on the addition of caustic alkalies, although the alkali does not destroy the glycogen. In alcohol and in ether it is insoluble. It contains no nitrogen. When burnt on platinum foil, it does not give off the peculiar smell of nitrogenous bodies, nor does it leave any ash. 512 DIGESTION. Glycogen is colored red by solution of iodine. The best solution for this purpose is made by putting a little iodine in water and adding potassium iodide very gradually to it, with constant agitation, until the fluid assumes a wine-red color. If caustic potash is added to a solution of glycogen, and then a drop of cupric sulphate, the copper oxide is redissolved. The oxide is not reduced on boiling. 158. Influence of Food on the Amount of Glycogen in the Liver. — If two rabbits, one of which is fed abandantly with corn, the other sparinglj' with green food, are kept other- wise in the same conditions and killed at the same period of digestion, it is found that the liver of the former contains much more gtycogen than that of the latter. ** 159. Conditions "which determine the Conver- sion of Glycogen into Grape Sugar. — Glycogen can be changed into dextrin and grape sugar: — 1. By Ferments. — Take a watery solution of glycogen and mix some saliva with it. Put the mixture into two test-tubes and place them in the water-bath at 37° to 40° C. Take out one immediately after the milkiness of the solution has dis- appeared. Add alcohol to it: a precipitate of dextrin is formed. Filter, and wash the precipitate with alcohol. Put the precipitate in water : it becomes transparent and dissolves, forming a solution perfectly free from opalescence. Test a little of the solution with liquor potassaa and cupric sulphate ; no reduction takes place on boiling. To another portion add iodine solution ; a red color like that of glycogen appears. Test the alcoholic filtrate with liquor potassae and cupric sul- phate: it is reduced. This shows that the glycogen has been converted partly into dextrin and partly into grape-sugar by the salivary ferment. Let the other test-tube stand for some time in the water-bath. Add alcohol. If it has stood long enough, no precipitate is produced. Test it. On applying Trommer's test a great reduction of cupric oxide will occur. This shows that the glycogen has been entireh* converted into sugar by the prolonged action of the salivary ferment. Blood contains a Ferment which converts Glycogen. — A ferment possessing the same action is contained in the blood. Add a little blood to a solution of glycogen, and let it stand for some time at 37° C. Then remove the albumin and test for sugar in the manner ahead}' described. 2. By Acids. — Mix a solution of glycogen with dilute hydro- chloric or sulphuric acid and boil. Then add liquor potassae in excess and copper sulphate, and boil ; sugar is found. All specimens of glycogen can be converted into sugar by acids, but they are not all alike in their behavior to ferments, some specimens requiring a longer time than others. BY DR. LAUDER BRUNTON. 513 160. Separation of a Diastatic Ferment from the Liver. — Cut off the head of a rabbit and remove the liver as quickly as possible. Mince it and wash it with water several times to remove the blood. Then squeeze it tolerably dry, put it into absolute alcohol, and let it remain for twenty-four hours. Filter off the alcohol, wash the liver with alcohol, and then put the mass, for several days, in glycerin. Filter it through muslin. The filtrate is free from sugar, but contains a ferment which converts glycogen and starch into sugar. Take a little of the glycerin extract in each of three test- tubes ; put into one a little glycogen, and into another a little starch paste, and let them stand for a quarter or half an hour. Then test all three for sugar with copper sulphate and potash. No sugar will be found in the tube containing the glycerin extract alone, the sugar found in the liver immediately after death having been removed by the alcohol before the glycerin was added. Both the other tubes will contain sugar. Diluting the glycerin extract does not alter the effect. After the Ferment has been extracted by Glycerin, the Mass still contains Glycogen. — Extract the mass several times with fresh glycerin. Take two test-tubes : then introduce a little of it. with water in each, and let them into two test-tubes. Test one of them for sugar : none is found. Add to the other one a little of the glycerin extract, which has already been found to contain no sugar, and let it stand at 40° C. for some time, after which it will be found to contain sugar. A similar ferment can be extracted from bile by precipitating it with alcohol, washing the precipitate with alcohol on a filter, and then extracting it with glycerin in the way already mentioned (Von Wittich). 161. Glycosuria. — It is still disputed whether sugar is a normal constituent of the urine or not. But in the diseased condition, to which the term Diabetes Mellitus is applied, it appears in considerable quantities. Bernard first showed that its appearance in the urine can be induced by certain lesions of the nervous system, and finding that they caused, at the same time, dilatation of the vessels of the liver, he attributed the appearance of the sugar to the increased circulation through that organ. His views have lately been confirmed; the nervous mechanism by which the vessels become dilated has been discovered by Cyon and Aladoff, from whose re- searches it appears that the vasomotor nerves of the hepatic vessels pass from the vasomotor centre in the medulla oblon- gata down the cervical part of the spinal cord, which they leave at its lower end. Thence they accompany the vertebral arteries to the last cervical ganglion, finding their way by the two fibres, which pass in front and behind the subclavian artery (forming the annulus of Vieussens) to the first dorsal 33 514 DIGESTION. ganglion. Thence the}' proceed in the gangliated cord of the sj'mpathetic and the splanchnic nerves to the liver. When these vasomotor fibres are severed, either by dividing the fil ins on the vertebral artery or those forming the annulus of Yienssens, or by extirpating the third cervical or first dorsal ganglion, the hepatic vessels dilate, and diabetes occurs. It is of great importance to notice that section of the sympa- thetic cord or the splanchnic nerves does not produce diabetes, although the vasomotor nerves of the liver are thus divided. The reason of this probably is that the vasomotor nerves of the intestine, being divided at the same time, so much blood goes to the intestinal vessels that the circulation in the liver is not increased. The vessels can be dilated reflexly by irrita- ting the central ends of the cut vagi, or the roots of the vagus in the fourth ventricle. Section of the splanchnics or sym- pathetic cord prevents the occurrence of diabetes when the fourth ventricle is afterwards punctured, but does not remove it when already present. Diabetes may also be produced by the inhalation of carbonic oxide ( Schmiedeberg), chloroform, or nitrite of amjd, or by the injection of curare. As regards carbonic oxide, it has been ascertained that the action is not prevented in the dog by section of both splanchnics, but in rabbits it does not produce diabetes at all (Eckhard). Increased proportion of sugar in the blood determines glj'co- suria. To show this, expose the jugular vein in a healthy rab- bit, having first weighed it and ascertained that its urine is free from sugar. Then slowly inject 5 to 10 per cent, solution of grape sugar into the vein. About two grammes of sugar should be used for eveiy kilogramme of body weight. Sugar is found in the urine shortly after, but next da}r it will have disappeared. It has been found that if the amount of sugar in the blood does not exceed a half a gramme for each kilogramme of body weight, it may not appear in the urine. ** 162. Production of Glycosuria by Puncture of the Floor of the Fourth Ventricle. — The part of the fourth ventricle the puncture of which is followed by the most abundant appearance of sugar in the urine is limited superiorly by a Hue joining the origin of the auditory nerves, and inferi- orl}- by one joining the origins of the vagi ; a puncture higher up, or to either side, may, however, produce more or less glyco- suria. It has been ascertained by Bernard that it is essential to the result, that the olivary fasciculi should be injured, and that it is not produced by injury of the superficial, i. e., poste- rior sensory layers. The instrument used for puncturing the ventricles consists of a small steel chisel (.see Fig. 315), about four millimetres broad, and having a style in the middle which projects about two millimetres beyond the cutting edge. This chisel is pushed on through the occipital bone and the cere- BY DR. LAUDER BRUNTON. 515 bellum until its further progress is arrested by the point com- ing in contact with the basilar process of the occipital bone. In this wa}r the edge of the chisel is prevented from injuring the anterior motor fibres of the medulla, and thus producing a disturbance of the motor functions which would complicate the experiment. Mode of Operation. — Place a rabbit in the prone position on Czermak's rabbit-support, and fix the head to the upright at the side. Feel for the occipital protuberance, and make an in- cision over it about half an inch long. Fix the point of the chisel in the middle line of the skull just behind the protube- rance, and bore through the bone, moving the handle of the instrument from side to side, in order to assist its passage, but not pressing with too great a force. When the skull has been penetrated, push the chisel downwards and forwards through the cerebellum in such a direction as to cross a line joining the two auditory meatus (see Fig. 31fi) until it is stopped by the basilar process, and then gently withdraw it. Remove some of the urine in half an hour or an hour afterwards (§ 138), and test it for sugar. Section IV.— Digestion in the Intestines. PANCREATIC JUICE. 163. Pancreatic juice may be obtained either by a temporary or permanent fistula. It is usually stated that the secretions from these two kinds of fistula differ much from each other, a normal juice being obtained only from a temporary fistula, while that yielded by a permanent one is watery and destitute of some of the properties possessed by the other. Ludwigand Bernstein, however, have, by an improved method of making a permanent fistula, succeeded in obtaining a normal juice from it also. 164. Method of itiaking a Temporary Fistula. — In the dog there are two pancreatic ducts, one of which opens into the duodenum along with the ductus choledochus. The other duct, which is larger, and enters the duodenum about two cen- timetres below the one first mentioned, is exclusively employed for the operation. It is not necessary to ligature the first. Bernard prefers for the purpose large dogs, sheep dogs being best, as they are less subject to peritonitis than others. Five or six hours before the operation, the animal should get a large meal of bread and meat. The operation, which must be per- formed as quickly as possible, consists in laying the dog on its left side, and making an incision five centimetres long in the right hypochondrium from the projecting point of the last false rib downwards, parallel with the linea alba. The bleeding should be stopped before the peritoneum is opened. The duo- 516 DIGESTION. denum lies opposite the wound. As soon as it is exposed it is drawn out, and the pancreatic duct looked for about two centi- metres below the ductus choledochus. The part of the pancreas in which the duct lies is generally closely attached to the duo- denum, and somewhat overlaps it. The largest and lowest of the bundles of vessels which pass from the duodenum to the pancreas, lies over the duct. These vessels are to be pushed aside, and a thread passed under the duct, which is recognized by being larger and paler than the vessels. Care must be taken not to injure the vessels and cause bleeding, and the pancreas must be pulled or pressed as little as possible. The duct is opened with scissors, and a plain silver canula, about five mil- limetres in diameter, and 10 or 12 centimetres long, pushed into it up to its first division, which is generally visible; the ligature is then tightened; another thread is passed through the serous coat of the duodenum, and the canula fixed to the intestine by it. The ends of these threads, and the end of the canula, are kept outside the wound, the duodenum returned to the abdominal cavity, and the wound closed by first sewing together the muscles, and then the skin. A small India-rubber bag. furnished with a stopcock, is then tied to the outer end of the canula. emptied of air. and the stopcock closed. The juice then collects in it, and is drawn off by the stopcock (see Fig. 317). Generally, it flows abundantly; but if it does not. a little ether should be injected into the stomach by a stomach- pump. The juice may be collected for several hours; but after the expiration of twenty-four hours, the character of the secretion changes. In a few hours more, the canula and threads should be gently drawn out. The wound generally heals quickly. 165. Method of making a Permanent Fistula. — For permanent fistulpe, Ludwig and Bernstein choose small dogs, as in them the duodenum is more easily reached from the mid- dle line, and is not drawn so far from its natural position by the fistula as in larger animals. The dog must be kept fasting on the day of the operation, as the pancreatic vessels are full during digestion, and bleed easil}-. Narcotize the animal by injecting opium into the tibial vein, and open the abdomen by an incision about two centimetres long in the linea alba, mid- waj' between the ensiform cartilage and the umbilicus. The duodenum is then searched for, and drawn out of the wound along with the attached pancreas, and a thread looped round the duct. Instead of then putting in a canula, a piece of lead wire is inserted into the duct, so that one end of it passes into the intestine and the other into the gland to a considerable dis- tance. The middle part of it is twisted together, and projects through the wound. Owing to the T shape thus given to the wire, it cannot either slip out or move about in the duct; but BY DR. LAUDER BRUNTON, 517 wire being chosen which does not fill it up, the flow of the juice is not hindered. Three threads having then been passed through the wall of the duodenum near the duct, the intestine and omentum are replaced in the abdomen, and the duodenum fastened by the threads to the abdominal wall. The wound is then sewed up, care being taken that the twisted part of the lead wire passes through the wound. Twenty-four hours after the operation, the stitches are taken out, but the wire left in. In two or three days afterwards the juice can be collected. For this purpose, the animal must be supported by two straps, which pass under its belly, and are attached to a horizontal bar hung from the roof by a cord and pulley. The dog is thus suspended over a table at such a height that it can barely touch it with its toes, in which position it remains perfectly still. A funnel is then attached under the fistula, and the juice collected in a glass below. The normal juice obtained from a temporary fistula is a col- orless transparent tenacious fluid, with a strongly alkaline re- action. "When cooled under 0° C, a coagulum separates from it. The j nice from permanent fistulas is more watery, and yields no coagulum when cooled. In the former, it often contains about 10 per cent, of solids, but the amount may be as low as 2 per cent. ; and in the latter, the percentage is frequently from 2 to 5. Their amount is determined in the manner described in § 74. Pancreatic juice contains an albuminous body, an alkali-albuminate, leucine, t}Trosine, fats, soaps, inorganic salts, and three ferments. One of these converts starch into sugar, another splits up fats, liberating fatty acids, and the third con- verts albuminous bodies, first into peptones, and then into leu- cine and t}'rosine. On account of the presence of this third ferment, the reactions of the juice, after it has been allowed to stand, differ from those which it presents when fresh, the albu- min of the fresh juice itself being digested by the ferment in it, and yielding peptones, leucine, and tyrosine. When fresh juice is heated to 72° C, the albumin coagulates, and after the coagulum has been separated, acetic acid precipitates the alkali- albuminate. The watery extract of the gland may be used for showing man}- of the properties and actions of pancreatic juice, instead of the juice itself. ** 166. Artificial Pancreatic Juice. — For this purpose, the pancreas from an animal killed in full digestion must be em- ployed. Take the pancreas of an animal which has been killed about six hours after a full meal. Wash off the blood, cut it into moderately small pieces, pour about four times its weight of water at 25° C. over it, and let it stand for two hours in the water at that temperature, above which it must not be allowed to rise more than four or five degrees at most. Filter it first through linen, and then through paper. The filtrate generally 518 DIGESTION. has an acid reaction from the presence of fatty acids, liberated by the ferment from the fats in the pancreas, and is opalescent from the presence of fat in a state of emulsion. Boil a little of the fluid ; a precipitate of albumin is formed. Filter, and neu- tralize by acetic acids, and a further precipitate of alkali-albu- minate will be produced. The presence of leucine and tyrosine may be shown by removing the albumin by boiling and acidu- lating, and then separating them as described in § 35. To show that leucine is present in the juice as secreted, and is not due to changes in it afterwards, it must be received in alcohol as it flows from the fistula. * 167. Glycerin Solution of Pancreatic Ferments. — After cutting up the pancreas, as in the previous experiment, lay it for a day or two in absolute alcohol, and after express- ing the alcohol let it lie several days in glycerin, then filter. ** 168. Actions of Pancreatic Juice. — It emulsionizes Fat Shake up some of the watery extract with olive oil, an emulsion is formed. This is due to the albumin it contains, for by adding liquor potassae to the mixture so as to dissolve the albumin, and shaking, the drops of fat may be made to run together again. 2. It decomposes Fats, liberating Fatty Acids. — The extract of pancreas contains fat : hence when it is kept for an hour in the water-bath at 40° C, without any addition, its acid reac- tion increases. To show its action on fats, carefully neutralize some of the watery extract and add to it a little olive oil or fresh butter, whose reaction must also be neutral. Put the mixture in the water-bath for some time, put a drop from the bottom of the tube on blue litmus paper and let it run off. A red and somewhat greasy spot is left. 3. // converts Starch into Sugar. — Mix some of the extract with starch mucilage and let it stay for some minutes in the water-bath at 40° C. ; then apply Trommer's test, and sugar will be found. 4. It digests Fibrin, forming Peptones, and afterwards de- composes them, Leucine and Tyrosine being produced. — Before dissolving boiled fibrin, the pancreatic juice converts it into a soluble albuminous substance, very much like raw fibrin. This is then dissolved and is present in solution, either as albumin, coagulable by heat, or as an albuminate. The dissolved albu- min is next converted into peptones. If the digestion is allowed to go on, the quantity of peptones in the solution diminishes, while that of leucine and tyrosine increases. Bodies which give the reaction of naphthilamine and indol (Kiihne) are also formed, and when the digestion goes on for a long time the indol is formed in considerable quantities, and emits a most disagreeable faecal odor, which was attributed to putre- faction till Kiihne showed its true nature. Boil several bits of BY DR. LAUDER BRUNTON. 519 fibrin in a large test-tube, pour off the water, add artificial pancreatic juice or glycerin extract of pancreas, and put the tube in the water-bath at 40° C. At first it will not be altered, but after two hours or more the bits will be found to be easily torn by stirring, and the smaller ones will disappear, and if two or three are taken out and washed with water they will be seen to be corroded, not swollen as in gastric juice. To show that the coagulated fibrin has been converted by the pancreatic juice into a body resembling raw fibrin in its pro- perties, put a bit into 0.1 per cent, of hydrochloric acid. It dissolves veiy cpiickly, forming a solution of syntonin. Rub up a second bit with 10 per cent, salt solution, and filter. The filtrate contains albumin in solution. Add nitric acid to one portion of it and boil another ; a precipitation occurs in both. If boiled fibrin is tested in the same way, it is found to be insoluble in these reagents. Even raw fibrin is much less solu- ble than the boiled fibrin which has been acted on by pancreatic juice. Take part of the solution of fibrin in pancreatic juice and boil it. Neutralize another portion with acetic acid ; a precipi- tate is formed in both. Let the rest stand for two or three hours longer, then acidulate it with acetic acid and boil, to coagulate any albumin present. Filter. Evaporate the filtrate at 60° to 70" C, and add alcohol to it while still hot, till the peptones are precipitated. Let it stand for twenty-four hours and filter. Dissolve the precipitate of peptones in water and apply the tests given in § 118. Evaporate the filtrate to a moderately small bulk and let it cool. Tyrosine crystallizes out. Pour off the mother liquor, evaporate it to a small bulk, and leucine will crystallize out. In order to purify the tyro- sine, put it on a filter and wash it, first with ice-cold water till the filtrate is colorless, and then with spirit, next with abso- lute alcohol, and lastly with ether. To purify the leucine, put the crystals on a filter, which must be allowed to stand in a cool place until not a drop more runs from it. Then wash it, first with ice-cold water until the filtrate is colorless, next with common alcohol, then with absolute alcohol, and lastly with ether. It is of great importance that the mother liquor should be allowed to drain away completely before the wash- ing, as otherwise the crystals would dissolve in the water used. Test the mother liquor for naphthilamine and indol. In test- ing for the former, dilute naphthilamine is indicated by the appearance of a rose-red color when chlorine water is added gradually to the mother liquor diluted with water. To prove the presence of indol, dilute some of the mother liquor, boil it in a test-tube, add a little dilute sulphuric acid and a drop or two of a dilute solution of a nitrite ; or of very dilute nitrous acid, a red color is produced. The dilute nitrous acid for this 520 DIGESTION. purpose may be conveniently obtained by boiling a small piece of grape sugar with nitric acid in a test-tube, and when the tube is filled with red fumes emptying out the acid and filling the test-tube writh water. * 169. Separation of the Pancreatic Ferments from the Glycerin Extract. — Precipitate the glycerin extract by absolute alcohol; filter; treat the precipitate again for a week or two with glycerin, and filter; let the filtrate fall drop by drop into a tall cylinder filled with absolute alcohol. The ferment is precipitated in white flocculi. After the precipita- tion is complete, let it stand one or two days under a mixture of alcohol and ether. Filter by means of Bunsen's pump, and wash several times with alcohol and ether. Let the precipitate dry over sulphuric acid, and then pulverize it (Hiifner). 170. Isolation of the Pancreatic Ferments. — Two of the pancreatic ferments have been separated by Danilewsky ; but that which splits up fat is removed or destroyed by the magnesia he employs. His method is as follows: "Wash the pancreas of a dog which has been killed six hours after a full meal thoroughly from blood, and rub it to a fine pulp in a mortar, with about a quarter of its bulk of magnesia, and four times its bulk of water. Put the mixture in a beaker, and let it stand for two hours at 25° in the water-bath. After it has cooled, and the pulp and magnesia have nearly subsided, filter the fluid, but do not put the sediment on the filter, as it chokes it, and, at the same time, partly passes through. Neu- tralize the filtrate with dilute hydrochloric acid, and put it into a flask large enough to hold three times as much. Pour into it without stirring ^-^ of its volume of thick collodion, and shake it sharply for several minutes, and repeat the shaking several times. Pour the liquid into a large beaker, and stir it constantly, so as to favor the escape of ether and prevent the collodion from separating in large lumps. When the col- lodion presents the appearance of small rounded granules, filter through linen, and evaporate the ether from the filtrate in vacuo. Then treat the liquid with collodion a second time, filter through the same piece of linen, unite both filtrates, and put them aside (a) Wash the precipitate several times with spirit (60 to 10 per cent.), and dry it without removing it from the linen between double folds of blotting paper. Spread it out with a spatula, and leave it exposed to the air till it is dry. Then shake it in a tall narrow glass with ether, to which a little absolute alcohol has been added, till the precipitate is dissolved and a turbid solution obtained. Let it stand for two days, and then decant the turbid fluid from the precipitate, and after diluting it witli ether, pour it into two tall glasses and let it stand for several days till a new precipitate subsides. Collect that which then BY DR. LAUDER BRUNTON. 521 remains suspended by filtration through Swedish paper. Re- move the collodion from each precipitate by agitating it with ether several times, and then dry it in vacuo. Treat the yellowish residue (which consists of an admixture of coagu- lated albumin with that pancreatic ferment which acts on fibrin) with cold water, and filter. The ferment will be dis- solved and the albumin left. Test the digestive power of the filtrate on a bit of fibrin. Evaporate the filtrate (a) in vacuo, filter from the collodion that separates, heat to 43°-44° C. in a water-bath, in order to separate an albuminous body contained in it which coagulates at this temperature. Filter; evaporate the filtrate in vacuo to one-sixth of its bulk, and add a large quantity of absolute alcohol. It is advisable to let the precipitate thus produced remain under the alcohol for some days, as it is thus rendered more insoluble in water. Collect the precipitate on a filter, and wash it several times with strong spirit. Then treat it with a mixture of one part of strong spirit and two parts water, in order to dissolve the ferment and leave the albumin. Filter ; evaporate the filtrate to dryness in vacuo, and dissolve the residue in water. The solution converts starch quickly into sugar, and digests fibrin, but not very quickly, the ferment having this latter action not having been completely removed by the collodion. It contains also leucine and tyrosine, but the greater part of these may be removed by dialysis at 4° C. The ferment should then be dried in order to keep it. 171. Preparation of Tyrosine by Pancreatic Diges- tion.— Take out the pancreas of an animal which has been fed five or six hours before being killed, weigh it, cut it in small pieces, and rub it up with ten times its weight of raw fibrin, and add to the whole twelve or fifteen parts of water at 45 °C. Keep the whole at this temperature for four to six hours, stirring frequently ; then add a little acetic acid, and boil to coagulate albumin. Filter through a piece of linen, and evapo- rate the filtrate quickly to a syrup. Pour it, while still hot, into a flask, and add strong spirit to it till a distinct flocculent precipitate occurs. Let it cool ; filter, and distil the filtrate till it forms a thick pulp while still warm. Let it stand for a day in the cold to allow complete crystallization to take place ; then throw it on a filter, and let the mother liquor drain com- pletely away ; wash the residue with a little cold water, and then put it into a large quantity of water at 50° C, which will dissolve the leucine and leave the tjM-osine. Dissolve the tyrosine in hot water, let it crystallize out, and then dissolve it again in ammonia and re-crystallize. 522 DIGESTION. INTESTINAL JUICE. 172. Intestinal juice was first obtained pure by Thiry, who divided the jejunum or ileum in two places at a distance of 10 to 15 centimetres from each other, sewed up one end of the piece thus isolated, and attached the other to the wound in the abdominal walls. The short cul-de-sac of intestine formed in this manner remained attached to the mesentery, and its vessels and nerves being uninjured, it yielded a normal secre- tion which could thus be collected without admixture with other digestive secretions and products. The continuity of the alimentary canal was restored by sewing together the divided ends of intestine. 173. Intestinal Fistula. — The method employed by Thiry has been somewhat modified by Paschutin, who prefers the duodenum and the beginning of the jejunum, a part of the small intestine which yields a very active secretion. In making a fistula by his method, the hair must be carefully removed from the skin, and an incision 3 to 5 centimetres long made in the linea alba. The duodenum is drawn out and two stout ligatures passed round it about two and a half cen- timetres beyond the spot where it separates from the pancreas. The ligatures having then been separated from each other and tightened, the intestine is divided between them. The upper end of the duodenum is then replaced in the abdomen. The next step in the operation is to divide the jejunum in a similar manner. The most obvious method of accomplishing this would be to follow the intestine down to the point at which the second division is to be made. This is, however, rendered impossible b}r the extreme shortness of the mesentery at the point where the duodenum ends in the jejunum. It is, therefore, necessaiy to find the jejunum independently, by following the intestine upwards from any loop which may present itself in the wound. It is obvious, however, that be- fore this can be done, the operator must find out in what di- rection the intestine must be followed. For this purpose, the loop being held tight between the finger and thumb, a quantity of half per cent, salt solution is injected into the lower cut end of the duodenum, by a syringe with a conical nozzle, which is passed through the tightened ligature. As the fluid passes downwards until it meets the obstruction presented by the fingers, the upper part of the loop is at once recognized by its becoming full. The distended gut is then followed up till the beginning of the jejunum is reached, which is recognized by the mesentery becoming shorter. Two ligatures are passed round it, and the intestine divided between them as before. The under end is replaced in the abdomen, and the upper end closed by sutures so as to form the cul-de-sac. Before doing BY DR. LAUDER BRUNTON. 523 so, the bundle of mesenteric vessels leading to the part con- stricted by the ligature must be compressed between the finger and thumb, while the constricted part is cut off. As it is necessary that the serous surfaces should be in apposition, the mucous membrane, which is turned outwards by the con- traction of the muscular coat, must be first turned inwards, and the closure affected by sutures, applied as shown in fig. 318. The closed end is then replaced in the abdomen, and the continuity of the intestine again restored by joining the cut ends of the duodenum and jejunum. In doing this, the two ligatures, with the parts constricted by them, must be cut off in the manner previously directed. The ligatures applied to the vessels should include a little of the adjoining intestinal wall, so as to give them a firmer hold. The two cut ends are now brought into apposition, and the ligatures firmly tied to- gether so as to retain the ends in their proper relation, and held in the hand of an assistant The first stitch is put through the intestines in such a way as to include both bundles of ves- sels, and should be drawn very tight and tied, so that it not only unites the ends, but serves as an additional ligature for the vessels. To prevent the ligature from cutting the intestine, it should either be made of very thick soft silk, or of two or three fine ligatures used together. Five or six similar stitches made at a little distance from each other on each side of the first are sufficient to join the mesenteric edge of the two pieces of in- testine, which then lie with their axes parallel (fig. 318). To complete the junction, the two ends must be brought into the same straight line and sewn together. The application of the final sutures is a matter of considerable difficulty, principally on account of the tendency of the mucous membrane to become everted. The mode of applying the sutures so as to accomplish this object, will be at once understood by a reference to fig. 319. Several threads, each with a needle at each end, must be prepared. For the first suture, one needle enters the intestine from its serous aspect at a, and is brought out at b, the other enters at a', and is brought out at b'. The two ends, b and &', are drawn tight and knotted together. For the second suture, one needle enters at b, and is brought out at c, the other enters at b', and is brought out at c', and so on. To conclude the operation, the wound in the abdominal wall is brought together by sutures, and the open end of the cul-de-sac sewn into it. It is also desirable that the junction of the divided intestine should be secured to the wound by a suture, in order to pre- vent the induction of general peritonitis by its locomotion. ** 174. Artificial Intestinal Juice. — Remove the small intestine from a pig, dog, or rabbit, as soon after death as possible ; put a ligature round its upper end, attach the lower 524 DIGESTION. end to the tap, and fill it with water under pressure. Close the lower end by compressing it between the finger and thumb, and raise, first the one end, and then the other, so that the water may loosen the contents of the intestine from its walls. Empty out the water, and repeat the process three or four times, until what flows from the intestine is either transparent or only slightly opalescent, and is not at all tinged with bile. Five minutes' washing is generally sufficient to cleanse the in- testine thoroughly. It should not be continued longer than is necessary, as otherwise a great part of the intestinal ferment may be removed. Slit up the intestine, and separate the mu- cous membrane from the muscular layer. Cut the mucous membrane into small pieces with scissors, or rub it up in a mortar with sand or pounded glass, then mix it with three to six times its bulk of water, and let it stand for a quarter of an hour to two hours. Filter the infusion through muslin, and then through paper. ** 175. Actions of Intestinal Juice. — 1. It converts Starch into Sugar Add a little of the artificial juice to some starch mucilage, warm it, and test for sugar as described in § 77 or 155. The mucilage and juice alone should also be tested, in order to be sure that neither of them contains sugar. 2. It con- verts Cane Sugar into Grape Sugar. — Dissolve some cane sugar in water, and apply Trommer's test to a portion of the solution. No reduction of the copper will occur as it would do if grape sugar were employed. Add some artificial intesti- nal juice to another portion of the solution. Let it stand at 40° for a short time, and then apply Trommer's test ; a re- duction of the copper will take place. A similar conversion of cane into grape sugar is produced by boiling with acids, as may be shown by boiling a little of the syrup with dilute sul- phuric acid, and then applying Trommer's test. * 176. Moreau's Experiment. — When all the Nerves going to a part of the Intestine are^divided, it secretes a very large Quantity of a ivatery Intestinal Juice. — This is shown by letting a large dog fast for at least twenty-four hours, so that its intestines may be empty. It is then put under chloroform, an incision made in the linea alba, and a loop of intestine drawn out. Two ligatures are tied firmly round it at a distance of four or five inches apart, so that the piece of bowel between them is completely isolated from the rest of the intestine. All the nerves in the mesentery belonging to this piece are then carefully divided, leaving the vessels uninjured. Another liga- ture is then tied round the intestine on each side of the first two, and about four or five inches from them, so that a piece of intestine similar to the first is isolated on each side of it, but the nerves going to them are left untouched. The intestine is then returned to the abdominal cavity, the wound sewn up, and BY DR. LAUDER BRUNTON. 525 the animal left for four or five hours. It is then killed, and the intestines examined. The part of which the nerves have been divided is found perfect^* full of fluid, while the piece on each side of it is empty. The fluid contained in the distended loop has been ascertained by Kiihne to resemble in composition diluted intestinal juice. 177. Movements of the Intestine. — The influence of the nervous s}'stem on the movements of the intestine has not yet been completely investigated. Peristaltic action is in all probability produced by the ganglia in the intestinal walls, as it continues in an excised portion ; but it may be increased by the action of the vagi, and lessened or arrested by the splanch- nics. The ganglia are stimulated and movements excited by the presence of venous blood in the intestinal vessels (Maier and Von Basch), or their distension by arterial blood (Nasse). The splanchnics are inhibitory nerves for the intestine, and its movements are arrested by their irritation (Pfluger and Westphal). At a certain period after death, however, they ex- cite movements (Ludwig and Spiess). It is uncertain whether they exert an inhibitor}' action directly on the ganglia as the vagus does in the heart, or act only indirectly through the ab- sence of blood which they produce by causing contraction of the vessels. For a description of the method of showing the action of the splanchnics, see Ludwig and Spiess ; Sitzungsbe- richte der Wiener Academie, xxv. 1857, p. 580. Their inhibi- tory power is said by Koliker to be destroyed by curare, and the writer has been unable to observe it in several experiments on animals narcotized by chloral. Irritation of the vagi causes movements of the intestine, beginning in the stomach. This occurs only occasionally when one or both splanchnics are in- tact, but almost invariably after both have been divided (Houckgeest). In performing this experiment, as well as others on the intestine, it is advisable to employ Sanders-Ezn's method, of opening the abdomen under f per cent, salt solution warmed to 35° C, in order to avoid the irritation to the intes- tines which is occasioned by their exposure to air. For this purpose, a bath of tin or zinc, 32 inches long, by 9£ broad, and 8^ deep, provided with a Geissler's regulator at one end, is used, into this thirty-five litres of water at 35° C. are poured, and sufficient salt added to make a | per cent, solution. In- stead of measuring out the water each time, it is more conven- ient to mark on the sides of the bath the height to which it should be filled. The animal, being laid on a piece of board with Czermak's holder attached to it, instead of the usual sup- port, is placed in the bath, and the lower end of the board is kept immersed by attaching a weight to it. For detailed ex- periments with this method, see Houckgeest Pfiiiger's Archiv. vi. p. 266. 526 THE SECRETIONS. CHAPTER XXXVIII. THE SECRETIONS. Section I. — Milk. 178. Characters of Milk. — Newly-drawn milk is an opaque fluid of a white or yellowish-white color. Its color and opacity are due to its being an emulsion, i. e., to its con- sisting of little globules of fat suspended in a solution of albumin, milk, sugar, and organic salts. Each globule of fat is covered by a thin coating of casein. When the milk is allowed to stand, the fat globules, being lighter than the fluid in which they swim, rise in great part to the top, and form cream, and the lower part of the fluid often acquires a bluish tinge. A similar separation also takes place in the milk gland itself, so that the milk last drawn is richest in cream. The globules of fat are prevented from uniting by the thin albumi- nous coating which surrounds each ; but when this is broken bj- agitation, they coalesce, forming butter. Changes also occur in the milk, sugar, casein, and fats of the milk, more or less quickly, according to the higher or lower temperature to which it is exposed. The milk-sugar becomes converted, ap- parently through the agency of a ferment, into lactic acid. This gives the milk an acid reaction, and precipitates the case- in, causing the milk to curdle. The coagulum, or curd, in- closes the fat globules. The liquid from which it is separated, a solution of milk, sugar, and salts, is known as whey. The curd, when completely separated from the whey, is called cheese. Microscopical Examination. — Examine milk under the mi- croscope. It will be seen to consist of a colorless fluid, con- taining large numbers of minute fat globules. Add a drop of acetic acid, so as to dissolve the coating of casein : the globules will coalesce. Besides these globules, cells containing much fat ma}r be seen, and also masses of fat similar to those within the cells, but destitute of an envelope. These cells are found much more frequently in the milk (called colostrum) which is secreted for the first few days after parturition, and they have, therefore, received the name of colostrum corpuscles. They sometimes exhibit contractile movements. Reaction. — The reaction of human milk is always alkaline, and that of cows' milk is generally so. Free lactic acid always BY DR. LAUDER BRUNTON. 527 exists in the fresh milk of the carnivora, and occasionally in that of the cow and goat. Specific Gravity The specific gravity may be taken by the specific gravity bottle or by a hydrometer. Before using either, the milk should be well shaken and air-bubbles removed. With a view to the detection of adulteration by water, a special hydrometer is used, which is known as Quevenne's lacto-densimeter. It is furnished with a scale indicating specific gravities from 1042 to 1014. The highest specific gravity of milk yet observed is 1040 to 1041, and the average specific gravity of milk mixed with 50 per cent, of water is 1014 to 1016. The instrument is graduated for use at 15° C, and when employed at a different temperature, a correcti*i must be made in the specific gravity indicated by it. Tables for this purpose are to be found in Gorup-Besanez's Zoochemie, 3d edition, p. 468. The quantity of water mixed with a sample of milk may be approximately estimated by the sub- joined tables. The specific gravit}r of milk, with the cream thoroughly mixed with it by shaking, is first ascertained, and if the result is doubtful, another observation is made after the cream has been removed. Table for estimating the quality of milk by its specific gravity before the removal of the cream : — Specific Gravity. 1033 to 29 = Pure milk. 1029 " 26 = Milk with 10 per cent, of water. 1026 " 23 = " 20 " " 1023 " 20 = " 30 " " 1020 " 17 = " 40 " " 1017 " 14 = " 50 " " Table for estimating the quality of milk from which the cream has been removed, by its specific gravity : — Specific Gravity. 1037 to 1033 = Pure milk. 1033 " 1029 = Milk with 10 per cent, of water. 1029 " 1026 = " 20 " " 1026 " 1023 = " 30 " " 1023 " 1020 = " 40 " " 1020 " 1016 = " 50 " " **179. Constituents of Milk. — Casein. — Casein closely resembles alkali-albuminatu' in its characters. It is not pre- 1 Casein is usually regarded as identical with alkali-albuminate. The recent researches of Hoppe-Seyler and Lubavin on its digestion in gas- tric juice, tend to show that it consists of an albuminous, in combina- tion with a non-albuminous, organic body. 528 THE SECRETIONS. cipitated by boiling. It is soluble in alkaline solutions, and is precipitated from them by neutralization, but this precipitation is prevented by the presence of alkaline phosphates. It dis- solves in excess of hydrochloric acid, and also, but not so readily, in acetic acid. Milk does not coagulate when it is boiled in a test-tube, but if it is boiled in an evaporating basin, the casein near the surface becomes somewhat dried and forms a scum on the surface; and if this is removed another appears. When milk stands in a warm place, it becomes sour and curdles. »If common salt is added to fresh milk, it becomes sour on stand- ing, but does not curdle, for the albumin, separated from the casein by the acid, is kept in solution by the neutral salt. If tfl!e solution is boiled, the albumin is coagulated. Mode of Separating Casein. — As alkaline phosphates are contained in milk, it must be not merely neutralized but ren- dered distinctly acid, in order to precipitate the casein. The precipitation is not complete unless the milk is diluted. Add a little acetic acid to milk and warm it to 40° C. The casein and the greater part of the fat separates in large flakes. Moisten a plaited filter with water, and lilter the milk ; put the filtrate aside, wash the coagulum thoroughly with water, and remove the fat by exhausting it with a mixture of alcohol and ether in the apparatus described in App. § 207. Put this solu- tion aside; the remaining coagulum is casein.1 Mode of Separating Albumin. — Boil the filtrate from which the casein has been precipitated. A precipitate of albumin will be produced. Albumin may also be separated by filtering milk through a porous cell or cone by exhausting the air. A clear fluid will pass through which will not be precipitated by acetic acid, showing that no casein is present, but will be pre- cipitated by boiling or by nitric acid. In the acid liquid from which the coagulable albumin has been removed by boiling, a precipitate is produced by Millon's reagent, although none is occasioned by the addition of nitric acid or mercuric chloride. Milk-Sugar. — Filter the rest of the fluid in which the albu- min has been coagulated. Shake it with ether to dissolve out the fat ; remove the ether with a pipette, and then evaporate the fluid to a thin syrup. The milk-sugar will crystallize out gradually in rhombic prisms. It differs from glucose in its crystalline form (the latter generally occurring in warty crumb- ling masses), in fermenting less readily, and in being insoluble in absolute alcohol. The Inorganic Salts of milk are chlorides, sulphates, phos- 1 The casein in human milk cannot be readily precipitated by hydro- chloric or acetic acids, and in order to obtain it, magnesium sulphate must be added until the casein is precipitated, and the precipitate must be washed with a strong solution of this salt, and then with alcohol and ether. BY DR. LAUDER BRUNTON. 529 pbates and carbonates of the alkaline and earthy bases. They can only be investigated in the ash. For the method of igni- tion see § 214. Fats. — The fats may be separated by either of the following methods: 1. Evaporate the mixture of alcohol and ether with which the coagulum was exhausted, and the fat remains. 2. Add to 15 or 20 c. c. of milk, 10 c. c. of a moderately strong solution of caustic soda; shake it vigorously with twice or thrice its volume of ether. Remove the laj^er of ether, and evaporate it in a water bath, and the fat remains. Ether does not remove the fat from fresh milk, as the casein envelops the globules, and protects the fat from its action ; but soda dis- solves these envelopes. Ether will remove 90 per cent, of the butter from milk which has become acid by standing. ** 180. Mode of Estimating the Quantity of Butter Contained in Milk. — A rough method of doing this, is to measure the cream which separates from it by Chevallier's cre- mometer. This is a cylindrical vessel, graduated into a hun- dred parts. The percentage amount of cream is indicated by the number of divisions it occupies when the vessel is filled with milk to the zero point. This method is quite unreliable. VogeVs Test. — A much more exact method is that devised by Vogel, which depends on the fact that the opacity of milk is due to the globules it contains, and is in proportion to their number. The apparatus required for this test are — 1. A cylindrical bottle, in which to mix the milk and water. It should hold about 200 c. c, and have a mark on the side at the height of 100 c. c. 2. A test-glass, with parallel glass sides, exactly ^ a centimetre apart, and supported vertically on a metal foot. 3. A pipette graduated in fifths of a cubic centimetre. Application of the Test. — Before applying this test, it must be ascertained by microscopical examination that the milk does not contain starch granules, or any other impurity in suspen- sion which might increase its opacity. Fill the bottle up to the 100 c. c. mark with clear spring water. Fill the pipette up to zero with milk (App. § 217), and let 3 c. c. run into the bottle. Mix it well with the water, and fill the test-glass with the mix- ture. Put it in a tolerably dark room, place a stearine candle at a distance of about three feet from it, and look at the candle through the glass. If the contour of the flame can be readily perceived, pour the liquid back into the bottle, add another ^ c. C. of milk to it, shake it, and look at the candle through it again. Repeat this till the outlines of the flame can no longer be recognized. Then add together the different quantities of rnilk, so as to find the total amount which has been added, and then ascertain by the following table how much butter the milk contains : — 34 530 THE SECRETIONS. 1.0 c. c. milk, corresponds to 23.43 per cent, of butter. 1.5 tt u 15.46 tt tt 2.0 tt u 11.83 tt tt 2.5 tt u 9.51 tt tt 3.0 If u 7.96 tt tt 3.5 tt u 6.86 tt tt 4.0 t( (( 6.03 tt tt 4.5 l( t( 5.38 tt tt 5.0 tt tt 4.87 tt tt 5.5 u u 4.45 tt tt 6.0 u 11 4.09 tt tt 6.5 tt u 3.80 tt tt 7.0 tt u 3.54 tt tt 7.5 tt u 3.32 tt tt 8.0 tt u 3.13 tt tt 8.5 It u 2.96 tt tt 9.0 u u 2.80 tt . tt 9.5 tt t< 2.77 tt tt 10.0 u u 2.55 tt tt 11 tt (( 2.43 tt tt 12 tt a 2.16 tt tt 13 u (( 2.01 tt tt 14 it (C 1.88 tt tt 15 u u 1.78 tt tt 16 tt u 1.68 tt tt 17 u a 1.60 tt tt 18 tt u 1.52 tt tt 19 tt u 1.45 tt tt 20 tt u 1.39 tt tt 22 u u 1.28 tt tt 24 tt u 1.19 tt tt 26 u (t 1.12 tt tt 28 tt I. 1.06 tt tt 30 u (4 1.00 tt tt 35 tt tc 0.89 tt tt 40 tt u 0.81 tt tt 45 u 11 0.74 tt tt 50 tt u 0.69 tt tt 55 u 11 0.64 tt tt 60 tt a 0.61 tt tt 70 it it 0.56 tt tt 80 u tt 0.52 tt tt 90 u it 0.48 tt tt 100 u tt 0.46 tt tt If cream is to be tested, only one cubic centimetre is to be added at first, and a half c. c. at a time afterwards. Vogel found that about 6 c. c. of pure cow's milk, or 3.7 of BY DR. LAUDER BRUNTON. 531 cream, added to 100 c. c. of water, were sufficient to form a mix- ture which quite obscured a caudle flame. When 8 c. c. are required, the milk contains about 30 per cent, more water than it ought to do, either from the addition of water, or of creamed milk. When 12 c. c. are necessary, the milk contains 50 per cent, too much water. THE URINE. ** 181. Characters of Urine. — The healthy urine of man is a clear liquid of a golden color, possessed of a characteristic odor, and having a specific gravity which generally varies from 1018 to 1023, although it may sink as low as 1005, or rise, under opposite circumstances, as high as 1030. The reaction of the mixed urine of man under normal circum- stances is acid. By the term mixed urine, we understand a mixture of the different portions of urine passed during twenty- four hours. When urine is allowed to stand for some hours, it deposits a slight cloudy sediment, which is called the mucous cloud, and which consists of mucus holding in suspension a few epithelial cells, derived from the genito-urinary passages. It is usually affirmed that the urine, on exposure to the air, in clean vessels, becomes, after some hours, much more acid than it was when passed. To this change the name of the acid fermentation has been given. There are no facts which prove the constant occur- rence of this acid change. When the urine is, however, placed for periods which vary very greatly, in open vessels, exposed to air, it ultimately invariably undergoes the so-called alkaline fermentation, i.e., its reaction becomes exceedingly alkaline, it emits an ammoniacal odor, and it becomes turbid, in conse- quence of the precipitation of phosphate of magnesium aud am- monium, of phosphate of calcium, and urate of ammonium. The acid reaction of healthy human urine is probably due, in great part, to free carbonic acid, to uric and to hippuric acids ; it has been commonly believed, however, that acid phosphate of sodium exists in urine, and that the acidity of the fluid is chiefly due to its presence. The alkaline reaction of urine which has become decom- posed is undoubtedly due to carbonate of ammonium. Un- der the influence of putrescent animal substances it may be observed that perfectly fresh urine becomes, in the course of an hour or two, intensely foetid. Under these circumstances, the urea contained in urine combines with the elements of water and is transformed into ammonium carbonate CH4N20-f H,0=»(NH4),CO^ The following experiments throw much light on the proximate causes of the alkaline fermentation of urine : — 532 TUE SECRETIONS. Collect 200 cubic centimetres of perfectly fresh urine in a vessel which has been carefully washed with dilute sulphuric acid, and afterwards with distilled water. Examine the reac- tion of the fluid, which will be found acid, then divide it in four equal parts: 1st. Pour fifty cubic centimetres into a clean beaker, and set it aside to serve as a standard with which to compare the other portions. 2d. Place fifty cubic centimetres in a clean beaker, and add to it a few drops of urine which lias been allowed to become foetid. After twent3'-four hours compare this sample with the first, determining the following points: o, smell, which will have become ammoniacal in the second, unchanged in the first ; 6, clearness. The second sample will have become opalescent, or a considerable deposit will have fallen ; c, reaction will be strongl}' alkaline in the second, and still acid in the first. The alkaline reaction may be shown to be due to the presence of a volatile alkali by heating the test-paper which has been used, and observing that the reaction which indicated alkalinity dis- appears on the application of heat ; thus the blue color pro- duced when reddened litmus paper was plunged into the fluid, will disappear, and again give place to red when the paper is heated. 3d. A third quantity of fifty cubic centimetres is placed in a Florence flask and boiled briskly for some time, then a plug of clean cotton wool is inserted into the neck of the flask whose contents are still boiling, and is thrust down by means of a glass rod. The urine is allowed to boil for some minutes after the insertion of the plug, the flask is then allowed to cool, set aside for many weeks and then examined. The flask containing boiled urine and protected by the plug of cotton wool, will, if the operator have been sufficient^ expert, retain its transparency and its acidity, and when examined with the microscope will present no animal or vege- table forms. On, however, exposing the contents of the flask to the air, the alkaline fermentation will soon occur. 182. Enumeration of the normal constituents of the Urine. — The normal urine of man consists chiefly of a watery solution of urea and common salt, mixed with smaller though important quantities of other substances, viz., hippuric acid, creatinine, uric acid, coloring matters yet not accurately investigated, indican, traces of fat, besides ammonium and potassium chlorides, sulphates of potassium and sodium, phos- phates of calcium and magnesium, acid phosphate of sodium, silicic acid and iron. To the list of organic substances pres- ent in urine, we may add unknown substances which contain sulphur and phosphorus in an unoxidized condition, besides well-known bodies which are certainly present in the urine in BY DR. LAUDER BRUNTON. 533 certain cases of disease, but which cannot positively be classed among the normal constituents. The abnormal urine of man may contain albumin, grape- sugar, lactic acid and lactates (?), bile coloring matter and bile acids, blood serum and blood cells, haemoglobin, pus serum and pus cells, carbonate of ammonium, sulphuretted hydrogen, oxalate of lime, xanthine, hypoxanthine, leucine, tyrosine, and inosite. The urine may contain, in addition to the substances which have been previously named, others which have been intro- duced into the bod}' as drugs or poisons, and which, being excreted b}' the kidneys, find their way into the urine ; this is the case with many, although probably not with all the metallic salts, with most alkaloids, and with organic bodies of different constitution, as carbolic acid, alcohol, and various vegetable coloring matters. 183. Urinary deposits. — Owing to deficiency in the quan- tity of the urinary water, excess in the quantity of normal ingredients, or presence of substances which are not normally present, we are apt to have urinary sediments or deposits, some of which are composed of structural elements, not usually present, others of the normal or abnormal proximate princi- ples. Amongst such sediments we find most frequently uric acid, urates, ammoniaco-magnesian phosphate, calcium phos- phate, calcium oxalate, blood corpuscles, mucus, epithelium, pus, etc. ** 184. Reactions of Urine treated -with some com- mon reagents. Before commencing a systematic account of the mode of separating the chief constituents of urine, the student may with advantage study the action on this fluid of a few of the common reagents which indicate the presence of the chief ingredients contained. Put about 15 cubic centimetres of urine into a series of test-tubes, and try the following experi- ments:— 1. Add about 5 cubic centimetres of^strong nitric acid. No precipitate will occur, either immediately or after standing for some time. The color of the urine will, however, become darker. 2. To a portion of fresh urine in a test-tube add an equal volume of liquor potassae. After some time a transparent flaky precipitate will be observed, which separates on boiling, leaving the supernatant fluid of its original color. By other experiments it may be shown that solutions of am- monia and caustic soda likewise induce this precipitate, which consists of car//ii/ phoaphMes. 3. Add to 15 cubic centimetres of the urine, about 5 c.c. of a solution of silver nitrate (1-10) ; an abundant curdy precipi- 584 THE SECRETIONS. tate will fall. This consists of chloride of silver and phosphate of silver ; and adding nitric acid to the mixture, the phosphate of silver is dissolved, leaving a quantity of perfectly white, chloride of silver, which, after the test-tube has. been shaken for some time, sinks to the bottom, leaving a clear supernatant fluid. 4. To 15 cubic centimetres of urine which have been strongly acidulated with nitric or hydrochloric acid, add two or three c.c. of a solution of barium chloride. A precipitate of barium sulphate will fall. 5. Pour a strongly acid solution of ammonium molybdate into a test-tube, add a few drops of urine and boil ; the fluid will become yellow, and a canary-yellow precipitate will fall, composed of phospho-molybdate of ammonium ; this indicates the presence of phosphoric acid. 6. To 15 cubic centimetres of urine, in a test-tube, add an equal quantity of a solution of caustic baryta. An abundant precipitate will fall, composed chiefly of barium sulphate and phosphate. 7. To the same quantity of urine add about one-third of its volume of a solution of acetate of lead. A white precipitate, consisting of chloride, sulphate and phosphate of lead, will fall ; and it will be observed that the urine is to a great extent decolorized. On the methods of Separating, and on the Reaction of TnE Principal Organic Constituents of Urine. ** 185. Preparation of Urea (CH4N20) from Urine. — Take 100 cubic centimetres of urine, and add to it 50 cubic centimetres of a solution made by mixing one volume of a saturated solution of nitrate of barium, with two volumes of a saturated solution of caustic baryta. A precipitate will form, which is chiefly composed of phos- phate and sulphate of barium. On filtering, a clear fluid is obtained which is evaporated to dryness on awrater bath. The residue is treated with hot spirits of wine, and the alcoholic solution is likewise evaporated to dryness. On now adding absolute alcohol to the residue the urea is separated, and is obtained from the solution by evaporation. To purify it further from traces of other organic and saline matters, the crystals of urea must be colleeted on blotting-paper, strongly pressed between folds of filtering paper, dried on a porous tile, and, if necessary, again dissolved in spirit and re-crystallized. Although urea can be readily obtained from urine, it is more convenient to make use of artificial urea in the experiments which are required to demonstrate its characteristic properties. As it is altogether beyond the province of this book to refer BY DR. LAUDER BRUNTON. 585 to matters which concern pure chemistry, it may be merely stated that the artificial urea, which can now be readily pur- chased, is prepared by mixing, in certain proportions, aqueous solutions of potassium cyanate and ammonium sulphate, eva- porating to dryness and extracting the residue with alcohol. During the process ammonium cyanate is first formed, and sub- sequently this is transformed into its isomer, urea. In order to determine the chief reactions of urea, perform the following experiments : — 1. Take a crystal of urea, and placing it in a water-glass add a few drops of distilled water. It will dissolve with great readiness. Take a couple of drops of the solution and allow it to crystallize on a glass slide, which may be gentl}- heated. A residue is obtained which presents to the naked eye a crys- talline appearance, and which under the microscope is seen to be formed of transparent four-sided prisms, terminated by one or two oblique facets (Fig. 322). 2. Place a fragment of urea on the tongue, and observe that it possesses a cool, nitre-like taste. 3. Heat a fragment of urea on a piece of platinum foil, or on a platinum spatula, over a gas or spirit-lamp. The urea will first melt, then solidify, and ultimately burn away rapidly without leaving a trace of ash or unburned carbon. 4. Place a tiny crystal of urea on a glass slide; dissolve it in distilled water, and then add a drop of strong and perfectly colorless nitric acid. Crystals will form which consist of a compound of nitric acid and urea (CH4Nv!0,HN0.1). These are much less soluble than crystals of urea. Nitrate of urea is comparatively insoluble in dilute nitric acid. Nitrate of urea crystallizes generally in the form of six-sided tables (Fig. 323). From highly concentrated urine of man, large quantities of nitrate of urea may be sometimes obtained, without any pre- vious evaporation, by inerety adding pure nitric acid. In any case, however, nitrate of urea may be obtained in a crjrstalline form by evaporating urine nearly to a S}rrupy consistence, de- canting the liquid from the salts which have separated out, and then adding an equal volume of pure nitric acid. 5. Perform an experiment similar to the preceding one, substituting a solution of oxalic acid for the nitric acid. A crystallization of oxalate of urea (CH^N^OjC^H^Oj is obtained (Fig. 324). 6. Take one cubic centimetre of a solution of pure urea (con- taining 5 grammes dissolved in 100 grammes of distilled water). Then add cautiously a solution of mercuric nitrate; a curdy white precipitate forms, which consists of combinations of urea with mercuric oxide. On adding a drop of the mixture of urea and mercuric nitrate to a drop of a cold saturated solution of sodic carbonate no reaction will be observed until an excess of f>:5lj THE SECRETIONS. the mercuric salt has been added. Then there is produced a very characteristic 3'ellow color, due to the precipitation of mercuric hydrate. On this reaction is based Liebig's method for the determination of urea. 7. Place one cubic centimetre of a solution such as that used in the last experiment, in a test-tube, and then fill the latter exactly with a solution of sodium hypochlorite. Invert the tube once or twice, and plunge it into a basin containing mer- cury. A most vigorous evolution of gas takes place ; this con- sists of nitrogen. The reaction which occurs is illustrated by the following equation : — CH4N20 + 3NaC10=3NaCl + C02+2n20 + 2N. The carbonic acid which is generated in the reaction is absorbed by the solution of sodium hypochlorite. Instead of sodium hypochlorite, the similar salt of potassium or calcium might be used in this experiment. ** 186. Separation of uric acid (C5H4N403) from Urine. — Place 200 cubic centimetres of urine in a narrow glass cylinder, and add two or three cubic centimetres of pure nitric acid. After twenty -four hours a brick colored or brown sedi- ment will have subsided, which consists of crystals of uric acid, strongly tinted with the coloring matter of urine. These pre- sent, under the microscope, the most various forms, the more common being rhombic tables or columns and lozenge-shaped crystals ; the yellow or brown color which such crystals pos- sess is very characteristic of uric acid. Decant the urine from the red sediment of uric acid, which maybe freely washed with distilled water, as uric acid requires 14,000 times its weight of cold and 1800 times its weight of hot water to dissolve it. The sediment may then be collected on filtering paper and subjected to the following tests : — 1. Place a small quantity of the crystals on a microscopic slide, and add a drop of liquor potassre. The crystals dissolve, and a solution of urate of potassium is obtained (C^H^K.^OJ. Now add carefully an excess of nitric or hydrochloric acid, when uric acid will be again obtained in the form of crystals, which may be further examined. It may be well to state that uric acid often occurs as a de- posit in urine which has not been artificially acidified, and that the crystallographic characters of the substance are very various and sometimes puzzling. The typical crystals of uric acid are undoubtedly rhombic plates with extremely obtuse angles ; the typical form is, however, very frequently modified ; thus spin- dle-shaped figures are formed by the rounding of the obtuse angles, or the primary form is so modified that needles are formed which occur in groups (fig. 305). Not at all unfrequently BY DR. LAUDER BRUNTON. 537 wc have the primary form so modified that the crystals resemble hexagonal plates. Experience gained by a frequent comparison with accurate drawings of the various forms of crystals of uric acid, can alone enable the observer rapidly to identify uric acid. When any doubts exist as to the identity, it is well to dissolve the suspected crystals in liquor potassae, and to proceed as directed above, for by neutralizing an alkaline urate with acid, some of the commoner, and therefore easily identified shapes of uric acid ciystals, are obtained. 2. Place a very small quantity of the reddish ciystalline deposit in a watch glass ; add four or five drops of nitric acid and heat very cautiously over a small spirit-lamp flame. The uric acid will dissolve, and on evaporating to dryness, a red- dish-yellow residue is obtained. On exposing this residue to the vapor of ammonia, or adding, by means of a thin glass rod, a small quantity of solution of ammonia, a beautiful purple- red color is developed, which, on the subsequent addition of a little solution of caustic potash, assumes a violet tint. This reaction has received the name of the Murexide Test. *187. Separation of Hippuric Acid (C9H9NCg.— After urea, hippuric acid is the organic compound present in largest quantity in the urine of man, the mean quantity excreted per diem amounting at least to one gramme. The difficulties at- tending the separation of hippuric acid from the urine of man are, however, great, and it is therefore advisable that the stu- dent should learn to isolate this substance when it is present in larger quantities than normal in the urine. As the urine of herbivora contains large quantities of hippuric acid, it may be advantageous to use for the experiment to be described cows' or horses' urine, or the urine of men in whom an excessive excretion of hippuric acid has been induced ; this may be done by administering to a man ten or fifteen grammes of benzoic acid ten or twelve hours before the urine is collected. It is a fact worthy of remembrance that when benzoic acid is administered to healthy men, large quantities of hippuric (ghy- co-benzoic) acid are excreted. There appears to be always in the system a quantity of glycocine (C.^H., (NH2) OJ. which al- though it is never excreted as such, is capable of being seized upon by the radical of benzoic acid, so as to yield hippuric acid. By comparing the formula? of glycocine and hippuric acid, ex- hibited below, it will be seen that the latter can be represented as derived from the former by the substitution of (C7ILO) for II, thus:— Glycocine 02H,(NHB)Os Hippuric acid C,II,(NIIJ (C.II50)0,. Take 200 cubic centimetres of the fresh urine of the cow and concentrate it, by beating an the water-bath, to forty cubic 538 THE SECRETIONS. centimetres. Then add hydrochloric ;ici 1000 3d. Knowing the weight in grammes of the urine of twenty- four hours, and the approximate weight of total solid matters in 1000 parts, by weight, of urine, we obtain the total solids passed in twenty-four hours expressed in grammes: — 1000 : 53.59 :: 1611 : x x = 86.33 grammes. It is to be noted that the result obtained by such calcula- tions is merety an approximation to the actual number which would be ascertained by the direct method, to be immediately described ; the approximation is, however, sufficiently close to be useful. 192. Determination of the Total Solid Matters con- tained in Urine. — If we know the total volume of urine passed in twenty-four hours, and it be desired to ascertain, by direct weighing, the total quantity of solid matter contained in it, 10 or 15 cubic centimetres of the mixed urine are poured from a very accurately graduated pipette into a weighed porce- lain or glass capsule, which is heated over the water-bath, 544 THE SECRETIONS. or in the water oven (fig. :{:!!>), until a nearly dry residue is obtained. The capsule with its contents is then heated in an air oven whose temperature is maintained at 120° C. The capsule is, after some time, allowed to cool in an exsiccator (fig. 340) and rapidly weighed. The drying and weighing should be repeated until the weight of the capsule and residue is constant. In order to secure accuracy, the capsule in which the evaporation is carried on should be fitted with a ground glass plate, which should be placed over it, when it is trans- ferred from the air oven to the exsiccator, and from the ex- siccator to the balance. It is absolutely essential that the weighing should be con- ducted with the greatest possible rapidity, as the dried urinary solids are highly hygroscopic. Instead of measuring the urine used in the analysis, a weighed quantity may be taken. ** 193. Determination of the Amount of Chlorine contained in Urine. By Liebig's Method — It has been already mentioned that when a solution of mercuric nitrate is added to a solution of urea, a dense white precipitate is formed, which consists of compounds of urea with mercuric oxide. If the solution of mercuric nitrate be sufficiently diluted, and be added in sufficient quantity, the compound formed con- tains four molecules of mercuric oxide for each molecule of urea. If, however, a solution of mercuric nitrate be added to a solution of urea and chloride of sodium, no precipitate will at first be formed, the reaction between the urea and oxide of mercury not occurring until the double decomposition between the mercuric nitrate and sodium chloride has been completed, thus: — Hg 2N03 + 2NaCl=Hg Cl,+ 2NaN03. As soon, however, as this has occurred, a white precipitate of the mercuric oxide and urea compound falls. Liebig's method of determining the amount of chlorine in urine is based upon the reactions which have been referred to. In order to enable the student to determine the amount of chlorine by Liebig's method, we shall describe, in the first place, the method of preparing the standard solution of nitrate of mercury, and, in the second place, the method to be fol- lowed in determining by its aid the quantity of chlorine in urine. Preparation of standard solution of mercuric nitrate for the estimation of chlorine in Urine. The following solutions are required : — 1st. A solution of mercuric nitrate of such a strensth that BY DR. LAUDER BRUNTON. 545 one cubic centimetre shall correspond to 10 milligrammes (0.010 grm.) of sodium chloride. This solution may be made by dissolving twenty grammes of perfectly pure metallic mercury in boiling nitric acid, until a drop of the acid fluid does not cause a precipitate when added to a solution of common salt. The acid fluid is concentrated by heating over a water-bath until it is of syrupy consistence. It is then diluted with nearly a litre of distilled water. Unless a great excess of nitric acid has remained after the evaporation, a white precipitate, consisting of a basic nitrate of mercury, will fall, and must be separated by filtration. Be- fore performing the latter operation, a few drops of nitric acid may, however, be added, as they will cause the re-solution of a considerable part of the precipitate, without rendering the liquid too acid. The solution of mercuric nitrate thus made must be set aside until the other reagents which are required for determining its strength are prepared. 2d. A solution made by dissolving in distilled water 20 grammes of pure sodium cloride and diluting to one litre. The salt is fused before being weighed. Ten cubic centimetres of this solution contain 0.200 grm. of NaCl. 3d. A solution made by dissolving 4 grammes of pure urea in distilled water and diluting to 100 c. c. 4th. A solution of sodium sulphate, saturated at ordinary temperatures. In order to determine the strength of the solution of mer- curic nitrate, it is poured into a burette (preferably a Mohr's burette, with glass stopcock) of a capacity of 50 cubic centi- metres, and divided into lOths of a cubic centimetre. Ten cubic centimetres of the standard solution of chloride of sodium are then measured by means of a pipette, and poured into a glass beaker. To this is added 3 cubic centimetres of the solution of urea, and 5 cubic centimetres of the solution of sulphate of sodium. The solution of nitrate of mercury is now allowed to flow gently into the beaker; as the drops fall into the fluid con- tained in the latter, a white precipitate is seen to form, which, however, dissolves at once, or when the fluid is stirred. On adding more of the solution of nitrate of mercury, the fluid becomes opalescent but no precipitate occurs until the reaction is completed, i. e., until the whole of the chloride of sodium has been decomposed. The number of cubic centimetres of the solution of mercuric nitrate which has been added is read off; if, for example, 12.7 cubic centimetres of the solution had to be added in order to induce a permanent precipitate, we conclude that this quantity of solution contains the quantity of mercuric nitrate required 35 546 THE SECRETIONS. to decompose 0.200 gramme of NaCl. As it is convenient to have a solution of which 10 cubic centimetres shall be equiva- lent to 0.100 gramme of NaCl, we must take our solution and dilute it to the required extent. In the assumed case, 12.7 cubic centimetres contained as much of the mercurial salt as correspond to 0.200 gramme of NaCl, i. e., as much as would be required in 20 cubic centimetres of solution. If we there- fore diluted 12.7 cubic centimetres with 7.3 cubic centimetres of water, we should obtain 20 cubic centimetres of a solution of which 10 cubic centimetres would be exactly capable of de- composing 0.100 gramme of NaCl. But as in preparing such a standard solution we deal with large quantities of fluid, it is well to effect the dilution of the whole at once. Thus let us suppose that we have 800 cubic centimetres of the solution, of which 12.7 cubic centimetres are equivalent to 0.200 gramme of NaCl. As 12.7 cubic centimetres require the addition of 7.3 cubic centimetres of water, it is easy to find how much 800 cubic centimetres require, viz., 459.8 cubic centimetres. If we then measure out very accurately this quantity of distilled water, and add it to our solution, we obtain 1259.8 cubic centimetres of a solution of which 10 cubic centimetres represent 100 milli- grammes of NaCl, or 60.65 milligrammes of CI. Having made the standard solution of nitrate of mercury for the estimation of chlorine, we must, before analyzing urine, prepare a solution which we shall designate as Baryta Mixture. This is prepared by mixing two volumes of a solution of barium nitrate, saturated in the cold, with one volume of a solution of caustic baryta (barium hydrate), similarly saturated. Two volumes of the urine to be analyzed (say 40 cubic centi- metres) are now mixed with one volume (say 20 cubic centi- metres) of baryta mixture. An abundant precipitate falls, consisting chiefly of a mixture of phosphate, sulphate, and car- bonate of barium. (This removal of phosphates is essential, as these salts are precipitated by the solution of nitrate of mercury.) The fluid in which the precipitate has formed is filtered, care being taken that the filter is not moistened. As the filtrate contains one-third of its volume of baryta mixture, it is convenient to take for analysis 15 cubic centi- metres. This quantity will exactly correspond to 10 cubic cen- timetres of urine. It is convenient, therefore, to have, in addi- tion to pipettes graduated so as to deliver 20 and 40 cubic centimetres, one which delivers exactly 15 cubic centimetres of fluid. The measured portion of filtrate is very slightly acidified by adding, drop by drop, exceedingly dilute nitric acid, and then the solution of nitrate of mercury is allowed to BY DR. LAUDER BRUNTON. 547 flow in, at first rather rapidly, afterwards guttatim, until a per- manent and dense cloud, not affected by vigorous stirring, makes its appearance. The number of cubic centimetres used, multiplied by 0.010. indicates the amount of chlorine, in fractions of a gramme, cal- culated as NaCl, contained in 10 cubic centimetres of urine. Thus, if 8.56 cubic centimetres of the standard solution of chlorine were added, the quantity of CI, calculated as NaCl, in 10 cubic centimetres, would be 0.085 gramme. It must be remarked that if a urine contains albumin, this substance must be removed by boiling and filtration before the determination of chlorine bjr Liebig's method can be effected. 194. Determination of chlorine by means of nitrate of silver. — In cases where the quantity of chlorine is exceedingly small, the following method is much to be preferred to that already described. Ten cubic centimeti'es of urine are placed in a platinum cap- sule, together with 2 grammes of pure potassium nitrate (quite free from chlorine), and evaporated to dryness. The residue is ignited at a moderate heat until the whole of the carbon has disappeared. The crucible is allowed to cool, and the saline mass which it contains is dissolved in distilled water, a little nitric acid being added. The estimation of chlorine may then be effected by those methods which are to be found described in text-books on chemical analysis. The chief of these methods consist (a) in precipitating the chlorine as chloride of silver, etc., washing, burning, and weighing the precipitate; and (6) in adding to the neutralized solution of the chloride, mixed with a drop of potassium chromate, a standard solution of nitrate of silver. Thfr nitrate of silver causes a white precipitate of chloride of silver, when added to such a solution, until the whole of the chlorine has been precipitated. Then, however, the addition of a single drop more produces a deep salmon-red color, due to the formation of silver chromate. ** 195. Determination of the amount of Urea found in Urine. I. By Liebig's Method In order to determine the amount of urea by Liebig's method, we require (a) baryta mixture as used in the determination of the amount of CI in urine, and (b) a standard solution of nitrate of mercury, prepared in the same manner as that used for CI determinations, but containing much more mercury. In making this solution, dissolve about 75 grammes of pure mercury in pure nitric acid, adopting all the precautions previously suggested, and dilute to the volume of oik; litre. In order to grade the solution of mercuric nitrate for uren, we must pour into a beaker 10 cubic centimetres of a standard 548 THE SECRETIONS. aqueous solution of pure urea, containing 2 grammes of per- fectly pure urea in 100 cubic centimetres. The quantity of so- lution in the beaker will then contain 0/200 gramme of urea. The solution of mercuric nitrate is then added and the fluid stirred ; an abundant snow-white precipitate falls. When the precipitation appears to be nearly completed, a drop of the fluid holding the precipitate in suspension is added to a drop of solution of sodium carbonate on a porcelain slab. If the urea be not completely precipitated, no change of color will be ob- served when the two fluids are mixed. The mercuric nitrate solution is then added drop by drop, and the process of testing with the solution of Na^CO., on the slab repeated from time to time. At last a 3rellow color will appear. This will indicate that the solution of mercury has been added in excess. The number of cubic centimetres of solution added indicates the number of c. c. which are equivalent to 0.200 gramme of urea. As it is convenient to have a solution of mercuric nitrate, of wdiich 10 cubic centimetres shall precipitate 100 milligrammes of urea (0.100), or 1 cubic centimetre 10 milligrammes, it is essential to dilute the solution which has been prepared, in the same manner as was indicated in the case of the solution for the determination of chlorine. Having prepared the solution of mercuric nitrate for urea, and the baryta mixture, the analysis of urine can be rapidly effected. 40 cubic centimetres of urine are mixed with 20 cubic centimetres of baryta mixture; 15 cubic centimetres of the fil- trate are precipitated with the mercury solution, until a yellow reaction with solution of Na2C03 is obtained. The number of cubic centimetres of the mercury solution used, minus 2 and multiplied by 0.010 gramme, indicates very closely the amount of urea, expressed in fractions of a gramme, contained in 10 cubic centimetres of urine, provided that the urine be of average composition, i. e., that it contains no ab- normal substances, that the amount of chlorine in it be about the average, and that it be neither very concentrated nor very dilute. The statements made in the preceding paragraph indicate many circumstances which have to be taken into account, and many corrections which have to be introduced in order to give to Liebig's method the accuracy of which it is capable. In pointing out these corrections, an explanation must be given of the empirical statement, '■'•that the number of cubic centimetres of mercury solution used, minus 2, and multiplied by 0.01 grm., indicates very closely the amount of urea, ex- pressed in fractions of a gramme, contained in 10 cubic centi- metres of urine." The reason for subtracting 2 cubic centi- metres is, that in average urines this volume of the solution is BY DR. LAUDER BRTJNTON. 549 required to decompose the chlorides, and does not, therefore, take part in the urea reaction. If this correction be constantly introduced in a series of ob- servations, and, as has been ahead}7, pointed out, the urine be not of very exceptional composition, results are obtained which are very nearly correct, and which are comparable the one with the other. If, however, the urine in cases of pneumonia or of fevers were under investigation, the error introduced by the application of this arbitrary correction would generally be very great. In such cases we must adopt a more scientific method of avoiding the error introduced by the presence of chlorides. We must in the first place determine, by the standard solution of mercuric nitrate for chlorine, the amount of chlorine, calcu- lated as NaCl present in 10 cubic centimetres of the urine, i.e., in 15 cubic centimetres of the filtrate obtained on mixing two volumes of urine with one volume of baryta mixture, and we must then remove the whole of the CI from a fresh quantity of filtrate by a standard solution of nitrate of silver. To do this we require a solution of nitrate of silver exactly equivalent to the solution of nitrate of mercury Which has been used. If 11.601 grammes of fused silver nitrate be dissolved in distilled water, and diluted to the volume of 1 litre, the solution will be of the required strength, i. e., 1 cubic centimetre will exactly precipitate 0.010 gramme of chloride of sodium. Take 30 cubic centimetres of the filtrate from the mixture of baryta mixture and urine, and, having added a drop of nitric acid, pour in from a burette, or from a finely divided pipette, twice, as many cubic centimetres of the nitrate of silver solu- tion as the number of cubic centimetres of nitrate of mercury solution required in the chlorine determination. A precipitate of chloride of silver will fall, and the filtrate may now be sub- jected to analysis for urea. An example will help to make the course of these operations clear. Forty cubic centimetres of the urine of a boy suffering from typhus fever were mixed with 20 cubic centimetres of baryta mixture, and the fluid was filtered. 15 cubic centimetres of the filtrate was placed in a beaker, and the standard solution of mercury for chlorine was added, until a permanent and dense cloud had formed. The number of cubic centimetres added was 4.5. As each cubic centimetre of the standard solution corresponds to 0.010 gramme of CI calculated as NaCl, the quantity in 10 cubic centimetres amounted to 0.045 gramme. 30 cubic centimetres of the filtrate from the baryta mixture and urine were now taken and treated with 4.5 X 2, i. e., 9 cubic centimetres of nitrate of silver solution. The fluid was filtered. Now 39 cubic centimetres of the mixture of urine, baryta so- 550 THE SECRETIONS. lution, and silver nitrate solution, contained 20 cubic centi- metres of urine. On, therefore, taking :y or 19.5 cubic centi- metres of the filtrate, after the precipitation of the chloride of silver, we obtained a quantity of fluid which contained all the urea present in 10 cubic centimetres of the original urine. It may be well to state that when, as in many cases of acute disease, the amount of chlorine present is very small, nearly accurate results are obtained, if no correction for chlorine be introduced. Other corrections must be introduced into Liebig's method under peculiar circumstances : these will be stated dogmati- cally, the student being referred to larger books for their ex- planation. 1st. "When, in determining the amount of urea in 15 cubic centimetres of mixture of urine and baryta solution, the num- ber of cubic centimetres of mercury solution added exceeds 30, we must repeat the operation, adding to 15 cubic centimetres of the fluid a quantity of distilled water equal to the difference between 30 and the number required in the first operation. 2d. When the amount of solution of nitrate of mercury added to 15 cubic centimetres of the filtrate from the mixture of urine and baryta mixture, is less than 30 cubic centimetres, 0.1 cubic centimetre must be subtracted from the amount of mercury solution required, for every 5 cubic centimetres less than 30 cubic centimetres. This correction is of little importance. II. Davy's method for the determination of Urea. This excellent method is based upon the fact already men- tioned, that when a solution of urea (CH4'Nv,0), such as urine, is treated with a solution of hypochlorite, it splits up into car- bonic acid, water, and nitrogen gas. If the mixture be effected in a long graduated tube, and this be inverted and placed over mercury, the whole of the N accumulates on the surface of the fluid, the carbonic acid being absorbed by the solution of \\y- pochlorite used. From the volume of X evolved the quantity of urea present may be calculated. (For details of this method the reader is referred to a Treatise on the Pathology of the Urine, by Dr. Thudichum, London: Churchill, 1858.) Davy's process is, like Liebig's, not absolutely correct. Uric acid, and other nitrogenous substances present in urine, are de- composed by hypochlorites ; as their quantity is, however, com- paratively very small, the error introduced is not large. The writer can vouch, from personal observations, of the great accu- racy of this method when applied to solutions of pure urea, and believes that, if carried out with the apparatus devised by Dr. Hiifner for the determination of urea by solutions of alkaline hypobromites, it would prove the most useful and reliable method for the determination of urea. BY DR. LAUDER BRUNTON. 551 * 196. Determination of the Amount of Uric Acid in Urine. — Uric acid is usually determined by precipitation with dilute nitric or hydrochloric acid, the crystalline precipi- tate being washed, dried, and weighed. Take 200 c. c. of the urine and add to it 5 c. c. of dilute hy- drochloric acid of density 1.11. Set aside in a cellar for 24 hours. Collect the uric acid on a weighed filter, and wash thoroughly with distilled water. Dry the filter and uric acid in a water oven at a temperature of 100° C. Allow the dried filter to cool under an exsiccator (in watch glasses, etc.) and weigh. The weight of the filter and uric acid, minus the weight of the filter paper, gives the amount of uric acid precipitated. To this must, however, be added the quantity of uric acid which has been held in solution by the urine and hydrochloric acid, and by the washings of the filter. The whole of these fluids are therefore mixed and measured, and for every 100 c. c. 0.0038 grammes of uric acid must be calculated (Neubauer). The number thus calculated, added to that of the uric acid col- lected on a filter, gives the amount of uric acid contained in the urine. The number is, however, only an approximation to the truth.1 **197. Determination of the Amount of Phosphoric Acid contained in Urine. — The phosphoric acid contained in urine exists partly in a state of combination with the alka- line earths, magnesia, and lime, but chiefly in combination with alkalies. If we render the urine alkaline by the addition of am- monia, the former are precipitated, leaving the alkaline phos- phates in solution. It is customary to state the amount of phosphoric anhydride corresponding to phosphoric acid in the urine. In determining the quantity of phosphoric acid in urine, we may merely determine the total quantity existing in the fluid, or we may determine the total quantity first, and then the quantity which remains after the precipitation of the earthy phosphates. The volumetric method for the determination of phosphoric acid in urine is based upon the following reactions: — (a) When a solution of a phosphate acidulated with acetic acid is treated with a solution of nitrate or acetate of uranium, a precipitate falls which is composed of uranium phosphate. (6) When a soluble salt of uranium is added to a solution of potassium ferrocyanide, a reddish-brown precipitate or color is developed. Preparation of Standard Solutions of Uranium, etc. — Before preparing this solution, it is advisable to make a standard solu- 1 The reader is referred to the recent researches of Dr. Salkowsky, in Virchow's Archiv. Bd. 52, and of Maly, Pfluger's Archiv. 1872, vol. vi. p. 201. 552 THE SECRETIONS. tion of a phosphate. For this purpose, 10.085 grammes of well crystallized sodium phosphate (XaHI'O, 4- 1211,0) are dis- solved in distilled water, and the solution diluted to one litre. Fifty cubic centimetres contain 0.1 gramme of P,Os. Then 100 grammes of sodium acetate are dissolved in 900 c.c, of distilled water, and 100 c.c, of acetic acid added. The solution of uranium acetate is made b}T dissolving com- mercial uranic oxide in acetic acid, diluting and filtering; or, instead, a solution of uranium nitrate may be made hy dissolv- ing the crystallized salt in water, and diluting. The solutions are intended to contain 20.3 grammes of uranic oxide in one litre of solution. Having obtained the solution of uranium acetate or nitrate, its strength is determined in the following manner: 50 c.c. of the standard solution of sodium phosphate are placed in a beaker, and 5 c. c, of the acid solution of sodium acetate added. The uranium solution is poured from an accuratel}7 graduated burette, until precipitation ceases. Then a few drops of a solution of potassium ferrocyanide are placed on a porcelain slab, and after each addition of uranium solution to the phos- phate, a drop of the mixture is taken up by means of a glass rod and brought in contact with the ferrocyanide. As soon as an excess of uranium solution has been added, the character- istic reddish-brown color of uranium ferrocyanide is observed. It is convenient to graduate the solution of uranium so that 20 cubic centimetres shall be exactly equal to 50 c. c. of the standard solution of phosphate of soda, i.e., to 0.1 gramme of PA- In analyzing urine by means of solutions of uranium, it is convenient to operate on 50 c. c. This quantity of urine is treated with the acetate of sodium solution and heated on the water-bath to a temperature approaching 100° C. ; it is then treated with the solution of uranium as previously described. 198. Determination of the Quantity of Sulphuric Acid in Urine. — The quantity of sulphuric acid in urine is best determined by precipitating with chloride of barium and weighing the dried and burned precipitate of barium sulphate ; from this the amount of sulphuric acid can be calculated. It is usual to state the amount of sulphuric anhydride (S03) cor- responding to the sulphuric acid existing in the urine. For details as to the precaution to be used in determining the amount of sulphuric acid by precipitation, the student is referred to Fresenius's Quantitative Analysis. The manipula- tions involved in such an analysis, however simple it may be, can only be learned in a laboratoiy devoted to pure chemistry. It has been suggested that the sulphuric acid in urine should be determined by means of a standard solution of chloride of barium ; the method is one, however, which is tedious, and BY DR. LAUDER BRUNTON. 553 which cannot be recommended, even on the score of rapidity, as preferable to the one first described. ** 199. Detection of Su^ar in Urine.— It is still a mat- ter of doubt whether the urine in health contains sugar; the processes which have been suggested, for the separation of this substance, by those who maintain its constant occurrence in healthy urine, are, however, complicated ; and, as they have led to veiy various results in the hands of different observers, their consideration would be out of place in this book. (See Pfliiger's Archiv. fur Physiol. V. pp. 359 and 375.) When present in abnormal quantities in urine, as in diabetes, glucose ma}' be very readily detected. The following experi- ments will be sufficient to make the student acquainted with the more common reactions. Experiment 1. Take 5 cubic centimetres of diabetic urine, or of a solution of grape-sugar, and add to it two or three drops of a solution of copper sulphate, so that a very slight green tinge is perceptible ; then add to the fluid a solution of caustic soda, or potash, until the precipitate of hydrate copper oxide, at first formed, is redissolved. The fluid, which has assumed a blue tint, is now boiled, when an abundant precipitate of cuprous oxide falls ; before this has separated, the fluid in which the precipitation is effected be- comes opaque, and presents a reddish-yellow color. This is known as Trommer's test (.see § "IT and § 12). 2. To five cubic centimetres of urine add nearly an equal volume of a solution of caustic soda, or potash, and boil. The fluid will assume at first a light-yellow, then an amber, and lastly a dark-brown coloration. Tins is known as More's test. 3. Some diabetic urine is mixed with a little brewer's yeast, and the mixture is poured into a test-tube half full of mercury ; the orifice of the tube is closed with the thumb, and the tube is inverted into a capsule containing mercury. After a period of twent}T-four hours, at ordinary tempera- tures, the test-tube will be found to contain large quantities of carbonic acid gas, which can be readily absorbed by passing up into the tube a fragment of caustic potash. In addition to these tests, the student may with advantage determine, by means of a polariscope, that diabetic urine pos- sesses the property of rotating the plane of polarized light to the right. ** 200. Determination of the Quantity of Sugar in Urine. — Tins may be best effected b}r one of the two follow- ing methods : firstly, by determining to what extent a known depth of the saccharine fluid rotates the plane of polarized light to the right; or, secondly, by determining the quantity of urine which has to be boiled with a standard solution of 554 THE SECRETIONS. a cupric salt, in order to reduce the whole of the copper to the condition of red cuprous oxide. In order to determine the quantity of sugar by the last method, which is known as that of Fehling, we require to prepare a standard solution in the following manner : 34.65 grammes of pure and well crystallized copper sulphate are dissolved in about 1G0 cubic centimetres of water, and 173 grammes of Rochelle salts (tartrate of potash and soda) are dissolved in about (iOO cubic centimetres of solution of caustic soda, having a specific gravity of 1120. The solution of sul- phate of copper is added gradually to the alkaline solution of Rochelle salts, the fluid being continually stirred. A deep blue solution is thus obtained, which is diluted with distilled water to the volume of one litre. Ten cubic centimetres of this solution are reduced by 0.05 gramme of diabetic sugar. The following is the process which has to be followed in determining the quantity of sugar in urine: — The urine to be examined is diluted to a known extent; thus in the case of a diabetic urine, having a specific gravity of 1040, 100 cubic centimetres are diluted with distilled water to the volume of 1000 cubic centimetres. Ten cubic centimetres of the standard copper solution are then accurate^ measured out and poured into a porcelain capsule. Forty cubic centimetres of distilled water are added, and the solution in the capsule boiled. The previously diluted urine is then allowed to flow in from a burette ; after a few cubic centimetres have been added, the fluid in the capsule is briskly boiled, and then the application of heat discontinued for a few seconds. The solution, which, after the saccharine fluid has been boiled with it, assumes a red color, deposits a red sediment of cuprous oxide, whilst the supernatant fluid retains a more or less blue color, in consequence of a portion of the copper remaining in solution. Successive portions of the diluted urine are then added, and the fluid boiled after each addition. As the operation proceeds, the addition of the diluted urine is performed with great care, only a few drops being poured in at a time. A point is at last reached when the bottom of the capsule is coated with a de- posit of red cuprous oxide, and when, on tilting the capsule so as to bring the fluid, which it contains, over the clean white sides, no tint of blue is perceived. The number of cubic centimetres of sugar solution added is then read off and marked. It is advisable, however, to pur- sue the operation one step further. A few more drops of diluted urine are added to the contents of the basin, which are again boiled, and if necessary, the addition is repeated until the boiled fluid becomes faintly opaque and of a yellowish BY DR. LAUDER BRUNTON. 555 color. These appearances prove that a slight excess of sugar solution has been added. The number of cubic centimetres of diluted urine added is again read off. If the arithmetic mean of the first and second results be now taken, a number will be obtained which represents, very accurately, the volume of the dilute urine, in cubic centimetres, which was capable of re- ducing the whole of the copper in ten cubic centimetres of the standard solution employed. Now, as this volume of copper solution is reducible by exactly 0.05 gramme of dia- betic sugar, this quantity must have been present in the volume of diluted urine made use of. An example will render the calculations required intelligible : The urine of a diabetic patient was found to have a specific gravity of 1035. 100 cubic centimetres were placed in a litre flask, and distilled water added until the fluid exactly measured 1000 c. c. Ten cubic centimetres of standard copper solution required 30.49 c. c. of the diluted urine in order to be completely reduced, or 30.49 c. c. of the diluted urine contained 0.05 gramme of sugar. As the urine had been diluted to ten times its original bulk, the same volume of the undiluted urine would contain ten times as much sugar, i. e., 0.5 gramme of sugar. From these data we can easily ascertain how much sugar was passed in the twentj'-four hours. Thus, if the quantity of urine passed in twent3'-four hours, in the case under consideration, amounted to 3000 cubic centimetres, the amount of sugar passed during the same period would be at once found by the following proportion : — 30.49 : 0.5 : : 3000 : x = 49.19 grammes. The student, in carrying out the process just described, must be careful to dilute the urine to a sufficient extent. In cases where the percentage of sugar is very large, it is, for instance, convenient to dilute the urine twenty times instead of ten. ** 201. Detection of Albumin in Urine. — Except in very exceptional cases, which need not be alluded to here, the only albuminous body proper which appears in urine possesses the reaction of serum albumin. Accordingly, when albumi- nous urine is boiled, it is found to be coagulable, i. e., the albumin separates in the insoluble form, and the coagulated albumin is insoluble in nitric acid. Nitric acid, when added alone to urine containing albumin, likewise precipitates that substance, and the precipitate is not dispelled by heat. It must be stated, however, that in certain cases, when nitric acid produces a mere haze, this may disappear on boiling, although it be really due to a trace of albumin. Albuminous urine possesses the property of rotating the plane of polarization to the left. 556 Till: SECRETIONS. * 202. Determination of the Amount of Albumin in Urine. — A known volume of the urine, say 50 or 100 cubic centimetres, is boiled ; if the reaction is alkaline or neutral, a trace of acetic acid being previously added, the albumin sepa- rates freely and is collected on a weighed filter. The substance on the filter is repeatedly washed with boiling water, and after being allowed to drain, it is dried, first in a water oven at 100° C, and afterwards in an air oven at 120° C. The weight of the filter and albumin, minus the weight of the filter, fur- nishes us with the quantity of albumin (with adhering salts) present in the quantity of urine taken for analysis. When a large number of determinations of albumin in urine have to be made, it is advisable to make use of the polariscope. The extent to which the plane of polarized light is rotated to the left bears a strict relation to the quantity of albumin present in a fluid, providing the depth of fluid examined be the same, and that no other substance (e. g., sugar) be present, exerting an opposite action on polarized light. ** 203. Detection of Bile-coloring Matter in Urine. — When a large quantity of bilirubin is present in urine it may be separated from it by agitating the fluid with chloroform, decanting, evaporating the chloroform solution, dissolving the residue in pure chloroform, and allowing the fluid to evaporate spontaneously. In this way red rhombic prisms of bilirubin may be obtained. In all cases where bile-coloring matter is present, we can de- tect it by the well known reaction with nitric acid (Gmelin's reaction). If strong nitric acid, containing nitrous acid, be added to a thin stratum of urine containing bile, in a flat por- celain dish, a succession of beautiful tints is perceived. The fluid is seen at first to be green, then blue and violet ; it then assumes a rather dirty claret, and ultimately a dirty yellow color (.see § 135). In cases where a very satisfactory search for traces of bili- rubin is to be made, it is advisable to separate it from the urine, by means of chloroform, and then to test the evaporated residue with nitric acid. A property which is very characteristic of urine or other animal fluids colored by bile pigment, is that of staining, of a yellow color, linen which is moistened with it. ** 204. Separation and Detection of Bile Acids in Urine. — Four or five hundred cubic centimetres of urine are treated with acetate of lead until a precipitate ceases to fall, and then solution of ammonia is added. The precipitate is collected on a filter, washed with water, and allowed to drain. The filter paper, with the very bulky precipitate which it con- tains, is then boiled in a flask, with alcohol, and the solution is filtered whilst hot. A few drops of solution of sodium carbo- nate being added, the fluid is evaporated to dryness on the BY DR. LAUDER BRUNTON. 557 water-bath. The residue is boiled with absolute alcohol, and the solution is concentrated to a small volume. On adding an excess of ether to the alcohol, a precipitate occurs which con- sists of the soda salts of the bile acids, and which, if set aside for some time, often crystallizes. This precipitate may be obtained by decanting from it the supernatant mixture of alcohol and ether. It is soluble in water ; a few drops of the aqueous solution ma}' be evaporated to dryness in a porcelain capsule and then subjected to Petten- kofer's test. This consists in adding a few drops of pure sul- phuric acid, and then a trace of solution of cane sugar to it, and heating very gently. After some time, an exceedingly beautiful purple-violet coloration is developed. Bile acids may be detected in the urine without previous separation b}- employing Strasburg's method (see §140), but Hoppe-Seyler's method just described is much more reliable. 205. Detection of Blood in Urine. — Urine which con- tains blood, on being allowed to stand, usually furnishes a de- posit in which characteristic blood corpuscles may be discovered without difficult}'. On examiningsuch urine by means of the spectroscope, there is usualty no difficulty in observing the spectrum of haemoglo- bin or of hsematin. Urine which contains haemoglobin furnishes, when boiled, a precipitate of albumin and haematin.1 1 Although it has been considered adivisable to devote some space to the mode of detecting a few of the more important abnormal constituents of urine, it would be beyond the object of this book to give a complete account of the properties of, and mode of separating, all the substances which occur in urine in a state of disease. Any additional information on these subjects is to be found in the very valuable " Handbuch der physiologisch- und pathologisch-Chemischen Analjrsen of Professor Hoppe-Seyler, to which reference has been already made. APPENDIX. CHAPTER XXXIX. PRACTICAL NOTES ON MANIPULATION. 208. Manipulation of Glass Tubing. — Most laboratories contain a glass-blower's table ; in its absence the mouth gas blowpipe must be used. The difficulty of keeping up a continuous blast of air with this instrument can be readily overcome by practice, provided that the orifice is not too wide. The blowpipe flame (fig. 325) consists of two parts, an inner blue cone («) which is the deoxidizing or reducing flame, and an outer envelope (5) which surrounds it. The hottest part of the flame is a very little in front of the tip of the blue cone. The reducing flame is so called because the unburnt gasses present in it have at that high temperature a great tendency to take oxygen from any substance con- taining it. In the outer envelope, on the contrary, the supply of oxy- gen is abundant ; it is therefore called the oxidizing flame. Ordinary English glass tubing contains oxide of lead : when it is heated in the reducing flame, black stains of metallic lead form on its surface. To avoid this, it should always be heated in the extremity of the outer flame. German glass is free from lead, and much less fusible than English glass, and is generally preferable to it. Tubes of German glass may be dis- tinguished from English by looking through them lengthwise ; the for- mer has a greenish color, while the latter looks dark. In drawing out a glass tube so as to form a pipette (see fig. 326), care must be taken to soften the part to be drawn completely and equally, and to remove it from the flame before extending it. If this precaution is neglected, the drawn-out part will collapse and close. When heating a tube for the purpose of bending, it is important to use as low a temperature as is sufficient to soften it, and not to begin to bend until a considerable ex- tent of the part to be bent is equally softened. For this reason, it is best to use a large flame (that from a gas jet being preferable to a Bunsen's lamp or blowpipe), in which the tube must be moved up and down until the object is attained. Before bending, it must of course be re- moved from the flame. In bending a thin tube, especially, if it be heated too strongly, it is difficult to avoid its becoming wrinkled at the bend. To avoid this, it is a good plan to close one end air-tight and blow in gently at the other during flexion. Large tubes are bent more easily by filling them with clean dry sand and heating them over incandescent charcoal, supported on wire netting. To seal a tube, it must be thoroughly softened at a short distance from its end, and drawn out quickly to a thread. The capillary part of a tube already drawn out is sealed instantaneously by directing the point of a small blowpipe flame upon it and extending the heated part (fig. 327). To close a tube at its end, another piece of the same kind of glass must be joined to it 5G0 APPENDIX. by fusing the ends of both in the same flame. As soon as the joining has cooled slightly, the tube to be closed is heated again at a short dis- tance from its end, and drawn out as before Annealing. — After glass has been strongly heated it must be allowed to cool as gradually as possible, in order to anneal it. Manipulation of Corks. — To fit properly, a cork must be somewhat larger than the opening it is intended to fill. Before pushing it in, it should always be reduced by compression, either with a cork squeeze! or, in its absence, by rolling it on the floor (protected by a covering of paper) under the foot. For shaping corks, a shoemaker's knife which has been sharpened on a rough stone answers best. Any knife with a keen edge will do. To perforate a cork, a piece of brass tubing, the edge of one end of which is sharpened, is used. It is best to work the borer from the opposite ends, the two bore-holes meeting in the middle. As the holes always require finishing with a rat's tail file, a borer smaller than the intended channel should be used. 207. Solution and Ebullition. — The different solubility of various organic substances in reagents, such as water, ether, alcohol, acids, alkalies, and saline solutions, not only serves as a means of separating them from each other, but in many instances, as in the case of albumi- nous bodies, furnishes a characteristic by which one substance may be distinguished from others nearly allied to it. Tests are also more gene- rally and conveniently applied to solutions than to bodies themselves. Solution takes place more readily when the body to be dissolved is finely divided. Dry and hard substances are therefore generally pulverized by pounding and rubbing in a Wedgewood mortar. If too large to be con- veniently triturated at once, they may be previously broken in an iron mortar, or by wrapping them loosely in brown paper and pounding them with a hammer. If the substance is constantly shaken or stirred about so as to bring it continually into contact with fresh portions of the solvent, it will dissolve much more quickly than if allowed to remain at rest. For preparing Solutions. — A beaker is for most purposes the most convenient vessel, as its contents can be stirred at the same time that it is subjected to heat, which always accelerates solution. To avoid risk of fracture, the beaker must not be heated over a naked flame, but must be placed on a piece of wire gauze or sand bath (fig. 328), supported on a tripod. Flasks may be employed instead of beakers for solution or boiling when stirring is not required. They have the advantage of preventing loss of fluid during the process of ebullition, as any particles which spurt up are caught against the sides of the flask, especially if it is placed in an inclined position, instead of falling outside as in a beaker. To prevent Loss by Evaporation. — Various methods may be used. One of these consists in placing a small funnel in the mouth of the flask ; the fluid condenses in the funnel and runs back into the fiask. Another method is to close the neck of the flask with a cork, through which a wide glass tube, drawn out to a capillary opening at its upper end, is passed. A considerable part of the vapor passing from the boiling liquid is condensed in the tube and falls back into the flask. If the boiling is long continued, the tube gets very hot and a great deal of vapor escapes. To avoid this, the escape tube is prolonged and surrounded by a Liebig's condenser, for which purpose it must be bent at an angle of about 120u, as seen in fig. 329. To exhaust a substance with ether, the ether and the substance should be placed in one flask, with which a second is connected by a bent glass tube which passes through the cork of both. The tube, which scarcely projects beyond the under surface of the cork in the first flask, reaches BY DR. LAUDER BRUNTON. 561 to the bottom of the second. The first flask being then placed in a beaker of warm water and the second in cold, the ether distils over from the former into the latter and is condensed. When a large quan- tity of the ether has passed over, the flasks are transposed, when the whole of the ether rushes back into the first flask. The process may be repeated indefinitely. In connection with this subject, an arrangement may be described which is chiefly used for washing precipitates. It is also applicable for the purpose of replacing loss by evaporation when liquids are boiled, or to keep the water at a constant level in a water-bath. (See fig. 331.) It consists of a large flask, a, fitted with a cork, through which pass two tubes. One of these, b, c, is straight and open at both ends ; the other, d, e, g, f, is bent so as to form a syphon, the limbs of which are of equal length. Both ends of d, e, g, /, are at a somewhat lower level than the lower end of b, c. The end is placed in the funnel or water- bath at such a height that the level of the lower end of b, c, coincides with that at which it is desired that the surface of the fluid shall remain. The effective difference in the limbs of the syphon is the space between c and d. Whenever the surface of the liquid in the funnel or bath is on a level with c, the tube d, e, g, /, ceases to act as a syphon ; but as soon as it falls, d, f, again acts, and liquid runs into the funnel till the surface is again level with c. 208. Evaporation. — Evaporation of watery liquids is usually con- ducted in shallow basins of Berlin porcelain, heated either directly in a sand-bath or over a water-bath. An ordinary saucepan answers per- fectly as a water-bath. (See fig. 330.) If the naked flame is used, it ought not to be allowed actually to touch the bottom of the basin. The process is greatly accelerated by constant stirring. If it is important that none of the substance be lost, the liquid must not be heated to boiling, as it is then apt to spirt over the sides. In evaporating a solution to dryness, its surface often becomes covered towards the end of the process with a pellicle, which hinders the vapor below from escaping easily, and thus both retards evaporation and causes the vapor to issue in jets which may occasion loss of material. The formation of the pellicle is best prevented by stirring the fluid con- stantly with a glass rod. It may also be prevented by covering the evaporating basin loosely with another somewhat smaller one, or with a concave glass with the concavity downwards, but this retards evapo- ration. Solutions in alcohol, ether, and chloroform must be evaporated in beakers. Solutions in the two latter menstrua must never be evapo- rated over a naked flame, but always on a water-bath, as their vapor is inflammable. Krciporation at a Constant Medium Temperature. — It is sometimes desirable to evaporate a liquid at a constant medium temperature, such as 40° C. This may be done roughly by placing the evaporating basin in a sand-bath, and carefully regulating the size of the flame by a thermometer. Unless, however, it is constantly watched, the tempera- ture is apt to rise or fall too much, and the solution may get spoiled. This difficulty is avoided by using a water-hath heated by a gas-lamp, which is connected with a Bunsen's gas-regulator. For this purpose I find a water-bath of the accompanying form (fig. 331) a convenient one. It is made of galvanized zinc, is eleven inches in diameter, and five deep. At one side it bulges out, and in the projecting part thus formed the thermometer and regulator are placed. The top of the bath is covered by a zinc plate perforated by several large holes, in which evaporating basins may be put; or by a series of concentric copper rings, "no or more of which maybe removed so as to accommodate evaporating basins of different sizes. The regulator, as modified by 36 562 APPENDIX. Gcissler (fig. 332), consists of a wide glade tube, a, divided into two parts, an upper and a lower, by a horizontal septula. In the middle of the septum is an opening, from which a tube runs down nearly to the bottom of the lower division. The tube is closed by a perforated cork or India-rubber stopper. Through this passes a tube, is, with a hori- zontal limb, e. Inside B is a smaller and shorter tube, C, which has a very small opening opposite r>. The sides of n and < are luted together with cement at v. In using this regulator, a quantity of mercury is poured into a, and of course runs down into the lower division, partly filling it, and partly compressing the air it contains. The mouth of a is then closed by the cork, and the tube c connected by India-rubber tubing with a gas-pipe, and the tube e with a small gas-burner. The gas passes down the tube c through its lower open end, up again between it and B, and out at E, and thence to the burner. The regulator and a thermometer are then immersed in the water-bath, the gas lighted, and the bath warmed till the thermometer indicates 40° C., or any other desired temperature. The tubes B and c are then pushed down till the mercury touches the lower end of c and closes it. The gas is thus prevented from passing onwards to the burner, and the flame would go out entirely were it not that the small bole in c, oppo- site D, allows sufficient gas to pass through it to preserve the flame from being completely extinguished. As soon as the flame' is thus diminished, the water-bath and the regulator immersed in it begin to cool, and the mercury, and still more the air in the regulator, conserpiently contracts. The mercury, therefore, sinks, and leaves the mouth of c open, so that the gas again passes freely through it. the flame increases, and the tem- perature of the bath again rises. The mercury and air again expand ; and as soon as the temperature is reached to which the regulator was adjusted, the mercury again closes the mouth of c, and cuts off the gas till the temperature again falls. In this way the temperature may be kept for months at 40° without varying much more than half a degree. Unless the mercury is very clean, however, it will adhere slightly to the lower end of c, and the variations will thus be greater. The water in the bath must also be kept at a constant level, as otherwise the part of the regulator heated by it is sometimes greater and sometimes less. The mercury consequently does not always expand in the same pro- portion to the rise in the temperature of the water in which it is par- tially immersed, and variations of several degrees may thus be produced. 209. Precipitation. — Iu precipitating a substance by the addition of another, the reagent is generally added a little at a time, and mixed by means of a stirring rod, till a further addition of the reagent, produces no perceptible increase iu the amount of the precipitate. In order to ascertain that the precipitation is complete, a little of the liquid is tested by throwing it on a filter, and the reagent added to the clear filtrate. If no further precipitate occurs, the precipitation is complete ; but if one is formed, the filtrate is again mixed with the rest of the fluid and the process repeated. 210. Washing of Precipitates on Filters. — Precipitates are gene- rally collected on a filter and washed by directing a stream of water or alcohol on them by means of a wash-bottle. The filter should never be filled up to the top, as the upper part of the precipitate cannot then be properly washed. It is always advisable to let the precipitate settle in the beaker, and to allow the clear liquid to passs through the filter before throwing the precipitate itself upon it ; and the whole of the fluid from which the precipitate has subsided must be allowed to pass through the filter before the washing is begun. A stream of water is then directed on the part of the precipitate nearest the edge of the filter, by which it is gradually washed towards the centre. The stream BY DR. LAUDER BRUXTOX. 563 should not be too strong, nor should it strike the filter or precipitate perpendicularly, as it is then apt to scatter the precipitate or tear the filter. When the filter is nearly full of water, the whole should be allowed to run through, and the washing again repeated. Washing of Precipitates by Decantation. — "When a precipitate sub- sides quickly, it is more readily washed by decantation than on a filter. Granular and gelatinous precipitates are not easily washed completely on a filter, and it is better to wash them as well as possible by decanta- tion, and to finish the operation on a filter. In washing by decantation, the precipitate is placed in a tall beaker, and stirred well with a quantity of water, alcohol, or other washing liquid. It is then allowed to sub- side, and the supernatant liquid carefully poured off or removed by a syphon (see fig. 333) ; this is repeated till the washing is complete. In order to prevent any of the precipitate being carried off in the washing and lost, the liquid used for washing may be collected and passed through a filter. Any part of the precipitate retained by the filter may then be washed, and the rest of the precipitate added to it. 211. Filtration. — Filtration is the separation of insoluble substances from liquids bypassing the latter through a porous material which keeps the former back. When the substance to be removed is in large pieces, or when the liquid is thick and viscid, and will not pass easily through paper, it may be filtered through linen or gauze. The linen may either be stretched over the mouth of a beaker or placed in a porcelain strainer in the form of a hollow cone, with numerous perforations near its apex. The removal of the last portions of the liquid may generally be hastened by squeezing the linen either with the hand or in a press (fig. 334). Fine precipitates are usually separated by filters of unglazed porous paper, made specially for the purpose. To make a filter, take a round or square piece of paper of the proper size, and fold it twice at right angles. If a square piece has been used, it must now be cut round. Open it in the form of a cone, and place it in a funnel. If the funnel is of proper form (its sides sloping at an angle of 30° to its axis), the filter will fit it exactly. If it does not, the angle at the apex of the paper cone must be modified. The filter should always be a little smaller than the funnel, and never project above its edges. Before pouring in the liquid to be filtered, the paper must be moistened with distilled water, alcohol, or ether, according as the liquid is aqueous, alcoholic, or ethereal. If this is not done, the first portions of the fluid which pass through are apt to be muddy, but they may be cleared by pouring them back on the filter and making them pass through a second time. To avoid breaking the filter at the apex, the liquid should be poured on it so as to fall on its Bides, which are supported by the funnel, and the stream directed by a glass rod. The filtrate is generally collected in a beaker; it is well to let the end of the funnel touch the side of the glass, so that the liquid may run down it without splashing If the filtrate only is wanted, fil- tration may be quickened by using a ribbed or plaited filter. To make this, take a circular piece of filter paper and fold it into quadrants, and then into half quadrants, making all the folds towards one side. Then make a fold towards the other side between each two of those already made.* aiid push the paper into the funnel, pressing the point down into the neck of the funnel : then pour in the liquid, when it will open com- pletely. Instead of this, three glass rods, bent at the top so as to hook on to the edge of the funnel, may be laid inside it at equal distances from each other. These are useful both in quickening the filtration and in supporting the bottom of the filter, especially when the funnel is badly made and its tube i- too wide :it its junction with the cone. When albuminous liquids are filtered through paper, the pons become very quickly choked up, and it is therefore better to use a number of small 564 APPENDIX. filters than one large one ; and when the fluid ceases to pass through one set of filters, to pour it into fresh ones. Filtration by liniment ramp. — Filtration may be much accelerated by filtering the liquid into a partial vacuum. This is done by fixing the tunnel air-tighl in one neck of a Woulfe's bottle, and exhausting the air through the other by an ordinary exhausting Byringe. It can. however, be more conveniently effected by means of a Bunsen's water air-pump (fig. 335). The principle oi this instrument is the same as that of SprcngcTs pump, with this difference, that water is substituted lor mercury. It consists of a wide air-tight tube, through which water descends in a constant stream to a depth which (if it is desired to produce a complete vacuum) must not be less than thirty-two feet. Into the axis of this tube, close to its upper end, a second tube of much smaller bore projects, the open end of which looks downwards, i. c, in the direction of the stream. Through this tube, if it is open, air is constantly drawn ; any closed cavity with -which it is in air-tight communication is rapidly exhausted. It may thus he used either as an aspirator or as an air-pump. If, however, the height of the column of water is less than thirty-two feet, its exhausting power is limited to the production of a diminished pressure, which is expressed by the difference between the height of the columnand thirty- two feet. The usual way of employing it in filtration is to attach the extraction tube 11 to a piece of bent glass tubing, which passes through an India-rubber stopper in one neck of a "Woulfe's bottle, in the other neck of which a funnel is fixed in a similar manner. The air inside the bottle being exhausted by the air-pump, the fluid is forced rapidly through the filter by the pressure of the external atmosphere. I find it more convenient to use a strong bell jar, with a tubular opening at the top. Into this opening an India-rubber stopper, which is perforated for the funnel and exhausting tube, is fitted. The beaker in which the fil- trate is to be received is placed on a ground-glass plate. The ground edge of the bell jar having been smeared with resin ointment, it is set on the plate in such a position that the funnel is exacttyover the beaker. The fluid is then p\>ured into the filter, and the air exhausted from the bell jar. The pressure of the air would force the liquid through the filter and tear it away unless it were supported in some way. This is done by taking a semicircular piece of platinum foil of suitable size. A snip having been made at the centre of the straight edge, and at right angles to it, the bit of foil is heated in the blowpipe flame, and allowed to cool. It can then be smoothed out, bent at the snip, and the edges brought together so as to overlap each other slightly. The hollow cone thus formed is next placed in an iron mould with a conical cavity, and pressed firmly in with a conical plug. The funnel used must be chosen with sides sloping at the proper angle, and the tube must not be too wide at the junction with the cone. The platinum foil is placed in the bottom of the funnel, and pressed with the finger, so as to fit the funnel smoothly. Instead of platinum foil, fine wire gauze or parchment paper is some- times used. The filter is then folded and placed with its apex resting in the platinum, moistened with water, and pressed gently against the sides of the funnel so as to make it fit tightly to it. and prevent air from get- ting down into the receiver between them. Milk, albuminous solutions, and glycerin can be filtered much more readily through porous earthen- ware than through paper. For this purpose the top of a porous cell, such as is used for galvanic batteries, is closed by an India-rubber cap with two openings. One of these is connected by a short glass tube and strong India-rubber tubing with the pump. Through the other a glass tube passes nearly to the bottom of the c}Tinder, and is closed at its upper end by a piece of India-rubber tubing and a strong clip. This BY DR. LAUDER BRUNTON. 565 serves as a pipette to remove a little of the fluid occasionally from the cell for the purpose of testing it. The cell is placed in a glass cylinder, little more than wide enough to admit it, and the fluid to be filtered is poured into the cylinder until it covers the lower part of the India-rubber cap. The air being then exhausted from the cell, the fluid filters into it from the cylinder. Instead of cells, cones of porous earthenware may be used as filters. A short piece of wide India-rubber tubing is stretched over the top of a funnel, and into its upper end, which lies flat across the opening of the funnel, a porous cone is inserted {see fig. 335). In order to keep liquids hot during the process of filtration, Plantamour's funnel is used. This is a hollow funnel of copper containing water, which is kept hot by a flame applied to a projecting part. A better plan is to use a water-bath with a funnel-shaped opening in it (fig. 336). This has the advantage that it may be kept at any required temperature with the aid of a Bunsen's regulator. 212. Dialysis. — Almost all crystalline bodies, with the notable ex- ception of haemoglobin, pass readily, when in a state of solution, through animal membranes or through vegetable parchment. The great ma- jority of non-crystalline bodies, such as albumin, do not pass through at all, or only with very great difficulty. In this way the diffusible may be separated from non-diffusible substances. Such a separation is termed dialysis. Graham, the discoverer of the process, gave to the diffusible bodies the name crystalloids, to the non-diffusible the name colloids, as he thought all crystalline bodies diffused and all non-crystal- lizable did not ; but these names are open to objection since the dis- covery that hannoglobin will not diffuse, although it forms crystals, while peptones diffuse, although they do not crystallize. Dialysis is effected by placing the liquid which is to be dialysed in a cylinder, of which the bottom consists of vegetable parchment. This cylinder, called a dialyser, is then placed in a shallow vessel containing distilled water. The diffusible substances pass through the parchment into the water, while the non-diffusible remain behind. Two forms of dialyser are in ordinary use. For dialysing small quantities, bell-shaped glass jars are used. For quantities of seven or eight ounces or upwards, a dialyser is employed which consists of two gutta-percha hoops, one of which is two inches deep, the other only one. The deeper hoop is Blightly conical, so that the other hoop slips over its smaller end. Before using this contrivance, both hoops must be washed thoroughly with distilled water. A piece of vegetable parchment, about three inches wider than the smaller end of the deep hoop, must then be steeped for a minute in distilled water and stretched over it. After applying 'he edges of the parchment carefully to the outside of the smaller hoop, the larger one is slipped oyer it, so as to fix it tightly. The dialyser must next lie tested, to ascertain that the parchment is free from holes. It must be filled to the depth of a quarter of an inch with distilled water, and placed for a short while on a piece of blotting- paper. If there are any holes in the parchment, the water will come through and leave a wet spot on the blotting-paper, in which case either a fresh piece should be put on or the holes closed up. This may be done by sticking a piece of vegetable parchment over the holes on the under surface of the dialyser with white of egg, and then passing a smooth hot iron over the patches. This done, the dialyser must be, again tested. After having been ascertained to be perfect, it maybe tilled ; the Liquid to be dialysed must not cover the bottom to a greater depth than half an inch. It must then be floated in about five times as much water as it contains of liquid 'tig. 337), and gently agitated from time to time. The bell-shaped dialysers are used in the same way, but the paper is 566 APPENDIX. fixed over the wide end with a piece of fine cord, and the dialyser, instead of being floated <>n the water, is suspended so thai the parch- ment is just below the surface. This is effected by strings which pass from its neck to a glass rod laid over the mouth of a cylindrical jar containing the water (fig. 338). Diffusion is prompted by using a large Burface of parchment, or by frequentlj gently shaking the dialyser. The process may be further accelerated by heat and by evaporation, for which purpose the basin containing the dialyser may be advantageously placed in tlic warm chamber or bath al a temperature of 37 I '. 213. Drying. — Glass vessels, in which substances are to be weighed, are dried by beat. In the case of flasks and tubes, this may be done by warming them over the flame of a spirit-lamp, then blowing air through them "with the bellows. For most purposes the hot-air bath is used — a copper vessel either cubical or cylindrical in shape, and provided with a door or movable cover (fig. 339). It is heated by a lamp or burner, and must be furnished with a thermometer, so fixed as to indicate the temperature of the air of the chamber. For all purposes which re- quire a temperature not exceeding 100° C, the hot-air bath must con- sist of two casings, the space between which is filled with water. Drying and Cooling over Sulphuric Arid. — When substances, espe- cially hygroscopic powders, are dried in the air-bath and then allowed to cool, they take up moisture and gain weight. To prevent this, they must be allowed to cool under a bell jar, under which is a dish con- taining sulphuric acid (fig. 340). The acid absorbs moisture with avidity, and keeps the air under the jar dry. The acid may be placed in a shallow dish, and the substances to be dried supported over it on a sheet of perforated zinc, winch rests on the edges of the dish or on a small tripod. Another method is to put the acid in a beaker, covered with a ground-glass plate greased at the edges, and to supporl the cru- cible on a leaden support ; the support is made of a bit of strong leaden wire by bending one end of it into a circle which lies at the bottom of the beaker, and the other end into a smaller circle which rises above the surface of the acid and holds the crucible. To prevent dried hydro- scopic substances from taking up moisture during weighing, they should not be placed in an open vessel, but inclosed between two watch- glasses held together by a spring. When it is desired to dry substances without the aid of heat, they are to be placed under the receiver of an air-pump and over sulphuric acid. as just mentioned. Precipitates maybe rapidly dried by supporting the funnel containing them over a very small flame by means of a beaker with the bottom out. a triangle of iron wire and a piece of wire gauze, arranged as in fig. 041. 214. Ignition. — Substances are exposed to a red beat in order to dry them thoroughly, to drive away volatile matters, or to burn off organic constituents, and allow the fixed inorganic solids to fie determined. A small quantity of a substance may be ignited on a piece of platinum foil or in a platinum spoon, larger quantities in porcelain or platinum crucibles. Platinum vessels should not lie used if the substance to be ignited contains iodine, bromine, phosphorus, or easily reducible metals, such as copper, lead. sHver, gold, or tin. Wjien precipitates collected in a filter are ignited, they must be first carefully dried. The crucible is then to be placed on a piece of glazed paper, the precipitate loosened from the filter by rubbing the sides together, and then shaken gently into the crucible. The tiller is then either (bided and placed in the crucible, or it is set tire to and held over it by a pair of forceps, so that the ashes may fall into it. Any ashes or precipitate that has fallen on the paper having been collected and added to the rest, the crucible BY DR. LAUDER BRUNTON. 567 is placed in a triangle of platinum wires stretched on a larger one of iron wire (fig. 342), and heated over a Bnnsen's lamp. The cover should be laid on the crucible at first to prevent any loss, and the heat raised very gradually. The cover may be removed during part of the process to allow freer access of air, but towards the end it should again be replaced so that the heat within the crucible may become greater. With the same view, the blowpipe flame may be substituted for that of the Bunsen's burner. The crucible is then allowed to cool somewhat on the triangle, but while still warm must be placed over sulphuric acid, and left there till cold. The weight'of ash left by a good filter is very inconsiderable ; but it may be ascertained by burning a dozen filters and dividing the weight of the ash by the number. Filters may be almost completely deprived of ash by extracting them with dilute hydrochloric acid, and washing them with water till the acid reaction completely disappears. 215. Weighing. — The balances most useful in a plrysiological labora- tory are a fine analytical balance to carry 100 grammes in each pan, and turn easily with half a milligramme or less, and a large balance to carry seventy kilogrammes, aud turn with a few grammes. Fine balances are always protected by glass covers, to prevent the access of dust and protect the instrument from draughts of air, etc. Inside this, a vessel containing chloride of calcium is often placed to keep the air dry. The doors of the case should be only opened when the substance or weights are to be adjusted, and should be closed while the beam is oscillating. It is convenient to lay the weights on a sheet of paper on the floor of the balance, and to mark the weight of each on that part of the paper where it lies. They must never be touched with the fingers, only with forceps. It is advisable always to place the weights in the same pan (the right) of the balance, aud the substance to be weighed in the other. The placing of heavy weights on a fine balance should be avoided, even though they may not exceed the weight which the instru- ment is constructed to carry. Nothing should be placed on the pans or taken from them while the beam is oscillating. It is not necessary to wait each time till the index stops moving in order to see whether there is any difference between the weights in the pans ; for this is ascer- tained much more axactly by observing whether the index oscillates farther on one side of the zero mark than ori the other, than by noticing its position when at rest. After weighing, add together the weights which are absent from their places on the paper. Note down the weight "/ port. " 201. Frankland and Ward's Apparatus for Analysis of Gases by Explosion. PLATE LXXXIV. Fig. 202. Mercurial Kymograph. " 206. Normal Tracing obtained with Mercurial Kymograph. PLATE LXXXV. Fig. 205. Fick's Spring Kymograph. " 207. Normal Tracing obtained with Spring Kymograph. " 207a. Tracing obtained after Excitation of Vagus. " 208. Mechanical Arrangement of Sphygmograph. PLATE LXXXVL Fig. 200. End View of Block by which Sphygmograph rests on the Wrist. " 209A. Breguet's Improvement. " 210. Mode of Measuring Pressure. " 211. Arterial Schema. PLATE LXXXVII. Fig. 212. Tracing obtained with Arterial Schema. " 213. Percussion Waves. " 21-1. Tracings showing the Contractions and Expansions of an India-rubber Tube, along which Water is propelled in an Intermitting Stream. " 215. Sphygmographic Tracings. " 216. Dr. Caton's Fish Trough. PLATE LXXXVIII. Fig. 217. Stage for Mesentery of Frog. " 218. Canules for Aorta and Vena Cava of Frog. " 219. Diagram of Arrangement for Measuring Objects under Microscope. il 220. Canula for Injecting Liquid into a Vein. " 221. Griffin's Blower and Expanding Regulator. PLATE LXXXIX. Fig. 222. Sprengel's Blower. " 223. Mercurial Breaker for Artificial Respiration. " 224. Skull of Rabbit seen from behind. " 225. Excitor. " 226. Parts exposed in Rabbit by an Incision from Thyroid Cartilage to Root of Left Ear. PLATE XC. Fig. 227. Carotid Artery of Rabbit and Parts in relation with it. " 228. Heart of Frog. " 230. Cardiograph. " 231. Marey:s Tympanum and Lever. PLATE XCI. Fig. 233. Coats1 Apparatus. LIST OF ILLUSTRATIONS. XI PLATE XCII. Fig. 235. Tracings recording simultaneously Variations of Pressure in Right Auricle, Right Ventricle, and Left Ventricle. " 236. Septum Auricularum of Frog. " 237. Dissection of Vagus Nerve of Frog, right side. PLATE XCIII. Fig. 240. Sketch illustrating Relations of Ganglionic Cord in Visceral Cavity of Frog. " 241. Heart, Lungs, and great Vessels of Rabbit. " 242. Dissection of lower Cervical Ganglion of Dog. PLATE XCIV. Fig. 243. Inferior Cervical Ganglion of Rabbit. " 244. Tracing showing Effect of Electrical Stimulation of Vagus of Frog under the Influence of Nicotin. " 246. Respiratory Muscles of Frog. " 247. Recording Stethometer. PLATE XCV. Fig. 250. Pulley for recording Movements of Needle inserted in the Diaphragm. " 251. Rosenthal's Apparatus with W. Mailer's Valves. " 252. Pettenkofers Tube for Absorption of Carbonic Acid Gas. PLATE XCVI. Fig. 257. Lever Kymograph. " 258. Tracing obtained with Lever Kymograph. PLATE XCVII. Fig. 265. Calorimeter. " " Galvanometer. •' " Wooden Frame on which Galvanometer Wire is coiled. " " Magnets of Galvanometer. PLATE XCVIII. Fig. 229. Tracing drawn by Lever applied to Apex of Heart of Frog. " 232a. " obtained with Cardiograph applied to Seat of Impulse of Hu- man Heart. " 2325. " obtained with Cardiograph applied outside Seat of Impulse of Human Heart. " 234. " of Endocardial Pressure of Heart of Frog. " 238a & b. Tracings of Arterial Pressure and Respiratory Movement of Air in Trachea before and after Section of both Vagi. " 239a , 78, Fig. 4S, " 40, 44, 46, ' 5S 00 Plate XXXII. Plate XVII. Pig 53, 41, 5S Fig. S3, " S2, 78, 78, " s*, 41, " 58 Plate XXXIII. 8, 33, ' 47 Fig. 81, 77, XVIII " S6, 78, Fig. 3 J, < « 48 Plate XXXIV. Plate XIX. Fig. 87, 70, Fig. :/■,, 40, " 63 " 8S, 82, 66 7t 69 67 74 6.5 So 85 S2 91 91 82 91 91 SO 91 91 91 91 91 91 91 91 92 95 XVI NOTE. Eng. Ed. Am. Ed. Eng Ed. An, E.I. Plate XXXV. Plate LXI. Fig. i 60, boo page 91 1'ii.'. 130, page 120, gee page 133 Plate XXXVI. " 132, 120, " 133 Fig. 90-fll " 83, 98 " 133, " 12o, " " 92, 83, 96 Plate LXI I. Plate XXXVII. Fig 134, " 126, " 139 Fig. 93, 79, ' " 92 " 135, 120, ii " 9, 37-S3, " 51,96 Plate LXIII. PLATE XXXVIII. Fig. 136, " 124, " Fig. 94, 83, 96 " 137, 124, " 137 " 13S, " 122, " " Plate XXXIX. Fig. 97, 79, ' " '.' 2 " ,39' " 120, " 133 " 9S, 118, " 131 Plate LXIV. Plate XL. Fig 140, 125, " 133 Fig. 99, " 106, " 119 " 141, 126, " 139 " 100, " 106, " 119 Plate LXV. Plate XLI. Fig. 1 13, 134, " 146 Fig. 103, 105, ' " 118 " 142, l-;, " 139 " 141, " 134, " 146 Plate XLIII. Plate LXVI. Fig. 105} " 12-3, " 139 Fig. 145, " 134, " 146 Plate XLIV. Plate LXVII. Fig. 109, " 28, " 43 Fig 146, " 132, ii ]U " 109, " 115, " 128 " 14S, " 132, " 114 Plate XLVI. " 149, " 132, " U4 Fig. Ill, " 112, " 125 Plate LXVI1I. • " 112, 112, " 125 Fig. 150, " 132, ii 1U Plate XLVII. " 151, 131, " ill Fig 113, 112, " 125 " 152, " 131, " 144 Plate XL VIII. Plate LX IX. Fig. 115, 111, " 12.) Fig. 153, 137, " 149 " 114, 112, " 125 " 154, 132, " 144 Plate L. Plate LXX. Fig. 117, 114, " 127 Fig. 156, " 13S, " 150 " IIS, " 114, " 127 " 15S, " 142, " 154 Plate LI. Plate LXX I. Fig. 119, " 114, ii 127 Fig. 159, " 14S, " " 159 " 160, " 14.3, " 159 Plate LI I. " 161, " US, l.V) Fig. 120, " 114, " 127 ii 102) " 148, " 159 Plate LI 1 1. " 163, " 14S, " 159 Fig. 121, " 115, " 128 Plate LXXII. Plate LIV. Fig. 163-1 72, " 152, '• " 163 Fig. 122, 115, ' " 12S Plate LXXIII. Fig. 173, " 153, " " 164 Plate LVI. Fig. 124, 114, ii 127 Plate LXXV. Fig. 178, 156, " Plate LVII. Plate LXXVII. Fig. 125, 114, " 127 Fig. 183, " 157, " " 16S Plate LX. Plate CX. Fig. 129, " 117, " " 130 Fig. 298, " 347, " " 354 Plate I. FIG. i. — Simple arrangement for warming an object under the microscope. It consists of a copper plate (c) with a central orifice which is cemented to'a common object-glass. From the edge of the plate a copper rod (g) projects, the end of which can be heated by a spirit lamp. p. 6. FIG. 12.— A similar but more complicated apparatus. The copper plate 6 is square. The rod e projects from its under surface (upper as seen in the drawing), and fits in a groove cut in the glass. The groove ends in a hole into which the pin d fits. FIG. 2.— Strieker's warm stage (simple form). It consists of a block of black vulcanite about 3 inches long by VA wide, and % inch thick. The central chamber (4) is closed below by a glass plate, and surrounded at the top by a perforated copper dish («), the orifice of which is of the same size as the chamber. The chamber is cylindrical. The cistern of the thermometer surrounds the cham- ber, as shown by the dotted line Id). Its capillary tube lies in a trough, one side of which is formed by the back of the block and the other by a metal plate screwed on to it, the form of which is shown in the figure. The tube (r) leads into the chamber. A second tube leads from it through tin- proji ctinj Ilic arm shown at the tup of the figure. This arm, which is of one piece witli the disk In), is of such size that the rod, tig. 13, fits on to it. By means of this rod the chamber is heated in the way already explained, In experiments with gases the gas enters by c and passes out through the projecting arm. p. 14. FIG. 13.— A rod <7) Intended to lit on the projecting arm of fig. 2 by means of a spiral (/). It answers the same purpoM al ';/' in tit-, t. A ilmllar but much lighter rod is used for fig. 12. fig. 16. object rapport "i I measuring finches by 1, with central gas chamber a, . ,. 1. 1, . I hi block when in use is fixed with putty on to an ordinary object-glass, and the chamber clo»ud .it the Urn with a cover-glass. Plate II. FIG. 3. — Strieker's warm staee. In the vessel ABC the water is maintained at a constant level {indicated by the dotted line), and at boiling temperature. A, supply tube ; B. waste tube ; 0, tube leading to the stage ; D, tube by which the hot water leaves the stage, terminating in a conical dropper, E ; F, funnel for collecting the drops which fall from E; G, waste. The rate of flow is determined by varying the height of E, by means of the sliding screw ou which it is supported It admits of more exact adjustment by means of a fine screw which works in the axis of the vertical column, on which the escape tube is supported. This column is firmly fixed in the stage of the microscope ; its axial screw terminates above in a milled head, K. FIG. 4.— Capillary pipette, p. 11. Fig. n— A similar stage by Strieker, in which the chamber b is warmed by a voltaic current, //are two topper plates u, which Strieker's electrodes, represented in Bg. '., an applied, .■ a platli wire by which these two plates are iii communication. It coils round the obtern "f the thermometer d. The electrodes are in connec- tion with the opposite pules of a suitable battery, the elements ol which mu>-t present a large surface. PtATE III. FlO. s.— Carbonic acid apparatus. A. Bottle containing hydrochloric acid. M. Bottle containing fragments of marble on a stratum of broken glass. V. Wash-bottle. H. Object support, fig. 16. G. T-tube which communicates with the gas ai>pajatus by the tube F, which is guarded by a clip, and in the opposite direction with H. By its stem it is in direct communication with the mouth of the operator by a tube on which there is also a clip. When the first clip is closed, carbonic acid collects in M and drives back the hydrochloric acid into A ; a current of air can then be drawn through G and H. If the clip on the mouth-tube is closed and that on F opened, carbonic acid passes through H. p. i6. Via. &— Microscope stage on which the object-glass is held ill position by Strieker's electrodes. Each electrode ■ i by being screwed Into aii ivory knob which is let into the stage plate of the microscope. The electrodes are connected (with the Interposition of a key) with ti.e secondary coil of a Dm Bois Beymond'e induction appa- ratus. The key i- i' pi' 'lit. 'I open. The upper surface of the object-glass is covered with tinfoil, leaving a apace, ft, for the reception of the object, p. 17. Plate IV. FIG. ii.— Support for the study of the circulation in the web of the frog. It must be so arranged that the large hole is just opposite the stage aperture of the microscope. {See description in text, p. 42.} It may also be used for the study of the tongue. For this purpose half of a ring of cork must be fixed with brass pins round the hole on the side next the end of the board. To this cork the cornua of the tongue may be attached. FIG. 20. — a A b. Injection cannulas, actual sizes. Fig. 21.— Section knife. In the left-hand corner transverse section of the blade. Fro. 18,— Nozzle of injection syringe, actual size. Fig. 19.— Support for mudying the circulation in the mesentery of the frog. /v. Board on which the frog lies. C. Glaus dink on which tin: mesentery red 6 TrOB b tm tbe reception Of the coU Of intestine, d, Object-glass covered with cork. [In the text, p.' iu£, 0 and c are transposed,] Plate V. FIG. 32.— Common large colourless corpuscle of the newt, a to h. Successive forms assumed by the same cell in the course of an hour, in a preparation enclosed in oil, without the addition of any reagent, p. 3. (Hart" nack: Ocular, No. 3; Objective, No. 8.) Fli;. 23. — A granular corpuscle in the same preparation, a to h. Successive forms assumed by the same cell in the course of fifteen minutes, p. 5. (Ocular, No. 3; Objective, No. 8.) O Q FIG. 24.— a and b. Coloured bl ol the newt, after the addition ol - per cunt, boracic acid. idiowing tb 1 - Coloured corpuscle ol human hi 1, after the additl 1 i~ 1 cent, tannin ■olntion, i, Co] 1 corpuscle of newt's id 1, ai'ti-i ihf aiiditioii of diluted with water, and then ■objected to the action ol COa. ,/'. The same, a small CO It had ■ endered pale by treatment with water. ! I: .lit . |.i thtl I UKl froll Obj., h.) vertical action 01 tbt Plate VIII. Fl. 11 re and there cells at in which have germlnatlre characters; ami branded cells, a. Meshwo'-k of trundles of fibrous connective tissue, p. 29. Plate X. ^ FIG. 35. — A similar preparation ir,..Lu the same omentum as fig. 34, showing groups of germinating endothe- lial cells amongst the ordinary large endothelial elements which cover the trabecula (6). (In Figs. 34 and 35, Oc. 3, Obj. 5. Tube half drawn out.) /»> x^%-. Yv. -j, 11. .11 of the teptnm ■ •/ tbi eUterna IpmpJtatiea magna In a, Bndo> uumte ot peril •!" i mrtace having germinating character!, fc. A tree trabecula projecting above t/..- rarfaee, severed tbeUonj t Pigment celli. p [Oi Obj., 8, Tube do! drawn Platk XI. FIG. 38. — Bud-shaped structure of uiesogastriuin of frog, treated with silver, covered with ciliated polyhedral germinating endothelium. In the ground-substance of the bud-shaped structure are groups of young amoeboid cells; and in addition to these are vacuole cells beset with cilia on their internal surface— i.e. that turned towards the cavity of the vacuole. There is also a large vacuole cell, the wall of which has become changed into endothelium. (Oc, 3; Obj., 8.) 7.— Stiver preparation of fenestrated portion oi anterior mediastinum in the 1 ri ben germtnatli Obf., 7-1 Plate XII. —Horizontal prepara'ion of cornea of frog coloured with chloride of gold, showing the network of branched cornea corpuscles. The ground-substance is completely co'ourlesB. p. 40, referred to as fig. 10. (Oc. 3; obj., a) iX $m&-< ■rV I 1. ( malty$tem). 1 place 1 in wen ; in two othei 1 11 uwUcolai 1 1 !■> which sonnacl the (0 Obj., /. Immenion.) Plate XIII. FIG. 42.— Membrana nic titans uf frog, treated with chloride of gold. a. Branched pigment cells. 6. Unpigniented portion of the body of the cell. il. Depigmented process. c. Nucleus of pigment cell. e. Ordinary unpigmented branched flattened cell. p. 41. (Oc., 4; Ohj., 10; immersion — reduced to 11 ilf.) FIG. 43— Surface of chronically inflamed me- sentery of ape. peucilled ana treated with silver. Canalicular system : Migratory cells are seen upon the flat branched cells, which, on account of their nuclei and size, are probably not to be re- garded as colourless blood corpuscles. (Oc, 3; Obj., 8. Tube not drawn out.) FIO. 44.— The same preparation, showli the canal , , . ailed with fat globules m of cornea of . I first with lunar caustic, and afterwards placed I 11 I" .1 oul l>y a dark granular pi 1 that shown In Bg. .. I l ■■■ on ■ 1 ich other as the photograph, p. (0 Obj., 7. Tube not drawn out.) Plate XIV of infni.-orl.ital fossa of rabbit, freshly prepared in serum, a. Bundles of connective tissue. I. Flat branched cells, c. The same seen in profile, d. Cells of doubtful character 1 i on the lurface. i luictly (ibrill ,i Plate XV. V PIG. 43.— The same cells as in fig. 47 being converted into fat cells, p. 44. (Oc, 3; ObJ., 9 ; immersion.) ■ ol gravid uterus of sow, maceialed in bichromate of po1 Blanched cells, more or loss spindle-shaped. b. Bundles of connective tissue, p. 46. (Oc, 3; Obj., 8. Tube lialf drawn out.) , tal peritoneum from thelnmbai region of a rabbit with chronic tive tissue COt] ObJ., 8.) Plate XVI. i i [ omentum of rabbit, pencilled and treated with silver, a. The flat branched granular structnn . fch b nuclei art narplj defined, and In .,,.!, &. Migratoi free, irhile othen grow '">*• ""|" the flat celJ ol the canalicular syi ben latter, the formation of a vacuole La seen at c. d. II the wall "f which i ad Into endothelial [Oc, 3 ; ObJ., 9, f in i< Plate X. FIG. 35. — A similar preparation from the same omentum as fig. 34, showing groups of germinating endothe- lial cells amongst the ordinary large endothelial elements which cover the trabecula (b). (In Figs. 34 and 35, Oc. 3, Obj. 5. Tube half drawn out.) , . preparation ■•( the leptnin ol tbi eliterna lymphatica magna In 1 1 Endo having germinating character*. i>. A bee trabecula projecting above the covered with germinating endothelium, 0 Pigment culls, p. -•«. (Oc, ;; Ob]., 8. Tube not drawn Platk XI. FIO. 38.— Bud-shaped structure of mesogastrium of frog, treated with silver, covered with ciliated polyhedral germinating endothelium. In the ground-substance of the bud-shaped structure are groups of young amoeboid cells; and in addition to these are vacuole cells beset with cilia on their internal surface— I.e. that turned towards the cavity of the vacuole. There isjilso a large vacuole cell, the wall of which has become changed into endothelium. (Oc, 3; Obj., 8.) , I rated portion oj aterioi mediael i In tbe cal e ten prminatfoa 101 ial] ">■ ■ ■ Obi., 7-> Flate XII. -Horizontal prepara'ion of cornea of frog coloured with chloride of gold, showing the network uf branched cornea corpuscles. The ground-substance is completely co'ourless. p. 40, referred to as fig. in. (Oc 3; obj., a > 1 a. Canallcul 0 analiyittm) h place ■ branched, Battened conn 1 i» wen; in two other ar< lacuna ol the canalicular corpuscle*. j.. 7. Tube Dot 'Ira Plate XIY. FIG. 46.— Gelatinous substance 01 infra-orbital fossa of rabbit, freshly prepared ill seiiim. a. Bundles of connective tissue, b. Flat branched cells, c. The same seen in profile, rf. Cells of doubtful character ' from the surface. They appeal rithoblonj tinctly ilbrili ■■ b then figure*.) Plate XV. PIG. 40 — Portion of submucous tissue of gravid uterus of sow, maceiated Branched cells, 1 ped b. Bundli oi connective tissue. hall drawn out.) bichxoiuate of potash. *r. 46. (Oc, 3; Obj., 8. Tube I 11.. 1. , 1. Plate XVI. if I [ omentum of i obit, pencilled and treated with silver, a. The Sat i ■ b finely granular . I racl tiri : their am li I are barplj of 'li\ Idlog. /.. M l| rat ore of it bich are free, while othen grow out from ili.r flat celli of the cai m, i one of the latter, the formation ..f a \ i U lis roll of which i, alreadj changed Into endothelial elemeuU. (Oc., '\\ oi.j., 9. Inn Plate XVII. I 11 ti. I Fig. 52.— Caudal tendon of a young treated with silver. The spaces occup cells are clear, while the intercellula stance is seen as dark lines. itcr.-titial sub- FIG. 53.— Similar pre] aration from a full grown at. p. 44- (Oc j ; Obj., 7.) (.1,. 54.— Caudal tend >' young rat, treated first with dilute acetic acid, and then with chlori the arrangement, form and structure of the tendon cells, p. 44. (Oc, 2; Obj., 8.) --Tniiisvi-r-e aecMon of tendon from at 250.) m of 11 Bundli ■ ■ ! Plate XVIII. FIG. #.— Network of elastic fibres from the fresh mesentery of i a the network is more superficial than in 6. p. 34. (Oc, 3; 01>j., rabbit, treated 7) itll dilute acetic acid. I I PIO. 57.— Longitudinal section ..f Intervertebral cartllag. -1 thi tall of a rabbit. Tb< preparation was ■olonied with chloride <>i gold, then macerated in dilute chromic acid, and hardened mi alcohol. '/. Clear irtilage. " Border between hyaline and (e) 1 1 1 cartilage Heri thi (ro 1 ubsti ■ tendon) of bund 1. ae. instead ■■< flai tend ells, an otheri whichtt a ol 1 1. ni 1 and Iructnral ehajrac led a* cartilage cells. "*, Plate XIX. "^SSft^^fc ^ :M?i: »)i^.'«** ,t: i epiphysis of the same preparation. \ and B. Porehyalli artlloge ■ ■( the Joint. ■ •■•< ■ "i I.e., where U Hi b i I diminished- ,\t i> the cellelen order peripherally ; the Intercello U farther dixoli i Into Don j trabe embryonal bone I I ! i ! e apace*, which answer to the cartllagi oayadM Vi 1$i^iSm QW:*f$. ^■■«/. PIO. 60.— Transverse flection ot the dlaphysia of thefei anUma \, macerated with chromic acid, a. Con- cc-utri«: |.-i '■ urn >> I: lies nf connective tissue uj' the periosteum which run longitudinally, cat across, c. Loose la] Lnflei oal periosteum, rich is blood-vessels and young cellsi which is in on into ''. the Arab 0 its rich medullar; tissue. The latter alum mis in md and between the trabecule. The cells of the loose tissue ut 1 I'cll (1 ■■■•■> Tii I-m) lumul in the bone tra« becukv, «-.*■■ trabecules, and with those in the medullary tissue. In;* similar manner tin I periosteal layer (more or less distinct fibrous con- nective tissue) are continuous with that of tin il», and of the spaces between them* p. 50, (Oc.,3i ObJ.,5. Tuhhah drawn Pl.ATF, XXII. <- &r£? ^y '2 if S>, . o' ^rv-r^ : , lip k'^'.* ,1. XI. P.. ... ^jf ':'« ,- , 1 FIC. 6r.— Vertical section of the parietal bone of tlie sknll of a child, macerated in chromic acid, showing the bone Izabecuta of the diploe. a. B i trabecule, covered bj [e)o teoblasts. e. Medullary tissue (in outline), d. Spaces, artificially occasioned by the yielding of the lamella! of the bone trabe.iike. p. 50. (how power.) Plate XXIII. wdmr r 5 $u# 1 ' 1 ; i linal bi piphynitj of the 1 I oi a rabbli i rated in chromic acid. a. 1 M b Iht dulla, a'. System <.f ; an Uled up «ith medullar; tl ue, i ii b to ci Uulai elemenj i he ■ element! mednllary celli are in continuity wiil ■■ hich have a coluuinai arrange* era [es begin to enlai ■ transii Ion Into the tubular L'fTllli- ii.ii.-. The intercellular nibstance which bounds the Ca] I, p. .. I LOU i N I Plate XXIV. FIG. 63.— Longitudinal section of muscular coat of fallopian tube iu a sow. a. Connective tissue trabecule- which form the septa between the bundles of unstriped muscular fibre, b. Transverse layer of unstripcd muscular fibres, cut across, c. Connective tissue which contains the large blood-vessels, and separates the transverse muscular layer 6 from the longitudinal muscular layer d. c. Outermost, or serous, covering of the fallopian tube. p. 53. Oc, 3; Obj.,s) FIG. 64.— Fresh isolated preparation covered in serum from the tail of a rabbit, showing the transition of trans- versely striped muscular fibre into a connective tissue bundle, i.e., into tendon, p. 61. (Oc, 2 ; Obj., 5.) \ h /, 0 W* a. w Fig. 15. — Diagram t,,, llhutrate the ■ a ray of lighl transmitted tin a fibre. 18m 'lated nil unlaj Sbrt ■>< Bydrophllu a. Muncular labetaace. (. Entering non-medullary nerve fibre, c. Doyore' i" Ii \ with nans\ 111 11: p. St. Oc, (; Ohj..?.) Plate XXV. Fir;, 66.— Section oi an injected muscle of the extremities of a rat, showing the distribution of blood-vessels in the transversely striped muscular tissue, a. Arteriole, b. Vein. d. Capillary between them. c. Muscular libre with transverse striae. (Oc, 3; Obj., 5.) FIG. 68.— Isol Oed muscular fibre with transverse strias from an oblique section of the tougue of a frog coloured with chloride of gold. The muscle cells are distinctly shown, and three are visible, each containing several nuclei. p. 61. (Oc, 3; Obj., 8.) ' "' ""■ ,"'11 '"*• Hue of a cat, macerated In bichromate of potash. The nUataoce of the cell 1 longitudinally striated, the nuclei ore staff-shaped and well defined, p. 52. (Oc.,3; obj., 7.) Plate XXVI. PIG. 70.— Three ganglion cells with spiral fibres in a preparation of the same kind as fig. 69. Each ganglion cell exhibits a nucleated capsule, p. ?2. (Oc, 4; Obj., 8.) FJC. 69.— Group of ganglion cells of ■ a me trunk of the urinary bladder of a rabbit, Isolated a coloured in gold and then treated with dilute acetic acid. p. ja. (Oc, 3; Obi -1 Plate XXVII. Fir;. 73.— Horizontal section of cornea of rabbit coloured wit'i chloride of gold, showing the superficial intra-epithelial i.etwork of fine non-medullated nerve fibres, seen from the surface. (Magnified 3oodiam.) PM 71 —Ganglion ce't bom teasel preparation of spinal cord of olf, mart-rated in bichromate of potash, i 11 cell may be called bipolar; its distinctly flbrillated structure, and tin- large nucleus enclosed in a distinct men, 1. ran.-, with its large nucleolus, are specially to be noted, p. > dlam.) . blorldd r,i gold, ihowing ti b. Fine null-Jin .liill.Ltcil nerve fibruH. if the Plate XXIX. -Horizontal section of cornea pi rabbit coloured in chloride of gold, showing a, the coarser non- uiedullated nerve trunks of the sub-epithelial plexus; b, the fine non-medullated nerve fibres; and c, tufts of the finest nerve fibrils, p. 78. (Magnified i'jo diain.) ^C~ r W \ '( muU Intestine >f gold, sin 1 wing the BUb-epH delial nerve ". Coarse non-medtiUated nerve trunk oi the sub-epithelial plexus, b, Fine, and c finer non-meduJ fibres oi the subepithelial ui >diam.) Plate XXXI. FIG. 8o.-Horizonta1 preparation of cornea of guineapig, showing the superficial intraepithelial network of non medullated nerve fihres as seen from the surface, p. 78. (Magnified 300 diam. ; reduced.) PlO. 81.— Horizontal preparation of cornea of fro I. showing the dl trih ihi r .i port 1 'i uea. a. Com e non medullated 111 rve I ■ order. '■ and c, Non-tnedullated oerre fthrei of the second and third order, p, 7 :- (Oc, 1: OhJ.,7.) FIG. 84. — Horizontal preparation of the same kind as fig. 83. showing the deepintra-epithelial network of fine non- medullated nerve fibres viewed from the surface, a. Contours of deepest cells of anterior epithelium, b. Nerve fibres, p. 7 [Oc, 3; 01)]"., 7. Tube not drawn out.) Fig. 85.— Horizontal section of cornea of rabbit coloured with chloride of gold, exhibiting more swellings than in fig. 73, which are due either to the mode of preparation or to the appearance of foreshortened nerve fibres passing upwards or downwards into other layers. (Oc.3; Obj.,7. Tube half drawn out. } I col hlorlde of gold, a. Large non-medullated nerve trunk", im ■ ""' 0. Nerve fibres of the third order. I cornea corpunelen. p 8.) Plate XXXIV. '*%r?P:' f* FIG. 87.— Horizontal preparation of nictitating membrane of frog in chloride of gold, showing the distribution of non-inedullated nerve fibres to, a , capillary blood-vessels. 6. Coarse non-medullated nerve fibres giving off fine branches c, which form a plexus around the vessel, p. 79. (Oc, 3; Obj., 8.) ted with cbioridi <f- Flo. 92.— Tnwuverfte Mction of mocouf membnuieoi vagina "i rabbit pre] id with the plexuses of non-medullated nei ol unstriped muscular fibre, p. Obj., B. Tube not drawp oat 1 Plate XXXVII. FIG. 93. — Horizontal preparation of the base of a gland of the membrana nictitans of the frog stained with chloride of gold, showing the distribution of non-med dilated nerve fibres to the eland, -a. Membrana / roj via of glan/I, 6. Coarse non-medullated nerve trunk, c. Fine non-medullated nerve fibres, which form a plexus round the gland. From these fibres, fine fibrils proceed, which penetrate between the epithelial cells, d, of the gland, p. 79. [Oc.,3; Obj.,8.) ■ . Many «f thete contain nuclei utiofi of non-medul* . . In ..!, two capillarii Clrculai mu culai flbn ■ ■ 1 1 ■ thi in terra v alar 1 11 Coara non-medul- d. Pine t ObJ.,7.) Plate XXXVIII. ntal sect.:. .11 of mucous membrane of vagina of rabbit stained with chloride < : . distribution of the lion med tinted nerves under the surface epithelium, a. Coarse nerve trunks b. 0 the deepest epithelial cell . c. Non-niedullated nerve fibres forming a plexus Ii eta maybe seen, which, leaving tlie di identified with ti.e interstitial substance of the deepc-t epithelial cells. Oc, 3: Olij., 8. I •■ ont 1 1 irith chloride of gold, giving U . . with the plexn Bon-medallated nerve 8 in the adventii m'lar fibres in the adveutltu of a large artery. (Oc.. 3 oy.,7.) Plate XXXIX. PIG. 07.— Horizontal preparation of nictitating membrane uf frog, coloured in chlori£ gold; showing the- distri- bution of tlie non-medullated nerve fibres under the epithelium of the posterior surface, a. Larger, 6 smaller • • smallest non-medullated nerve fibres, p. 79. (Oc, 3; Obj., 8.) mtlon ol the bli layer. '/ Medullar] lajri r. ft Largi '"' 1 I Plate XL. a FIG. loo.— Transverse section of an artery from a vertical section of the skin of a guineapig, coloured with gold. a. Lumen of ihe vessel. 6. Endothelium seen in profile, c. Intima. d. Circular muscles, e. Adventitia. /. Cellular elements of adveutitia. p. 106. (Oc.,3; Obj., 7.) PIG. 99.— Longitudinal section of a branch of the pulmo- nary artery, from the lung of a guineapig, the bronchia; of which were injected with dilute chromic acid. a. Intima. 6. Circular layer of unstriped muscular fibres, cut across* c. Adventitia. p. 106. (Oc, 3; Obj., 7.) FIG. 102.— A capillary blood-vessel, the ca- vity of which is extend- ing into a branched cell. (Oc, 3 Obj., 7.) Fin. bu*— Preparation from tbe normal omentum oj a rabbit, fin t pencilled and then treated with silver, showing the development of young capillaries, a. Capillary blood-vessels, i>. Capillaries only Just hollowed out; this pro* .1 the branched conned Lve tissue cells, d, which are Ln relation with the capillary wail. c. Vacuoles In the branched cells. 0, Branched cells of the ground ubstanccC f, Migrator) cells. (Oc.,3 obj.. 7.) Plate XLI. Flo. 103.— Omentum of rabbit coloured In silver, a. One of the larger arteries, shoving the spindle-shaped endo- thelium and transverse muscular fibre. I>. One of the larger veins, showing the endothelial elements, which are not ■o elongated a* in the artery, 0. Endothelium of one oi the surfaces of the membrane, p. 105. (Oc, 3 ObJ., 5.) Plate XLII. MO, i. 112. (Oc, 3; Obj., 5.) Plate XLVIII. *m FIG. 115.— Peritoneal surface of centrum tendineuin of rabbit, treated willi water and then coloured in silver. In the middle of the preparation a lymph vessel, !, appears below the surface endothelium, i.e.. the system of lines of interstitial substance. On both sides of the lymph vessel are tendon trabecular, t. The endothe- lium which coverd the lymph channels consists of smaller elements. Five true stomata are shown which pass through the "vertical lymph channels" into the Ij'inph vessel below. Two of the stomata. are open, and three collapsed; all are surrounded by germinating endothelium, p. m. (Oc, 3; Obj., 5. Tube not drawn out.) ai c_ FIC. 114.— Similar preparation, c. A wide lymph vessel which can be seen through the surface endotheliums. An artery, d, and a nervi through the lymph vessel (perivascular lymph vessel) c, and within the field of vision are ten distinctly open true stomata 0. The surface endothelium bordering the germinating, p. 112, (Oc, 3, Obj., 5.) Plate XLIX. Via. 116.— Mesentery, coloured in Bilver, of guineapig affected in the same manner as in fig. 113. a. Surface endothelium, d. The freely exposed upper wall of a lymph sinus, the endothelial marking of which is seen. On the periphery, however, answering to the free surface of the serous membrane, two distinctly open true • tomata, 6, are shown. These communicate in an oblique direction with the lymph sinus. On the right a closed stoma caa be seen. The endothelium, c, which borders the stomata is in germination. (Oc, 3; Obj., 7.) Plate L. Fig. 117. — Peritoneal surface of centrum tendineum of rabbit, pencilled and coloured in silver, showiDg the lymph capillaries of the abdmi'nal serous covering iu the neighbourhood of the large blood-vessels which pas* through the diaphragm. The sinuous endothelium of the lymph capillaries is distinctly bhown. p. 114. Oe., 3; Obj., 4. Tube halt drawn out.) PIO. 1 tH.— Pleural surface of centrum tendin'um of guineapig, pencilled and coloured in silver. A. Lymph ve-seli of the p'eural side, the larger trunks having iptDdU-lliaped 1 mi ■■llielium, and being provided with valve*. Only a few capillaries are to be seen — that is to say, few vessels with sinuous endothelium. B. Principally lymph caplllaiies which run between the tendinous bundles, p. 114. (Oc, 3; Obj., 4. Tube not dmwu out.) Plate LI. 9Va. 119.— Similar preparation of ■ rabbit. Bleb netwoik of lymph vessels of tlie pleural Bide. a. Large • ranks of lymph vessels, having spindle-shaped endothelium and provided with va'ves. h. Lymph capillaries, c. Lymph capillaries which penetrate deeply, i.e., which bend towards the abdominal s.ile in order to run i>etwe«-u the bnndlM of tendon. i> m. [Oc, -;; Ohj., 2.) Plate LI I. 1 ii. ill.-il iiinler water and then bathed in silver, while an 1 1 u m being carried mi. The l.w,.,. risible in the Bllghtly-ioloured (found ai dutinet and very ilnuoue tabes, the endothelium ..f which is sharply defined. • , :; ObJ,, 5.) Plate LIII. Pi'.. i2i.— Omentum of rabbit, pencilled anil coloured in silver, a. ArLery. b. Capillary Mood-vessel. y tbeir sinuous endothelium and the a Lymphatic canalienll oi the ground ratmance; in most of them the nuclei of the cells contained in them are se*-n. p. n> (Oc, ^; ObJ., 5. Tube ba'f drawn out.) Tr-ATE LTV ■Surface of omentum of rabbit, pencilled and coloured In Hilver. allowing the distribution of the lfin\i\t jeuelB. a. Lymph reaaeU, •bowing their endotbellnm. h. Valve*, c. IuilicateK the position of vessels eiiel<«u-se of the gr.mnd-sufoHtance '/. are omitted. p. 115. ObJ., 51 Plate LV. Flo. 123.— Pleural Bide ef pencilled centrum tendineam of n. guiueapig, in which there was chronic inflain- matiult of the serous DUMIllUMIM, in eunse4tieaofl of artificially iuduced tuberculosis, a. Lymph capillaries of the pleural serosa surrmndmx an island of $r jund-suhstance. In the litter is the canalii. ■ ilar system, with the nucleated flat cells, b, which it contains. These cells, in var.ous pla:es, are seen to lie dividing; and most of them are branched, e. The Endothelium of the lymph capillaries is distinctly seen in sevir.il places Vj he in continuity with the cells of the canalicular system. (Oc, 3; Ohj., 7. Tu^e not drawn out.) Plate LVI. no. 124.— Pleural side of centrum tendineum of rabbit, pencilled and coloured in silver. I. Lymph capil- laries showing their endothelium. The system of lymphatic canaliculi, c, stands out sharply from the dark col ,ured ground-substance of the pleural serosa; in many places the lacuna: of the canalicular system are separated from each other by mere lines, and a trace of nucleus 1 is to be seen; the placoid cell to which the nucleus belongs is not visible. At r. the canalicular system is passing ovtr into endothelium of the lymph capillaries, p. 114. (Oc, 3; ObJ., 7. Tube half drawn out.) Plate LVII. flg 124, «. Lymph vessels with valves, paining over Into '<, lymph cAp'lUrieti. c. Inlands of ground nulieUnce ihowing the canalicular s) stem, p. 114, (Oc, 3; ObJ., 5.) Plate LVIII. FIG. 127.— Section oi cortical layer of mesenteric gland of ox, which has been hardened in Miiller'd liquid and then shaken, a. Capillary blood-vessel. 6. Nucleated cells representing the nodes of the delicate reticulum —adenoid tissue. (Oc.. 3; Ohj.. 7.) inentwn ■>( rabbit, pencilled and coloured In silver, a. Lymphatic capillary in the h .<,.! o( u. an artery, c. Capillary bl 1 vhii h la evidently to continuity with ti,'- numerous branched eell (arm , d, in the ground thi endothelium ol the lymphatic capillary U •imilarl) mtlnultjr irltb. thi (Oc, 3; ObJ., 7.) Plate LIX. _LkJ k fev .1 fl 'Mfjjifg,','t'Jf FlO. 128.— Centrum tendineutu o! rabbit, Been from the abdominal side. Berlin blue had been introduced into the peritoneaii] by "natural injection." f>. Straight interfascicular Lymphatics between the bundles of tendon of the abdominal side. a. Lymph vessels of the pleural side, showing the valves, with corresponding dila- tttioiM. The 1; Lit lymph vessels are as completely injected as the first. (Oc, 3 ; Obj., 4. Tube not drawn out.) Plate LX. -Section "f medullary substance of n ad of ox, which has been hardened in miller's liquid and then partially shaken. Thi the lymphatic cylinders containing bl 1-vessels, sup rounded b; i ed lymph corpuscles, bfai One] .,i cell between tliem. The blank i the trabecule and the cylindei repre en< the Bystem of lymph sinuses, the lymph corpuscles ol which have for the mostpArl b su bakpn out. p, 117. (Oc, 3; Obj., 8. Tube not drawn out.) Plate LXI. FIG. 130.— Alveolus from a section of lung of rabbit, frozen and coloured in silver, a. Inter alveolar septa of elastic fibres, b. Epithelium of the alveolus, seen from the surface. The epithelial cells are seen edgewise on the borders of the alveolus, p. 120. (Oc, 3; Obj., 7.) FIG. 132.— Section of a lung of a rabbit, injected through the pulmonary artery. ". Bfancn "f the pulmonary artery' losing itself in h, a dense capil- lary »y»teiu. p. 120. (Oj., 3; Obj., 2.) Fig. 133.— Section of livr-r ol goineapig harflfnH In bichromate of potash, showing tlie cylindrical trabecules ■ Us. The spaces between tb>- cylindrical cell* correspond to capillary blood-vessels. The little opening* b n-tituent cells of a cylinder are capillary bile ducts cut.across. p.120. (Oc., 3; Obj., 8.) Plate LXII. FIG. 134.— Horizontal section of liver of dog, the vena porta of which has been injected, a. Trunk of inter- lobular vessel, b. Trunk of intralobular vessel, or vena centralis. A dense system of capillary vessels is between them. p. 126. (Oc, 3; Obj., 2.) Fin. n?.— Vertical lection >.f liver of 1 1 1. thi portal vein and hepatic it of which aro injected, a. In- terlobular blood-veeeels. t. Interlobnlai bile d 1 network. a Intralobular capillary i>l large bronchus ol human Castas, bom b Lung hardened In chromic acid. cylindrical epithelium in layers. '«. Uueosa. 0. Bundles '.1 onstrlped muscular fibre, d. Sub- ■1 -int. showing Portion i cartilaginous ring, /. i ;v. ; Y\<:. 141.— Vertical lectl >t portion ..f Uenm "f dog, baidaned bj chromic acid. «. Villus, showing its cylindrical epithelium with tbicli basal border. The troma at the villus Menu to I oiely-paetod lymph oorpusclas; botwi at onstriped muscular ftbre. '-. Mucosa with Lleoerkohnlan crypts. I Ich the nimmil ol the follicles, ■/. project, bo order to reach the epithelium oi U .;■,., ... ,,/ „„.,,, ,, which the follicle are olomly packed, > as to form a Payer' patch lit th. baas of tl Hides the lymph sinuses, «, mmnd them 010 i« seen. /. Portion of circular muscular layer of the muicuiurit vxurna. p. izf. Oc, 3; Obj., x) Plate LXV. Fig. 143.— From a longitudinal section of the injected kidney of a rat. a. Arterial trunk, i. Venous trunk, c. Glomerulus, d. Vas afferens of the glomerulus, e. Vas efferens. /. Capillaries which twine round the convoluted tubes, g. Capillary vessels of the pj-raniidal processes, p. 134. (Oc, 3; Obj., 4.) FKi. 142— Section, parallel with the surface, at an acinus at the same preparation as fig. 735. a. Into* lobular aipfUary blood-veueL b. intralobular capillary bile duet c Liver cells, p. 126. (Oc.,3; Obj., 7.) (.see aluo fig. 135.) Fi<;. i44.~Froni a kidney of pig Injected from the ureter, ihawtng Che arrangement • ■! the tul*f in the pyramidal anbitaace, a Collecting tubei t Henb/a loope, p. 134- t(>c, 3; obj., 2.) Plate LXVI. 1 I ■■ ■ I ■' tl ted kidney of a rat, Li I aw mu the bundla at ■ the pyramid*, B. Cortical ubatance, p i, (Oo., i; Ob]., a.) Plate LXYII. Fig. 146 —Transverse section of pyramidal substance of kidney of pig, the blood-vessels of which are injected. a. Large collecting tube, cut across, lined with cylindrical epithelium, b. Branch of collecting tube, cut across, lined with epithelium with shorter cylinders, c and d, Henle's loops cut across, e. Blood-vessels cut across. D. Connective tissue ground-substance, p. 132. FIG. 147.— Teased preparation from a section of kidney of pig, hardened in bichromate of potash, showing a HenW'a loop. a. Membrana propria, b. Epithelium. PIO. i4''— The a portion of a collecting tube m the pyramidal px sees of the corttcolU. \ ahowi the lumen '•>' the tube; '', the membrana propria; «. the cylindrical epithelium, p. 132. (oc, 3.) FlO. 149.— Section of cortical substance of kidney of human foetus, hardened in bi.hr ate of potash. «. Glomerului with lb) IU membruna propria, ; and c, the epithelium of polyhedric ci 1; covering the glome- 1. d, thi ii.ii.-n.-d epithelium which Uee upon the inner surface of the Bowm /• Convoluted urinary tube ou( ro 1 1 12. ISru also fig. 155.) Plate XLVIII. FIG. iis— Peritoneal surface of centrum tendineuin of rabbit, treated wilh water and then coloured in silver. In the middle of the preparation a lymph vessel, J, appears below the surface endothelium, i.e., the system of lines of interstitial substance. On both sides of the lymph vessel are tendon trabecular, t. The endothe- lium which covers the lymph channels consists of smaller elements. Five true stomata are shown which pass through the "vertical lymph channels" into the lymph vessel below. Two of the stomata are open, and three collapsed; all are surrounded by germinating endothelium, p. ill. (Oc, 3; Obj., 5. Tube not drawn out.) a c_ Fr<.. 114.— Similar preparation, c. A wide lymph vessel which can be seen through the surf:*' 1 ad An artery, d. and a nerve trunk, e, pan through the lymph vessel (perivascular lymph renal) c, and within the field of vi»iou are ten distinctly open true stomata b. The Burface endothelium bordering the (ton kta ll germ mating, p. 112, (Oc, 3, Obj., 5.) •Plate LXIX. j£52E£i'7t£: FIG. 153. — Tabular glands of human prostata, hardened in chromic acid, showing the cylindrical epithelium which covers them. p. 137. FIG. 154.— Section of cortical substance of kidney of six months' human foetus, hardened in bichromate of potash, a. Glomerulus, b. Membrana propria, which extends over the glomerulus, and which is a direct continuation of Bowman's capsule. At the point of section it appears as if it consisted of spindle-shaped elements placed together, c. The epithelium of cylindrical elements which covers the glomerulus, d. Epithe- lium -.f polyhedral cells which lines Bowman's capsule. /. Convoluted urinary tube cut through transversely. p. 132. {See also fig. 14).) 1 section "f human eyelid, showing the tabular glands which are embedded In that part bos, which la i I Dioxide of gold preparation, har- dened in alcohol, a. Conn rich in branched cells, In which the tubular glands (£) are embedded. These are shown cat through in rarloui direction We bi • rselv, as at <■, it is seen that the epithelium oorering them consists of cylindrical nucleated cells, (OoM 3; OhJ.i **.) Plate LXX. FIG. 156.— Vertical section of cornea of rabbit, hardened in chromic acid. a. Anterior layer of pavement epithelium, b. Substantia propria of the cornea, consisting of connective tissue fibres in more or less parallel bundles, between which are the cornea corpuscles. These, in vertical sections, appear spindle shaped, c. The posterior lamina elastics , or Descemet's membrane, and the endothelium of polyhedral cells, d which covers it. p. 13K. WW' FIG. 157. — Diagram of the connective substance of the retina. FIG. 158. — Diagram of the nervous ele- ments of the retina (after Max Schultze), These two diagrams must be supposed to fit into one another in such a way that the nervous elements fill corresponding spaces in the connective substance. In 157, the lower line represents the limitans interna ; the line 8 the Umilant externa, 2. Layer of nerve fibres. 3. Layer of ganglion cells. 4. Inner finely granular, or, more correctly, finely ribrillated layer which really Conns an extremely close network 01 very tine fibres intf " 1 ppex layer oi th< era 6 Central doti ■■ tern c. C) — la dorsalU d Pi'oto'vertebraj, c. Lamina oentraUs, / Lamina terosa. a. Lower layer. Plate LXXYI. Fig. 181.— Section of embryo of chick at the beginning <>£ the second day, in the neighbourhood of the heart, a. Upper or corneal layer. '>. Centra] Canal of the central nervous system, d. Under or epithelial glandular layer. D. Anterior intestine (Vorderdann), e. Lamina serosa, f. Lamina ventralis. g. Aort:e. *. rente m. Fold of amnios. //. Pleuro-peritoneal cavity, h. Heart cavity, h. Endothelium of wall of heart, e'. Proper wall of heart. /;. Bluud corpuscles. MS —Transition of the tin i bhi fcod indothelial n Iclee containing blood enons development of bl I corpuscles), i. Coarsely granular formative element in which l*.,iai'-d fin- lei, a, are found. a f ew bl od corpnscli , a, are distinguishable, while b peripheral zone, i rest ol the cell. In }. the peripheral ileated layer [i i mi [rely <>\ coloured d .. '.• Icle lined with endothelium and filled with bl I corpusoles, II uely granular protoplasm, With Its more or less regularly arran ed I endothelium of a I Plate LXXVII. —Section of the posterior part of the body of the embryo of the chick at the forty-eighth hour. «. Central nervous system, b. Proto-vertebrae. c. Chorda dorsalU. d. Upper or corneal layer, e. Serous, and/, ventral lamina, g. Wollfian duct. h. AorUe. i. Pleuro-peritoneal cavity, k. Lower layer. D. Intestinal furrow, a. Amniotic fold. !. Bl.iod vessels. n of anterior ■ -. ■ inlddli • >!" the pecond day. a. Cavity of //. Wui! of cerebral reticle, c. Primary optic :•■ lole, and d tta wall. e. Upper layer of :■ olng of the opp r. Middle lsyei /«. :.Tnu optical. ! Plate LXXVIII. FIGS. 184-186.— Various stages in the transition of the primary into the secondary optic vesicle, and the development of the lens at the end of the second and during the third day. 186. a. Cavity of secondary optic vesicle, b. Rudiment of retina, c. Rudiment of pigment epithelium of the choroid, d. Nermu opticus, e. Lens. /. Upper or corneal layer. 184. a. Primary optic vesicle, and 6 its wall. c. Ncrnis opticus, d. Upper or corneal layer, e. Beginning of lens. 185. a. Primary optic vesicle. 6. Saucer shaped cavity, which subsequently becomes the secondary optic vesicle, c. Xervus opticus, d. Outer wall, and e inner wall, of primary optic vesicle, f. Upper or corneal layer. g. Rudiment of lens. FIG. 188.— Other forms of elements, in which blood corpuscles arc produced, a, a, are the cavities of vesi- cular structure*, produced by the formation of vacuoles, in originally solid cells. The wall of the vesicle 6, ! 11 (top] '" 1 pre Bnts the endothelium of the future vessel, for whirl, reason these vesicles may 1* called endothelial vesicles. At,/, blood oorpuscles arc detaching themselves from Die inner portion of a vesicli m element at another kind, in which blood corpuscles are formed. It is a spindle-shaped m d e,i], the central portion of which becomes hluud corpuscles, and the peri- pheral portion endothelium. bat in rig. 187. i formative elemente Ol M I 10 communication with each other by ■olid oflkboots. They have this in common, that io jUI a peripheral layer of nucleated protoplasm is dif- iterior, which contains s number of blood corpuscles. The interiors of neighbouring elements eventually be, ,.,,,1, each other by tie oris] 1. oi communicating threads above mentioned, which becomi hollowed out, and thus give rise to a system of tubes, the blood-vessels. Plate LXXIX. HO. 190.— Test tube, with foot, used for subsidence of small quantities of blood (§ 1). WO. • [tin plate for collecting blood and keeping it at OOC |§ 2). WO. lOx-Coagulatlon of blood of frog Id ■ fine capillary tube, ffartnack. (Ob]. 0; immersion. Oc. 3.) -a. Oammla Cot Bchafert experiment, i shows the form into which a tube is drawn rat for the d of an arterial cannula (§ 9); the tube is first severed at one of ti utrlctions, and then filed away m the direction of the oblique line. c. T-shaped arterial cannula; the horizontal tube is in communica- tion with the manometer of the kymograph (§ 33). I tor studying the action of induction shock! on blood. The drop of blood to I va- in.n.-d U placed between the tinfoil pointa on the under surface of the fixed square cover glass. The chamber i» closed by placing a second ordinary object-glass below it (§ 13). Plate LXXX. FIG. 196. — Hoppe-Seyler's bottle for preiraring fibrin (§ 23). FIG. 195.— Various absorption spectra. 1. o'4 per cent, solution of haemoglobin. 2. Reduced haemo- globin (§ 18). 3. Hrematoin (§ 22). 4. Reduced htematin (§ 21). 5- °'°6 per cent, solution of hfeinoglobiu. 6. 07 per cent, solution of the same (§ 24). ;-.-.--;-' v. F10. 198.— Ueissler's mercurial pump |? 27) li'.. I-..?.— Alvergniai'i minimal pump Plate LXXXI. Fro. 199.— FiantlanJ-Sprengel pump (5 Fig. 201— '< ud b. tfeedlM Cm pairing UfCri . ,.. Urilcke's blunt liwk. d. Tre- liljii,': e. Curved needle. /. Cured and 11..1 Plate LXXXII. FIG. aco.— FrHiiklaud's api>aratuB for the analysis oi gases by absorption (| 30). [From Button's Volum. Analysis.) Plate LXXXIII. F"^ Fl«. 204. — Czeruiak's rabbit support (§ 34). FIG. 201.— Frankland and Ward's apparatus for explosion <§ v)- (From Button's Volum. Analysis.) Plate LXXXIV. PIG. 20Z.— The mercurial kymograph, a. Vulcanite rod of floating pistou. b. Tube which conummicates with the pressure bottle, c. Tube wliich communicates with the artery, d. Feeding cylinder, i. First axis, which revolves once in a minute. 2. Second axis, which revolves once in ten seconds. 3. Third axis, in a second and a half (§ 33). The instrument is furnished with other cylinders suitable for the reception of single liands of glaztd paper, the surface of which can be blackened after they are fixed on to the cylinders, by causing the latter to revolve over the flame of a petroleum lamp. These cylinders can be fitted ou to either of the axes 1. 2, or 3, and are always used when it is necessary to employ a rapidly-moving surface, ui, *'..'/., for tracing the curves of muscular contraction. Yu.. 206.— Normal tracing of arterial pressure obtained with the mercurial kymograph (rabbit). Plate LXXXV. FIG. 205. — Pick's spring kymograph. A. C -spring, bb. Suppo of the spring to the lever 1), and thus to the writing-needle 1 spring is in communication with the artery. C. Rod which communicates the movements K. Leaden tube by which the cavity of the Firr. 207 Ficr 207a Fl'i. 207.— Normal arterial tracing obtained with the spring kymograph (dog under curare). 1'i'.. -.;■/.— Tracing of Bame animal after exhaustion of vagus by repeated excitations; dicrotoua pulse. Via, 206.— Meohanical arrangement of the sphygmograph {§ Plate LXXXVI. Fig 209.— End view of the block by which the sphygiuograph rests on the bones of the wrist, showing the screw. G, by which the pressure exercised by the spring on the artery can be varied (§ 39). FIG. 2096.— Breguet's improvement |§ 39). PIG 2io. — Mode of measuring pressure (§ 39). PIQ. 211.— Schema f r demonstrating the nature of the arterial movements. A. Glass tube which represents the heart. B. The tul.e by which A communicates with a cistern at a height of ten or twelve feet above it. (A. much smaller head of water is sufficient.) C. The lever by which the two valves K and L> are worked, the same act which shuts the one opening tin- other. 1'. Oommenceinent of the experimental tube, which is of black vulcanite. At 9 the tut.e communicates with a long vertical tube of glass, only part of which is seen; It is closed at the top, and usually shut off from K t>y a pinohcock. At (l tin? tube passes under the spring of the sphygmograph, the frame of which rests on a block (below t<). By error, the tube has bean drawn on the wrong side of the block, II. The blackened plate of the iphygmograph. To the left of it is seen the cylin- der, with its needle for recording the time which intervenes between the opening ami closing of the aortic valve, D. I.. A rod which is lirmly fixed in the lever, and is connected by two cords, ono of which is elastic with the cylinder 1$ 40). Plate LXXXVII. -Tracings obtained with the arterial schema (§ 40). FIG. 2126.— Natural pulse. FIG. 213.— Percussion waves (§ 41.) rami:* Fin. 2U.— Tracings showing the contractions and expansions of an india-rubber tulle, along which water is propelled in an intermitting stream hy squeezing with the hand at regular intervals of time an elastic bag provided with valves, with which the tube is in communication; the bag thus represents the heart. The three tracings are drawn simultaneously, and exhibit the expansive movements of the tube at three different dis- tanees from the bog;, the upper tracing being taken at the greatest distance (§ 41). Fn;. 21C — Dr. OMon'i (Uh-trongb i« |4l. It 1 be naed with the mlaraoope itage Inclined ■) an ingle ..f kbonl i . Plate LXXXYIII FIG. ar;.— Stage for mesentery of frofi {§ 44). Fig. 218.— Cannulas for aorta and vena cava of frog. The right-hand figure represents the arterial cannula. They are of size suitable for large specimens of It. eteulenta (§ 46). PIO. 219.— Diagram of arrangement for measuring objects seen under the microscope, a. Axis of tube at microscope, t. Pri in, tj. Direction in which the object \> ' board, which should be at a 1 utimeters] from the eye. The angle* of tbi | 1 ial, the angle ($ 48). 31.— Griffin's bl ae used fox gas blow-pipe. The blower la used (or artificial respiration (tee i vi). , ■,.,!.. liquid into Plate LXXXIX. FIG. 224.— Skull of rabbit seen from behind, p p. Parietal bones ; i, interparietal bone ; below i, occipital tubercle ; above P, occipital protuberance. Half-way between the tubercle and the protuberance is the point at which the bone must be per- forated in the operation for producing glycosuria (§ 50). Fir;. 222— Bprengel'i blower (5 49). Fir;. 225.— Exettor. The wires are of oopper, with platinum print!. Their sheaths aro made of bits of flexible catheu-r. ami are bound together with raxed »ilk (§ 51). 1 in the rabbit by an in. 1 Ion extending from the thyroid cartilage to the root of Bifurcation '.r tin- |ugulai rein; /,/■. na caw ■ Simula in wi Hon with the manometer; i tub uarded bj clip, by which proximal end "I manonu rte, which record the distal column »l Hi'- iiiaii./iiK-i'T on 'In: cylinder; n. heart; K, ligature, by irhlch the tnbe la eeoured tu the >i« ; I., bolder, by « bich the ulan* red J Is supported (S 63). , Plate XCII. ■■■ill llll llll llll llll attain !ll kill ■■■■■■ H»l FIG. 237. — Dissection of the parts in relation with the vagus nerve of the frog on the right side. The oesophagus is distended with a glass tube about half an inch in width. The object is represented of about twice the actual size, a. Right aorta ; B, bitlbus aortCB ; c, posterior horn of hyoid bone ; g.h., genio- hyoid muscle ; h.g., hyoglossus muscle ; p, lowest of the three petrohyoid muscles; H, ninth nerve; G, glosso- pharyngeal nerve; r, vagus ; 6, larynx ; s&h& oh., point to the space occupied by the origins of the large muscle (sternohyoid) which connects the hyoid with the ster- num, as well as by the omohyoid ; both of these muscles have been cut away (§ 73). -Tracings obtained by recording simultaneously on the same cylinder the variations of pressure in the right auricle, right ventricle, and left ven- tricle, respectively. The interval between each vertical line and the next corresponds to about a tenth of a se- cond. The second ver- tical line is just before the completion of the systole of the auricles. The contraction of the ventricles falls be* tween the third and fourth lines. It ends between the seventh and eighth ; conse- quently, in the horse, the interval of time between the auricular systole and that of the ventricles is about o'iS sec, and the duration of the ventri- cular systole is about o"4 sec. (After Chau- veau ; see § 67.) FIG. 236. — Septum auricularum of frog, a, Muscular fibres ; 6, endo- cardium ; c, free edge of septum ; dd, wall of ven- tricle; e, right cardiac brooch of vagus ; /, left branch; h, anterior nerve of upturn ; *', posterior nerve; kkt Didder's ganglia; //, ganglia of ventricle; § 69. {After Bidder,) Plate XCIII. FIG. 240.— Sketch to illustrate the relations of the ganglionic cord in the visceral cavity of the frog. The septum citlemce magna having been divided on the right side, the right kidney is turned over towards the left, so as to expose the parts concealed by it, viz., the aorta and the ganglionic cord of the same side. The stomach and the first coil of intestine are also turned over, so that the posterior surface of the former organ is presented. In this way the origin of the mesenteric artery from the junction of the right and left aorta? is brought into view. On its surface nervous filameuts, which spi-ing from the ganglionic Cord, may 1* traced. These [nerri metenterici) com- bine to form a plexus with similar filaments from •he corresponding ganglion of the other side. (.See fig. 295.) I, Liver; rl, right lung; », stomach; *, kidney. Fir.. 241.— Heart, lungs, and gTeat vessels of the rabbit, with the nerves In relation willi thrni. (After Ludw ig, ■lightly altered.) V.c.d., v.c.t.. Kit-lit and left venaeemt tuperiortt ;the li represented as if cut away, in order to Show the m-rv. ' < ... . „ • ervicate inf.riiin j m, sympathetic ; i>. vagus; d, depressor. The dotted Unas on each side indict p " of the (I 81). 1 .Dissection of the lower cervical ganglion hi tin- .log. and of the parts in relation with it. (Alter Behmledeh mimon trunk of the ^agus and sympathetic ; fcphrenici «l ■ ■ • rlorcei deal ganglion (6) B, flr-t I. rale ganglion; 0, ratntw cardiac. h mptrtor ; 11, trunk of ', it). Plate XCIV. FIG. 244. — Tracing (after Schuiiedeberg) showing the effect of electrical stimulation of tlie vagus of a frog under the influence of nicotin. The line ending in asterisks indicates the duration of the period of excitation 1$ 81). FIG. 243.— Dissection of in- ferior cervical ganglion of rabbit. The pectoral mus- cles and sterno-clavicular ligament have been divided, and other more superficial parts removed. The dotted line indicates the middle line of the body, g I, A lym- phatic gland in contact with the apex of the lung ; a x, sub-claviau artery ; a v, ver- tebral artery ; v, vagus nerve ; *, sympathetic ; pt phrenic (§ 81J. FIG. 246.— Respiratory mus- cles of frog (after Ecker). smt, submental is ; g h, ge- niohyoideus ; h g, hyo- glOBBUB ; k m. submaxillaris ; * m", anterior horn of the hyoid hone ; p k, petrohy- oidei ; oh, omohyoidens; * h, sternohyoideus. FIG. 247.— Recording Stethometer. A.Tynipanuin ; B, ivory knob; B'rod which carries the knob opposed to B. C, T-tube, by which A communi- catee, on the one hand with the re* cording tympanum, on the otherwith an elastic bag D. The purpose of the Twg is to enable the observer to vary tlie quantity of air in the cavity of the tympana at will. The tube lead* i tiK (" K [1 closed by a clip when the Instrument u in nee. ($ Pq). tlatk xcv. Fig. 250.— Boxwood Pulley for recording the movements of a needle, Inserted in the diaphragii is attached to the horizontal arm {§ 91). Fit:. 251. — Rosenthal's apparatus, with W. MU11er*8 valves l§ <&>. txmlc bu td i';is itj 96), Plate XCVI. no. 257.— The lever kymograph, fur recording the respiratory and arterial movements simultaneously (§ 105). PIG. as&— Tracing trbtalnad with the tov« kymograph 1$ 105), Flate XCYII. FIG. 265.— The calorimeter ({ 116). ultlpller, for thermo-electric currents (J 119). Fl,. ... „ (ram ■ on which i>»- wire It colled ! EXPLANATION OF PLATES XCYIII. TO CI. FIG. 229.— Tracing drawn by a lever applied directly to the apex of the heart of the frog. Fig, 2^4.— Tracing of endocardial pressure of heart of frog, obtained by Coats' method. Fins. 238a and ©. — Synchronous tracings of arterial pressure, and respiratory movement of air in trachea, taken (a) immediately before, and (M one minute after, section of both vagi. The lever kymograph (fig. 257) was employed. Arterial pressure before section about igo m.iu., after suction about [80 in in. Pulse rate before section no, after section 260. Respirations before section 24, after section 10. The characteristic violence of the expiratory movements after section is well shown. FIG. 239.— a. Tracing of arterial pressure of rabbit, obtained with Fick's kymograph (fig. 205) during excitation of peripheral end of divided vagus, with feeble induced currents (secondary coil far removed from primary). Duration of excitation of nerve indicated by asterisks, b. The same, with secondary coil brought nearer. Flii. 245.— Traeiug of arterial pressure with Fick's kymograph during excitation of the central end of the depressor nerve (§ 82). FIG. 233.-11. Tracing obtained with the cardiograph, when the button is applied to the seat of impulse of the human heart, b. Tracing obtained when the button is applied either outside of the impulse or nearer the sternum. The line of sudden descent in b coincides with that of sudden ascent in a. Both are coincident with the sudden hardening of the ventricle, i.e., with the complete closure of the mitral and tricuspid valves (§ 60). FIG. 246 bis.— Tracing of respiration of frog {§ 86). FIG. 249.— Tracing of intrathoracic pressure (§ 90). FIG. 248. — Tracing obtained with the stethometer when applied as in fig. 247. i. Inspiration ; e, expiration. Immediately after n, a notch in each of the curves occurs, the descending limb of which expresses the moment of cardiac impulse. Compare fig. 2326 {§ 89). FiG. 253.— Respiration of the cat before and after section of both vagi. The tracing expresses the variations of pressure which occur in the air passages during each respiratory act. In b the horizontal Hue is that drawn by the lever when at rest ; consequently, when the pressure in the air passages is less than that of the atmosphere the lever rises, when it is greater it falls. The sudden expiratory movement which is the most marked characteristic of the mode of breathing after section of both nerves commences at e. (§ 92). FIG. 263a. — Tracing of arterial pressure and respiratory movements in the second stage of asphyxia by OCCluslon, a p. Arterial pressure ; i, respiration. Both tracings express the movements of mercurial manometers (S 109). FIG. 2636.— Slow asphyxia. The lower tracing expresses the movements of an elastic bag in communication with the trachea (§ no), FIGS. 259-261.— Tracings of respiratory movements of the dog before and after CUrarization (j 105), FIG. 262.— Tracings of artificial respiration and arterial pressure, showing Traube's curves, as seen with vagi intact (§ 106). Fit:. 264.— Effect of a single injection of air in a curaiized dog, after long discontinuance of artificial respiration (§ in). FIGS. 2^4 and 255.— Excitation of the central end of the vagus in the rabbit (§§ 102 and 103). FIG. 256.— Excitation of the central end of the superior Laryngeal nerve (§ 194). \Plate 98. Ficr. 229 Fi£.238.« Fig-. 232 6 Plate /OQ. Fior.259. S\l\f~ itafr-resji Fig. 260 Fig. 261 a^aaaaa/ ^aaaaaat ^^vvvvw^^Aaj^ arf.resjo Fig. 262, Fig. 264. \art.ye.yj. Plate CI I. 266.— Diagram of a frog, to show the lines of incision necessary in various orxervati ins. FIG. 267. — Diagram of the uraa- he leg of a frog, pi ma femoris ; 6, in.-r.s; e, seiei a ■■ coocygeo-iliacn ; 1 /. tendo achillii 1 g, gastrocne- mius ; h. bead ol gastrocnemins : •us (the muscle also marked £ in front <-f and partly hidden by the preceding is the tibialis 1 ins In- ternal ; ">. glntarai ; ». pyri- ; a. ilium ; ./', The ni 1 1 .0 l , end "f lemur ; nerve : 1. tendo aohlllla; f. attachment "i ■mailer tend in Ixocnemlni to femur. Plate CIII. FIG. Myographion of Pfliiger. The moist chamber, which is sup- ported by the large pillar, and from Which the thread h descends, is nut shown. The lever " moves freely on the t«o pillars bb. At /the rod 6, bearing the movable style \ fed ' "' "" ' ",,l",v "■'l "■ ' . Ills pri Plate CV. PIG. 277.— The recording tuning fork. <**$.l. FlG. 278.— Diagram of the muscles of the thigh of a frog, anterior surface. $, gar* torius ; ad.m., adductor mag- nus ; r.i., rec- tus intemus FIG. 23o.— Muscle iu a trough bearing two levers, in order to show the wave of muscular contraction. To the left are seen the pointed electrodes and the clamp fastening the muscle. At the other end uf the thread connected with the lever. Fig. 23i.— A different disposition of the levers, intended to show the same thing. The levers seen below the platform on to which the muscle is fastened, are connected with slips which pass round the muscle at different parts of its length. FIG. 279. — Dia- gram oi a muscle curve asdrawn on a travelling surface. c,the line described by the point of the lever connected with tho muscle ; 11 , the Line described by marking lever; ■ id by the tuning- fork. The verticil Line "' marks the m uuenl - 1 stlmu- Latlon, m' the he- ginning, ma the tin, and m \ tl I of the on of tba Plate CVI. Fig. 282.— Diagram of the curve of teta- nus. 4, the Hue drawn by the point of the lever connected with the muscle ; o. the liue of the marking lever. The record- ing surface is supposed to be moving slowly. The line m marks the commence- ment of stimulation, and also of the con- traction (the movement not being suffi- ciently rapid to show the latent period); mi, the cessation of stimulation and the commencement of relaxation ; m3, the return of the muscle to its former length. The straight line, which is the continua- tion of 4 from m to m3, is the line which would have been described by the muscle in the absence of all contraction. FIG. 283. — Lower part of large figure. Curve of tetanus, showing the individual contractions. Below are seen the vibra- tions of a recording tuning-fork. FIG. 284.— Upper part of large figure. Curves illustrating the increased extensi- bility of a muscle during tetanus. Fig. 285.— MnselM and uervea at bog, mi m 1 tor the Mcperlmant of the " rheoaooplc frog." Plate CVII. Thomson's galvanometer and scale, FIG. 287.— The shunt of the galvanometer. FIG. a88.— Diagram illustrating the "natu- ral " current in a piece 61 muscle. The equator is marked by the posi- tive sign, and the mid- points of the transverse sections by the negative. The arrows denote the direct. on of the current through the galvano- meter. The larger curves denotethe stronger cur- rents, and lice versd. aa, are two points on the longitudinal surface equidistant from the equator ; between them, therefore, there is no current. (2 ®rf ZB /; 1 11 \ 1 rani '" "' ■ ' ' "" ' ,"'1'" l'';l,'l,' ' lectrode iliu 1 q be»i ration of the natural current* In a uerve, Via. -.■■:■ 0 igi ",, Ulu I rati '■ I rotonu p », thi polai Iziai 1 I ,, /./,.. 1, 1 1 1 0 placed .-is i" »ho« the eft < 1 ■ • al ' on ... .,, al I ol •'• n ■ l>ea the arizing current is in n ..1 Hi.' 1 hi iin i' . the "■ 1 ■ " I "i n 11 I- iin p I-.'., hil-ii, while Hi." of I 'i ■ Ign. Plate CVITI. FIG. 291.— Diagram of a muscle ami nerves, arranged to show the use of the eleetrotonic change in "lie nerve. A, as a stimulus for another, B. I. II. two different modes ol placing the nerve of A on I! ; III. the so-called " para- doxical contraction." FIG. 292.— Apparatus for showing the effects of varying temperatures on a muse] FIG 233.— The induction aopsratus of Do Bois Eeymond, with the magnetic interrupter. Via ' me of above Plate CIX. /Mi — Diagraujof the nervous system of a frog— anterior (or Inferior) v iiw. i, :•, 3, *,&, I" [0, Cranial nerves in order. 7a, ophthalm palatine nerve; Ye, luperlor maxillary; Vd, inferior maxillary j Ft tympanic nerve, which, after Joining withtheromi q form/*, the facial serve* • '.7. ganglia I 1 1. branohea of teuthpalri ,ting branch with tympanic nerve; X2 I :, nerves '■■ rtomaoli and lute tlna ; 1 1. on X '-', ganglionof vagus Jf, spinal cord: mpathetli in lla, nninbered a rdlng to the ritb which tbey communicate; A' c, crural 1 joker, slightly altered.) ! 1 frog from above, enlarged. Col, olfai rebral hemlBphara (;./,. pineal body ; /'■*< oplie thalaml \ /..•>/>. optic lobe*; ft oerabeUum ; If.o. Medulla oblongata ; fl.rft. sinus rhoroboidaUa. i Plate CX. Fin. 298.— The Rbeochord. The diagram represents the end of the board on which the resistance wires are stretched, a, b, c. d, e,f, g, are brass blocks which would, if it were not for the wires, be insulated. From the block b a german silver wire (the course of which is indicated by the dotted line}, after turning round an ivory pin at 1, returns to c. From c a similar wire of exactly the same length returns to d. From d a wire three times the length returns to e ; e and /are connected by a wire five times as long. From each of the blocks a and 6 platinum wires extend to the further end of the board, a distance of more than a metre, which are insulated at their extremities. They are, however, in metallic connection by means of a slide (" travelling mercury cups ") shown in the diagram. According to the distance of the slide from a and 6, which can be measured by a scale ontheboard, the resistance between a and b can be varied. "When the slide is as far as it will go, the resistance is equal to that between 6 and c, or c and d. Wheu the slide is pushed up to a b, the total resistance of the rheochord is twenty times as great as between 6 a«d c. If plugs {not shown in the dagram) are inserted between each block and its neighbour, the resistance is nil. (See p. 347.) FIG. 299.— Double key. FIG. 300.— I>'i Boll Kryi.i'.n.]'. k> y. Plate CXI. W FIG. 301.— Creatine. FIG. 302. — Creatinine. FIG. 303.— Nitrate of hypoxanthine. : — Hyilr'K.lilxnttc '.f xanthine. FIG. 305.— I til ! Plate CXII. FIG. 306.— P, potato starch ; W, wheat starch ; R, rice starch; A, arrowroot' starch. Fh;. 307. — After Bernard. Nerves of the submaxillary and sublingual glands of the dog. N. Submaxillary Gland. O. Sublingual gland. .1 M. Wharton's duct, in which a cannula has been placed. J L. Duct of the sub- lingual gland, also furnished with a cannula. T, s, s'. The lingual branch of the fifth nerve. F. The facial nerve. c. Chorda tynipani. g. The submaxillary ganglion, q. The superior cervical ganglion. P. Sympathetic twig passing from the ganglion to 'the submaxillary gland, j. Internal maxillary artery. V. Vidian nerve. (.Branch of the lingual nerve ramifying in the breccal mucous membrane. 1 Paint at the submaxillary gland. 11. Submaxillary gland, J. Jugular \ < in, dividing ,/aud/', which pan along the l«. mi. 1 "l ill.' gland, 1/. Anterior vein, and •' DOlt v. in. bDSB Qm gland. Tlate CXIII *■"• •' ■■' Ountmt -t the rabnuxillaiy gland in the dog <■■ Bnfamaxlllan gland, from irhicl > k, accompanied al fliel by the total* of .]„■ mblingual (land, which farther on "' ' ' t. Ungual :irt-ry. 0. Artery of tli- gland, It »].ni.K* ir..ni the In from the acta IB", The bypogloeia] nerve, . „i ecroai to upon the superior cervical gang i which Ilea beneath It (r. The vagus, p. A evinpathetlc filament, which li oonneoted ganglion, ami j.,in» the ragna town down. i>. Branch ol the flrai oer lug with the superior cervical ganglion, it it. Glossopharyngeal nerve, i. Anterior branch! ol the sopertora tomiing the inter-carotid plexna which imal oarotld artery, p. A ■mall sympathetic twin which aacendi to the iabma»lllary gland, a ipauylngal Bid the Inferior artery O.and indular aitarjr !•'. ■/. BympaUu „>,,„. ,i„. fata] artery and wnnlngni I tta mylohyoid branch, of the fifth, a. Thi Ungu posterior atpect ol 1,1 d to Hi- glaud forming anaatot filaments of the «ym|*thetlc t. Bxternal division ol the spinel acceseory nerve. Plate CXIV. FIG. 310.— After Bernard. Anatomy of the parts exposed in operations on the submaxillary gland. The pos- terior half of the digastric muscle has been removed. M. Anterior half of the muscle drawn aside by a hook. M . Insertion of the posterior half, which has been removed in order to expose the carotid artery, t V. Sympathetic filaments. G. Submaxillary gland drawn aside by a hook in order to show its deep surface. H. Submaxillary and sublingual ducts. J. Trunk of the external jugular vein. J'. Branch of the jugular vein passing behind the gland. J". Branch of the jugular vein passing in front of the gland, cut across. D. A vein issuing from the sub- maxillary gland. 1 1'. Carotid artery accompanied by a sympathetic filament on either side ; only one filament, f, >s distinctly shown in the engraving. F. Origin of the inferior artery of the gland. P. Hypoglossal nerve. L. Lingual nerve. T. Chorda ty 11 ipani going to the submaxillary gland. S S'. Mylo-hyoid muscle, cut across to show the lingual nerve and the salivary ducts which lie beneath it. U. Masseter muscle covering the angle of the lower jaw. z. Origin "f the mylohyoid nerve, which is hidden by the reflected digastric and mylo-hyoid muscles. Fig. 311.— -Qastric cannula seen in section, and key. A, outer flange; B, inner flange; C, projecting points by which the outer can be screwed round on the inner tubi .■■■■> m to Increase the distance between the flanges. d, i). 1- the key by which the tube Is t 1 n t, ..f a .in I.- of metal, with two slits, ]> and i>, into which the projections 0 pass. It is attached by a CrOSB-har to a handle K, which is about six or eight inches long, though cut short, in the engraving. ! m Ipptueo :"'"i Plate CXV. Fic:. 314.— Cholesterin. PIG. 315.— Point of the instrument used fur puncturing the fourth ventricle to produce diabetes, Fk;. •)(<;.— Aft, origin ol the levantb oatrai o, pinji] cord; d, ori vagua; e, i».iut w] ■ .1 ; g, the fifth uerre j Ik, Iltorj (■IMl ; <, I ■ . 1 1 . 1 .1 U limn ; *, ooelplta] raoooi ilnae; ', corpora quadrigemiiiA ; .. .,, , U Plate CXYI. V-, Fn;. 317.— Arrangement of the cannula in a temporary pancreatic fistula. A, the chief pancreatic duct of the dog directed transversely; a, insertion of the pancreauc ducts into the intestine; the insertion of the smaller duct is higher up. and is marked by a line without a letter; a', a branch of the larger duct within the Bland; a", ligature, fastening the cannula T to the intestine;//, is a thread by which the cannula is fastened pancreatic duct; 1, is the intestine; P P\ the pancreas ; T, the silver cannula; B, the stopcock, for letting out juice which has accumulated in the india-rubber hag ; V, an india-rubber bag, tied mter end of the cannula, and used for collecting the .juice. -The left-hand diagram shows the method of stitching up the end r,f the divided intestine ao in Thiry's fistula. The right ban. I figure shows the method ol ether the divided The two black dots in the middle of the pieces already Joined, Indlc&tethe position of the mesenterl tionld surround these vessels and serve as a ligature for them. Five or six similar to Join the ..lie edge, as shown here. The two ends of intestine are then pulled into iwn in fiir. 319. I the method of applying the tin loin the divided Intestine in Thiry's fistula. The represented a* entirely apart, but the other half of the circumference must i« undi 1 1 1 t„ 1* air ether in the manner ihown In tig. 318. .v. "a °? o 3 o OOjO 3 ' -a S3 » <8fo B*. - ■ O' 1 Milk. ' m °0l .0. ' V', Kill. 3ji. 1 Plate CXVII. FIG. 326. — Piece of glass drawn out to furm a pipette. FIG. 327. — A tube drawn out in order to seal it. The operation is completed by directing the point of a blowpipe name 011 the point a, and drawing the two ends of the tube rapidly apart. MB jA— flotation. The beaker Uiupported on win gauw In order to prevent it bom cracking. , Uon during prolonged ebullition, k, the flank in which U,e liquid condeneer;/, a glaee tube, wb andr; ( end *, two india-rubber 1., ud from the I In t, end rmu taek into X, Any of the oondsnied liquid that ad the bend of the gltm tube p, which li 1 Ui the nj'iH-r endof f«ii eolleoted in tbeexnal] 0, [rnwttit '<» the M any quantltj " tlatei ■" it, the flame may iw rem ■ raouum then form* In K, and the liquid ruiliei back luto it. Platk CXVIII. FIG. | used as a water-bath. FIG. 331. — Bun iilator as m...i . Qelssler. a, is a wide glass tube divided into two parts, an upper and" lo we: atal septum, from which a tube runs down nearly to the bottom of Che lower one. The upper division and paarf of the L is filled with mercury. 6, is a glass tube passing through the cork of a, and f and * with the g pipe and the burner, c, is an inner glass tube whose edges are luted to those of & at/, (/, is a small hole in <•, allowing suffii ii ■ through it to 1 1 the flame from being extinguished. The gas enters at / and passes through the inner tube c to the burner bye, or vice versd. The instrumeul isset by warming it to the desired temperature, and then pushing down b till the end of c touches the mercury. The gas is then prevented from passing through <*, and only enough passes through the hole d to keep the flame alive, till, the instrument becoming cooler, the mercury contracts, and allows the gas again to pass through the lower end of c. FIG. 332.— Water-bath for experi- ments mi digestion, o) fur evapor- ating a1 a constant temperature. This consists "i" two parts, the bath itself , i, and an apparatus, a, for keeping the water in the bath at a constant level, (i, I-. . flask containing water, b, c, is i -lass tube open at hoth ends. d,e,f, is a bent tube with limbs of equal length. The end. e, ispnf at the level at which the watei in 'Ii.- bath, i, is to remain. Both ends, d and/, are about an inch below c, ami thus form a 5 S p] I difference qi verti- cal distance between c and r about an inch. Whenever the water in i falls below the level of c, thesyphon arts, and water runs through it nnl il the level in / i as high as c, when it ceases. ff, is opposite a thermometer for temperature of the i«ath. //, is a gas regulator. The on.- represented here differs somewhat trom thai in fig, ; ;i, hut. re expensh e and has no advantage 0 a fcheol her. t, is anc or in). The dotted line it . covered ....;. 1 .- plati perforai f the proper, size and shape to make the cone, /. #, a mould, and t, a stamp, to give the proper Bhape to the cone, Z. /», is a cone of porous earthenware used as a funnel. 7, is a piece of wide india-rubber tubing stretched over the funnel r, and holding the cone j> air-tight, r, is a funnel inserted into the Btoppex Of a bell-jar. The bell-jar may either be exhausted by means of a tube in the stopper* like j, or by ■< tubulature in tin- side, as is supposed to be the case with thai holding r. l\ Iso 1 1 bo keep liquldsatthe I then Luini 1 Om ol •enlng above, mi below, which la closed b b the tube . lee with which the metal fui I Oiled, rh< """' '""" bae a copper fu 1 of the dotted Mue itn,j ^ o,, ■ I ■ ' oded by the water oi Ice then tore xuA <■■ removed n Ith great place whirl, lei* ■ n the othei form [seni] ■' ■ he The uppi r figure si tysei e*lth the 1 1 n1 papt - tret bed Plate CXX. Fig. 339. — Hut ait bath fur drying precipi- tates, &c. FIG. 340.— Bell-jar aud dish, containing sulphuric acid for drying aud cooling substances. FIG. 342.— Platinum triangle stretched upon a larger iron one for ignition. FIG. 343.— Specific gravity bottle. FIG. 344. — Specific gravity bottle. FIG. 345. — Bottle for taking the spe- cific gravity of small quantities of liquids. 1 Plate CXXI. - tie nulDi fl»»k. {tram Huit.ui» Handbook "f Volumetric Aoalyil*.) ■tat mixer. (From Button'! Handbook ol Volumetric AnalyiU.) Tlate CXXII. 50 CC 10 CC 3 PBj. 3(8.-1 ! " Bnthm'i Handbook "f Volumetric ArmlyniH.) Bandbook of 7oluin*trio Ajwlyrii.] Tlate CXXIII. Pig. 350 Fir;. 351. FI8. 350. From Sutton's Handbook of Volumetric Analysis. The figure to the left shows the elliptical appear- ance presented by aline round a burette or by the surface of fluid in it. when the eye of the observer is above it. The figure to the right shows the curved surface of fluid in a tube. In reading off its level, the lower border of the dark zone must coincide with the graduation of the burette as ill the figure, where the dark line stretch- ing across the tube indicates one of the graduated lines upon it. FIG. 351.— Erdmann's float. (From Sutton's Handbook of Volumetric Analysis.) ! " PiF- " t:ji 1 llr ^-=^j |ii..mni"imi i' ii-'n i< V *"■"•'> >'•"!» no PIO. 352.— Stand for burettes. (From Sntton's rTaudbookof Volumetric Analj I | Kii;. 35 (.- , harameter. a and 0 are two N I's prisms, of which, i, is fixed, and the other, a, U movable' t, ii an Indicator t., show the position "f a. « », Is a circular graduated disk lor measuring the rotation ■•! •<. g, Is I nompoa doi two pieces, v. Is a single plate "f quartz. Sand ". are the soak and vernier of thi mpen- sator. r, the screw bj which thee mi ensatoi Ii ai - '. ars the two quarts prisms of whioh the com- ug the tube of fluid for examination. 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