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CORNELL UNIVERSITY. 

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Physical chemistry in the service of med 




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WORKS OF DR. M. H. FISCHER 

PUBLISHED BY 

JOHN WILEY & SONS. 



The Physiology of Alimentation. 

Large i2mo, viii + 348 pages, 30 figures, cloth, 
$2 00 net. 



TRANSLATION. 



Physical Chemistry in the Service of Medicine. 

Seven Addresses by Dr. Wolfgang Pauli, Privat- 
docent in Internal Medicine at the University of 
Vienna. Authorized Translation lay Dr. Martin 
H. Fischer, i2mo, ix+156 pages, cloth, $1.25 net 



PHYSICAL CHEMISTRY 



SERVICE OF MEDICINE 



SEVEN ADDRESSES 



Dr. WOLFGANG PAULI 

Privatdocent in Internal Medicine at the University of Vienna 
AUTHORIZED TRANSLATION BY 

Dr. martin H. FISCHER 

Professor of Pathology at the Oakland College of Medicine 



FIRST EDITION 
FIRST THOUSAND 



NEW YORK 

JOHN WILEY & SONS 

London: CHAPMAN & HALL, Limited 

1907 
5 



T?^ 



Copyright, 1906 

BY 

MARTIN H. FISCHER 



F3X 



ROBERT ORUMMOND, PRINTER, NEW YORK 



AUTHOR'S PREFACE. 



The addresses which have been collected for the 
first time in this volume and which were delivered in 
the main as summaries of my own special investigations 
concern themselves with the application" of physical 
chemistry to different fields in medicine as rendered 
possible more particularly through advances in the 
physics and chemistry of organic colloids. In that 
questions in. physiology as well as pathology and 
pharmacology are touched upon, it may perhaps be 
hoped that different circles of medical men may be 
interested in the problems discussed in this volume. 
The translated addresses differ in only a few unimpor- 
tant abbreviations from the original. The development 
of the guiding thought common to all of them stands 
out quite clearly. Its foundation is the extensive 
parallelism between the laws which govern changes in 
the colloidal state in vitro and in the living organism. 
Even though the future may become acquaihted with 
many a new fact through which the questions discussed 
in this volume may be made to appear in a different 
light, it will scarcely be possible to belittle the fruitful- 
ness of the methods described and the stimulating effect 



IV AUTHOR'S PREFACE. 

of the results obtained through them. Since all the 
results that these methods can yield are as yet by no 
means attained it is hoped that the volume may be 
looked upon as a modest attempt to win friends capa- 
ble of work in this still young field of labor. 

Wolfgang Pauli. 

Vienna, May i, 1906. 



TRANSLATOR'S PREFACE. 



It is hoped that the following translation of a few 
of Dr. Pauli's papers may render some of the work of 
this modest Viennese investigator already famUiar to 
a large circle of American and English workers accessi- 
ble to yet others. The fundamental character of the 
subjects touched upon by the author needs no com- 
ment. It is only hoped that the translation may not 
have lost too much of the spirit and the letter of the 
original German. The volume as a whole represents 
another stone in the structure of physical chemistry 
in the biological sciences; and while it is not the 
tendency of modern times to divide existing sciences 
or to create new ones, specialism is followed as a 
matter of necessity, so that it wUl not seem strange if 
in the near future we shall come to recognize as branches 
developing separately from the trunk which all these 
sciences have in common, a -physico-chemical physiology 
and a physico-chemical pathology. 

Martin H. Fischer. 

Oakland, California, 

y 



PREFATORY NOTE TO AMERICAN 
EDITION. 



The advance of medicine is so dependent upon 
progress in the fundamental sciences of physics, chem- 
istry, and biology that he who will keep abreast of 
modern conceptions in physiology and pathology is 
compelled to be more or less conversant with theory 
and practice in the basal subjects. When one con- 
siders the phenomenal development in recent years, 
through the work especially of Willard Gibbs, van't Hoff, 
and Arrhenius, in the domain of what is designated 
physical chemistry, it is not surprising that attempts 
should have been made to apply the new knowledge 
gained to the clearing up of some of the problems 
which confront the physician. While the application 
of stoichiometrical methods in medicine and biology 
has led and is leading to fruitful results, it is from 
the utilization of the principles of the other great branch 
of physical chemistry, that which deals with energy- 
relations in chemical processes, that most is to be 
hoped; that many of the medical conceptions of the 
future are to be colored by the ideas of thermochem- 
istry, electrochemistry, chemical kinetics, and chemical 
dynamics even those of us who are entirely untrained 
in these sciences are compelled to admit. The work 
already done on reaction-velocity, catalysis, equilibrium, 
viscosity, osmotic pressure, and electrolytic dissocia- 



vin PREFATORY NOTE TO AMERICAN EDITION. 

tion in the human and animalbody may be regarded 
as an earnest-penny of greater good hereafter. 

The new medicine will require a new preliminary 
training of its workers. A few investigators in biology 
and medicine have been wise enough to foresee the 
path which future inquiries must follow; we should 
be thankful that they have prepared themselves for 
the pioneer work of blazing the trail. Notable 
among these hardy explorers are some of our fore- 
most American workers in physiology. Among Euro- 
pean scientists, Dr. W. Pauh of Vienna stands out 
prominently as a representative of the forward move- 
ment. His researches in physiology and pharmacology 
have dealt almost entirely with problems in the solu- 
tion of which the methods of physical chemistry have 
been applied. In his recent studies in colloidal chem- 
istry he has been pr5dng into and attempting to illu- 
minate some of the darkest of the regions in which 
physiological chemists grope. 

The American publishers of Dr. Pauh's papers have 
been fortunate in securing the services of Dr. Martin 
Fischer as translator. The experience he has gained 
by his personal researches in similar fields, and his 
familiarity with the bibliography of the whole sub- 
ject, especially fit him for the task. 

May Dr. Pauli's papers stimulate American stu- 
dents to further investigations where they are so much 
needed, and may he and they collect speedUy for us 
a body of facts which we, as medical men, may utihze 
in the diagnosis of disease and the cure of human ills! 

Lewellys F. Barker. 

Baltimore, Oct. 23, 1906. 



CONTENTS. 



PAGE 

1. On Physico-chemical Methods and Problems in Medi- 

cine I 

2. The General Physical Chemistry of the Cells and 

Tissues 23 

3. The Colloidal State and the Reactions that Go on 

IN Living Matter 44 

4. Therapeutic Studies on Ions 71 

S- On the Relation between Physico-chemical Properties 

and Medicinal Effects 90 

6. Changes Wrought in Pathology through Advances 

IN Physical Chemistry loi 

7. On the Electrical Charge of Protein and its Signifi- 

cance 137 

ix 



PHYSICAL CHEMISTRY IN THE 
SERVICE OF MEDICINE. 



X. On Physico-chemical Methods and Problems in 
Medicine.* 

The last decades have brought with them an amal- 
gamation of two sciences, — physics and chemistry, — 
which have no doubt always had mutual relations, 
although formerly these were not so intimate or extensive 
as they are now. 

This amalgamation was undoubtedly inaugurated 
through physics, and must be attributed primarily to 
the stimulus which brought with it the estabhshment of 
the laws of thermodynamics. 

I cannot here sketch even briefly the development of 
thermodynamics. As is well known, the law of the 
conservation of energy as most clearly enunciated by 
Mayer forms its foundation. The remarkable experi- 
ments of Joule next led to an, exact determination 

* Tiber physikalisch-chemische Methoden und Probleme in der 
Medicin, Wien, igoo, M. Perles. Address delivered to the K. k. 
Ceselhchap dfr Aergte, Vienna, November lo, 1899. 



2 PHYSICAL CHEMISTRY IN MEDICINE. 

of the mechanical equivalent of heat, while through 
Helmholtz was developed and executed the most 
extensive programme for the application of the law of 
energy to all subjects. 

The penetrative analysis of thermodynamical phenom- 
ena by Clausius and Thomson completed the subject 
with the establishment of the so-called chief laws of 
thermodynamics. 

The transformations in energy in chemical reactions 
have in general two sources. As is well known every 
change in the state of aggregation is accompanied by 
either an absorption or an evolution of heat. Since 
changes in physical state often accompany a chemical 
reaction, these constitute therefore one of the bources 
of the transformations in energy accompanying this 
reaction. 

A second is found in the chemical reaction itself. 
The synthesis or analysis of a substance is accompanied 
by a thermal change which may have eiiher a positive 
or a negative value. To illustrate this we may cite the 
formation of a salt from an acid and a, base with the 
development of the so-called heat of neutralization; or 
the decomposition of a salt into its components with a 
using up of electrical energy. 

All these metamorphoses in energy constituted from 
the first' a fruitful field for work, in which medicine 
also soon took part. While, however, the decrease 
in the potential energy of the foodstuffs in the metabolism 
of men and the higher animals constitutes one of the 
best developed chapters of medicine, calorimetric in-, 
vestigations of the culture media of bacteria are still 
lacking, and this in spite of the fact that this subject 



ON PHYSICO-CHEMICAL METHODS AND PROBLEMS. 3 

promises the solution of an important problem, namely, 
the energy of growth; 

Further relations between chemical constitution and 
physical properties were discovered by the new science, 
physical or theoretical chemistry. 

Under this heading must be mentioned first of all 
the connection discovered between optical asymmetry 
(rotation of the plane of polarized light) and asymmetry 
in chemical composition. At' almost the same time 
Le Bel and van't Hoff discovered that all optically 
active substances which in the non-crystalline state 
rotate the plane of polarized light contain an asymmetric 
carbon atom, the four valencies of which are connected 
with four different radicles. If we imagine these four 
valencies connected with the corners of a tetrahedron, 
the four radicles may be grouped in two different ways 
and be symmetrical. The development of this idea, 
which constitutes the foundation of stereochemistry, has 
been very fruitful. 

The doctrine of the asymmetrical carbon atom is 
destined to play an important role in biological problems 
also, for such essential constituents of protoplasm as the 
proteins and many carbohydrates must, to correspond 
with their optical activity, contain such an asymmetrical 
carbon atom. 

The connection between physical changes in state and 
chemical constitution was early indicated by the regu- 
larity with which bodies of the aliphatic series affect 
the boihng-point. More recently a connection between 
color and the position of certain groups in the molecule 
known as chromophores has been discovered. Similar 
conditions exist in the case of fluorescence which is 



4 PHYSICAL CHEMISTRY IN MEDICINE. 

connected with the existence of fluorophore radicles, 
and in the case of antipyretics the effect of which is 
intimately associated with their chemical constitution. 

The modern theory of solution as harmoniously 
enlarged through van't Hoff's conception of the gas- 
like condition of the dissolved particles, and Arrhenius's 
teaching that electrolytes — salts, acids, and bases — dis- 
sociate upon solution into their constituent ions, has 
also found extensive scientific application to many 
subjects including medicine. 

Following the establishment of these fundamental 
facts physical chemistry has developed as an independent 
science with numerous methods of experiment peculiar 
to itself and adapted to its own special purposes. 

Medicine has at no time denied its dependence upon 
advances in the exact sciences, and so it is not strange 
to find that with new ideas in physics there have come 
corresponding periods of discovery .in medicine. But 
the application of newly discovered facts in physics 
to medical problems for the solution of which they were 
never intended has as a rule brought it to pass that every 
era of progress has been followed by one of disappoint- 
ment, a period characterized by an overgrowth of specu- 
lation and hypothesis. 

The great development of mechanics in the seventeenth 
century associated with the names of Stevin, Galilei, 
Keplee, Descartes, Huyghens, and many others fruc- 
tified the epoch of the iatro-physicists whose accomplish- 
ments as evidenced by their work on the mechanics of 
joints and the development of Harvey's teaching of the 
circulation have lasted into modern times. But even 



ON PHYSICO-CHEMICAL METHODS AND PROBLEMS. 5 

as late as the eighteenth century great physicists such as 
Johannes Bernoulli attempted the solution of such 
subjects as Dissertationes physico-mechanicae de motu 
■ musculorum et de effervescentia et fermentatione. 

In the first half of the nineteenth century the great 
development of physics, more especially electricity, 
favored the wonderful development of physical physi- 
ology which began its career in Germany. 

But both these times physics were insufficient to exhaust 
the problem of life, and the fully developed reaction to the 
iatro-mechanical school finds counterpart in the reaction 
of modern times, the participants of which are divided 
between two camps. The belief of one of these, the 
neovitalists, can be traced back to the "anima" of 
Georg Ernst Stahl. In this teaching vital force 
which has been so often pronounced dead is born again. 
The second group, not less dangerous than the first, 
employs an atomic mechanics for the explanation of life 
phenomena, and mistakes the death-dance of the mole- 
cules for living reality. 

In this time of threatening retrogression the seeds of 
modern physical chemistry fall upon that narrow field 
of endeavor which we call our own. But if this new 
and flourishing science is not also to prove a hindrance 
to investigation by exceeding its natural limits, it is well 
that we define first of all the boundaries within which its 
laws hold in biological questions. 

Let us attempt first of all to get a conception of the 
significance of the law of the conservation of energy as a 
means of biological research. This attempt seems all 
the more justified since Ostwald, whose great services 
in the development of physical chemistry demand the 



6 PHYSICAL CHEMISTRY IN MEDICINE. 

widest recognition, has already proclaimed the complete 
triumph of the energetische Weltanschauung (energetic 
conception of natural phenomena). 

According to this conception transformations in energy ■ 
constitute the kernel of aU phenomena in nature, and 
their quantitative determination furnishes at the same 
time a complete insight into the course of things. 

If this is true, then the reaction of the sensory nerves 
is also always a consequence of changes in energy and 
these become therefore the means by which sensory 
experience is obtained. 

An attempt will be made in the following paragraphs 
to show that a purely energetic conception of natural 
phenomena conceals all the dangers of a too extensive 
generalization, as it leads to a one-sided development 
of our point of view with all its threatening consequences. 

Do transformations in energy really constitute the whole 
or even the nucleus of the changes that go on, in and- 
about us? Do we really react only in proportion to the 
amount of difference in energy ? 

Transformations in energy are in fact constant accom- 
paniments of all changes in nature, and we could scarcely 
possess a simpler picture of nature than one in which all 
differences represent only differences in the amount of 
of energy. In reality, however, it is only one side of aU 
natural phenomena that we are able to include in the 
energetic principle, for only for the value of the mechanical 
work performed in all changes does the law of its inde- 
structibility hold. The energetic analysis of a phe-. 
nomenon is, however, so little exhaustive that in physical 
realms, such as that of electricity for example, we are 
unable to answer the question of the nature of electrical 



ON PHYSICO-CHEMICAL METHODS AND PROBLEMS. 7 

phenomena in spite of most extensive utilization of the 
Mayer- Joule law. 

The energetic principle suffices equally little in bio- 
logical questions, and we must regard the attempt of an 
excellent investigator to define general physiology as 
the' energetics of life phenomena as not sufficiently 
comprehensive. Our law determines only the energy value 
corresponding with the changes that take place in living 
matter; the fundamental question of their nature remains 
entirely unanswered. 

A picture of natural phenomena which shows only 
differences in energy is as incomplete as a photograph 
which shows only differences in light and shade. 

Upon the second assertion of Ostvv^ald that we react 
only in proportion to differences in energy we must also 
place certain limitations. 

What we designate as external stimuli are changes 
which also are connected with variations in energy. The 
important point in our question is whether differences 
in energy determine quantitatively the excitation value 
of a stimulus. If this is true, then electrical, thermal, or 
mechanical stimuli having the same energy value ought 
to possess the same excitation value. Things are by 
no means as simple as this, however. We do not per- 
ceive the energy communicated to our sense-organs 
directly. What we perceive are only changes in the 
state of our sensory nerves, a fact recognized by Descartes 
in his day and, as pointed out by Johannes Mltller, 
suggested even by Plato. 

When MiJLLER postulates in the famous laws which 
bear his name qualitatively different changes in state in 
each variety of sensory nerve, changes which for different 



8 PHYSICAL CHEMISTRY IN MEDICIUE. 

stimuli are of the same kind in the same nerve, this is 
not at all synonymous with saying: to equal amounts of 
energy equal reactions. 

At different times and under different conditions we 
react differently to the same amount of energy, and 
conversely. Stimuli carrying an amount of energy which 
normally is not perceived can, as in strychnine poisoning, 
bring about most powerful effects. The selective be- 
havior of the nervous end-organs must also be attributed 
to differences in the stimuli received, which are more 
than simple quantitative differences in energy. How 
great is the difference between our sensations of noise 
and of music! and yet the value of the transmitted energy 
in the two cases may be the same. 

It would be an easy matter to increase the number 
of striking examples indefinitely. They all lead to the 
conclusion that the quality of a natural stimulus plays 
an important r6le, as well as the amount of its energy. 
MuLiER himself is inclined to make a qualitative dis- 
tinction between impulses when he speaks of homogeneous 
and heterogeneous stimulation of a sense-organ. After 
all that has been said the assertion seems justified that 
the new energetic world conception will prove to be 
scarcely less poor than the mechanical. Did we wish to 
go deeper we should have to call the former a purely 
mechanical one. 

If with this we have to regard as a failure the attempt 
to solve from the standpoint of energetics du Bois- 
Reymond's famous riddle of the universe, then of what 
value are the laws governing energy in the investigation of 
biological problems? 

If we know from experience or if this leads us to assume 



ON PHYSICO-CHEMICAL METHODS AND PROBLEMS. 9 

that two processes influence each other in the way, for 
example, that pressure affects the freezing-point of water 
or the electric current a magnet, the degree of this action 
upon each other can be directly deduced from the laws 
of energy. 

If in the explanation of a phenomenon we build it 
up out of the elements a,b,c,d . . . , then these elementary 
processes correspond with a group of transformations in 
energy which we will designate by a, ^, f, d . . . The 
principle of energetics states that the sum of a +/? + /- + 
d . . . must be constant. The attempted analysis of the 
phenomenon into a, b, c, d is possible only when it sat- 
isfies at the same time, under the most varied circum- 
stances, the above condition. The Mayer- Joule law 
contains no more than this. But while it itself therefore 
gives no positive or complete insight into a phenomenon, 
it nevertheless renders possible the exclusion of a whole 
series of false interpretations of our observations. It 
constitutes, therefore, an indispensable and excellent con- 
trol of our suppositions. 

This control of our conceptions through the Mayer- 
Joule law may be of two kinds. In the one case it will 
be able to prove that our assumption is wrong, in another 
that it is incomplete. In so far as it points out in the 
latter case an as yet undiscovered condition it seems 
under these circumstances to lead directly to the dis- 
covery of new facts. 

But even under these conditions we learn from the 
law of energy only that something is to be sought or to 
be discovered. What this really is, or what the nature 
of the fact that is to be discovered is, can never be learned 
except through special investigation. We may say in 



10 PHYSICAL CHEMISTRY IN MEDICINE. 

consequence that the energetic principle has really only 
a formal significance, and can tell us nothing regarding 
the quality of the process. This is apparent from its very 
nature, namely, that of combining equivalents. With 
what the numerical equivalence corresponds in any given 
case, of this the law tells us nothing; just as Uttle as 
we know from the weight of an amount of gold what 
kind of money it is, whether francs, marks, or guldens. 

The law of the conservation of energy could not help 

. but have from its very beginning an overwhelming 

effect upon every investigator, not only because of 

its great simplicity but also because of its unhmited 

tenability in all subjects. 

It can seem little strange, therefore, that its heuristic 
value has often been overestimated. It is certainly going 
too far when, for example, a recognized medical historian 
says of the law, " The discovery of the law of the con- 
servation of energy has contributed no mean amount 
toward disproving the vitalistic theory, that behef in a 
peculiar vital force, and toward proving that the laws 
of physics and chemistry sufi&ce to explain all biological 
and pathological phenomena." 

The darkness which envelops life phenomena cannot 
be illuminated through any principle of mechanics. 
For the time being, therefore, the behef in a vital' force 
must needs continue to exist. As in the case of the 
other " forces " it too has had to bow to the law of energy, 
but its death-blow will be received only when our knowl- 
edge of natural phenomena will have attained a higher 
development than at present. 

We have in the preceding paragraphs tried to go 



ON PHYSICO-CHEMICAL METHODS AND PROBLEMS. 1 1 

back to the very foundations of modern chemistry in 
order to obtain a conception of its applicability to biological 
questions. In what follows an attempt will be made 
to ascertain the value of physico-chemical methods in 
special questions in medicine. A division of our sub- 
ject might follow either one of two schemes. According 
to the first the division would follow that current in 
physical chemistry. A second, however, which seems 
better adapted to our purposes, takes into consideration 
the medical problems that have made use of the new 
methods. 

We can readily distinguish between two fields of 
biochemical research. One in which dead material is 
studied and through a discovery of the structure of 
chemical substances, such as the proteins and carbo- 
hydrates, an explanation of their biological significance 
is sought; and a second which approaches the tissues 
and their functions directly and endeavors to unveil 
their secret vital activity through an investigation of 
their constituents and products. Often investigations 
that utilize more or less strictly the living organism have 
a knowledge of the results obtained in the first field upon 
which to base their work. True as seems to be the 
assertion that a broad chasm exists between the great 
group of proteins and living protoplasm, equally true 
is it that a bridge leads across this chasm, even though 
investigation has not yet succeeded in recognizing the 
nature of this connection. We may therefore expect that 
in the chemical and physical reactions of the proteins 
there exist even now many of the elements of physiological 
and pathological reactions. In fact this expectation 
has been fulfilled in great measure more especially 



12 PHYSICAL CHEMISTRY IN MEDICINE. 

through a utilization of the methods of physical chem- 
istry. 

The studies of Hofmeister on the protein -precipitating 
.power of salts have shown that these arrange themselves 
in the same order as they do when arranged according 
to their diuretic or cathartic action. 

In a study of the condition of swelling which I pub- 
lished some time ago a large number of biological rela- 
tions were found. Analogies exist, for example, between 
the absorption of water by substances capable of swelling 
and the absorption of water by the living organism; 
and the velocity of swelling and the time of a muscle 
contraction are about the same. A continuation of 
these experiments along the line of changes in the physical 
state of the proteins has led to results whose significance 
also extends beyond that for the dead material itself. 

As is well known the proteins suffer when subjected to 
heat a change in state, a so-called coagulation, which, gen- 
erally speaking, is not reversible. The coagulation point, 
that is the temperature at which this change takes place, 
is, among other things, dependent to a large extent upon 
the presence of neutral salts. If M'e employ the neutral 
salts in the form of equimolecular solutions, we can 
compare their effects on the coagulation-point, which 
may vary between more than fifteen degrees centigrade. 
If now we plot the concentrations upon the abscissas, the 
corresponding coagulation temperatures upon the ordi- 
nates, we obtain curves which give a general survey of 
the laws governing the process. From these we learn 
that with solutions of a medium concentration, the 
order in which the different salts follow each other when 
arranged according to their different acids is independent 



ON PHYSICO-CHEMICAL METHODS AND PROBLEMS. 13 

of the base common to all of them. If the salts are 
arranged according to their bases, then they follow each 
other in a certain order which is independent of the 
acid common to all. 

The effect of a salt upon the coagulation temperature 
is therefore made up of two components the effect of 
the acid and the effect of the basic parts. We call this an 
additive ion effect. 

The remarkable phenomena observed when two salts 
Si and S2 together affect the coagulation-point give us 
a deeper insight into the important biological relations 
existing between proteins and salts. 

If in a protein-salt mixture to which a definite amount 
of S2 has been added we allow the salt Si to vary in 
concentration, while in a second series of experiments 
we repeat this but use a different amount of 52, etc., we 
obtain a group of curves. A second series of curves 
are obtained by using constant amounts of Si and varying 
amounts of 52. In this way we obtain two groups of 
curves which illustrate very well the mutual effects 
of two salts upon protein coagulation. These curves 
show in a very remarkable way points at which they 
cross each other, in other words a constancy in the 
coagulation-point as soon as certain quantitative rela- 
tions exist between the two salts. When this is attained 
a change in the concentration of one of the salts which 
at other times would bring about a change in the coagu- 
lation temperature remains entirely without effect even 
when the amount of the change is four or five times as 
great. 

A point at which the curves cut each other may be 
shown also between the combination curve 5i-|-5g and 



14 PHYSICAL CHEMISTRY IN MEDICINE. 

. the pure 5i curve. In other words in a definite salt- 
protein mixture the addition of an indefinite amount 
of another salt does not change the coagulation- 
point. 

These experiments, which are given here only in part, 
seem to show for the first time that compounds of a certain 
stability are formed when salts are mixed with pro- 
teins. 

The additive ion effects of the salts show also a depen- 
dence upon certain quantitative relations. We must 
probably attribute this to an affinity between salt and 
protein which, as indicated by other observations, is 
of such a character that the metallic ion and the acid 
ion of a salt unite with different, asymmetric parts of 
the protein molecule. 

An investigation of the conditions determining the 
solubility of egg globulin has shown that this is dependent 
upon the presence of ionized compounds. In even a 
highly concentrated solution of dextrose or urea, in other 
words substances which do not dissociate into ions, 
globulin is precipitated in the same way as in the almost 
entirely non-ionized water. 

We may point out in passing the biological significance 
of these facts which show the importance of the mineral 
constitutents of the organism in a new light. 

There can be little doubt that ion-protein compounds 
are present in the animal organism, in fact we have 
every reason for believing that all protein constituents of 
the protoplasin enter into the composition of this sub- 
stance only in combination with ions. 

As shown by numerous observations, the salts are 
held fast in the organism with great force. This affinity, 



ON PHYSICO-CHEMICAL METHODS AND PROBLEMS. 15 

which until now could scarcely be explained, is an analogue 
of the affinity existing between salts and proteins as dis- 
cussed above. 

The way in which water and the way in which salt are 
united M'ith the colloids have many things in common, 
for the water and salt mutually affect each other in the 
organism, and each of the two is maintained at as constant 
a value as possible. If we allow a swollen colloid to 
desiccate in an atmosphere which is kept permanently 
dry, we find that it loses water in a way analogous to 
that in which a protein-salt mixture loses salt when 
dialyzed against running water. In either case some 
water or some salt remains behind which can be removed 
only with the greatest difficulty if it can be removed 
at all. The ion-protein compounds show a considerable 
stability toward conditions influencing their state of 
aggregation in yet another way. The presence of neutral 
salts, for example, inhibits the effect of an acid or an alkali 
upon the dissolved globulin, while non-ionized substances 
do not do this. 

We must therefore look upon the ion-protein compounds 
as being of importance in the animal body through 
their ability to decrease its sensitiveness toward changes 
in concentration, changes in temperature, and changes 
in alkalinity. 

Through the decomposition of the large protein mole- 
cules and certain carbohydrates there are produced 
during metabolism substances having a low molecular 
weight which in many ways have characteristics in 
common with those of the salts, — such, for example, 
as urea or sugar. All these substances are either not 
at all or only slightly ionized in water. They are there- 



1 6 PHYSICAL CHEMISTRY IN MEDICINE. 

fore not able to replace the salts which in dilute solution 
are almost completely ionized. 

// is not the salts but the ions of the salts that are essen- 
tial to the organism. 

Our belief that many reactions of living matter can 
be traced back to the properties of the dead ground- 
substance itself seems to be true not alone of the proteins 
and their closely related bodies. 

Emil Fischer has been able to show, for example, that 
the fact that enzymes or living organisms split certain 
kinds of sugars more easily than others ■ is dependent 
upon their structural peculiarities, and has assumed the 
existence of a peculiar, stereochemical relation between 
the reacting substances. 

A remarkable similarity between the reactions in dead 
and in living matter has also been proven -to exist for the 
fats. If we allow two immiscible liquids, such as oil 
and water, to compete for a substance soluble in both, 
the amounts of this substance dissolved in the two solvents 
bear a definite proportion to each other. Meyer and 
his pupil Baum have studied a long series of narcotics 
with, reference to their distribution coefficient in the 
above mixture, and have been able to point out a far- 
reaching parallelism between the distribution coefficient 
of a substance and its narcotic effect. This observation 
has led Meyer to an interesting theory of narcosis, 
based upon the' difference in the distribution of the active 
substances between the watery tissue fluids and the fat- 
like constituents of nerve tissue. 

We will now leave the field of more or less indirect 
biochemical investigation and, even though but hastily, 
consider the results which have been obtained through 



ON PHYSICO-CHEMIC/IL METHODS /IND PROBLEMS. 17 

a direct application of the new methods to changes which 
go on in the organism. These belong more or less in the 
field of special physiology, while the foregoing fall more 
naturally into the territory of general physiology. 

We have to deal in what follows almost entirely with 
the principles of the modern theory of solution, of which 
extensive use is made in the explanation of phenomena 
of absorption and secretion. • 

We must consider it a great advance that we now know 
that almost all relations existing between the red blood- 
corpuscles and the plasma can be explained by the laws 
which govern any solution. The credit of having recog- 
nized this fact belongs chiefly to Hamburger and Koppe. 
These investigations, it seems to me, are the first to 
conclusively do away with any higher life in the blood. 
What appears as life in the blood is only a reflection of 
those true vital processes which go on in the tissues. All 
known changes which take place in the circulating blood 
(with the exception of the white blood-corpuscles) are 
passive physico-chemical reactions, and are in consequence 
independent of nervous influence. 

Of special physiological and pathological interest are 
the efforts to explain the activities of the kidneys from 
these new points of view. The starting-point of these is 
furnished by a paper of Dreser, in which this author 
develops for the first time the conception of the osmotic 
work of the kidneys and calculates this in mechanical 
work-units. A detailed study of this fundamental con- 
ception is desirable, since in its original form it is neither 
entirely clear nor complete. 

We can determine the number of particles present in 
the unit volume of a solution, the so-called molecular 



1 8 PHYSICAL CHEMISTRY IN MEDICINE. 

concentration, either through a determination of the 
osmotic pressure — the attraction between dissolved par- 
ticles and solvents — or the change in the freezing-point 
or boiling-point of the solution. 

All these values are related in a simple way and are 
independent of the nature of the dissolved substances. 
If we wish to increase the concentration of an aqueous 
solution we must remove a part of its water. It is 
immaterial whether we do this through evaporation^ 
freezing, or expression of the water through a membrane 
impermeable to the dissolved substances, or whether this 
process takes place in. the kidneys: in every case the 
amount of work required must, according to the laws of 
energy, be the same. The amount of this work is deter- 
mined solely by the original concentration and the change 
in concentration finally attained. With these facts in 
mind, we will try to formulate the conception of rencd 
work more clearly. 

While the molecular concentration or the freezing- 
point of normal blood has an almost constant value, that 
of the urine varies within wide limits. Our kidneys are 
able to furnish a secretion the freezing-point of which 
may be higher or lower than that of the blood. For the 
sake of simplicity, it may be well to consider these two 
possibilities separately. 

If the kidneys furnish a urine having a higher freezing- 
point than that of the blood, then their entire activity 
consists in the mere preparation of a dilute urine, and 
these organs do their osmotic work by expressing from the 
more highly concentrated blood a certain amount of water. 
During all this time the osmotic pressure of the blood is 
pf course kept at its original height through the tissues, 



ON PHYSICO-CHEMICAL METHODS AND PROBLEMS. 19 

The amount of water given o£E can be readily calcu- 
lated: it is the amount which must be separated from 
the urine in order to change this into a liquid having the 
high molecular concentration of the blood. 

The calculation of the work necessary to accomplish 
this is, however, not as simple as Dreser believes, since 
through the transport of the water from the blood to the 
urine the concentration of the latter is steadily altered, 
a fact which this author has not taken into consideration. 

We will look upon the amount of work necessary for 
this purpose, which can be determined mathematically 
as a measure of the water-secretory function of the kidneys. 

The converse of the above would exist when the kidney 
has to prepare, from a liquid having the osmotic pressure 
of the blood, one having a molecular concentration 
greater than the blood. Under these conditions we 
should have to add a certain amount of water to the urine 
in order to make its osmotic pressure equal to that of the 
blood. While in the first case, therefore, the kidneys 
have to express water from the blood, this time they 
have to express it from the urine and return it to the 
blood. 

The work corresponding to this, which has been cor- 
rectly determined by Dreser, we will have to regard as 
a measure of the water-absorption activity of the kidneys. 

As we know from numerous facts, this double function 
of the kidney is performed by two different parts of the 
organ. While the glomeruli probably secrete the water 
of the urine, the uriniferous tubules have an antagonistic 
function. 

The urine which we are able to examine has already 
been subjected to hath kinds of work. We are able to 



20 PHYSICAL CHEMISTRY IN MEDICINE. 

determine from it, by freezing-point determinations, only 
the difference between these two values, while the kidney 
has in reality performed the sum of the two. All the 
measurements of osmotic renal activity made by Dreser 
do not take this important fact into consideration. Failure 
to consider it must of necessity lead to radically incorrect 
conclusions. 

The normal human being usually secretes a urine the 
freezing-point of which is lower than that of the blood, 
because its molecular concentration is greater. By con- 
suming much water we are, however, able to raise the 
freezing-point of our urine, and it would not be difi&cult 
to so regulate by artificial means the amount of water 
taken up by the organism that the freezing-point of urine 
and blood would be the same. If now we base our cal- 
culation of renal work upon the difference between the 
freezing-point of the blood and that of the urine, — a 
difference which under these circumstances would be 
zero, — ^then we would be compelled to conclude that the 
secretion of a urine equimolecular with that of the blood 
had been accomplished without work, while as an actual 
matter of fact it may have demanded a great deal of 
work. For after what has been said it is clear that the 
osmotic work of water secretion and the osmotic work of 
water absorption by the kidneys equal each other in this 
case. 

A statement which is found in various articles and which 
threatens to be adopted by text-books, that the work per- 
formed by the kidneys in twenty-four hours normally 
varies between 70 and 240 kilogrammeters, has therefore 
no real value. After what has been said it will not seem 
strange that the attempts to utilize for diagnostic pur- 



ON PHYSICO-CHEMICAL METHODS AND PROBLEMS. 2t 

poses the work of the kidneys as determined in this way 
have failed. 

It seems to me that still another point should be noted. 
It is readily apparent when one studies the papers that 
have followed Dreser's initiative that the method of 
measuring the work of the kidneys as criticised above 
has been regarded as giving the value of the total work 
done. At the best, however, the method determines 
only that portion of the work which is necessary to bring 
about the secretion of the water of the urine. For our 
urine does not represent a concentrated or a diluted 
blood, but contains, as we know, the constituents of the 
blood in different concentrations, even when we disregard 
the osmotically inactive substances (albumin). 

If we imagine a certain amount of urine having the 
same freezing-point as the blood, separated from this 
by a thin permeable membrane, and the blood kept in 
circulation and maintaining its original composition as 
in the body, an interchange between the diffusible con- 
stituents of the urine and those of the blood takes place 
until the amount of these is the same on both sides of the 
membrane. We will call such an interchange a molecular 
interchange, as does Koranyi, because the molecular 
concentration of the two fluids remains the same through- 
out the experiment. As we do not have to do in this 
case with differences in osmotic pressure, the external 
work is zero. But a certain amount of internal work 
is performed, the direction of which can also be deter- 
mined. For substances migrate from regions having a 
higher concentration to those having a lower one, through 
which a certain amount of osmotic work becomes free 
for each of the substances. The sum of all these different 



22 PHYSICAL CHEMISTRY IN MEDICINE. 

amounts of diffusion work would have to be used in order 
to separate the substances again and to bring about the 
original differences. This work must also be done by 
the kidneys, and in two directions, toward the urine and 
toward the blood. The value of this can also be calcu- 
lated, a subject which is, however, not within the bounds 
of this paper. We may call this the selective work of the 
kidneys. 

The osmotic work of the kidneys is therefore made 
up of three components — the osmotic work of water 
secretion, that of water absorption, and that of selection. 

Dead material, such as gelatine plates, may also show 
a power of selection. For a recognition of this important 
fact we are indebted to Hofmeister and his pupil Spiro. 
The latter has elucidated these phenomena through 
physico-chemical principles. 

While, however, a gelatine plate that has absorbed 
a salt or a dye remains in equilibrium with its surround- 
ings and is not capable of any further selective activity, 
the phenomena observed in the kidney are of a dynamic 
nature. 

The selective function of the kidney is an uninterrupted 
process, maintained through the active metabolism of its 
living substance. 

It is not possible to mention here all the other beautiful 
applications that have been made of physical chemistry 
to questions in physiology and pathology. Many im- 
portant advances besides those already noted might be 
brought up here. Pharmacodynamics may also expect 
great changes through use of the new theories, as may 
be concluded from the attempts which are already being 
made to introduce these new methods into this science. 



CELLS Ano TISSUES. 23 

In fact, no branch of our science will attempt to solve 
the new questions presented to it without rich results. 

I have arrived at the end of my paper, the purpose of 
which was to test the value of the methods of physical 
chemistry in questions of medicine. Unquestionably 
•they enlarge that territory which the organic and the 
inorganic world have in common. The last barriers 
between the two cannot as yet be broken down, how- 
ever, through the increase in our means of investigation 
that we are at present enjoying. There always remains 
an unsolved portion, the kernel, as it were, of vital 
phenomena. 

The cause of the final failure of the new instruments 
can rest only in their origin. They have all been evolved 
from the study of lifeless matter. For a complete under- 
standing of the living the words of a great physiologist 
will probably hold: 

" Lije can perhaps be completely understood only through 
life itself. " 

2. The General Physical Chemistry of the Cells and 
Tissues.* 

A COMPLETE and ordered understanding of all the func- 
tions of living matter, independent of its relation to a 
definite organism or organ, is the final goal of general 
physiology. Free from a one-sided overestimation of any 
one system of investigation, it makes use not only of the 
methods peculiar to biology, but also of those employed 
in physics and chemistry. The methods of chemistry 
have attained a special importance in the investigation 

* From Ergebnisse der Physiologie, 1902, I, ite Abth,, p. i. 



24 PHYSICAL CHEMISTRY IN MEDICINE. 

of the metabolic changes that take place in living matter. 
This so-called vegetative physiology has been greatly 
advanced through the modern development of theoretical 
or physical chemistry. It is the purpose of this young 
and rapidly growing branch of the inorganic sciences to 
establish the general laws governing chemical changes. 
Through the stupendous theoretical and experimental 
accomplishments of such investigators as van't Hoff, 
Arehenius, Gibbs, Hittoef, Kohlrausch, Ostwald, 
Nernst, and Planck, our understanding in this direction 
has within a comparatively short time been incredibly 
increased and deepened. As in every great development 
in, the exact sciences, physiology may in this case also 
expect to be enriched in no small way, and though it to- 
day stands only at the beginning of this wonderful fertil- 
ization, the number of workers along special and general 
subjects in physiology is daily increasing. In fact, in 
the realm of general physiology the physico-chemical 
method of looking at things has been the first to make 
it possible to ask many questions in a general way and 
to answer them according to the present status of physico- 
chemical investigation. New analogies and transitions 
between phenomena in living and in dead matter have 
been discovered; and it has often proved no small task 
to discover that side of a phenomenon which charac- 
terizes it as a specifically biological one. 

Important as many of the advances that have been 
made may seem, closer inspection shows that even at 
the best we are only beginning to solve the questions before 
us. 

The development brought about through the seeds of 
physical chemistry has as yet not led to an equilibrium 



CELLS y4ND TISSUES. *S 

between our imagination and fact, due in part to a lack 
of chemical data of biological importance, in part to a 
lack of that theoretical foundation necessary for special 
questions in biology. For this reason the following 
fragments of a general presentation of the physical 
chemistry of the cells and tissues cannot claim to be 
complete or to give a satisfactory account of facts to 
which nothing- more will ever be added. It must suffice 
if the great importance of physical chemistry in general 
physiology is rendered apparent. 



I, 

All living matter is made up of colloidal and crystal- 
loidal material, and there exists no life process that is 
not accompanied by changes in the colloidal and crystal- 
loidal substances. And the physico-chemical laws which 
govern the crystalloids and the colloids reappear in the 
numerous properties of living matter. 

The colloids have for the most part a high molecular 
weight, diffuse only with the greatest difficulty, and do 
not pass through animal membranes. Solutions of col- 
loids have a scarcely measurable osmotic pressure, and 
have in consequence little effect in raising the boiling- 
point or depressing the freezing-point. They do not con- 
duct the electric current, yet they move, for the most part, 
in an electric current. 

The crystalloids diffuse easily and pass readily through 
animal membranes. Their molecular weight is low, 
while their affinity for water, as measured by an in- 
crease in the boihng-point or a depression of the freezing- 
point of their solutions, is very great. The crystalloids 



26 PHYSICAL CHEMISTRY IN MEDICINE. 

are divisible into two groups — the electrolytes, which in 
(aqueous) solution conduct the electric current, and the 
non-electrolytes, which do not. To the first class belong 
the salts, acids, and bases; to the latter most of the 
organic substances, such as urea and sugar. 

Between the two great groups of colloids and crystal- 
loids there exists no sharp line, for we are acquainted 
with " half -colloids, " which stand midway between these 
extremes. But because of the typical differences existing 
between the extremes of the whole series, differences 
which all substances show more or less perfectly, this 
division into colloids and crystalloids is nevertheless of 
great value. 

The colloids exist in two states, a liquid and a solid 
state. In the liquid state they are known as sols (Gra- 
ham), in contrast to the solid state, in which they appear 
as dry, swollen, coagulated (through heat or ferments), 
or precipitated (for example, through electrolytes) masses, 
which are known as gels. A question that arises at once 
is, Do the colloids of Uving matter exist in the sol or in 
the gel state ? 

Protoplasm possesses properties which are character- 
istic, generally speaking, of both solid and liquid sub- 
stances. This peculiarity of living matter has given rise 
to great discussions between the behevers in the sohd 
and those in the fluid state of aggregation af protoplasm. 
The ability to stand alone — in other words, a relative 
independence in form, which often expresses itself in the 
existence of characteristic cell forms — corresponds with 
the properties of the solid state, while an argument for 
the liquid state of protoplasm is readily found in the 
general and necessary condition that chemical reactions 



CELLS AND TISSUES. 27 

must be able to take place within the cell and often with 
great velocity. 

In those cases in which changes in the shape of the 
protoplasm under investigation can be easily explained 
through the assumption of the existence of a surface 
tension, there seems to be no reason for doubting the 
fluid nature of the protoplasm, for surface tension is 
ordinarily looked upon as a dependable criterion of the 
liquid state. The amoeba, which becomes spherical in 
a state of rest or when universally excited, or forms 
pseudopodia when it suffers a local alteration in surface 
tension, may be looked upon as a liquid mass as long as 
it has not been possible to demonstrate in it a noticeable 
displacement elasticity such as torsion. To prove the 
existence of the latter by suitable experiment has never 
been attempted, so far as I know. Since the discovery 
of the "amoeboid" movements of oil droplets and the 
careful physical analysis of this phenomenon by Quincke, 
the formation of pseudopodia has been robbed of the 
characteristics of a specific life phenomenon, and later 
investigators have shown that it is governed in all its 
details by the laws of surface tension. The taking up of 
food and the process of defecation in rhizopods can 
also be easily explained in this way. Rhumbler could 
even imitate most cleverly with drops of chloroform and 
threads of shellac such apparently complicated phenomena 
as the rolling up of algas threads within the body of 
Amceba verrucosa. By similar methods he was able to 
imitate in a most surprising way the formation of cases 
about testaceans by rubbing up fine quartz or glass pow- 
der with different kinds of oils or chloroform, and 
dusting this into dilute alcohol or water. E. Albrecht, 



28 PHY SIC/1 L CHEMISTRY IN MEDICINE. 

who has formulated the question of the state of aggre- 
gation of living matter in both a penetrating and per- 
tinent way and has attacked it with the arriiament of 
modern physico-chemical research, could bring about a 
separation of droplets within the contents of a number of 
cells such as those of the sea-urchin and of the kidney. 
Such a separation is dependent upon differences in sur- 
face tension, such as can exist apparently only between 
fluids. Even before him Berthold had regarded the 
normal formation of granules and vacuoles in protoplasm 
as a separation of droplets. Jensen has measured the 
tensile strength of the pseudopodia of orbitolites and 
has found that it about corresponds with the calculated 
surface tension. This author has also again pushed into 
the foreground the surface-tension properties of liquids 
as a means of explaining many mechanical properties of 
living matter. 

In spite of these results, which are all of them, appar- 
ently, capable of only one interpretation, a generalization 
in the sense that all living substance must be liquid meets 
with difficulties. The maintenance and the individuality 
of form in cases in which no supporting framework is 
demonstrable would have to be attributed by the believer 
in the liquid state of protoplasm to currents that are 
able to hold their own against disturbing forces. What 
is of static origin in the solid state of aggregation needs 
here a dynamic explanation which brings with it the 
assumption of a constant expenditure of work. Since 
an inner stabile differentiation is impossible in a liquid 
(for even the finest particles of matter dissolved or sus- 
pended in a liquid endeavor with great force to become 
uniformly distributed throughout the whole), the assump- 



CELLS AND TISSUES. 29 

tion of a liquid state of aggregation for protoplasm meets 
in many cases with still greater difficulties than does the 
assumption of a solid state. While, for example, all the 
different portions of the cell body of an amoeba show 
the same behavior, in that any element within the pro- 
toplasmic mass may become a surface element, and con- 
versely ; in other words, every particle is equally capable 
of the functions of assimilation, stimulation, and move- 
ment, there exist peculiarities in many of the more highly 
developed unicellular organisms, or the individual cells 
of higher animals, which can scarcely be interpreted 
otherwise than as expressions of polarity. Under this 
heading belong, for example, the fact that absorption and 
secretion take place predominantly in certain directions, 
the dependence of muscular stimulation upon the angle 
of the current and the direction of the muscular fibrils, 
and the polarity of phenomena of regeneration in plants 
and animals. These phenomena, which indicate a per- 
sistent inner differentiation, can scarcely be explained 
without the assumption of a solid orientation of the par- 
ticles of living matter. 

A way out of this dilemma, of which the details con- 
stitute a literature that cannot be entered into in this 
paper, is rendered possible through a study of the colloidal 
state. 

II. 

Those gels which were said above to be swollen or 
solidified (for example, ordinary gelatine or agar-agar) 
show the properties of both solids and liquids united in 
one, in much the same way as protoplasm. They are 
capable of existing in all states of aggregation, varying 



30 PHYSICAL CHEMISTRY IN MEDICINE. 

from the solid to the liquid, depending only upon the 
amount of water they have absorbed. Chemical reactions 
may take place anywhere in such a medium, and with 
almost the same velocity as in the fluid absorbed by the 
colloid alone. Such a jelly does not take up any other 
colloid which is brought in contact with it (differentiation 
between different membraneless cells), and a foreign 
colloid imbedded in it does not tend to spread (intra- 
cellular differentiation). Such gels undergo most deh- 
cately shaded changes in state even without changes in 
temperature, through the action of substances which are 
present in the living organism. They may be rendered 
more solid or more fluid, without suffering a change in 
the amount of water which they hold, through the action 
of crystalloids, and also through the action of certain 
enzymes (partial or complete peptonization). 

Such sohd colloids show yet other properties that 
have been used as potent arguments in favor of the 
entirely fluid character of living matter. If mercury 
globules are driven under pressure through a capillary 
into solidified gelatine, the gelatine closes in as completely 
behind the rapidly moving globules as a hquid itself. 
The separation of droplets such as Albrecht has de- 
scribed in protoplasm is also possible in solidified gelatine. 
In the fluid state, that is to say, above the solidification- 
point, gelatine is precipitated by certain electrolytes such 
as the sulphates, citrates, and tartrates of the alkali 
metals. As can be proved microscopically and mechan- 
ically, this precipitation is a separation of droplets — 
the appearance of a "phase" richer in gelatine. The 
precipitating power of the electrolytes decreases with an 
increase in the temperature, that is to say, a more cpo- 



CELLS AND TISSUES. 31 

centrated salt solution is required to precipitate gelatine 
at a higher temperature than at a lower one. Corre- 
sponding with this, it is an easy matter to prepare con- 
centrations in which a precipitation will not take place 
until a temperature below that at which gelatine becomes 
solid has been reached. When this temperature has 
been reached a precipitate is produced, this time also in 
the form of fine droplets, in the solid and originally 
entirely clear gelatine. We can therefore not regard 
such a separation of droplets as an undeniable proof 
of the fluid character of a medium. That, however, the 
application of the theory of surface tension to certain 
cellular phenomena may be of great service, as shown 
by the observations of Albeecht, is of course not ques- 
tioned by the above experiment. Nor does anything stand 
in the way of looking upon the shrinkage forms of thin 
solidified gelatine (Butschli, Pauli) in alcohol, am- 
monium sulphate solution, etc., as expressions of sur- 
face tension. In fact, the similarity is very great between 
such shrinkage forms and the shapes of suspended 
("schwerloser") masses of oil (cubes, cylinders, etc.) in 
suitable media, as described by Plateau. The diffi- 
culties that are encountered in endeavoring to explain, 
on the basis of the solid nature of protoplasm, the 
unhindered appearance and solution of crystals without 
the formation of holes, do not exist in the case of 
gels, as experiment has taught. Ludeking has been 
able to demonstrate with the polarization microscope the 
appearance of ice crystals in the clear substance of thin 
slices of deeply cooled (— i8°C.) gelatine. One can 
also notice in salt-gelatines in which the crystalloid, such 
a,§ ammpnium chloride, shows a great fall in solubility 



32 PHYSICAL CHEMISTRY IN MEDICINE. 

with a decrease in the temperature, that with a fall in 
the temperature supersaturation and finally crystallization 
of the salt occurs in the solid gelatine, and that when the 
gelatine is warmed once more the crystals disappear 
without leaving a trace of their existence behind them; 
and all this without a change in the state of aggregation 
of the colloid. 

A study of gels has disclosed yet other interesting 
analogies with living matter. Variations in the degree 
of swelling or in the volume of jellies having the approx- 
imate size of body cells occur with a velocity the mag- 
nitude of which corresponds very well with that observed 
in the changes in volume noticed in living matter. Solid 
colloids also manifest very extensively a group of phe- 
nomena — so-called adsorption phenomena — the simplest 
laws of which still demand much study. In these 
phenomena a chief role is played by great surfaces which 
load themselves (depending upon the pressure, tempera- 
ture, etc.), often very rapidly, with different substances. 
If one bears in mind the complicated combination exist- 
ing in a solidified gel between the colloid and its absorbed 
liquid — the water seems to be held in part mechanically, 
in part in combinations varying from the most firm to the 
loosest, which renders possible true liquid and solid 
solutions in addition to pure adsorption — one is impressed 
with the great variety of ways in which substances may 
be taken up in such colloids. In this way a great selection 
in the substances offered them is rendered possible, as 
HoFMEiSTER and Spiro were able to illustrate with biolog- 
ically instructive examples in gelatine and agar-agar 
plates. 

Since a part of the imbibition fluid may be mixed 



CELLS AND TISSUES. 33 

with ether-soluble substances — in the protoplasm these 
are such as cholesterin and lecithin, or, as Overton 
calls them all, lipoids — these gels are able to take up 
substances which are not soluble in water. The man- 
ner in which the lipoids are held by the cell plasma, 
the nature of which is still unknown, must no doubt be 
governed, according to our newer physico-chemical 
conceptions, by some property of the lipoids,- such as 
their solution affinity. According to the extensive investi- 
gations of OvEETON, the ability of many substances 
soluble only with difficulty in water ,to enter the living 
cell is dependent upon their solubility in the Hpoids. 

If by the distribution coefficient of a substance between 
two solvents we understand the relation between the 
spacial concentrations which exist in these two solvents 
after equihbrium has been established, it is fount} that 
the distribution coefficient of many narcotics between oil 
and water determines also their distribution between 
medium (such as blood plasma) and cell contents (such 
as the lipoids of the brain), and therefore also their effect 
(Meyer, Overton). The investigations of Frieden- 
THAL on- absorption by the intestine of substances insol- 
uble in water also belong under this heading, which is of 
such fundamental importance in many questions in physi- 
ology. Spiro has given numerous examples of the gen- 
eral significance of the distribution law. No doubt experi- 
ments carried out on simple models would bring much 
hght into this field. 

After what has been said, the similarity in important 
physico-chemical properties between Hving matter and 
certain gels must be looked upon as an extensive one. 
Without doubt a continued investigation of the colloids 



34 PHYSICAL CHEMISTRY IN MEDICINE. 

is destined to contribute much toward an understanding 
of biological problems. 

III. 

The sols also play an eminent part in life processes. 
In contrast to the green plants, which, according to well- 
known cultural experiments, are able to obtain their 
nourishment from pure crystalloidal solutions, animals 
are dependent upon liquid colloidal food. The process 
of digestion serves to prepare nutrient sols capable of 
absorption, and fluid colloids are mechanically moved 
about and distributed throughout the organism to the 
nourishing tissue fluids. While exerting only a slight 
osmotic pressure, the dissolved colloids are nevertheless 
able, 'through their inability to pass through animal 
membranes, to exert a resorptive power, which through 
a steady change in the osmotically active material, as 
maintained by the circulation, finally attains significant 
proportions (Okerblom). 

As recent investigations have shown, the sols have 
several important properties in common with true sus- 
pensions of very fine particles. The most important of 
these from a biological standpoint is the at times enormous 
surface effect of the colloidal particles contained in the 
solution. Bredig, who rediscovered the well-known 
ferment-like action of metallic surfaces in the enormously 
more active colloidal solutions of metals, and investigated 
the whole subject quantitatively, has attempted to explain 
the importance of the colloidal condition of the enzymes 
by the enormous surface effects with which this condition 
is combined. 

The free surface energy and the osmotic energy seem 



CELLS ANt) Tissues. i5 

in many ways to bear a reciprocal relation to each other 
in the cell. The analysis of the colloidal material 
decreases the former while it increases the latter, and 
conversely. The metabolic changes which are forever 
going on in the hving organ compel us to look upon life 
as a dynamic process, and the repeated attempts that 
have been made to comprehend life physico-chemically 
without taking this fact into consideration could not help 
but seem inadequate. To discover the right connection 
between this metabolic physiology and physical chemistry 
is among the most important of the problems of general 
vegetative physiology. 

IV. 

The biological significance of the crystalloids has until 
recently been the main object of research with the 
majority of those investigators who have made use of 
physico-chemical methods in physiological questions. 
Especially has use been made of the theory of solutions. 
The great fertility of van't Hoff's teaching of osmotic 
pressure had as an immediate consequence its unrestricted 
application to all manner of Ufe problems. The cells 
were looked upon as liquid masses surrounded by semi- 
permeable membranes which were supposed to act as 
Pfeffer's well-known model. A relative increase in the 
osmotic pressure of the fluids surrounding the cells was 
supposed to bring about a shrinkage, while an increase 
in the osmotic pressure of the cell contents over that of 
the surrounding fluid was supposed to be followed by a 
swelling of the cell. This so simple and consequently 
so enticing conception of the role of osmotic pressure in the 
organism meets, however, when further considered, with 



3^ PHYSICAL CHEMlStkY IN MEDICINE. 

difl&culties ; nor does it furnish even the possibilities of a 
complete understanding of many important phenomena. 
In spite of this, however, numerous fundamental investi- 
gations, such as those of Hamburger and Koppe, con- 
tinue to retain great value, representing as they do the 
first experiments undertaken in the study of a nev\f subject. 
The principles employed in these investigations approxi- 
mate actual conditions only more or less coarsely; they 
fail, however, to explain details because conditions for their 
employment in the organism are satisfied only in part. 
This fact leads, however, to the recognition of new 
physico-chemical peculiarities of living matter, as illus- 
trated, for example, in such discoveries as the biological 
significance of the distribution law. 

The osmotic relations between animal cells and their 
surrounding media were studied for the most part on 
red blood-corpuscles. These give off their red coloring- 
matter in dilute salt solutions as soon as the concentration 
of the salt drops below a certain value. The lowest con- 
centration of different salt solutions which just prevent 
the "laking" of blood are said by Hamburger to be 
isotonic with each other and are regarded as bringing 
about the same degree of swelling in red blood-corpuscles. 
Since a determination of the osmotic pressures of such 
isotonic salt solutions by physical methods (determina- 
tion of the freezing-point) showed them to be about the 
same, the "blood-corpuscle method" was looked upon 
as a universally applicable procedure for determining 
osmotic pressures. An extension of this method to a 
large number of crystalloids soon showed, however, that 
physical and physiological isotonicity are identical in 
only a few substances, the majority showing differences 



CELLS /im TISSUES. ii 

between the two (Hedin, Geyns). A part of these 
exceptions could be explained by Hedin, and more 
especially by KOppe, on the ground that the crystalloids 
permeate the red blood-corpuscles more or less perfectly. 
KoppE has taken the following stand: The solution of a 
red blood-corpuscle is analogous to the bursting of a 
balloon filled with gas in a rarefied atmosphere. This 
bursting will occur also when the space about the balloon 
is filled with a gas that can pass through the wall of the 
balloon, for it cannot under these circumstances counter- 
act the pressure existing within the balloon. In this 
way is explained the laking of blood in even the most 
concentrated solutions of substances which are able to 
pass into the red blood-corpuscles, such as urea. 

If this simple conception, deduced from the analogy 
between gas pressure and osmotic pressure, is strictly 
tenable, then the addition of substances which lake 
red blood-corpuscles (such as urea) to salt solutions 
having a concentration in which the haemoglobin just 
manages not to pass out of the corpuscles should be 
without effect, since the relative osmotic conditions 
v/ithin and without the cells remain unchanged. This is, 
however, not the case ; such solutions also become colored 
red. Whenever urea has been added to a NaCl solu- 
tion a much higher concentration of the latter is required 
to keep the red blood-corpuscles of the horse from losing 
their haemoglobin than when pure NaCl is used. The 
differences in concentration varied in a series of experi- 
ments between 0.005 ^^'^ °-°^ molecular NaCl, and were, 
strange to say, not markedly influenced by an increase 
in the concentration of the urea from 0.25 to i .00 molecular. 

Not until thorough investigations have been made 



aS PHYSiCJL CHEMlSTkY IN MEblCiNS. 

into the equilibrium between substances that dissolve 
and those that inhibit the solution of red blood-corpuscles, 
and the reversibility of the migration of color, can we 
know in how far haemolysis through crystalloids represents 
a single process. The idea that the exit of haemoglobin 
from the red blood-corpuscles does not represent a single 
change, as rendered apparent through the action of such 
various agents as electricity, cold, various poisons, etc., 
has found valuable support in the investigations of 
Stewart on the permeability of red blood -corpuscles 
to various salts (determination of electrical conductivity 
of plasma). Only the failure to recognize this fact is 
responsible for the extensive use that has been made of 
the determination of the osmotic resistance of the eryth- 
rocytes in the solution of questions in the physiology 
and pathology of the blood, for which this method was 
never adapted. We do not understand the conditions 
under which the physiological destruction of the red blood- 
corpuscles, with a splitting oil of their coloring-matter, 
occurs, and neither the discovery of normal nor of patho- 
logical values for their osmotic resistance yields any data 
from which conclusions regarding their behavior under 
experimental (for example, removal of the spleen) or 
pathological conditions (icterus, haemoglobinuria, etc.) 
may be drawn. In fact, the beautiful investigations of 
BoRDET, Ehrlich, Landsteinee, etc., on the production 
of hemolytic substances in the animal body point to a 
new field of work entirely outside of the teachings of 
osmotic pressure. 

There is no objection to saying that several solutions 
which have the same osmotic pressure are isotonic, that 
is, isosmotic with each other; but to speak of the isoto- 



CELLS AND TISSUES. 39 

niclty of a single solution is impossible, as Koppe has well 
pointed out by indicating the confusion wrought by this 
expression. The osmotic effect of a solution may be 
expressed in terms of molecular concentration (mol.). The 
molecular weight of a non-dissociable substance (such 
as cane-sugar), expressed in grams and dissolved in 
enough water to make a hter, constitutes the unit of 
molecular concentration. Such a solution has an osmotic 
pressure of 22.35 atmospheres at 0° C. Isotonic solutions 
are equimolecular. 

The fact that there exists a difference between physical 
and physiological determinations of osmotic pressure is 
emphasized all too httle. In the former case the pressure 
is measured against the solvent, in the second case the 
pressure of a solution against cells or their contents. 
Each of these values, differing as it does more or less 
from the other, may have its own biological signifi- 
cance. 

A study of the changes in the volume of cells brought 
about through differences in osmotic pressure clearly 
shows that the conditions for the unhmited tenabihty of 
van't Hoff's laws do not exist in the living organism. 
In its simplest form van't Hoff's theory presupposes 
two things : impermeability of the separating membrane 
for the dissolved substance, and complete freedom of 
movement of the solvent throughout the entire medium 
contained within the membrane. If these two conditions 
existed in the case of cells, then two series of facts should 
be found to be true experimentally: 

I. A cell should have the same volume in isosmotic 
solutions of differerit substances. 

II. A cell should show an amount of change in volume 



40 PHYSICAL CHEMISTRY IN MEDICINE. 

proportional to the amount of change in the osmotic 
pressure within or without the cell. 

It was soon learned to attribute the exceptions to the 
first sentence to the relative permeabiUty of the cells for 
certain substances. But this explanation does not suffice 
for a large and important number of cases in which the 
substance that has entered a cell exists here in a greater 
concentration than in the solution surrounding it. These 
cases have been explained in part through the distribution 
law. 

Strange to say, not a single example investigated thus 
far has ever brought a confirmation of the second con- 
clusion stated above — a change in volume proportional 
to the change in osmotic pressure. Koppe, for example, 
found that it was the rule to discover very considerable 
variations from this law in the red blood-corpuscles. 
When the osmotic pressure of the surrounding liquid is 
increased, the decrease in the volume of the red blood- 
corpuscles is less than calculated, as is true also of the 
amount of their swelling when the osmotic pressure in 
the surrounding fluid is decreased. In the experiments 
carried out by Dueig on the swelling and shrinkage of 
frogs great exceptions to the simple laws of osmotic 
pressure were found to exist. We seem to have every 
reason for believing that freedom of movement and 
homogeneousness of solvent, which are demanded for an 
immediate application of van't Hoff's theory to the 
interchange between the fluids within and without the 
cell, do not exist in our tissues. A chief role in this 
modification of the solvent will no doubt fall to the part 
of the colloidal constituents of living matter.* The 

* It does not seem impossible that the relations found to exist here 



CELLS AND TISSUES. 4^ 

fact that protoplasm behaves in many ways as a mixture 
of difEerent solvents might also be of importance. 



A peculiar and important place biologically is occupied 
by those crystalloids which because of their behavior 
in the electric current (conductivity and electrolysis) are 
called electrolytes. These are substances which in aqueous 
solutions (and in certain other solvents) break up into 
electrically charged particles, the ions (the electronegative 
anion and the electropositive cation). This electrolytic 
dissociation, which may in dilute solutions attain a very 
high grade, is, however, never complete; beside the ions 
there exist also non-dissociated, electrically neutral 
molecules. The investigation of the r61e of electrolytes 
in life phenomena must be directed toward an under- 
standing of the part played by each of these. 

Experiment has taught us that there exist physiological 
effects -which are attributable solely to ions. The vital 
property of the ions to keep in solution the widely 
distributed globulins cannot be replaced by any other 

may be expressed mathematically. Support for this is found in the 
no longer negligible volume of molecules present in colloidal mixtures 
which bind the solvent. The vifater found in gels is, moreover, to be 
regarded as freely movable only in part, and this part decreases rapidly 
with an increase in the amount of shrinkage. In consequence of the 
increase in the values of the volume and the attraction of the gas mole- 
cules the simple equation pv = R.T. no longer holds, as is well known, 

at higher temperatures, but van der Waal's equation ip-\ — A {v—b) = 

R.T. Much seems to speak in favor of the idea that the relation 
between osmotic pressure and cell volume may be kindred to the latest 
modification of the law of Mariotte-Boyle. 



42 PHYSICAL CHEMISTRY IN MEDICINE. 

kind of dissolved crystalloids (Pauli). The poisonous 
effects of water poor in ions upon the human organism 
(Koppe) may also belong under this heading.* Differ- 
ences in the concentration of ions brought about through 
differences in their migration velocities constitute the 
source of differences in elettrical potential. Loeb was 
probably the first who recognized in such "concentration 
chains" the cause of the majority of the electrical phe- 
nomena observed in animal organs. 

We are far from a satisfactory insight into the nature 
of the effects of ions the elements of which may be 
electrical in character. Nevertheless, we know enough 
to be able to say definitely that a certain effect is quan- 
titatively determined by ions, if it follows the general 
principles outlined below: 

"Since very dilute solutions of electrolytes are almost 
completely dissociated, the effects brought about by such 
solutions may, as a rule, be looked upon as ion effects, 
and the electrically neutral molecules may be neglected 
because of their exceedingly small number. A pure ion 
effect must parallel the concentration of the ions and not 
the concentration of the substance itself; and at the same 
concentration of substance be dependent upon the degree 
of dissociation, which can be varied, without a change in 
volume, through the addition of an electrolyte having a 
common or a different ion. When anion and cation 



* A specific ion effect is not, strictly speaking, proved by this experi- 
ment, because the attempt to do away with the poisonous effects of the 
water through the addition of non-ionized substances such as sugar 
was not made. Moreover, Nansen and his followers in his polar expe- 
dition drank for months without harm the almost ion-free water ob- 
tained by melting natural ice. 



CELLS /IND TISSUES. 43 

both take part in the ion effect it must be possible to 
demonstrate the law of additive ion effects. If, however, 
the ion effect is connected with but one of the ions, 
then it is dependent only upon the concentration of the 
effective ion, and a variation in the opposite ion must, 
under otherwise unchanged conditions, be indifferent. 
The role of the electrically neutral molecules springs 
into prominence in proportion as the degree of electro- 
lytic dissociation is decreased." 

Examples of such ion effects are to be found in the 
papers of Dreser on the pharmacology of mercury, of 
LoEB on the absorption of water by muscle and in his 
much-discussed experiments on artificial parthenogenesis, 
of HoBER on the sense of taste, of Spiro with Scheurlen 
and Bruns, as well as Paul and Kronig, on the founda- 
tions of disinfection, of Pauli on changes in state in the 
proteins, etc. The laws governing the simultaneous 
action of several electrolytes can also be deduced from 
the ionic theory. Pauli and Rona have recently dis- 
covered an antagonism between the effects of different 
electrolytes and some non-electrolytes on the changes in 
state in colloids. 

In the living animal we have to deal with complex 
mixtures of crystalloids and colloids, between which 
there exist relations so varied "that they are in part still 
incapable of investigation. Connected with the uninter- 
rupted vital activity of the cell, the anabolism and cat- 
abolism of its substance, is the conversion of crystalloids 
into colloids and colloids into crystalloids, and this at 
present still entirely unexplained transformation serves 
at one time to protect a substance from oxidation, as in 
the conversion of sugar into the colloidal glycogen, while 



44 PHYSICAL CHEMISTRY IN MEDICINE. 

at another it protects the protoplasm against the poisons 
of its own products. Questions in absorption, secretion, 
pharmacology, and immunity are connected with these 
changes in state, a discovery of the nature of which 
must constitute one of the great aims of biochemical 
research. 

3. The Colloidal State and the Reactions that Go On in 
Living Matter.* 

I. 

Colloidal material enters into the construction of 
living matter in two forms — ^first, in the Uquid or solid 
state, in Graham's sense of the word, and, second, in 
the form of a more or less solid, swollen mass, at 
times sufficiently solid to have independent form, at 
others, because of its^ approximation to the semi-solid 
condition, still subject to the laws of surface tension 
governing liquids. We wish to consider in this paper 
some of the properties of this swollen (jelly-like) condition 
which can be attained not only through the absorption 
of the so-called "solvent" by the original solid material — 
for example, the absorption of water by dry gelatine — but 
also through "gelation" of the liquid colloid. This 
gelatinous state is of the greatest interest to the biologist 
in that it represents a state of aggregation in which the 
properties of a solid and those of a liquid are often united, 
a condition which is so frequently necessary in living 
matter. For this reason the experiments that have been 

* From Naturwissenschaftliche Rundschau, 1902, XVII, p. 312. 
Address delivered before the Morphologisch-physiologische Gesellschaft 
in Vienna, May 13, 1902, 



THE COLLOIDAL STATE. AS 

undertaken to obtain a better knowledge of the inner 
structure of these jelHes, partly from the standpoint of 
the morphologist, partly from that of the physical chemist, 
have not remained without influence upon important 
problems in general physiology. 

The systematic investigations of BtJTSCHLi, extending 
over more than a decade, tended to show that a fine 
honeycomb structure is present in all jellies, that, for 
example, ordinary solid gelatine when it has "set" con- 
sists of a framework made up of delicate gelatine walls, 
and that in this framework is contained a fluid gelatine 
of a low concentration. Expressed physico-chemically, 
every such jelly represents, therefore, a diphasic systein, 
for we call every physically or chemically homogeneous 
constituent of a heterogeneous complexity a phase. Other 
investigators looked upon the results they obtained in 
expression experiments on jellies as furnishing further 
proof for tTie existence in them of a homogeneous fluid 
phase beside a solid supporting framework, and this in 
spite of variations in the amount of gelatine contained in 
the expressed liquid and its dependence upon the amount 
of. pressure employed. These observations have led to 
the conclusion that living matter, too, is to be looked 
upon as made up of a honeycomb structure just as other 
colloids — a view which has been more and more adopted 
by physiologists and which has been utilized to render 
intelligible mechanical and chemical changes which go on 
in living matter. Butschli has, for example, used the 
radiating figures which appear about gas-bubbles in 
gelatine to explain the astrospheres which appear during 
cell division, 'for an undisputed similarity exists between 
the two pictures. Questions in absorption and the 



46 PHYSICAL CHEMISTRY IN MEDICINE. 

spacial differentiation of chemical processes have also 
seemed capable of a seductively simple solution by belief 
in the existence of a finely chambered structure in living 
matter. 

Against the very considerable evidence that has been 
brought forward for the existence of the honeycomb 
structure, any other conception of the constitution of 
jellies could hope to receive but little attention. Never- 
theless, the attempt is once more to be made, in the 
following pages to enter into a discussion of this difficult, 
but for the biological chemist so important, question of 
the structure of jellies. This will be followed by a dis- 
cussion of the possibility of explaining certain funda- 
mental properties of living matter which have been 
looked upon as an expression of its honeycomb structure 
independently of such a structure. 

II. 

Jellies are capable of a separation into two sharply 
defined phases ; in other words, they can be precipitated 
or coagulated. Such a precipitation can be brought 
about, for example, through the addition of the sulphates, 
acetates, tartrates, or citrates of the alkali metals. For 
the sake of clearness we will base our considerations upon 
the behavior of gelatine, which represents one of the 
most thoroughly studied among the jellies. The separa- 
tion during precipitation of a phase rich in gelatine 
from one that is poor can be observed not only micro- 
scopically, but also by allowing the precipitate to settle 
to the bottom of the vessel while kept in a thermostat, 
wben the phase poor in gelatine forms a distinct layer 



THE COLLOIDAL STATE. 47 

over that rich in gelatine. It will be well to compare first 
of all the laws governing this change in state, which is 
so well characterized through the formation of two phases, 
with the laws governing the solidification or gelation of 
colloids, for which, as has already been discussed, a sep- 
aration into two phases is also looked upon as a distin- 
guishing characteristic. 

Investigations which have" been carried on during 
past years have, however, disclosed a whole series of 
marked differences between these two processes, the 
more important of which are now to be briefly touched 
upon. 

The gelation velocity and the gelation-point of gelatine 
are always more or less influenced through the addition 
of crystalloids, which at times hasten, at other times inhibit 
gelation, when compared with the gelation when pure water 
only is used. This influence of the crystalloids is a pro- 
gressive one and increases in proportion to the amount 
added. 

The precipitation of gelatine is, on the other hand, 
strictly connected with the addition of definite amounts 
of the precipitating agent, amounts less than are sufficient 
for actual precipitation being without effect. 

While all crystalloids modify the process of gelation, 
even though they do this in different degrees and in 
different directions, only certain crystalloids are precipi- 
tating agents, while the others do not possess this power 
even in the most concentrated solutions. Gelatine, for 
example, is precipitated only through certain electrolytes, 
non-ionized crystalloids being effective at no concentra- 
tion. Non-conductors, such as urea and dextrose, can, 
however, influence the process of gelation just as effectively 



r-f 

48 PHYSICAL CHEMISTRY IN MEDICINE. 

as electrolytes, and this in both directions. Urea inhibits 
gelation, while dextrose favors it. 

If gelation consisted fundamentally in the formation 
of a phase rich in gelatine, then one would expect to 
find all precipitating salts among those substances which 
favor gelation. This is true, however, of only a part of 
the precipitating agents; the precipitating chlorides of 
potassium and sodium exert-even a liquefying action upon 
gelatine to a considerable extent. 

The following fact also speaks in favor of a strict 
separation between the two kinds of changes in the col- 
loidal state. 

If the gelation-points are plotted as ordinates, the 
molecular concentrations of the added crystalloids as 
abscissas, one obtains curves which readily indicate the 
dependence of the gelation upon the added crystalloid. 
These curves show no irregularities throughout their 
course, not even when the amounts added approximate 
very closely those at which precipitation occurs. 

When several substances are allowed to act together, the 
differences between the laws governing precipitation and 
those governing gelation also evidence themselves. It could 
be shown on a large series of crystalloids that when more 
than one are allowed to act simultaneously upon a colloid 
the effects of the separate crystalloids upon gelation add 
themselves algebraically. This summation of the effects 
of the individual crystalloids is not altered when electro- 
lytes are combined with non-electrolytes, or these with 
each other, nor by the fact that through the combination 
of electrolytes having a common ion the degree of dis- 
sociation is reduced, nor by the valency of the ions. 

Put matters are entirely different when the gelatine 



THE COLLOIDAL STATE. 49 

is precipitated. The meeting of two electrolytes with a 
common ion favors precipitation, while certain non- 
electrolytes, such as urea and sugar, inhibit through 
their presence the precipitating power of electrolytes, and 
even cause already existing precipitates to go back into 
solution. These differences between the two changes 
in state may be made still clearer by citing a few 
examples. Thus gelation is greatly inhibited through 
the presence of bromides, while precipitation through 
electrolytes is markedly increased as soon as the added 
bromide contains a common ion. The combination 
sodium acetate — sodium bromide with the common Na 
ion is in this way a more powerful precipitating agent 
than the acetate itself. Again, dextrose favors gelation 
in that it elevates the gelation-point and increases the 
gelation velocity, and yet it inhibits the formation of a 
precipitate through a precipitating electrolyte as soon as 
the sugar is present in sufficient amount. 

The independence of the two changes in state evidences 
itself in this also, that through suitable selection of experi- 
mental conditions it is possible to produce precipitates 
in a solid and clear gelatine just as in a liquid one, and 
this without a change in the state of aggregation of the 
solid gelatine. 

It seems to me that what has been said proves Mdthout 
■ question that between the precipitation and the gelation 
of a colloid, at the basis of which fundamentally similar 
changes have been supposed to lie, there exist in reality 
profound differences through which the assumption of a 
related origin of the two phenomena has been rendered 
most improbable. In the same direction will be found 
to point an analysis of those facts which have always 



50 PHYSICAL CHEMISTRY IN MEDICINE. 

been considered as sufficient evidence for the primary 
coagulation structure of all solid colloids. 

III. 

The beginning of those investigations of Butschli on 
colloidal structures which must be considered in the gen- 
eral question that lies before us were observations on 
microscopic foams of gelatine and olive-oil, which when 
properly prepared furnish a framework of solidified gela- 
tine walls in the chambers of which is inclosed the fluid 
oil. 

BiJTSCHLi found that the structures which can be 
obtained through typical coagulation of colloids are also 
built according to this plan. Thin layers of egg albumin 
coagulated through heat or those precipitating agents 
which are generally known as "fixing-agents, " or aca- 
cia solutions precipitated with alcohol, precipitated 
liquid (peptonized) gelatines, etc., all show under the 
microscope the same characteristic, finely honeycomb 
structure. Up to this point the conclusions of the Heidel- 
berg zoologist, which are of great interest to the molecular 
physicist also, show a complete harmony between obser- 
vation and interpretation; and the value of Btjtschli's 
discoveries for the morphologist who utilizes analogous 
methods to render apparent cell structures is not to be 
underestimated. 

In the further course of his observations on colloids 
Butschli later concludes, from a study of substances in 
the condition of swelling (jellies), that these also have a 
true honeycomb structure identical with that observed 
in coagulation foams and in typical coagulations. Only 



THE COLLOIDAL STATS. gt 

this honeycomb structure is ordinarily not convincingly 
demonstrable; it becomes distinctly visible, however, 
under certain experimental conditions. 

A closer study of the conditions which make apparent 
the honeycomb structure teaches us, however, that we 
have to deal in every case with the introduction of true 
coagulation or precipitation phenomena governed by the 
laws already outhned above. By far the most thorough 
investigations bearing upon this subject have also been 
carried out on solidified gelatine, and upon these Butschli 
supports in the main his belief in the primary honey- 
comb structure of all swollen media, and consequently 
also that of native protoplasm. 

But, as has already been pointed out, even though 
neither direct observation nor tinctorial methods — and 
this in spite of the well-known marked affinity of gelatine 
for dyes — have rendered it possible to prove the existence 
of a honeycomb structure in untreated gelatines, such a 
structure is, nevertheless, supposed to exist in all prob- 
ability. The reasons which Butschli has brought for- 
ward in support of this idea can only very briefly be given 
here and their tenability be tested. 

The reason why it is normally impossible to see the 
walls constituting the framework of gelatine is, according 
to one author, dependent in part upon the fact that they 
are pliable and when dried in vacuo, for example, adhere 
closely to each other, in part upon the fact that the 
difference between the indices of refraction of the walls 
of the framework and of the substance found within 
them is too little to give distinct pictures. These walls 
of the honeycomb structure can, however, be rendered 
more solid and dense through the action upon them of 



52 PHYSICAL CHEMISTRY IN MEDICINE. 

chromic acid, alcohol, or ether, when their optical recog- 
nition is made much easier. Any one can at any time 
prove to himself that a thin layer of gelatine when treated 
with dilute chromic acid according to Butschli's instruc- 
tions becomes opaque and white, and shows under the 
microscope a very regular, finely chambered structure 
entirely identical with the picture found in true coagula- 
tions of colloids. But we are supposed to deal here not 
with a true coagulation, but, as BiJTSCHLi expresses it 
in a by no means clear and unequivocal way, with a 
"kind of coagulation" through which a preformed struc- 
ture becomes visible. 

That structures which have been produced through the 
action of alcohol disappear when put into water, to 
reappear in exactly the same form when subjected a 
second time to the action of alcohol, does not argue at 
all in favor of the primary nature of the structure. The 
explanation of this phenomenon is easily found in the 
well-known properties of the changes in state which 
colloids suffer. The change which is brought about in 
gelatine through alcohol is, in contrast to that produced 
through chromic acid for example, simply reversible. 
Since, however, changes in state take place only very 
slowly in gels, these are, if at all, only gradually and 
scarcely completely reversible. It is readily intelhgible, 
therefore, why under these circumstances structures 
which have once been produced and which are not 
entirely destroyed even through remelting of the gelatine 
reappear in their old form. 

That a fluid condition of the colloid is necessary for 
the production of coagulation structures, as BtrxscHLi 
believes, and that these structures must be present 



THE COLLOIDAL STATE. S3 

as soon as the colloid solidifies, can be readily shown to 
be untrue through the production of precipitates in clear, 
solidified gelatine. For, since the precipitation limits of 
many electrolytes, such as the sulphates, citrates, and 
tartrates of the alkali metals, are dependent upon tem- 
perature in such a way that they are lowered with a de- 
crease in the temperature, it is an easy matter to prepare 
salt-gelatines in which heavy precipitates do not appear 
until the soHdification temperature has been long passed 
■ — in other words, in the clear and solid gelatine. Such 
coagulations are subject to the well-defined effects of 
coagulation "germs" in the same way as those which 
occur in a fluid medium. The beautiful figures which 
LiESEGANG has been able to produce in colloids with 
the aid of precipitates all rest, in the main, upon the 
"germ" action of previously produced coagulations. In 
such processes is also found an unforced explanation of 
the phenomenon, used by Butschli as an argument in 
favor of the existence of a primary honeycomb structure, 
that deHcate granules when suspended in gelatine are 
always found in the nodal points and walls of the frame- 
work. The reason for this is that these foreign bodies 
all act as coagulation germs. For the same reason, the 
chambers of the honeycomb structure arrange themselves 
in rows which correspond with the lines produced on 
the sHde in polishing it. And just as little will we be able 
to consider it proof of a preformed foam structure that 
the coagulations which take place in colloids mirror all 
the stresses that appear in it, due in part to shrinkage 
while drying, in part to the contraction of cooling air 
bubbles. 
As further support for belief in a preformed structure, 



S4 PHYSICAL CHEMISTRY IN MEDICINE. 

observations are utilized which are noticed when delicate 
gelatine threads that have been kept in absolute alcohol 
or have been dried in the air are subjected to the effects 
of tension or pressure. If such threads are stretched or 
bent, microscopic examination reveals a cross-striation 
upon their surface corresponding with parts of the 
threads that have become white and opaque. The cen- 
tral portion of the threads may retain its hyaline char- 
acter. That we are dealing in this case with more or 
less well-marked breaks in continuity is without question 
when the manner of their production is considered. 
BuTSCHLi explains the regularity of the pictures which 
are produced by sayiag that the chambers of the stretched 
honeycomb structure of the gelatine give rise to a system 
of stripes which cross each other diagonally, just as is 
the case with a net when this is pulled in certain direc- 
tions. It would be an argument in favor of this explana- 
tion if it could be shown that in gelatine threads which 
had previously not been treated with fixing-agents the 
distance between the stripes is less than the diameter of 
one of the honeycomb chambers. This is, however, not 
the case. In a large number of measurements Butschli 
has determined the diameter of the latter to be 0.7 ji in 
gelatine that has been treated with chromic acid or 
alcohol, while the distance between the stripes in untreated 
gelatine threads is 2.1 to 2.3 /i. That the honeycomb 
structure of gelatine threads which have been treated 
with precipitating agents is more or less cross-striated 
cannot seem strange when the systems of cross-striation 
are looked upon as expressions of a definite distribution 
of tension and pressure in the threads. As has already 
been described above, such stresses may impress them- 



The COLLOID/IL statb. ii 

selves upon coagulations also, and under favorable con- 
ditions may evidence themselves even about fine suspended 
granules. A satisfactory explanation of the fact that ten- 
sion alone may make a honeycomb-like structure visible, 
BuTSCHLi is unable to give, because of lack of observa- 
tions directed toward this point. But surface structures 
similar to those described above frequently appear, in 
different substances that have been stretched or com- 
pressed, in part as an expression of the incomplete 
mechanical homogeneousness of these bodies. Honey- 
comb and fibrillar pictures are found on the surface of 
stretched and compressed metals, and we can justly 
put into this class also the cross-striated structures ob- 
served by BiJTSCHLi on delicate threads of Canada balsam, 
without assuming, with this author, that this resin also 
possesses a preformed honeycomb structure. Interesting 
and worthy of further study as these observations may 
be, they furnish conclusive evidence of the primary 
honeycomb structure of colloids just as little as the 
already described experiments dealing with the question 
of rendering this structure visible. That we are dealing 
with a true coagulation whenever a structure is rendered 
visible, and not, as BiJTSCHLi thinks, with a condensation 
of primary supporting walls, in a certain sense a more 
advanced stage of simple gelation, is shown by the follow- 
ing experiment, which to my mind is conclusive. 

In order to recognize its nature, let us recall to mind 
the already discussed laws governing coagulation, on the 
one hand, and gelation, on the other, under the influence 
of combinations of electrolytes and non- electrolytes. 
These two classes of substances add themselves alge- 
braically in their effect upon gelation, while the coagu- 



S6 PHYSICAL CHEMISTRY IN MEDICINE. 

lation brought about through electrolytes does not occur 
if such non- electrolytes as urea or sugar are present; in 
fact, an already existing coagulum is made to go back 
into solution when these substances are subsequently 
added. If thin layers of gelatine spread upon slides are 
introduced for fifteen minutes into a 0.3 per cent, chromic 
acid solution kept at an even temperature of about 23° C, 
the beautiful coagulation structures are produced which 
BtTTSCHLi has described and pictured. As soon, how- 
ever, as urea is added to the chromic acid solution in the 
concentration of i.o molecular, the gelatine does not 
become opaque, and a formation of structure as described 
above does not take place, even when everything else in 
the experiment is arranged as before. The gelatine 
remains clear, and examination with even the highest 
powers of the microscope shows it to be homogeneous. 
Urea in the concentration of 0.25 molecular is without 
effect, while concentrations above 2.0 molecular lead to 
excessive swelling and solution of the layer of colloidal 
material. That we are dealing in this experiment not 
with the inhibiting effects of urea upon gelation, but 
with its anti-coagulating effects, is shown by the follow- 
ing. Chlorides cause an excessive swelling and prevent 
gelation in the same way as urea, a 2.0 molecular sodium 
chloride solution being equal to a i.o molecular urea 
solution. Yet chlorides have as electrolytes no inhibiting 
effect upon coagulation. Corresponding with these facts, 
it is found that an addition of sodium chloride to the 
chromic acid solution equivalent in effect to an adequate 
amount of urea does not at all prevent the formation of 
the typical coagulation structures in the gelatine prep- 
arations. These experiments prove definitely that in the 



THE COLLOIDAL STATE. 57 

formation of structures in gels we are dealing with true 
coagulations. The experiments may easily be varied and 
similar results be obtained by using other fixing agents and 
non-electrolytes. It may be pointed out, in passing, that 
histology could easily employ to advantage this property 
of the non-electrolytes, especially that of urea, for obtain- 
ing a finer gradation in its methods of hardening and 
fixing tissues, as well as for causing changes brought 
about through these methods to disappear more or less 
perfectly. 

All physico-chemical investigations that have been de- 
scribed here indicate, therefore, that the condition of 
swelling in colloids is not to he looked upon as a diphasic 
one, and that the reasons which have thus far been 
advanced in favor of such an assumption do not bear 
careful criticism. We can therefore find in the prop- 
erties of the jellies no arguments for believing that proto- 
plasm is a strictly diphasic system having a finely 
honeycomb structure. No doubt the substance of the 
cell may, in those instances in which we have to deal 
with inclusions of such substances as colloidal carbo- 
hydrates or fats, represent a heterogeneous complexity 
with phases the relations of which to each other are 
subject to the laws of chemical equilibrium. In general, 
however, such inclusions take part only indirectly in the 
actual life processes of the cell. At present no cogent 
reason exists for not believing that the mass which is 
looked upon as the bearer of life processes may not well 
be monophasic in structure. 

According to a view expressed years ago and based on 
studies of the vi^ay in which water is held in gels, the 
colloidal particles of the latter are believed to contain 



58 PHYS1C/1L CHEMISTRY IN MEDICINE. 

the liquid producing the swelling in combinations vary- 
ing from those that are exceedingly loose to those that 
are very firm. In this way is rendered possible a great 
diversity in absorption phenomena as well as the formation 
of solid and liquid solutions. From this metastabile con- 
dition of equilibrium the gel gradually endeavors to 
attain one in which all the colloidal particles are swollen 
to the same degree. In living matter colloidal material 
is being constantly broken down and built up anew, and 
in this way the progress toward a final condition of 
equilibrium in the molecular disposition of the liquid 
producing the swelling is steadily destroyed. 

, IV. 

The colloidal constitution of living matter is intimately 
connected with one of the most important problems in 
biological chemistry, i.e., with the question of the spacial 
differentiation of the chemical reactions in protoplasm. 
Since colloids resist the diffusion into them of other col- 
loids, it is self-evident that through the presence of 
different colloids within a cell as many different localities 
are provided in which chemical reactions having a more 
or less different course may take place.* With the 
exception of these coarser divisions between chemical 
reactions, physiological experience compels us to believe 
that chemical reactions of the most different kinds are 
simultaneously possible in the homogeneous, colloidal 
ground-substance of the cell. In even the smallest par- 

* The great importance of the differentiation of the cell into nucleus 
and cell body has been proven beyond question. Reactions that are 
connected with the heterogeneous constitution of the cell no longer 
take place when the cell is destroyed mechanically. 



THE COLLOIDAL STATE. 59 

tides of protoplasm antagonistic chemical reactions, such 
as oxidation and reduction, hydration and loss of water, 
condensation, polymerization, synthesis, and their oppo- 
sites, or, generally speaking, as Hering puts it, assimila- 
tion and dissimilation, are able to occur through and 
beside each other. 

In a suggestive lecture on the phemical organization 
of the cell, one of the greatest of present-day biochemical 
investigators has thrown much light on this important 
problem and has assumed for its solution the existence 
of a finely chambered structure in colloids and the im- 
permeability of the colloidal walls.* Just as the chemist 
allows different chemical reactions to take place in different 
vessels, the cell is believed to utilize the different chambers 
of its honeycomb structure and, with the help of the 
colloidal ferments, the number and knowledge of which 
is daily growing, allow the necessary reactions to go on 
independently of each other. 

As the considerations outlined above have shown that 
we lack at present any adequate foundation for believing 
that living matter has a honeycomb structure, the ques- 
tion arises whether it is possible for antagonistic chemical 
reactions to take place in exceedingly small spaces with- 
out the help of any structure. An analysis of such 
antagonistic reactions brings with it, I believe, their 
satisfactory explanation, based upon numerous facts and 
teachings of physical chemistry. 

* HOJMEISTER (Naturw. Rundschau, 1901, XVI, p.s8i) supports the 
hypothesis of a finely chambered structure in protoplasm upon chemical 
grounds which need not be discussed here. We have first to settle 
the question whether antagonistic reactions can at ^11 take place in a 
liomogeneoijs subsfratp. 



6o PHYSICAL CHEMISTRY IN MEDICINE. 

The chemical reaction 
CH3COOH + C2H50H<=iCH3COOC2H5+H20 



Acetic acid Ethyl alcohol Ethyl acetate Water 

furnishes a picture of a simple reaction which may take 
place in either direction. If we begin with a mixture of 
chemically equivalent amounts of acetic acid and ethyl 
alcohol, the reaction takes place from left to right, with 
the formation of ethyl acetate and water; and conversely, 
if the latter are added to each other, the reaction takes 
place in the reverse direction. Whatever the starting- 
point, the final result is a definite state of equilibrium 
between all the end products. Depending upon the 
direction toward which the equilibrium-point is pushed, 
at one time the one reaction, at another time the other, 
may have the upper hand. The manner in which such 
an equilibrium-point can be displaced is illustrated by 
the change that systems such as the above suffer under 
the influence of an increase in temperature. According 
to a well-known law, an increase in temperature pushes 
the equilibrium toward the side of the endothermic reac- 
tion. 

The following equations, in which letters have been 
used in place of different chemical formulas, illustrate 
some types of such reactions which in practice take 
place only in the one or in the opposite direction: 



A->rm=B 
B—m=A 



(a4-/3-l-r+ ...)-m=M \ 



THE COLLOIDAL STATE. 6 1 

One can at any time imagine either O or H2O written 
into equation I instead of m, and so obtain the picture 
of a simple reversible reaction — an oxidation and a reduc- 
tion, or a hydration and a loss of water, following the 
type of a simple reaction which may take place in either 
direction; or in equation II a condensation or a hydro- 
lytic cleavage. General biochemistry has until now 
taken notice of only this type of antagonistic reaction, 
that is to say, reactions which counteract each other in 
the sense of positive and negative values. 

There exists, however, among the reaction chains in 
the body a second apparently very common type of 
antagonistic reaction, the nature of which can be best 
illustrated by certain changes in physical state that 
colloids are capable of suffering. 

It is a well-known fact that with the customary methods 
of investigation it is found that the melting-point and 
the solidification- point of the crystalloids coincide. It 
is different, however, in the case of the colloids, in which 
these two points may lie some distance apart, even when 
the changes in temperature are brought about most care- 
fully. In consequence of the indolence with which 
changes take place in colloids, superheating and under- 
cooling are the rule. A gelatine the temperature of 
which lies between the melting-point and the gelation- 
point shows in consequence a peculiar behavior. If such 
a gelatine is cooled to beyond the gelation-point and is 
then carefully warmed back to the original temperature, 
the gelatine remains solid; if, however, the gelatine is 
heated to beyond the melting-point and is then carefully 
cooled down to the starting temperature, it remains 
liquid. . A change in state, therefore, impresses itself upon 



62 PHYSIC/IL CHEMISTRY IN MEDICINE. 

the colloid and determines the condition in which the 
colloid will ultimately be found. In other words, a colloid 
seems to remember more or less perfectly a change that 
it has suffered, just as does living matter. If gelation 
and melting followed the same course, only in opposite 
directions, then a gelatine, when it has returned to its 
original temperature, should also be existing in its original 
state, no matter in which direction it had previously 
suffered a change in temperature. That we have to do 
in this case with reversible changes that follow different 
paths is evidenced by another property of this change 
in state. If one compares the curves indicating the 
melting- and gelation-points of gelatines of different 
concentrations, obtained by plotting the concentrations 
upon the abscissas and the corresponding melting- and 
gelation-points upon the ordinates, it is seen that the 
two processes are dependent in different ways upon the 
concentration of the gelatine. The gelation curves follow 
an approximately straight line; the melting curves, on 
the other hand, rise gradually, but in a decreasing degree, 
above the abscissa. 

In contrast to the previously described simple or homo- 
drome antagonistic reactions, which follow the same 
course in either direction and which behave at any stage 
as mathematical values having different signs, we are 
dealing in this case with complex or heterodrome antag- 
onistic reactions, which reach their respective end states 
along different paths. (See Figs, i and 2.) 

In what follows we will make use of these simple dia- 
grams in characterizing the antagonistic reactions. 

Heterodrome reactions of a chemical nature play 
an important rple in the changes that go on in living 



THE COLLOIDAL STATE. 63 

matter. They may be readily illustrated by a few 
examples. 
The equations 



A-\-m 
B—ml 



^=■8 It 



A=l-\-m+n+ . . .) 

represent, when m and m' indicate differently placed 
O or H2O groups, cases in which, as in la, oxidation 

'lllllliliiiiiiiiiiiiiiiiiiiiii ^ "^ "^ 




Fig. I. Fig. z. 

and reduction, or hydration and splitting off of water, 
follow a heterodrome course; or, as in Ila, cases in which 
the decomposition products are different from the sub- 
stances employed in the synthesis. 

The principle of antagonistic reactions remains the 
same whether they take place under the influence of 
substances that increase the velocity of the reactions, so- 
called catalyzers,* or not. In the organism we have 
acting as such catalytic agents mostly ferments, which 
are capable of acting only upon certain substances, and 

* No doubt the catalyzers determine also the direction of a reaction, in 
that the reaction follows a qualitatively different course under the influence 
of different catalytic substances. If one holds fast to the above-mentioned 
(Ostwald's) definition of catalysis, then we would be dealing in this 
case with several simultaneously possible reactions, of which different 
ones are accelerated hy diffprpnt catalyzers, while the jrest remain not 
(lijcpverablpr 



64 PHYSIC/1 L CHEMISTRY IN MEDICINE. 

playing a r61e, therefore, only when these substances 
appear in the organism. 

Such catalyzers can act, as was first pointed out by 
VAn't Hoff, in two directions, depending upon the 
relations existing between the substances originally present 
and those formed. In this way, as has recently been 
shown, amygdalin cannot only be split into amygdalic 
nitrilglucoside and glucose under the influence of yeast 
maltase, but also be formed synthetically from these two 
substances with the help of the same enzyme. One and 
the same enzyme can, according to conditions, accelerate 
the one or the other homodrome antagonistic reaction. 
In the animal organism the synthesis of glycogen from 
dextrose and the sphtting of glycogen into dextrose might 
in part, at least, represent a simple antagonistic reaction 
governed by a single eazyme; while the synthesis of 
starch in plants and its diastatic splitting into glucose 
or maltose represents a heterodrome antagonistic reaction 
in which the synthesis has the upper hand by day and 
the analysis by night. 

It is also possible, however, that two catalyzers may 
act in such a way upon a homodrome antagonistic reac- 
tion that the one accelerates the conversion of the system 
in the one direction, while the other does it in the opposite 
direction. This is the case when the two catalyses go 
hand in hand with different equilibrium-points in the 
two reactions that constitute the simple antagonistic 
reaction. An example of this sort will be given later. 
The deposition and solution of the calcium salts of the 
bone represents a simple reversible reaction which, with 
the aid of special cells, the osteoblasts and osteoclasts, 
can, according to physiological needs, be divided, and 



THE COLLOIDAL STATE. 65 

the two reactions occur independently of each other in 
entirely separate localities. 

In heterodrome antagonistic reactions the acceleration 
of the two reactions by one and the same catalyzer is 
impossible; one catalyzer can be effective in only one of 
the two reactions. A reaction can take place in one 
direction, and at a certain stage — for example, after a 
condensation or polymerization through one enzyme — be 
switched into another direction; or the components of 
the complex antagonistic reaction may be influenced 
through two different catalyzers. Between two catalyzers 
which displace the equilibrium of a homodrome antag- 
onistic reaction in opposite directions, there exists a true 
antagonism, while a complex antagonistic effect exists 
where the two components of a heterodrome reversible 
reaction are governed by two catalyzers. We may ther£- 
fore distinguish also bety^een simple and complex antag- 
onistic ferments. 

A suitable example of a heterodrome antagonistic re- 
action in metabolism is furnished by the formation and 
destruction of uric acid in the animal body. The funda- 
mental investigations of H. Wiener have thrown light 
upon this subject. Wiener found that the " surviving" 
ground-up pulp of different animal organs has the power 
of both forming and destroying uric acid. In the liver 
of the ox the two processes can take place simultaneously 
and are, no doubt, dependent upon the activities of two 
different catalyzers. As the sensitiveness of . the two 
catalytically acting substances toward heat is different, 
the two chemical changes can be separated from each 
other, the power to decompose uric acid being lost later 
than the power to form it. That we have to do here 



66 PHYSICAL CHEMISTRY IN MEDICINE. 

with a heterodrome reaction is indicated by the fact that 
none of the substances which are formed in the destruc- 
tion of the uric acid can be built up into the original 
uric acid. 

It would lead us too far afield to discuss further the 
fate of the different substances that enter into the metab- 
olism of the organism in the light of our conception of 
antagonistic reactions which can be combined among 
themselves in the greatest variety of ways. In the last 
analysis, no doubt, it is because the reaction is a hetero- 
drome one that no path exists in the animal body over 
which urea can- again be built up into protein. 

The two components of an antagonistic reaction are 
dependent upon each other only in so far as the one 
furnishes the material necessary for the other. We can 
easily see how in the fact that they can follow different 
courses there resides the possibility that they can take 
place simultaneously and side by side. This explains 
also why ferments acting in opposite directions can 
exhibit their characteristic effects without the presence 
of separating walls — in molecular proximity to each 
other, as it were. 

Such reactions can without mutual interference take place 
side by side, just as sound, light, and electric waves, or 
currents oj heat, electricity, and diffusion, can pass through 
a medium simultaneously. 



The idea of homodrome and heterodrome antagonistic 
reactions, as deduced from a consideration of changes 
jO th^ colloidal state ^nd in metabolism, is closely related 



THE COLLOlD/tL ST/lTB. 67 

to facts which furnish a welcome support of this concep- 
tion in the physiology of the senses. 

As early as 1865, through his complete recognition of the 
relation between the physical and psychic elements of a 
sensation and through the assumption that every quality of 
a sensation has lying at the bottom of it a specific change 
in the substance of the nerve, which for the same sensation 
is the same, and for similar sensations partly identical. 
E. Mach laid the foundations from which, through an 
analysis of the sensations, a knowledge of the changes 
that go on in living matter has been obtained. In his 
hands and through the work of E. Hering, who, some- 
what later and independently of Mach, set up the same 
principle of research, this led to a great enrichment of 
the physiology of the senses. Upon these same founda- 
tions Hering has built up his famous theories of the 
sense of light and color, a theory of the temperature sense, 
and finally a general theory of the changes that go on in 
living matter. The great and fruitful significance that 
these principles possess, not only for questions in the 
physiology of the senses, but also for general physiology 
and for a recognition of the aims and limits of scientific 
research in general, could only temporarily be belittled, 
through the mighty authority of a Helmholtz. To-day 
when this combat is a thing of the past and the teaching 
of Mach and Hering has made itself felt in the most 
varied branches of science, we recognize that in decades 
general physiology has enjoyed no such significant increase 
in enlightenment as has been furnished by the Mach- 
Hering analysis of the sensations and the physical changes 
that lie at the bottom of these sensations. 

We will enter into this physiology of the senses only 



63 PHYSICAL CHEMISTRY IN MEDICINE. 

far enough to show that it contains all those elements 
which we discovered in the discussion of another subject. 
The idea that antagonistic reactions must be possible 
in even the smallest particles of protoplasm we meet in 
Hering's theory of the changes that go on in living matter. 
In the discussion of assimilation and dissimilation, he 
writes : 

" But in separating the mental conceptions of these 
two processes we must not be misled into thinking of 
them as two processes which, while they go on side by 
side, are really separated, and into imagining living sub- 
stance to be within itself a resting mass that on one side 
only analyzes matter and on the other only synthesizes 
it ; but rather as a copper wire dipping with both its ends 
into copper sulphate, which when it is traversed by an 
electric current suffers at one end a loss of copper by 
going- into solution, while at the other end it has copper 
deposited upon it. We must rather imagine assimilation 
and dissirriilation as two closely interwoven processes which 
constitute the still unknown metabolism of living matter, 
and which take place simultaneously in even the smallest 
particles of living matter, for living matter represents not 
something fixed or resting, but something more or less 
labile." 

The investigations of Hering on the sensations of 
light and color led him to the assumption of three kinds 
of antagonistic processes in the visual substance, corre- 
sponding with the three pairs of sensations, red-green, 
yellow-blue, and black-white. The red-green and the 
yellow-blue reactions each constitute a pair of antagonists 
which mutually destroy each other, so that only the 
simultaneous black-white reaction remains. Red and 



THE COLLOIDAL STATE. 69 

green or yellow and blue cannot be perceived at the 
same time, while black and white can be perceived simul- 
taneously and can be mixed in different proportions in 
the gray sensations. That we are deahng in this case 
with two kinds of antagonistic processes has been suf- 
ficiently emphasized by Hering. 

Mach has also pointed out in a general way the 
essential difference between the two kinds of antagonistic 
processes in his doctrine of the sensations of motion. 
While criticising Plateau's' oscillation theory Mach 
writes : 

" When two things, A and B, are designated as positive 
and negative with regard to each other, one understands 
thereby that A can, through the addition of B, be in 
part or entirely destroyed. This relation exists between 
many sensations and their after-images, but not be- 
tween all. It exists, for example, between the percep- 
tion of a movement and its after-iinage, which is an 
entirely similar movement, but of an opposite character. 
It does not exist, however, between the sensations black 
and white, of which the one may also be the after-image 
of the other. Both sensations are entirely different from 
each other, and the two together do not annihilate each 
other, but produce, as do two different colors, a mixed 
color, namely, gray. In this case, therefore, the terms 
positive and negative are not appropriately applied." 

According to our conception, those antagonistic reactions 
that behave as positive and negative values are homo- 
drome, the other heterodrome reactions. 

Nothing stands in the way of regarding the individual 
kinds of light as catalyzers of antagonistic reactions. 
.Corresponding with this idea, we would pronounce the 



70 PHYSICAL CHEMISTRY IN MEDICINE. 

red-green reaction and the yellow-blue reaction as homo- 
drome antagonistic ones, the mobile equilibria of which 
can be pushed in opposite directions under the influence 
of two catalyzers. But these reactions may at one time 
take place in the one direction, at another in the opposite 
direction, so that red and green can never be simultaneously 
discovered in a color, no more than blue and yellow. The 
black-white sensation would, on the other hand, represent 
a heterodrome antagonistic reaction which, under the 
influence of white light, moves along one course, but en- 
deavors spontaneously to move back along another. As 
these oppositely running components of the antagonistic 
reaction can occur side by side, black and white can 
be perceived simultaneously. 

With this we will bring our consideration of antag- 
onistic reactions in living matter to an end. A more 
detailed study of the questions which are involved is 
reserved for a future paper. 

If, in conclusion, we look back once more over the 
path that has been traversed, every step seems to indicate 
that physico-chemical investigations of a substance that ' 
is closely related to living matter are able to throw much 
light upon the conditions that exist in living matter. In 
fact, we see that the experimental results obtained in 
this way pass over to meet those which direct observation 
of the changes that go on in living matter yields. 

Investigations of this kind are well suited to show how 
all biological methods are of the same value, in that 
they leave no room for strictly mechanistic or vitalistic 
tendencies. They form a mighty support for the true 
scientific monism. The investigator, however, they fill 
with a conception of those overpowering feelings of the 



THERAPEUTIC STUDIES ON IONS. 71 

explorer who imagines himself upon an island until he 
discovers a connection with the scarcely measurable 
continent beyond. 



4. Therapeutic Studies on Ions.* 

"The acquisition of a new truth is like the acquisition 
of a new sense, which renders a man capable of perceiving 
and recognizing a large number of phenomena that are 
invisible and hidden from another, as they were from him 
originally." — Chemische Briefe. 

With scarcely more fitting words than these of the old 
master Liebig can we characterize the increase in scien- 
tific knowledge and the establishment of new methods 
of work and points of view for which we are indebted 
to the application of the laws of physical chemistry to 
questions in biology and even in practical medicine. If 
we try to determine, from the varied and many advances 
that have been made, along what lines these were made, 
it can be easily shown that the application of three es- 
pecially of the fundamental laws of physical chemistry to 
biological problems has been most fruitful. These are 
the law of chemical mass action of Guldberg and Waage, 
which permits of an insight into the course, the velocity, 
and the ultimate equilibrium of chemical reactions; the 
theory 0} osmetic pressure, which has discovered to us 
the common properties possessed by any series of solutions 
independently of the nature of the dissolved substances; 
and the theory of the electrolytic dissociation of certain 
dissolved substances, the foundation of which resides 



* From Miinchener medizinalische Wochenschrift, 1903, p. 153. Ad- 
dress delivered before the K. k. Gesellschaft der Aerzte, Vienna. 



72 PHYSICAL CHEMISTRY IN MEDICINE. 

in the partial dissociation into electrically charged ions 
which salts, acids and bases suffer when dissolved in 
certain solvents, especially water. 

The effects of salts within and without the organism 
must all be treated from the standpoint of how far the 
electrically charged ions or the electrically neutral mole- 
cules play a part. Such an investigation, carried out 
from both a theoretical and a practical point of view, is 
to form the subject of my address to-day. 



It is evident that there exist different ways in which 
the unknown pharmacological properties of a substance 
may be studied. As least practical and economical would 
to-day be the attempt to employ the substance directly 
in cases of illness. The animal experiment is little better, 
and is of use only when it is possible to reproduce the 
disease artificially in a more or less perfect way, as in 
the case of the infectious diseases. Modern pharma- 
cology has been very successful in predicting the nature 
of the therapeutic effect of newly discovered chemical 
compounds from their chemical constitution. There 
exists, however, another way which, though still but 
little used, renders it possible under suitable conditions 
to discover unsuspected pharmacodynamic relations. 
This is the application of a principle which I published 
years ago, and which has since then rendered possible 
the solution of difi&cult problems in physiology. This 
may be called the principle of the manifold analogies 
which exist between the changes in state suffered by colloids 
and the changes thai take place in living matter. In 



THERAPEUTIC STUDIES ON IONS. 



73 



attempting to apply this principle, let us discuss first 
of all the mutual effects of proteins and salts upon each 
other. 

As is well known, proteins suffer a change in state, in 
the presence of many salts — they are precipitated in solid 
form. In the case of the salts of the alkali metals and 
magnesium this precipitation does not occur until a cer- 
tain, fairly high concentration has been reached. The 
precipitate redissolves when the solution is diluted; the 
process is, in other words, reversible. We will discuss 
first of all the laws governing these reversible precipi- 
tations. 

If the salts are arranged according to their power of 
precipitating protein (as determined by the use of chem- 
ically equivalent solutions), the following table is ob- 
tained. -I- indicates that the protein is precipitated,— 
that it is not, n. s. that the salt has not been studied. 



Cations. The precipitating power increases- 



I. Fluoride 

II. Sulphate 

III. Phosphate 

IV. Citrate 

V. Tartrate 

VI. Acetate 

VII. Chloride 

VIII. Nitrate 

IX. Bromide. 

X. Iodide 

XI. Sulphocyanate. . 



I 


a 


3 


4 


Mg 


NH4 


K 


Na 


n. s. 


+ 


+ 


+ 


+ 


+ 


+ 


+ 


n. s. 


+ 


+ 


+ 


il. E>. 


+ 


+ 


+ 


n. s. 


+ 


+ 


+ 


— 


— 


+ 


+ 


— 


— 


+ 


+ 


— 


— 


— 


-t- 


n. s. 


— 


— 


— 


~ 


~ 


~ 


~ 



s 

Li 



n. a. 

4- 
n. s. 
n. s. 

XI. a. 

n. s. 

-I- 

-1- 

+ 
n. s. 
n. s. 



For one and the same anion the precipitating power 
increases from magnesium toward lithium, and for each 



74 PHYSICAL CHEMISTRY IN MEDICINE. 

metallic ion the precipitating power decreases in the 
direction from fluoride toward bromide. No matter which 
anion we take, therefore, we find that the cations always 
follow the same order when arranged according to their 
precipitating power, and, conversely, that with any cation 
the anions always follow the same order when they are 
arranged according to their precipitating power. This 
law may also be stated thus: The precipitating power 
of a salt is determined by the sum of the powers of its 
individual ions, which act in large part independently 
of each other. 

In what way, now, do the anions and the cations act ? 
It might be thought, first of all, that both the metallic 
and the acid ions of a salt have a specific precipitating 
effect, and that the sum of these two positive values 
constitutes the precipitating power of an electroljrte. 
According to this conception, the precipitating power 
of sodium acetate would be made up of the precipitating 
effect of the sodium ion plus that of the acetic acid ion. 
Many salts are known, however, which in spite of their 
ready solubility precipitate protein in no concentration, 
so that the above explanation does not hold at all in 
these cases. Ammonium acetate, for example, does not 
precipitate protein in any concentration, while the acetic 
acid ion of sodium acetate and the ammonium ion of 
ammonium sulphate are both strong precipitants. An 
explanation without contradictions is offered by the fol- 
lowing experimentally supported conception. Only the 
metallic ions, or cations, act as the precipitating constituents 
of the salts, and the oppositely charged anions inhibit 
this precipitating property. 
It is self-evident that only those salts will precipitate 



THERAPEUTIC STUDIES ON IONS. 75 

protein in which the precipitating power of the cations 
exceeds the inhibiting effects of the anions. Let us 
study the above table with this idea in mind. The table 
shows along the horizontal the metaUic ions arranged 
in the order of their precipitating power, along the vertical 
the anions arranged iri the order of their inhibiting effect. 
It is now at once intelligible why sodium nitrate, with 
its powerful precipitating sodium ion, coagulates protein, 
while the weaker precipitants, K, NH4, and Mg ions, 
are overcome in their effects by the antagonistic NO 3 
ion. Only the Uthium salt of the bromides precipitates, 
and so we might go on. 

The table discloses yet other facts. If it is true that 
the effect of salts upon proteins is determined through 
the antagonistic properties of their ions, then there must 
exist not only salts which precipitate protein or are in- 
different, but also such as prevent precipitation or dis. 
solve already existing precipitates. Observation has con- 
firmed this important conclusion. When it has been 
determined experimentally that a certain salt behaves 
indifferently toward protein, then it will be found that 
all other salts found to the right and above the point 
occupied by this salt in the table will have precipitating 
properties, while salts found to the left and below this 
point wiU inhibit protein precipitation. The fact that 
it has been the protein-precipitating salts which have 
until now chiefly held the attention of investigators has 
prevented the recognition of this conspicuous phenom- 
enon. 

An experiment wiU best illustrate what has been said. 
Each of this series of test-tubes contains the same amount 
of solvent, and neutral potassium tartrate in sufficient 



76 PHYSICAL CHEMISTRY IN MEDICINE. 

amount to precipitate protein. With the exception of the 
first tube, they all contain in addition different ammonium 
salts in chemically equivalent concentrations arranged 
in the order given in the table. As can be readily seen, 
the fluoride and sulphate increase the precipitate, the 
chloride is practically indifferent, while the bromide, 
iodide, and sulphocyanate hinder in increasing degree 
the coagulation through the potassium tartrate. 

From a large number of similar experiments it has 
been possible to deduce the following laws, which will 
be utilized as the foundation for what is to follow: 

1. The effect of a salt upon a protein is made up, in 
the main, of the algebraic sum of the effects of the in- 
dividual ions. 

2. Anions and cations antagonize each other — the 
cations precipitate, the anions inhibit precipitation; there 
results in this way a definite grouping of the ions according 
to the intensity of their actions. 

I wish to add that an analogous table of ions has been 

■ constructed for the salts of the alkaline earths and the 

heavy metals, though an investigation of the protein 

precipitates brought about by these salts is attended 

by many complicating circumstances. 

II. 

With the exception of the beautiful studies of Dreser 
on the toxicity of mercury salts and scattered investiga- 
tions on the effects of electrolytes on unicellular organisms, 
there exist but few attempts to apply the ionic theory 
to the pharmacology of salts. One cannot even say that 
the conception of the general effects of salts the basis 



THER/IPEUTIC STUDIES ON IONS. 7? 

of which is often sought in the theory of osmotic pressure 
is entirely clear. The introduction of the ionic theory 
may perhaps be the first means of bringing a better 
understanding into this field also. Under these conditions 
it is readily intelhgible that from a classification of the 
ions won through a study of the changes in state of pro- 
teins only broad generahzations can be made. These 
have, however, shown themselves valuable in pointing 
out the direction which further investigations must take. 

The relation between the cathartic effects of salts and 
their power to precipitate protein has been recognized 
for a long time, more especially through the fundamental 
investigations of Hofmeister. If we bear in mind what 
has been said above, that the power of precipitating pro- 
tein is a property of th.6 metallic ions, then we will also 
have to attribute the transitory purgative action of the 
alkali salts to their cations. This faculty is, in fact, 
seen to reappear, only accentuated to an extreme, in the 
case of the heavy metals, which, it is well known, are 
able to coagulate protein in even the weakest concen- 
tration. The mild contractile and purgative action cor- 
responds in the latter case to the erosion and severe 
gastro-enteritis of the toxic picture. Most of the metallic 
ions also influence more or less markedly the irritability 
of the nervous system, the heavy metals producing in- 
flammation and degeneration. 

The anions also appear as mighty carriers of pharma- 
cological properties. This is especially true of the end 
members of one series — the nitrates, bromides, and iodides. 
They are all readily absorbed and bring about a lower- 
ing of the blood-pressure. The Br ion shows a much- 
utilized sedative action, while the I ion belongs among 



78 PHYSICAL CHEMISTRY IN MEDICINE. 

those therapeutic agents that have a multiplicity of 
effects. Besides its specific relation to the metabolism 
of the thyroid gland, it is employed for its power of 
lowering blood-pressure in arteriosclerosis and for its 
absorptive effect upon the most varied products of chronic 
inflammation, more especially the late forms of syphilis. 
Readily as one can recognize in these general consid- 
erations how the effects of the ions of a salt are independent 
of each other, and how there exists an antagonism between 
cations and anions, the grouping given above suggests 
something which leads us still further. Even if we pro- 
ceed most carefully in the extension of our analogy, it 
must be apparent to every one that the sulphocyanate 
ion, which antagonizes precipitation most powerfully, 
constitutes the end member of a series of pharmaco- 
logically most active substances, and so the question 
arises whether this ion does not possess some peculiar 
medicinal effect. The direction in which such an effect 
is to be sought is also indicated by the position of this 
ion in our scale. 

m. 

So far as I know, there exist no therapeutic experi- 
ments on sulphocyanate compounds. At any rate, 
nothing definite can be found in large handbooks on 
therapy or in very complete text -books on pharmacology. 
The r6le of sulphocyanate in metabolism has absorbed 
the attention of many investigators since its discovery 
as a normal constituent of the saliva by Treviranus, 
TiEDEMANN and Gmklin. As Gscheidlen and Munk 
discovered independently of each other, sulphocyanate 



THERAPEUTIC STUDIES ON JONS. 79 

occurs also in the urine. The sulphocyanate of the 
urine might well, however, be absorbed from the saliva, 
for, according to Gscheidlen, it disappears entirely from 
the urine of the dog as soon as the excretory ducts of the 
salivary glands are turned outward. 

As to where in the body sulphocyanate is formed, is 
still unsettled; we know something, however, of the 
manner in which it is produced. S. Lang has shown 
that all cyanides and nitrils are converted into sulpho- 
cyanates in the organism. This change probably occurs 
through a process of association with the neutral sulphur 
of the proteins, for I succeeded in bringing about such 
a synthesis years ago in Hofmeister's laboratory with 
proteins and" their derivatives, provided they had not first 
been robbed of their readily removable sulphur group. 

Recent experiments of Bruylants indicate that a 
relation exists between the metabolism of the sulpho- 
cyanates and that of the purin bodies. In an investiga- 
tion characterized by originality and far-sightedness, and 
carried on in 1853 in the Wiener Institut fiir patho- 
logische Chemie, Kletzinsky made valuable contribu- 
tions to our knowledge of the excretion of sulphocyanate 
in healthy and diseased su jects, which have in the main 
been corroborated, most recently by Grober. The 
intoxication after large subcutaneous doses of sulpho- 
cyanate was studied twenty-seven years ago by Paschkis 
on dogs, rabbits, and frogs. Valuable experiments on 
the effect of sulphocyanate on the metabolism of man 
and animals have in recent years been made by Treupel 
and Edinger. Muck recently discovered sulphocyanate 
as a separate secretory product in the conjunctival and 
plfactory secretions. 



So PHYSICAL CHEMISTRY IN MEDICINE. 

Of primary interest for us is the proof that iodine and 
sulphocyanate are excreted in the same places in the 
organism, that sulphocyanates do not pass through the 
body in even small doses without altering the metabolism, 
and that a single dose of sulphocyanate, as discovered 
by MuNK in 1877, still brings about an increased secretion 
of. this substance a week later. As was recognized by 
even the earliest workers in this field, the excretion of 
sulphocyanate is decreased when iodine is taken, and 
completely stopped when iodism is produced. When 
this condition exists, Grober found that even concen- 
trated saliva gives no sulphocyanate reaction. 

We are acquainted, therefore, with isolated facts in 
the physiology and the pathology of sulphocyanate ex- 
cretion which indicate that a relationship exists between 
sulphocyanate^ and iodides. 

IV. 

The following report on therapeutic experiments with 
sulphocyanate ions is based upon a rather small amount 
of material. If we exclude the orientation experiments 
to determine how much of the substance can be borne 
and how it is excreted, there are thirty-five cases in all 
in which careful observations were made and registered, 
the possibility that other curative agencies were simul- 
taneously active taken into consideration, and these 
results controlled as far as possible by omitting the 
sulphocyanate or using other remedies. Since sodium 
ions are, as far as we know, the most indifferent of the 
metallic ions from a pharmacological standpoint, sodium 
sulphocyanate was employed, and this in the maximal 



THERAPEUTIC STUDIES ON IONS. 8l 

daily dose of one gram. The excretion of the sulpho- 
cyanate was studied in the saliva and urine. 

The existence of a sedative action was tested on a 
series of neuroses and organic nervous diseases in which 
the signs of an increased excitability, such as fear, irri- 
tability, sleeplessness, increased reflexes, tremors, etc., 
existed. Ten cases in all were studied : 2 cardiac neuroses, 
with signs of general neurasthenia, 3 neurasthenics, 2 
general paretics, and i tabes dorsalis, with increased 
irritability, and 2 climacteric neuroses. In nine of the 
cases positive results were obtained. Within two to five 
days the patients became much quieter, and with further 
use of the drug a very decided improvement in even the 
most disturbing symptoms took place. The fear, rest- 
less sleep, headache, and dizziness became less, the 
troublesome congestions of the climacteric women passed 
away, and a sense of rest repeatedly took the place of 
weariness in the patient. Only in one case did the 
original neurasthenic symptoms return after being absent 
for some days. These were connected with periodic 
pains in the splenic region, which radiated toward the 
epigastrium, the pathology of which remained obscure. 
A subsequent use of bromides was also without effect 
in this case. The fact that the symptoms of increased 
excitability in organic and functional nervous diseases 
began to disappear a short time after taking sulpho- 
cyanate and continued to improve as time went on, that 
the old symptoms reappeared when the drug was no 
longer given, especially when it was taken away shortly 
after its use had been begun, that previous indifferent 
methods of treatment had brought no great change in 
the patients' condition, and that, finally, unprejudiced 



82 PHYSICAL CHEMISTRY IN MEDICINE. 

observers as well as the patients themselves felt convinced 
of the immediate good effects of the drug, seems to justify 
the conclusion that sulphocyanate possesses, as a rule, a 
well-marked sedative action upon the pathologically 
excited nervous system. 

" The experiments with sulphocyanates were then ex- 
tended to a group of diseases which have one symptom 
in common, namely, an increase in the blood-pressure. 
These included arteriosclerosis, aortic insufficiency, and 
chronic nephritis. From the large number of patients 
with circulatory disturbances in Professor v. Basch's 
wards, eleven cases of arteriosclerosis were chosen, nine of 
which showed tortuosity and great pulsation of the blood- 
vessels, hypertrophy of the left ventricle, accentuation of 
the second aortic sound (usually with an increase in the 
intensity of the apex-beat), and marked increase in the 
blood-pressure, besides a number of subjective symptoms. 
These consisted of pains in the chest, a feeling of pressure 
and shortness of breath on exertion, especially after meals 
or at night, a sense of fear and disturbed sleep, while 
two of them showed, in addition, attacks of dizziness 
and ringing in the ears. 

Corresponding with the uniformity in clinical material, 
the drug also showed a uniformity in action. The sense 
of fear disappeared; the attacks diminished within a few 
days, to return later only under special provocation. 
Disturbances which had existed for months, such as 
ringing in the ears and attacks of dizziness disappeared, 
not to return. In most of the patients systematic blood- 
pressure determinations were made with v. Basch's 
sphygmomanometer by Dr. S. Kornfeld, who very 
generously gave me the benefit of his years of experience 



THEk/IPEUTIC STUDIES ON IONS. 83 

in this field. A steady drop in blood-pressure, amounting 
from 10 to 25 per cent, of the original value, could beob 
served within a few days in all the cases studied. As soon 
as the drug was stopped the blood-pressure rose again, 
often to the original height within three to four days. Ac- 
companying this, there was also a return of some of the 
previous symptoms. Of interest are two further cases 
of sclerosis of the larger arteries. One of these was a 
female patient with sclerosis of the abdominal aorta, which 
could with its large branches be readily palpated and 
which gave rise to severe attacks of pain in the abdomen; 
the other, a woman with all the signs of an advanced 
arteriosclerosis, who had suffered for months with pain 
and weakness in the right arm, which appeared on the 
slightest exertion or when the arm was allowed to hang 
by the side for some time. Besides this there existed 
a so intense and painful sense of cold in the diseased 
extremity, which corresponded with a very noticeable 
decrease in the temperature of the skin, that the lower 
arm and the right hand had always to be wrapped in 
thick cloths. After a test had been made with sodium 
bromide and aspirin, and these had proved entirely with- 
out effect, the pains diminished very markedly after an 
eight days' use of diuretin. After taking sodium sulpho- 
cyanate for a number of weeks the sensation of cold 
gradually disappeared, the hand no longer needed to 
be wrapped in cloths, and the weakness in the ex- 
tremity disappeared sufficiently so that the patient, who 
had been under observation for eight months, was able 
to do light work about the house. The blood-pressure 
fell during this time from 210 to 160 mm. of mercury. 
The patient with arteriosclerotic pains in the splanchnic 



84 PHYSICAL CHEMISTRY IN MEDICINE. 

region was much relieved, especially during the first 
weeks, by the sulphocyanate treatment, while other 
methods had been without effect. Whenever the sulpho- 
cyanate administration was interrupted, the blood-pressure 
rose, and with it returned the old symptoms. 

Besides the decrease in the blood-pressure, a sedative 
action may also play a role in the medicinal effects of 
sulphocyanates. It is possible that yet another factor 
plays a r61e, which can, however, only be touched upon 
here. In investigations carried on during the past two 
years with Dr. Peter Rona on the relation between the 
effects of iodides and sulphocyanates and the effects of 
salts of the heavy metals and the alkahne earths, the 
following has been found: 

It has been definitely established through exact ob- 
servation and experiment that the iodides bring about 
and favor the excretion of the ions of the heavy metals, 
such as lead and mercury, in cases of chronic intoxication. 
The explanation of this fact, which has been utihzed 
therapeutically, has been sought in the formation of 
soluble albuminates, which the iodides have been sup- 
posed to bring about. 

When quantitative experimens on protein precipita- 
tion are made, it is found that the heavy metals show 
at first a rapid increase in the precipitation value, with 
an increase in the concentration of the salt, which later 
however, as in the case of zinc, gradually falls to zero. 
When the concentration of the salt is still fiirther increased, 
a precipitate appears a second time, which is very heavy 
and which also is again soluble. Curves in which the 
ordinates indicate the degree of precipitating power, the 
abscissas the amount ,of salt of a heavy metal employed, 



THlSRAPEUTtC sruDlBS ON IONS. ^S 

can "be constructed to give a graphic survey of these 
relations. Such precipitation curves suffer a great change 
upon the addition of iodides or sulphocyahates. If the 
ions of the heavy metals are present in a low concentra- 
tion, the precipitation of the protein is prevented alto- 
gether; if present in larger amounts, the protein precipita- 
tion is markedly increased. In the case of living animals 
only the former possibility, that of the presence of but 
a low concentration of poisonous ions, comes into con- 
sideration. The iodides and still more the sulphocyanates 
do in fact act under these circumstances as substances 
which favor the formation of readily soluble protein 
compounds, through, which an elimination of the heavy 
metals is greatly aided. Conditions in the test-tube and 
in the animal body are here, in the main, identical. 

The relation of the metals calcium, barium, and stron- 
tium to the proteins is somewhat different, a fact of 
interest because of the important r61e of the calcium 
ions in physiological and pathological questions. These 
metals' stand in many ways between the alkali metals 
and the true heavy metals. They have, in common with 
the former, a high precipitation limit; with the latter, the 
fact that the combination between protein and metal is a 
firm one, and once produced continues even upon the ad- 
dition of water to the solution. The power of depressing 
most markedly the precipitation limit of the earthy metals 
is possessed to a slight degree by the Br ion, in greater 
degree by the I ion, and most powerfully by the sulpho- 
cyanate ion. In the presence of sulphocyanate ions, 
calcium, strontium, and barium chloride will precipitate 
protein when present in simple normal solution and even 
below this, while under ordinary circumstances the two 



86 PHYSICAL CHEMISTRY M MEDICINE. 

latter will not coagulate in any concentration, and calcium 
chloride only when present in nine times the concentra- 
tion given above. This formation of a solid protein 
compound is always preceded by a state in which an 
intimate combination between the protein and the metallic 
ion occurs even before the precipitation limit is reached. 
It can readily be seen that, through the establishment of 
a firmer combination between protein and calcium ions 
in the presence of a few iodide or sulphocyanate ions, 
the formation of other insoluble calcium salts can be 
inhibited, and the excretion of calcium be increased in 
this way. The therapy of arteriosclerosis has within 
recent years been directed in no small degree against the 
calcification process itself. It seems to me that what 
has been said above serves as a theoretical basis for the 
clinical experience of the best observers in this field, that 
the continued use of iodides is able to retard the course of 
arteriosclerosis. For reasons which will become clearer 
later, the use of sulphocyanates in these cases would 
represent a therapeutic advance. 

To the series of cases of arteriosclerosis there belong 
two cases of aortic insufficiency with palpitation, dizzi- 
ness, headache, a feeling of fear, and increased blood- 
pressure. In one of these permanent relief from all 
symptoms was achieved, in the other a temporary one, 
as the therapy had to be interrupted after eight days. 

Four patients with chronic Bright's disease, hyper- 
trophy of the heart, and pallor showed a rapid better- 
ment of their subjective symptoms, consisting of back- 
ache, neuralgias, and sleeplessness, when put on a milk 
diet and sulphocyanate. Without attributing the better- 
ment to the sulphocyanate, it could be shown in these 



THERAPEUTIC STUDIES ON IONS. 87 

cases that an existing chronic albuminuria does not 
contraindicate the use of the drug. 

My last observations are taken from a group of patients 
with syphilitic headaches — two men and two women. 
In the men there was a history of syphilitic infection; in 
the women abortions and still-births had occurred. One 
rhan and one woman had a year previously suffered from 
the same symptoms, which had promptly disappeared 
after the use of iodides, and only after these. The head- 
aches were in all cases very severe, and in three of them 
typically nocturnal in character, particularly during the 
weeks when this symptom first developed. Sensitiveness 
of the skull upon percussion also existed. 

The syphilitic character of the pains was therefore 
definitely established in these cases, so far as this is 
clinically possible. This diagnosis was further strength- 
ened by the uselessness clinically of physical healing 
methods and antineuralgic remedies. 

The effect of the sulphocyanate in these cases was so 
prompt and so clearly beneficent, even in the first few 
days after administration, that its medicinal properties 
cannot be doubted.* The effect upon the patients 
proved in all cases to be a lasting one. The two patients 
who had for similar symptoms previously undergone a 
treatment with iodides agreed that the feeling of relief 
had this time come much more promptly. In one of 
the patients, who could tolerate drugs only badly and 
who had a year previously suffered from severe iodism. 



* I do not, of course, on the basis of these few observations on a 
special form of late syphihs, want to look upon the question of the 
specific effects of a sulphocyanate therapy in syphilis as settled. 



88 PHYSICAL CHEMISTRY IN MEDICINE. 

the sulphocyanate was administered in two small enemas 
daily. 

This constitutes a summary of my experiences thus 
far. They were obtained for purposes of general 
orientation on patients of whom each group presented a 
great, almost monotonous similarity in symptoms. When 
the careful choice of cases is taken into consideration, 
it can scarcely seem strange that the effect of the drug 
should have been so uniform. In passing it must have 
been apparent what small doses of sodium sulphocyanate 
proved remedially effective. The explanation of this 
fact lies in part in the low molecular weight of the sub- 
stance, for i.o gram sodium sulphocyanate is equal to 
2.15 grams sodium bromide or 2.82 grams sodium 
iodide. 

But a close relationship between these substances 
shows itself not only in the harmony of their advantages, 
but also in the harmony of their disadvantages. There 
exists a sulphocyanate acne and a sulphocyanate rhinitis. 
The latter is the commoner. Twice a mere sugges- 
tion of it occurred, in one of these cases only once toward 
evening. In two other cases copious secretion from 
the nose and eyes set in, which disappeared, however, 
within two to three days after the administration of 
sulphocyanate was stopped. In only one patient with a 
sensitive skin, which had some months previously been 
the seat of a bromide exanthem, a sulphocyanate acne 
appeared, consisting of small nodules, most numerous 
in the face and sparingly distributed over the trunk and 
extremities, which did not, however, give any further 
trouble. It disappeared a few days after the medication 
was stopped. Gastric disturbances never appeared, even 



THERAPEUTIC STUDIES ON IONS S9 

after the remedy had been used for months. While a 
great similarity, in part even an identity, seems to exist 
between the iodides and the sulphocyanates, the latter 
do not possess the specific effect upon the thyroid gland. 
The use of the drug even for months does not affect a 
parenchymatous goitre. This fact might well at times 
prove of therapeutic advantage. 

Therapeutics still continues to count the salts among 
the "alterants" and the "resolvents." Both of these 
properties of " changing the course of k disease" and 
" bringing about a resolution" the sulphocyanate ions 
possess in rich part, as shown by our own observations. 
From the versatility and intensity of their action we are 
presumably correct in putting them beside the iodide ions. 

I do not wish to bring this paper to a close without 
adding a few general remarks on the principle which 
prompted it. 

This leads, first of all, to a conception of the way in 
which the salts act upon the organism, which, though 
still hypothetical', encounters at present nothing which 
speaks against it. Just as a large group of non-ionized 
narcotics bear an intimate relation, according to H. 
Meyer's and Overton's beautiful discoveries, to the 
lipoids of the cell, the ionized compounds might find 
their point of attack in the protein constituents of the 
protoplasm. A difference in the distribution, or a re- 
placement of the normal ions of the cell, would be con- 
nected with changes in the state of the colloids and con- 
sequently also changes in function. If the application 
of our principle extends, on the one hand, almost to the 
chain of psychophysical processes, it has its limitations, 



90 PHYSICAL CHEMISTRY IN MEDICINE. 

on the other, which are inherent in the nature of such a 
method itself. 

When we speak of the great analogy between changes 
in state in organic colloids and life phenomena, we are 
dealing, to use the words .of Maxwell, " with that 
partial similarity between the laws of one series of phe- 
nomena and those of another, in consequence of which 
the one comes to illustrate the other. " Besides a limited 
identity, extensive differences may therefore exist, many 
of which are still beyond our understanding. This holds 
also for the great differences known to exist in the toxicity 
of ions in animal experiments. We are at present still 
much . inclined to attribute, qualitatively at least, great 
importance to the value of animal experiments for settling 
such a question as the one before us. This we do un- 
justly, I believe. Clinical therapeutic experience must be 
gotten by itself. The animal experiment brings in this 
case also only an analogy; at the best it serves only to 
stimulate further work. 

S. On the Relation between Physico-chemical Properties 
and Medicinal Effects.* 

In the consideration of questions in pharmacody- 
namics, from the point of view of physical chemistry, a 
scarcely measurable field lies before us, into only a small 
part of which, however, paths lead at present. If under 
these conditions I attempt to speak before a body of 
clinical men on some questions which belong in this 
realm and which have interested me for several years, I 

* From Verhandlungen des XXI. Congresses fiir innere Medicin 
in Leipzig, 1904. 



PHYSICO-CHEMICAL PROPERTIES. 91 

can give many good reasons for doing so. As is evidenced 
by the studies of H. Meyer and Overton on the theory 
of narcosis, and by the work of Straub on the tenability 
of the law of mass action for the distribution of certain 
poisons in the organism, so our work, too, has clearly 
shown that only the use of physico-chemical methods 
renders possible a deeper understanding of medicinal 
effects. To this there comes the well-founded feeling 
that in this way explanations of the nature of the im- 
portant phenomena accompanying constitutional changes 
may also be obtained, a problem which has long been 
a favorite one with the internal clinicist. 

This paper will be limited to a discussion of the r6le 
of ions, those electrically charged dissociation products 
of acids, bases, and salts which are produced when these 
substances are dissolved in water. We know that the 
mineral constituents of the body are, in the concentration 
in which they are present, almost completely dissociated. 
This is true also of the metallic and alkaloidal salts 
which are introduced into the body for medicinal pur- 
poses. Other pharmacologically active substances which 
scarcely ionize on solution in water, such as the esters, 
may be converted into ionizable compounds in the body. 
Because of this many-sided importance of the omni- 
present ions, it seemed of value first of all to get an 
experimentally demonstrable conception of the mode of 
action of the ions in the animal body. Of all the con- 
stituents of the protoplasm, the proteins show the most 
intimate relation to the salts. Their most varied changes 
in state, such as solution, precipitation, and coagulation 
through heat, are all connected with the cooperation of 
salts, and it seemed necessary therefore to obtain first 



92 PHYSICAL CHEMISTRY IN MEDICINE. 

of all a more intimate knowledge of the significance of 
the ions for these changes in state. 

The neutral salts of ammonium, magnesium, and the 
alkali metals are best adapted to such a study, as the pro- 
tein precipitates produced by them can be reobtained in an 
almost unaltered condition through dialysis of the salt. 
The most important laws governing this reversible change 
in state are the following: If the salts are arranged 
according to their precipitating power, the acid ions (or 
anions) always follow each other in the same order with 
any given metaUic ion, and, conversely, with any acid 
ion the metallic ions (or cations) always follow each other 
in the same order. The precipitating power of a,ny 
salt represents, therefore, the product of the effects of 
its constituent ions, and the properties of these ions are 
to a large extent independent of each other. 

A second law governs the character of the ionic effects. 
It was found that the ions of a salt antagonize each other 
in bringing about changes in the physical state of a colloid, 
for the one ion has a precipitating action, while the other 
has a solvent action, and, as the one or the other ion has 
the upper hand, the salt under consideration either pre- 
cipitates or prevents the precipitation of protein. The 
effectiveness of ions is expressed in the following series: 

Cations arranged in the order of their precipitating 
power. The most powerful comes first: sodium, potas- 
sium, ammonium, magnesium. 

Anions arranged in the order in which they prevent 
precipitation. The most powerful comes last: sulphate, 
citrate, tartrate, acetate, chloride, nitrate, bromide, iodide, 
sulpkocyanate. 

To render what follows more intelligible it is necessary 



PHYSICO-CHEMICAL PROPERTIES. 93 

to touch upon the relation of the alkahne earths to the 
proteins. 

The protein precipitates produced through the action 
of the alkahne earths are irreversible in so far as the solu- 
tion of a precipitate that has once been produced is 
difficult and scarcely leads to the restitution of an un- 
changed protein. The effects of calcium, strontium, and 
barium are determined to a large extent through the 
presence of other ions simultaneously present. Under 
these circumstances the effects of the ions of a salt of 
an alkaH metal also antagonize each other, only in a way 
opposite to that observed in precipitations produced 
through pure neutral salts. The formation of a pre- 
cipitate in a solution of native protein through the alkaline 
earths is favored by anions and inhibited by cations. The 
anions under these circumstances arrange themselves 
in the following order, in which the most powerful pre- 
cipitants come first : 

Acetate, chloride, nitrate, bromide, iodide, sulphocyanate. 

The cations arrange themselves in the following order 
in which the greatest inhibitor of precipitation is put 
first: 

Magnesium, ammonium, potassium, sodium. 

Nothing stands against the assumption that it is the 
protein constituents of protoplasm that constitute the point 
of attack of the ions in the organism, and this behef 
cannot only be supported by experiment, but is also of 
heuristic value. 

The two chief laws of protein precipitation, the additive 

and the antagonistic effects of ions, hold also for the 

physiological properties of ions. All cations, for example, 

"have certain. physiological characteristics in common, in 



94 PHYSICAL CHEMISTRY IN MEDICINE. 

that they increase more or less the irritabihty of nerves 
and muscles, excite intestinal activity even to the point 
of producing a gastro- enteritis, and usually increase blood- 
pressure. The solvent action upon protein and, running 
parallel with it, the physiological effects of the anions 
are the more pronounced the further we pass along the 
series of anions given above. The protein precipitating 
salts, such as the sulphates, citrates, and tartrates, when 
these are connected with the overbalancing properties 
of the metallic ions, are all cathartics. The salts which 
follow these, more especially the nitrates, bromides, io- 
dides, and sulphocyanates, show the characteristics of the 
anions; they are sedative in their action and decrease 
blood-pressure. The relationship between them is in- 
dicated also in the similarity with which they bring about 
an acne and coryza. For the sulphocyanates these 
pharmacological properties were deduced from the group- 
ing given above and verified on patients. 

The experimental study of the effects of sulphocyanates 
has proved fruitful in yet another way, in that the sulpho- 
cyanate anions, representing as they do the last members 
of the anion series, allow one to study the proper- 
ties of anions in a particularly pure foirm. Sulpho- 
cyanates can be used first of all in order to ascertain 
more accurately the physiological relations between salts 
and esters. Between the strongly ionized salts and the 
scarcely dissociable esters (which represent combinations 
between alcohols and acids) there exists a great difference 
in their power of penetrating a cell. While the latter, 
according to the extensive investigations of Overton, 
readily enter a cell because of their solubility in its lipoids, 
— ^lecithin, cholesterin, cerebrin, etc.^ — the salts enter the 



PHYSICO-CHEMICyiL PROPERTIES. 95 

protoplasm only with difficulty. Since, however, the 
esters are saponified in the organism, in consequence of 
which the anions of the acids become free, a physiological 
ion effect might nevertheless be expected under favor- 
able conditions, even after the administration of esters. 
Such an effect will become apparent, however, only when 
in a readily dissociated ester some anion is present that 
has characteristic physiological properties and is suf- 
ficiently active physiologically to show itself, otherwise 
the narcotic and circulatory effects common to all esters 
conceal the intoxication picture. If for purposes of 
comparison experiments are made with sodium sulpho- 
cyanate and the amyl ester of sulphocyanic acid, atypical 
sulphocyanate intoxication occurs in both cases. Careful 
analysis shows that this consists in a fall in blood-pressure 
brought about through a decrease in the energy of the 
heart muscle, a subsequent increase in pressure through 
stimulation of the vascular centres and great, principally 
central, stimulation of the vagus. While, however, the 
intravenous injection of two to three drops of the ester 
suffice to bring about a rapid and fatal intoxication in 
a medium-sized dog, eight to ten grams of sodium sulpho- 
cyanate must be introduced intravenously to bring about 
the same effect. This enormous difference in toxicity 
shows that in the amyl-sulphocyanate intoxication the 
ester readily enters the cells, because of its solubility in 
the lipoids, and that not until it has arrived in the cells 
are its anions set free. These same ions, when already 
formed, enter the cells only with difficulty, in consequence 
of which the body must be charged with a great excess 
of sodium sulphocyanate in order to bring about the 
same degree of intoxication. 



96 PHYSICAL CHEMISTRY IN MEDICINE. 

Numerous instances in pharmacology, in which any 
, alcoholic radicle in an ester- like combination with an acid 
is required to bring about any specific effect, can, I be- 
lieve, be explained in the same way. The alcohol radicle 
only renders possible the ready absorption of the substance 
by the cell; the anion connected with it is the really 
active principle. Cocaine is, for example, a me.thyl ester 
of benzoylecgonin, a substituted tropincarbonic acid. 
The benzoylecgonin, the real carrier of the medicinal 
properties, is however twenty times less poisonous than 
its ester, cocaine, and does not possess the anaesthetic 
properties of the latter. Only after being converted into 
an ester, through any alcohol whatsoever, is the cocaine 
effect produced. Existence in the form of an ester is 
apparently always the sine qua non of a useful local ' 
ancBsthetic whose active anion must enter the endings of 
the sensory nerves. Eesthorn has found that a large 
number of cyclic and heterocyclic esters are able to bring 
about a local anaesthesia, and has been able to discover 
valuable substitutes for cocaine in the orthoforms, which 
represent methyl esters of amido-oxybenzoic acid, and in 
nirvanin, a diethylglycocoll compound of orthoform- 
Eucaine and ansesthesin are also esters, the latter one 
of p-amido-benzoic acid. Without being directly con- 
cerned in the physiological effect produced, the presence 
of an alcohol radicle in the compound first renders such 
an effect possible, for only under these circumstances is 
the active acid ion' present in sufficient concentration at 
its point of physiological attack. Arecaidin, which 
chemically represents a methyltetrahydronicotinic acid, 
is scarcely active physiologically, while its methyl ester, 
arecolin, represents the toxic principle of the areca-nut. 



PHYSICO-CHEMICAL PROPERTIES. 97 

The number of these illustrations might easily be 
multipUed. In passing I only wish to point out that the 
activity of the metallic ions can be increased through 
combination with an alcohol radicle in the same way as 
the activity of the acid ions. It is possible in this way 
to bring about in animals most acute metallic intoxica- 
tions with the ethylic compounds of zinc, mercury, and 
lead. 

Besides this influence upon the effects of ions, brought 
about through combination with alcoholic radicles, de- 
pendent upon the fact that protoplasm is made up of 
lipoidal and proteoidal material, there still exists another 
way in which the specific effects of many ions can be 
increased or decreased, namely, through combination 
with other ions. As an example of this we may take 
the behavior of the alkaUne earths toward protein in the 
presence of neutral salts of the alkali metals. As a glance 
at the lists of ions given above shows, the protein precipi- 
tations brought about through the alkaline earths can 
be inhibited through the addition of ions of the alkali 
metals, or hastened through the addition of anions, most 
powerful of which is the sulphocyanate anion." It seemed 
possible, therefore, that through proper experiments a 
physiological antagonism could be discovered to exist 
between monovalent cations and the alkaline earths, as 
well as a synergistic increase in the effect of anions 
through the cations calcium, strontium, and barium. 
This suspicion, prompted by analogies existing between 
experiments carried on in vitro and certain phenomena 
observed in vivo, could be shown to be correct by animal 
experiments. 

If animals are kept in a half-intoxicated state with 



gS' PHYSICAL CHEMISTRY IN MEDICINE. 

sulphocyanate — a state which is characterized by a strong, 
steady heart action and stimulation of the vagus nerve 
and vascular centres — it is possible to bring about an 
immediate standstill of the heart, not preceded by an in- 
crease in blood-pressure, by injecting an amount of a 
barium salt which, under ordinary circumstances, scarcely 
affects the heart at all, or, if it does, only stimulates it. 
Such a heart-failure may under circumstances occur 
after the injection of five milUgrams of barium chloride 
into a medium-sized dog. Since this effect can be ob- 
tained even in a completely atropinized heart, or after 
the exclusion of the greater circulation and the nerve- 
centres, it is probable that the salt afiects the heart 
directly. Just as in test-tube experiments with protein, 
barium, which is characterized by a remarkable af&nity 
for the musculature of the heart and the blood-vessels, 
is able to join such large amounts of neighboring sulpho- 
cyanate ions to the heart muscle in such remarkably 
short time that an acute, deadly sulphocyanate intoxi- 
cation results. How small amounts of sulphocyanate 
suf&ce in order to bring about a heart failure, if only it 
reaches its point of attack within the cells, was indicated 
in the experiments described above with sulphocyanate 
esters. Calcium and strontium act in the same way as 
barium, only, because of their lesser affinity for the 
musculature of the heart, larger doses are required 
(Pauli and A. Frohlich). 

The physiological antagonism between many ions which 
we supposed to exist from a certain parallelism between 
the behavior of dead and of living protein, and which has 
been proved to exist experimentally, had been previously 
discovered in another way by the well-known American 



PHYSlCO-CHBMlC/lL PROfeRTlBS. 09 

physiologist J. Loeb, and rediscovered under the most 
varied conditions by his numerous pupils. We can only 
touch upon these investigations here. That they har- 
monize with our own findings and represent only an ex- 
pression of the general principle common to them all 
is, however, readily discernible. The starting-point of 
Loeb's investigations is the question of the significance 
of the different ions of sea-water for the life processes of 
marine animals. A great similarity was found to exist 
between the effects of various ions upon phenomena of 
development and upon the activities of muscle and nerve. 
An interesting example is furnished by the development 
of the eggs of Fundulus, a small bony fish. These fish 
are able to develop not only in sea-water but also in dis- 
tilled water. If immediately after fertilization these eggs 
are introduced into a sodium chloride solution of the 
concentration of the sea-water they all die in the course 
of a few hours without developing any further. If, 
however, a small amount of calcium, which also represents 
a constituent of the sea-water, is added to the sodium 
chloride solution, normal embryos are produced. A 
pure sodium chloride solution is poisonous also for the 
adult animals, but this toxicity, too, is done away with 
upon the addition of a little calcium. Instructive also 
are the effects of ions on the rhythmical contractions of 
the swimming-bell of medusae. After removal of the 
central nervous system in these animals the bell still con- 
tracts rhythmically in a pure sodium chloride solution. 
These contractions cease, however, as soon as certain 
cations, such as calcium and strontium, are added to the 
solution, just as they cease in sea-water. In a similar 
way, the poisonous effects of pure sodium chloride on 



too PHYSICAL CHEMISTRY IN MEDICJNE. 

heart muscle or its stimulating effects upon the excised 
gastrocnemius of the frog are also done away with through 
the addition of calcium or strontium. 

Ralph S. Lillie demonstrated an analogous antag- 
onism between the effects of cations on ciliary movement. 
MacCallum showed in animal experiments that the 
effect of cathartic sodium salts, which is to be looked 
upon as an expression of the activity of the metallic 
ions, can be inhibited through administration of calcium. 
Martin H. Fischer was able to demonstrate that a 
glycosuria, brought about through the injection of sodium 
salts into rabbits, can be suppressed through calcium, 
and, according to Brown who discovered the same fact 
independently, also through strontium. 

That the relations between anions are governed by 
similar laws within and without the organism is apparent 
from the investigations of Torald Sollmann. As this 
author was able to show in his studies on diuresis, the 
urinary excretion of chlorine ions from the body under 
the influence of other ions is to a large extent independent 
of the amount of water secreted along with them. The 
per cent, of chlorides in the urine is increased through 
administration of nitrates, iodides, and sulphocyanates, 
decreased through acetates, phosphates, and sulphates. 
It is not difficult to recognize in this grouping the order 
in which the anions act upon the proteins. The second 
group acts less powerfully, the former more powerfully 
than the chlorine ions in the effect of the ions of the 
alkali metals upon proteins. 

After what has been said it will no doubt be admitted 
that a considerable material is already at hand which lends 
further support to the principle of the many analogies 



CHANGES IVROUGHt IN PATHOLOGY. 101 

between changes in the physical state oj colloids and the 
changes which go on in living matter. It would, however, 
be unfair to expect such a principle to hold quantitatively 
for every biological detail. It is subject rather to the 
various changes brought about through differences in 
living matter which vary with different kinds of animals 
and with different kinds of organs. While calcium, 
strontium, and barium have an almost equal effect in 
■the presence of sulphocyanates on egg albumin in a 
test-tube, the synergistic function of the barium is the 
most apparent of the three in a physiological experiment 
on the heart. In a similar way Loeb and Herbst 
found that individual differences exist between ions in 
their effect upon different marine animals. Nevertheless, 
the general law governing all these phenomena appears 
everywhere, at one time more, at another time less dis- 
tinctly, just as in a musical composition the theme is 
heard at all times by him who has once learned it among 
the infinite number of its variations. 



6. Changes Wrought in Pathology through Advances 
in Physical Chemistry.* 

Not until it has been found possible to explain the 
anomalies in the functions of the organism through 
changes in the form and in the composition of its constit- 
uents can pathology consider its task completed. Its field 
of knowledge grows in three ways: through the experi- 



* Wandlungen in der Pathologie durch die Fortschritte der all- 
gemeinen Chemie, Wien, 1905. Festival address at the third aniiual 
meeting of the K. k. Gesellschaft der Aerzte in Vienna, March 24, 1905. 



toi PHYSICAL CHEMISTRY IN MEDICINE. 

mental determination of the degree and the direction of 
changes in function; through a study of the morphological 
and through a study of the chemical deviations from the 
normal lying at the basis of these changes in function. 
When one studies the development and the present 
status of pathology one soon sees that this science has 
not grown with the same rapidity, nor equally well in 
all three directions. It has developed most markedly 
toward the morphological side, least of all toward the 
chemical side. This difference is still more apparent 
when we study more particularly the part that the Vienna 
School has played during the past century in the develop- 
ment of pathology. Chemical methods have scarcely 
at all been employed, except in the last ten years, while 
the morphological investigations carried on in Vienna 
during this same century have been truly brilliant. 

It may not be without interest to touch upon some 
of the reasons that have brought about such a noticeable 
difference in the pursuit of these two branches in our 
school. It was, of course, but natural that the con- 
ceptions of the famous men of the second great period 
of the Vienna School should have determined for a 
long time to come the course which further development 
in the past century took. If this development was chiefly 
morphological in character, then this depended in large 
measure upon the state of chemistry in Austria at that 
time. For the education and the first efforts of those 
pioneers occurred during an epoch when chemistry was 
most deplorably represented in Austria, followed and 
taught as it was, not experimentally, but sf)eculatively. 
A classical document describes conditions as they were 
in those days. In one of his memorable addresses Liebig, 



CHANGES IVROUGHT IN PATHOLOGY. 103 

in 1837, so frankly and mercilessly criticised the condi- 
tion of chemistry in Austria that it seems small wonder 
that the succeeding generation of medical men, mightily 
influenced through the labors of such as Corvisart, 
Laennec, and Bretonneau, dedicated themselves chiefly 
to morphology, which promised so much. The experi- 
ences of medicine with a chemistry which had been in the 
main of a speculative character no doubt also contributed 
to this end. The birth of iatro-chemistry, which through 
Paracelsus, Helmont, and Sylvius ruled medicine in 
the seventeenth century, met a just and fruitful opposition 
through the morphological workers. Later Boerhave, 
with whose entry the first brilliant epoch in medicine is 
intimately connected, most emphatically emphasized the 
great importance of chemical research in pathology, but 
because of its insufficient development chemistry could 
offer too Uttle at that time to fulfil his promises. 

Not until the wonderful development of organic and 
appUed chemistry as introduced in the middle of the 
last century, more especially by Liebig, did new paths 
open up before pathology. In the meantime, however, 
the morphological tendency in Vienna had, under the 
tremendous influence of its illustrious exponents, obtained 
the upper hand, a fact which helped to determine also 
the nature of the increase in the faculty. Into the circle 
of their influence were drawn the majority of the younger 
men of talent and permanently kept there. For it resides 
in the nature of morphological research that it is admirably 
adapted for the introduction of the beginner to science, in 
that it offers a large number of simple problems which 
may be solved without drawing upon a larger number of 
accessory sciences, while its results, which usually repre- 



104 PHYSICAL CHEMISTRY M MEDICINE. 

sent a truthful description of what has been seen, give 
a feeling of great security. 

The far-reaching results of chemical research in the 
last decade have brought to us also a gradual increase 
in the general interest taken in the chemical aspects of 
pathology, and so it has been no accident that this altered 
point of view has found an expression in the change in 
the character of the annual addresses made before our 
society. Three years ago we enjoyed an inspiring pres- 
entation of the pathology of metabolism, and last year 
brought us a sharply defined discussion of the protein 
question, such as only ripe experience, hand in hand 
with critical judgment, can produce. If I to-day find 
myself once more face to face with the problem of bring- 
ing before you in our annual meeting another chapter 
from the realm of chemistry as applied to medicine, I 
must attribute this honor first of all to that great 
new interest taken in this subject. This subject is, in 
fact, worthy of your greatest attention, for we stand at 
present in the midst of an undreamed-of improvement 
and development in our point of view in physiology and 
pathology, and this strange and sudden change is based 
in particular upon advances in general or physical chem- 
istry. This science has acquainted us with a series of 
fundamental laws that govern chemical reactions, whose 
validity, influenced more or less through special circum- 
stances, extends also to the changes that go on in living 
organisms. 

It was probably the first important step for the physico- 
chemical characterization of living matter when Graham 
divided all bodies into colloids and crystalloids, according 



CHANGES IVROUGHT IN PATHOLOGY. 10$ 

to the behavior of certain typical substances. For from, 
this division there has arisen the conception that all 
living matter is of necessity connected with the existence 
of a colloidal ground-substance in which all changes 
take place. Nevertheless, more than twenty years were 
necessary before a systematic attempt was made to obtain 
a conception of the changes that go on in living matter 
from a study of changes in the state of colloids. In the 
three years from 1888 to 1891 Hofmeister took the first 
step in this direction, in that, in attempting to explain 
the physiological effects of salts, he compared the effect of 
salts upon colloids in a test-tube with the effect of these 
salts upon the animal organism. During the last decade 
similar investigations have been carried on with the 
means offered by physical chemistry, which has during 
that time enjoyed most rapid growth, and have, in con- 
junction with the investigations of chemists on inorganic 
colloids, furnished so abundant a material that the time 
for a broad alliance between biology and colloidal chem- 
istry seems to have come. From this most promising 
section of appUed chemistry I would to-day like to take 
a few facts which to all appearances seem to be of funda^ 
mental biological importance. 

The colloidal substances are present in two forms in 
the body — in a more or less jelly-like condition in the 
cells, and in a fluid condition in the blood and the tissue 
juices. The laws of colloid chemistry govern the changes 
that go on in the cells, only these laws are modified 
through the metabolism of living matter, the character- 
istics of which we do not as yet understand. The behavior 
of the extracellular material is, however, of a much 
simpler character. In the former case there exists only 



io6" PHYSICAL CHEMISTRY M MEDICINE; 

a certain parallelism between changes in colloids and 
many manifestations of cell life; in the second, however, 
we are dealing with a direct applicability of the laws of 
colloid chemistry, controllable at any time by experiment. 
We will to-day discuss only these last-named phenomena, 
the importance of which has recently been pushed into 
the scientific foreground, more especially through the 
modern development of the teachings of immunity. 

Before attempting an explanation of the significance 
of the phenomena which interest us especially, it is 
necessary to obtain a clear conception of the characteristic 
properties of the colloidal condition. These character- 
istics are best illustrated by the properties of the colloidal 
solutions of metals, from which a gradual transition to 
the biologically important colloids occurs. 

If a clean metal plate, such as platinum, is put into 
water it assumes a weak electric — in this case negative- — 
charge, while the fluid surrounding it becomes electro- 
positive. According to the fruitful conceptions which 
Nernst has developed of the source of galvanic currents, 
we have to deal with the following process : Just as after 
the solution of a salt — such as sodium chloride — in 
water the metallic portion is present in the form of 
electropositive particles, the acid portion in the form of 
electronegative particles or ions, a metal when dropped 
into water also goes into solution in traces to form 
electropositive metallic ions, while the metal itself be- 
comes a negative electrode. A proper combination of 
such metals having different solution tensions then con- 
stitutes a galvanic element. If now we imagine such 
a metal divided under water into smaller and smaller 
particles until this metallic dust is able by virtue of its 



CHANGES IVROUGHT IN PATHOLOGY. ■ 107 

minuteness to remain suspended in the liquid an in- 
definite length of time, then we have a colloidal solution 
before us. Such a solution is perfectly clear and passes 
unchanged through the finest filter. We can deduce 
from the manner of its origin its characteristic properties 
— such a solution represents a suspension of fine elec- 
trically charged particles, in other words minute elec- , 
trodes. If two gold electrodes connected with a strong 
electric current are introduced, according to the direc- 
tions given by Bredig, into pure water cooled by ice and 
then are carefully separated until a tiny arc appears, 
purplisb^red clouds begin to emanate from the negative 
electrode as this goes into solution in the form of fine 
dust particles, and the result is the production of the 
beautiful colloidal gold solution which Zsigmondy pre- 
pared previously by chemical means through careful 
reduction of a gold chloride solution. Partially through 
use of the chemical method, partially through use of 
the electrical method, a large number of inorganic 
colloids have been produced, which have, since Gra- 
ham's fundamental work, formed a much-cherished ob- 
ject of investigation. But not until recently has it 
been possible to deduce in a satisfactory way the laws 
governing their varied behavior from variations in a 
few characteristics. By utilizing the fundamental work 
of such investigators as Lixstder, Picton, Hardy, and 
Bredig, and many of his own experiments, J. Billitzer, 
a Vienna chemist, has been able to show that the chief 
laws governing and the differences existing between col- 
loids can all be explained by variations in only three 
values, namely, the number, size, and electrical charge 
of the suspended particles. This conception, which 



lo8 PHYSICy4L CHEMISTRY IN MEDICINE. 

allows not only a survey of what has been accomplished, 
but also allows us to state in advance what naay be ex- 
pected to happen in colloidal solutions, has, moreover, 
the advantage that its suppositions are capable of being 
tested experimentally — in fact, have already been tested 
in many cases. 

We have optical means at our disposal, for example, 
by which we can determine the number and the size of 
the colloidal particles. If a colloidal solution is placed 
in a bundle of intense light rays, the fine particles of the 
solution reflect the light in part, as can be determined 
through its polarization. The absorption of different 
portions of the spectrum may also give a clue regarding 
the size of the particles. Finally, Siedentopf and 
ZsiGMONDY have made it possible with their ingenious 
ultramicroscope to determine the number and size of the 
colloidal particles. The electrical condition of the sus- 
pended particles we can recognize from their behavior 
in the electric current, in that they migrate, according to 
their electrical charge, either toward the positive pole 
when they are negatively charged, or toward the negative 
pole when they are positively charged. 

These facts allow us to understand a process which 
has long served as the prototype of most of the colloid 
reactions and which explains many important questions 
in physiology and pathology, namely, the precipitation of 
colloids. 

It has already been pointed out that the salts, acids, 
and bases dissociate in part in aqueous solution into 
their oppositely charged constituents, the ions. Let us 
suppose now that a sufficient number of such ions are 
introduced into a colloidal solution of a metal which 



CHANGES IVROUGHT IN PATHOLOGY. 109 

represents a suspension of weakly charged electronegative 
particles. In consequence of 'electrical attraction, the 
negative colloidal particles will collect about the electro- 
positive ions, until through the heaping up of a suffi- 
cient number of such particles the collecting ion will 
be electrically neutralized. When the aggregates thus 
formed have reached a sufficient size, the solution 
becomes turbid, and finally a precipitate drops to the 
bottom. 

We are able to foretell the possibilities which result 
from a change in the number, size, and electrical charge 
of the particles of a colloid, all of which can be proved by 
experiment. When the number of particles is decreased, 
the probability that a sufficient number will be collected 
together through added ions for the formation of large 
aggregates is also decreased, and finally a stage is 
reached in the concentration of the colloid below which 
precipitation does not occur. The precipitation is also 
rendered difficult when the particles are very small and 
carry, but a weak charge, because under these circum- 
stances too large a number of the particles have to be 
collected together. If, on the other hand, the electrical 
charge of the particles is too great, then too few suffice 
to neutralize the oppositely charged ions, and the aggre- 
gates formed are too small to settle to the bottom. A 
medium charge, a sufi&cient number, and a sufficiently 
large size of the colloidal particles constitute, therefore, 
the optimum for precipitation. Just as we have electro- 
negative metallic colloids, we have also electropositive 
colloids. Oppositely charged colloids precipitate each 
other in the same way as the. ions of salts precipitate a 
Cplloid, only in consequence of the size of the reacting 



110 PHYSICAL CHEMISTRY IN MEDICINE. 

particles the conditions for the formation of large aggre- 
gates are especially favorable. 

We have yet to speak of a few typical observations on 
the precipitation of colloids that have become of great 
importance for certain questions in biology. Such, for 
example, is the often-observed variability in colloids. This 
variability often does not attain a stabile end state until 
after a very long time. It has been found that this origi- 
nal instability is dependent chiefly upon the presence of 
impurities introduced during the preparation of the 
colloid, which because of their slight amount do not 
make themselves felt until a long time has passed. As 
soon as this slow process of neutralization has come to 
an end, the colloid is in a stabile condition. 

A further very important observation is the great 
influence that time has upon the formation of a precipitate. 
We usually require very different amounts of a precipi- 
tating salt or a colloid, depending upon whether the 
precipitate is to be brought down at once or more slowly. 
Not rarely the amount of precipitating substance used 
in the second case is larger than in the former. This 
is dependent upon the following fact: If the precipitating 
colloid A is at once added to the colloid B, the particles 
are present everywhere in the mixture in the size and 
with the electrical charge which they possess in the 
unmixed individual colloids. A and B. Things are 
different, however, when small portions of B are added 
one after the other to A. Under these circumstance.s, if 
the reaction does not take place too rapidly, new aggre- 
gates of B and A are formed upon the addition of the 
first amount of colloid, which are not entirely neutral 
and which differ in size and charge from the original 



CHANGES JVROUGHT IN PATHOLOGY. Ill 

particles of A. Every new addition of B will encounter 
new conditions in this regard, and, as experience has 
taught, usually conditions less favorable so far as pre- 
cipitation is concerned. The result is that under these 
conditions of partial saturation more precipitating ma- 
terial is used up than when all is added at once, and 
that a series of intermediate bodies between the pure 
substances A and B and the fully neutralized mixture 
AB are formed. These intermediate bodies are built 
according to the type xAyB, in which x and y vary 
within certain Hmits. 

A third possibility that interests us is the following. 
The aggregates formed through neutralization of the par- 
ticles of two oppositely charged colloids are often held 
loosely together through slight electric forces. If an 
excess of one or the other colloid is added to such a 
precipitate, the new particles will, because of their elec- 
trical charge, enter into competition with the attraction 
forces existing in the neutral aggregates, and by diminishing 
their size and electrifying the particles cause the • pre- 
cipitate to go back into solution. As soon as a certain 
quantitative relation exists between the two colloids, the 
precipitate will therefore attain a maximum and will go 
back into solution as soon as one or the other colloid 
is present in excess. This is a familiar and well-studied 
relation existing between colloids. 

The experimental facts that have just been recited 
were arranged so as to be ready for immediate application 
to one of the most important and interesting chapters 
of medicine, the immunity reactions. We shall deal 
more ■ particularly with that difficult and much-argued 
relation between toxin and antitoxin. On thiss ubject 



112 PHYSICAL CHEMISTRY IN MEDICINE. 

there exist a large number of valuable quantitative 
investigations, of which must be mentioned in particular 
the fundamental work of Ehrlich on diphtheria toxin. 

I may perhaps be allowed, before entering into details, 
to touch upon those few leading points which render 
possible a simpler and more satisfactory conception of 
the relation of toxin to antitoxin than has until now 
been possible. Two assumptions sufhce, both of which 
rest upon a fully established experimental basis and are 
generally accepted without contradiction: the colloidal 
constitution of toxins and antitoxins, and their ability 
to neutralize each other. Through these suppositions 
is rendered possible the extension to the dark relations 
existing between toxin and antitoxin of our advanced 
insight into the process of colloidal precipitation. As an 
actual matter of fact, we are dealing in both cases with a 
neutralization of colloids, only the criterion which exists to 
show that such a neutralization has occurred is different in 
the two cases. For in the first case this consists in the 
production of macroscopically visible aggregates, in the 
second in the formation of non-poisonous ones. The 
similarity between the general laws governing the two 
sets of phenomena is, in truth, striking. 

It is a well-known fact, for example, that especially diph- 
theria toxin when kept for longer periods of time under- 
goes changes which are attributed to the formation of 
various complexes from the originally simple toxin. An 
analogous phenomenon is counted among the first-observed 
and best-known facts of colloids in general. It is de- 
pendent upon the presence of neutralizing impurities 
which are in the course of time able to render manifest 
their effect in the production of aggregates. The more 



CH/tNGES ly ROUGH T IN PATHOLOGY. 113 

concentrated a colloidal solution, the richer it is, other 
things being equal, in impurities, and the less stabile in 
consequence. In the course of time the process of 
neutraUzation in the colloidal solution comes to an 
end, after which it remains stabile. Ehrlich has 
been able to observe similar facts in the case- of 
diphtheria toxin which is kept a sufficiently long time. 
And we know from the observations of Paltauf on 
the loss in strength of stored immune sera, and a recent 
excellent investigation of Pick and Schwoner, that in 
antitoxin, especially in the case of the high-potency 
sera, the tendency to form aggregates is very great. That 
this tendency toward the formation of aggregates must 
be subject to the greatest variations under our present 
system of obtaining the impure toxin and antitoxin 
solutions is readily intelligible. In the preparation of 
inorganic colloids we have also only lately and by no 
means in all cases succeeded in obtaining stabile and 
uniform solutions, through perfection of technic and 
ideal cleanliness of material. 

Upon the variations in the original properties of colloids 
are also dependent the variations in the colloidal mix- 
tures. This explains that variability which has been 
observed in the behavior of toxin-antitoxin mixtures 
and which originally wrought great confusion in this 
question. We have already touched upon the great 
differences shown in the behavior of colloidal mixtures, 
depending upon whether they are precipitated at once 
or in fractions. It is of value to enter a little into the 
details of the relations existing when toxin and antitoxin 
are mixed together, for the observations of Ehrlich 
pri the fractional saturation of toxin constitute the 



114 PHYSICAL CHEMISTRY IN MEDICINE. 

foundation of our modern (Conceptions of its nature. If 
we add to a certain amount of a colloid A a much smaller 
amount of a neutralizing colloid B, then, generally 
speaking,* a part of A is not completely neutralized, while 
the remaining part remains free, but B is distributed 
over and combines with as large a number of the colloidal 
particles of A as is possible. As a result, new, incom- 
pletely neutralized aggregates are formed. By this means 
the number, size, and electrical condition of the particles 
become changed, and it depends entirely upon the char- 
acter of these new values whether the tendency toward 
a formation of further aggregates upon the addition of 
a second portion of B is favored or inhibited. When 
such a second addition is made, new aggregates with 
new properties are again produced. If we have deter- 
mined the amount of antitoxin necessary to just neu- 
tralize a lethal dose of toxin, we will need w times this 
amount to neutralize an w-times dose of toxin. Things 
are different, however, as soon as we try to saturate 
gradually, through the addition of succeeding small 
amounts of antitoxin, an n dose of toxin, as Ehrlich 
has done. Under these circumstances we can get only 

* It cannot be discussed in this paper in how far neutralization 
velocity and reversibility of the formation of aggregates determine the 
character of the course of the reaction. The more important instances 
can, however, be reviewed. Reversibility is always only partial, and 
decreases steadily from the moment of neutralization. Even such 
stabile colloidal changes as the coagulation of egg albumin through 
heat or concentrated mineral acids are reversible at the moment that 
they are brought about. In the precipitation of protein through phenol, 
alcohol, or neutral salts the eSect of time and the degree of reversibility 
increase from the first toward the last. This general property of 
colloids has in recent discussions of immunity assumed an important 
part under the heading of secondary fixation of toxin-antitoxin. 



CH/tNGBS IVROUGHT IN PATHOLOGY. Ii5 

those transitional toxin-antitoxin compounds which show 
great variations in their reactions. This phenomenon 
has been responsible for the development of a rich 
noilienclature. All the relations between toxin and 
antitoxin, are much complicated by the fact that diph- 
theria toxin, as has already, been pointed out, may from 
the start enter into a reaction with antitoxin, with aggre- 
gates which are by no means all alike. To this is still 
to be added the following fundamental peculiarity in the 
reactions of the toxin. The toxicity of diphtheria toxin 
and its relations to antitoxin are able to vary independ- 
ently of each other, a behavior which finds expression, for 
example, in the fact that a toxin requires approximately 
the^same amount of antitoxin for neutrahzation no mat- 
ter whether its toxicity is high or diminished through age. 
This phenomenon, which represents another of Ehrlich's 
discoveries, was explained by assuming that the toxin 
is composed of a haptophore, or binding group, and a 
toxophore, or poison-bearing group. We must not fail 
to consider, however, that we are dealing with a reaction 
of the colloidal toxin with two different kinds of colloids 
— with the antitoxin and with the constituents of the 
cell. 

Slight changes in the colloidal properties of a body 
are, however, able to affect one part of its reactions and 
leave another part free. An interesting example of this 
is furnished by the behavior of colloidal gold toward 
mercury, which I introduce because we are dealing under 
these circumstances with reactions between elements, 
reactions which no one will be inclined to attribute to 
properties of special atomic groups. Colloidal gold 
shows the properties of the pure metal, except that it 



II 6 PHYSIC/IL CHEMISTRY IN MEDICINE. 

does not form an amalgam with mercury. A similar 
behavior can be mimicked in immunity reactions when 
the haptophore groups are lost while the ergophore 
groups are retained, or conversely. According to Bil- 
LITZEr's observations, it is the fact that both metals 
possess the same electrical charge which prevents the 
formation of an amalgam. How easily, however, it may 
be concluded from work with colloidal mixtures that 
new chemical compounds have been produced is indicated 
by the interesting fact that no less a man than Berzelius 
did this in a study of colloidal gold and came to similar 
conclusions, as did Ehrlich in a study of toxin-anti- 
toxin mixtures. In gold-purple, which has been recog- 
nized through an excellent investigation of Zsigmondy 
as a mixture of colloidal gold and colloidal stannic acid, 
the gold shows some variations in reaction. Misled 
by this fact, Berzelius drew the conclusion that gold 
exists in gold-purple as the oxide. It is a fact of great 
importance that, in a mixture of two colloids A and B, 
the properties of A disappear for many reactions, while for 
others those of B disappear. According to the beautiful 
experiments of Zsigmondy, in a mixture of orthostannic 
and metastannic acids certain of the chemical properties 
of the metastannic acid are concealed by the ortho-com- 
pound, while toward other reagents the properties of the 
ortho-compounds fall entirely into the background. Every 
species of animal represents a different reagent toward 
the same mixture of toxin and antitoxin, in which at one 
time the effect of the toxine, at another that of the anti- 
toxin, may hold the upper hand. Besides the phenom- 
ena of neutralization, this fact has done most to sup- 
port the belief in the existence of toxins having different 



CH/1NGES H^ROUGHT IM PylTHOLOGY. Xi7 

chemical compositions. We are able to recognize in this 
only a general property of colloidal mixtures, the laws 
governing which Zsigmondy has formulated in his inves- 
tigations on Cassius's gold-purple in the following way: 

" As most important I consider the recognition of the 
fact that a mixture of colloids may, under certain circum- 
stances, behave as a chemical compound, and that the 
properties of one of the constituents of such a mixture 
may be concealed through those of another. " 

An especially remarkable illustration of the identity 
of the neutralization of toxin with antitoxin and the 
neutralization of two colloids is furnished by a phenomenon 
which has also been discovered by Ehrlich, and a de- 
scription of which we will introduce, with a few figures. 

As the standard of a lethal dose of diphtheria toxin 
is taken the amount which will kill a guinea-pig of 250 
grams in from four to five days. Ehrlich added to one 
immunity unit — that is, one cubic centimeter of antitoxin 
serum, capable of counteracting the poisonous effects of 
100 simple lethal doses — enough diphtheria toxin until 
the mixture showed no toxic properties and indicated 
the amount of toxin necessary to accomplish this by 
Lq. This is usually less than one hundred, for the neu- 
tralizing toxin has, as a rule, stronger neutraUzing than 
toxic properties. Without a knowledge of the properties 
of colloids one would expect that through the addition of 
a simple toxic dose to the approximately neutralized mix- 
ture Lo one would obtain a product capable of killing 
a normal guinea-pig in from four to five days. Ehrlich 
found, however, that several simple toxic doses have to 
be added before the mixture again assumes the effect of 
a free lethal dose. From our knowledge of the formation 



Il8 PHYSICAL CHEMISTRY IN MEDICINE. 

of aggregates in the process of colloidal precipitation, this 
result was to be expected, for each of the toxin doses 
added to Lo distributes itself over all the aggregates already 
present, in consequence of which the mixture can attain 
the unit toxicity only after several doses have been added 
to it. 

Through an investigation carried out by the chemist 
BiLTZ, who has brought much light into this field, we 
are famihar with phenomena observed upon inorganic 
colloids that are entirely analogous to the Ehrlich 
phenomena just described. Biltz studied quantitatively 
the neutrahzation of arsenious acid by its well-known 
antidote, iron hydroxide, of which the former represents 
an electronegative radicle, the latter an electropositive 
colloid. These investigations showed that a neutralized 
mixture of the two — that is, one corresponding with the Lq 
toxin-antitoxin mixture, therefore — still has the power of 
uniting with arsenious acid and rendering several poison- 
ous single doses harmless. A certain analogue of the 
Ehrlich phenomenon in the field of precipitation is per- 
haps to be found in the following. It is often possible, as 
has already been pointed out, to dissolve a precipitated 
colloid in an excess of the precipitating colloid. If the 
addition of a colloidal solution to a neutralized precipitated 
mixture corresponding with the Lq value of Ehrlich is 
continued until the precipitate is redissolved, much more 
of this colloid is required for this purpose than when a 
colloid has added to it all at once an excess of a second 
colloid. The intimate connection between this phenom- 
enon and the behavior of a colloid when precipitated 
through the addition of successive small doses of a second 
colloid can readily be seen. The procedure is the same, 



CHANGES BROUGHT IN PATHOLOGY. U4 

only it is executed in different time and follows a different 
scale. 

We still have to consider a few possibilities which can 
be deduced from the properties of differently charged 
colloids and which are realized in the phenomena of 
precipitation and in the phenomena of neutralizing a 
toxin. One of these is the antagonistic effects that 
small and large amounts of one colloid may have upon 
a second. Number, size, and charge of the particles 
of a colloid need not at all be related to each other in 
such a way as to best favor neutralization. For this 
reason different colloids are not precipitated with the same 
ease. Under certain circumstances a decrease in the 
electrical charge with a slight change in the size of the 
particles may make a colloid more stabile. This may 
be brought about through the addition of the right 
amount of a neutralizing colloid. Gelatine in small 
amounts may, for example, protect another colloid against 
a precipitation which at a greater concentration it itself 
brings about. A striking example, which until now has 
been regarded only as a curiosity, of such an antagonistic 
effect of one and the same colloid has been studied by 
Jacoby, who found that the toxicity of crotin is increased 
through the addition of small amounts of antitoxin, while 
it is decreased and neutralized through the addition of 
larger amounts. 

A well-recognized conclusion to be drawn from the 
behavior of colloids toward each other is the following: 
It is by no means immaterial whether a colloid A has 
small amounts of a colloid B added to it, or whether B 
has small amounts of A added to it, and the aggregates 
formed in the two cases wiU, in general, be different 



120 PHYSICAL CHEMISTRY IN MEDICINE. 

from each other. If we begin with an excess of toxin 
to which successive small amounts of antitoxin are added, 
the formation of aggregates will be able to follow a 
different course than when the reverse is the case, when 
we start with an excess of antitoxin. Ehrlich has 
worked according to the first method, while Pick and 
ScHWONER utilized the second method and came to the 
conclusion that the laws governing the combination 
between toxin and antitoxin were totally different from 
those discovered by Ehrlich.* It can easily be seen 
how through changes in only a few conditions an enormous 
variety in the character of the colloidal reactions is 
brought about, a behavior which is rendered apparent 
through a consideration of the numerous well-studied 
transitions existing between colloids and crystalloids. 
A colloidal solution consists of a suspension of fine par- 
ticles which have assumed an electrical charge through 
giving off ions, just as have electrodes. If now the 
suspended particles become steadily smaller, while at the 
same time their electrical charge grows, they approximate 
more and more the behavior of ions, until finally the 
colloid passes over into a crystalloid, which dissociates 



* The relations existing here can be illustrated also by examples of 
protein precipitation. The precipitation of protein through the heavy 
metals is dependent upon the neutralization of the negative protein 
through the positive colloidal metallic hydroxide. The precipitates 
formed are, however, not soluble to the same extent In excesses of the 
individual colloids. The silver-protein precipitate is, for example, soluble 
in an excess of protein, but not in an excess of the silver salt. In th^ 
former case we have to do with the formation of variable aggregates' 
in the second with simple neutralization according to the manner 
observed by Pick on his toxostabile sera when large amounts of anti- 
toxin have toxin added to them. 



CHANGES IVHOUGHT IN PATHOLOGY. 121 

in aqueous solution into its strongly charged ions. In 
this way mixtures of antagonistic colloids may approx- 
imate in their properties salts that have arisen from 
combinations between weak acids and weak bases. 
Strictly speaking, we are compelled to assume the existence 
of at least traces of such a similarity in order to account 
for the traces of the free substances which we find beside 
the aggregates in toxin-antitoxin mixtures. Some toxin- 
antitoxin mixtures might, finally, because of their close 
relationship to the crystalloid salts, contain the free sub- 
stances beside completely neutralized aggregates. Accord- 
ing to the investigations of Arrhenius and Madsen, 
it is not impossible that such a state of affairs exists 
in the case of their tetanolysin. We are acquainted with 
an excellent experimental procedure for analyzing col- 
loidal mixtures which Billitzer has employed in a study 
of the relations existing in mixtures of the electropositive 
red iron hydroxide and the electronegative yellow arsenious 
sulphide. If an electric current is sent through such 
a mixture, the completely neutralized aggregates do not 
move, while the unneutralized aggregates, which carry 
the electric charge of the colloid that is present in excess, 
are slowly carried to the oppositely charged pole. The 
traces of free colloid still present move most rapidly 
and to opposite poles, where they evidence themselves 
in this case through differences in color. 

The transition from the complicated conditions exist- 
ing in the case of the toxins to the more simple ones 
in the case of the precipitating and agglutinating sub- 
stances is rendered easy through the fact that in the 
latter case we are dealing with the reactions of the rela- 
tively well-understood proteins, or substances closely 



t22 PHYSIC/IL CHEMISTRV IN MEDICINE. 

related to them. With this we come to the question of 
the colloidal properties of the proteins. 

If an electric current is carefully sent through a solution 
of egg albumin poor in salts, the protein migrates, as 
shown by chemical analysis, to the positive pole. This 
migration is very slight, and, since the protein particles 
have been by optical means proved to be very smaU, 
must be attributed to a weak electronegative charge 
which they carry. A current of 250 volts for twenty-four 
hours is required to render evident this migration of the 
protein. The slight charge and the minuteness of the 
particles explain the very considerable stability of the 
protein toward precipitating ions. While the more 
strongly charged colloidal metals and the majority of 
the inorganic colloids are precipitated in weak salt solu- 
tions, this is not true of protein. Through this fact is 
rendered possible the vitally important existence of salts 
and protein side by side. If the protein particles are 
given a greater charge than they possess normally, 
they are readily precipitable. In the presence of acids, 
for example, the proteins assume a strong electropositive 
charge, as evidenced by their very considerable migration 
toward the negative pole, and are now readily precipitable 
through electronegative colloids. We make clinical use 
of this procedure daily when we first give dilute protein 
solutions a positive charge through the addition of acetic 
acid, after which, upon the addition of potassium ferro- 
cyanide, they produce the well-known precipitate with 
the colloidal negative ferrocyanic acid. In fact, in the 
majority of the sensitive reactions for albumin, we have 
to do with the effect of an oppositely charged colloid 
upon a suitably electrified albumin. 



CHANGES IVROUGHT IN PATHOLOGY. 123 

The phenomena observed in precipitin and agglu- 
tinin reactions are explained in a similar way. These 
precipitations are possible only in the presence of salts. 
If the protein or the bacteria under investigation are 
mixed with the specific substances in a salt-free condition, 
no reaction occurs. These specific substances may, 
therefore, be looked upon as giving the colloidal proteins 
the properties of sensitive colloids, that of being pre- 
cipitated through small amounts of salt ions. According 
to BiLLiTZER the specific substances serve in this case 
only to give the coUoidal particles the charge and size 
necessary for precipitation. Apparently all " sensitizing " 
reactions encountered in the realm of the immune-body 
reactions are explainable in a similar way. 

A phenomenon frequently observed is furnished by the 
above-mentioned tendency of colloids to show an opti- 
mum proportion in which the two reacting colloids must 
be mixed in order that they may be precipitated, and by 
the inhibition of the reaction when an excess of the one is 
present. Biltz has already pointed out the existence of 
this generalized phenomenon of colloids in agglutination; 
analogous phenomena may, however, be observed in 
nearly all immune-body reactions. A remarkable exam- 
ple of this kind is furnished by the " complement diver- 
sion " (Komplemeniablenkung) observed by Neisser and 
Wechsberg. These authors showed that bactericidal 
immune sera showed a maximum effect, under other- 
wise similar conditions, when they contained a medium 
amount of immune substance. No doubt we can with' 
profit now express the description of this phenomenon 
in the smoother language of colloid chemistry. The com- 
plex relations existing in the case of haemolysis, which 



124 PHYSIC/IL CHEMISTRY IN MEDICINE. 

may be brought about in a great variety of ways, also 
seem clearer as soon as the exit of the coloring-matter 
from the blood-corpuscles is looked upon as a rupture 
of the colloidal haemoglobin-stroma compound. There 
seem to exist, therefore, a large number of light-bringing 
relations between immunity phenomena and phenomena 
in colloid chemistry. Landsteiner in conjunction with 
Jagic have been able to show the identity existing between 
the mechanism of the haemolysis (studied by Kyes and 
Sachs) brought about through the unknown cobra poison 
and the mechanism of the haemolytic effect of colloidal 
silicic acid. In this case a structurally uniform inorganic 
colloid behaves like the hcemolytic amboceptor of the 
side chain theory. 

We are indebted to the same investigator for recog- 
nizing a fact of still more general significance. The 
proteins, and from many facts at our disposal the immune 
bodies also, represent so-called amphoteric electrolytes; 
in other words, substances which assume basic properties 
in acid solutions and acid properties in alkaline solutions; 
or, as shown by experiment, change the sign of their 
electric charge with a change in reaction. There exists, 
however, a zone between the extreme changes in the 
sign of the electrical charge in which these hermaphrodite- 
like substances respond to the slightest change in their 
surroundings with an alteration in their electrical char- 
acter, through which the existence of a large number of 
finely graded relations between amphoteric electrolytes 
differing only slightly from each other is rendered pos- 
sible. This enormously changeable sensitiveness of such 
substances, which may, according to circumstances, act 
at one time as colloids having one kind of electrical 



CHANGES IVROUGHT IN PATHOLOGY. 125 

charge, at another time an opposite charge, is evidenced 
by a large number of facts. With this conception of 
the r6le of amphoteric substances, Landsteiner has 
made the first rational attempt to explain the specificity 
of the immune substances. 

The chemistry of the colloids also allows us to 
assume a freer position regarding the hypotheses 
governing investigations in immunity. We can, how- 
ever, touch upon this subject only briefly here, and 
must limit ourselves to the question of toxins and anti- 
toxins. 

Every one is familiar with the dominating influence 
which those views have at present attained that Ehrlich 
has developed under the name of the side chain theory, 
views which have not, of course, remained without con- 
tradiction. The opposition which this theory has encoun- 
tered has evidenced itself silently in the fact that a number 
of investigators have continued to work independently 
and without using it, and audibly through the ex- 
pressions of various authors, more particularly Max 
Grubee, who delivered an address in Vienna several 
years ago. 

As already stated, Ehrlich has, among others, utilized 
the fact that the affinity of toxin for antitoxin and the 
toxicity of toxin may vary independently of each other 
to support the idea that two different groups, a hapto- 
phore and a toxophore, exist in a toxin. These are 
supposed to furnish the material substrate for the different 
reactions of which one and the same substance is capable. 
Ehrlich has at the same time distinguished between 
different varieties of a toxin, originating in part from the 
bacteria themselves, such as the toxones, and in part the 



126 PHYSICAL CHEMISTRY IN MEDICINE. 

product of time when the toxin is kept for a long time, such 
as the toxoids. The differences observed in the toxicities 
of a toxin when only partially saturated with antitoxin, 
and those observed in the behavior of different animals 
toward the neutralized toxins, all furnish important 
support for these assumptions. But we must look upon 
it as a fact well estabhshed through investigations on 
colloids, that in their changes in state a part of their 
reactions may be influenced, while another part may 
remain untouched; that through the mixture of colloids 
which neutralize each other manifold new, in no sense 
preformed, aggregates can be produced, and that such 
aggregates may at one time allow the effect of the one 
colloid, — in this case the toxin, — at another time the other, 
— the antitoxin, — to become apparent. Great differences 
must in consequence result in the intensity and in the 
picture of the intoxication in different animals. Against 
Ehrlich's theory Arehenius and Madsen, as well as 
Gruber and Pirquet, have set up the idea that in 
toxin-antitoxin mixtures we always have to do with a 
dissociation of compounds having only a weak affinity 
for each other. This conception, which originated from 
a top far-reaching generalization of a special case, allows 
only of the existence of completely neutralized aggregates, 
beside traces of their components, and is, therefore, in- 
capable of explaining the multitude of experimental facts 
which have been obtained in the study of different toxins, 
more especially diphtheria toxin. Against this inade- 
quate assumption arose the strength of the Ehrlich 
theory, which has rendered the great service of having 
been the first to fix in the minds of investigators the 
newly discovered and scarcely calculable varieties of 



CHANGES IVROUGHT IN PATHOLOGY. 127 

facts won through a study of immunity. But the facts 
of colloidal chemistry, together with advances in the 
investigation of immunity, show clearly, it seems to me, 
that the Ehrlich assumptions, in spite of the many 
variables introduced into them, do not at all suffice to 
explain the phenomena actually observed. 

It is, for example, an easy matter to foretell even now 
that through changes in the manner and the rapidity with 
which toxin and antitoxin are mixed, and through a 
proper choice of animals, the varieties of toxins that 
have been assumed to exist by Ehrlich might easily be 
increased indefinitely. 

It can be readily seen, too, how difficulties arise in the 
expansion of any theory that is based upon crystalloidal 
cjiemistry. With Ehrlich it is the application of syn- 
thetic organic chemistry, with his opponents, the appli- 
cation of a special case of the dissociation of salts that 
iinally constitutes too narrow a frame to receive the 
entire picture of facts. Insufficient also was the attempt 
of Danysz and Bordet to explain the behavior of toxins. 
The latter especially tried in his brilliant way to sup- 
port his theory through an analogy with the process of 
dyeing, which we now know to be a colloidal reaction. 
In this theory the correct assumption that toxin and 
antitoxin are able to unite in different proportions was 
made; it could, however, be of value only as a hypo- 
thetical objection, as it included only some of the possi- 
bihties and was unable to explain, while lacking the broad 
base of other facts in colloidal chemistry, the variety of 
observations made on toxins. If we disregard my first 
brief suggestion, pointing out the relation between im- 
munity reactions and colloidal changes in state, Lanp- 



128 PHYSIC/iL CHEMISTRY IN MEDICINE. 

STEINER was the first who independently, and recogniz- 
ing the goal toward which he was travelhng, studied this 
connection between immunity and colloidal reactions 
experimentally. Landsteiner has done this more espe- 
cially for agglutination and haemolysis, while I have 
attempted to do it for the true toxins and their anti- 
toxins.* 

The extensive importance of colloidal chemistry for 
biology is by no means limited to the highly interesting 
field of immunity. This can be shown to be true to- 
day, however, on only a few examples. 

We are acquainted with a remarkable kind of separa- 
tion of solid colloids through the action of surface tension, 
an understanding of which is of importance in many 
problems of pathology. 

The nature of these forces which evidence themselves 



* I am, of course, aware that valuable beginnings have already been 
made to apply the facts of colloidal chemistry to the teachings of toxins 
and antitoxins, and nothing is further from my mind than to disregard 
the great credit which more especially BiLTZ deserves in this respect. I 
would, nevertheless, like to emphasize that my conceptions are inde- 
pendent ones which developed gradually — as such things must — in 
the course of my investigations of organic colloids. They form only 
a special case of the analogy which I have for more than a decade 
tried to show exists in the most varied subjects between changes in the 
state of colloids and the processes that go on in living matter. My 
treatment of the subject is, moreover, directed toward numerous until 
now scarcely prized, but apparently most important, sections of the 
problem. 

For the parallelism between the precipitation of a colloid and the 
neutralization of a toxin by an antitoxin which I have given above, 
the experiments of Coehn, according to whom toxin and antitoxin 
wander toward the same side in the electric current, are of no importance, 
as I have been able to show in my unequivocal investigations, 



CHANGES fVROUGHT IN PATHOLOGY. 129 

at the surfaces of all liquids is familiar to every one. 
While the particles within the liquid are surrounded on 
all sides by particles of the same kind and are in con- 
sequence in a state of equilibrium through the uniform 
distribution of the attractive forces about them, this is 
not the case with the surface particles. For here the 
forces which act upon the particles and are directed 
toward the centre of the liquid encounter no correspond- 
ing antagonistic force. In consequence of the effort of 
the surface particles to follow the attraction toward the 
centre, the surface endeavors to become as small as 
conditions will permit. Many substances are able 
through solution in a solvent to bring about a decrease 
in its surface tension. Under these circumstances the 
liquid may follow its tendency to decrease its surface as 
much as possible by allowing the particles of the sub- 
stance which decrease the surface tension to take the 
place of the particles of the liquid which are being pulled 
toward the centre. In this way the surface becomes 
gradually richer in the dissolved substance. In the end 
the concentration of the sohd particles at the surface 
becomes so great that a film is formed which may be 
removed and which is renewed after each removal. This 
behavior, which has been studied in great detail by 
Ramsden, is shown chiefly by the colloids, more especially 
protein solutions. If such solutions are shaken together 
with air or immiscible liquids, such as oil, chloroform, or 
mercury, all the dissolved colloid can finally be precipi- 
tated through the surfaces which are constantly re- 
newed. 

That this process should be demonstrable most clearly 
on colloids and especially on protein solutions is due to 



13° PHYSICAL CHEMISTRY IN MEDICINE. 

two still other conditions, according to our judgment. 
If the coagulation through surface tension is studied in 
detail we find that we have to do with an extreme increase 
in the concentration of a solution, or, what amounts to 
the same thing, with the expression of the solvent from 
such a solution. The energy necessary for this, which, 
as is well known, expresses itself in osmotic pressure, is, 
however, in the case of the colloidal substances, exceed- 
ingly small in contrast to that observed in crystalloidal 
substances. And so it is that the colloids are especially 
well able to form solid surface films quickly and exten- 
sively. 

A second important condition is the electrical charge 
of the colloidal particles. The greater this is, the 
more powerful are the repellent forces between the sim- 
ilarly charged particles that antagonize the surface ten- 
sion, which tends to crowd them together. The proteins, 
as we know, carry only weak charges of electricity and 
furnish in consequence favorable conditions for the col- 
lection of the particles on free surfaces. To the formation 
of such solid protein films Ramsden attributes the well- 
known formation of a film on milk and the behavior of 
the fat droplets of milk, which have long been imagined, 
from their physical and chemical reactions, to be sur- 
rounded by a denser film of protein. In pathology similar 
phenomena might play an accessory part in air and fat 
embolism. It can readily be shown experimentally that 
the migration of air bubbles in tubes which are filled 
with protein solutions meets with unexpectedly great 
difficulties. In the living organism the danger of the 
entrance'of air bubbles or fat droplets into the circulation 
is dependent, at least in part, upon similar processes. 



CHANClES U^ROUGHT IN PATHOLOGY. t^i 

In both cases we have to do with a soHdification of their 
surfaces which makes the emboh behave, in spite of their 
gaseous or Uquid character, Hke solid obstructions to the 
circulation. 

In a new light appear also, through a study of the 
colloids, the extracellular phenomena observed in the 
development of solid supporting substances, such as car- 
tilage and bone, and the precipitation of crystalloidal sub- 
stances in the tissues connected with them. The latter 
question, which is also of great pathological importance, 
has aroused much interest in the past decade, but it does 
not seem to have been possible to get far beyond the 
recognition of the difficulties which the solution of the 
problem encounters. The nucleus of the question seems 
to lie in the fact that we are dealing, on the one hand, 
with simple processes of crystallization, while, on the 
other hand, formative influences on the part of the cells 
and functional adaptations to the forces destined to act 
upon them seem to be clearly discernible in the arrange- 
ment of the crystallization. Besides the studies of nu- 
merous investigators on the process of ossification, it has 
been Biedermann, more especially within recent years, 
who, through his excellent work on the shells of molluscs, 
crustaceans, and insects, has furnished much important 
experimental material. 

The importance of colloidal chemistry in these prob- 
lems evidences itself at once in that first and most important 
question of the conditions under which the scarcely 
soluble salts are kept in solution and precipitated in 
suitable places. The colloids constitute, as shown by 
many experiments, an excellent means under certain 
.circumstances of keeping slightly soluble salts in solution, 



t3* PHYSICAL CHEMISTRY IN MEDICINE. 

in that they themselves unite with the salt ions and form 
aggregates without necessarily being precipitated, when 
the size and charge of the particles, as in the case of 
protein, are small. It is, for example, an easy matter 
to show that by no means inconsiderable amounts of 
barium sulphate, one of the least soluble of substances, 
can be kept in solution in serum. If now, through the 
metabolism of the cells, the dissolving colloids are de- 
stroyed and not replaced, supersaturation and finally 
precipitation of the crystalloidal material can easily be 
brought about, after which, as is so often the case, crystals 
that have once been formed may serve as centres for 
further crystallization. This conception seems to make 
clear the connection between crystallization and the vital 
activities of the cells, as evidenced by the organization 
of the supporting tissues. It renders intelligible also the 
regularly observed phenomenon that a small portion of 
colloidal material, which is no longer able alone to keep 
the salts in solution, always crystallizes out with them. 
In this same direction is to be sought the connection 
between pathological processes of calcification, deposition 
of uric acid, and tissue metabolism. If the beautiful 
investigations of Paul and His on the conditions deter- 
mining the solubility of uric acid are not of that im- 
portance for the pathogenesis of gout which they had 
hoped, then this is dependent primarily upon the fact 
that the same conditions of equilibrium which exist in 
the organism in the presence of colloids were not estab- 
lished in their experiment. 

A special problem is presented by the origin of the 
great solidity of cartilage and bone, or rather their 
peculiar colloidal intercellular substance. These tissues 



CHANGES IVROUGHT IN P/itHOLOGY 133 

possess a characteristic, highly concentrated ground sub- 
stance, connected with structures which represent, in 
the main, thin layers deposited abcut the formative cells 
or their delicate protoplasmic extensions. A very in- 
structive example of this kind is furnished by the exceed- 
ingly hard cartilage of myxina, in which Schaffer was 
recently ab^ to demonstrate layers of great dehcacy sur- 
rounding the cartilage cells. In such thin precipitation 
layers there can arise, when they absorb or gradually 
give off water, tremendous pressures which might well be 
of great importance in hardening the entire mass. Ac- 
cording to experiments which I have carried out in conjunc- 
tion with Dr. LuDWiG Mach, it is an easy matter to give 
protein a bony hardness by pressing it into a steel tube 
and heating it almost to its decomposition temperature. 
Interestingly enough, this ability to form a material 
sufficiently hard to be worked with instruments is con- 
nected with a certain integrity of the albuminous sub- 
stance and is lost entirely when the albumin is decomposed 
beyond the albumose stage. By mixing with the protein 
the fine dust of insoluble calcium salts in the proportion 
in which these are found in bone, the solidity of the prod- 
uct can be markedly increased. 

The pressures exerted by thin layers of colloid under 
suitable circumstances cannot well be determined. That 
these may attain high value is shown by experiments of 
Cailletet, who was able to render glass permanently 
doubly refracting through thin layers of gelatine which 
were allowed to dry upon its surface. 

With this example, to which many others might be 
added, illustrating the connection between physico- 
chemical investigations and morphology, I shall close 



t34 PHYSICAL CHEMiSTkY Ihl MEDICINE. 

what I intended to offer in tlie line of experimental 
facts. 

If I have succeeded, as I hope, in convincing you also 
that the application of colloidal chemistry to physiology 
and pathology justifies great expectations, it might be well, 
in conclusion, to seek in the development and the present 
state of the colloid problem a measure for our faith in 
its future contributions. 

As is well known, the difference between crystalloids 
and colloids appeared to be so radical a one to Graham 
that to characterize it he wrote the following oft-quoted 
sentence : 

" The difference between these two kinds of matter is 
like that which exists between the material found in a 
mineral and that found in an organized mass." 

The discoverer of the colloidal world has since been 
reproached, and certainly unjustly, for having so strongly 
emphasized the differences between crystalloids and col- 
loids. For every discovery depends primarily upon a 
recognition of the most apparent differences between the 
new phenomenon and the facts well known at the time. 
This contrast is the most powerful stimulus to investi- 
gation. It is the source of the problem, which is not 
solved until the apparent contradictions to it have been 
set aside and those fine threads have been unravelled 
which connect the newly found with the old. Our prob- 
lem also developed in this way, and we have seen how 
the connection between colloids and crystalloids was 
established through a recognition of their principal 
characteristics and their gradations. One is almost 
inclined to believe that the possibility of explaining 



CHANGES iVROUGHT IN PATHOLOGY 13S 

organized living matter through his colloidal condition 
seemed close at hand even to Graham. 

The continued application of colloidal chemistry to 
biological problems soon shows, however, the limits which 
are set upon it. We are able to see this in the case of 
the antibodies also. How much a knowledge of the 
colloids contributes toward an understanding of their 
varied reactions and even the solution of the riddle of 
their specific sensitiveness toward each other seems most 
apparent. Our new methods are of no use, however, 
as soon as we try to discover the secret mechanism by 
means of which the cells produce a suitable antitoxin 
against any definite toxin. To repeat the words of 
Gruber: " Whence comes this astonishing purposeful- 
ness, this predetermined harmony, this specific adapta- 
tion, of substance to antisubstance, which one would 
a priori consider entirely impossible?" 

It must seem remarkable that, instead of exhausting 
one's self in chemical analogies, one has not sought a more 
intimate connection * with those phenomena which arise 
from a direct observation of living matter. Beginning 
with his classical investigations of the physiology of the 
senses, Ewald Hering has developed a theory of the 
changes that go on in living matter, which through abun- 
dant use of the principle of mobile equilibrium has fore- 
shadowed modern chemical dynamics. We need only to 
recall how, according to Hering, the^ sensations of 
antagonistic colors correspond with antagonistic reactions 
in the visual substance which mutually suppress each 
other. When we consider that the substances of the 

* Only Landsteiner makes a similar suggestion. 



136 PHYSlC/iL CHEMISTRY IN MEDICINE. 

red process produce in their surroundings or after them 
the antibodies of the green pirocess,* and that these prod- 
ucts neutralize each other physiologically, just as do toxin 
and antitoxin, the analogy between the two phenomena 
becomes very apparent. 

In spite of a few differences, are not the chemical phe- 
nomena of the production of a lasting complementary 
after-image and the formation of an antitoxin essentially 
the same? Even in Ehrlich's bold conception of the 
regenerative hyperplasia of the side chains, there seems 
to be mirrored only a part of that truth which Hering 
grasped so deeply. 

No doubt every attempt to follow these questions 
further soon brings us to the solid barriers of our present 
knowledge, which do not open even to the storm of 
physical chemistry. And if some investigators, such as 
the followers of the energetic school, carried away by 
physical chemistry, have believed that they had hoisted 
their flag upon the outermost pole of biology, it has 
always been found that this was due to a failure to dis- 
criminate between the boundaries of the known and the 
unknown. We have therefore learned to be satisfied 
with having arrived at a clear conception of the problem 
before us, just as the chemist who must first carefully 
free an unknown substance of all its impurities before 
he holds the pure crystal in his hands. As yet the way 



* For comparison the white-black process might better be used, because 
this leads to black in only one direction, namely, over white to black. 
In the case of the antibodies also we obtain the antibody only by way 
of the toxin and not conversely. The exceptions mentioned in the 
sentence following the one to which this note refers have to do with 
another point which will be discussed in detail at some future time. 



On the electrical charge of protein. I'il 

is not apparent along which it will one day become 
possible to discover its structure. 

7, On the Electrical Charge of Protein and its 
Significance.* 



The surprising development of the chemistry of the 
colloids, which in no small part has been incited through 
its great biological importance, has reacted most benef- 
icently upon the latter science and many problems in 
general physiology. I have repeatedly had the honor 
of bringing before this society reports of that daily 
increasing territory in which the study of colloidal reac- 
tions touches upon or coincides with that of the struc- 
ture and changes in state, and in consequence the func- 
tions of the cells and fluids of the organism. 

If one attempts to survey the long series of colloidal 
substances and to study along the lines common to all, 
it must become apparent to every one how markedly 
their typical properties vary in degree in spite of a certain 
identity in behavior in the matter of diffusion, for example; 
and how the presence or entire absence of certain prop- 
erties changes the whole character of a colloidal reaction. 
This holds not only for the fundamental differences 
between the solid and jelly-like colloids, or gels, and the 
liquid colloids, or sols, but also for the individual mem- 
bers of each of these groups. In fact, we see that among 
the sols the proteins constitute an almost independent 

* From Naturwissenschaftliche Rundschau, 1906, XXI, p. 3. Ad- 
dress delivered before the Morphologisch-physiologische Gesellschaft in 
Vienna, December 5, 1905. 



13^ PHYSICAL CHEMISTRY IN MEDICINE. 

group because of numerous properties that they have 
in common. This behavior will, no doubt, have to be 
taken into consideration by any one who attempts to 
extend the analogy of the behavior of colloids in general 
to that of the colloidal substances in the fluids and tissues 
of the organism. For it has been found that the reactions 
of all colloids do not approximate the reactions that 
occur in the living body, in consequence of which it has 
proved necessary, in the attempt to discover such anal- 
ogies, to cling to the colloidal products of living matter 
itself, namely, to the proteins. 

The value of an accurate knowledge of the proteins 
as a means of understanding the inner workings of life 
phenomena has at different times been differently 
estimated by physiologists. While a time once existed 
when many believed that a knowledge of protein structure 
would by itself give us an explanation of the peculiar 
metabolism of living matter, we have to-day, when the 
beginnings of a protein synthesis are apparent and many 
important constituents of the protein molecule have been 
isolated, become quieter and soberer in our expectations. 
Largely independent of a complete insight into the 
chemical composition of the proteins is the knowledge 
of their physico-chemical properties, which can only be 
obtained through utilization of different methods. This 
knowledge gives us an immediate understanding of the 
majority of the general properties and functions of the 
tissue fluids, and is applicable without reserve to those 
cases also in which no longer living but more or less 
coagulated cell material serves as an object of research. 
In the end, however, such a knowledge also renders easy 
an insight into the changes that take place in living 



ON THE ELECTRICAL CHARGE OF PROTEIN. 139 

cells in consequence of the frequently recognizable paral- 
lelism between changes in state in colloids and changes 
in physiological function. This is no doubt dependent 
upon the fact that the colloidal constituents of living 
matter show, at least in part, a physico-chemical identity 
with the properties of isolated proteins. 

It is our purpose to-day to give as far as possible a 
survey, based on the personal investigations of many years, 
of the more important physico-chemical properties of the 
proteins, and to point out, at least in a cursory way, the 
relation between these properties and many biological 
phenomena. 

II. 

As in the case of crystalloids, so both the behavior in 
solution and the behavior in the solid precipitate serve 
to characterize the colloids. An accurate knowledge of 
the conditions which determine their precipitation has 
recently assumed great importance in the study of the 
colloids. 

We can to-day regard it as settled that between a true 
■suspension and a colloidal solution there exists only a 
difference in the size of the suspended particles. In a 
colloidal solution they are always so small that through 
their friction upon each other they are kept in suspension. 
The colloidal particles seem, therefore, to be no longer 
affected by the force of gravity, just as is the case with 
those smallest dust particles in the air that become visible 
only in the sunlight. The colloidal particles can also be 
rendered visible in many cases by utilizing intense illu- 
mination methods. Even though gravity is unable to 
cause a clumping of the colloidal particles, other forces 



140 PHYSIC/IL CHEMISTRY IN MEDICINE. 

are readily able to do so, especially electrostatic forces, 
with which we are going to deal chiefly to-day. 

As is well known, many crystalloids, such as salts, acids, 
and bases, give off their constituents at the electrodes 
when a current is sent through them. We call such sub- 
stances electrolytes, and a much-used theory assumes, as 
is well known, that there exist in aqueous solutions of 
electrolytes, besides the electrically neutral molecules, the 
electrically charged dissociation products, the so-called 
ions. Upon the migration of these ions toward the 
electrodes is dependent the conduction of electricity. The 
ions are said to be positive when they wander to the 
negative pole to be discharged and deposited, and negative 
vv'hen they wander to the positive pole. In this way the 
H ion, which all acids have in common, is electropositive, 
the remaining portion of the molecule electronegative, 
In the same way the OH ion, which all alkalies have in 
common, is electronegative. The strength of an acid 
or a base is determined by the concentration of these 
ions. 

Colloids behave in an entirely diflEerent way. If an 
electric current is sent through a pure colloidal solution, 
the colloidal particles move, in contrast to the electrolytes, 
in only one direction. They accumulate at either the 
positive or negative electrode, from which we conclude 
that they have either a negative or a positive charge. A 
connection has shown itself to exist between this electrical 
charge and the process of precipitation. Several inves- 
tigators, more especially Biltz, have shown that only 
oppositely charged colloids mutually precipitate each 
other, and that the entirely precipitated colloidal material 
no longer has an electrical charge, that is to say, no 



ON THE ELECTRICAL CHARGE OF PROTEIN. 141 

longer moves with the electric current. Even before 
BiLTz's work other observations had indicated the impor- 
tance of electrical conditions for colloidal precipitations 
and had formed the starting-point of theoretical explana- 
tions. The colloids seem, in general, to be precipitable 
only through electrolytes ; non-electrolytes such as sugar 
or urea have no precipitatiag effect even upon very un- 
stabile colloids. Hardy and Bredig have, in accord with 
the theory of electrocapillary phenomena, developed the 
idea that there exists an antagonism between the forces 
of surface tension, which, according to Bredig, cause 
the colloidal particles to coalesce, and the electrical charges 
that the colloidal particles carry, in such a way that only 
after the electrical charge which causes the particles .to 
repel each other has been removed can the surface tension 
attain its maximum. If a discharge of the colloidal 
particles is brought about through the addition of the 
oppositely charged ions of electrolytes, then the optimum 
of precipitability is produced at the same time, and a 
precipitate is formed. 

According to a different theory developed by Billitzer, 
surface tension does not play the role attributed to it by 
Hardy and Bredig. If oppositely charged ions are 
added to a colloid, the colloidal particles collect about 
these ions through electrostatic attraction. In this way 
aggregates are finally formed of sufficient size to fall to 
the bottom. According to this view, with which many 
facts agree that contradict the first-mentioned theory, a 
colloid carrying no electrical charge should be capable 
of precipitation only with difficulty, as its particles exert 
no electrostatic forces. One can regard these theories 
as one pleases; no doubt the necessity of testing the 



142 PHYSICAL CHEMISTRY IN MEDICINE. 

electrical behavior of dissolved protein in order to obtain 
a better insight into its colloidal reactions will be apparent 
to every one. I planned, therefore, to obtain, first of all, 
native protein as free from electrolytes as possible in 
order to have a stock material for testing the effect of 
different conditions upon the electrical behavior of pro- 
tein. From the standpoint of general technic, moreover, 
it seemed of great value to use a material which through 
extreme dialysis, or this in combination with repeated 
freezing, had been rendered as free from salts as possible. 
The electrical conductivity rendered possible through 
the presence of ions is very great when compared with 
that produced through the migration of colloids. In 
order to render the latter apparent, very strong currents 
must therefore be used, which in the presence of salts 
lead to a great heating of the solution and also to a 
masking of the phenomenon sought for through the 
action of the products of electrolysis. In our experiments 
we used, for example, a current of 250 volts and 6 amperes. 
In this current ordinary blood serum burns, while our 
salt-free serum allowed only a few millionths of the 
current to pass through it. To test the migration of the 
colloid in the electrical current we utilized an apparatus 
similar to the one successfully used by Billitzer in his 
beautiful experiments. Three beakers of uniform size 
were connected with each other by means of siphons. 
The electrodes dipped into the two outer beakers, while 
the middle one served as a control, the contents of which 
should, of course, not vary. At the conclusion of the 
experiment the nitrogen in all three of the vessels was 
determined by Kjeldahl's method. 

The results of a long series of electrical convection 



ON THE ELECTRICAL CHARGE OF PROTEIN. I43 

tests, in which the effect of concentration and other con- 
ditions was also determined quantitatively, may be thus 
summarized : 

1. A protein which has been carefully freed from 
electrolytes shows no recognizable electrical charge and 
does not wander toward one of the two electrodes, even 
when subjected to an electric current for twenty-four 
hours. 

2. Each of the albuminous constituents of the serum — 
serum albumin, pseudoglobulin, euglobulin — shows no 
electrical charge in the absence of electrolytes. 

3. The addition of neutral salts of the alkalies or the 
alkaline earths does not impart an electrical charge to 
the uncharged protein. 

4. Traces of acids impart a positive charge to protein 
through their positively charged hydrogen ions; alkalies 
a negative charge through their hydroxyl ions. 

5. Salts with an alkaline reaction toward litmus, such 
as carbonates and the secondary and tertiary phosphates 
of the alkali metals, render protein electronegative; acid 
salts give it a positive charge. 

6. This charge is independent of the end reaction of 
the medium. A proper mixture of protein and sodium 
bicarbonate is faintly acid toward phenolphthalein, neutral 
toward litmus; the protein has, however, a strongly 
negative charge. 

III. 

Let us consider, first of all, the fact that our salt-free 
protein carries no electrical charge. How does it behave 
toward the salts of the heavy metals, such as Cu, Fe, Zn, 
Pb, Hg, which are all regarded as general precipitants of 



144 PHYSICAL CHEMISTRY IN MEDICINE. 

protein in even very dilute solutions ? All these salts are 
characterized by the fact that they undergo great hydro- 
lytic dissociation in dilute solution — in other words, take 
up water and break up into their metallic hydroxide and 
their acid. According to different investigations which 
agree in their conclusions, the dissolved colloidal electro- 
positive metallic hydroxide is the real protein-precipi- 
tating constituent. If now it is true that colloids mutually 
precipitate each other only through the opposite electrical 
charges which they carry, then the uncharged protein 
should in general not be precipitable through electro- 
positive heavy metals. It can be easily shown that our 
uncharged protein, in contrast to native protein, cannot 
be precipitated through salts of Fe, Cu, Hg, Pb, and Zn. 
This experiment harmonizes, therefore, with Billitzer's 
theory, according to which protein is very stabile in the 
uncharged state. 

Let us now turn to something else. As is well known, 
alcohol is an excellent precipitant for proteins. Since 
alcohol as a non-electrolyte furnishes practically no ions 
in aqueous solution, its precipitating power cannot rest 
upon electrical grounds. The matter may be explained 
in the following way: Proteins are not soluble in alcohol, 
but they are readily miscible with water. The proteins 
are therefore crowded out of their solvent through the 
addition of much alcohol, in the course of which their 
small particles, by virtue of their surface tension, coalesce 
into larger aggregates in a way similar to the clumping of 
the particles of a fresh, fine precipitate into larger masses 
with time. We will therefore not be surprised to see 
that our uncharged protein is readily precipitated by 
alcohol, ■ But what will happen if we first give this protein 



ON THE ELECTRICAL CHARGE OF PROTEIN. 14S 

a positive or a negative charge? We create in this way 
repellent electrical forces between the smallest particles 
of colloidal material, which will work against the surface 
tension, which tends to make them coalesce and pre- 
cipitate. If the protein is given an electrical charge 
through the addition of a little acid or alkali, then, as 
experiment shows, its precipitation through alcohol is 
inhibited or entirely prevented. We may imagine from 
this that for precipitation through non-electric forces 
conditions must exist somewhat similar to those which 
Hardy and Bredig believed to exist for electrolytes. 

In passing it may be mentioned that our uncharged 
protein is readily coagulable through heat and, as may 
be imagined, through acetic acid-potassium ferrocyanide, 
phosphotungstic acid, and phosphomolybdic acid. In 
the first case we are dealing with an as yet not entirely 
understood chemical change in the protein brought about 
through the high temperature. In the second case the 
protein is first charged positively through the acetic acid, 
to be precipitated later by the various oppositely charged, 
probably colloidal, acid ions. 

These conversion and* precipitation experiments are 
able to answer the question. In what electrical condition 
do the proteins exist in the blood and the tissue fluids? 
Since alkalies impart a negative, acids a strongly positive, 
reaction to proteins, one is able to draw conclusions from 
the reactions of animal fluids as to the charge of the 
proteins contained in them. Modern investigations have 
solved for us the question of the reaction of the tissue 
fluids, or, to put it more accurately, the relation between 
their content of H and OH ions. According to these 
investigations, the body fluids are neutral. The free 



146 PHYSICAL CHEMISTRY IN MEDICINE. 

hydrogen and hydroxyl ions exist in them in the same 
proportion as in water. This is shown most harmoni- 
ously not only through tests with proper indicators, 
such as phenolphthalein, but also through electrical 
measurements. Litmus, which was formerly employed 
as an indicator, is itself too strong an acid to show 
the presence of the weak acids of the tissue fluids, 
and indicates therefore an alkaline color reaction. If 
we remember that uncharged protein cannot be pre- 
cipitated through the positively charged heavy metals, 
while the proteins of the tissue fluids can at once be 
precipitated by them, the conclusion is inevitable that 
native protein carries a negative charge. This charge 
can be derived only from the hydroxyl ions that are split 
off from the salts of the serum, which, in harmony with 
the above-described experiments, must be the carbonates 
and phosphates. If sodium bicarbonate is added to fresh 
non-charged protein, this assumes a strong negative 
charge even though the resulting mixture is neutral 
toward litmus and acid toward phenolphthalein. In an 
experiment conducted with such a sodium bicarbonate- 
protqin, it was found that the relation of nitrogen at the 
cathode was to that at the anode as 3:5; while the 
nitrogen content of the middle beaker was expressed by 4. 

IV. 

We are now acquainted with sufficient facts to study 
more closely the conditions for the precipitation of 
native electronegative protein, and to compare these 
whenever necessary with those of uncharged or artificially 
charged protein. 



ON THE ELECTRICAL CHARGE OE PROTEIN. I4? 



Let us consider, first of all, the precipitation of native 
protein through neutral salts of the alkali metals and see 
in how far the ions play an immediate r6le. The follow- 
ing table, in which + indicates that the protein is pre- 
cipitated, — that it is not precipitated, gives a good survey 
of these relations. 

In the vertical row of the table are arranged the positive 
ions in the order of their decreasing power to precipitate 
protein; in the horizontal row are arranged the negative 
ions in the order in which they inhibit the precipitation. 

S" — > Increase in inhibition. 



OJ o 

a 

u 

p 

i 





SO4 


CjHaOz 


01 


NO, 


Br 


I 


CNS 


Li 


+ 




+ 


• + 


-1- 










Na 


.+ 


+ 


+ 


+ 


- 


- 


- 


K 


+ 


+ 


+ 


- 


- 


- 


"- 


NH, 


+ 


- 


- 


- 


- 


- 


- 



The antagonism between cation and anion is indicated 
by the appearance of one and the same ion in salts which 
precipitate and those which do not precipitate protein — 
for example, sodium as the sulphate and as the bromide; 
and if we go along still further in the sodium series the in- 
hibiting effects of iodide and sulphocyanate ions have so 
much the upper hand that the presence of these salts pre- 
vents the precipitation of protein through other salts. As 
an actual matter of fact, the inhibiting salts were discov- 
ered as a consequence of the assumption of antagonistic 
ion effects. That it is the positive metallic ions which are 
the bearers of the precipitating power may be concluded 
from the fact that native protein carries a negative charge. 



14^ PMYSIC/iL CHEMISTRY IN MEDICINE. 

Let us now ask what will happen when we try to pre- 
cipitate with neutratl salts protein that has been rendered 
electropositive through the addition of an acid. Theoret- 
ically we would expect that under these circumstances 
the negative ions of the salts would precipitate the pro- 
tein, while the metallic ions would have an inhibiting effect. 
And as an actual matter of fact, we find that when the 
protein has been acidulated the formerly inhibiting 
bromides, iodides, and sulphocyanates become powerful 
precipitants, and those salts which formerly precipitated 
now inhibit. In other words, the signs cf the above table 
are reversed; only the precipitating effect of the negative 
ions increases in the same order as their inhibiting effect 
did formerly, while the order of the now inhibiting 
positive ions is just the reverse of that given in the table. 

The following interesting fact has ' also been found. 
The same reversal in ionic effects as is brought about 
through acids can also be brought about through the 
addition of the salts of the alkaline earths, Ca, Ba, and 
Sr, to the native protein. One may conclude from this 
that a change in the sign of the charge of the protein 
solution from the negative to the positive occurs in this 
case also. According to our conversion experiments, 
however, uncharged protein does not assume an electrical 
charge through the presence of the neutral salts of the 
alkaKne earths, and in consequence we have to discover 
whether these do not bring about an acid reaction by 
meeting with the salts contained in the animal fluids. 
In order to answer this question, let us consider the 
changes that are brought about through the addition of 
calcium chloride to a solution of sodium bicarbonate 
or disodium phosphate. As is well known, the two salts 



ON THE ELECTRICAL CHARGE OF PROTEIN. I49 

last mentioned have an alkaline reaction in that upon 
solution in water they increase the number of OH ions 
present in it. This is brought about through the fact 
that they combine with water and spHt hydrolytically into 
sodium hydroxide and carbonic and phosphoric acids. 
Since, however, sodium hydroxide is a stronger base than 
carbonic and phosphoric acids are acids, more OH ions 
exist in solution than H ions. If now we imagine the 
sodium hydroxide to be replaced by the much weaker 
calcium hydroxide, then the concentration of the free 
OH ions will fall immediately. The chemical reaction 
between the alkaline earths added to an animal fluid 
and the phosphates and carbonates contained in it must 
also act in this way — in other words, toward the establish- 
ment of an acid reaction in the fluid. It can readily be 
shown even in an experiment with native protein to which 
an alkali has been added and which reddens phenol- 
phthalein very strongly that an acid reaction is produced 
in the mixture as soon as calcium chloride is added to 
it, as indicated by disappearance of the red color. In 
this way the identical effects of acids and alkaline earths 
upon negatively charged protein have found a ready 
explanation. 

That the alkaline earths can act only indirectly through 
their effects upon the salts of the serum is shown most 
strikingly by an experiment in which calcium chloride is 
added to salt-free serum. If sodium iodide or sodium 
sulphocyanate is added to this mixture, no precipitate is 
produced. If, however, the protein is rendered electro- 
positive through the addition of a little acid, then the 
sulphocyanate at once brings about a coarsely flocculent 
precipitate. 



15° PHYSICAL CHEMISTRY IN MEDICINE. 

We will end with this our discussion of observations 
which indicate unequivocally the great importance of 
the electrical condition of the proteins for their reactions. 
Since this electrical condition of the proteins is deter- 
mined solely through the non-neutral salts of the tissue 
fluids, we can readily see how important a proper balance 
of these salts must be for the organism. One will not 
err, therefore, in discovering, in the purposeful arrange- 
rrients existing in the animal body against the presence of 
too large amounts of acid, instruments of protection for 
the proper physiological electrical charge of the proteins. 



We are, no doubt, justified in presupposing that con- 
ditions within the cell are very analogous to those found 
in the tissue fluids. Hober, for example, has found in 
an excellently arranged experiment that the red blood- 
corpuscles move to the anode — in other words, are nega- 
tively charged under normal circumstances and retain 
this charge under a great variety of conditions. If they ' 
possess in this wise an electrical charge which is similar 
to that of the blood serum, they can nevertheless show 
variations in their behavior, as, for example, under the 
influence of acids. In an isotonic cane sugar-sodium 
chloride mixture they become electropositive under the 
influence of carbonic acid, a change that is again reversed 
when the carbonic acid is removed. It seems, therefore, 
as though the red blood-corpuscles suffer a complete 
change in electrical reaction when they pass through 
the pulmonary circuit. 

The essence of the electrical condition of cells can be 



ON THE ELECTRIC/1 L CH/IRGE OF PROTEIN. 151 

demonstrated without difficulty on the electrical properties 
of the proteins. Every attempt to explain the phenomena 
observed ends with the question, How does a protein 
particle floating about, for example, in a dilute hydro- 
chloric acid assume an electropositive charge when the 
acid contains, as we know, an equal number of positive 
H ions and negative CI ions ? It is evident that this is only 
possible when protein takes up more positive H ions than 
negative CI ions, or, as it is ordinarily stated, when the 
protein is semi-permeable to ions. The same holds in 
the case of alkalies for the OH ions. Many cells seem 
to have this same power, and Hober has rendered it 
probable that red blood-corpuscles become positive when 
treated with carbonic acid, because they become per- 
meable for some of the negative ions which they contain 
and which leave the red blood-corpuscles, thereby allowing 
an excess of positive ions to remain behind. 

OsTWALD was no doubt the first to try to discover 
in the semi-permeability for ions the cause of the electrical 
phenomena observed in animal cells, and this suspicion 
has recently attained a very considerable degree of proba- 
bility. Oker-Blom and later Bernstein have further 
developed this idea for the electrical phenomena observed 
in muscle and nerve, and sought experimental evidence 
for its support. If we imagine the surface of the muscle 
fibril to be more permeable for the positive ions than for 
the negative ions contained in the muscle, then the muscle 
must carry a positive charge externally and a negative 
one within. When two electrodes are laid upon the 
surface of an uninjured musck, points having a different 
electrical potential are not touched, and the muscle 
shows no current. 



IS2 PHYSICAL CHEMISTRY IN MEDICINE. 

As soon, however, as the one electrode is placed upon 
an artificially produced cross-section of a muscle — in other 
words, along the contents of the fibrils — ^the well-known 
current of rest passes in the outer circuit toward the 
negative exposed portions of the muscle plasma. The 
experiments of Bernstein have shown that this current 
follows very accurately the typical laws governing ionic 
concentration chains. The same holds for the current 
of rest in nerves. Stimulation of the nerve brings about 
the well-known phenomenon of negative variation, in 
that it alters the permeability for ions. 

Similar phenomena are observed in the electric organ 
of the torpedo, which has been studied by Bernstein 
and TscHERMAE. This organ consists - of numerous 
plate-like cells arranged upon each other in a way similar 
to the plates of a voltaic pile and possessing a nervous 
end brush upon one side only. 

When through nervous stimulation this side becomes 
more permeable for negative ions, an electric shock is 
produced through summation of the charges of the single 
cells, the intensity of which does not need to exceed that 
of a muscle current. As measurements indicate, the pro- 
duction of electricity in the electric organ seems also to 
follow in the main the thermodynamic laws governing 
concentration chains. 

Let us return once more to the current of rest in muscle, 
which we have attributed to the semi-permeability of the 
plasma membranes for ions. If we imagine the per- 
meability of this plasma membrane to be altered through 
some agency that precipitates protein or causes it to go 
into solution, then we may expect parallel variations in 
the current of rest. When Hober dipped the surface of 



ON THE ELECTRICAL CHARGE OF PROTEIN. igS 

freshly cut frog's muscles into salt solutions of various 
kinds and measured the current of rest, he found that 
the effects of the different salts in this regard arrange 
themselves into a table similar to that given above for 
the precipitation of electropositive protein. The sign 
indicating a precipitation corresponds with a reversal 
in the current of rest, while that indicating a solution 
with the normal current of rest. 

The electrical behavior of proteins is of importance to 
the histologist also for a proper understanding of the 
important cellular reactions which take place in fixation 
and staining. In spite of the fact that all the different 
portions of the cell are exposed to the same action of 
the fixing-agent, be this an indifferent substance, such as 
alcohol, or one imposing a positive 'charge, such as a 
solution of an acid or a heavy metal, the separate con- 
stituents of the cell react differently toward acid and 
basic dyes. Through the investigations of Biltz in par- 
ticular, the identity of the process of dyeing and colloidal 
reactions seems to be well established, so that we may 
assume that different portions of a cell may show different 
electrical states when exposed to the same external con- 
ditions. We will carry this discussion no further, but 
will only draw attention to an observation which is 
intimately connected with our own. E. Mayr (Graz) 
has studied under Bethe's direction the influence of 
salts upon the fixation and precipitation of nervous tissue. 
These studies have shown that the effects of ions upon the 
preservation and staining qualities of nerve fibres arrange 
themselves in a way similar to the table given on page 147 
for the precipitation of electronegative protein, while the 
order of the ions is just the reverse and corresponds, in 



1 54 PHYSICAL CHEMISTRY IN MEDICINE. 

the main, with that for the precipitation of electropositive 
protein when the ions are arranged in the order in which 
they render visible certain elements of the ganglion cells, 
such as NissL bodies and nucleoli. 

But that an electrical difference exists between nuclear 
substance and cell protoplasm even in the living cell is 
rendered probable through many facts. Ralph Lillie 
found a difference in the direction in which spermatozoa 
and cells rich in protoplasm move in the electric current, 
and Martin H. Fischer and Wolfgang Ostwald 
have already tried to give a physico-chemical theory of 
fertilization. However imperfect these attempts must 
of necessity seem, the successful establishment of a certain 
parallelism between those factors which, on the one hand, 
bring about artificial parthenogenesis and, on the other, 
cause a precipitation of solid colloids is of permanent 
value. The similarity of the formation of the astrosphere 
about the spermatozoon which has entered an egg with 
certain precipitations produced in colloids has been re- 
peatedly noticed by investigators. 

But we will keep from entering fields which have 
as yet been but little opened experimentally, and in closing 
point out a relation which by itself is not without general 
interest and which may also be of service to the investigator. 

Between the reactions of colloids which take place 
with an equalization of electrical differences and the 
reactions of the immune bodies there exists a relation 
which is as intimate as anything can be, an idea which 
has already been illustrated in another place. More- 
over, a more than accidental similarity seems to exist 
between immune reactions and the changes which take 
place in the process of fertilization. 



ON THE ELECTRICAL CHARGE OF PROTEIN. rSS 

We know that the spermatozoon reacts specifically with 
the egg, that this specificity is, however, not absolute, 
as shown by the production of bastards. This specificity 
can also be altered through different chemicals, as shown 
by the remarkable hybridization experiments of Loeb. 
We see further that the spermatozoon becomes immo- 
bilized within the egg, in that a kind of precipitation, the 
formation of the astrosphere, a characteristic morpho- 
logical sign of fertilization, starts from the spermatozoon. 

Let us compare with this picture such a process as the 
agglutination of bacteria through immune serum. Here 
also there exists a specificity which is, however, by no 
means absolute, and here also an immobilization in the 
serum of the mobile bacterium. According to the 
pleasing idea of Paltauf, we are dealing in this case 
with the formation of a precipitate about the capsule of 
the bacterium, something similar, therefore, to the change 
which occurs about the spermatozoon which has pene- 
trated an egg. The specific effects of the immune bodies 
can also be altered through chemicals. 

They are always associated problems, therefore, which 
arise in this or the other illustration used, and they all 
spring from the manifold similarity which exists between 
the colloids of the organism within and without the cells 
and which is determined to so great a degree by the 
electrical properties of the colloids. 

There can be little doubt that out of the study of the 
physico-chemical properties of the colloids there will 
spring a new bud of physical physiology in which the 
application of the modern teachings of electricity will 
play a primary r61e. The physiology which recognizes 



IS^ PHYSICAL CHEMISTRY IN MEDICINE. 

in the neighboring sciences of physics and chemistry that 
profound revolutionizing influence of the newer electrical 
investigations, which do not stop before even the most 
sacred and fundamental conceptions of this subject, must 
consider it as a next most worthy task to guarantee itself 
its share in the new conquests of scientific knowledge. 



SH0RT-TITLE~~C7srrAL0GUE 

OF THE 

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London: CHAPMAK & HALL, Lrarmj. 



ARRANGED UNDER StrBJECTS. 



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Wulling's Elementary Course in Inorganic, Pharmaceutical, and Medical 

Chemistry. , i2mo, 2 00 

CIVIL ENGINEERING. ; 
BRIDGES AND ROOFS. HYDRAULICS. MATERIALS OF ENGINEERING. 
RAILWAY ENGINEERING. 

Baker's Engineers' Surveying Instruments i2mo, 3 00 

Bixby's Graphical Computing Table Paper igiX24i inches. 2s 

** Burr's Ancient and Modem Engineering and the Isthmian Canal. (Postage, 

27 cents additional.) Svo, 3 30 

Comstock's Field Astronomy for Engineers Svo, 2 30 

, Davis's Elevation and Stadia Tables Svo, i 00 

Elliott's Engineering for Land Drainage i2mo, t 30 

Practical Farm Drainage i2mo, i 00 

Fiebeger's Treatise on Civil Engineering. (In press.) 

Folwell's Sewerage. (Designing and Maintenance.) Svo, 3 00 

Freitag's Architectural Engineering. 2d Edition, Rewritten Svo, 3 50 

French and Ives's Stereotomy Svo, 2 50 

Goodhue's Municipal Improvements i2mo, i 75 

Goodrich's Economic Disposal of Towns* Refuse Svo, 3 50 

Gore's Elements of Geodesy Svo, 2 30 

Hayford's Text-book of Geodetic Astronomy 8vo, 3 00 

Henng's Ready Reference Tables (Conversion Factors) i6mo, morocco, 2 50 

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Howe's Retaining Walls for Earth i2mo, i 35 

Johnson's (J. B.) Theory and Practice of Surveying Small 8vo, 4 00 

Johnson's (L. J.) Statics by Algebraic and Graphic Methods 8vo, 2 00 

Laplace's Philosophical Essay on Probabilities. (Tniscott and Emory.) . i2mo, 2 00 
Mahan's Treatise on Civil Engineering. (1873.) CWood.) 8vo, 5 00 

* Descriptive Geometry. 8vo, 

Merriman's Elements of Precise Surveying and Geodesy 8vo, 

Elements of Sanitary Engineering 8vo, 

Merriman and Brooks's Handbook for Surveyors i6moi morocco, 

Hugent's Plane Surveying 8vo, 

Ogden's Sewer Design lamo, 

Patton's Treatise on Civil Engineering 8vo half leather, 

Keed's Topographical Drawing and Sketching .4to, 

Rideal's Sewage and the Bacterial Purification of Sewage. 8vo» 

Siebert and Biggin's Modern Stone-cutting and Masonry « 8vo, 

Smith's Manual of Topographical Drawing. (McMillan.) 8vo, 

Sondericker's Graphic Statics, with Applications to Trusses, Beams, and Arches. 

8vo, 
Taylor and Thompson's Treatise on Concrete, Plain and Reinforced 8vo, 

* Trautwine's Civil Engineer's Pocket-book i6mo, morocco. 

Wait's Engineering and Architectural Jurisprudence 8vo, 

Sheep, 
Law of Operations Preliminary to Construction in Engineering and Archi- 
tecture 8vo, 

Sheep, 

Law of Contracts 8vo, 

Warren's Stereotomy — Problems in Stone-cutting 8vo, 

Webb's Problems in the Use and Adjustment of Engineering Instruments. 

i6mo, morocco, 

* Wheeler s Elementary Course of Civil Engineering 8vo, 

Wilson's Topographic Surveying. 8vo, 

BRIDGES AND ROOFS. 

Boiler's Practical Treatise on the Construction of Iron Highway Bridges. .Svo, 

* Thames River Bridge 4to, paper, 

Burr's Course on the Stresses in Bridges and Roof Trusses, Arched Ribs, and 

Suspension Bridges 8vo, 

Burr and Falk's Influence Lines for Bridge and Roof Computations. . . .8vo, 

Du Bois's Mechanics of Engineering. Vol. II Small 4to, : 

Foster's Treatise on Wooden Trestle Bridges 4to, 

Fowler's Ordinary Foundations 8vo, 

Greene's Roof Trusses Svo, 

Bridge Trusses 8vo, 

Arches in Wood, Iron, and Stone 8vo, 

Howe's Treatise on Arches Svo, 4 00 

Design of Simple Roof-trusses in Wood and Steel 8vo, 2 00 

Johnson, Bryan, and Turneaure's Theory and Practice in the Designing of 

Modern Framed Structures Small 4to, 10 00 

Merriman and Jacoby's Text-book on Roofs and Bridges : 

Part I. Sb'esses in Simple Trusses 8vo, 2 50 

Part n. Graphic Statics 8vo, 2 50 

Part HI. Bridge Design 8vo, 2 50 

Part IV. Higher Structures Svo, -^ 50 

Slorison's Memphis Bridge .^ 4to, 10 00 

Waddell's De Ponilbus, a Pocket-book for Bridge Engineers. . i6mo, morocco, 3 00 

Specifications for Steel Bridges i2mo, i 25 

Wood's Treatise on the Theory of the Construction of Bridges and Roofs. .Svo, 2 c? 
Wright's Designing of Draw-spans : 

Part I. Plate-girder Draws Svo, 2 50 

Part n. Riveted-truss and Pin-connected Long-span Draws Svo, 2 50 

Two parts in one volume Svo, 3 50 

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HYDRAULICS. 

Bazin's Experiments upon the Contraction of the Liquid Vein Issuing from 

an Orifice. (Trautwine.) 8vo, 2 00 

Bovey's Treatise on Hydraulics 8vo, 5 00 

Church*s Mechanics of Engineering 8vo, 6 00 

Diagrams of Mean Velocity of Water in Open Channels paper, i 50 

CofiSn's Graphical Solution of Hydraulic Problems i6mo, morocco, 2 50 

Flather*s Dynamometers, and the Measurement of Power i2mo, 3 00 

Folwell*s Water-supply Engineering 8vo, 4 00 

Frizell's Water-power 8vo, 5 o'» 

Puertes's Water and Public Health i2mo, i 50 

Water-filtration Works i2mo, 2 50 

Oangulllet and Kutter's General Formula for the Uniform Flow of Water in 

Rivers and Other Channels. (Hering and Trau Tine.) 8vo 4 00 

Hazen's Filtration of Public Water-supply 8vo, 3 00 

Hazlehurst's Towers and Tanks for Water-works 8vo, 2 50 

Herschel's 115 Experiments on the Carrying Capacity of Large, Kiveted, Metal 

Conduits 8vo, ^ 00 

Mason's Water-supply. (Considered Principally from a Sanitary Standpoint.) 

8vo. 

Merriman's Treatise on Hydraulics. 8vo, 

* Michie's Elements of Anal3rtical Mechanics 8vo, 

Schuyler's Reservoirs ^or Irrigation, Water-power, and Domestic Water- 
supply Large 8vo, 

** Thomas and Watt's Improvement of Rivers. (Post., 44c. additional.). 4to, 

Tumeaure and Russell's Public Water-supplies , 8v6, 

Wegmanu's Design and Construction of Dams 4to, 

Water-supply of the City of New York from 1658 to 189s 4to, 

Wilson's Irrigation Engineering Small 8vo, 

Wolff's Windmill as a Prime Mover 8vo, 

Wood's Turbines 8vo, 

Elements of Analytical Mechanics , ^ Svo, 

MCATERULS OF ENGINEERING. 

Baker's Treatise on Masonry Construction , . . Svo, 

Roads and Pavements .8vo, 

Black's United States Public Works Oblong 4to9 

Bovey's Strength of Materials and Theory of Structures. 8vo, 

Burr's Elasticity and Resistance of the Materials of Engineering 8to, 

Byrne's Highway Construction Svo, 

Inspection of the Materials and Workmanship Employed in Construction. 

i6mo, 

Church's Mechanics of Engineering. , Svo, 

Du Bois's Mechanics of Engineering. Vol. I Small 4to, 

Johnson's Materials of Construction Large Svo, 

Fowler's Ordinary Foundations Svo, 

Keep's Cast Iron Svo, 

Lanza's Applied Mechanics Svo, 

Marten's Handbook on Testing Materials. (Henning.) 2 vote Svo, 

Merrill's Stones for Building and Decoration Svo, 

Merriman's Text-book on the Mechanics of Materials ;8vo. 

Strength of Materials i2mo, 

Metcalf's Steel. A Manual for Steel-users i2mo, 

Patton's Practical Treatise on Foundations - .-8vo, 

Richardson's Modern Asphalt Pavements 8to, 

Richey's Handbook for Superintendents of Construction lOmo, mor., 

Rockwell's Roads and Pavements in France ^ z2mo, 

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25 



Sabin's Industrial and Artistic Technology of Paints and Varnish 8vo, 

Smith's Materials of Machines i2mo. 

Snow's Principal Species of Wood 8vo, 

Spalding's Hydraulic Cement i2mo, 

Text-book on Roads and Pavements i2mo, 

Taylor and Thompson's Treatise on Concrete, Plain and Reinforced 8vo, 

Thurston's Materials of Engineering. 3 Parts 8vo, 

Part I. Non-metallic Materials of Engineering and Metallurgy 8vo, 

Part II. Iron and Steel 8vo, 

Part III. A Treatise on Brasses, Bronzes, and Other Alloys and their 

Constituents 8vo, 

Thurston's Text-book of the Materials of Construction Svo, 

Tillson's Street Pavements and Paving Materials Svo, 

Waddell's De Pontibus. (A Pocket-book for Bridge Engineers.) . . z6mo, mor.. 

Specifications for Steel Bridges i2mo, 

"Wood's (De V.) Treatise on the Resistance of Materials, and an Appendix on 

the Preservation of Timber Svo, 2 00 

Wood's (De V.) Elements of Analytical Mechanics Svo, 3 00 

Wood's (M. P.) Rustless Coatings: Corrosion and Electrolysis of Iron and 

Steel Svo, 4 00 

RAILWAY ENGINEERING. 

Andrew's Handbook for Street Railway Engineers 315 inches, morocco, i 25 

Berg's Buildings and Structures of American Railroads 4to, 5 00 

Brook's Handbook of Street Raihoad Location i6mo, morocco, i 50 

Butt's Civil Engineer's Field-book i6mo, morocco, 2 50 

Crandall's Transition Curve i6mo, morocco, i 30 

Railway and Other Earthwork Tables Svo, r 50 

Dawson's "Engineering" and Electric Traction Pocket-book. . i6mo, morocco, s 00 

Dredge's History of the Pennsylvania Railroad: (1879) Paper, 5 00 

* Drinker's Tunnelling, Explosive Compounds, and Rock Drills. 4to, half mor., 25 00 

Fisher's Table of Cubic Yards Cardboard, 25 

Godwin's Railroad Engineers' Field-book and Explorers' Guide. . . i6nio, mor., 2 50 

Howard's Transition Curve Field-book i6mo, morocco, i 30 

Hudson's Tables for Calculating the Cubic Contents of Excavations and Em- 
bankments Svo, I 00 

Molitor and Beard's Manual for Resident Engineers i6mo, i 00 

Nagle's Field Manual for Railroad Engineers i6mo, morocco, 3 00 

Philbrick's Field Manual for Engineers i6mo, morocco, 3 00 

Searles's Field Engineering i6uio, morocco, 3 00 

Railroad Spiral i6mo, morocco, i 50 

Taylor's Prismoidal Formulae and Earthwork Svo, i 50 

* Trautwine's Method of Calculating the Cube Contents of Excavations and 

Embankments by the Aid of Diagrams Svo, 2 00 

The Field Practice of Laying Out Circular Curves for Railroads. 

i2mo, morocco, 2 30 

Cross-section Sheet Paper, 23 

Webb's Railroad Construction i6mo, morocco, s 00 

Wellington's Economic Theory of the Location of Railways Small Svo, 5 00 

DRAWING. 

Barr's Kinematics of Machinery Svo, 2 so 

* Bartlett's Mechanical Drawing Svo, 3 00 

* " " " Abridged Ed Svo, 150 

Coolidge's Manual of Drawing Svo, paper i oo 

Coolidge and Freeman's Elements of General Drafting for Mechanical Engi- 
neers Oblong 4to, 2 50 

Durley's Kinematics of Machines Svo, 4 00 

Emch's Introduction to Projective Geometry and its Applications Svo. z 30 

8 



Hill's Text-book on Shades and Shadows, and Perspective Svo, 2 00 

Jamison's Elements of Mechanical Drawing , 8vo, 2 so 

Jones's Machine Design : 

Part I. Kinematics of Machinery. 8vo, i 50 

Part n. Form, Strength, and Proportions of Parts 8vo, 3 00 

MacCord's Elements of Descriptive Geometry. 8vo, 3 00 

Kinematics; or. Practical Mechanism 8vo, 5 00 

Mechanical Drawing 4to, 4 00 

Velocity Diagrams 8vo. 1 50 

* Mahan's Descriptive Geometry and Stone-cutting. 8vo, i 50 

Industrial Drawing. (Thompson.) 8vo» 3 50 

Moyer's Descriptive Geometry 8vo, 2 00 

Reed's Topographical Drawing and Sketching 4to, 5 00 

Reid's Course in Mechanical Drawing 8vo, 2 00 

Text-book of Mechanical Drawing and Elementary Machine Design. 8vo, 3 00 

Robinson's Principles of Mechanism. ^ 8vo, 3 00 

Schwamb and Merrill's Elements of Mechanism 8vo, 3 00 

Smith's Manual of Topographical Drawing. (McMillan.) Svo, 2 50 

Warren's Elements of Plane and Solid Free-hand Geometrical Drawing. i2mo, i 00 

Drafting Instruments and Operations i2mo^ i 25 

Manual of Elementary Projection Drawing i2mo, i 5% 

Manual of Elementary Problems in the Linear Perspective of Form and 

Shadow i2mo, i 00 

Plane Problems in Elementary Geometry i2mo, i 25 

Primary Geometry i2mo, 75 

Elements of Descriptive Geometry, Shadows, and Perspective Svo, 3 50 

General Problems of S^des and Shadows Svo, 3 00 

Elements of Machine Construction and Drawing Svo, 7 50 

Problems, Theorems, and Examples in Descriptive Geometry. Svo, 2 50 

Weisbach's Kinematics and Power of Transmission. (Hermann and Klein)8vo, 5 00 

Whelpley's Practical Instruction in the Ait of Letter Engraving i2mo, 2 00 

Wilson's (H. M.) Topographic Surveying Svo, 3 50 

Wilson's (V, T.) Free-hand Perspective Svo, 2 50 

Wilson's (V. T.) Free-hand Lettering Svo, i 00 

Woolf's Elementary Course in Descriptive Geometry. Large Svo, 3 00 



ELECTRICITY AND PHYSICS. 

Anthony and Brackett's Text-book of Physics. (Magie.) Small Svo, 

Anthony's Lecture-notes on the Theory of Electrical Measurements i2mo, 

Benjamin's History of Electricity Svo, 

Voltaic CeU. Svo, 

Classen's Quantitative Chemical Analysis by Electrolysis. (Boltwood.).Svo, 

Crehore and Squier's Polarizing Photo-chronograph Svo, 

Dawson's "Engineering" and Electric Traction Pocket-book. i6mo, morocco, 
Dolezalek's Theory of the Lead Accumulator (Storage Battery), (Von 

Ende.) i2mo, 

Duhem's Thermodynamics and Chemistry. (Burgess.) Svo, 

Flather's Dynamometers, and the Measurement of Power z2mo, 

Gilbert's De Magnete. (Mottelay.) Svo, 

Hanchett's Alternating Currents Explained i2mo, 

Bering's Ready Reference Tables (Conversion Factors) z6mo, morocco, 

Holman's Precision of Measurements Svo, 

Telescopic Mirror-scale Method, Adjustments, and Tests. .. .Large Svo, 

Kinzbrunner's Testing of Continuous-Current Machines Svo, 

Landauer's Spectrum Analysis. (Tingle.) Svo, 

Le Chatelien's High-temperature Measurements. (Boudouard — Burgess.) i2mo. 
Lob's Electrolysis and Electrosynthesis of Organic Compounds. (Lorenz.) i2mo, 

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■^ Lyons's Treatise. on Electromagnetic Phenomena. Vols. I. and II. 8vo, each, 6 oo 

* Michie*s Elements of Wave Motion Relating to Sound and Light. 8vo, 4 00 

Ifiaudet's Elementary Treatise on Electric Batteries. (Fishback.) i2mo, 2 50 

* Rosenberg's Electrical Engineering. (Haldane Gee — Kinzbranner.). . .8vo, i 50 

Ryan, Norris, and Hoxie's Electrical Machinery. VoL 1 8vo, 2 50 

Thurston's Stationary Steam-engines 8vo, 2 50 

* Tillman's Elementary Lessons in Heat 8vo, 1 50 

Tory and Pitcher's Manual of Laboratory Physics Small 8vo, 2 00 

TTIke's Modern Electrolytic Copper Refining 8vo, 3 00 

LAW. 

* Davis's Elements of Law 8vo, 2 50 

* Treatise on the Military Law of United States 8vo, 7 oo 

=" Sheep, 7 SO 

Manual for Courts-martial i6mo, morocco, i so 

"Wait's Engineering and Architectural Jurisprudence 8vo, 6 00 

Sheep, 6 50 
Law of Operations Preliminary to Construction in Engineering and Archi- 
tecture 8vo, 5 00 

Sheep, 5 50 

Law of Contracts 8vo, 3 00 

Winthrop's Abridgment of Military Law i2mo, 2 50 

MANUFACTURES. 

Bernadou's Smokeless Powder — Nitro-cellulose and Theory of the Cellulose 

Molecule i2mo, 2 50 

Bolland's Iron Founder , i2nio, 2 50 

"The Iron Founder," Supplement i2mo, 2 50 

Encyclopedia of Founding and Dictionary of Foundry Terms Used in the 

Practice of Moulding r2mo, 3 00 

Eissler's Modem High Explosives 8vo» 4 00 

Effront's Enzymes and their Applications. (Prescott.) 8vo, 3 00 

Pitzgerald's Boston Machinist i2mo, i 00 

Ford's Boiler Making for Boiler Makers i8mo, i 00 

Hopkin's Oil-chemists* Handbook 8vo, 3 00 

Xeep's Cast Iron 8vo, 2 50 

Leach's The inspection and Analysis of Food with SpecAl Reference to State 

ControL Large 8vo, 7 so 

Matthews's The Textile Fibres 8vo, 3 so 

Metcalf's Steel. A Manual for Steel-users i2mot 2 00 

Metcalfe's Cost of Manufactures — And the Administration of Workshops. 8vo, s 00 

Meyer's Modern Locomotive Construction 4to, 10 00 

Morse's Calculations used in Cane-sugar Factories i6mo, morocco, i 50 

* Reisig's Guide to Piece-dyeing 8vo, 25 00 

Cabin's Industrial and Artistic Technology of Paints and Varnish 8vo, 3 00 

Smith's Press-working of Metals 8vo, 3 00 

Spalding's Hydraulic Cement i2mo, 2 00 

Spencer's Handbook for Chemists of Beet-sugar Houses. ... x6mo, morocco, 3 00 

Handbook for Sugar Manufacturers and their Chemists. .i6mo, morocco, 2 om 

Taylor and Thompson's Treatise on Concrete, Plain and Reinforced Svo, 5 00 

Thurston's Manual of Steam-boilers, their Designs, Construction and Opera- 
tion Svo, 5 00 

* Walke's Lectures on Explosives Svo, 4 00 

Ware's Manufacture of Sugar. (In press.) 

West's American Foundry Practice .' x2mo, 2 50 

Moulder's Text-book i2mo, 2 s© 

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"Wolff's Windmill as a Prime Mover 8vo, 3 00 

Wood's Rustless Coatings: Corrosion and Electrolysis of Iron and Steel. .8vo, 4 00 



MATHEMATICS. 

Baker's Elliptic Functions 8vo, 

* Bass's Elements of Differential Calculus i2mo, 

Briggs's Elements of Plane Analytic Geometry i2mo, 

Com.pton's Manual of Logarithmic Computations i2mo, 

Davis's Introduction to the Logic of Algebra 8vo, 

* Dickson's College Algebra Large z2mo» 

* Introduction to the Theory of Algebraic Equations Large i2mo» 

Emch's Introduction to Projective Geometry and its Applications 8vo, 

Halsted's Elements of Geometry 8vo, 

Elementary Synthetic Geometry 8vo, 

Rational Geometry. i2mo, 

♦^Johnson's (J, B.) Three-place Logarithmic Tables: Vest-pocket size. paper, 

100 copies for 

* Mounted on heavy cardboard, 8X 10 inches, 

10 copies for 
Johnson's (W. W.) Elementary Treatise on Differential Calculus. .Small 8vo, 
Johnson's (W, W.) Elementary Treatise on the Integral Calculus. Small 8vo, 

Johnson's (W. W.) Curve Tracing in Cartesian Co-ordinates i2mo, 

Johnson's (W. W.) Treatise on Ordinary and Partial Differential Equations. 

Small 8vo, 
Johnson's (W. W.) Theory of Errors and the Method of Least Squares. i2mo, 

* Johnson's (W. W.) Theoretical Mechanics i2mo, 

Laplace's Philosophical Essay on Probabilities. (Truscott and Emory.) . i2mo, 
"* Ludlow and Bass. Elements of Trigonometry and Logarithmic and Other 

Tables 8vo. 

Trigonometry and Tables published separately Each, 

* Ludlow's Logarithmic and Trigonometric Tables 8vo, 

IHaurer's Technical Mechanics S . , , 

Dllerriman and Woodward's Higher Mathematics > 8vo , 

Dferriman's Method of Least Squares 8vo, 

Rice and Johnson's Elementary Treatise on the Differential Calculus. . Sm. Svo, 

Differential and Integral Calculus. 2 vols, in one Small Svo, 

Wood's Elements of Co-ordinate Geometry Svo, 

Trigonometry: Analytical, Plane, and Spherical i2mo. 



MECHANICAL ENGINEERING. 

MATERIALS OF ENGmEERING, STEAM-ENGINES AND BOILERS. 

Bacon's Forge Practice i2mo, 

Baldwin's Steam Heating for Buildings i2mo, 

Barr's Kinematics of Machinery. Svo, 

=*= Bartlett's Mechanical Drawihg Svo, 

* " " " Abridged Ed Svo, 

Benjamin's Wrinkles and Recipes i2mo, 

Carpenter's Experimental Engineering' Svo, 

Heating and Ventilating Buildings Svo, 

Cary's Smoke Suppression in Plants using Bituminous Coal. (In Prepara- 
tion.) 

Clerk's Gas and Oil Engine Small Svo, 

Coolidge's Manual of Drawing. Svo, paper, 

Coohdge and Freeman's Elements of General Drafting for Mechanical En- 
gineers, , , Oblong 4to, 2 50 

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Cromweirs Treatise on Toothed Gearing i2mo, x 50 

Treatise on Belts and Pulleys I2ni0t i 5° 

Durley's Kinematics of Machines 8to, 4 00 

riather's Dynamometers and the Measurement of Power. i2mo, 3 00 

"* Rope Driving i2mo, 2 V)o 

Gill's Gas and Fuel Analysis for Engineers i2mo, i 25 

Hall's Car Lubrication i2mo, i 00 

Bering's Ready Reference Tables (Conversion Factors) i6mo, morocco, 2 50 

Button's The Gas Engine 8vo, 5 00 

Jamison's Mechanical Drawing 8vo, 2 50 

Jones's Machine Design: 

Part I. Kinematics of Machinery. Svo, i 5© 

Part n. Form, Strength, and Proportions of Parts Svo, 3 00 

Kent's Mechanical Engineers* Pocket-book i6mo, morocco, 5 00 

Kerr's Power and Power Transmission Svo, 2 00 

Leonard's Machine Shop, Tools, and Methods. (In press.) 

Lorenz's Modern Refrigerating Machinery. (Pope, Baven, and Dean.) (In press.) 

HacCord's Kinematics; or. Practical Mechanism Svo, 5 00 

Mechanical Drawing 4to, 4 00 

Velocity Diagrams Svo, i 50 

Mahan's Industrial Drawing. (Thompson.) Svo, 3 50 

Poole's Calorifi.c Power of Fuels Svo, 3 00 

Raid's Course in Mechanical Drawing Svo, 2 00 

Text-book of Mechanical Drawing and Elementary Machine Design. Svo, 3 00 

Richard's Compressed Air i2mo, i so 

Robinson's Principles of Mechanism Svo, 3 00 

Schwamb and Merrill's Elements of Mechanism Svo, 3 00 

Smith's Press-working of Metals Svo, 3 00 

Thurston's Treatise on Friction and Lost Work in Machinery and Mill 

Work Svo, 3 00 

Animal as a Machine and Prime Motor, and the Laws of Energetics . i2mo, i 00 

Warren's Elements of Machine Construction and Drawing , . . .Svo, 7 so 

Weisbach's Kinematics and the Power of Transmission. (Herrmann — 

Klein.) Svo, s 00 

Machinery of Transmission and Governors. (Herrmann — Klein.). .Svo, 5 00 

Wolff's Windmill as a Prime Mover Svo, 3 00 

Wood's Turbines Svo, 2 50 



MATERIALS OF ENGINEERING. 

Bovey's Strength of Materials and Theory of Structures Svo, 7 so 

Burr's Elasticity and Resistance of the Materials of Engineering. 6th Edition. 

Reset Svo, 7 50 

Church's Mechanics of Engineering Svo, 6 00 

Johnson's Materials of Construction Svo, 6 00 

Keep's Cast Iron Svo, 2 50 

Lanza's Applied Mechanics Svo, 7 so 

Martens's Handbook on Testing Materials. (Henning.) Svo, 7 50 

Merriman's Text-book on the Mechanics of Ma,teriab Svo, 4 00 

Strength of Materials -. i2mo, i 00 

Metcalf's Steel. A manual for Steel-users z2mo, 2 00 

Sabin's Industrial and Artistic Technology of Paints and Varnish Svo, 3 00 

Smith's Materials of Machines i2mo, i 00 

trturston's Materials of Engineering 3 vols., Svo, 8 00 

Part n. Iron and Steel Svo, 3 50 

Part in. A Treatise on Brasses, Bronzes, and Other Allo3rs and their 

Constituents 8™» 2 S» 

Text-book of the Materials of Construction * Svo, 3 o» 

12 



Wood's (De V.) Treatise on the Resistance of Materials and an Appendix on 

the Preservation of Timber 8vo, 2 00 

Wood's (De V.) Elements of Analytical Mechanics 8vo» 3 00 

food's (M. P.) Rustless Coatings: Corrosion and Electrolysis of Iron and 

Steel. 8vo, 4 00 



STEAM-ENGINES AND BOILERS. 

Berry's Temperature-entropy Diagram., ^,..,>.^ i2mo, i 25 

Camot's Reflections on the Motive Powei: of Heat . (Thurston.) i2mo, i 50 

Dawson's "Engineering" and Electric TractionPocket-book. ...l6mo, mor., 5 00 

Ford's Boiler Making for Boiler Makers i8mo, i 00 

Goss's Locomotive Sparks 8vo, 2 00 

Hemenway's Indicator Practice and- Steam-engine Economy z2mot 2 00 

Hutton's Mechanical Bngineering of Power Plants 8tOi 5 00 

Heat and Heat-engines Svo, 5 00 

Kent's Steam boiler Economy , 8vo, 4 00 

Slneass's Practice and Theory of the Injector. 8vo, i 50 

MacCord's Slide-valves , . , 8vo, 2 00 

Meyer's Modem Locomotive Construction .' 4to, zo 00 

Peabody's Manual of the Steam-engine Indicator z2nio, i 50 

Tables of the Properties of Saturated Steam and Other Vapors 8vo, i 00 

Thermodynamics of the Steam-engine and Other Heat-engines Svo, 5 00 

Valve-gears for Steam-engines Svo, 2 50 

Peabody and Miller's Steam-boilers 8vo, 4 00 

Pray's Twenty Years with the Indicator Large Svo, 2 50 

Pupin's Thermodynamics of Reversible Cycles in Gases and Saturated Vapors. 

(Osterberg.) i2mo, 1 25 

Reagan's Locomotives: Simple Compound, and Electric i2mo, 2 50 

Rontgen's Principles of Thermodynamics. (Du Bois.)< • Svo, s 00 

Sinclair's Locomotive Engine Running and Management i2mo, 2 00 

Smart's Handbook of Engineering Laboratory Practice i2mo, 2 50 

%iow's Steam-boiler Practice Svo, 3 00 

Spangler's Valve-gears Svo, 2 50 

Notes on Thermodynamics i2nio, i 00 

Spangler, Greene, and Marshall's Elements of Steam-engineering Svo, 3 00 

Thurston's Handy Tables Svo, 1 50 

Manual of the Steam-engine 2 vols., Svo, 10 00 

Part I. History, Structure, and Theory Svo, 6 00 

Part n. Design, Construction, and Operation Svo, 6 00 

Handbook of Engine and Boiler Trials, and the Use of the Indicator and 

the Prony Brake Svo, 5 00 

Stationary Steam-engines Svo, 2 so 

Steam-boiler Explosions in Theory and in Practice i2mo, i 50 

Manual of Steam-boilers, their Designs, Construction, and Operation Svo. 5 00 

Weisbach's Heat, Steam, and Steam-engines. (Du Bois.) Svo, s 00 

Whitham's Steam-engine Design Svo, 5 00 

Wilson's Treatise on Steam-boilers. (Elather.) i6mo, 2 50 

Wood's Thermodynamics. Heat Motors, and Refrigerating Machines. . .Svo, 4 00 



MECHANICS AND MACHINERY. 

Barr's Kinematics of Machinery Svo, 2 50 

BoTey's Strength of Materials and Theory of Structures Svo, 7 50 

Chase's The Art of Pattern-making i2mo, 2 50 

Church's Mechanics of Engineering. Svo, 6 00 

13 



Chiirch's Notes and Examples in Mechanics Svo, 2 00 

Compton*s First Lessons in M^etal-working ,^» izmo, z 50 

Compton and De Groodt's The Speed Lathe * i2mo, i 50 

Cromwell's Treatise on Toothed Gearing i2mo, * 50 

Treatise on Belts and Pulleys i2mo, i 50 

Dana's Text-book of Elementary Mechanics for Colleges and Schools. . i2mo, i 50 

Dingey's Machinery Pattern Making i2mo, 2 00 

Dredge's Record of the Transportation Exhibits Building of the World's 

Columbian Exposition of 1893 4to half morocco, 5 00 

Du Bois's Elementary Principles of Mechanics: 

Vol I. Kinematics 8vo» 3 50 

Vol. n. Statics 8vo, 4 00 

Vol. in. Kinetics 8vo, 3 5o 

Mechanics of Engineering. Vol. I Small 4to, 7 So 

Vol. II Small 4to, 10 00 

Durley's Kinematics of Machines 8vo, 4 00 

Pitzgerald's Boston Machinist i6mo, i 00 

Elather's Dynamometers, and the Measurement of Power. i2mo, 3 00 

Rope Driving. i2mo, 2 00 

Goss's Locomotive Sparks 8vo, 2 00 

Hall's Car Lubrication i2mo, i 00 

Holly's Art of Saw Filing iSmo, 75 

James's Kinematics of a Point and the Rational Mechanics of a Particle. Sm.8vo,2 00 

* Johnson's (W. W.) Theoretical Mechanics i2mo, 3 00 

Johnson's (L. J.) Statics by Graphic and Algebraic Methods 8vo, 2 00 

Jones's Machine Design: 

Part I. Kinematics of Machinery 8vo, i 50 

Part n. Form, Strength, and Proportions of Parts 8vo, 3 00 

Kerr's Power and Power Transmission 8vo, 2 00 

Xanza's Applied Mechanics 8vo, 7 50 

Xeonard's Machine Shop, Tools, 'and Methods. (In press.) 

I/Orenz's Modem Refrigerating Machinery. (Pope, Haven, and Dean.) (In press.) 

MacCord's Kinematics; or, Practical Mechanism 8vo, s 00 

Velocity Diagrams 8vo, i 50 

Maurer's Technical Mechanics 8vo, 4 00 

3Ierriman's Text-book on the Mechanics of Materials 8vo, 4 00 

* Elements of Mechanics i2mo, i 00 

4 Michie's Elements of Analytical Mechanics 8vo, 4 00 

P.eagan's Locomotives: Simple, Compound, and Electric i2nio, 2 50 

Heid's Course in Mechanical Drawing .8vo, z 00 

Text-book of Mechanical Drawing and Elementary Machine Design. 8vo, 3 00 

lUchards's Compressed Air i2mo, i 50 

Hobinson's Principles of Mechanism 8vo, 3 00 

Hyan, Norris, and Hoxie's Electrical Machinery. Vol. 1 8vo, 2 50 

Schwamb and Merrill's Elements of Mechanism 8vo, 3 00 

Sinclair's Locomotive-engine Rimning and Management. i2mo, 2 00 

Smith's (0.) Press-working of Metals- .' 8vo, 3 00 

Smith's (A. W.) Materials of Machines i2mo, x 00 

Spangler, Greene, and Marshall's Elements of Steam-engineering 8vo, 3 oa 

Thurston's Treatise on Friction and Lost ■\7ork in Machinery and Mill 

Work 8vo, 3 00 

Animal as a Machine and Prime Motor, and the Laws of Energetics. 

i2mo, I 00 

Warren's Elements of Machine Construction and Drawing 8vo, 7 so 

Weisbach's Kinematics and Power of Transmission. (Herrmann — Klein. ).8vo, 5 00 

Machinery of Transmission and Governors. (Herrmann — Klein.). 8vo, 5 00 

Wood's Elements of Analytical Mechanics 8vo, 3 00 

Principles of Elementary Mechanics i2mo, i 25 

Turbines 8vo, 2 50 

The World's Columbian Eaposition of 1893 4to, 1 00 

14 



METALLURGY. 

Egleston's Metallurgy of Silver, Gold, and Mercury: 

Vol. I. Silver 8vo, 75a 

VoL II. Gold and Mercury 8vo, 7 So 

** lles's Lead-smelting. (Postage 9 cents additionaL) i2mo, 2 50 

Keep's Cast Iron 8vo, 2 B** 

Kunhardt's Practice of Ore Dressing in Europe 8vo, j go 

Le Chatelier's High-temperature Measuremepts. (Boudouard — Burgess. )i2mo, 3 o& 

Metcalf 's Steel. A Manual for Steel-users' i2mo, 2 oo 

Smith's Materials of Machines i2mo, i oo 

Thurston's Materials of Engineering. In Three Parts 8vo, 8 00 

Part II. Iron and Steel Svo, 3 So 

Part III. A Treatise on Brasses, Bronzes, and Other Alloys and their 

Constituents Svo, 2 s<> 

Ulke's Modern Electrolytic Copper Refining Svo, 3 00 

MINERALOGY. 

Barringer's Description of Minerals of Commercial Value. Oblong, morocco, 2 50 

Boyd's Resoiurces of Southwest Virginia Svo 3 oo 

Map of Southwest Virignia Pocket-book form. 2 oo- 

Brush's Manual of Determinative Mineralogy. (Penfield.) Svo, 4 00 

Chester's Catalogue of Minerals Svo, paper, i oo 

Cloth, I 25 

Dictionary of the Names of Minerals Svo, 3 50 

Dana's System of Mineralogy Large Svo, half leather, 12 so 

First Appendix to Dana's New " System of Mineralogy." Large Svo, i 00 

Text-book of Mineralogy Svo, 4 00 

Minerals and How to Study Them z2mo, i 50 

Catalogue of American Localities of Minerals Large Svo, i 00 

Manual of Mineralogy and Petrography i2mo, 2 00 

Douglas's Untechnical Addresses on Technical Subjects i2mo, i 00 

Eakle's Mineral Tables Svo, i 23 

Egleston's Catalogue of Minerals and Synonyms Svo, 2 so 

Hussak's The Determination of Rock-forming Minerals. (Smith.). Small Svo, 2 00 

Merrill's Non-metallic Minerals: Their Occurrence and Uses Svo, 4 00 

* Ptnfield's Notes on Determinative Mineralogy and Record of Mineral Tests. 

Svo. paper, o so 
Roscttbusch's Microscopical Physiography of the Rock-making Minerals. 

(Iddings.) Svo. s 00 

* Tillman's Text-book of Important Minerals and Rocks Svo, 2 00 

Willifttns's Manual of Lithology Svo, 3 00 

MINING. 

beard's Ventilation of Mines I2mo, 2 50 

Boyd's Resources of Southwest Virginia Svo, 3 00 

Map of Southwest Virginia Pocket-book form, 2 00 

Douglao's Untechnical Addresses on Technical Subjects i2mo. i 00 

* Drinker's Tunneling, Explosive Compounds, and Rock Drills. .4to,hf. mor., 25 00 

Eissler's Modem High Explosives Svo, 4 00 

Fowler's Sewage Works Analyses i2mo . 2 00 

Goodyear's Coal-mines of the Western Coast of the* United States i2mo. 2 50 

Ihlseng's Manual of Mining Svoi 5 00 

** lles's Lead-smelting. (Postage 9c. additionaL) i2mo. 2 50 

Kunhardt's Practice of Ore Dressing in Europe Svo, i 50 

O'Driscoll's Notes on the Treatment of Gold Ores Svo, 2 00 

* Walke's Lectures on Explosives Svo, 4 00 

Wilson's Cyanide Processes i2mo, t 50 

Chleciination Process lamo, i 50 

15 



Wilson's HydrauL^, and ±»lacer Mining lamo, 2 00 

Treatise on Practical and Theoretical Mine Ventilation t2mo, i 25 

SANITARY SCIENCE. 

Folwell*s Sewerage. (Designing, Construction, and Maintenance.) 8vo, 3 Off 

Water-supply Engineering 8to, 4 o© 

Fuertes's Water and Public Health i2mo. i 50 

Water-filtration Works i2mo, 2 50 

Gerhard's Guide to Sanitary House-inspection x6ino, i 00 

Goodrich's Economic Disposal of Town's Refuse Demy 8vo, 3 so 

Hazen's Filtration of Public Water-supplies Svo, 3 00 

Leach's The Inspection and Analysis of Food with Special Reference to State 

Control Svo, 7 50 

Mason's Water-supply. (Considered principally from a Sanitary Standpoint) Svo, 4 00 

Examination of Water. (Chemical and Bacteriological.) i2mo, i 25 

Merriman's Elements of Sanitary Engineering Svo, 2 00 

Ogden's Sewer Design i2mo, 2 00 

Prescott and Winslow*s Elements of Water Bacteriology, with Special Refer- 
ence to Sanitary Water Analysis i2mo, i 25 

* Price's Handbook on Sanitation i2mo, i 50 

Richards's Cost of Food. A Study in Di«taries i2mo, i 00 

Cost of Living as Modified by Sanitaiy Science i2mo, i 00 

Richards and Woodman's Air, Water, and Food from a Sanitary Stand- 
point Svo, 2 00 

* Richards and Williams's The Dietary Computer Svo, i 50 

Rideal's Sewage and Bacterial Purification of Sewage Svo, 3 50 

Tumeaure and Russell's PubUc Water-supplies Svo, 5 00 

Von Behring's Suppression of Tuberculosis. (Boldiian.) i2mo, i 00 

Whipple's Microscopy of Drinking-water Svo, 3 50 

Woodhull's Notes on Military Hygiene i6mo, i 50 

MISCELLANEOUS. 

De Fursac's Manual of Psychiatry. (Rosanoff and Collins.). ■ - .Large i2mo, 2 50 
Emmons's Geological Guide-book of the Rocky Mountain Excursion of the 

International Congress of Geologists Large Svo, i $0 

Ferrel's Popular Treatise on the Winds Svo. 4 00 

Haines's American Railway Management i2mo, 2 50 

Mott's Composition, Digestibility, and Nutritive Value of Food. Mounted chart, 1 25 

Fallacy of the Present Theory of Sound i6mo, i 00 

Ricketts's History of Rensselaer Polytechnic Institute, 1824-1894. . Small Svo, 3 00 

Rostoski's Serum Diagnosis. (Bolduan.) i2mov i 00 

Rotherham's Emphasized New Testament Large Svo, 2 00 

Steel's Treatise on the Diseases of the Dog Svo, 3 50 

Totten's Important Question in Metrology Svo, 2 50 

The World's Columbian Exposition of 1893 4to, i 00 

Von Behring's Suppression of Tuberculosis. (Bolduan.) i2mo, i 00 

Winslow's Elements of Applied Microscopy i2mo, i 50 

Worcester and Atkinson. Small Hospitals, Establishment and Maintenance; 

Suggestions for Hospital Architecture : Plans for Small Hospital. i2mo, i 25 

HEBREW AND CHALDEE TEXT-BOOKS. 

Green's Elementary Hebrew Grammar i2mo, i 25 

Hebrew Chrestomathy Svo, 2 00 

Gesenius's Hebrew and Chaldee Lexicon t© the Old Testament Scriptures. 

(Tregelles.) Small 4to, half morocco, 5 00 

LetteMs's Hebrew Bible 8vo, 2 25 

16