r e ont Pa a 4 a Det tel if ait 4 a ye GSE Pere 4s thas pal 4 . : ‘ " ao ote Vo yhe ty fist reels, or lMy se terint a ri oteqre dese at RVR SE STC ETN Pay yet eon preset ‘ 8 sna t i f as Yaar i l be VU THE AMERICAN JOURNAL OF PHYSIOLOGY. EDITED FOR Che American Physiological Society BY H. P. BOWDITCH, M.D., BOSTON FREDERIC S. LEE, PH.D., NEW YORK R. H. CHITTENDEN, Pu.D., NEW HAVEN JACQUES LOEB, M.D., BERKELEY W. H. HOWELL, M.D., BALTIMORE W. P. LOMBARD, M.D., ANN ARBOR W. T. PORTER, M.D., BOSTON / AMERICAN JOURNAL Py SiG OCY VOLUME. [xe BOSTON, UsS.% GINN AND COMPANY 1903 Copyright, 1903 ee By GINN AND COMPANY rk . ——- Gniversity Press JoHN WiLson AND Son, CAMBRIDGE, U.S.A. mn —, _ * aN CONE NES: No. I, MaRcH 2, 1903. PAGE STUDIES ON THE INFLUENCE OF ARTIFICIAL RESPIRATION UPON STRYCH- NINE SPASMS AND RESPIRATORY MOVEMENTS. By William J. Gtes and S. J. Meltzer : ON THE NEGATIVE AND POSITIVE PHOTOTROPISM OF THE EARTHWORM ALLOLOBOPHORA FcTIDA (SAV.) AS DETERMINED BY LIGHT OF DIFFERENT INTENSITIES. By George P. Adams AN EXPERIMENTAL STUDY OF THE SUGAR CONTENT AND EXTRAVAS- CULAR COAGULATION OF THE BLOOD AFTER ADMINISTRATION OF ADRENALIN. By Charles H. Vosburgh and A. N. Richards THE IMMEDIATE INFLUENCE OF EXERCISE UPON THE IRRITABILITY OF HuMAN VOLUNTARY MuSCLE. By Thomas Andrew Storey No. IJ, APRIL 1, 1903. A STUDY OF THE VASOMOTOR NERVES OF THE RABBIT’S EAR CON- TAINED IN THE THIRD CERVICAL AND IN THE CERVICAL SYMPA- THETIC NERVES. By S /. Meltzer and Clara Meltzer . THE SPECIFIC ROTATION OF THE NUCLEIC ACID OF THE WHEAT Embryo. By Thomas B. Osborne . THE INFLUENCE OF COLD ON THE ACTION OF SOME HMOLYTIC AGENTS. By G. WV. Stewart . QuIckK METHODS FOR CRYSTALLIZING OXYHMOGLOBIN: INHIBITORY AND ACCELERATOR PHENOMENA, ETC.: CHANGES IN THE FORM OF CRYSESMMIZATION: By Ldward Todeichert 2 . . . + . ARTIFICIAL PARTHENOGENESIS IN NEREIS. By Martin H. Fischer ™N Lal I10O vl Contents. PAGE No. III, May 1, 3903. THE IMMUNITY OF FUNDULUS EGGS AND EMBRYOS TO ELECTRICAL STIMULATION. . By Orville H. Brown <1. . 2 Ge ON THE INFLUENCE OF VARYING INTENSITIES AND QUALITIES OF VISUAL STIMULATION UPON THE RAPIDITY’ OF REACTIONS TO AUDITORY StTimuLit. By Robert MacDougall’... 0) ws ere ON THE RELATION OF EYE MOVEMENTS TO LIMITING VISUAL STIMULI. By Robert MacDougall . : 2 ek etme ON THE IRRITABILITY OF THE BRAIN DURING ANEMIA. By William Fs GOS i eg ON THE FORMATION OF GLYCOGEN FROM GLYCOPROTEIDS AND OTHER PROTEIDS. By Lyman Brumbaugh Stookey . . .-. += eae THE SHARE OF THE CENTRAL VASOMOTOR INNERVATION IN THE VASO- CONSTRICTION CAUSED BY INTRAVENOUS INJECTION OF SUPRARENAL Extract: By S. J. Melizer and Clara Meltzer. .. . ~ Go MuscuLark CONTRACTION AND THE VENOUS BLOoop-FLow. By R. Bur- ton-Opite ww ws be de No. LV, JUNE, 15 1903. THE INFLUENCE OF FORMALDEHYDE ON THE ACTION OF CERTAIN LAKING AGENTS AND ON COAGULATION OF BLooD. Sy Charles Claude Guthrie |... an & Mig Sh ree 9) Venous Pressures. By Russell Burton-Opitz «. . « « = ja) ee A STUDY OF THE PHYSIOLOGICAL ACTION AND TOXICOLOGY OF C@SIUM CHLORIDE. By G. A. Hanford eee ne ete et oy SOME FACTS CONCERNING GEOTROPIC GATHERINGS OF PARAMECIA. By Anne Moore... wis 6 aon 2 ee se No: V; JULY a, roou SOME OBSERVATIONS ON THE EFFECTS OF AGITATION UPON ARBACIA Eccs. By S. /. Meltzer Reet weer) 2:15 ON THE EFFECTS OF SUBCUTANEOUS INJECTION OF THE EXTRACT OF THE SUPRARENAL CAPSULE UPON THE BLOOD-VESSELS OF THE Raspit’s Ear. By S. J. Meltzer and Clara Meltzer . . . . . « 252 DIFFERENCES OF POTENTIAL BETWEEN BLOOD AND SERUM AND BE- TWEEN NORMAL AND LAKED BLoop. By GIN. Stewart eee THE Acipiry oF Urine. | By Otto Folin -. 1. 2 2 . | ee A STUDY OF THE REACTIONS AND REACTION TIME OF THE MEDUSA GONIONEMA MurBACHIT TO PHOTIC STIMULI. By Robert M. Yerkes 279 Contents. Vil PAGE EXPERIMENTS IN ARTIFICIAL PARTHENOGENESIS. By EZ. P. Lyon. . . 308 THE RELATIONSHIP BETWEEN THE FREEZING POINT DEPRESSION AND SPECIFIC GRAVITY OF URINE, UNDER VARYING CONDITIONS OF METABOLISM, AND ITS CLINICAL VALUE IN THE ESTIMATION OF SUGAR AND ALBUMIN. “By G. HW. A Clowes, PHD. 2) eae B19 PROCEEDINGS OF THE AMERICAN PHYSIOLOGICAL SOCIETY . ... .« iX-XViil Nox Vly VAvGusr 1, 1903. NEw EXPERIMENTS ON THE PHYSIOLOGICAL ACTION OF THE PROTEOSES. MC CI AMO MMCR MAL 8s wh em, of ee eens i oe 2 a Coe a AS SitmeintGok MWORTIS: 2yO1o Mola 2 ss. 2 Be ce se SF ON THE FORMATION OF DEXTROSE IN METABOLISM FROM THE END- PRODUCTS OF A PANCREATIC DiGEst OF MEAT. By Percy G. Stiles HUE RONOMDIGWS PA” ‘aouvavedde ut [euliou seuyseayut pu svaso +9T'O SOTO O9T'O d1OFoq “Ulu OQ] CO + SOL 6 +1 Leer +7 76 Gs -uvd ‘poojq Jo woryoa[foo Jsuy Jo oy TW ‘ : spafordurs | $20 | 800] STO | axe ura QZ | v6 | OO€ | #IT| +41 uoneitdsar [eioynse pure ; pauado yaya eee 800 Oro OTO | ex0F9q “UlU g If6 cle VIE SLI cL | 06 l WO Jag | yO 19g | "JUAaD 19g ‘Wid | ‘Wid | ‘sw | ‘suy |] ‘swy | ‘SIA | OMT ‘ulaA | ‘utaa | *A19q18 ‘uonvordde OYE | oy, oe uae | IRA *Ar9}.18 pay dx -sy1ewiay onedayzy] Teqog | [e1oway | Fo aut] YM | -usaipe -99|[09 anedarzyz | jeq10d | [e1owla,T SU] = jo pareduros uo | Fo u0y 3 Sire hme ee ones -oa]joo jo awry, | -eordde F : sf N WO1F Poor ur IesNs euTT | mosy poojq joqunompy (PULL) = jo aut], "NITIVNAYGY HLIM INANLVAY], YWALAV GNV ANOAAA AVALUV IVUOWNT YY 46 Charles H. Vosburgh and A. N. Richards. the application of the substance to the gland the sugar content of the arterial blood rises 0.028 per cent, that of the portal blood remains practically the same, while the increase in reducing power of the blood emerging from the liver amounts to 0.065 per cent. The same relation, though on a higher plane, is apparent twenty-six minutes later. Sixty-six minutes after, the sugar percentage from all the ves- sels is approximately the same. Precisely similar results are obtained in Experiments 1 and 2, and in a lesser degree in Experiment 6. Judging from the results of these analyses then, a formation of sugar in the liver must be the cause, in part at least, of the increase of sugar in the blood. Experiments 4 and 5 apparently form exceptions to this conclusion. It will be noticed, however, that the percentage of sugar in the sam- ples taken before adrenalin treatment are abnormally high, especially in Experiment 4. It is possible that the mechanism which takes part in the production of adrenalin glycaemia has already been affected by the operative disturbance. It is not an unfair assumption that the additional impulse given by the application of adrenalin is on that account less effective and its result more transient. Consequently at the time of the collection of the second portions of blood the secretion of sugar is lessening. The same reasoning may hold good with regard to Experiment 5. Comparison of the sugar content of the portal blood with that from the femoral artery and hepatic vein in Experiments 1, 2, 3, and 5 shows that the increase of sugar following treatment of the pancreas with adrenalin is least in the portal vein. While in the control samples the sugar percentage of the portal is as high or higher than that of the femoral or hepatic blood, after treatment with adrenalin, it is lower in every case. In this connection we would call attention to certain changes in the appearance of the organs of the abdomen. At the time of collection of the first samples of blood the appearance of the intestines and pancreas was normal. As the experiment pro- ceeded, however, the pancreas became congested and the intestines cyanotic. The latter symptom is due, probably, to a partial obstruc- tion of the circulation by the formation of a clot at the flange of the cannula. The effect of this partial obstruction is a partial asphyxia of the tissues. That the ve/ative decrease in the sugar of the portal blood is dependent upon increased utilization within the tissues through which it passes there can be no doubt. Whether this con- sists in a mere increased oxidation of sugar, owing to the increased of the Blood. 47 On O Sugar Content and Coagulat SsT‘0 6bL0 SLEQ) | Wid Fee O41 Lol Vel *‘jewi0Uu | Seu Son Lap Ole Seattle cl 20 0 +0¢'0 90¢'0 "Wd 69°C 6 +1 T¥1 L +1 +e VIL S ‘Teulon svo49 0610 S60 a1 0) ‘Wid OF C1 L0¢ Ll 6 ET ~uRq ‘UODaT[O9 puodas je | SUNIL GLENS EUOIS) SSM SEH ALE F6l'0 9/10 SsTO TRENCOS TY SIESIIL L eT Site 4G L's + (EMIIOU SBSTIUEd UO oe] 0920 81¢0 4970 | Wea crcl alt Sc FL -[09 poo[q puoras Fo ay ye | SHEILA USHA oU eH 91¢0 | FLL stc0 ‘Wd OCI eal esi SSL St SAIL € VPA) rer lX6) FOWO |) airs cel 6 ll SST ‘TeuIIoU svaIDUeg “pooyq jo | SHULOK ON) HOS! [ORAR AE [OMEN JONGSOISISES 8sto0. | 6LT0 €810 | Wd OF L9T sitell +1 jO 9UIT} oY} ye onjq yey | SONOS CMB e1G | Se SHAUL 9910 0910 FLT 0 Wid tOb Ser ctl OCL 67 LL c 4170 =| SssTt0 LT@O =| ‘W'd S0'9 Ler Sit tell s0z0 | 86T'0 oro | waoss | LET LUI ora ‘jusutiadxe jnoysno1yy cre 0 £600 070 Wd $0'S OPI 6C1 671 jewiiou sauljsejyur pue seai9 “urd ay} jo aouviwaddy 01 0 £1c0 9€¢ 0 Wid Sth +91 Ver S+1 cé Cell I “Usd teq || 3ued tag || juo0!1eq) ‘suivis) | ‘sulviIn, | ‘suivig |‘sinoyy{] ‘Olly “UIOA “ULOA ‘Arayre | “ULOA “UTDA *A1OV Ie ‘Juaw sed v onedafy [v10g qerouag | “OPT | syedazy jewog | [eioway | ‘pes -lladxa Silanes cl Jo DUIS | TYUSIOA\ jo SE Sul ON KAALAV IVAOWAY WoO poolq ul Iwsng wo1f poolq fo JuUNOWY ‘GALLINO ONIAL NITVNANGY HIIM LNAWLVAYY, AHL GNV SNIAA IVLYOd ANV OILVdAR FHL WOVA AISNOANVLIOWIS NAMVL GOOTG AO INALNOD UVONS 48 Charles 1, Vosburgh and A. N. Richards. supply of that substance, or whether there is a decomposition of another character in increased amount, owing to lack of oxygen in the tissues, our experiments do not decide. In referring to Experiments 4 and 5, the idea has been expressed that the high sugar content found in the control samples was possibly due to the effects of operative disturbance. The question might naturally be raised as to whether the effects noted in our other experi- ments might not be due to that cause rather than to the influence of adrenalin. To settle this point we have made a series of five control experiments in which the blood was collected in a manner similar to that described, the treatment with adrenalin being omitted. The results are given in Table III, page 47. These figures show an essential difference from those given in Table II. In only one case does the blood of the hepatic vein contain con- siderably more sugar than that of the femoral artery. In only one experiment (3) is there an essential rise in the sugar of the femoral blood. The results indicate, therefore, that while in a small percent- age of experiments carried out according to this method, the opera- tion may give rise to a hyperglycaemia similar to that produced by adrenalin, in the majority of cases we are justified in attributing the results to the action of adrenalin. SUGAR IN THE BLOOD OF THE PANCREATICO-DUODENAL VEIN AFTER TREATMENT OF THE PANCREAS WITH ADRENALIN. It has been shown in the experiments of Series II, page 45, that in the hyperglycaemia which follows the application of adrenalin to the pancreas, the increase of sugar is least in the blood of the portal vein. We have attributed this circumstance to an increased decomposition of sugar in the intestinal tissues, and have suggested that it may be connected with a partial obstruction in the circulation of the blood through those tissues. To ascertain whether the congestion of the pancreas which is regularly observed after treatment of that gland with adrenalin takes part in this phenomenon, we have tested the biood from the pancreatico-duodenal vein. Though an increased de- composition of sugar in the pancreas would be at variance with our ideas regarding the events taking place there, its possibility has not been positively excluded. The method of collecting blood was as follows: A cannula of the design previously described was introduced into the portal vein at a 49 d. Sugar Content and Coagulation of the Bloo *pajysasuos yonut Ao | ‘paysasuos yonu Ara A ‘poysasuood yeyMowog ‘ayed Ala ‘[BWL0 NT 96 '0 Sic 0 é1c 0 | 1aqze ‘99S QT “ULL OZ “LO}Je 99S Of UIUL JT “LOY “IIS Op “UL QZ ‘Ta}Je ‘Oas GT UW OT | “AO}JeOIS OZ ULUTS "19}Fe ‘00S Sh ‘pajsasuoo yvyMawos raped Ara 4 *[BULIO NT *paisasuos Ayqusis Aso; | [Yo] A Wd *[BWLION C070 “‘svarourd jo souvivaddy “doqye ‘oas og uULtU S “ADJJFE “O9S CZ ‘a1ofoq “ULL 6 S0°90'+-0€ +0'+ | "layeoas gull g ‘aye “urut ¢ c ‘a10foq “UTUr CT | quad Jag | yuU99 19g “ihe Ti Woemiae oea19uNd | [Blow ay WOJF poOolq UL AwsNS ‘uonrordde jo ou} YIM paiedwmos uoy -J9[[OD JO SWI], ‘Wd "Ul[eVuaIpe jo uonrvoydde FO SUIT, Of 90'r ‘Wd “WOT]IAT[OD jo aun, ‘suviry | *suei4 UIDA *A1gq1e d1yvaINUR | [RIOWI YT WO. poolq fo "Wy ‘SINOy] "pez QouIs oun, ‘quot -1adxa jo ‘ON 50 Charles H]. Vosburgh and A. N. Richards. point just opposite the entrance of the pancreatico-duodenalis. Loose ligatures were placed about the portal vein, one on either side of the cannula. The cannula was opened at the same time that the ligatures were tightened. Blood is thus obtained from the desired vein, free from admixture with portal blood. The portal circulation is inter- rupted for a few seconds, but the pancreatic not at all. We have collected blood in this manner both before and imme- diately after painting the pancreas with adrenalin, and analyzed it for sugar. The results are given in Table IV. The results of these experiments are very uniform. In Experi- ment I, the percentage of sugar in the pancreatic blood rose 0.073 per cent in the first three minutes after adrenalin was applied. In Experiment 2, an increase of 0.068 per cent occurs within twenty-five seconds. In Experiment 3, the rise in the first forty-five seconds amounts to 0.032 per cent. In the last experiment, we have con- tinued the collection of blood when the gland was very much con- gested, and have compared these samples with portions taken at the same time from the femoral artery. The analyses show a continued rise in the sugar percentage, and only a slight difference in the blood from the two sources. We are forced to conclude, therefore, that there is not an increase in the decomposition of sugar in the pan- creas antecedent to the rise of sugar in the general circulation, and that the difference observed in the second series, between the reduc- ing power of the blood of the portal vein and that of the femoral artery, is not dependent on processes of this nature in that gland. SUMMARY OF CONCLUSIONS. 1. The intraperitoneal injection of adrenalin chloride, as well as the application of that substance to the pancreas, gives rise to a marked increase of sugar in the blood. This hyperglycaemia makes its appearance immediately after the administration, reaches its maxi- mum in from one to three hours, and may continue for over fourteen hours. 2. Simultaneously with hyperglyczemia occurs a decided diminution in the time of extravascular coagulation of the blood. This phe- nomenon appears to be due also to the application of adrenalin to the pancreas. 3. The cause of this form of hyperglyczemia, as indicated by com- parative analysis of the blood flowing to and from the liver, is to be Sugar Content and Coagulation of the Blood. 51 attributed, in great part at least, to an increased sugar formation in that organ. We are indebted to Dr. C. A. Herter for the suggestion of the subject of this work, and for valuable counsel during its progress. We also wish to express our obligation to Mr. William D. Cutter for assistance in a number of the operations. THE IMMEDIATE INFLUENCE OF: EXERCISE UPOGNei ae IRRITABILITY OF HUMAN VOLUNTARY MUSCLE. By THOMAS ANDREW STOREY. [From the Physiological Laboratory of Stanford University.] 1? is commonly the practice of athletes to go through a few pre- liminary “warming up” movements before attempting a com- petitive test. Sprinters always take a few short dashes immediately before their events. It is said that horses never make their best records in the first heat of a race. The writer has noted such facts as these in connection with his work in the Encina Gymnasium of Stanford University, and the following experimental results are presented here because they seem to offer some explanation. In general, the experimental procedure adopted may be outlined as follows: A single small muscle was substituted for the many groups that participate in normal exercise. The condition of the muscle was made evident by the amount of its contraction in response to the single break-induced current. The muscle was exercised, ‘“warmed up,” by voluntary work with an ergograph, and the influ- ence of that work upon the condition of the muscle was then tested by means of the break current. APPARATUS. The apparatus employed here has been described by the writer elsewhere. The essential pieces were: an ergograph for the index finger; ! an electric pendulum for regulating the opening and closing of the primary current to the inductorium, and for cutting out the make-induced current; 2 and an inductorium with 10340 turns on the secondary coil. In those experiments in which the muscle was excited electrically, the primary current was furnished by three Edison-Lalande cells, “type S,” and the secondary coil was placed at a distance of 10 cm. ' STOREY: This journal, 1903, vill, p. 355- 2 SToREY: This journal, 1903, vili, p. 435. 52 Influence of Exercise upon Human Muscle. Pe from the primary coil. The rate of excitation, electrical or voluntary, was once a second. The resistance to contraction in response to electrical excitation was formed by a light, twisted, rubber band which was attached to the recording device. With voluntary excitation the resistance was furnished by spiral springs of different strengths, as indicated with the different figures below. The first dorsal interosseus muscle of the left hand was used in every experiment. The writer experimented upon himself in the cases herein reported. Other individuals have been used, and the evidence which they have furnished is the same as that shown below. THE INFLUENCE OF A SERIES OF SINGLE ELECTRICAL EXCITATIONS UPON THE IRRITABILITY OF HUMAN MUSCLE. It is well known from studies on experimental animals that a muscle stimulated by a succession of induced currents of equal intensity responds by contractions that gradually increase in height; in other words, the irritability of the muscle is increased. Harley! has noted this “staircase” in a series of voluntary contractions of human muscle, Waller? and the writer? have reported it with electrical excitation of human muscle. Summation caused by electrical stimulation of human muscle has, however, not yet been noted so far as I am aware. I have observed that a strength of the induced current which is at first insufficient to produce a visible contraction of the human abductor indicis will give rise to contraction after from five to fifteen stimuli have been applied. In such a case, subsequent contractions will rise in the staircase form. THE INFLUENCE OF A SHORT SERIES OF VOLUNTARY CONTRACTIONS UPON THE IRRITABILITY OF HuMAN MUSCLE. In the two experiments recorded in Fig. 1, the procedure was as follows: The muscle was made to contract a number of times against the resistance of the rubber band mentioned above, in response to ' HARLEY: Journal of physiology, 1894, xvi, p. roo. 2 WALLER: Report to the Scientific Grants Committee, British Medical Association, 1885, p. 68. 3 STOREY : This journal, 1903, viii, p. 373. 54 Thomas Andrew Storey. the single break current. After this several seconds were spent in increasing the resistance. In experiment A, a light spiral spring was used, and in experiment B, a heavy spiral spring was added. As soon as the resistance was arranged, the muscle was contracted voluntarily a number of times; but the contractions were not con- tinued long enough to cause fatigue in either experiment. Then followed three or four seconds of rest, during which time the spring resistance was removed. Finally, the muscle was again excited electrically, precisely as in the first part of each experiment. It is evident that the response of the muscle to electrical excitation with the single induced shock is very much greater after than before “a i (1) (2) (3) (1) (2) (3) FicukE 1.— The curves read from left to right. 4 (1), contractions upon electrical stim- ulation, against very slight resistance; (2), voluntary contractions against consider- ably increased resistance ; (3), conditions as in (1). 4. Conditions as in Series 4, except that the resistance to voluntary contraction was very much greater. a series of voluntary contractions against some resistance. The irri- tability of the muscle then is considerably increased by a moderate amount of ergographic work, that is to say, by a “warming up” process. THE INFLUENCE OF VOLUNTARY MUSCULAR FATIGUE UPON THE IRRITABILITY OF THE WORKING MUSCLE. In Fig. 2 the experiment is formed of three parts, as in Fig. 1. There is, first, a series of electrical excited contractions, then a series of voluntary, and finally a second series of electrically excited con- tractions. The voluntary work was done with a moderately strong spiral spring, and was continued until some fatigue was present, as is evident in the curve inscribed. Influence of Exercise upon Human Muscle. 55 There are no staircase contractions in the series of electrically excited contractions beginning the experiment in Fig. 2. This is due to the fact that some muscular work preceded the electrical excitation, so that the period of the staircase contractions had been passed. On comparing the effect of electrical excitation before fatigue iy Lh | Tee il SAHIN AVHEULHNOASREA ! (2) (3) FIGURE 2, — i. Electrical stimulation, very slight resistance; (2) voluntary contraction against considerably increased resistance ; (3) conditions as in (1). 1 _ shovhod bak \ anh with the effect of electrical excitation after fatigue (Fig. 2), it is evident that the irritability of the muscle has been immediately very greatly reduced by the fatiguing work.! CONCLUSION. The experiments herein presented make it evident that human voluntary muscle is made more irritable by successive excitations ; that the irritability of human voluntary muscle is immediately very greatly increased by a moderate amount of work; and that it is very greatly decreased by a fatiguing amount of work. It may be concluded that the ‘ warming up” habits referred to in the opening of this paper are of value in athletic contests, because by such means the irritability of the acting muscle groups is greatly heightened, and they are then able to attain more quickly their maximal strength and speed of contraction. 1 See also, Srorey: This journal, 1903, viii, p. 360. Peoeu DY OF THE VASOMOTOR NERVES OF THE RAUBIT'’S EAR CONTAINED, IN- THE THIRD CERVICAL.-AND: IN. THE CERVICAL SYMPATHETIC: NERVES. BY S.-J. MELTZER Anp CLARA MELTZER! [From the Rockefeller Institute for Medical Research. | INTRODUCTION. INCE the classical experiments of Claude Bernard and Brown- Séquard on the effects which section or stimulation of the cervical sympathetic nerve exerts upon the blood-vessels of the ear, the sympathetic has been considered to be the carrier of the vaso- motor nerves of the ear. In most of the leading text-books no men- tion is made of the third cervical nerve in this connection. Yet the fact that the auricularis magnus, a branch of the third cervical, carries vasomotor fibres to the ear became known soon after the discovery of vasomotor nerves. As early as 1854, Schiff? stated that section of the cervical nerves in which run the fibres of the great auricular nerve causes congestion of the ear, while stimulation of the peripheral end causes constriction of the vessels. Schiff gives no particulars regard- ing the extent or the intensity of the dilatation. Moreover, accord- ing to Schiff, the congestion which follows section passes off in a few hours. Besides these statements of Schiff, there are in the literature a few reports of other investigations bearing upon this subject. These re- ports, however, are somewhat contradictory. Lovén? (1866) stated that the auricularis magnus contains vasoconstrictors for the tip and the sides of the ear. Pye-Smith * (1884) states that in his experiments the great auricular nerve exerts no vasomotor influence upon the ves- sels of the ear. Morat® (1891), who experimented on dogs, concluded that the auricular nerve is a vasoconstrictor of the ear. In one 1 Research Scholar of the Rockefeller Institute. 2 SCHIFF: Beitrage zur Physiologie, 1894, i, p. 148. 8 LovEN: Arbeiten aus der physiologischen Anstalt zu Leipzig, 1867, p. 1. * PyE-SMITH: Journal of Physiology, 1887, viii, p. 25. 5 Morat: Archives de physiologie, 1892, p. 92. 57 58 S. J. Meltzer and Clara Meltzer. experiment in which the right sympathetic was cut eight days before, section of the cervical nerve on both sides caused a congestion of both ears, which was greater on the side on which the sympathetic was intact. Fletcher! (1898) studied the effect of stimulation of the periph- eral cut end of the third cervical nerve and found that it sometimes causes a constriction even of the proximal third of the central artery. According to Tigerstedt, Moreau? also claims that the auricular nerve contains vasoconstrictors for the ear. Our observations were made on rabbits. We have cut the third cervical nerve on one side and have compared the effect upon the blood-vessels of the various areas of the ear of the same side, with the effect of cutting the cervical sympathetic nerve or of removal of the superior cervical ganglion, either on the other side of the same animal or on the same side of other animals. We have also compared the effect of stimulation of the cut end of the third cervical nerve of one side with that of the stimulation of the sympathetic of the same side, as well as with the stimulation of the third cervical or of the sympa- thetic nerve on the other side. . The effects of cutting the nerves as well as of their stimulation were often studied on one and the same animal. In some cases the effects of stimulation were studied im- mediately upon cutting the nerves, in other cases the nerves were stimulated many days after section, and in still others the freshly cut nerves were studied on one side, while on the other side the nerves had been cut a few days before. The hair of the ears was removed by scissors. The use of depila- tories, although giving satisfactory results otherwise, was not advis- able, on account of their irritating effect upon the skin of the ears, producing a degree of vasodilatation which usually lasted for some time. RESULTS OF THE CUTTING EXPERIMENTS. The operation was performed while the animal was under ether. When the third cervical nerve was handled, the animal had to be kept under deep anzsthesia. We attached but little importance to the changes which followed immediately upon cutting the nerves while the animal was still under anzsthesia. Frequently both ears are well congested, while the animal is still under the influence of ether, espe- 1 FLETCHER: Journal of physiology, 1897-98, xxii, p. 259. * MoreEAu: Memoires de physiologie, Paris, 1872. Quoted from TIGERSTEDT: Lehrbuch der Physiologie des Kreislaufes, Leipzig, 1893, p. 482. A Study of the Vasomotor Nerves of the Rabbits Ear. 59 cially as long as it remains tied on the board. Indeed the ear on the non-operated side is the one which at times appears the more con- gested, apparently on account of some actively vasodilating influence of central origin. Immediately upon removal from the board, how- ever, there is already a marked difference in the congestion of the two ears. Our results are derived from many comparisons made at fre- quent intervals for many days following the operation. We have made a special study of the subject in hand on twenty-two animals. We have, however, also made a good many more observa- tions on animals which were similarly operated, but chiefly for the purpose of other studies. Our observations brought out the following results : 1. In five out of the twenty-two animals, section of the third cervi- cal nerve was followed by a dilatation of all the blood-vessels of the entire ear, including the central artery. In four of these animals, the sympathetic nerve was cut, or the superior cervical ganglion removed on the other side. The contrast in the congestion of the two ears was striking. The vasodilatation due to the removal of the influence of the sympathetic was confined to the lower two-thirds or three- fourths of the central artery and adjacent parts. The ear on the side where the third cervical was cut was uniformly congested throughout its entire extent and with greater intensity. The central artery was dilated throughout its entire length, and was distinctly wider than on the sympathetic side. In all parts of the ear, numerous fine vessels made their appearance; while the entire ear had a pinkish hue. The picture on page 60 is from a photograph! taken ten days after the third cervical nerve was cut on the left, and the sympathetic on the right side. The difference is well represented ; but, in reality, the contrast was still more marked. 2. In four animals, section of the third cervical nerve caused only a very moderate dilatation of some blood-vessels at the tip and upper half of the sides of the ear. The subsequent cutting of the branches connecting the third with the second and fourth cervical nerves caused, in one animal, a uniform congestion of the entire ear, in an- other, a dilatation of the blood-vessels of the entire ear, except the lower two-thirds of the central artery ; in the other two animals, the cutting of the connecting branches caused no change. ! We are indebted for this photograph to Dr. EpwARD LEAMING, Depart- ment of Pathology, College of Physicians and Surgeons, Columbia University, New York. 60 S.J. Meltzer and Clara Meltzer. 3. The remaining thirteen animals can be put in one group, in which, after cutting the third cervical, all the animals had dilatation of the blood-vessels of at least the sides and top of the ear, including the bifurcation of the central artery, and an absence of dilatation of at least the lower third of the central artery. Within these limits there has been a considerable variation in the extent and in the in- tensity of the congestion of the ears in different animals. In some, the entire ear looked very congested with the exception of a pale nucleus corresponding to the lower part of the central artery; in others, the ear presented a normal appearance with the exception of a moderate flushing at its periphery. In nearly all cases, the cen- tral artery has shown at some point an abrupt tran- sition between the dilated and non-dilated parts. In two cases, the subsequent cutting of the sympathetic filled out exactly the non- dilated part without chang- Rabbit’s ears, Experiment 47, ten days after section i ea of sympathetic on the right and cervical on the ae — Ms Bes or of the left side. other parts of the ear. In another case, the subse- quent cutting of the branches connecting the third with the fourth cervical nerve completed the dilatation, increasing however at the same time the intensity of the congestion of the entire ear. In two other cases, the cutting of the third cervical alone caused originally a congestion of the entire ear; the next day, however, the conges- tion was found to have become restricted more to the periphery, leaving a pale area at the centre of the ear. For this reason, we put these animals into the third instead of the first group. We have to add that the subsequent cutting of the connecting branches of the third cervical nerve we began only when we were already near the end of our series of experiments. We are therefore unable to state how many of the animals of the third group would have shown a con- gestion of the entire ear had we subsequently cut these connecting branches. Judging from our experiments, it appears that section of the third A Study of the Vasomotor Nerves of the Rabbit's Ear. 61 cervical nerve on the left side causes a more extensive congestion than section of the same nerve on the right side. It also appeared that the congestion was greater in gray or brown animals than in white ones. However, the number of animals we have experimented upon is not large enough to permit positive conclusions to be drawn in this direction. 4. The dilatation which followed section of the sympathetic nerve was in the majority of cases restricted to the central artery and the © adjacent region. In most of these cases the dilatation of the artery extended only over its lower two-thirds, and in some not even so far. In these cases the dilatation had mostly an abrupt termination. There was one case in which section of the sympathetic caused a congestion of the entire ear; the dilatation of the central artery, however, was not of even width throughout its entire length, but tapered distinctly toward the top. This was in marked contrast with the character of the dilatation of the central artery when it occurred after cutting the third cervical nerve. There was only one other experiment in which the entire ear was congested after section of the sympathetic, but a few hours after operation the congestion had already receded consid- erably. The difference between the right and left sides which we have noted above with regard to the effects of the section of the third cervical, seemed also to hold good for the sympathetic; the congestion was more marked after section of the left than after section of the right sympathetic nerve. We may add here that in only one exper- iment did the subsequent removal of the superior cervical ganglion seem to improve somewhat the effect which followed simple section of the sympathetic. In all other experiments the subsequent removal of the ganglion brought no additional changes, not even when the removal of the ganglion occurred a few days after the section of the sympathetic, and the primary effect was already distinctly diminished. 5. Our experiments show that, in general, the sympathetic and cervical nerves carry vasomotor fibres for different areas of the ears, . the former controlling the centre, and the latter the periphery of the ear. The influence of the auricularis magnus, however, seems to be, in many respects, greater than that of the sympathetic. (a) The con- gestion of the parts, due to section of the cervical nerves, appeared always more intense than that which followed section of the sympa- thetic. (0) Often the centre was fully congested after section of the cervical nerves, but the periphery was very rarely fully congested after 62 S.J. Meltzer and Clara Meltzer. section of the sympathetic. (c) We noted in two experiments that the central artery, which was dilated after section of the sympathetic, became distinctly more dilated on subsequent cutting of the third cervical nerve. But we find no note in our experiments indicating that the subsequent cutting of the sympathetic improved the conges- tion of the periphery or of the centre of the ear, which followed sec- tion of the third cervical nerve. (a) The congestion which follows section of the third cervical nerve (and its connections) persists dis- tinctly longer and in greater intensity than that which follows section of the sympathetic. When the cervical nerve is cut on one side, and the sympathetic on the other, the difference is striking for ten or fourteen days. While the blood-vessels on the sympathetic side be- come constricted to nearly their original width, and show rhythmical changes again, the ear on the cervical side still looks well congested, with practically no rhythmical changes. In view of our experience we can hardly understand the statement of Schiff that the congestion which follows the cutting of the third cervical lasts only a few hours. On the contrary, in some of the experiments at least, the congestion did not develop fully until some time after the operation. 6. As is well known, and as was mentioned above, the congestion following section of either nerve decreases more or less rapidly. Many writers ascribe this decrease of the vasodilatation to the as- sumption of the constricting tonus by some uncut vasoconstrictor nerve fibres, which normally.do not participate in the maintenance of the tonus, but which, in the absence of the chief constrictors, are ready to substitute the latter, —a sort of collateral innervation. In our experiments, we had a few animals in which on one side the su- perior cervical ganglion was removed, and the third cervical nerve and all its connecting branches were cut. We had reason to believe that we had thus excluded all vasoconstrictors of the ear. Nevertheless, a few weeks after the operation, there was little left of the original marked congestion. In these cases, the recurrent constriction could not be the work of substitution or collateral innervation. Neither could it be the result of regeneration. Aside from the shortness of time, the occasional awéopsies in vivo have shown that there was as yet no regeneration. Apparently the walls of the blood-vessels them- selves possess the capacity of resuming their tonicity without the aid of extrinsic nerve influence. Furthermore, we had experiments which seem to demonstrate that at least in these cases no substitution took place. For instance, the ganglion was removed and a dilatation of the A Study of the Vasomotor Nerves of the Rabbit's Lar. 63 central artery followed. When, later, after this dilatation had dis- appeared, the third cervical and its connecting branches were then cut, a congestion of the periphery appeared while the centre remained pale. In this case the subsequent constriction of the central artery was apparently the work of the blood-vessel itself, and was not due to an assumption of the tonus by the other vasoconstrictor fibres of the ear. It is true, we had a number of experiments in which, after the congestion following the primary cutting of the sympathetic had diminished, a subsequent cutting of the cervical nerves caused, in addition to the congestion of the peripheral parts of the ear, also a redilatation of the central artery. This, however, does not necessa- rily mean that the cervical assumed the control over the central artery only after the sympathetic had been cut, since we know, as we have seen above, that the primary cutting of the cervical nerves alone often causes a dilatation of the central artery. Our experiments, therefore, furnish evidence that the constriction of the blood-vessels can return apparently without the aid of extrinsic nerves. There is, furthermore, satisfactory evidence that, at least in some cases, when the cervical nerve does not participate originally in the maintenance of the tonus of the central artery, this nerve does not assume the tonus after the influence of the sympathetic is eliminated. Finally our experiments afford no sufficient evidence that a collateral innervation ever takes place in the tonus of the vasomotor nerves of the ears; z.¢., we have no evidence that the cervical can take the function of the sympathetic, or the sympathetic that of the cervical nerve, if the substituting nerve had originally no active share in the maintenance of the vascular tonus. On the other hand, we had experiments in which the dilatation of the central artery due to the cutting of the sympathetic was distinctly increased throughout the entire length of the artery by cutting the cervical nerve a few minutes later. This can only mean that the vasomotor tonus of the entire central artery was simultaneously maintained by the sympathetic as well as by the cervical nerves. This condition was observed to exist more frequently in the tonus of the upper part of the artery. Our observations in this respect, how- ever, are too few in number to permit a detailed discussion of these complicated conditions. 64 S.J. Meltzer and Clara Meltzer. RESULTS OF STIMULATION EXPERIMENTS. As far as we know, Fletcher is the only investigator who has given a detailed account of the effect of stimulation of the third cervical nerve. According to his experience, electrical stimulation causes the greatest constriction in the distal third of the central artery, but the proximal third also shows a marked constriction. To obtain an effect from this nerve, Fletcher states that the stimulating current must be stronger than that which elicits an effect from the sympathetic. Again, the latent period in the stimulations of the third cervical nerve is much longer than that in stimulations of the sympathetic. Finally, according to Fletcher, there is a difference in the order of the return of the flush after discontinuation of stimulation. After stimulation of the sympathetic, the return flush begins distally and travels towards the base of the ear; after stimulation of the third cervical nerve, it begins proximally and affects the terminal bifurcation of the artery last. Our stimulation experiments were made on sixteen animals. In many of them the cervical nerve as well as the sympathetic was stimulated on both sides. In a few cases, the nerves were stimulated five days after they had been cut. We shall give only a brief sum- mary of our results. 7. For the majority of animals, it can be stated in a general way that stimulation of the third cervical nerves caused chiefly a constric- tion of the vessels of the sides and top of the ear, including also the upper end of the central artery; stimulation of the sympathetic caused chiefly a constriction of the lower three-fourths of the cen- tral artery and adjacent parts of the ear. In a smaller number of cases, stimulation of the third cervical nerve caused also a complete constriction of the entire central artery, and in very few instances did stimulation of the sympathetic cause pallor also in the sides and top of the ear. 8. In nearly all cases, the pallor following stimulation of the third cervical nerve spread from the top downward, and the con- striction of the artery caused by stimulation of the sympathetic spread from the base of the ear upward. Regarding the order of the refilling of the vessels after discontinuation of the stimula- tion, we have too few notes tu permit a general conclusion to be drawn. A Study of the Vasomotor Nerves of the Rabbit's Ear. 65 9. Regarding the intensity of the constriction which is caused by the stimulation of either nerve, we found in our experiments no differ- ence in favor of the sympathetic. On the contrary, in our experi- ments the general pallor, as well as the degree of constriction of the individual vessels, was often greater after stimulation of the cervical nerve than after that of the sympathetic. The same must be said of the strength of the stimulus which is required to bring out an effect from each nerve, and of the length of the latent period in each case. Fletcher as well as Morat state that the interrupted current which is sufficient to cause constriction upon stimulation of the cervical nerve, must be considerably stronger than ordinarily employed in nerve stimulation. Fletcher ascribes this to the thickness of the sheath of the cervical nerves. In our experiments, we had a relatively large number of instances in which a weaker current brought out a strong effect from the cervical nerve, while a stronger current brought out a comparatively slight effect from the sympathetic of the same side. For instance, in two experiments, stimulation of the right cervical nerve with the interrupted current, while the secondary coil was at a distance of 130 mm., caused great pallor, and a constriction of the blood-vessels of the entire ear, except the lower two-thirds of the central artery; while stimulation of the right sympathetic with the secondary coil at a distance of only 90 mm., caused only a very moderate constriction of the lower two-thirds of this artery. Our experience with regard to the strength of the stimulus is as follows: There have been cases in which equally strong currents brought out equally strong effects from both nerves. In other cases, as stated above, a weaker current brought out a strong effect from the cervical nerve, and a stronger current caused a mild effect from the sympa- thetic. In still other cases, only a strong current elicited some effect from the cervical nerve, while a weaker current elicited from the sympathetic a constriction leading to the entire disappearance of the central artery. Only this latter class of cases, but few in number, corresponds with those seen by Fletcher. Similar variations were observed with regard to the latent period. But here we can say, in general, that in all cases in which the stimula- tion caused a strong effect, the latent period was short. When the effect was moderate, and the current had to be strong, the effect set in later. It would seem to us that the thickness of the sheaths of the nerves has little to do with these variations ; they seem to be due rather to individual variation, which can, of course, only be recognized 66 S. J. Meltzer and Clara Meltzer. when the experiments are extended over a large number of animals. Fletcher seems to have experimented upon only four animals. We have also notes on the length of the after-effect in some experi- ments. As far as the few data permit any conclusion, it would seem that the long after-effect followed generally moderate primary effects brought on by strong currents. When the primary effect was a strong one, the return flush usually set in very soon after the stimula- tion was discontinued. However this may be, we can positively state that the long and short after-effects were equally divided between the cervical and the sympathetic nerves. We have thought it necessary to dwell especially upon these points, because the strength of stimulus, latent period, and after-effect are criteria sometimes employed to distinguish between different kinds of nerves, and might have been looked upon also in our case as physio- logical criteria distinguishing the sympathetic from the cervical nerves. Furthermore, such a physiological distinction would seem to run parallel with a certain anatomical distinction which appears to exist between the sympathetic and the cervical nerve fibres. Accord- ing to the investigations of Fletcher, the fibres which pass to the ear by the route of the cervical nerves arise from the cells of the ganglion stellatum. These vasomotor fibres are therefore post-ganglionic, while the vasomotor fibres within the cervical sympathetic are pre- ganglionic. We could then be misled into the belief that the longer latency of period, and the requirement of greater intensity of stimulus, etc., might be qualities peculiar to post-ganglionic nerve fibres. We therefore took occasion to state especially that in our experiments these qualities were not peculiar to either set of nerve fibres, but seem to depend rather upon the individual variations of the animals. The basis of these variations, whether they are simply due to variations in the distribution of the number of vasomotor fibres of the same character between the cervical and sympathetic nerves, or whether there is a variation in the distribution of fibres of different character, we do not wish to discuss for the present. 10. In nearly all cases in which both sides were compared in the same animal, stimulation of the left sympathetic gave a distinctly better effect than stimulation of the right, with regard to the degree as well as the extent of the constriction. This holds good in a gen- eral way also for stimulation of the cervical nerves; here, however, we had one animal in which stimulation of the right cervical nerve gave the better effect, and two in which the effect was about equal on both sides. A Study of the Vasomotor Nerves of the Rabbit's Ear. 67 This effect of stimulation coincides with the above-mentioned effect of section of the nerves in which the congestion was found to be often more intense on the left than on the right side. While the number of our experiments is, perhaps, as yet too small to justify the general conclusion that in all rabbits the left nerves contain a larger number or more efficient vasomotor fibres than those on the right side, it is at least well to keep in mind that this was the case in a number of con- secutive experiments. The importance of this will become evident when we consider that among the methods employed to study the question, whether there is any difference in the effect between simple section of the cervical sympathetic, and the removal of the superior cervical ganglion, there was one which consists in the comparison of the effects following section of the sympathetic of one side and re- moval of the ganglion on the other side. In view of our experience, it is obvious that this method is incapable of leading to decisive re- sults. This method presupposes that the effect of section of the sympathetic, or the removal of the ganglion, is in all animals the same on both sides. Now assuming even that the greater effect obtained on the left side in our experiments was a matter of accident, these experiments demonstrate unmistakably that presupposition of simi- larity on both sides is not permissible, and therefore any inference drawn from a method which contains this supposition as a premise cannot be conclusive. 11. In our experiments, we met with cases in which the stimulation of the nerves had but little effect, while their section brought out a considerable flushing of the ear. This shows that there is a differ- ence between the normal stimulation which maintains the arterial tonus, and the artificial stimulation of the end of the cut nerve. This difference might be due to the fact that the normal tonus is main- tained by stimuli which are certainly more adequate for nerve excita- tion than the electrical current; but it might also be explained by the assumption that the normal stimulus affects solely or preferably one set of nerve fibres, while the artificial stimulus affects simultaneously and indiscriminately two antagonistic sets of fibres. ‘This recalls the relations between the inhibitory fibres of the vagus and the accelerat- ing nerve fibres. While a simultaneous artificial stimulation of both kinds of nerve fibres always favors inhibition, nevertheless reflex ac- celeration is possible, and it seems that a normal tonus of the accel- erating nerve fibres is being continually maintained. 68 S. J. Meltzer and Clara Meltzer. SUMMARY. The more essential points of our investigation are: 1. In the majority of cases, the third cervical nerve carries the vaso- motor fibres for the blood-vessels of the rabbit’s entire ear, except for a comparatively small area around the lower two-thirds of the central artery, for which the sympathetic is'the carrier of the vasomotor fibres. In a good many cases, the cervical nerve innervates also the vessels of the centre, and in very few exceptional cases, the sympathetic carries fibres also for the periphery. There is probably in all cases a zone in which the vascular tonus is maintained by the nerve fibres of both nerves simultaneously. 2. The congestion following the section of the cervical nerve lasted in all cases longer than that following the section of the sympathetic. 3. Section as well as stimulation of both nerves caused a distinctly better effect on the left side than on the right. 4. There was no constant proportion between the effect of section and that of stimulation. 5. Even after section of all the vasomotor carrying nerves, the blood-vessels, sooner or later, become constricted again, probably through some intrinsic activity of the blood-vessels themselves. Mee or BCirIC “ROTATION OF ) THE NUCLEIC ACID OF THE WHEAT EMBRYO. bY THOMAS 5B. OSBORNE. [From the Laboratory of the Connecticut Agricultural Experimental Station. | AMGEE and Jones! have recently described nucleoproteids from several sources, all of which showed the unexpected property of right polarization. As it is possible that the nucleic acid component may, in whole or in part, be the cause of this dextro- rotation, I have, following the suggestion made by Dr. Gamgee, ex- amined the rotation of the nucleic acid which I have obtained from the wheat embryo.” The specific rotation was determined by suspending the dry acid in water and gradually adding decinormal potassium hydroxide solu- tion until all was dissolved. In this way a perfectly clear solution was obtained which reacted strongly acid with litmus and contained the nucleic acid as acid potassium nucleate. The rotation of the solu- tions was observed at 20°, with the following results : — I. Observed angle +3.16°. Amount of dissolved acid =.0236 gr. perc.c. Length of the tube 2 dm: — (a) = +66.95°. 2. Observed angle +5.84°. Amount of dissolved acid =.0400 gr. perc.c. Length of tube 2 dm: — (a) = +73°. 3. Observed angle 2.89°._ Amount of dissolved acid =.0393 gr. per c.c. Length of tube 1 dm: — (oj = Piaga: 1 GAMGEE and JOoNEs: This journal, 1903, vill, p. 447. 2 OsBORNE and Harris: Zeitschrift fiir physiologische Chemie, 1902, xxxvi, p. 85 ; also Report Connecticut Agricultural Experimental Station for 1gol. 69 70 Thomas B. Osborne. These solutions showed no change in rotation after standing twenty- four hours. From these results it is evident that this nucleic acid is strongly dextrorotatory and that the degree of rotation is considerably influ- enced by the concentration of the solution. In order to determine the rotation of a mixture of protein substance with nucleic acid, a quantity of triticonucleic acid was dissolved in water with addition of an amount of potassium hydroxide which just sufficed for solution, and then one half as much pure ovalbumin was added, and the solution examined in a 200 mm. tube, with the follow- ing result : — 4. Observed angle 2.50°. Amount of dissolved substance .0404 gr. per c.c. Length of tube 2 dm:— (a)? = +30.94°. This ,is approximately the rotation calculated for a mixture of one part of ovalbumin (a)? = —30° and two parts of wheat nucleic acid (a)? = +67°, the mean rotation of which would be +35°. It is thus evident that a combination of protein substance with nucleic acid may show strong right polarization, and that this dextro- rotation may be wholly due to the nucleic acid component. Gamgee and jones give no data from which the proportion of pro- tein and nucleic acid in their nucleoproteids can be inferred, except in the case of ‘‘ Hammarsten’s preparation,” which designation, although they do not say so, presumably refers to the nucleoproteid obtained by Hammarsten’s method from the pancreas.!_ This nucleoproteid according to Hammarsten, contains 4.5 per cent of phosphorus, from which we may assume that it contains about 50 per cent of nucleic acid, since Levene? found 8.65-9 per cent of phosphorus in his prep- arations of the nucleic acid of the pancreas. If the dextrorotation of the nucleoproteid of the pancreas is wholly due to the nucleic acid, the specific rotation of the acid in ‘‘ Hammarsten’s preparation ” must be very high in the light of Gamgee’s and Jones’s figure. This, how- ever, was obtained in such an extremely dilute solution that it is quite possible that it is too high. The figures given for the other nucleoproteids are such as might be caused by the dextrorotation of the nucleic acid. That this is the ' HAMMARSTEN: Zeitschrift fiir physiologische Chemie, 1894, xix, p. 19. * LEVENE: Jdid., 1901, xxxii, p. 548. The Specific Rotation of Nucletc Acid. VB case is indicated by the fact that, as Gamgee and Jones say, ‘The specific rotation of the nucleoproteid is +38°, that of the nuclein +65°, while it can- be indirectly shown that a substance is contained in the residual material whose specific rotation is about +81°.” We thus see that with a probable increase in the proportion of nucleic acid in the compounds examined there was an increase in the dextrorotation. THE INFLUENCE OF COLD ON THE ACTION OF SOME HAMOLYTIC AGENTS} By G. N. STEWART. [From the Hull Physiological Laboratory of the University of Chicago. | HAVE already shown? that sapotoxin causes an increase in the electrical conductivity and in the permeability to electrolytes of formaldehyde-hardened red corpuscles, and have, without being able to directly prove this, brought forward evidence that it exerts a similar action on the unfixed corpuscles. The difficulty in making observations on the latter consists in the rapidity with which sapo- toxin causes laking. This increases the conductivity by the liberation of electrolytes on the one hand and diminishes it by the liberation of hemoglobin on the other, and so obscures the phenomenon which comes so clearly to light in the case of formaldehyde corpuscles. The fact that at o° C. certain of the biological laking agents are said not to act, suggested that by cooling the blood to 0°, and using small doses of sapotoxin, an action on the conductivity might be revealed before any laking occurred. Dr. Peskind showed that, as a matter of fact, under the conditions mentioned, laking is delayed for a con- siderable period, a period which, as I have found, may extend to many hours. The procedure was as follows. The dose of sapotoxin necessary to cause laking of blood at air temperature was first determined. Then a meas- ured volume of defibrinated blood was cooled in ice to o°, and a pre- determined quantity of ice-cold sapotoxin solution (of course in NaCl solution) added to it. The mixture was rapidly shaken up and returned to the ice. A control specimen of defibrinated blood containing as much of the 0.9 per cent NaCl solution used in making the sapotoxin solution, * Some of the experiments included in this paper were made in conjunction with Dr. S. PESKIND, in the Physiological Laboratory, Western Reserve Uni- versity, during his tenure of the H. M. Hanna Fellowship. * Journal of physiology, 1899, xxiv, p. 211; I90I, xxvi, p. 470; Journal of experimental medicine, 1902, vi, p. 257. 72 Influence of Cold on the Action of Hemolytic Agents. 73 _ as was added to the blood of the sapotoxin solution, was also kept in the ice. Another specimen of defibrinated blood, containing as much of the sapotoxin solution as the first, was kept at air temperature. From time to time resistance measurements of these mixtures were made, a measur- ing tube being immersed in crushed ice, into which dipped a thermometer. The readings of the thermometer never varied more than one or two tenths of a degree from o°. The tube containing the electrodes was always immersed for some time in the ice before the blood mixtures were poured into it. In the tables the conductivities (at o°C.) are expressed in reciprocal ohms X 10°. The commencement and progress of laking in the mixtures was controlled by putting from time to time into a cooled graduated centrifuge tube 1 c.c. of the mixture, filling up the tube to 15 c.c. with the ice-cold salt solution, and centrifugalizing in a cold room with a centrifuge of such speed that complete sedimentation occurred in four and one-half minutes. The amount of hemoglobin, if any, in the supernatant liquid was then determined colorimetrically. In this way it has been shown that sapotoxin, when added to defibrinated blood at 0°, produces for some time no effect on the conductivity and no laking. For example, in Experiment I, a dose of 2 per cent sapotoxin solution, corresponding to 6 c.c. to 100 c.c. of blood, caused for at least two and one-half hours no change in the conductivity and no laking. Then an increase in the conductivity developed, which reached its maximum after about twenty-one hours, practically no laking having taken place up to this time. The dose of sapotoxin was insufficient to cause any increase in the conduc- tivity of the specimen left at ordinary temperature, except for the relatively short period before Jaking had begun, or while the amount of hemoglobin liberated was still insignificant. In Experiment II, with a different specimen of blood, but the same dose of sapotoxin, the period of delay before a change of conductivity occurred was much less. In one hour, an increase in conductivity was marked, and indeed had reached its maximum; whereas in thirteen minutes it had not begun. In one hour and thirteen minutes, the blood had not begun to lake. This dose was sufficient to cause a slight increase in the conductivity of the blood laked at ordinary temperature. In Experiment III (1), in which the blood was practically fresh, the same dose of sapotoxin caused but little increase of conductivity for an hour. After two hours, the conductivity was distinctly, and after eighteen and one-half hours, markedly increased, while no laking 74 G. NV. Stewart. took place before the twenty-third hour. After forty-eight and one- half hours only 15 per cent of the hamoglobin was in solution. The dose of sapotoxin was sufficient to cause an increase of conductivity in the partially laked blood left at room temperature, but when laking was almost complete this increase was completely masked by the liberated haemoglobin. When, to the same defibrinated blood after standing in the cold for twenty-four hours, a dose of sapotoxin two-thirds greater was added, a distinct increase in the conduc- tivity had already taken place in thirteen minutes. The maximum conductivity (before laking) occurred in thirty minutes, and obvious laking had appeared within one and one-half hours of mixture. Not- withstanding the depressing influence of the liberated haemoglobin, the conductivity was increased by laking (both in the specimen kept at o° and in that kept at air temperature), as always happens on the addition of a dose of sapotoxin more than sufficient to just cause laking, owing to the liberation of electrolytes from the corpuscles. ‘ In Experiment III (2), the effect of an increased dose of sapotoxin (equal to 10 c.c. of the 2 per cent solution to 100 c.c. of blood) was tried on a specimen of the same blood as was used in Experiment III (1). While there is some increase of conductivity before laking, the typical effect of the large dose is seen in the marked increase of conductivity after laking, particularly in the mixture kept at air temperature. In Experiment IV, with perfectly fresh blood, and a dose of sapo- toxin corresponding to 8 c.c. of the solution to 100 c.c. of blood, the maximum change in conductivity was produced in thirty-two to thirty-eight minutes, before which laking had not begun. In Experiment V, with the same blood as in Experiment IV, but after keeping it forty-eight hours in ice, a dose of 6 c.c. of sapo- toxin solution to 100 c.c. of blood, produced a slight increase of conductivity, even in five minutes after mixture, and the change went on increasing till a maximum (without laking) was reached in about one and one-fourth hours. For one hour and eight minutes longer, no laking occurred, the conductivity maintaining itself at the Jevel previously reached. The dose of sapotoxin was sufficient to cause a distinct increase in the conductivity of the blood allowed to lake at air temperature, in other words, it was sufficient to cause a liberation of electrolytes which, in spite of the discharged haemoglobin, increased the conductivity. Influence of Cold on the Action of Hemolytic Agents. 75 The simplest explanation of these phenomena is that the sapotoxin, when it acts at 0°, produces first such an effect on the superficial layer (envelope) of the corpuscles, that its permeability to electrolytes is increased. This change does not necessarily, or at any rate does not immediately, lead to a discharge of haemoglobin. The second stage of the action of the sapotoxin consists in the liberation of the hamo- globin, presumably by breaking up the compound which it forms with the stroma. This obviously will be a gradual process, since the pene- tration of the sapotoxin will take time, especially when it is delayed by a low temperature. If the dose of sapotoxin is minimal, it does not appear that the process goes beyond this second stage, either at O° or at air temperature. But if the dose is greater than that just sufficient to cause the change in the envelope and the discharge of the hamoglobin (with, it may be, such portion of electrolytes as ex- ists in ordinary solution in the corpuscles), the electrolytes which are bound to the stroma, chemically or physically, appear to be liberated, and the conductivity of the laked blood is increased more or less markedly in proportion to the dose. The decided increase which is produced in the potential difference between the belly and the ten- dinous extremity of the frog’s gastrocnemius, when sapotoxin solution (in 0.9 per cent NaCl) is applied to the muscle next the tendon, may be due either to a change in the permeability of the sarcolemma, or to the liberation of electrolytes in the fibre contents, or to both. A similar, though less marked, increase is produced by sapotoxin in the current of rest of nerve. It may be asked whether there is any proof that the sapotoxin is taken up and fixed by the corpuscles during the stage when the con- ductivity is increasing, without any laking having been produced. Clear evidence has been obtained that this is the case. For example (as in Experiment I), measured quantities of the mixture of blood and sapotoxin kept at o° were removed after the increase of conductivity had clearly developed itself, but before any laking had occurred. They were rapidly centrifugalized in a cold room after being shaken up with a known volume of ice-cold salt solution (usually 14 times as much as was taken of the blood). The supernatant liquid, seen to be free from haemoglobin, was decanted off, and the washing with ice-cold salt solution and centrifugalizing repeated once or twice more. In this way, all the sapotoxin not in the corpuscles was removed. The sediment was then distributed in salt solution, and left at air temperature or placed in a bath at 40°C., and it was seen that laking occurred. The amount of 76 G. N. Stewart. laking was determined by centrifugalizing and estimating colorimetrically the quantity of hemoglobin in solution. It was found that the ultimate amount of Jaking was not markedly less in the specimens of sapotoxin blood kept at 0° and washed free ‘from extraneous sapotoxin than in similar specimens of sapotoxin blood kept at air temperature, and then washed free from extraneous sapotoxin. Not only then do the corpuscles fix sapotoxin at 0°, but, apparently, at the stage when the conductivity is increased while no actual laking has yet taken place, they have fixed as much, or nearly as much, as they would have done had laking been allowed to proceed at air temperature. Formaldehyde-hardened corpuscles also fix sapo- toxin, as can be shown by adding to a suspension of the washed cor- puscles in salt solution a small amount of sapotoxin, allowing the mixture to stand and then centrifugalizing. The supernatant liquid will be found to have no hzemolytic power. Since, as is well known, the cholesterin of the serum neutralizes the action of a certain amount of sapotoxin and to this extent prevents it from laking the corpuscles,! it was thought that still more striking effects on the conductivity of the corpuscles would be obtained if a suspension of corpuscles washed free from serum constituents were employed. Experiments VI and VII were performed in order to test this, but to my surprise, I could obtain no distinct evidence that the phenomenon in question is to be observed with washed corpuscles at all. The observations are rendered more difficult by the great sensi- tiveness of washed corpuscles to sapotoxin. Thus in Experiment VI a suspension containing about 75 per cent of corpuscles (by volume) was laked almost immediately at 0° by addition of sapotoxin in the proportion of 2 c.c. of the 2 per cent solution to roo c.c. of the sus- pension, and so violent was the action, that no intact red corpuscles could be discovered by the microscope, although swollen leucocytes were plentiful. In accordance with the size of the dose the conduc- tivity of the laked blood was greatly increased. Partial laking oc- curred very rapidly when sapotoxin was added in the proportion of 1.4 c.c. of the 2 per cent solution to 100 c.c. of the suspension. Even the addition of sapotoxin in an amount corresponding to 0.6 c.c. of the 2 per cent solution to 100 c.c. of the suspension caused * Cholesterin suspended in saline solution removes sapotoxin completely from solution, and prevents the laking of blood added to the mixture. After filtering off the cholesterin, the filtrate has no laking action. Influence of Cold on the Action of Hemolytic Agents. 77 such a rapid laking that the decline of conductivity associated with the escape of the hemoglobin was proceeding three to five minutes after mixture. That the dose was by no means a large one (as tested by its effect in liberating electrolytes from the corpuscles) was shown by the fact that, instead of any increase in the conductivity being produced as laking went on, a marked and progressive diminution occurred. It was shown by the method already described that the corpuscles had fixed some sapotoxin, which produced a further laking after all extraneous sapotoxin was removed. In Experiment VII, in which a minimal dose was much more care- fully sought for than in Experiment VI, the attempt to discover an increase of conductivity preceding the liberation of haemoglobin from washed corpuscles was unsuccessful, although the corpuscles had fixed enough sapotoxin to cause a considerable amount of further laking. It could not be determined whether any sapotoxin was fixed before laking began, since the interval between addition of the sapo- toxin and the commencement of laking was so short even at 0°. On the other hand, it was quite clearly shown that in the case of the washed corpuscles, as well as of the unwashed, the laking process is much retarded by the low temperature. If in reality the preliminary stage of increased conductivity without liberation of the hemoglobin is not passed through in the laking of washed corpuscles, two explanations suggest themselves: (1) that the preliminary increase of permeability of the corpuscles in entire blood is produced not by the sapotoxin itself but by a compound of the sapotoxin with some constituent of the serum, the cholesterin, é. g., which compound, less violent in its action than the sapotoxin, may affect the envelope of the corpuscles without liberating the hemoglobin; (2) that the ions to which the corpuscles become more permeable do not include Na and Cl. The former would appear the more probable hypothesis and I hope that further experiments will settle the point. A possible diminution in the internal friction produced by some action of the sapotoxin on the serum, which, of course, would cause an increase in the velocity of the ions and there- fore an increase in the conductivity, is excluded by the fact previously shown ! that the addition of sapotoxin to serum does not increase its conductivity. Further, the gradual increase in conductivity of the sapotoxin blood at 0° is against this idea. 1 STEWART: Journal of physiology, 1901, xxvi, p. 484. 78 G. N. Stewart. This experiment shows well, as several of the others do, that with minimal The doses of sapotoxin there is for a long time, even when laking is allowed to go on at ordinary temperature, little or no liberation of electrolytes from the corpuscles. Instead of an increase of conductivity there is a diminution due to the depressing influence of the discharged hamo- globin, and approximately proportional to the amount of blood-pigment set free. Thus in A! (Experiment VII) when 57 per cent of the total hemoglobin was in solution A was 40.50, while for the “‘ control” A was 47.92. If we take the proportion of hamoglobin in the corpuscles as 4o per cent, and the proportion of corpuscles in the suspension (calculated from the conductivity), as 36 per cent, the hemoglobin in A’, if it were all liberated, would make up a solution containing 13.8 per cent of blood pigment. With 57 per cent of the hemoglobin discharged into a volume of “serum” constituting 64 per cent of the suspension and about 65.4 per cent of A’, the serum would contain about 12.2 per cent of hamo- globin. But the serum is, of course, increased by the escape of water from the laked corpuscles. On the assumption that 57 per cent of the corpuscles has been completely laked (an assumption not perfectly correct, since partial laking of some corpuscles must have taken place), the amount of serum would be about 77 per cent, and the proportion of hemoglobin dissolved in the serum about 10.3 per cent. I have shown ? that when one gram of oxyhemoglobin is dissolved in 100 c.c. of serum, the conductivity is depressed by 1.82 per cent. If the conductivity of the control (in Experiment VII) be diminished by 1.8 X 10.3, that is, 18.5 per cent, we get 39.1, which is not very different from the actually observed X of A! (40.5). The liberation of a small amount of electrolytes from the laked corpuscles and the increased permeability of the unlaked corpuscles would easily account for the slight difference. addition of a further amount of sapotoxin to A’ caused a very great increase in A. In previous researches I did not study the effect of really minimal doses of sapotoxin. My former conclusion, that sapotoxin causes the liberation of electrolytes in considerable amount from the corpuscles during laking, must therefore be supplemented by the statement that this is the case only when doses greater than those just sufficient to produce laking are employed. After a minimal dose of sapotoxin has caused the hberation of the hamoglobin from the corpuscles, unaccompanied by any large proportion of the electrolytes of the latter, the addition of a further quantity of the poison brings about a marked discharge of electrolytes from the stromata, just as the addition of water or sapotoxin to the ghosts of heat-laked blood causes the liberation of electrolytes. * STEWART: Journal of physiology, 1899, xxiv, p. 216. L[nfiuence of Cold on the Action of Hemolytic Agents. 79 Since, as previously shown, the conductivity of formaldehyde-fixed corpuscles is increased by sapotoxin at air temperature, it became of interest to determine whether cooling to 0° abolishes this effect. Experiment VIII shows that the increase of conductivity is practi- cally as great as at air temperature. Apparently a low temperature does not much, if at all, retard the action, at least for the dose employed. This result is suggestive as regards the portion of the formaldehyde- fixed corpuscle affected by the sapotoxin. If the sapotoxin had to penetrate to the interior of the corpuscle in order to produce the change of conductivity, the low temperature might have been expected to markedly retard the effect. The fact that the retardation is not striking corroborates the view taken in previous papers that it is the surface layer (envelope) of the formaldehyde corpuscle which is attacked by it. I take the opportunity of mentioning here certain results obtained by Dr. C. C. Guthrie in my laboratory in an investi- gation, which is still proceeding, on the influence of formaldehyde in various doses on blood, and especially on the action of laking agents. . He finds that if blood (dog’s or rabbit’s) be drawn into an equal vol- ume of 1 per cent. formaldehyde solution in 0.9 per cent NaCl solu- tion, the corpuscles can be laked (by water or sapotoxin) after many hours. Even after forty-eight hours, a mixture of one part of blood with two parts of 1 per cent formaldehyde solution (which, like mixtures containing still larger amounts of formaldehyde, remained unclotted) was laked by water and more slowly and partially by sapotoxin. In most specimens of dog’s blood, clotting is completely prevented when the formaldehyde present amounts to one volume of the I per cent solution to 0.6 volume of blood. In some specimens somewhat more is needed, in‘others less. Much smaller quantities of formaldehyde (ce. g., two to twenty parts of blood to one part of I per cent formaldehyde) retard coagulation in proportion to the quantity of formaldehyde present, and although they do not prevent its ultimate appearance, they exert a marked influence on the process, as is shown by the slow and imperfect shrinking of the clot as compared with that in control specimens of normal blood. One of the ways in which formaldehyde prevents or retards coagulation seems to be by hinder- ing the development of the fibrin ferment (perhaps by a rapid partial fixing of the leucocytes or blood-plates), and this appears to be a more powerful action than its inhibition of fibrin ferment already formed. The haemolytic action of dog’s serum on rabbit’s corpuscles 80 G. N. Stewart. is hindered by formaldehyde in proportion to its concentration and the time it has acted. This is true whether the formaldehyde is added to the dog’s serum or to the rabbit’s blood, and indeed the addition of a given amount to the dog’s serum causes a greater diminution in the hamolytic activity than the addition of the same amount to the rabbit’s blood, when the formaldehyde is allowed to act for the same period before mixing the blood and foreign serum. The laking of the blood by such haemolytic agents as have been investigated is not essentially altered, even after a considerable. period, by such quantities of formaldehyde as are necessary to prevent putrefaction. It might be expected that other hemolytic agents than sapotoxin would produce a similar effect on the permeability of corpuscles as a preliminary to laking. I investigated bile salts (Na taurocholate) as a representative of the other chemical lakers, and foreign serum as a representative of the biological lakers. As is shown in Experiment IX, while there appeared to be a slight increase of conductivity pro- duced by the bile salt in the case of unwashed corpuscles, it is not so pronounced as when sapotoxin is added. In this connection it may be recalled that bile salts, while they increase the conductivity of for- maldehyde-fixed corpuscles, do not cause so great an increase as sapo- toxin! A further fact, presumably related to this difference, is that in sapotoxin laking the corpuscles always swell before discharge of the haemoglobin, becoming smooth in outline if they have previously been crenated, and therefore take up water, while in sodium taurocholate laking they need not do so. In Experiment X, an attempt was made to determine whether the conductivity in a suspension of washed corpuscles was increased by sodium taurocholate before laking, but with the same negative result as in the case of sapotoxin. The sensitiveness of the corpuscles to the bile salt is increased by the removal of the serum constituents just as in the case of sapotoxin. The fact that some of the biological haemolytic agents, e. g., snake venom, according to Flexner and Noguchi? are unable to cause laking in washed corpuscles, while in the absence of serum constituents sapotoxin and bile salts are apparently unable to produce the prelimi- nary increase of permeability of the corpuscles, might seem to sug- gest that such biological lakers may act primarily by augmenting the permeability of the envelope; and that just as in the absence ‘ STEWART: Journal of medical research, viii, p. 268. * FLEXNER and NoGucui: Journal of experimental medicine, 1902, vi, p. 286. Lnfluence of Cold on the Action of Hemolytic Agents, 81 of the complement of the serum, the venom is unable to complete the reaction on which this increase of permeability depends, so, in the case of these chemical lakers, something which can act as a complement or as an intermediary body, to use Ehrlich’s termin- ology, is necessary to produce the preliminary increase of conduc- tivity, although ultimately laking can take place without it. In Experiment XI, however, no evidence was obtained that dog’s serum can produce any change in the conductivity of rabbit’s blood before liberation of the haemoglobin. This is in agreement with the fact that the permeability of the formaldehyde-fixed corpuscles of the rabbit is not affected by dog’s serum. It was observed that with foreign serum complete laking will take place at o°, although the statement has been made that it does not occur below about 5° C. 82 G. NV. Stewart. EXPERI- February 8.— At 12.20 p.m. added to 25 c.c. of dog’s defibrinated blood obtained nineteen hours before and kept in cold 1.5 c.c. of 2 per cent sapotoxin solution in 0.9 per cent NaCl solution, both ice-cold. Call the mixture A. Kept in ice. At 11.55 a.m. added to 25 c.c. of the defibrinated blood 1.5 c.c. of 0.9 per cent NaCl solution. Call the P.M rt 12.38 Control cooled in ice before putting in U tube . ; 34.73 12.403 DR SUR ne aaa ea ene ae ‘ ; 34.63 12:25 BN ; 34.96 ZY, ; : Sante 2129 , 34.73 12.53 ¥ 5 34.26 12.56 SORE hia acer PT ge : 34.26 lls Absolutely no laking 2 : (342 34.77 134.77 2.45 : 34.73 . 34.73 4.48 Absolutely no laking.? (Sediment 3) . . 35.36 4.50 Pere AL Ue ergs rs, Mey ea er 5 35.26 Feb. 9 A.M. 9.383 37.06 oil RAR aO UME SS Rar Rue THATS A cen, ot Recent a ute At Io cae shee 36.90 9143 Very little laking. Not more than 1.8 per cent of the hamo- : globin in solution.2 (Sediment 4) ohvd, eth amen { 36.95 10.01 Control a BF Sollee ve, To ett Sa ee ance Sheen 10.05 No laking whatever "(Sediment 5) } 34.49 P.M. 3.17 Serum from A (after centrifugalizing for three hours contains some hemoglobin) . . 83.66 Serum from control (after centr ifugalizing for three hours ¢ con- tains a little haemoglobin, but less than in serum from A) 82.57 3.46 Sediment fromvA. yun. a) oe ste Geeks ee ee 6.98 SAE IS GORA: SLE nd ON) | Conn tee ci ee ar 3 6.91 4.07 Sediment fromlcontroly 2-9 9es epee te ere 6.81 4.09 5 HD. SO bese a= eaters aeeOnahR 1 a 6.69 4.103 6.55 ! As in all the tables,A is an abbreviation for X (0°) 108, the conductivity (at ° C.) being expressed in reciprocal ohms. 2 By centrifugalization test, 1 c.c. of the blood being mixed with ee c. of ice-cold NaC] solution, and centrifugalized. “Sediment 3,” etc., means that the sediment in the centrifuge tube was so numbered and set aside. L[nfiuence of Cold on the Action of Hemolytic Agents. 83 MENT I. mixture “control.” At 3.12 p.m. added to 25 c.c. of defibrinated blood 1.5 c.c. of 2 per cent sapotoxin solution, both ice-cold. Call the mixture A’. Kept at room temperature. For the sapotoxin solution A = 90.22; for the NaCl solution A = 88.95; for the defibri- nated blood A = 32.09; for the serum from the clot, \ = 73.05 (Serum contains much fat). 3.20 1A eae hah <8 Pe RMN T Fae Cx oo de oneal an an a tae ee 34.96 Soh To eye no laking whatever . AE te Sg ee PS. Sa 34.77 3.59 Pong ety ker 36.74 4.02 36.74 4.03 Ee a arc ce ar eas |i Sb as eee Sas 36.63 4.06 Practically no haemoglobin in solution, certainly less than ippericenteof the wholes (Sediments). 2 9s. = 2. 36.63 4.30 ERIS Eerie ta Lik men Glp time hae arse gt hats ee Ge te Wt 36.79 4.31 3.5 per cent of hamoglobin is now in solution.! (Sediment 2) | 36.79 Feb. 9 A. M. 10.305 ee RSP Sa eS CAR gh a See ae oe gi een ae ae ee an ear eS ee ( 33.89 10.32 ee ROR ROA A oe HE PCON NS dP cies ae aE acre eae 33.80 10.345 54 per cent of the hemoglobin in solution. (Sediment 6) . (33.71 Feb. 10 5 P.M. +590 | } 34.54 4255 ME RCE M a reine g She Crsieee | Suara ome tg ae toe ee ee eee 34.35 Even after twenty-four hours longer A’ is not completely laked.! February 10. . 2P.M. Sediments 1 and 2 shaken up in NaCl solution and centrifugalized. Considerable laking. In 1, 41 per cent of hemoglobin has gone into solution since sediment first obtained, and in 2 about 50 per cent. Some laking in 3, thongh not so much as in 2 (23 per cent of the hemoglobin is in solution). In 4 practically no laking. (All kept at air temperature since first sedimentation.) February 11. 2P.M. In ] and 2 laking has made much further progress, and only a small residue of unlaked corpuscles is now left, about the same in] asin 2. The same is true of 3, in which, however, the residue of unlaked corpuscles is a little greater than in | and 2. The residue in 3 is not quite 0.1 c.c. In 4 laking has also advanced markedly, and residue is little greater than in 3. In 5 laking has advanced very little, and the residue of unlaked corpuscles amounts to 0.5 c.c. In 6 laking has hardly advanced any further than yesterday. The amount of sediment in 6 is fully as great as in 4, being a little over 0.1 c.c. All these were kept at air temperature (19°). A’ is not yet completely laked, as shown by centrifugalizing. Control kept at air temperature is red, and shows no laking to eye. 1 By centrifugalization test, 1 c.c. of the blood being mixed with 14 c.c. of ice- cold NaCl solution, and centrifugalized. 84 G. N. Stewart. EXPERIMENT II. October 21, 1902. — At 4.12 p.m. added to 50 c.c. dog’s defibrinated blood drawn twenty-five hours ago and kept on ice, 3 c.c. of 2 per cent sapotoxin solution (in NaCl solution), the blood and solution having been previously cooled to 1.5° C. Call the mixture A. Kept in ice. Another sample of A . (A ‘specimen of A centrifugalized after the addition of FeCl! shewed no laking) Another sample of A . A specimen of A centrifugalized after the addition of FeCls showed distinct laking, about 40 per cent of the haemoglobin having been liberated from the corpuscles, as shown colori- metrically. Twenty-two hours later A, which was kept in ice all through, was seen to be completely laked. Added to 5 c.c. of blood 0.3 c.c. of 0.9 Bers cent NaCl. This mixture . Added to 5 c.c. of blood 0.3 c.c. of sapotoxin solution and left at room temperature. This mixture is much laked, though not completely. RM eA On cr Ma ete ye een Lee TE Pa 32.92 32.892 1 FeCl; was added in small amount to a measured quantity of the blood, accord- ing to the method of precipitating red corpuscles described by Dr. S. PESKIND. Then the mixture was rapidly shaken up with excess of ice-cold 0.9 per cent salt solution, and centrifugalized. Influence of Cold on the Action of Hemolytic Agents. 85 EXPERIMENT III (1). November 22, 1902.— At 4p. mM. added to 25 c.c. of dog’s defibrinated blood drawn 34 hours ago, and kept in ice, 1.5 c.c. of 2 per cent sapotoxin solution in 0.9 per cent NaCl solution, also ice-cold. Call mixture A. At 3.55 p.m. added to 10 c.c. of blood 0.6 c.c. of the sapotoxin solution. Call mixture A’. A was kept in ice, A’ at air tem- perature. At 4 p.m added to 10 cc. of blood 0.6 cc. of 0.9 per cent NaCl solution. Call the mixture “control.” Kept in ice. For defibrinated’ blood’ ><", =~ s+ - AN=2840. For sapotoxin solution . . Stee ete N= 85:98: For the sodium chloride eattiack; a ion) Sate Oa 4k A’ (30 per cent laked) 1 . 50 per cent laked 1 ‘Absolutely. no Taking Control. 4 : WD WWW HWW Wo Or AS Seco Is not yet completely laked. Apparently | about the same aN ps2 OA Se Re Nae Oo ! amount of laking as INovaking ssc 2 =: aly yesterday. || Twenty-four hrs. later = siete Daa te a ‘ (greater part of ha- Woplaking+ 5 chee o>. —- moglobin is now in solution) About 15 per cent of the hzmoglobin is now in soiution.} A was now placed at room temperature for twenty-four hrs., at end of which time A= 29 61, the greater part of the haemo- globin being now in solution. i 1 Determined by addition of FeCl3 and cold NaCl solution and centrifugalizing. 86 G. NV. Stewart. EXPERIMENT III (2). November 23.— At 11.35 a.m. added to 25 c.c. of same defibrinated blood 2.5 c.c. of sapotoxin solution, both ice-cold. Call mixture A. At 12.25 added to 10 c.c. of blood 1 c.c. of sapotoxin solution. Call mixture A’. Kept A in ice, A’ at air temperature. At 12.30 added to 10 c.c. of blood 1 c.c. of 0.9 per cent NaC] solution. Call the mixture “control.” Kept in ice. 11.48 Pe eet Rn Oe A! completely laked. PSS sle 4 2.5%) 8) an eee nea TESS 11.573 P.M. TRIOS tN eset Mas Rn ee eae ae ee 12.08 | Nolaking! —..: 1.05 Now there is obvious laking. 1.08 Sih ce ©) Aaa aiee ee 1.10 | Most of the corpuscles are laked“:— 2 =. = 38.53 12.50 “Controle sete et 33.22 1 Determined by addition of FeCls and cold NaCl solution and centrifugalizing. Influence of Cold on the Action of Hemolytic Agents. 87 EXPERIMENT IV. October 16, 1902. — At 4.25 p.m. added to 5 c.c. of dog’s defibrinated blood drawn an hour ago 0.4 c.c. of a 2 per cent sapotoxin solution in 0.9 per cent NaCl solution, both cooled to 0° C. Kept the mixture in ice and made conductivity measurements at 0°. For the sapotoxin solution . . ... A=88.95. For the 0.9 per cent NaCl solution . A= 88.64. Miaxtureron blood: andssapotoxin Pos.) wy) itntspetecisist iss tates ok { 28.81 Seeley othe a i sie ok CON RE Baar aie Ye ee: hg Soe end em nee | 29.82 + 29.96 | 29.68 { 29.58 Wee Shook up U tube 33.66 5 c.c. blood + 0.4 c.c. of 0.9 per cent NaCl pines ns -four 29.34 - hours ago and kept on ice). é 29.27 The original defibrinated blood, kept ir Tt TEI Cs omen mem ie are 24.61 24.37 5 c.c. defib. blood + 0.4 c.c. sapotoxin, kept at 17° C., laked completely in 5 min. 5 c.c. defib. blood + 0.3 c.c. sapotoxin, kept at 17° C., laked in 20 min. 5 c.c. defib. blood + 0.2 c.c. sapotoxin, kept at 17° C., laked in 23 hrs. 5 c.c. defib. blood + 0.3 c.c. sapotoxin, at 0° C., almost completely laked in 21 hrs. 5 c.c. defib. blood + 0.2 c.c. sapotoxin, at 0° C., only slightly laked in 2] hrs. 88 G. NV. Stewart. EXPERIMENT V. October 18, 1902. — At 3.33 p.m. added to 15 c.c. dog’s defibrinated blood (obtained forty-eight hours ago and kept in ice-chest) 0.9 c.c. sapotoxin. Kept mixture in ice. Call mixture A. For the sapotoxin solution A = 88.95; for the 0.9 per cent NaCl A = 88.64. tn tn Go nADdure © Not laked . Now took out U tube and left in air ten minutes, ‘then put back in ice. The blood is now v pretty well laked . er Refilled U tube from stock of A kept in ice all the time since mixture Rae tear eae eee Not laked. . . Took out U tube from ice, ‘heated in hand, shook up ‘and put back in ice. Blood is now somewhat darker, though not by any means completely laked. Now fairly well laked Added to 15 c.c. defibrinated bioad 091 c.C. " sapotoxin, antl left at air temperature (18°). Completely laked. roo ne AR Wun Wn NWO Oo Added to 15 c.c. defibrinated blood 0.9 c.c. of the 0.9 per cent NaCl solution. monn ¢ Refilled U tube from stock of A kept in ice (does not seem laked) sn Syl Be Se eee ae WY) L[nfiuence of Cold on the Action of Hemolytic Agents. 89 EXPERIMENT VI. January 11.— To 1 c.c. of dog’s corpuscles, washed thoroughly and suspended in 0.9 per cent NaCl, added 0.04 c.c. of 2 per cent sapotoxin solution in 0.9 per cent NaCl. Immediate laking. For the suspension, A = 13.78; for the NaCl solution, A = 89.26; percentage of corpuscles in suspension, calculated by the electrical method, 75 per cent. At 11.13 A.M. added to 10 c.c. of the suspension 0.2 c.c. of the sapotoxin solution, both ice-cold, and kept the mixture in ice. It begins to lake almost immediately. MER CUTGR erat. ebm a bel LOSS Lig eek aa eae IPO eh Gea lel oF or) After 20 hrs. at 8-10°. . . | 31.89 | Microscopically: No intact corpuscles, but numerous swollen leucocytes and hemoglobin crystals. At 11.45 added to 5 c.c. of the suspension 0.07 c.c. of the sapotoxin solution, both ice-cold, and kept the mixture in ice. The mixture. . 58 per cent of the hemoglo- bin is in solution!. . . | 10.31 | Microscopically examined at once; many hzmoglobin-containing corpuscles, mostly round, but some crenated. Some ghosts. On standing until next morning, few or no unaltered corpuscles. At 12.40 added to 5 c.c. of the suspension 0.3 c.c. of a 0.2 per cent sapotoxin solu- tion in 0.9 per cent NaCl solution, both ice-cold, and kept the mixture in ice. PEt om MOVIIEUING: Ata. ce) ire tose 2. || 15/65 2S oa ee ee otra eR Omer amen (ek 0] WZeS Ot ieks oe 12.67 12.56 | 24 per cent of haemoglobin isin solution! . . 11.63 | Microscopically: Numerous corpuscles containing hemoglobin, mostly round, but some crenated, and some ghosts. On standing until next morning, few or no unaltered corpuscles. 1 Sediment was repeatedly washed in cold NaCl solution to remove all sapotoxin in the solution. Evidently the corpuscles had fixed some sapotoxin, since they laked partially on standing till next morning at air temperature, while a control specimen of blood containing no sapotoxin did not lake. The washed sapotoxin corpuscles did not lake so completely as corpuscles from the same mixture left still in contact with the salt solution containing sapotoxin. go G. NV. Stewart. EXPERIMENT VII. January 20. — Dog’s defibrinated blood obtained January 18 at noon. Washed twice in 0.9 per cent NaCl solution in the cold. 1 c.c. of the suspension plus 0.1 c.c. of 0.2 per cent sapotoxin solution in 0.9 per cent NaCl solution lakes at once at air temperature. 1 c.c. of the suspension plus 0.05 c.c. of 0.2 per cent sapotoxin solution lakes partially in one minute at air temperature. In one hour not completely laked. Completely laked next morning at 10 A.M. 1 c.c. of the suspension plus 0.03 c.c. of 0.2 per cent sapotoxin solution. No laking in five minutes. In twelve minutes is a little darkened. In one hour distinctly darkened, but not by any means completely laked. Completely laked next morning at 10 A.M. For the suspension A = 46.86 on January 20 and 46.43 on January 21. At 3.03 p.m. added to 20 c.c. of the suspension 0.8 c.c. of 0.2 per cent sapotoxin. Kept at air temperature (18° to 20° C.).. Call the mixture A’. At 3.16 added to 20 c.c. of the suspension 0.8 c.c. of 0.2 per cent sapotoxin, both ice-cold, and kept in ice. Call the mixture A. At 4.10 added to 20 c.c. of the suspension 0.8 c.c. of 0.9 per cent NaCl, and kept in ice. Call the mixture “control.” For the 0.9 per cent NaCl solution A = 89.26 For the defibrinated blood A= 29.41 For the 0.2 per cent sapotoxin . . = 89.26 Serum fromiclot7)) 9. s-.0A— "Ou L[nfluence of Cold on the Action of Hemolytic Agents. 9I EXPERIMENT VII (continued). P.M. d P.M. r Bee a AS. { 48.94 3.09 | A’ is somewhat dark- 3.25 ‘ | 48.29 ened. ESR MM MOO et Mh 'o) fie? Seencalturict oa ial a IPRA 3.30 | Very distinctly dark- 3.33 Slight laking, 8 per cent 4 ened. of the hemoglobin in | Eighteen and one-half solution.t (Sed.1). | | 47.21 hrs. later completely yee an aces eee, ac ky WOOO laked. PSO Re encore Oe ian cone ere (e+ oro BAA: NERS { 40.56 3.58 | 16 per cent of the he- | { CE tae sophie Salers @Oen ken eae 4 40.50 moglobin ‘in solu- od 57percentofhzmoglo- | | tion! (Sediment 2) 45.51 bin in sol! (Sed. 5) | | 40.50 5.02 radar se: ats Se ¢5| (PAS 2gel anal | 5.05 Recs Noe pepatenae de ae oe ile one 3.20 | 64percent of hemoglo- ( 40.50 5.08 | 20 per cent of the he- | { bin insol (Sed.8) | - moglobin in solu- | | 24 hours later : 1 45.19 tion.! (Sediment 4) | (45.03 || Jan. 22 Jan. 21 3.15 To 5 cc. of A’ added DAO) Bele a a (phatase kyon oto ye 45.51 0.2 c.c. of 2 per cent 2.35 | 43 per cent of the he- sapotoxin. Lakes moglobin in solu: completely. In sedi- tion! (Sediment 6) | | 45.43 ment many leuco- Jan. 20 cytes and granules, 4.40 | Control 48.01 but no ghosts. aut oath ak CM DEE Ses ar ATOZ \ 3.332 | >This mixtures)... >. 66.01 4.46 No laking.t (Sed. 3) 47 83 3153 A’ plus as much of 0.9 Jan. 21 per cent NaCl as was 2.59 Slight laking.! (Sed.7) 46.43 added of the 2 per cent sapotoxin sol. . 47.83 Microscopically, A’; numerous ghosts perfectly round. Some corpuscles still con- tain some hemoglobin, although all are altered and swollen. None are crenated. 1 Tested by centrifugalization method. “Sediment 1,” etc., means that the sed- iment in the centrifuge tube was so numbered and set aside. At 5.30 P.M., on January 20, sediments 1, 2, 3, 4, and 5 were washed twice in ice-cold salt solution (each time in 16 c.c.) and then left at room temperature. Considerable laking took place in all except 3. January 21 at 4.20 p.M. heated sediments 1, 2, 3, 4, 5, 6, 7, and 8 to 45° C. (after washing twice in NaCl solution), then made up to 15 c.c. with NaCl solution and centrifugalized. In 3 and 7 some laking has taken place, but much less than in the others. In 1, sediment is somewhat greater than in 2; in 2, two or three times as great as in 4; in 4 and 5, about the same, the supernatant liquid in 5 being less deeply tinged than in 4; in 6, sediment is not half as great as in 5, and about equal to that in 8, the supernatant liquid in 8 being less deeply tinted than in 6, 92 G. N. Stewart. EXPERIMENT VIII. October 27, 1902. — Made a suspension of washed formaldehyde-fixed dog’s corpus- cles in 0.9 per cent NaCl. Call it A. For the 0.9 per cent NaCl solution . . . A=87.11. For the sapotoxin solution . . . . . . AX=85.64. A. Added to 10 c.c. of A 0.6 c.c. of sapotoxin solution. Kept at air temperature. This mixture . Refilled U tube . Added to 10 c.c. of A cooled to 0° C., 0.6 c.c. of ice-cold sapo- toxin solution. Kept the mixture in ice. This mixture ; ee: Refilled U tube . Added to 5 c.c. of A 0.3 c.c. of 09 per cent NaCl. Kept mix- ture at air temperature. Lnfluence of Cold on the Action of Hemolytic Agents. 93 EXPERIMENT Ix. December 16, 1902. At 2.52 p.m. added to 10 c.c. of dog’s defibrinated blood ob- tained 24 hours ago and kept in ice, 2 c.c. of 2 per cent Na taurocholate in 0.9 per cent NaCl, both ice-cold. Call the mixture A. Ais kept inice. At 3.40 added to 10 c.c. of the defibrinated blood, 2 c.c. of the taurocholate solution and kept at room temperature. Call the mixture A’. At 2.58 added to 10 c.c. of the defibrinated blood, 2 c.c. of 0.9 per cent NaCl. Call the mixture “control.” Kept in ice. To 10c.c. of the blood added 2 c.c. of a NaCl solution whose A was 97.12. Call the mixture “second control.” Bor detibtinated blood ss c28 6 2 eee = 295. Horthe serum trom tnerclot aa. #1. ok ck. os ==. 7 Ob. For the taurocholate solution. . . . . A=96.75. For the 0.9 per cent NaCl solution . . . A=91.20. DTS Ae a Co aan : A’ (partially laked). te tee Se 28 per cent of he- Bg a Sores PP Te moglobin being in A is now slightly solution.} laked, 7.7 per cent of the hamoglo- bin being in solu- A’ is now com- tion.t pletely laked. A’ (shows no sedi- Serum of A (sepa- ment) . rated by centrifug. : : and _ containing more hamoglo- bin than last night) Sediment of A : INS BS ee a Control . sue Serum from control (contains trace of hemoglobin in so- TOETO Mi a) oie cote = Wiad Second control . . 39.42 1 Estimated by diluting with ice-cold NaCl solution and centrifugalizing. 94 G. N. Stewart. EXPERIMENT X. December 20. 9.35 A.M. To 1 c.c. of a sediment of dog’s corpuscles washed free from serum by NaCl solution, added 0.1 c.c. of 2 per cent Na taurocholate solution in 0.9 percent NaCl, and kept at air temperature. In one hour partial laking has occurred. At 2 P.M. it is not yet completely laked. To 1 c.c. of the sediment added 0.2 c.c. of tauro- cholate solution. It begins to darken in a few minutes. In an hour it is much darkened. At 2 p.M. well laked. At 10.40 a.m. added to 10 c.c. of the sediment 1 c.c. of the tauro- cholate solution, both ice-cold, and kept in ice. Call the mixture A. At 1] a.m. added to 4 c.c. of the sediment 0.4 c.c. of a NaCl solution, whose A = 96.39. Kept in ice. Call this mixture “control.” For the’sediment, “4 Gus. ce ee = LO For the taurocholate solution . . A=97.12 AC orp te ed tetae.: : Control Partially laked; 40% of the hzmoglo- bin is in solution Took A out of ice and left at room temperature. Much darkened, though not com- pletely laked. 70% of the haemo- globin is now in solution . Lnfluence of Cold on the Action of FHlemolytic Agents. 95 EXPERIMENT XI. November 24. — Added to rabbit’s blood, obtained twenty-four hours previously and kept in ice, an equal volume of dog’s serum obtained from clot drawn sixty-nine hours before, and kept in ice. Complete laking at room temperature in three and one-half hours. (No doubt it was laked before this.) A control with ten parts of dog’s serum (heated to 56°C. for forty-five minutes, and to 60° C. for five minutes) added to 1 part of rabbit’s blood, showed no laking in three and one-half hours. For rabbits blood: aay. Lt oe coma Sh) 4 . A . aes t ) ‘ A ‘ ft ei “ * , * < 4 ; ; n 7 i . “ ‘ a ,' j ‘ ’ ss Fe 4 \ i . 4 ie sy sh ‘ i t . ¥ wal ' ‘ J i 4 a y Tork. { ‘ 1 4 Pie tS 4 - oo ha) aN 4 CARRE R INGO Pat hid , i . ~lTHE IMMUNITY OF FUNDULUS EGGS AND EMBRYOS FO ELECIEICAL..STIMULATION. BY ORVILLE EH. BROWN. [From the Hull Physiological Laboratories of the University of Chicago. T has been shown by Loeb! that the eggs and the embryos of the small fish Fundulus heteroclytus are peculiarly resistant to sudden changes of osmotic pressure of the media in which they live. The eggs when fertilized will develop and live in distilled water, in sea-water, or even in concentrated sea-water. The most probable explanation of this curious fact seemed to be that the tissues were as easily permeable to salts in the water as to the water itself. If this is true, polarization will not easily occur in such eggs when subjected to an electrical current; and if the stimulating action of an electrical current is due primarily to polarization, the egg and the young fish should be almost immune to such a current. Dr. A. P. Mathews suggested that I compare the effect of the current on the egg, the embryo, and the adult fish. The results confirmed our expectations. It was found that the eggs are polarized with great difficulty; the embryos show almost a complete immunity to electrical stimulation, while the adult fish reacts to even a weak current in a positive manner. METHODS. It was necessary to observe the eggs under a microscope. To make this possible, a small paraffin cell was moulded upon an ordinary glass slip. Into each end of the cell was inserted the tip of one of Porter’s non-polarizable boot electrodes. The boot electrodes were attached to Mesco dry batteries, and also to Daniell elements, which were used in connection with a voltmeter. The Fundulus eggs were surrounded in different experiments with water the density of which varied from sea-water to distilled water. In some cases most of the water was removed and the eggs were placed in contact from one electrode to the other. Control experiments were performed upon 1 Logs, J.: Archiv fiir die gesammte Physiologie, 1894, lv, p. 390. g y s 9 Pp. 39 Ii! 112 Orville H. Brown Asterias and Arbacia eggs. As these Echinoderm eggs go to pieces in distilled water, they were placed in a normal solution of urea. It was necessary to place the eggs in solutions which were very poor conductors, so as to cause the passage of the maximum amount of current through the eggs. Exact comparisons of the effect of the current on the Fundulus, and Asterias and Arbacia eggs cannot be made, since the retaining solutions did not have the same power to conduct the current. The free swimming embryos and the adult fishes were worked upon in a rectangular dish, the dimensions of which were two and a half inches by five inches. The dish contained only sufficient distilled or other water to allow free swimming move- ments. The current was conducted into the water in these cases by means of large electrodes at the ends of the dish. A. Effects of the current on the eggs. Hxperiment 7. — It had been ascer- tained by previous experiment that currents of ordinary strength had no apparent effect upon either the Fundulus eggs or the embryos. ‘The eggs were placed in distilled water. The strength of the current was increased to fifteen cells with but little effect; eighteen cells produced definite results. To make sure that the current was good in every case, the cells and the circuit were tested by the voltmeter. The protoplasm retracted from the side near the negative electrode, and travelled toward the oppo- site side, where liquefaction of the membrane occurred. Some of the yolk of the egg and many of the oil globules escaped and travelled with the cathode stream, confirming Lillie’s' results. This required a constant passage of the current for fifteen to twenty minutes. With this strength of current, however, many of the eggs did not burst and allow an escape of the egg substance. ‘There was only a shrinking of the inner membrane and the yolk of the egg. Experiment I[f.— This was performed upon Asterias and Arbacia eggs in normal urea solution, as a control experiment. Ten dry cells were used. These were sufficient to cause a great many of the eggs to liquefy and burst upon the side near the positive electrode, and allow an escape of the egg substance (vzde Lillie). Experiment I[1/.— The object of this experiment was to see whether the developing Fundulus eggs are affected by the passage of a current of medium strength. The eggs were fertilized, and when in the two-cell stage, they were subjected in distilled water to the current of five cells, which was allowed to flow for an hour, at the end of which time the eggs had developed to the sixty-four-cell stage, apparently with no irregularities. 1 LILLIE, R. S.: This journal, 1903, viii, p. 273. Lmmunity of Fundulus Eggs to Electrical Stimulation. 113 B. Effect of the current on the embryos. FAxferiment /.— Four day old embryos, the hearts of which were just beginning to beat, were placed in the paraffin cell containing distilled water through which the current from twenty-one cells was passing. ‘There was no twitch at either make or break. The heart maintained apparently the same rhythm as before the passage of the current. Experiment IJ. — Embryos twenty-one days old were placed in the rectangu- lar dish containing a shallow layer of distilled water. Nothing less than eighteen cells would cause a twitching of the small fish. By the use of twenty-one cells, they responded somewhat as the adult responds to a very much weaker current, as will be shown. When the fish were in sea- water, or fresh water, the current had no effect. C. Effect of the current on the adult. Hxferiment 7.— The normal adult 2. Fundulus was placed in the same dish as was used in the previous experi- ment. There was just sufficient fresh water in the dish to cover the fish completely. By the use of one ceil the fish responded to the make shock with a jump. It turned toward the anode and swam to it. By the use of three cells, the following results were obtained : If the fish was turned with its head toward the anode when the current was closed, it was paralyzed and laid over on its side absolutely relaxed. Breaking the current caused Ritter’s tetanus. If the fish was turned with its head toward the cathode when the circuit was completed, it immediately turned around until its head was toward the anode, and turned over onto one side, paralyzed. If the fish was held in the stream with its head toward the anode, it re- mained quiet. If held with its head toward the cathode, it endeavored to turn. ‘The fins were in rapid vibration, and the tips of the pectoral fins pointed toward the cathode. When the fish was held by its head crosswise of the current, its tail turned toward the anode. The fin on the anode side was held at an angle of about forty-five degrees from the part of the body posterior to the fin, while the fin on the cathode side was held nearly at right angles to the same part of the body. When a fish was held by the middle of the body, crosswise of the cur- rent, its head was turned toward the anode. Experiment IZ. — This experiment was to show the effect of the current on the I. fish after the brain has been destroyed. The method was the same as in the experiment just preceding. If its head was toward the anode, using four cells when the circuit was closed, the animal made a feeble jump toward the anode and became quiet. 114 Orville H. Brown. 2. If its head was toward the cathode at the make of the current, the fish made efforts to turn away from the cathode, but it never succeeded. 3. The same response to the current that Loeb and Garrey* observed in the larvae of Amblystoma, was also detected in the adult Fundulus with the brain destroyed. ‘That is, when the current flows from the head to the tail, the back becomes arched, while if the current passes from the tail to the head, the back becomes concave, both the head and the tail being raised. 4. When the animal is crosswise of the current, the fins move at make or break of the current, but neither the head nor the tail turn toward the anode as they did in the normal animal. Experiment [[1.— 'Vhe object of this experiment was to show the effect of the current upon the fish when both the brain and the spinal cord are de- stroyed. The method was the same as in the two preceding experiments. The same strength of current was employed. All the responses were very slight. 1. When the fish was held on its ventral side, with its head toward the anode, no responses other than a slight movement of the fins at make or break were made. 2. When its head was toward the cathode, the pectoral fins were held nearly at right angles from the body, with their tips slightly curved toward the cathode. 3. When the animal was turned at right angles to the current, a twitch of the fins was noticed, which was about as great on one side as the other. 4. ‘The same phenomena as was observed in the animal with only the brain destroyed, were also seen here, z.¢., the descending current caused the body to be arched, while the ascending current caused the head and tail to be raised. SUMMARY AND CONCLUSIONS. 1. The fact that the eggs of Fundulus are immune to electrical currents, as they are to osmotic changes of the medium in which they live, is an interesting physiological confirmation of the theory of the osmotic nature of electrolysis. The most probable explanation appears to be that the membranes of the egg are so freely permeable to ions and possibly to neutral particles that no polarization can occur. 2. This conclusion is supported by the behavior of Arbacia and Asterias eggs, which show the contrary relation, being readily susceptible both to electric currents and to osmotic changes. * LoEB and GARREY: Archiv fiir die gesammte Physiologie, 1896, Ixv, p. 41. Lumunity of Fundulus Eggs to Electrical Stimulation. 115 3. The fact that these eggs and embryos are not affected by a current, except when very strong, supports the hypothesis that electrical stimulation depends primarily upon polarization where the current enters and leaves the cell. 4. There is a gradual increase in susceptibility to osmotic changes and to the electric current as the embryo develops, the adult fish being readily stimulated by the current from a single cell, which is quite without action in the embryo. 5. It is suggested that the resistance of the electric and other fishes to electric stimulation, noted by Du Bois-Reymond and others, may not improbably be similarly explained by the permeability of the walls of their tissue cells to ions. 6. The liquefaction of the eggs on the anode side, and the quieting effect of the anode, supports Mathews’ hypothesis of the dissolving action of the cathions and their inhibitory action. 7. The galvanotropic reactions are shown to depend primarily upon the nervous system, as already made out by Loeb in other forms. I take this opportunity to thank Dr. A. P. Mathews and Dr. R. S. Lillie for suggestions and aid. ON THE INFLUENCE OF VARYING INTENSITIES Sa QUALITIES OF VISUAL STIMULATION? G¥er THE RAPIDITY OF REACTIONS ae AUDIVORY STIMUET: By ROBERT MacDOUGALL. HE interaction of hetero-sensorial stimulations and the influence of sensory stimuli upon simultaneously existing motor processes have been reported for a variety of activities. Such, for example, is the influence of musical tones in sharpening the perception of color when the stimulus is below the threshold of unassisted vision ; such is also the reinforcement or reduction of force which a maximum motor reaction receives from incident visual stimulations of specific qualities. It is but a step to extend the application of the concept to other sensori-motor relations. In the present paper is reported a preliminary investigation concerning one of these aspects. Reaction times—the period required to make a movement in response to a preconcerted signal — have been found to vary in de- pendence upon at least the following factors: a, the sensory type of signal employed, 4, its intensity, c, its location, d, the presence or absence of a preceding warning, e, the period intervening between warning and stimulus, f, the nature of the reaction which is made, and g,its energy. The question here raised is whether, in addition to these special factors of variation, the intensity and quality of the general stimulation falling upon the organism affect the rapidity of its responses in a way analogous to the dynamogenic influence upon reactions of these stimuli. Two factors of possible variation were studied: first, changes in the intensity of the stimulation falling upon the retina, reactions being made: a, in darkness, 4, in weak light, and c, in strong light; and second, changes in the quality of the visual stimulation, reactions being made under illumination by the following homogeneous lights: a, red, b, orange, c, green, and d, blue. The subject sat before a table with his right forefinger on the re- 116 Rapidity of Reactions to Auditory Stimut. 117 action key. His head was enclosed in a blackened box having a front of milk-glass, by which the distracting influence of a diversified field of view was eliminated. The variations in light intensity were con- trolled by the use of sixteen and two candle-power electric bulbs, and by shutting off the illumination completely. The reaction stimulus consisted of the click of a telephone receiver attached to the head over the ear. A preparatory signal —also auditory —.was given two seconds before the application of the stimulus. The reactor directed his attention to the response to be made, as this attitude appears most conducive to regularity, as well as rapidity in the re- actions. Records were made by a Hipp chronoscope, corrected daily by means of a gravity chronoscope. Preliminary training was given in a series of experiments to establish the normal reaction times of the subjects in ordinary daylight. Two persons took part in the experiment.! In view of this fact and the circumstance that only five series of ten reactions each were ordinarily used in making up the individual averages, the quantitative results presented must be held subject to revision. The reaction times obtained by varying the intensity of the inci- dent light are exhibited in the following table: ARATE EHR le Subject. Darkness. 140.6 o 139.7 « Average 140.1 o No dynamic relation appears between intensity in the illumination and rapidity in the response. The reaction time is shorter in dark- ness than in light in the ratio—dincluding both intensities — of 140.1 to 144.9. The reaction time is also shorter under the weaker than under the stronger illumination, the difference being more marked between weak and strong light than between illumination and darkness. 1 Messrs. W. E. HockinG and W. P. Burris, to whom I am indebted for carrying out the whole series of reactions. 118 Robert MacDougal. The mean variations within the reaction series are given in the following table: TABLE IL. Subject. Darkness. 6.4%, 10.7% Average. 5% The regularity of the responses under these conditions is not notice- ably affected by the change from light to darkness, the mean varia- tions, being, respectively, 8.1 per cent and 8.5 per cent. Both reactors show an increase in inconstancy in passing from strong to weak light, — 6.9 per cent to 9.3 per cent, —the latter showing also more disturbance than darkness. The responses are thus swifter and more irregular in faint light and in darkness than under conditions of illumination more nearly approximating ordinary daylight, results which suggest the influence of changing mental attitudes due to factors of novelty and attention, rather than any direct dynamogenic relation between sensory and motor processes. The reaction times obtained under homogeneous light are given in the following table: TABLE III. Subject. . Orange. Green. 129.2 « 132.2 ¢ Average. 129.6 « . 130.7 o The reactions under colored light are made more rapidly than under neutral light, in the ratio of 130.7 to 148.4. This accel- eration is presented by both reactors under every quality of homogeneous light. The reactions made under colored light are shorter also than those made in darkness, in the ratio of 130.7 to 140.0. No constant relation appears between the various color quali- ties and the time of reaction. Extreme rates, in the case of both Rapidity of Reactions to Auditory Stimuli. 119 subjects, occur under red and orange stimulation, intermediate rates with blue and green. The reaction times of the two subjects follow the same curves in blue and green light, but converse curves in red and orange, and the differences are in all cases slight. The regularity of the responses is greater under neutral than colored light, in the ratio of 6.9 per cent to 7.6 per cent. The values of the mean variation under the latter conditions are given in the following table : TABLE Iv. Subject. : Orange. Green. 6.7% Average. The responses are thus swifter and more irregular under colored than neutral illumination, but, as in the latter case, no direct dynamic relation appears between sensory and motor processes. The differences which do appear point rather to a waxing and wan- ing in the interest with which the reactor attends to a stimulus under conditions of relative novelty and familiarity respectively, and to a facilitation of the nervous discharges in general. When the reaction series were arranged in pairs, and a change in the quality of the light was made in passing from the first to the second set, the reaction time in the later series was distinctly reduced. With each reactor this change appeared in five out of the six color successions intro- duced, as shown in the following table: TABLE V.- Subject A. Subject B. Succession of colors. Series 1. Series 2. Series 1. | Series 2. Red followed by blue . . . 160 o Blue followed by red . . . 5 7 168 « Blue followed by orange. . 5 154 o Orange followed by blue . . § 150 o Green followed by blue . . 165 o 120 Robert MacDougal. Such a shortening of the reaction time takes place as the result of simple habituation, and the effects of this process might be expected to appear within the period under discussion. That the phenomenon is not a practice effect is shown by the results of introducing paired series in which the reactions in each of the successive sets were made under the same conditions of stimulation. Reaction times are presented in regard to three colors only, two of which are partial, since the repetition of color series was not made for the purpose of determining the present point, and its occurrence is, in this connec- tion, accidental. TABLE VI. Subject A. Subject B. Colors. Series 1. | Series 2. Series l. Series 2. Riedie oan 162 o 167 o Ilo 15900; Orange. . ae Ears l4lo 1526 Blue . The second series, in each of these four cases, exhibits an increase in the reaction time, instead of the decrease which is to be looked for as the result of practice. The only discernible difference in the two cases lies in the relation of the reaction to its sensory environment, which in the one instance presented the maintenance of the preceding conditions of general stimulation, and in the other involved a passage to circumstances possessing elements of relative novelty. It is pos- sible that colored light exerts a dynamogenic influence upon reaction, and that its effects die away as the reactor becomes habituated to the stimulation. It seems more reasonable, however, to attribute the phenomenon to fluctuations in the general alertness of the reactor, which take place in dependence upon changes in his surroundings. The attitude of attention is characterized by nervous facilitation, and an increase in the general bodily innervations, tending to produce both an acceleration in the responses made to stimulation, and an intensification of their force. This appears in the relation which has been found to hold between the reaction time and the force with which the movement is executed. It makes it probable also, if means were devised for measuring the intensity of each reaction as it took Rapidity of Reactions to Auditory Stimulz. 121 place, that the correlation between force and swiftness in the response might account for the differences which exist between so-called sen- sory and motor reaction times. It is in this relation, further, that we should look for a partial explanation of the acceleration which follows the use of a signal preparatory to the application of the stimulus, for I am convinced that if the force of the reactions were recorded in the two cases, it would be found that a higher general average would be pre- sented when a warning is employed, than when the stimulus is applied without a preparatory signal. In short, the factor determining the rate of response to homogeneous sensory stimuli appears not to be mate- rial differences in their quality or intensity, but the degree to which they succeed in stimulating the attention of the reactor, and thereby increasing the general nervous excitability of the moment. ON THE RELATION OF EYE, MOVEMENTS TO LIMIT- ING VISUAE STIMUET: By ROBERT MacDOUGALL. HE general phenomena of geometrical optical illusions point to a constant relation between the movements of the eye and the varying intensities and qualities of luminous objects within the field of vision. Reflex movements are incessantly initiated by the appear- ance of strong local stimuli, and voluntary movements, with scarcely less frequency, are affected by the presence of unequal intensities and qualities of illumination in different parts of the field of view, as the point of regard moves over it. Theoretically, it may be said that every bright point or object one sees, either causes a movement of the eye, or inhibits it if it is in progress, — including within the term any retardation as well as the complete cessation of motion. These un- regarded factors, causing movement where none is intended or recog- nized, and transforming it in greater or less degree when it is in process, give rise to a variety of errors in our judgments of distance, direction, size, form, and the like. The investigation here reported, which concerns one of these types of distorted judgments, took shape from the results of certain obser- vations made in connection with an experimental study of the location of the subjective horizon.!_ Judgments were made in a darkened room, by means of an illuminated disc, running upon a vertical carriage, placed at some two metres distance from the observer, who, by means of a system of cords, adjusted the disc upon the imaginary horizon. At the top and bottom of this carriage, electric bulbs were placed, by which, at the pressure of a button, a small rectangle could be illumi- nated with diffused neutral light. The purpose of these arrangements was not made known to the observer, who was directed to adjust the disc without reference to them. The results of one hundred and * Published in Harvard Psychological Studies, Vol. I. (Monograph Supple- ment 17, of the Psychological Review). 122 Relation of Eye Movements to Limiting Visual Simul. 123 ninety observations, distributed among six subjects, showed a differ- ence in the location of the imaginary horizon under the two conditions of 32.71’ of arc. In the article referred to, the following comments are made: ‘The eye is uniformly attracted toward the light, and the location of the disc correspondingly elevated or depressed. The amount of displacement which appears is relatively large. It will be found to vary with the intensity, extent, and distance of the illumi- nated surfaces introduced. There can be little doubt that the practical judgments of life are likewise affected by the distribution of light in- tensities, and possibly also of significant objects, above and below the horizon belt. Every brilliant object attracts the eye toward itself; and the horizon beneath a low sun or moon will be found to be located higher than in a clouded sky.” In order to examine certain of these factors in more detail, a series of experiments was arranged in which the observer was called upon to locate the median point between two limits disposed in a horizontal line, one of which remained constant, while the other was varied in size, form, brightness, and color, successively. A vertical black screen, eighty centimetres square, was set up at a distance of two metres from the observer. Two rectangles of white cardboard, five by twenty millimetres in size, and fifty centimetres apart on a horizontal line, were attached to this screen with their longer axes vertical. These formed the limits during the preliminary series of determinations in which the normal variability was established for each observer. A third card, similar to these limits, was attached to a fine black cord passing over pulleys at the sides of the screen, and thence to the observer, whose judgments were directly recorded by adjusting this travelling index at what appeared to be the middle point between the two extremes, the reckoning being always from the inner boundaries of the limiting areas, whatever the character of these might be. The observer then sat with closed eyes while his location of the median point was recorded, and the index displaced, — now to the right, then to the left, — in preparation for the following experiment. Records were made in terms of displacement from the objective centre, those toward the variable limits being marked (+), those toward the constant limit (—). Twenty judgments were taken with the variable limit on the right, and a similar number with it on the left, in each case ten judgments being made after displacement of the index to the one hand, and ten after displacement to the other. Forty judgments thus formed the basis of each individual average, while three observers 124 Robert MacDougall. took part in the experiments, giving a total of one hundred and twenty reactions for each set of figures presented in the results.! Six series of changes were made in the variable limit, as follows: The constant limit was replaced, 1, by vertical strips of white card- board two centimetres in width, and successively two, four, eight, twelve, sixteen, and twenty centimetres in length ; 2,-by similar hori- zontal strips; 3, by squares of two, four, and six centimetre sides ; 4, by two strips inclined to form an angle, which were, a, three centimetres in length and enclosed angles of forty, ninety, and one hundred and forty degrees, respectively, and, 6, six centimetres in length, enclosing the same angles ; 5, by areas equal to the constant limit, but of light gray, dark gray, and black cardboard respectively ; and, 6, by areas equal to the constant limit, but of the following colors: red, orange, yellow, green, blue, and violet. The quantitative results of locations made under the first two series of changes are given in the following tables: TABLE 1. VARIABLE LIMIT HORIZONTALLY EXTENDED. Length. ACD: CE: M.V. GAB IVE all. VARIABLE LIMIT VERTICALLY EXTENDED. Length. - . 12 cm. A.D. (E5105 M.Y. 3.26 =0'25 2.98 Throughout the tables A.D. stands for the average deviation of the locations from the objective centre ; C.E. for the constant error in- volved in the series of judgments ; and M.V. for the mean variation of the same series. The measurements are recorded in millimetres. 1 I am indebted to Messrs. BREWER, CAREY, and MEAKIN for the record of udgments upon which this paper is based. Relation of Eye Movements to Limiting Visual Stimuh. 125 Vertical elongation of the variable limit is followed by no noticeable variation in the judgments; neither constant error nor mean variation shows concomitant changes. The average deviation alone increases progressively. Horizontal extension of the variable limit is followed by a deflection of judgment toward it only at the beginning of its en- largement, and in more than half of the series the error which appears is negative in sign. In the series of horizontal changes the mean variation increases with the elongation of the strip, except in the case of the last increment, where an inversion of the curve takes place. In the series of vertical changes no such increase is manifested. The eye movements which the process of judgment involves are made in a horizontal line, along which axis, in the latter case, the limiting stim- uli do not vary; in the horizontal series, on the contrary, the limit changes continually in the line of the eye movements, and in such a way as to offer an enlarging range of possible variations in the eye movements made, and therefore a ground for the progressive increase in the irregularity which is manifested in the mean variation. The results of substituting a series of increasing squares for one of the original limits are given in the following tables: TAB Ei VARIABLE LIMIT A SERIFS OF SQUARES. Length. A.D. CE: M.V. The influence of this series of changes also is relatively slight. The location of the median point is deflected toward the variable limit, the amount of error at first increasing with the enlargement of the square but falling again when the latter is much larger than the constant limit. Average deviation and mean variation follow similar curves, appearing as constant functions of the deflection of judgment. The form of these curves appears to be due to a change in the mode in which the variable limit enters into the process of estimation. It is probable that in the case of the smaller squares the whole area is regarded as a unit, and the extent of the eye movements, together with their variability, increases with each remove of the centre of the 126 Robert MacDougall. figure from the opposite limit; but that when a certain magnitude has been reached the square is no longer regarded as a whole, but only the nearer border of it taken into account, in consequence of which there results a decrease in the total excursions of the eye, and an in- crease in the regularity of the judgments consequent upon the greater definition of the termini between which the movements take place. More constant and marked effects follow the introduction of the fourth series of changes. Here the variable limit consisted of a piece of white cardboard, cut so as to form an angle having its apex toward the opposite limit, the sides composing the figure being five millimetres in width and of either of two lengths, thirty millimetres in the first sub-group and sixty in the second. In each set the en- closed angle was made successively of 140, 90, and 40 degrees magni- tude. The results are given in the following tables : DABILE LV: SIDES 30 MM. LONG. TABLE VY. SIDES 60 MM. LONG. The deflection in the location of the median point presented in these tables is positive in direction, large in amount, and varies con- comitantly with the factors of change introduced. The constant error in both sub-groups varies inversely with the magnitude of the enclosed angle, the average deviation following a similar curve. The amount of deflection also varies directly with the length of the enclosing sides. Relation of Eye Movements to Limiting Visual Stimult. 127 The influence of the length of sides is least in the case of the smallest angles, and greatest in those of largest magnitude. The whole exper- imental series composes a quantitative estimation of the illusion in one form of the Miiller-Lyer figure. The constant factor of change in both the above sets of conditions is the spatial disposition of the total figure which the varying angles and lines compose. The centre of this system of lines is removed farther from the opposite limit by each increase in length of the sides enclosing a constant angle, and by each reduction in the magnitude of an angle enclosed by lines of a constant length. With the variations in the position of this point, the amount of the positive errors in judgment rises and falls. At the same time the reactions toward this changing figure are fairly definite and constant. The mean variation does not materially change with the alterations made in the character of the limit. The eye, in other words, apprehends the figure in each case as a structu- rally constant unit, and returns to a specific point of rest determined by the relations of the lines composing it. The results of the last two series of changes, which may be dis- cussed together, are presented in the following tables: TABLE VI. VARIABLE LIMIT: BRIGHTNESSES. Intensity. Dark gray. A.D. CE: M.V. TABLE VII VARIABLE LIMIT: COLORS. Yellow. . : Violet. 2.63 F 3-57 —0.66 2.42 (ok ire nie 2.07 128 Robert MacDougall. In the case of intensive variations the amount of deflection in- creases with each increment of difference between the constant and variable limits; and in each case the deflection is toward the stimulus which both is absolutely the weaker of the two and presents less con- trast with the general background, from which relation also a stimulus to reflex movements of the eye might be conceived to arise. The source of this constant error must lie in some factor other than the sensational intensity of the limit, and to a common cause are ap- parently due the distortions which arise from both intensive and qualitative variations. In the latter case the following facts appear. If the spectrum be divided into two parts, red, orange, and yellow, or bright colors; and green, blue, and violet, or dark colors; the former group, approaching the white limit more nearly in brightness, have less disturbing effect upon the judgment than any of the latter group, and the deflections which occur are not toward the more intense stimulus, but toward the darker green, blue, and violet areas. The series of judgments is also more erratic when colors of the dark group are used than with those of the bright group. In general, then, the results parallel those which appear in connection with the series of brightnesses. I am of opinion that these phenomena in general, namely, the factors of variability in the visual perception of magnitude and distance, are always to be explained in connection with the specific dynamogenic values of the whole system of elements which the field of view at any time contains. If illusions of direction appear, or deflections in the judgment of distances, they occur because the visual objects on the one side, or toward the one term, of the line of eye movement, exert a greater reflex attraction upon the eye, and make it more easy to turn it toward that side, and more difficult to turn it away than is the case with movements in the opposite direction. The primary dynamo- genic quality of a luminous surface is its intensity; the brighter or more vivid an object, the more extended and uniform the reactions of rotation which it is capable of calling forth. This relation is ex- emplified in the distortion of judgment caused by the introduction of a bright light to the one side or other of a point to belocated. Itisa factor of recognized value in artistic composition, in which gold and color and brilliancy are applied to objects of secondary importance, —fabrics, decoration, foliage, skies, etc., — with the result that while attention is not specifically attracted toward them as individuals, these objects, nevertheless, decoy the eye to the centre of the system of Relation of Eye Movements to Limiting Visual Stimuli. 129 motives incorporated in the picture, and thus preserve the artistic balance of the composition. But here the natural series of values is inverted ; the location of the half-way point is deflected toward the darkest gray and dullest colors, not toward the more stimulating white strip of paper. Other factors than that of intensity must be present. We should undoubtedly find that the whole series of elements which are taken into account in pictorial composition, have their place in the system of factors which determines such simple eye movements as those in question. Two of these factors appear to be chiefly at work in producing the variations presented by this set of experiments. ‘The first of these, which char- acterizes the four geometrical series, is the habit of the eye, when ex- ploring a system of visual objects in a limited field, to come to rest in a position at which the stimulations to reflex movements of rotation in opposite directions are in equilibrium. Such is the centre of a _ circle, or the intersection of the system of diameters of any symmetrical figure. This principle is most clearly exhibited in the phenomena pre- sented by the introduction of the various angular forms, in which, as has been said, the changes which appear in the location of the median point will be found to parallel the shiftings of the centre of the figure - defined by the apex of the angle and the terminations of its enclosing sides. It is, perhaps, too much to say that this centre is represented as the termination of the line whose centre is to be located; never- theless the system of lines which compose this figure facilitate move- ments toward its centre, and retard those directed away from it more strongly than does the less striking patch of light which forms the opposite boundary of the distance to be bisected, and thereby intro- duces a characteristic distortion into the judgment. The other factor to which reference has been made, is that of novelty, —an element less easily demonstrable than the preceding. The biological importance of habitual, prompt reaction upon novel stimuli is as evident as are the power and constancy of the appeal which such stimuli actually make. To this ultilitarian value an ele- ment of intrinsic worth in the novel stimulus must be added; it is both more important that the novel object should be attended to, and more pleasant to receive the impression which it affords. These aspects are both independent of the primitive sensational intensity of the stimulus. In the series of brightnesses, and in that of colors as well, a disturbance appears which does not reflect any consistent qualita- tive or intensive change, but parallels the increments of difference 130 Robert MacDougal. between the variable form and the unchanging, habitual limit. Since these two sets of experiments took place at the close of the whole piece of work, we may fairly attribute to both colors and neutral shades an element of novelty, as compared with the constant white strip which limited the prescribed eye movements on the opposite side, and to this factor I ascribe the positive errors which are pre- sented in the results. | ON THE IRRITABILITY OF THE BRAIN DURING ANAEMIA. By WILLIAM Ji :Gl1ES: [From the Physiological Institute of Bern University.] I. INTRODUCTION. Cae the summer of 1899 I had the pleasure of assisting Professor Kronecker in a study of the irritability of the brain during anzmia.’ Our research could not be concluded during my stay in Bern that summer, but we both looked forward to completing it together in the following year. Unfortunately for me, return to the Physiological Institute has been impossible thus far, and the work which has been delayed on that account has lately been resumed by Professor Kronecker and Dr. Stumme. At the suggestion of Professor Kronecker, the results of our investigation are presented here in some detail though briefly. In the preparation of these notes I have received numerous sug- gestions from Professor Kronecker, who has also revised the state- ments relating directly to our experiments. Throughout practically all of our research, Professor Kronecker not only directed the work, but did a very large share of it. His well-known generosity to his pupils is again shown by his desire that this investigation, which was chiefly his, shall seem to be wholly mine. II. DESCRIPTION OF EXPERIMENTS. In this research we sought especially to determine the order of cessation, as well as the period of continuance, of certain reflexes dur- ing anzemia of the brain. Acute anzemia was brought about by perfusion with the solutions indicated on the next page. The animals employed were toads, frogs, rabbits, and dogs. 1 Gries: Report of the British Association for the Advancement of Science, 1899 (Dover), p. 897. 131 ee William J. Gres. The solutions used were various strengths of pure sodium chloride, Ringer’s solution, and modifications of it, Schiicking’s solution (both of sodium and calcium saccharates), rabbit and horse serum, and 0.7 per cent sodium-chloride solution containing paraxanthin or chloralbacid. Experiments on toads and frogs. — Perfusion in the cold-blooded animals was conducted with the least possible pressure through the abdominal vein. In this series of experiments we used all of the various solutions already enumerated, except serum. Seventeen experiments were made, seven with toads and ten with frogs, each of which was continued for a period of from one to nine hours. The total amount of perfused fluid varied from 25 c.c. to 1590 c.c. In most cases perfusion was continued until the heart ceased to beat. The table on page 133 gives a summary of the more important results obtained in this connection. The terms “skin,” “lid,” and “nose,” in the table, refer to the reflex movements caused by pres- sure on those parts. During the period of perfusion, the following functions gradually weakened, and then usually disappeared in this order: (1) respiration, (2) skin reflex, (3) lid reflex, (4) nose reflex, (5) heart beat. The relative time of cessation of these reflexes varied considerably, not only with the character of the solutions, but also with the rapidity of their perfusion and the amounts used. Convulsive extension of the limbs occurred in all the experiments in the earlier stages, but toward the close of each experiment and before the reflexive movements of the eyelids ceased, no such mani- festations were observed, nor could they be induced by mechanical stimulation. Perfusion of physiological saline solution containing 0.03 per cent of paraxanthin induced hypereesthesia at first, but the reflex responses quickly came to an end, as the perfusion continued. Cumulative muscular rigor was the most pronounced feature of the experiment. At the end of the experiment the body was perfectly stiff. With a solution containing 0.015 per cent paraxanthin, moderate hyper- zesthesia was observed at first, as in the case of the 0.03 per cent solution, but the rigor of the former experiment was absent in this. During perfusions with physiological salt solution containing 1 per cent chloralbacid, repeated spasmodic extension of the extremi- ties was the main feature. With the solution containing 0.33 per cent On the Irritability of the Brain during Anemia. 133 TABLE I. Red cor- : puscles at ny Cessation of reflexes. 5. | the end of : © .| Time after beginning the 53 | perfusion o| 3 a6 perfusion. 4 5 | in fluid 2 : Bon OH e| & Solution used. cap 4 2 from 5 S eu = a e* 28] 3 Resp.| Ski : Heart}“ | 2] 5 | 3 Xesp.| Skin.| Lid. |Nose.|), 214 E13 |'s O} a ja ay a s h m. | h. m h. m ' h. m. | h. nm. h.m.| c.c 1|Toad| NaCl—06%..... GUS WP S/S 25). 901|'6" 0016 NS (A715. ooel se lise 2 || Ge g Loa ly ee Se LOGS Wie Ol iron lesan on OO} iSO) ae fen ter. Salle a SOIR eho mel ss SHG) ZZ) i) IO) | ar Zen ed eye) OI Se Peal se Pe) Ringers ae. ss 8 30|5 25|7 25|7 45|8 05/8 30) 740|—|+ | + Sate ss Seo gkMtae atte) Hh, tf 9 10/6 00/6 15/6 15|6 30)9 10) 1590) —| + | 4 | rt IU NEE Se Se cog 6,0 etsy) 2 00) Oman ioe oO) e-ronl meron mO2O0 | ctan Ne tea ete Blas eRe aes eas SUG US OA ais | Asis) Nhe) US) | Sse Se 8 |Frog Ban Bin ees PO ous SH00)} TOON 230) 220) ZeZon SRO GOON Tat lene Oy NaCl OG iretnene cs tO rat Bo Ze ROE AS 0.8 Leal ee sO ey Sl eee raed eee TORN os a Leh ks anSO | 24OON 2: 202 50H 22 SOS 30"), (275!) she |baee|pace iy ob So on a ae 120)" S30)\1, CONGR TS Sy 120 ISO! ae 38) ates eee 0.7 % ! 12. Calcium pee OIE NO Ae) Ve SOAS coca] COB) |S hae Se l saccharate — 0.03 % US eae ss * oN OOS) ANS: sas 25 | coos] VeWI = Se ae « |§NaCl — 0.7% eae ile 1Paraxanthin — 0.03% §| Le sy | Sas) Jal (LO) || ES CO) PEO daa shy) Sy ees ee ee « |(NaCl—0.7% Be 3 15 Ee eeae ones + ADEE) 3X0) IN SO IU Sey | 8) |) 2 By) yl Sea) eal oe « |§NaCl— 0.7% : z peal 16 | Choralband—1% . .{|9 50/0 24/0 35/0 35]0 33]0 50] | 25)+] +/+ « |{NaCl—0.7% t 17 \Chloralbacd’ 0.33% {| 1.05|0 29] 0 36]0 50]0 52/1 05] 120) +}+| + 1 White’s modification: 0.6% NaCl, 0.01% NaHCOs, 0.01% CaCl. 0.0075% KCI. 2 Howell’s modification : 0.7% NaCl, 0.026% CaCly, 0.03% KCI. 3 Not ascertained. + Heart continued to beat long after the conclusion of the experiment. 134 Witham J. Gres. of chloralbacid, spasmodic twitching in the limbs was the most notice- able incident. At the end of the experiments with the solutions containing para- xanthin and chloralbacid, after the heart had ceased to beat, solution of calcium saccharate was perfused. In each case this solution caused the heart to begin beating, and rapidly induced the normal stroke and rhythm. . Before passing to the next series, it should be stated that in each of the preceding experiments the animal became cedematous. Even those animals in which perfusion took place at the lowest possible pressures, and for the shortest intervals, showed unmistakable signs of oedema. It was impossible to remove entirely the blood-corpuscles from the capillaries in the heart and brain, even when the perfusion was con- tinued uninterruptedly for eight hours, and as much as_1590 c.c. of fluid had slowly passed through the body. In all cases the fluid expressed from the heart and brain contained an appreciable number of red and white corpuscles. In most of the experiments, when the heart had come to a stand- still after continuous irrigation with physiological saline solution, also Ringer's solution, rhythmical contractions could be promptly induced by perfusing Schiicking’s solution. This result was obtained even when mechanical and electrical stimulation had failed to restore the normal beating. Experiments on rabbits. — We report the results of thirteen exper- iments on rabbits. In this series we used all of the so-called “ in- different ” solutions already mentioned. Considerable difficulty was experienced in our efforts to devise a method which would prevent almost instant death of the animals, and yet which would speedily result in pronounced anzemia. Ligaturing the arteries to the brain, before or simultaneously with the beginning of the perfusion, brought on convulsions immedi- ately. This was the case whether the ligatures were placed about the arteries in the neck or in the chest. Even when the perfusion had been begun shortly before the arterial blood was completely shut off, it still remained impossible to prevent convulsions and quickly ensuing death. In Experiments 1-5 (see the table on page 135), the blood-vessels in the neck were quickly tied as perfusion was begun. In Experi- ments 6-10, they were tied just above the heart as perfusion was On the Irritability of the Brain during Anemia. 135 instituted. Experiments 11-13 were carried out by the following method. Instead of closing the arteries to the brain, the abdominal aorta, vena cava, and vena porta were ligated, and the heart’s action utilized to pump the perfusion fluid through the brain. The warm solution was directed into the heart by way of one jugular, and passed from the brain by way of the other. With this method, anemia was gradually though quickly induced, convulsions were entirely pre- vented, and life was considerably prolonged. In all cases, microscopic examination of the fluid pressed from the brain showed the presence of red corpuscles. TABLE II. Cessation of | reflexes. Time | after beginning the perfusions. Total time of perfusion. Lung oedema. Solution used. Pressure of perfused of experiment. fluid at end. Weight of Animal. Amt. of solution perfused. Hemoglobin in exit Heart beat. Blood drawn at beginning 130-150 90 NaCl—1% Calc. sach. — 0.035% § a as ae ? 3 50 | 110-140 }.. Rabbit serum eas 110-150}.. {NaCl—1% | (Calc. sach. — 0.035 % ely Sh es es Mey 100 NaCl—1% Rabbit serum 136 Wilham J. Ges. The disappearance of functions in these experiments was not at all regular in the first ten. The events of each experiment transpired so quickly that it was extremely difficult to note accurately the time of cessation of each reflex. In the last three experiments respiration ceased first in one, second in two; the “lid reflex” disappeared first in two, second in one. In each of the last three experiments, the ‘nose reflex” was the third to disappear. Heart beat was always fourth in the order of cessation. Experiments on dogs. — Only two experiments were performed on dogs. The first was by a method similar to that in the tenth experi- ment with rabbits. The weight of the dog was 12 kilos. The pressure of perfusion was 140-150 mm. Hg. The amount of blood drawn at the beginning of the experiment was 47 grams. ‘The per- fusion fluid was a 0.7 per cent solution of sodium chloride containing 0.03 per cent calcium saccharate. Perfusion was continued for forty- two minutes. The volume of fluid perfused was 1125 c.c. The amount of hemoglobin present in the fluid leaving the jugular vein at the end of the experiment was 30 per cent of the normal content in blood. Reflex responses failed in the following order: (1) lid and nose reflexes in twenty-six minutes; (2) respiration in forty minutes; (3) heart beat in forty-two minutes. There were no convulsions at any stage of the experiment. In the second experiment, with a small dog weighing only 5 kilos, 200 c.c. of blood was taken, and an equal quantity of horse serum immediately afterwards was transfused to take its place. This pro- cess was repeated three times at intervals of half an hour. After the fourth blood-letting, the dog ceased to breathe, and did not recover when the new portion of serum was transfused. Aside from varia- tions in heart action and respiration, no special functional changes were observed until the end, when respiration suddenly ceased, and the other functions came to an end about the same time. Death was neither preceded nor accompanied by convulsions. III. Summary oF CONCLUSIONS. The more important conclusions of these preliminary experiments are that when the brain is subjected to anemia by the process of per- fusing solutions, such as Ringer’s, Schiicking’s, serum, etc., its func- tions soon cease. When the anemia is induced rapidly, convulsions On the Irritabtlity of the Brain During Anemia. 137 ensue. When it is brought about gradually, anaemia may be made acute without causing the appearance of convulsions. When anzmia of the brain is produced gradually by the methods used in these experiments, the functions here referred to cease usually in the following order: (A) In cold-blooded animals: (1) respiration, (2) skin reflex, (3) lid reflex, (4) nose reflex, (5) heart beat. (B) In warm-blooded animals: (1) lid reflex, (2) respiration, (3) nose reflex, (4) heart beat. ON THE FORMATION OF GLYCOGEN FROM GLYCO- PROTEIDS AND OTHER PROTEIDS: By LYMAN BRUMBAUGH STOOKEY. [From the Sheffield Laboratory of Physiological Chemistry, Vale University. ] | cena since the original experiments of Claude Bernard on the formation of glycogen from proteids, this theme has been a de- bated one. The extensive literature on the subject has lately been collected and discussed in a monograph by Cremer,! and hence need not be repeated here in detail. Among recent investigators, Schon- dorff? denies the possibility of direct glycogen formation in the body from proteid substances which fail to yield a typical carbohy- drate group on cleavage. In this class are included casein and gelatin, which do not yield reducing bodies when they are decomposed with mineral acids. Schondorff’s negative experiments were carried out on frogs. On the other hand the experiments of Bendix? on dogs have led him to the conclusion that in mammals glycogen formation follows the feeding of proteids (like casein) free from a carbohydrate constituent as well as of those (like ovalbumin) which contain the latter in their molecule. In fact, it appears from his protocols that the carbohydrate-free proteids are even better glycogen formers than the glycoproteid ovalbumin; and Bendix suggests that the amido-carbohydrates which are obtainable from the proteids on decomposition, may be unsuited for utilization as carbohydrates in the organism. Although the formation of sugar from proteid in the organism has long been indicated by the observations of both physiologists and clinicians, and the possibility of glycogen formation from the same source is strongly suggested by the older experiments of Naunyn, v. Mering, Kiilz, and others, the problem can scarcely be regarded as 1 CREMER: Ergebnisse der Physiologie, 1902, i, 1, p. 803. 2 ScHONDORFF: Archiv fiir die gesammte Physiologie, 1900, lxxxii, p. 60; 1902, Ixxxviil, p. 339. ® BENDIX: Zeitschrift fiir physiologische Chemie, 1901, xxxil, p. 492. 138, On the Formation of Glycogen from Glycoproterds. 139 conclusively solved.|. The renewed study of the proteids in recent years has made it clear that these substances show far greater differ- ences in chemical structure than was formerly assumed. For many of them it has been possible to demonstrate the existence of a carbo- hydrate nucleus which is apparently lacking in a smaller number? Accordingly it was to be expected that a reinvestigation of the rela- tion of the purified and better identified proteids to sugar formation in the body might bring new suggestions. Thus the glyconucleopro- teid of the pancreas yields a pentose, I-xylose; ? while chitosamin:has been identified as a derivative of other compounds, such as the mucoids, the proteids of cartilage, egg-white, and blood-serum. The 6-carbon carbohydrates which arise from these sources are for the most part nitrogenous; indeed the biological distribution of amido- sugar groups is apparently far more extensive than has heretofore been assumed. The experiments of Fabian‘ and of Offer and Fraenkel ® have indi- cated that chitosamin introduced as such into the body is in great part eliminated again unchanged. Glycogen formation was not ob- tained. For the glycogenic function of the pentoses the evidence is also still uncertain.® But it is conceivable that the behavior of these different carbohydrates when built up in the complex molecule of a proteid may be quite different from that of the isolated cleavage pro- ducts. The transformation of chitosamin into the non-nitrogenous dextrose is by no means a physiological impossibility. Furthermore Loew’ has pointed out that, theoretically at least, the formation of glycogen from proteid is conceivable independent of the existence of any preformed carbohydrate group. scat processes may come directly into play. The present experiments by the writer were undertaken some time ago to determine the influence of true glycoproteids (in the broader 1 Compare the criticisms of PFLUGER and his school. 2 Cf. LANGSTEIN: Ergebnisse der Physiologie, 1902, i, 1, p. 63. 3 NEUBERG: Berichte der deutschen chemischen Gesellschaft, 1902, xxxv, p- 1467. 4 FABIAN: Zeitschrift fiir physiologische Chemie, 1899, xxvii, p. 167. 5 OFFER and FRAENKEL: Centralblatt fiir Physiologie, 1899, xiii, p. 489. 6 Cf. CREMER: Zeitschrift fiir Biologie, 1901, xlii, p. 428; SALKOWSKI: Zeit- schrift fiir physiologische Chemie, IgoI, xxxii, p. 393; NEUBERG and WOHLGE- MUTH: Zeitschrift fiir physiologische Chemie, 1902, xxxv, p. 1; FRENTZEL: Archiv fiir die gesammte Physiologie, 1894, lvi, p. 372. 7 LoEw: Hofmeister’s Beitrage zur chemischen Physiologie, 1902, i, p. 567. 140 Lyman Brumbaugh Stookey. sense) on glycogen formation. For this purpose the substances under consideration were fed to animals made glycogen-free as far as possible by starvation. A pentose-yielding nucleoproteid of the pancreas, ovomucoid from egg-white, and the so-called ‘ chondrin,” or hydrated cartilage, were used. In addition, experiments were con- ducted with the syntonin of muscle, casein and its salts, and leucin. The trials were all made upon fasting, full-grown hens. In view of the difficulty in obtaining large quantities of thoroughly purified com- pounds for feeding purposes, the selection of a relatively small animal seemed desirable. The experimental studies of Prausnitz! and Her- genhahn2 have indicated that, after four to six days’ starvation, hens are practically free from glycogen — or at any rate that the liver glycogen has usually for the most part disappeared. In the muscles, glycogen may apparently persist for a longer period. How difficult it is to provoke the disappearance of the last traces of glycogen by starvation alone has again been emphasized lately by Pfliiger and his co-workers. Indeed it has been suggested that a formation of glyco- gen may be induced by increased proteid metabolism during starva- tion. It is difficult, therefore, to make certain of the glycogen content of any animal at the beginning of a feeding trial; and small increases above the average figures for starving animals are to be attributed to the experimental conditions only with great reserve. On the other hand, negative results ought likewise to be inter- preted with great caution, wherever the extent of absorption and utilization of the material fed has not been ascertained by appropriate investigations. It is well to point out these limitations of experiments of the character to be described, since they apply to many published researches on this subject. Method of experimentation. — Following an old suggestion of Kiilz that exposure to cold rapidly decreases the content of liver glycogen in rabbits, the hens were kept without food in a very cold room for at least four days. The substances fed were mixed with a little water and moulded into small pellets of about one gram in weight, in which form they were fed. Water and sand or crushed marble were always available in the feeding periods, during which the hens were again kept at room temperature. When the feeding extended over more 1 PRAUSNITZ: Zeitschrift fiir Biologie, 1890, xxvi, p. 377. * HERGENHAHN: Zeitschrift fiir Biologie, 1890, xxvii, p. 215. KU1Lz found 0.9 per cent in some instances, however. See Centralblatt fiir Physiologie, 1899, iv, p- 788. On the Formation of Glycogen from Glycoproteids. 141 than one day, a salt mixture containing sodium chloride, sodium phosphate, and ferric chloride was also fed in small quantities. The glycogen was separated by the Briicke-Kiilz method, and, after hydra- tion to dextrose with 2.2 percent hydrochloric acid, was estimated by the Allihn gravimetric copper method. In a few cases, estimations were made on muscle tissue removed from the breast; usually the liver alone was examined. The alimentary canal, including the crop, was inspected after the death of the hens, in order to ascertain some- thing regarding the extent to which the materials fed remained unutilized. Control trials indicated that under the conditions stated the glycogen had practically all disappeared from the liver of the starving animals, and only traces were left in the muscles of those studied in this respect. The loss of weight during the starving period was always noted in order to make certain that the animals had not succeeded in obtaining food. They were killed at varying intervals after the feedings, the duration of which was likewise varied. In general fifteen to eighteen hours elapsed after the last feeding. The preparation and nature of the substances fed may briefly be outlined. Ovomucotd was obtained from the concentrated filtrates of coagulated diluted egg-white by precipitation with alcohol. It was redissolved in water, and reprecipitated, until the concentrated wash- ings were sugar-free, as indicated by the absence of any reduction with Fehling’s solution. The final sugar-free products readily reduced the latter, after being boiled with mineral acids. Miiller and Seeman were able to obtain thirty per cent of glycosamin from ovomucoid.! The g/yconucleoprotetd of the pancreas was prepared by comminuting the fresh pancreatic glands of sheep, boiling for fifteen minutes in five times their weight of water, and filtering. From the filtrate, fat was removed after cooling; and acetic acid was added to precipitate the nucleoproteid. The latter was filtered off, washed with water and alcohol, dried, and reduced to a powder. As already mentioned, Neuberg has identified the carbohydrate derivative of the pancreatic nucleoproteid as |-xylose. The “chondrin” fed was pre- pared by hydration of the carefully cleaned tracheal cartilages of sheep. The material was dried and reduced to a powder. The nature of the reducing substance obtainable from cartilage is somewhat in doubt, although it is generally regarded as identical with chitosamin.? Syntonin was obtained from thoroughly washed muscle tissue (lean 1 Cf. COHNHEIM: Chemie der Eiweissk6rper, 1900, p. 266. 2 Cf. LANGSTEIN: Ergebnisse der Physiologie, 1902, i, 1, pp. 80-83. Lyman Brumbaugh Stookey. 142 ‘Aep yyanoj oy} uo [I sem uay ayy, ‘uasooA[Ss Jo quad 19d /'Q pourey -uod ajpasnu ayy, “Atuo uondsosqe [erased peieorpur joes, Arejuaulje ay} Jo uonip -uod 94} pue prajoid awos poureyu0o dog ‘dois ay3 ut ptajoid ON ‘ep jsey uo jjamun poaivadde usy fulIpuoYyd s[qeiapisuod paureyuod do19 ‘jewuou yns {Ayduia doy ‘Aep yse[ uo pjamun paivadde uay fULIpUOYS s[qviapisuod pouteju0d doig ‘dois Ul pooj ON ‘dois ut pooy oN ‘doi ul pooj ON ‘pooj jo saov1} Aju pourezuod dog *jeutiou ynd £ Aydwua ATjeooesd dor9g ‘doi WOAF PI1BAOIIL PLOONUIOAO “SUS XI ‘Aydura Jeuvo Arejuawiye pue doi9 ‘Ayduia yeueo Arequsuye pue doi ‘do19 dY} WOIZ PeaI9A0I91 ploonuIoAO ‘swIs UdAaS ‘do1o ay} WOIJ palaAode1 ploonwoAo ‘sws dA *queo red 90R1} STO 8+0'0 auou S8+0°0 +0'0 FET 0 auou 180'0 2081} juou S00 a0ety 20R14 9OPR1} “Smeg O¢ET ie aa =p y SL n | 3 H 8) 3 90+ I ” uruojuds ” ulmpuoyd ” prazo.1doajonu svoiue ” proonwoag "SUOTJVAIBSYO “IDATL 9U3 UL punoj uasood4][5 “OAT OY} JO IYSI9. NM ye yy s1am-Apog “yjeap pure Surpass} yse[ U9aM4JAq [VAIOIUT ‘Sulpaaj jo uoneing ‘pay saourysqns jo Aytjuenb [ejo 7, “‘SUISeJ JO uOTLING ‘yys1am-Apoq [euly ‘yystda-Apoq [entuy "P9F sgourysqus ‘ua -119dxa Jo Joquin NT 43 I zdas. on of Glycogen from Glycoprote On the Formati ‘uasooA[S jo yuoo sad ZQQ peutezu0d aposnut ayy ‘doid 9Y} WOIF pd1aACIeI SEM UTNE, aWIOG ‘uasook[s Jo yuao Jad sy paureyuoo aposnw ayy, ‘dos ayy WOIF PIIBAOIAI 919M ULONIT Jo ‘swIs OT noqy “uasoo4]S Jo JU90 Jad 7G paureyuod aposnw aq], "70R1} Ale} USULITe UT Puno; Sanpisa1 pooj ou {uss0o -{S jo quad sad 69° pourejuO afosnut sy], yJeMun usy fpasnun Aied poo *pooy 9WIOS poulezUOd [Ys dors oy} fuasos -AJS Jo quao 19d 969 pautezuo0. apsnw sy 7 *pooy aWIOSs pautezUod [Ys dor9 ayy {uasoo -AJS jo quso rod 6 pautejuoD aposnw ou T, ‘paAIasqo senpisal pooy ON *peAtgsqo sanpisat poof ON *‘paariasqo senpiset pooj oN ‘punoj sanpisoi pooj oN ‘pazt[iyn AjjuapiAe poox {sno108ta uazy ‘poof Jo uondiosqe [enieg ‘do1o Ul poof} ‘feayIeIp fuojdiosqe yooaziodwy ‘doo ut pooy ! ajatduoour uondiosqy ‘emyslieip ! uodiosqe ajatduioouy ‘yeuvo Arejusute ul poog Jo Ajuo saov1y, ‘uondiosqe jensed Aju ouou ouou £90 ouou euou ouoUu ZITO 959'T 90e1} EDS ‘ep 20u0 ulna’ ”) | ISOILYIOVS pur | Ulased WINIPOS ulasvo WINTpOS ” ” ulaseg IAXXX AXXX IITAX IAX AX AIXXX WIXXX ITX XX IX XX XXX XIXxX ITIAXX AXX AIXX ITIXX IIXX IXX XX 144 Lyman Brumbaugh Stookey. beef) by extraction with dilute hydrochloric acid. It was precipi- tated from the acid solution by addition of sodium hydroxide, then washed free from alkali and salts, and dried. On account of its insolubility the syntonin was formed into pellets by the addition of a little gelatin to hold together the fine particles. In the preparation of casein (caseinogen) a commercial product was treated with hot alcohol and ether to remove fat, and then repeatedly extracted with hot water, until the concentrated washings no longer reduced Fehling’s solution. The milk sugar was thus completely removed. To facili- tate the formation of pellets for feeding, a few drops of dilute sodium hydroxide solution were added to the powder. The large number of negative and unsuccessful results with this product suggested the preparation of a more soluble salt. Sod¢wm casein was accordingly prepared by suspending purified casein in warm water, and adding sodium hydroxide until solution was effected. An alkaline reaction was avoided. The material was evaporated to dryness, pulverized, and fed in the usual way. Casein fails to yield typical carbohydrate derivatives on decomposition. The /eawczz fed was a crude crystalline product obtained by the auto-digestion of pig’s pancreas. Protocols of experiments. —— The following typical protocol] will illustrate the character of the data ascertained in each experiment. Experiment IV. Ovomucoid feeding. — Weight of the hen before starva- tion: 1210 gm. Duration of starvation: 4 days. Weight after 4 days: 960 gm. Amount of ovomucoid fed over a period of 2 days: 30 gm. The hen was killed 14 hours after the last feeding. Weight: tooo gm. The crop was practically empty ; the condition of the alimentary canal was apparently normal, and suggested that absorption had taken place. Weight of the liver: 20 gm. Glycogen content of the liver: 0.05 gm. = 0.25 per cent. The more important data have been summarized in the table on pages 142, 143. Discussion of the results. — Earlier experiments! have indicated that the glycogen content of the liver of hens reaches its maximum within twelve to twenty-four hours after feeding, and then falls rapidly again, so that at the end of thirty-six hours it may become almost nil. This led in the present trials to the plan of killing the animals within the periods selected above. The marked diminution in body weight noted in every case, and the numerous experiments ’ Cf, PRAuSNITZ: Zeitschrift fiir Biologie, 1890, xxvi, p. 377. On the Formation of Glycogen from Glycoproteids. 145 which showed only traces of glycogen in the liver, bear evidence of the efficiency of the starvation process in removing this carbohydrate. With reference to the food it may be added that particular care was devoted to obtaining materials which should be free from contaminat- ing sugarsorfat. The positive results cannot, therefore, be attributed to the presence of the latter compounds. The outcome of the feeding experiments with those substances which yield carbohydrate cleavage products — ovomucoid, pancreas nucleoproteid, chondrin — scarcely permits any positive conclusion to be drawn. In some of the more satisfactory trials, where the period of feeding was more prolonged, and the utilization of the food was apparently better, appreciable quantities of glycogen were found. These do not, however, exceed in amount the maximum glycogen content (0.97 per cent) which has been observed in the liver of the fasting hen by Kiilz;! although, like the writer, most other investi- gators have noted very small quantities only. Prausnitz, for example, found 0.06 — 0.13 per cent of glycogen in the liver of the hen after four days’ fasting. The feeding of simple proteids — syntonin, casein, and its sodium salts — failed to yield an increase of glycogen in the liver when a single dose was given. But after trials lasting several days, during which considerable quantities of casein were ingested, an accumulation of glycogen too large to be attributed to any residual store in the liver was repeatedly found. (Compare Experiments XXII, XXVIII, XXXI, XXXII, XXXIII, XXIV.) The quantities range from 2.3 to 5 per cent, and were usually obtained in those trials in which the animal remained vigorous and a utilization of the food given was indicated. These observations are thus in accord with the results which Bendix? obtained after feeding casein to dogs. It has already been pointed out that negative results in experiments like the present ones do not necessarily indicate the incapacity of the substances fed to promote glycogen formation. Nothing short of an estimation, in each case, of the actual extent of absorption and metabolism would permit a final interpretation in those cases where glycogen failed to appear in the liver. The experiments (XV, XVI, XVII) in which proteid and sugar were fed simultaneously, were undertaken to see what effect would be produced by quantities of 1 KUxz: Centralblatt fiir Physiologie, 1890, iv, p. 788. Cf. note 2, p. 140. 2 BENDIX: Zeitschrift fiir physiologische Chemie, 1901, xxxii, p. 479; 1902, Xxxiv, p. 544. Compare the critique of CREMER: Ergebnisse der Physiologie, 1902, i, 1, p. 874. 146 Lyman Brumbaugh Stookey. carbohydrate comparable with those which might be liberated from the glycoproteids in the amounts fed. In two of the three trials the amounts of glycogen found in the liver (1.5, 1.6 per cent) are not in- considerable, and agree in general with previous experiments with cane sugar.! The negative results with the glycoproteids are interesting in view of the similar outcome of the studies by others on chitosamin and pentoses. . With the possibility of sugar- and glycogen-formation in the organ- ism from carbohydrate-free proteids made probable, it is of interest to learn the intermediate stages in this transformation. What con- stituent groups of the proteid molecule are the antecedents of the newly formed carbohydrate? It has been suggested that the leucins (C,H,,NO,) constitute the most important intermediary products ; and it is known that the ordinary proteids yield a large proportion — fifty per cent or more — of leucin on decomposition. The transfor- mation of an amido-acid like leucin into a 6-carbon carbohydrate is not a theoretical impossibility.2 To test the hypothesis, Cohn ? fed leucin to starving rabbits. His observations are by no means conclu- sive, although they point toward an increased glycogen content in the liver; but Simon * has repeated the experiments with entirely negative results. It has been pointed out by Bendix® that if leucin is an ante- cedent of glycogen in the body, then all proteids which yield this amido-acid in abundance ought to induce glycogen formation. This is, however, not the case, as the differences between the results of gelatin feeding and casein feeding indicate. The two experiments presented above by the writer do not, at least, speak against the possibility under discussion; nor do they justify any far reaching statements. The physiologist must look forward to a more profound acquaintance with the chemistry of the proteid molecule before the final word can be spoken. The writer desires to express his obligation to Professor Lafayette B. Mendel for the suggestion of the subject for investigation, and for criticism. Cf. PRAUSNITZ: Loc. cit. Cf. MULLER: Zeitschrift fiir Biologie, 1got, xlii, p. 549 Coun: Zeitschrift fiir physiologische Chemie, 1899, xxviii, p. 211. SIMON: Zeitschrift fiir physiologische Chemie, 1902, xxxv, p. 315. BENDIX: Zeitschrift fiir physiologische Chemie, 1901, xxxii, p. 492. THE SHARE OF THE CENTRAL VASOMOTOR. INNER- VATION IN THE VASOCONSTRICTION CAUSED BY INTRAVENOUS INJECTION OF SUPRARENAL EXTRACT. By S. J. MELTZER An» CLARA MELTZER?! [From the Rockefeller Institute for Medical Research.]| LIVER and Schaefer? ascribed the vasoconstricting effect of suprarenal extract to its action upon the blood-vessels directly and not to an action upon the vasomotor centres. They based their claim upon the following considerations: first, that a rise of blood- pressure occurs even after section of the cord below the vasomotor centre; second, that a vasoconstriction takes place in a peripheral organ even after that organ is deprived of its nerves; for instance, in the foreleg after the brachial plexus is cut. The validity of the first consideration has already been a matter of discussion. Thus Szymonowicz* and Cybulski claimed that in their experiments, section of the cord did interfere with the vasoconstricting effect of the extract. Furthermore, Velich* and others called attention to the fact that simple section of the cord does not exclude the influence of all the vasomotor centres of the spinal cord. To meet this requirement, Velich as well as Biedl® have thoroughly destroyed or extirpated the entire cord. Both authors report that even under these circumstances suprarenal extract caused a rise of blood-pressure. Velich, however, admits that in many experiments he did not succeed in completely destroying the spinal cord. He had only three successful experi- ments. In these, however, the effect was apparently not so prompt as in the ones in which the spinal cord was only cut. According to Velich, after destruction of the cord, a much larger dose of the supra- renal extract is required to bring about a similar rise in the blood- pressure, than after simple section of the cord. From this it would Research Scholar of the Rockefeller Institute. OLIVER and SCHAEFER: Journal of physiology, 1895, xviii, p. 230. SzZYMONOWICZz: Archiv fiir die gesammte Physiologie, 1896, Ixiv, p. 97. VELICH: Wiener medizinische Blatter, 1896, xv—xxi, p. 227. BiEDL: Wiener klinische Wochenscrift, 1896, p. 157. 147 1 2 3 4 5 148 S. J. Meltzer and Clara Meltzer. appear that the integrity of the cord is indeed a factor in the success- ful action of the suprarenal extract upon the blood-pressure. With regard to the second experimental proof of Oliver and Schaefer, namely, that a vasoconstriction takes place in a peripheral organ even after its nerves have been cut, here, too, the objection was raised that not all nerves of these organs had been cut; for in- stance, section of the brachial plexus does not exclude the entire innervation of the foreleg. But above all, it seems to us that the method which the authors employed is not capable of furnishing con- clusive evidence. They enclose a peripheral organ, kidney or forearm, for instance, in a plethysmograph, and assume that each registration of a diminution in the volume of this apparatus means a constriction of the blood-vessels of the organ within it. They themselves state, however, that the constriction of the arterioles can often lead toa dilatation of the larger and middle-sized arteries which will produce an increase in the volume of the plethysmograph. In other words, a constriction of the small arteries may lead either directly to a dimi- nution in the volume of the plethysmograph, or indirectly, by subse- quent filling up of the larger vessels, to an increase in the volume. It would seem that under these circumstances we can hardly draw positive conclusions as to the actual condition of the organ from tracings obtained by the plethysmograph. In fact, of the thirteen plethysmographic tracings of the forearm, given by Oliver and Schaefer in their paper, eight show an increase, while only five show a decrease in the volume after intravenous injection of suprarenal extract. The foregoing analysis shows that the evidence in favor of the theory of Oliver and Schaefer is by no means complete. A further study of this subject by other methods is therefore desirable. Direct inspection of the blood-vessels has already been mentioned by Oliver and Schaefer as one of the appropriate methods of study- ing the effect of intravenous injection of suprarenal extract. It occurred to us that the rabbit’s ear would be a favorable object for such a study. The condition of the blood-vessels there is easily dis- cernible, and the vasomotor influences of central origin can be satisfactorily removed. Furthermore, the conditions of the blood- vessels of the ear deprived of the vasomotors, can easily be compared at any stage with those of the normal ear; and this can throw light on the share which the central vasomotor mechanism may have in the vasoconstriction caused by the suprarenal extract. Vasoconstricting Effect of Suprarenal Extract. 149 Such a series of experiments we have made on a large number of animals, and we shall here report our results. We employed exclusively adrenalin chloride in various dilutions. The injections were made either into the external jugular vein, the femoral vein, the inferior vena cava, or into the marginal vein of one of the ears. In the first series of animals, the cervical sympathetic was cut or resected either on the right or on the left side, and the injections were made either soon after the operation or some time later. The following are a few abbreviated protocols of that series of experiments. Experiment XIV. April 238, 1902. — Brown, medium-sized rabbit. 5:30 P.M. Resected about 2 cm. of cervical sympathetic on left side; vessels of left ear at once very much dilated. 6.28. Injected into marginal vein of right ear 1 c.c. of I : 10000 adrenalin. 6.30. Both ears completely blanched. 6.35. Right ear-vessels begin to dilate. 6.42. Same, fully dilated. 6.40. Left ear-vessels begin to dilate, progressing slowly. 7.00. Left returned to normal. Experiment XTX. May 7, 1902. — Large, white rabbit. 4.00 P.M. Left sympathetic resected, both ears very congested. Right femoral vein exposed. 4.23. Injected into vein 1.2 c.c. of r : 2000 adrenalin. 4.23.30. Right ear pale. 4.25. Left ear beginning to blanch. 4.28. Fine vessels of right ear begin to appear. 4.29. Vessels of right ear fuller than those of left. 4.36. Left ear still more blanched than before. 4-54. Right ear becomes paler again. 5:45. Nochange. On taking ether and struggling, the right ear-vessels become very full, left ear remains pale. Experiment XXVI. June 19, 1902. — Brown rabbit, 1500 grammes. 4.50 P.M. Right sympathetic cut. 5-00. Injected into marginal vein of left ear 1.2 c.c. of 1 : 5000 adrenalin. 5-00.30. Left ear pale. 5-01.30. Right beginning to blanch. 5.02. Entire right ear pale, except marginal vein. 5-05.30. Left vessels beginning to dilate. 150 S. J. Meltzer and Clara Meltzer. Experiment XX VI— (continued). 5.08.30. Right central artery becoming very slightly dilated — dilata- tion not increasing. 5.15. Left ear-vessels, after having been well dilated for about eight minutes, become narrower again. 6.35. Nochange. Right ear distinctly paler than left. 8.00. No change. June 20, 9.30 A.M. Vessels of right ear more dilated than those of left, but not as fully dilated as on the previous day soon after operation. Experiment XX VIL. June 19, 1902. — Black and white rabbit, 1500 grammes. 5.30. Left sympathetic cut. 5:40. Vessels of left ear very full, of right, medium. 5-41. Injected into right marginal vein o.5 c.c. of 1 : 5000 adrenalin. 5-41-30. Right entirely pale, except a small central vessel. 5:-43- Left beginning to blanch. 5-46. Right getting fuller. 5-47. Left, pallor increasing. 5:55. Left, pale except for large vessels. 6.08. Right vessels as much dilated as before injection. 6.30. Left, still pale. 8.00. Left ear redder than right. June 20, 9.35 A.M. Left wider than right, but not as fully dilated as after operation. Many similar experiments were made. The results were the same in every case. The degree of vasoconstriction which was caused by the intravenous injection of adrenalin, was in all cases about the same on the operated as on the normal side. Here we have to mention that Velich reports a single experiment he made on a rabbit in which the right sympathetic nerve was cut, and in which the cadaverous pallor of the ears, following intravenous injection of suprarenal extract, was equal on both sides. In our experiments, however, we have observed some significant differences in the course of the vasoconstriction of the two ears. But before entering upon a detailed discussion of our observations gathered from the above-men- tioned series of experiments, we have to report the results of other series of experiments, the execution of which became necessary through the following observation. A study of the effects of cutting and stimulating the third cervical nerve revealed to us ! its considerable 1S. J. and CLARA MELTZER: This journal, 1903, ix, p. 57. Vasoconstricting Liffect of Suprarenal Extract. 151 importance as a vasomotor nerve for the ear, which in many instances exceeds that of the sympathetic nerve. Hence section of the cervi- cal sympathetic nerve alone does not completely deprive the ear- vessels of their central innervation. The following abbreviated protocols are examples of a series of experiments we made on rabbits, in which the sympathetic as well as the third cervical nerves were cut on the same side. LEixperiment XXIX. Sept. 20, 1902. — Large gray rabbit. 5:00 P.M. ‘Third cervical and sympathetic cut on the left side. Can- nula in inferior vena cava. Animal lost some blood. Left ear-vessels considerably fuller than right. 6.20. Injected through cannula 1 c.c. 1: 2000 adrenalin. In a few seconds, right ear blanched completely. 6.21. Left ear begins to blanch — blanches slowly. 6.24. Right begins to fill; left still blanching, especially large central vessel. 6.27. Left beginning to fill. 6.30. Both moderately filled, left, a trifle more than right. 6.35. Second injection —1 c.c. 1 : 2000. In a few seconds right blanched. 6.36. Left begins to blanch — blanches slowly. 6.38. Both begin to fill. 6.45. Third injection, 1.2 c.c. of 1 : 2000. Immediate complete blanching of right ear, followed closely by complete blanching of left ear. Blanching on right side lasted six minutes, then faint filling, which increased to normal within ten minutes; left blanching lasted ten minutes, vessels filled in a few minutes, but not to their former width; blanched and filled again several times. Fourth injection of 1.2 c.c. pure adrenalin (1 : 1000). Complete blanching of right ear in a few seconds, of left, half a minute later. Rabbit killed after fifteen minutes, before ears returned to normal. Experiment XXXT. Oct. 5, 1902. — Brown rabbit. 5-30 P.M. Sympathetic and third cervical cut on the left side. 6.30. Injected through cannula in left jugular vein 1.2 c.c. adrenalin (1 : 1000). 6.30.30. Right ear pale. Fifteen seconds later, left ear beginning to blanch. 6.34. Right beginning to fill; left getting still paler. 6.35. Right, as full as before injection. 6.40. Right, fuller than before injection ; left, pale, slight rhythmical dilatation in small area around bifurcation. 6.49. Right, paler again, condition as before injection. 152 S. J. Meltzer and Clara Meltzer. Experiment XX XI— (continued ). 7.05. No change in either ear. 8.15. Left ear-vessels dilated again. 8.20. Second injection of 4.2 c.c. undiluted adrenalin. Right ear blanched immediately, half a minute later, left beginning to blanch from below upward. 8.25. Both ears begin to fill, left, slight rhythmical dilatation in the central vessel, while the marginal vessels getting still narrower. 8.28. Right, as before injection. 8.30. Right fuller than before injection. 8.43. Right, again as before injection ; left, still pale. 8.58. Small vessels of left ear becoming visible. 9.45. Central vessel of left somewhat dilated, but not nearly as before injection. Marginal vessel fills up from below. 10.00. Left, almost as full as before injection. In view of the well-known statement of Claude Bernard! that the excision of the superior cervical ganglion causes greater paralytic effects than simple section of the cervical sympathetic nerve, we deemed it desirable to perform a few experiments in which, instead of simple section of the cervical sympathetic, the superior cervical gang- lion was removed. The following experiment is an example: Experiment XXX. Sept. 22, 1902. — Large gray rabbit. 5.00. P.M. Ganglion removed, and third cervical cut on the right side. Cannula in inferior vena cava below the renal veins. 6.00. Injected 1 c.c. 1 : 10000 adrenalin. 6.01. Both ears moderately pale. 6.03. Left filling faintly. 6.04.30. Right, central vessel filling from below, rest of ear pale. 6.06. Both ears as before injection. 6.10. Second injection, 0.6 c.c. 1 : too0o adrenalin. 6.10.30. Left ear getting paler. 6.11.30. Smaller vessels in right beginning to disappear. 6.12. Entire right ear pale. 6.13. Left filling. 6.14. Right filling. 6.15. Right fuller than left. 6.19. Third injection, 1.2 ¢.c. I : 2000 adrenalin. 6.20. Left, entire ear pale ; right, smaller vessels getting narrower. 6.23. Right, central vessel disappearing. 1 BERNARD: Lecons sur la systéme nerveux. Paris, 1858, ii, p. 492. ~ J ; > ll, p Vasoconstricting Effect of Suprarenal Extract. 153 Experiment XXX — (continued ). 6.23.30. Left ear getting redder. 6.24. Right, completely pale, left, already a little fuller than before third injection. 6.26.30. Right, central filling slightly. 6.40. Right, not yet as full as before injection. 6.43. Fourth injection, 1.2 c.c. I : 2000. 6.44. Left paling. 6.44.30. Right paling. 6.45. Left slightly filling. 6.48. Right beginning to fill. 6.50. Left, as before injection. 6.55. Right, not yet as full as before fourth injection. In a previous paper! we reported that in a few exceptional cases we found that after cutting the branches which connect the third with ~ second and fourth cervical nerves, the corresponding ear became con- siderably flushed. In a few experiments we have therefore also cut these connections in addition to the removal of the ganglion and cutting of the third cervical nerve. We shall give no protocols of these experiments ; they read the same as the others already quoted. Section of these connecting branches did not change the results in any respect. We may safely claim that after cutting the third cervical and remov- ing the superior cervical ganglion, the blood-vessels of the ear are de- prived of all vasomotor influences of central origin. We know, at least for the present, of no other path by which vasomotors reach the ear. The changes, therefore, which we have seen taking place in the ear- vessels, after the elimination of the above-mentioned nerve and ganglion, can be ascribed only to the influences of some peripheral mechanisms. In all our experiments, without exception, an intravenous injection of a sufficient dose of adrenalin caused a distinct constriction of the blood-vessels of the ear on the side on which the ganglion was removed and the third cervical cut. The constricting effect of ad- renalin in these cases is, therefore, certainly of strictly peripheral ori- gin. Furthermore, in all of the experiments in which a dose of adrenalin was employed sufficient to bring out a distinct pallor in the normal ear, there was no case in which the degree of the pallor on the operated side was less than on the normal side. Even when small 1S. J. and CLARA MELTZER: This journal, Zoc. czt., p. 57. 154 S. J. Meltzer and Clara Meltzer. doses were used, which caused only a moderate constriction of the blood-vessels, lasting a very short time, the degree of the constriction was in both ears the same, provided, of course, the injection was not made into an ear-vein. In the latter case, the ear into which the in- jection was made has shown the greater pallor. Our experiments certainly justify the conclusion that suprarenal extract can cause a strong constriction of blood-vessels, which are de- prived of all extrinsic neurogenic influences. Is the constriction oc- curring in normal animals due to the local effect,and to this effect alone? Are the extrinsic vasomotor nerves and centres not affected at all by the suprarenal extract? The fact that the degree of the constriction of the blood-vessels has apparently been the same in both ears, in all cases, would seem to indicate that the central vaso- motor mechanism is not a factor in the attainment of the degree of vasoconstriction caused by suprarenal extract. However, our experi- ments brought to light also some differences in the course of the vasoconstriction in the two ears. These deviations, we believe, are capable of shedding light upon the effect which suprarenal extract might exert upon the central vasomotor mechanisms, and the role of the latter in the change of the blood-pressure, which is caused by the extract in the normal part of the animal. The differences relate to the onset, development, duration, and after-effect of the vasoconstric- tion in the two ears. 1. The most striking point is the difference in the duration of the constriction. In every one of our experiments the constriction of the blood-vessels of the ear on the operated side lasted distinctly longer than that of the ear on the non-operated side. While the duration of the constriction on the normal side rarely exceeded six or seven min- utes, and generally amounted only to four or five minutes, we found the constriction on the operated side to last often for hours, and in some instances the vessels did not reach their original size till the following day. In both ears the duration of the constriction de- pended upon the amount and concentration of the adrenalin we have injected in each case. But even with small quantities and weak solutions, as long as they were capable of producing any degree of constriction, it lasted perceptibly longer on the operated side. 2. Another instructive point is the difference in the mode of the disappearance and the after-effect of the constriction. In the normal ear, after the maximum pallor has lasted a few minutes, the vaso- constriction disappears evenly in a very short time, and is followed by Vasoconstricting Liffect of Suprarenal Extract. 155 a moderate but distinct congestion of the ear. The blood-vessels are then perceptibly wider than before injection. The dilatation lasts a few minutes, its duration being mostly longer than that of the con- striction. In the ear on the operated side, we see the maximum con- striction, after having lasted for some time, at first giving way only slightly, the larger vessels becoming faintly recognizable. In this state the ear remains stationary again for some time, and then begins to fill up gradually, and very slowly attains its original appearance. In no case have we noticed the ear-vessels of the operated side be- coming wider than their original size, not even in such experiments in which the injection was made a long time after the section of the nerves, and the vessels, before the injection of adrenalin, were there- fore not much wider on the operated, than on the unoperated side. 3. In all of the experiments, the blanching of the ear on the oper- ated side began distinctly later than on the normal side, provided the injection was not made into the marginal vessel on the operated side, or the dose employed was not too large. The latent period for the normal side is very short, usually only ten to fifteen seconds; it varies slightly with the strength of the dose, and also with the place of in- jection ; for instance, as a rule the constriction appears much sooner after the injection into the jugular vein, than after injection into the inferior vena cava. On the operated side, the latent period was in all instances distinctly longer, the difference varying from fifteen seconds to two minutes. 4. Besides the difference in the length of the latent period, there was invariably also a difference in the time during which the vaso- constriction attained its maximum. In the normal ear there were in all cases not more than a few seconds between the onset of the con- striction and the complete blanching of the ear. In the ear on the operated side, the development of the blanching was in nearly all cases a very slow process. It was a frequent occurrence to see the blanch- ing on the operated side still progressing, while on the normal side all signs of a constriction had already completely disappeared. The length of the latent period and the slow development of the constriction on the operated side cannot be ascribed, at least entirely, to the fact that before the injection the blood-vessels of the ear on that side were more dilated than on the normal side, and therefore more work had to be performed before the same degree of blanching could be attained. The same slow onset and development have been observed in cases in which the injection was made long 156 S. J. Meltzer and Clara Meltzer. after the operation, and the dilatation was therefore no longer notice- able. They were also present in experiments in which a second injection was made while the ear-vessels on the operated side, as a result of the foregoing injection, were not yet as wide as those on the normal side. The several differences in the course of the vasoconstriction of the two ears can be ascribed only to the differences in their vasomotor innervation, and indicate clearly that in the normal animal the central vasomotor mechanism plays some part in the causation of constriction of the blood-vessels by intravenous injection of suprarenal extract. As to the interpretation of these differences, we shall discuss first the divergence in the after effect and the duration of the constriction. The fact that the vessels of the ear on the normal side, after the disappearance of the constriction, become for a while wider than they had been before the injection, can be explained by the assump- tion that in the normal animal, at a certain phase of the con- striction, vasodilating mechanisms are efficiently stimulated. That such a dilatation is not observed on the operated side indicates, furthermore, that the vasodilatation on the normal side is of central origin ; hence, its absence on the operated side. This very assump- tion also readily explains the difference in the duration of the constriction. The constriction on the normal side is normally abridged, we may assume, by the central stimulation of vasodilators. This stimulation is absent on the operated side, hence the prolonged constriction. The fact that in many blood-pressure experiments no pressure-lower- ing after-effect has been observed, is not a serious contradiction to our assumption. The dilatation of the vessels of the normal ear which we have observed as an after-effect was indeed comparatively slight. The main activity of the vasodilatation might consist in reducing to normal the vasoconstriction, which end is perhaps not simultaneously attained in all parts of the body, on account of some differences in the local conditions. In some parts, with an early reduction to normal, there might even occur a slight abnormal dilata- tion; but in measuring the blood-pressure as a whole, these slight dilatations are liable to be counter-balanced by some still lingering constrictions in other parts. Hence the absence of signs of vasodila- tation when studied by the general blood-pressure from the carotid artery, while ocular observation of the vessels of the normal ear Vasoconstricting Liffect of Suprarenal Extract. 157 shows the existence of a moderate vasodilatation as an after-effect in this peripheral organ. What causes the central stimulation of the vasodilators at a certain phase of vasoconstriction brought on by the suprarenal extract? The hypothesis which appealed to us in the first place is as follows: The suprarenal extract acts on the vasomotors simply as a chemical stimulus. It circulates in the blood in a certain concentra- tion, leaves the capillaries, and attacks the vasomotor centres. There is no reason to believe that the extract has a special affinity for the vasoconstrictors — that it attacks the centre for the vasoconstrictors alone. On the contrary, it is more plausible to assume that it stimu- lates simultaneously and with equal intensity both antagonistic centres, the centre for vasoconstriction as well as the centre for vasodilatation. It is, however, a well-established fact that when vasoconstrictors and vasodilators are stimulated simultaneously, then a strong stimulus _ favors the preponderance of vasoconstriction and a weaker stimulus favors the preponderance of vasodilatation. Now a sufficient dose of adrenalin, when first introduced into the circulation, represents of course a strong stimulus, and favors vasoconstriction, hence the immediate constriction of all the vessels of the body and the rise of blood-pressure. After a few minutes, however, the dose of the extract circulating within the blood loses its original strength, either by oxidation of a part of the extract within the blood, or by elimina- tion of a part through the kidneys, or by transudation and deposition of some of the extract into the tissues. The remaining dose now represents a weaker stimulus and favors the preponderance of vaso- dilatation. We know now from numerous studies that during the preponderance of the activity of one set of nerves, the stimulation of the antagonistic nerves continues in full strength. When, therefore, the dose of adrenalin becomes reduced, and the vasodilators com- mence to be favored, their activity is immediately in full sway, hence, the rather rapid termination of the constriction and the occasional appearance of a local vasodilatation. This hypothesis seemed to us to be accessible to an experimental test. If adrenalin stimulate also vasodilators and weak stimuli favor their preponderance, it was reasonable to expect to find a small dose of adrenalin which would cause primarily dilatation of the ear- vessels. We therefore made a large number of experiments in which dilutions varying between 1 : 10000 and I : 20000 were injected in quantities of 0.3 too.6c.c. The outcome of these experiments was, 158 S. J. Meltzer and Clara Meltzer. however, not entirely satisfactory. We succeeded only in a very few instances in obtaining a primary dilatation. The following abridged protocol is an example of such an experiment : Experiment XXXII. July 7, 1902.— Rabbit operated seven days before, right sympathetic resected. . 11.58.30 A.M. Injected into marginal vessel of right ear 0.4 c.c. of 1: 20000 adrenalin. Right ear paled, left ear-vessels moderately dilated and slowly filling up. 12.00. Left ear as full now as just before injection. 12.00.30. Vessels of left ear fully dilated. No initial constriction noted. 12.01. Right ear-vessels slowly filling up again. The right ear (operated side) became pale in this case through the direct contact of the vessels with the injected adrenalin. The left ear received the extract through the circulation, and the extract was, therefore, very much more diluted. There was no initial constriction, on the contrary, the vessels of the left ear (non-operated side) started to fill up immediately. In most of the experiments with small doses, however, there was not such an immediate dilatation after the injection. Either there was no change at all, or there was no change for a minute or two, and then a dilatation followed, or finally there was a primary very brief constriction, followed by a pronounced dilatation of the vessels. This series of experiments, though not furnishing an absolute proof, suggests the correctness of the premise in our hypothesis that a smaller dose of the extract favors the preponderance of vasodilatation. Our hypothesis is based on the assumption that the suprarenal extract has no special affinity for either vasoconstriction or vasodila- tation, but represents simply a general nerve stimulus. However, Girber! as well as Hunt? stated that they succeeded in obtaining from the suprarenal capsule a substance which causes only vasodila- tation. Accordingly, we should have to assume that the extract we employ does not represent one principle which stimulates both centres, but contains separate principles for each of the antagonistic centres. It would offer no difficulty to adapt our hypothesis to this new conception, if it will find general recognition; but we shall abstain from discussing these points for the present. * GURBER: Miinchener medizinische Wochenschrift, 1897, p- 750. * Hunt: This journal, 1900, iii, p. xviii. Vaseconstricting Effect of Suprarenal Extract. 159 Regarding the differences in the onset and the development of the vasoconstriction, we wish to emphasize again our contention that these differences are not due entirely to the previous greater engorge- ment of the ear on the operated side. Our experiments seem rather to demonstrate conclusively that vasoconstriction which is brought about exclusively by peripheral mechanisms, sets in later and develops more slowly than in the case where the peripheral organ has the prompt aid of the central vasomotor mechanisms. As to the reasons for this difference, we can only offer some suggestions. In the first place, it is possible that peripheral mechanisms at all times respond less readily to stimulation than the centres in the cord. There is no lack of analogies for such an assumption. Furthermore, the tonus of the vessels is maintained by continuous excitation by normal stimuli of the vasomotor centres, and not by stimulations of the peripheral mechanisms, as is evident from the fact that cutting of the sympa- thetic or third cervical nerve causes vasodilatation. The peripheral vasoconstricting mechanisms do not take up the control of the tonus till many weeks after the section of the nerves. It is probable, there- fore, that in the normal animal artificial stimuli also affect, in the first place, the central organs, while the peripheral mechanisms are stimu- lated only secondarily and in lesser degree; hence the tardiness in their response after the elimination of the vasomotor centres. It is possible that the peripheral mechanisms gradually acquire a readiness to respond rapidly to artificial stimulation, just as they gradually acquire the readiness to respond to the continuous normal stimuli for the maintenance of a vascular tonus. Finally, it is possible that the suprarenal extract in the blood has more obstacles to overcome in reaching the middle coat of the arteries (the muscular layer or the hypothetical ganglia within or around it), than in reaching the vasomotor centres within the cord. To reach the latter the extract has only to pass the endothelial layer of the capillaries which are normally arranged for such passages. While to reach the middle coat of the arteries the extract has to penetrate the complex structure of the arterial intima (endothelial, subepithelial, and elastic layers), which is normally not constructed for purposes of transudation of fluids. As to reaching the middle coat by way of the vasa vasorum, we know nothing of the existence of such vessels for the smaller arteries. However this may be, it is a fact that in blood-vessels which have recently become deprived of their central innervation, the constriction 160 S. J. Meltzer and Clara Meltzer. sets in late and develops slowly. We have therefore sufficient reason to assume that the rapid onset and development of the constriction in parts with normal central innervation is due to a stimulation by the suprarenal extract of the vasomotor centres; the constriction, however, might be supported in its further course by the peripheral vasocon- stricting mechanism which proves to be an efficient though slow agent in the absence of the central innervation. SUMMARY. The removal of the superior cervical ganglion, and section of the the third cervical nerve and its connecting branches on one side of a rabbit, deprives the blood-vessels of the ear on the operated side of all central innervations. The experiments with intravenous injections of adrenalin into rabbits thus operated, brought out the following results : 1. The degree of constriction which the blood-vessels attain in the ear on the operated side is about the same as that of the ear on the normal side. 2. The constriction, however, sets in later and develops more slowly on the operated than on the non-operated side. 3. On the normal side, the constriction is usually followed by a moderate but distinct vasodilatation. Such an after-effect is absent on the operated side. 4. On the operated side, the constriction lasts considerably longer than on the non-operated side. From these observations, the conclusion is drawn that in the normal animal the injected suprarenal extract stimulates, in the first place, the vasomotor centres. It stimulates the constrictors, as well as the vasodilators; but when the extract is present in the blood in a sufficient dose, it favors constriction, which sets in quite abruptly and develops rapidly. The further continuation of the constriction is possibly also supported by the stimulation of the peripheral mechanism. When, after a few minutes, the dose of the extract within the blood becomes diminished, the stimulation of vasodilatation is now favored, and the constriction therefore soon disappears, giving way in some places even to some degree of vasodilatation. In the absence of central innervation, the vasoconstriction is accomplished by the pe- ripheral mechanisms, which react more slowly to stimulation by the extract, but whose final constricting effect lasts for a considerable time, since it cannot be interrupted by a central vasodilatation. ’ MUSCULAR CONTRACTION AND THE VENOUS BLOOD-FLOW. By R. BURTON-OPITZ. [From the Physiological Laboratory of Columbia University, College of Physicians and Surgeons, New York.]| WO distinct groups of variations in the venous blood-flow are recognizable. The first group embraces those variations in the blood-volume which occur periodically, either with the changes in intra-auricular pressure during each cardiac cycle, or with the changes in intra-thoracic pressure during each respiratory phase.! The second group embodies all those variations which are dependent upon acci- dental, mechanical causes and do not appear at regular intervals. The latter may therefore be termed “irregular” variations. Leaving out of consideration those obvious changes in the venous flow which result from external mechanical influences, the present paper deals with only the most important class of variations of the latter type ; namely, with those produced by the contraction of skeletal muscles. Briefly outlined, the method consisted in determining quantita- tively the volume of the blood-flow, first under normal conditions and subsequently during the different stages of muscular contraction. The femoral vein was used in these experiments, because this vessel is easily isolated and drains a complex of muscles, the nerves of which are readily accessible to the electrodes. The blood-volume was measured by means of Hiirthle’s recording stromuhr.? The experiments were performed on medium-sized dogs in mor- phine-ether narcosis. The nerves of the posterior extremity to be experimented on were previously placed in covered electrodes. The sciatic nerve was exposed where it leaves the pelvis, the obturator nerve as it passes across the median surface of the adductor femoralis magnus muscle, and the “crural” nerve at some point of its course along the femoral vessels (saphenous nerve). 1 BuRTON-OPITZ, R: This journal, 1902, vii, pp. 435-459. ? HURTHLE, C.: Compte rendu du cinquiéme congrés international de physio- logie, Turin, 1901; A short description of this instrument is also given in the paper cited previously. 161 162 R. Burton- Opitz. The animal was placed upon its back with the posterior extremities slightly flexed and abducted. The toes of the leg experimented on were loosely fastened to a flexible rod. , The femoral vein was isolated from the groin down to the entrance of the vena femoralis posterior superior. In this preparation a very small vein, draining the fatty tissue below the groin, was destroyed. When present, another small vein entering the main vessel nearly opposite the latter was ligated, but those veins found in the immediate neighborhood of the groin were compressed only during the insertion of the stromuhr. The stromuhr, filled with a warm normal saline solution, was placed vertically. Its central cannula came to lie close to the small veins near the groin, while its peripheral cannula remained at some distance from the orifice of the vena femoralis posterior superior. In those experiments in which the effect of compression of the femoral artery on the blood-flow in the corresponding vein was tried, the artery was placed in a ligature opposite the central cannula of the stromuhr; z.e., about three centimetres below the groin. The artery was raised and compressed between the forceps. Compression of the femoral vein, peripherally to the orifice of the vena femoralis posterior superior, was also employod. The latter vein drains the largest mass of the gracilis muscle, and thus, by stimu- lating the obturator nerve, the effect of the contraction of a single muscle on the venous blood-flow could be determined. Upon the smoked paper of the kymograph were recorded the curve of the blood-flow and the time-curve, written by a Jaquet chronometer in fifths of seconds. The latter record served at the same time as the abscissa of the former. The duration of the stimulation of nerves was marked by an electro-magnetic signal. The respiratory movements were recorded by a tambour communicating with the left pleural cavity. In most of the experiments the venous pressure was also recorded. For this purpose Hiirthle’s venous manometer was connected by means of a T tube with the periph- eral cannula of the stromuhr. The pressure was therefore recorded between the muscles and the instrument. THE NORMAL FLOW IN THE FEMORAL VEIN. It seems advisable to consider first the normal volume of the blood- flow and subsequently the changes which result in consequence of Muscular Contraction and the Venous Blood-Flow. 163 muscular contraction. The average value being obtained, a more ready comparison can be made between the normal blood-flow and the flow during a muscular contraction. The lever of the recording stromuhr of Hiirthle writes a continuous curve, composed of upward and downward phases. The writing lever passes in the former direction, if the piston in the central cylinder is driven downward by the blood entering through the opening in the roof of the stromuhr. But if by turning the disc below the floor of the instrument, the blood is forced into the lower part of the cylinder, the piston travels upward and the writing lever records in this case a curve from above downward. In Tables I to IX the value of the blood-stream is calculated for about one half the total number of phases of each experiment. The duration of each phase and the total quantity of blood propelled dur- ing this time having been obtained, these values were reduced to cubic centimetres per second. The latter figures were then employed in calculating the average value of the blood-stream for each experiment. In order to avoid all errors due to coagulation only about twenty phases were included in the calculation, a number sufficient to obtain a good average. Those variations in the curve, dependent upon the cardiac and respiratory activity,! were wholly disregarded; only the duration and height. of the entire phase were measured. As those phases during which compression of the femoral artery was resorted to, would have necessitated a different arrangement of the tables, they are inserted separately after the experiments to which they belong. Those phases, during which stimulation of the nerves of the posterior extremity was tried, are indicated in the tables, but will be considered separately in a later chapter. The last four experi- ments of this series show the effect of nerve-section on the blood-flow in this particular vein. A sufficient number of normal phases having been recorded, the nerves enumerated above were quickly divided with the scissors, and another series of phases written. The other details, it seems to me, can easily be derived from Tables I to IX. 1 Even at such a great distance from the heart the cardiac variations in the blood-flow were often very conspicuous, but naturally their amplitude is less here than in the external jugular vein. The same may be said regarding the respiratory variations. Weight of dog, 16} kilos. Duration of phase in seconds. R. Burton- Opitz. TABLE Total vol. of blood dur- ing phase. Gc: I. EXPERIMENT I. Volume. c.c. per second. Left femoral vein used. Remarks. Now 0 oot ©) Wo. WC. Mo. I SL ao | nunt wWwWnde OC mw we d& WH SN = Del 5.0 8.6 7.9 12 8.0 7.0 8.3 Ue) 8.0 8.2 STi Shi 7.2 7.8 8.2 8.1 7.2, 8.7 8.3 72 8.0 8.5 6.9 9.0 §.1 8.0 8.3 78 1.59 1.44 1.01 1.05 1.00 1.00 1.21 0.83 1.14 1.00 0.98 1.00 0.91 ae 1.06 0.95 Compression of femoral artery. Compression of femoral artery. Compression of femoral artery. Stimulation of sciatic nerve, tetanic > current. Compression of femoral artery. EXPERIMENT I, Highest value, 1.59; lowest value, 0.83; average value, 1.08 c.c. per sec. Compression of the femoral artery. | Duration of | compres- sion in seconds. Total quan- tity of blood during com- pression. c.c. per second. Volume. Average value. Cicapen second. Dee 12.1 11.6 6.7 Av. value of normal blood-flow. c.c. per second. Decreases during com- pression. Per cent. Muscular Contraction and the Venous Blood-Flow. 165 TABLE II. EXPERIMENT II. Weight of dog, 13 kilos. Left femoral vein used. 2 Total vol. Duration of aeiicatdue: Volume. phase in c.c. per Remarks. ing phase. seconds. &P second. c.C. 6.0 | 0.83 10.8 0.75 WES 0.87 ee 56 Compression of femoral artery. 10.1 0.79 10.8 0.72 9.0 0.66 OoaNA nA fPW NY 5¢ ac Compression of femoral artery. 9.0 0.72 Compression of femoral vein. Stimulation of obturator nerve, tetanic current. Compression of femoral vein. Stimulation of obturator nerve, tetanic current. 1S 14.5 13.6 13:9 15.9 Stimulation of sciatic nerve, tetanic current. 13.6 ZS Highest value, 0.88; lowest value, 0.66; average value, 0.77 c.c. per sec. EXPERIMENT II. Compression of femoral artery. . | Total vol. : Av. value No.of iene of blood dur-| Volume. eee of normal phase he cs ing com- c.c. per eanye! blood-flow. : pression. second. ae? ic per seconds. sec s C.c. ond second. Decrease during com- pression. Per cent. 8.1 1.3 0.16 10.7 2.2 0.20 0.18 0.77 166 R. Burton-Opitz. TABLE III. EXPERIMENT III. Weight of dog, 14 kilos. Right femoral vein used. : Total vol. of Nipcot Duration blood during Volume. hack of phase in iece G6. per Remarks. pnase- | seconds. eae ; second. 1 19.6 11.8 0.60 2 20.5 11.6 0.56 3 56 Dit ar Compression of femoral artery. 4 17.5 Valet 0.63 5 17.0 Weal 0.71 6 16.0 92 7a ae 5 e Compression of femoral vein. 7b we xe 5G Stimulation of obturator nerve, single induction. 15.0 8.7 0.58 9 14.3 10.5 0.73 10 18.7 ore 0.49 1 ais He or Stimulation of sciatic nerve, sin- gle induction. We 16.1 11.0 0.68 13 16.9 11.9 0.70 14 i ae = Stimulation of sciatic nerve, sin- gle induction. 15 14.0 10.9 0.77 16 15.3 O7 0.63 l7a Compression of femoral vein. 17b Stimulation of obturator nerve, tetanic current. 18 18.2 10.6 0.58 19 17.2 10.0 0.57 20 fe Be ae Compression of femoral artery. 21 we Be a Stimulation of sciatic nerve, te- tanic current. 22 | e: | - 3 Compression of femoral artery. Highest value, 0.77; lowest value, 0.49; average value, 0.63 c.c. per sec. BS SOR aS | EXPERIMENT III. Compression of femoral artery. Duration | Total vol. of Volu Average Av. value | Decrease No. of | of compres- | blood during é ng value. of normal | dur. com- phase. sion in compression. sag Cie anelG blood-flow. | pression. seconds. CG. Saas second. ¢.c. per sec. | Per cents 3 5.2 1.3 0.25 20 5.4 1.4 0.26 0.23 0.63 63 22 5.3 ial 0.20 Muscular Contraction and the Venous Blood-Fiow. 167 TABLE IV. EXPERIMENT IV. Weight of dog, 12} kilos. Left femoral vein used. Total vol. of blood during phase. Ch Volume. eicy per Remarks. second. Duration of phase in seconds. 14.0 Dull 0.65 11.8 9.6 0.81 te 38 as Compression of femoral artery. 11.5 9.6 0.83 11.6 8.2 0.70 Compression of femoral vein. Stimulation of obturator nerve, single induction. Stimulation of sciatic nerve, sin- gle induction. Stimulation of sciatic nerve, sin- gle induction. Stimulation of sciatic nerve, te- tanic current. Stimulation of sciatic nerve, te- tanic current. | Compression of femoral vein. Stimulation of obturator nerve, tetanic current. A 0.77 Highest value, 0.87; lowest value, 0.64; average value, 0.73 c.c. per sec. EXPERIMENT IV. Compression of femoral artery. Volume Aserace Av. value | Decrease : 8 of normal | dur. com- oe tier Al blood-flow. | pression. : ag ame .cpermSeem|bercents Duration | Total vol. of No. of | of compres- | blood during phase. sion in compression. seconds. c.Cc. 3.2 : 0.73 71 168 LR. Burton- Opitz. TABLE V. EXPERIMENT V-. Weight of dog, 17 kilos. Right femoral vein used. Pacneon Total volume No. of ‘ of blood Volume. : of phase in cp 2 phase. secre during phase. | C.c. per sec. : Ge: Remarks. Tell Stimulation of sciatic nerve, single induction. Stimulation of sciatic nerve, | single induction. Stimulation of sciatic nerve, single induction. Highest value, 1.38; lowest value, 1.03; average value, 1.18 c.c. per sec. Muscular Contraction and the Venous Blood-Flow. 169 TABLE VI. EXPERIMENT VI. Weight of dog, 14} kilos. Left femoral vein used. RGration | Total volume | of blood Volume. of phase in | during phase c.c. per sec seconds. a ae see ERI SES: Remarks. 5.6 8.5 6.9 Stimulation of sciatic nerve, tetanic current. IWASEL 10.0 1.09 Normal flow: value, 1.29; lowest value, 0.79; average value, 1.06 c.c. per sec. 16-17 50 ne ais Sciatic, obturator, and crural nerves cut. 18 19 20 2) 12.0 11.6 EA: 11.6 Flow after nerve-section: highest value, 4.0; lowest value, 2.4; average value, 3.1 C.c. per Sec. 170 12 Normal flow: R. Burton- Opitz. TABLE VIE Weight of dog, 12 kilos. Duration of phase in seconds. 20.9 6.4 6.4 ab Total volume of blood during phase. C.C. 10.8 highest value, 0.68; low | EXPERIMENT VII. Left femoral vein used. 0.52 0.49 0.58 0.68 0.56 0.46 0.55 0.62 0.51 Volume. c.c. per sec. est value, 0.46; Remarks. Stimulation of sciatic and ob- turator nerves, tetanic. Stimulation of obturator nerve, tetanic. Stimulation of sciatic and obturator nerves, tetanic. average value, 0.55 C.c. per sec. | Sciatic and obturator nerves cut. Flow after nerve-section: highest value, 1.76; lowest value, 1.26; average value, 1.46 c.c. per sec. Muscular Contraction and the Venous Blood-Flow. 171 TABLE VIII. EXPERIMENT VIII. Weight of dog, 18 kilos. Left femoral vein used. Duration Total volume eo of blood Volume. of phase in ; phase. Aga during phase. | c.c. per sec. >. CC: Remarks. Stimulation of nerves, sin- gle induction. st ss 1.01 8.3 11.4 37) Normal flow: highest value, 1.56; lowest value, 1.01; average value, 1.20 c.c. per sec. 16-18 ae ae | Dr | Sciatic, obturator, and crural nerves cut. 1k, Flow. after nerve-section: highest value, 3.73; lowest value, 2.92; average value, 3.20 c.c. per sec. 172 R. Burton-Opitz. TABLE IX. EXPERIMENT IX. Weight of dog, 11 kilos. Right femoral vein used. uate Total volume No. of | of blood Volume. | of phase in . phase. es during phase. | c.c. per sec. : c.c. ‘ Remarks. o% Stim. of sciaticand obturator nerves, tetanic current. 0 10.8 0.49 4 12.0 0.47 | Normal flow: highest value, 0.60; lowest value, 0.46; average value, 0.50 c.c. per sec. 8-9 os Ss ee Sciatic and obturator nerves cut, 10 | | 10.8 | 1.47 Flow after nerve section: highest value, 1.74; lowest value, 1.35; average value, 1.58 c.c. per sec. The most important facts derived from Tables I to IX are more comprehensively arranged in Table X. This outline, however, also includes the velocity of the blood-stream for five of the experiments, this value being given in millimetres per second. In obtaining the internal diameter of the vein, necessary in this calculation, I have again employed the method which Tschuewsky ! ' TscHuEwsky, F. A.: O Kposocnaésaenin Orgbabnxb Opranoss (On the blood- supply of several organs), Charkow, Igo2. Muscular Contraction and the Venous Blood-Flow. 173 made use of in his investigation on the blood-flow in different arteries. Although far from being exact, it was the most suitable for these experiments. The outside diameter of the vein having been deter- mined by means of calipers, the vein was lightly compressed between two narrow plates of glass. The thickness of the glass-plates being deducted from this measurement gives the thickness of the vessel wall, which in turn is deducted from the outside diameter of the vein. TABLE X. THE FLOW OF THE BLOOD IN THE FEMORAL VEIN. Weight of dog. Kilos. Experiment. Normal volume of blood Volume during compression of | femoral artery. Per cent of decrease during compression. Volume after section of nerves. C.c. per sec. Increase C. times A. Internal diameter of vein in mm. Velocity of blood stream. mm. per sec. io) oy oO Ay. values. | Among the conclusions derived from the preceding table the fol- lowing may be emphasized. We observe first that in spite of the large calibre of the vein, the blood-volume is rather small. It varies from 0.50 c.c. per second in a dog, weighing 11 kilos, to 1.20 c.c. per second in a dog, weighing 18 kilos. The average value of the blood- flow, as obtained in the above nine experiments, is 0.85 c.c. per second ; the average weight, 14.2 kilos. Although the correspondence between the weight of the animal and the blood-volume is not brought out very strikingly in these ex- 174 R. Burton-Opitz. periments, the table at least strongly suggests that in general the volume of the blood-flow increases and decreases in proportion to the weight of the animal. If a comparison is made between the volume of the blood-stream in the femoral and that in the external jugular vein, it is found that the former is considerably smaller. The eight experiments! which I made to determine the normal quantity of blood in the right external jugular vein, gave the average value of 2.03 c.c. per second. The femoral vein, therefore, carries less than one half this amount of blood. It cannot be assumed that this difference in the blood-volume of the veins under consideration is due to corresponding differences in body-weight, because the average weight of the animals used in deter- mining the blood-flow in the external jugular vein was 12 kilos, while that of the dogs used in the present experiments is 14.2 kilos. Al- though smaller than the external jugular, the lumen of the femoral vein is of considerable size, at least its large internal diameter is not proportionate to the small quantity of blood traversing this vessel. In the pamphlet referred to previously Tschuewsky gives a series of experiments on the blood-flow in the femoral artery. The average value of the blood-volume in seven dogs, ranging in weight from 12.5 to 14.5 kilos, is 0.63 c.c. per second. Two other dogs, weighing 37.0 and 51.0 kilos respectively, showed a flow of 1.2 c.c. and 1.0 c.c. per second. If the average value for the venous flow (0.85 c.c. per second) is compared with that of the arterial (0.65 c.c. per second), it is found to be slightly greater. The difference, amounting to only 0.2 c.c. per second, could easily be explained by referring to the dif- ferences in the weight of the dogs; those used in the present experi- ments being the heavier. However, it is also noticed that in the vein the maximal value of 1.0-1.2 c.c. per second was obtained already in dogs weighing only 16 to 18 kilos. These facts suggest that even normally the volume of blood traversing the vein is slightly greater than that of the corresponding artery. It is, however, not absolutely correct to draw these conclusions from two different sets of experi- ments, or animals. In support of the previous statement the following fact might be cited: If the femoral artery is compressed opposite the stromuhr, the blood-flow in the vein does not cease completely. The quantity of ‘ BurTON-Opitz: This journal, 1902, vii, Experiments 1 to 5, on page 439; Experiment 2, on page 441; and Experiments 1 and 2, on page 442. Muscular Contraction and the Venous Blood-Flow. 175 blood still propelled must therefore reach this vein in an indirect way by means of anastomosing vessels. It is possible that even normally a slight quantity of blood reaches the vein in this manner. The reduction in the volume of the blood-stream, produced by the procedure just mentioned, is not uniform. In the experiments given above the decrease varied from 63 to 90 per cent. In another experi- ment not inserted above, because the record was accidentally de- stroyed, the decrease amounted to only 51 per cent. Thus, the compression caused in this case a reduction in the blood-flow of only about one half its former volume. From what has been said regarding the normal blood-flow and the diameter of the femoral vein, it can readily be concluded that the velocity of the current is very slight. The five experiments inserted above have given an average value of 61.6 mm. per second. If the velocity of the venous current is compared with that in the corre- sponding artery (134.4 mm. per second)! it is found to be about one half as great. After section of the nerves innervating the posterior extremity, the phases written by the lever of the stromuhr immediately became much steeper, indicating thereby that a greater quantity of blood traversed the vein. In the Experiments VI to IX in which this pro- cedure was tried the resulting flow was from 2.6 to 3.1 times greater - than the normal (average 2.8 times greater). A comparison between the quantitative determinations of the venous and arterial blood-flow shows that the insertion of the stromuhr into a vein is not such a serious procedure as might be supposed at first. At least, if any impediment to the venous circulation is produced thereby, it is not greater than that which results if this instrument is placed in an artery. THE CHANGES IN THE NORMAL FLOW PRODUCED BY MUSCULAR CONTRACTIONS. Tetanic current. — In the preceding paragraphs we have determined the volume of the blood-flow when the muscles of the posterior ex- tremity are at rest. The present chapter contains a consideration of those changes in the blood-flow which ensue when muscular contrac- tions occur. 1 See TSCHUEWSKY’s paper, page 76. 176 R. Burton- Opitz. The sciatic and obturator nerves were stimulated while the curve of the blood-flow was being written. The stimulation was confined to one, or included both the nerves enumerated. Both tetanic and single induced currents were used, their strength being varied so as to produce either a strong, or a medium muscular contraction. The phases during which stimulation of the nerves was resorted to are indicated in the tables inserted previously. Whether only one or both nerves were stimulated, the general characteristics of the variation in the blood-flow remained always the same for each kind of stimulus. Changes in the intensity of the cur- NEG. PRESS L.PLEUD. CAVITY IRA pnnnamnu TIME % SEC. FLOW OF BLOOD FEMORAL VEIN mre rnpeoeeniergi erin eaierent —s FicurE 1.— Two-thirds the original size. Variation in the venous blood-flow during a tetanic muscular contraction. rent also produced no alterations in the general outline of the curve. The only difference noticed under all conditions was merely one of one degree ; z. ¢., the more nerves stimulated and the stronger the current, the more evident was the variation in the blood-flow. It seems advisable to consider first the details of a variation pro- duced by a tetanic muscular contraction. For this purpose Fig. 1 is inserted in this place. A tetanizing current of medium strength (dis- tance of coils, 13 cm.) was in this case applied to the sciatic nerve; duration of stimulation, about six seconds. We observe immediately that the curve of the blood-flow (from a’ Muscular Contraction and the Venous Blood-Flow. 177 to a) becomes very steep at a, suggesting thereby that a great in- crease in the volume of the blood-stream has taken place. When the ordinates are compared, this point is found to correspond with the moment of stimulation. At 4 the opposite effect is noticeable. The decrease in the flow beginning here continues to c, to the mo- ment of breaking the current. Furthermore, it is evident that the flow becomes greater than normal immediately on discontinuing the stimulation; the curve showing for a brief period a greater incline than the normal (¢c to d). Eventually, however, the blood-flow returns to its normal value. The period of great onward movement, occurring after the applica- tion of the current (a to 4), is therefore synchronous with the period of muscular shortening. It is noticed, moreover, that the quantity of blood forced into the vein is greater during the first part of this period than during its latter half, when the muscles have nearly reached their maximal degree of contraction. Apparently, this increase in the blood-volume is due solely to the pressure of the contracting muscular substance upon the mass of blood contained in its vessels. As soon as the point of maximal shortening has been reached (0) the curve inclines strongly toward the abscissa, indicating thereby that the blood-flow is less than normal (6 toc). The decrease in the flow is most conspicuous during the first part of this period, while, if the stimulation is continued for a longer time, a slight and gradual increase above the previous value is noticeable during its latter half. This slight rise becomes the more evident, the longer the muscles are kept in the contracted state. The tetanic muscle therefore is an obstacle to the blood-flow, but when in the course of a longer stimu- lation the muscle becomes relaxed by fatigue, a steadily increasing quantity of blood is enabled to pass. The complete relaxation of the muscles on breaking the current is followed by a brief period of increased venous flow (c to @), after which the normal value is again slowly established. Considered quantita- tively, this gush-like rise, after removing the hindrance to the blood- flow, is always much smaller than that occurring during the shortening of the muscles (a to 6). The entire variation in the venous blood-flow produced by a tetanic muscular contraction may therefore be divided into the following phases: 1. Period of great flow, synchronous with the muscular shortening B(@.fo0). 178 R. Burton-Opitz. 2. Period of slight flow, continuing during the contracted state of the muscle (4 toc). 3. Short period of increased flow, following the relaxation of the muscle (¢ to @). The question how the venous blood-flow is altered by a tetanic muscular contraction has previously been investigated by Sadler! and subsequently by Gaskell. The latter author enlarged upon the work of the former by bringing the changes in the blood-volume into rela- tion with the alterations in the form of the muscle. He isolated the vein, draining the largest mass of the musculus vasti and musculus cruralis and measured by a special device the quantity of blood escap- ing from this vessel, before and during the contraction of the muscles mentioned. As far as the general characteristics of the changes observed by Gaskell are concerned, the results obtained by means of the stromuhr completely substantiate those found by the method just cited. To show that the retardation of the blood-stream following the maximal muscular shortening (0 to c) is not due to the compression of the larger vessels between the entire complex of muscles, but is caused by mechanical obstacles within each muscle, the following experiment was repeatedly tried. Both the arterial and venous trunks were isolated from all surrounding tissues from the groin downward to the musculus gracilis. The femoral vein was then compressed peripherally to the orifice of the vena musculus gracilis, so that the stromuhr recorded only the flow through this vessel. The musculus gracilis was tetanized by stimulation of the obturator nerve. The variations in the blood-flow accompanying the tetanization of the gracilis muscle showed under these conditions the same outline as those obtained when the total quantity of blood was measured during the contraction of the entire posterior extremity. However, as the volume of blood was in this case much smaller, it naturally follows that the amplitude of the variations was much less. In localizing the obstruction to the blood-flow within the muscle the observations of Heilemann? prove very suggestive. This author studied the circulation in the musculus submaxillaris of the frog under ‘ SADLER, W.: Arbeiten aus dem physiologischen Institute zu Leipzig, 1869, pp- 77-100. * GASKELL, W. H.: Arbeiten aus dem physiologischen Institute zu Leipzig, 1877, pp. 45-88. * HEILEMANN, H.: Archiv fiir Anatomie und Physiologie, 1902, pp. 45-53. Muscular Contraction and the Venous Blood-Flow. 179 the microscope. On tetanizing, or on stimulating this muscle by single induction shocks, he found that the flow was greatly retarded in those fine anastomosing venules which pass between the muscular fibres and parallel to them. Even a complete cessation of flow was observed at times, and if a strong tetanic current was used, an oscil- lating motion and even a backward movement of the column of blood resulted. Differences in the force of the muscular contraction do not alter the general character of the curve. This statement is illustrated by N. PR.L.PLEUR. CAVITY DNA) AANAAIAII TIME % SEC. FLOW OF BLOOD FEMORAL VEIN E.M. SIGNAL Bi ein ied Cc Ai ae c ——— = Te Ficure 2.— Two-thirds the original size. Two successive variations showing different amplitude (tetanic muscular contraction). Fig. 2. In this case two brief tetanic contractions of different strength were produced in quick succession. The sciatic nerve was stimulated first with a current of medium strength (distance of coils, 15 cm.) and subsequently with a strong current (distance of coils, 7 cm.) We observe immediately that, although the details of the curve are the same in both cases, the changes in the blood-flow are more deci- sive during the strong muscular contraction. The rise of the curve on making the current (at a) is more sudden, steeper, and higher in the latter instance; which indicates that the volume of blood pro- 180 R. Burton-Opits. pelled during the shortening of the strongly contractec muscle is proportionately greater. The maximal shortening having been reached (at 0), tue curve in- clines more strongly toward the abscissa in the latter case; the blood- flow is therefore more effectively retarded by the strongly contracted muscle (4 to c). Whether a cessation of flow can be produced by a proportionate increase in the strength of the stimulation could not be determined with accuracy, because under these conditions the mus- cular movements were so forcible that the stromuhr was shifted out ABER Sa: THE CHANGES IN THE BLOOD-FLOW DURING A TETANIC MUSCULAR CONTRACTION. Taken from | exp. Nerves stimulated. Flow during Normal blood-flow. Strength of current. Dist. of coils cm. Duration of stimulation in seconds. c.c. per sec. period of muse. shortening. c.c. per-sec. Flow during tetanic state of muscle. C.c. per sec. Flow after musc. relax- c.c. per sec. — eal Oo eal bo I sciatic sr = ON —_ i=) { sciatic ) obturator “cc of its normal position. The strongest stimulus applied was: distance of coils, 6 cm.; two dry cells. The after-effect of the tetanic contraction, consisting in the brief rise above the normal value of the blood-flow (c to @), was generally more conspicuous after the application of a strong current. In the curve now under consideration this period of increased flow is well marked in both instances, but a decided quantitative difference is not evident. Muscular Contraction and the Venous Blood-Flow. 181 To show in a general way the pronounced differences in the blood- volume during the three principal phases of a tetanic muscular con- traction, a ndmber of these variations have been calculated, as closely as this is possible, in terms of cubic centimetres per second. The periods measured are marked in the preceding figures by the letters wero, 0 to co and. cto d. Table XI also contains four instances in which the weak stimulation was followed by a stronger stimulation. The greater prominence of the changes resulting under these conditions (see Fig. 2) is clearly betrayed by these quantitative determinations. The pressure-changes in the femoral vein, occurring during the tetanic contraction of the muscles of the posterior extremity, were re- corded in most of the above experiments by means of a Hiirthle’s membrane-manometer (venous). This instrument, as stated before, recorded the pressure peripherally to the stromuhr. On tetanizing the muscles the pressure quickly rose some millimetres above the normal value. At about point J of Figs. 1 and 2 the pres- sure decreased almost as rapidly as it had risen and kept subsequently very close to zero, falling generally even below the abscissa during the strong tetanic contraction. After the relaxation of the muscles the pressure remained slightly above normal for some time. If the tetanization was continued for a longer time, the pressure began to rise even before the break of the current. The pressure-changes were also recorded in several separate exper- iments -by means of a soda-manometer (sodium carbonate solution, specific gravity, 1.080) connected with the femoral vein by means of aT tube. A float was not used, the values being obtained by read- ing. The sciatic nerve was stimulated. As is shown in Table XII, the pressure rapidly rose two to five mm. Hg above normal during the muscular shortening (a to 3). The end of this period having been reached (at 0), the pressure again decreased almost as quickly, assuming a value slightly below normal during the first part of the tetanization. Subsequently it gradually rose, remaining slightly elevated for a short time after the relaxation. The only difference in the results of the former and latter methods consists therefore in the height of the pressure during the second period, the period of decreased flow (4 to c). The soda-manometer indicated that the pressure does not drop to zero, but remains a few millimetres above the abscissa, which, it seems to me, is the correct result. 182 R. Burton-Opitz. Table XII, shows, moreover, that a stronger tetanization causes a greater rise in pressure during the period-of great flow, muscular shortening (a to 6). We have seen previously that under these conditions the blood-volume during the second period (0 to c) is even more highly reduced; however, a correspondingly greater fall in pres- sure during this period could not be ascertained definitely, because the differences were so very slight. TRACBIEE well THE CHANGES IN PRESSURE IN THE FEMORAL VEIN DURING A TETANIC MUSCULAR CONTRACTION. (The corresponding values in mm. Hg are placed in brackets.) | Pressure at Pressure Normal end of period during pressure, of muscular | contr. state Pressure at relaxation of muscle. bonate. Mm. sod. car-|. Mm. sod. wis sod. car- onate. coils. (Mm. Hg.) bonate. carbonate. cm. (Mm. Hg.) |(Mm. Hg) | (“!™ He) Strength | of stim- | ulus, Distror Mm. sod. car-| shortening. of muscle. Duration of contr. in sec. Experiment. Wt. of dog. Kilos 78[6.2] 100[7.9] 70[5 5] 78+[6 2+] 98[7.7] 140f11.1] 88[7.0] 110[8.7] 65[5.1] 112[8.9] 55[4.3] 78[6.2] 132[10.5] 60[4.7] 80[6.3] 145[11.5] 60[4.7] 80[6.3] 85[6.7] 58[4.6] 62+[4.9+] Single induced current. — If single induction shocks are used, the variations in the blood-flow accompanying the muscular twitches, show a somewhat different outline. Fig. 3 may serve to illustrate the general character of the varia- tions obtained under these conditions. The sciatic nerve was stimu- lated in this instance with a current of medium strength, distance of coils, 10 cm, } Both the make (@) and the break (c) of the current are followed by a considerable increase in the blood-volume which continues during the entire periods of rising energy of the muscles (a to 6 and ¢ to @). Furthermore, this rise is directly proportionate to the strength of the stimulus, and therefore also to the force of the muscular contrac- tion. The stronger the twitch, the more conspicuous is the increase in the venous blood-flow. Muscular Contraction and the Venous Blood-Flow. 183 During the second period, 7. ¢., while the current is passing, the blood-volume is not reduced as during the tetanization of the muscles, but remains normal. The blood-flow resumes its normal value imme- diately after the rise occurring during the make-contraction (a to 4), and retains it until the break-twitch causes another period of increased flow (c to d). Subsequent to the latter rise the blood-flow imme- diately returns to normal. The fact that the blood-volume is not reduced while the current passes, greatly influences the total quantity of blood propelled in a pees es il Sie SIGNAL A C FLOW OF BLOOD FEMORAL VEIN TIME Ys SEC. as ae ie ca mbanet Nemaees uaa was eee Cc A C V. PRESSURE i} poe = J Ww FiGuRE 3.— Two-thirds the original size. Variation in venous blood-flow accompanying single muscular twitches (a, make, c, break of current). given time. To illustrate: supposing the stromuhr has written three successive phases of the same length. In the first phase only the normal blood-flow is recorded. During the second phase a strong te- tanic contraction has been produced, while during the third a single induced current of equal strength and duration has been applied. In 184 R. Burton- Opitz. the second case it will be found that the total quantity of blood pro pelled during the phase is considerably less than the normal volume. The decrease will be the greater, the longer the duration of the tetani- zation and the stronger the current. Even if the blood-flow is greatly increased by the muscular shortening, the reduction in the blood- volume during the contracted state of the muscle far outweighs the former effect. In the third case, on the other hand, the total quan- tity will be greater than normal, the increase being proportionate to the volume of blood propelled during the rising periods of the mus- cular twitches. The greatest increase in the venous blood-flow is therefore produced by a series of single muscular twitches. The same result can be ob- tained by successive tetanic contractions, but their duration must be very brief, so that only the quantitative effect of the period of muscular shortening can become evident. If continued for a long time, the retarcation of the flow during the tetanic state of the muscle will naturally cause a decided decrease in the total quantity of blood propelled. SUMMARY. 1. The value of the blood-flow measured in nine dogs varied from 0.50 c.c. per second to 1.20 c.c. per second. The average flow was 0.85 c.c. per second; average weight of dog, 14.2 kilos. 2. The velocity of the blood-stream varied from 48.5 mm. per sec- ond to 74.7 mm. per second; average velocity, 61.6 mm. per second. 3. Compression of the femoral artery caused a reduction in the blood-volume of from 63 to 90 per cent; average decrease, 75 per cent. 4. Section of the nerves innervating the posterior extremity was followed by an increase in the blood-volume of from 2.6 to 3.1 times the normal value; average increase, 2.8 times. 5. The variations in the venous blood-flow accompanying a tetanic muscular contraction may be divided into three periods: — 1. Period of great flow, synchronous with the muscular shortening. 2. Period of slight flow, continuing during the contracted state of the muscle. 3. Short period of increased flow, following the relaxation of the muscle. Differences in the force of the muscular contraction do not alter the Muscular Contraction and the Venous Blood-Flow. 185 general character of the variation, but only cause changes in the amplitude of its various details. 6. If single induction shocks are used, a great increase in the flow results during the periods of rising energy of the muscle. Between the twitches the blood-flow resumes its normal value. 7. The venous pressure changes during a tetanic contraction in a corresponding manner. There is a quick rise during the muscular shortening and an almost equally rapid fall after the maximal con- traction has been reached. During the first part of the tetanization, the pressure remains slightly below normal, while during its latter part the pressure gradually rises and continues slightly above normal for a short time after the relaxation of the muscle. is © al Ne Fi i y : “we , 7 ' +) ai Ni sacaaubhe allg athe eee ot Hitow , 1 i. At ‘ tia") US Apt, oo ine if 4 Ab) Te ' a ; “ ta y’ ’ q Pr or * Mer t tS THE INFLUENCE OF FORMALDEHYDE ON THE ACTION OF CERTAIN LAKING AGENTS AND ON COAGULATION -OF -BEOOD: By CHARLES CLAUDE GUTHRIE. [From the Physiological Laboratories of the University of Chicago and Western Reserve University. | ie has been shown by Dr. G. N. Stewart, ! that where formaldehyde is added to blood in sufficient amount to cause ultimately complete fixation of the corpuscles, laking can be brought about by various hemolytic agents, including saponin, for a certain period after the addition of formaldehyde. The length of this period and the com- pleteness of the laking depend, of course, on the amount of formal- dehyde added, as well as on the strength of the laking agent. At his suggestion I undertook a series of experiments to determine for how long a period blood-corpuscles still remain susceptible to the action of haemolytic agents after the addition of smaller amounts of formaldehyde than were employed by him, and in particular to de- termine whether such quantities of formaldehyde as were just neces- sary to prevent putrefaction of the blood would exert a restraining influence on the action of laking agents. If this question should be answered in the affirmative, it seemed not impossible that a feasible method of preserving blood for hzmolytic tests, at least for several days, might be arrived at, ¢.g. by mixing blood with formaldehyde and potassium oxalate, the former being for the purpose of restraining putrefaction, and the latter, coagulation, —a point of some importance, especially in connection with the investigation of biological hzemoly- sins. The fact that formaldehyde fixation of hamoglobin does not completely prevent the corpuscles from being acted on by some hemolytic agents (¢. g. saponin), since their permeability for electro- lytes is still increased by them, indicates that certain constituents of corpuscles which are related to the laking process are not fixed by formaldehyde. ‘The investigation of the relation between formalde- hyde fixation and laking seems, therefore, calculated to throw light on 1 STEWART; Journal of physiology, 1901, xxvi, p. 470. 187 188 Charles Claude Guthrie. the process of hemolysis. I had already been making some investi- gations on the effects of intravenous injection of formaldehyde, in the course of which certain phenomena were observed which, on being reported to Dr. Stewart, led him to suggest that I should combine with the experiments on the influence of formaldehyde on laking agents, a series of experiments on the action of that substance on coagulation of the blood. This accounts for the manner in which the results are reported in this note. I hope to have an opportunity to return to this subject. The method of procedure was as follows: Test-tubes were graduated in ro c.c. by means of narrow strips of gummed paper, labelled and arranged in series inracks. ‘The reagent to be mixed with the blood was added by means of a pipette, graduated in 0.01 c.c., immediately before adding the blood. The animal which was to furnish the blood was anesthetized with A.C.E. mixture, and a vaselined glass cannula, connected with a piece of vaselined rubber tubing 1o cm. long, was tied in one of the common carotid arteries. The blood was then allowed to flow into the test-tubes up to the graduate mark or as near it as possible, the flow being regu- lated by pressure on the rubber tube with the fingers. The tube was then closed with the thumb, and vigorously shaken to thoroughly mix the contents. ‘The time required to fill a tube and mix the contents was very short, the average of a large number being eleven seconds. All tubes were equally shaken, so that the contents of all might be equally agitated or mixed, as the case might be. The formaldehyde solutions were freshly prepared each time, excepting in the cases noted where solutions several weeks old were used for the purpose of determining their activity. Schering’s formalin, which has been shown by Dr. Torald Sollmann? to contain 39.9 per cent formaldehyde, was added to o.g per cent NaCl in sufficient quantity to make the solutions of the desired strengths. The potassium oxalate solution was prepared by adding the salt to 0.9 per cent NaCl solution in the proper proportion to make 1 per cent solutions. The following are the results obtained: 1. Coagulation is retarded in blood drawn into solutions of for- maldehyde in proportion to the amount of formaldehyde present in the resulting mixture. (Table II.) 2. Formaldehyde in sufficient amount prevents coagulation indefi- nitely, but the amount necessary to do this varies with different animals of the same species. In eight experiments, seven dogs and one rabbit being used, the amount necessary to prevent coagulation ' SOLLMANN: This journal, 1902, vii, footnote, p. 225. Lnfluence of Formaldehyde on Coagulation of Blood. 189 ranged from one part of formaldehyde to 66.6 parts of blood to 1 to 400, and gave an average of 1 to 185.5. That varying amounts are necessary to prevent coagulation in different animals may of course be due in part to variations in the number of corpuscles per cubic centimetre of blood. In making such observations it is necessary to take into account certain possible sources of error. The more common ones are men- tioned below: If to tubes containing equal amounts of formaldehyde, blood be added at intervals, it will be seen that the more blood-clot the blood comes in contact with before flowing into the tube, the shorter the coagulation time will be. This is shown by Table II, Tubes 4, 17, 26, 35, and 47, as well as by a number of other similar experiments. By reference to Tubes 7, 8, 19, 28, 37, 49, and 57, it will be observed that all but one of them (37) showed coagulation in greater or less degree. The coagulation time gradually became longer until this tube was reached, when it began to shorten and continued to become shorter to the end of the series, Tube 57 coagulating in a shorter space of time than the first (7). The reason of this variation in the amount necessary to prevent coagula- tion in different samples of blood from the same animal, is not quite clear. It may be due either to the formaldehyde retarding or preventing coagulation by restraining the formation of fibrin ferment, or by a direct action on already formed fibrin factors. The former explanation seems the more likely, as blood drawn through a tube containing fresh blood clot must contain more fibrin ferment than blood drawn through a clean tube. My experiments on this point are still incomplete. The coagulation time of normal blood is very materially shortened, as is well known, by drawing it through a tube contaminated with fresh blood clot. This is shown by Tubes 1, 10, 20, 30, 40, 50, 58, and 59. In this experiment coagulation was not hastened merely by loss of blood, to any appreciable extent, as shown by Tube 60, which only differed from the tubes enumerated above, in being drawn from the opposite common carotid and through a perfectly clean tube. It will be seen by comparing this tube with 58 and 59, that it required almost four times as long to clot, and slightly longer than 1. It has been shown by Arthus? that coagulation is accelerated by bleeding. It appears, however, that this is not so powerful a factor as contact with clotted blood. Asphyxia is another important factor in retarding coagulation, which is worth while bearing in mind, though if the blood be drawn through a cannula containing clot, the effect is to a great extent lost. ‘This is shown in Tube 1 ArTHUS: Journal de physiologie et de pathologie générale, 1902, iv, p. 283. 190 Charles Claude Guthrie. 61. In one of my experiments, blood drawn by puncturing the right ventricle and allowing the blood to spurt into a test-tube, ten to fifteen minutes after the arterial pressure had fallen to zero (of course, plus residual pressure), from asphyxia, coagulation was delayed for some hours, the corpuscles having settled before it occurred. That the dilution of blood is not sufficient to account for the delays noted on addition of solutions of formaldehyde, is shown by comparing the series 29, 31, 32, and 33 with either of the series occurring just prior or sub- sequent to it. The only difference in this and the two series mentioned is that they contain formaldehyde in the amounts stated in the table, while it consists of mixtures of o.g per cent NaCl and blood only. In the NaCl tubes there is only a slight delay which is accounted for by the dilution. 3. Amounts of formaldehyde too small to prevent coagulation, prevent the clot from advancing beyond a delicate jelly-like stage, for a period proportionate to the amount of formaldehyde present. With amounts below 1 to 1400, contraction very gradually occurs, though 1 to 50,000 markedly delays contraction and prolongs the jelly stage. On washing normal clots and jelly clots, and comparing the result- ing insoluble substances, the normal clot shows for the most part dense masses of fibrin, the fibres of which are easily seen under the microscope, while the formaldehyde clots show brownish granular masses or less gelatinous residues, having no gross or microscopic characters of true fibrin. Treated with Loffler’s methylene blue and examined microscopically, they are seen to be made up of irregular granular masses and leucocytes, and red corpuscles more or less laked. 4. The onset of spontaneous laking! at room temperature is not markedly delayed by small quantities of formaldehyde, but, once begun, it proceeds much more slowly than in normal blood. This is shown by comparing Tubes 1, 10, 20, 30, 40, 50, 58, 59, 60, and 61, with the tubes containing formaldehyde. Larger quantities up to a certain point greatly hasten laking. The amount necessary to fix the cor- puscles with practically no laking varies with different specimens of blood, owing probably to the variations in the number of corpuscles per'c.c. of blood. As a rule, though not always, the amount of for- maldehyde necessary to prevent coagulation also largely prevents laking, the corpuscles settling to the bottom of the vessel and gradu- ally assuming a chocolate-brown color. Corpuscles treated with for- ‘ It has been shown, e. g. by Dr. G. N. STEWART (Journal of physiology, 1899, xxiv, p. 228), that sterile blood lakes when it is allowed to stand. Influence of Formaldehyde on Coagulation of Blood. 191 maldehyde in proportions up to 1 part of blood to 4 parts of I per cent formaldehyde for as much as forty-eight hours, and then washed free from plasma with 0.9 per cent NaCl solution, are slowly but markedly laked by water and solutions of sapotoxin. 6. The influence of formaldehyde on laking by foreign serum was determined in the following manner. (Table I.) Approximately two thirds of the total amount of blood was drawn from a dog, and allowed to clot. 1 per cent solution of formaldehyde in o.g per cent NaCl solution was then injected into a vein in about the proportion of 1 to 1500 of the remaining blood. Five minutes after the completion of the injection, the remainder of the blood was drawn and allowed to clot. Rabbit’s blood was then drawn and defibrinated. All the specimens were then placed on ice and allowed to remain for sixteen hours, when they were removed and the action of formaldehyde studied. Rabbit’s blood and dog’s serum were treated separately with various pro- portions of formaldehyde, for ten minutes, and then mixed with equal amounts of blood or serum, as the case might be, formaldehyde rabbit’s blood being mixed with untreated dog’s serum and vice versa. The mixture of blood and serum was allowed to stand ten minutes, and was then centrifugalized five minutes, and the supernatant serum examined. (a) Rabbit’s blood plus formaldehyde, in the proportion of 1 to 1000, is moderately laked by dog’s serum in the time specified. Larger amounts prevent laking. Blood treated with amounts too small to prevent laking, are laked in proportion to the amount present. (6) Dog’s serum plus formaldehyde in proportion of 1 to 2000 or less, still retains its power of laking rabbit’s corpuscles, the amount of laking depending on the proportion of formaldehyde added. For- maldehyde, in the proportion of 1 to 1000 or above, restrains all laking for the time specified. It will be seen that a smaller amount of formaldehyde will restrain laking when it is added to dog’s serum previous to the mixture of the serum and the rabbit’s blood, than when it is first added to the rabbit’s blood. (c) Serum from blood drawn from the dog after injection of formaldehyde, in the proportion of about 1 to 1500, lakes rabbit’s corpuscles as energetically as serum from blood drawn before the injection. (d@) Mixture of formaldehyde bloods and sera, containing more than enough formaldehyde to prevent biological laking, are rapidly and strongly laked by water or sapotoxin solution in 0.9 per cent NaCl solution. 192 Charles Claude Guthrie. 7. Spectroscopically no obvious change is discoverable in the heemoglobin when formaldehyde is added to blood in the proportion of 1 to 166, after a period of four days, or after the action of smaller amounts for longer periods of time. With amounts adequate to prevent contraction of the clot and putrefaction, the blood shows no obvious spectroscopic change even after the lapse of weeks. 8. Blood can be well preserved for a number of days at room temperature by adding potassium oxalate in sufficient amount to prevent coagulation, and formaldehyde in the proportion of 1 to 1000 to 500 or more, to retard laking and putrefaction. In the series of such tubes given in Table II, Tube 53 showed only a small amount of laking after being kept in a warm room for ten days. On the sub- sequent addition of water, rapid and complete laking occurred. The amount of potassium oxalate necessary to add to blood was found to vary considerably in different dogs. In four experiments, the largest amount required was 1 part to 300 of blood; the smallest, 1 part to 700; the average amount was 1 part to 534. Arthus recommends 3 parts to 1000. Blood to which sufficient potassium oxalate solution has been added to prevent coagulation, after standing some days at room temperature, will frequently be found to have undergone coagulation, as has been pointed out by Schafer." In no case observed by me has this solidification occurred under five days from the time of drawing the blood. In tubes containing a sufficient amount of formaldehyde to prevent clotting, and in tubes containing a sufficient dmount of potassium oxalate to prevent clotting, and to which small amounts of formaldehyde have been added, brownish, and more or less gelatinous precipitates, which float or remain suspended near the surface of the liquid, appear in periods of time, ranging from a few hours to several days (depending on the amount of formaldehyde present). 1 SCHAFER: Text-book of physiology, i, p. 169, footnote 7. L[nfluence of Formaldehyde on Coagulation of Blood. 193 AA SIE)S, 1s Proportion of formal- Time. dehyde Serum Result. to blood acted. or serum. 1% formal- Serum dehyde. Se qus: 1.0 2.0 3c 30 10 min.| Very strongly laked. 0.1 1.0 2.0 10 Less strongly laked. 0.2 1.0 2.0 10 Not laked. 0.3 1.0 2.0 10 0.4 1.0 2.0 10 0.05 2.0 1.0 16 Slightly laked. 0.10 2.0 1.0 10D se Notilalked: 0.15 2.0 1.0 10 a3 e form. 0.5% 0.10 2.0 1.0 10 Strongly laked. 0.05 2.0 1.0 10 More strongly laked. 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PRESSURES. By RUSSELL BURTON-OPITZ. [From the Physiological Laboratory of Columbia University, at the College of Physicians and Surgeons, New YVork.] CONTENTS. Page Normal venous pressure). / sy 5 el cee a ne ae Respiratory variations in venous pressure . .. . . : oo) 2 Ua Changes in venous pressure resulting from certain cepeunieneal precedanee oan eee Effect of compression of the right external jugular vein. . . .... =. . 204 Compression of both carotid arteries= 2). 7. 555) cee Compression of the femoralvartery9 9: ~s)~- ‘= <0) os sneer Effect of stimulation of the vagus’) 02 is) whe. ite | eee ee Changes following section of the vagi . . seis Noes Ne Changes resulting from opening the chest euepended respiracoaae Heiser alos | 2))2) Summary . 2&6 uae Pe eee eh) cee NORMAL VENOUS PRESSURE. N this investigation dogs were used exclusively. They were placed upon their backs with the posterior extremities slightly flexed and abducted. The anterior extremities were fastened against the sides of the chest and forced downward so that, by slightly depressing the shoulder, more easy access could be had to the lower portion of the external jugular vein. The head and neck were brought as nearly as possible to the horizontal plane of the body. All the animals experimented on were anzsthetized with ether. Morphine was given only to the larger animals, and in comparatively small doses. During the recording of the pressures, deep narcosis was avoided. The determinations were made with manometers (4.5 mm. tubing) filled with a concentrated sodium carbonate solution of the specific gravity 1,088. They were connected with the veins by means of T tubes, the horizontal branches of which were very short and of the same diameter as the vein. A stop-cock, interposed between the T tube and the manometer, served to minimize the excursions of the liquid. It need hardly be mentioned that the pressure, recorded in this manner, is the average lateral pressure. The level of the liquid in the different manometers having been brought to that of the corresponding vein, all the clamps were quickly 198 Venous Pressures. 199 removed and the pressures read simultaneously during the next three to five minutes. The average reading was subsequently derived from these data. The pressure was determined in the following veins: ! 1. Left facial vein. 2. Left and right external jugular veins. 3. Superior vena cava, distal portion. 4. Superior vena cava, in the neighborhood of the right auricle. 5. Left and right femoral veins. 6. Left saphenous vein. 7. Right brachial vein. The left facial vein was connected with the manometer peripherally to the superficial laryngeal lymphatic glands, almost opposite the angle of the jaw. The pressure in the external jugular vein was recorded at the point where this vessel leaves the surface and enters deeply into the groove between the neck and the shoulder. A horizontal line drawn through the tip of the manubrium marks the point of insertion of the T tube. In some animals, however, it was necessary to place the tube two or three centimetres above this level, because the shoulders were so prominent that a correct adjustment of the manometer was im- possible. In many of the experiments a catheter was introduced into the right external jugular vein by means of which the pressure was registered in the distal and central portions of the superior vena cava. For the sake of better orientation, the catheter was inserted diagon- ally at first. Having reached the superior vena cava, 27.¢., a point central to the bifurcation of the subclavian veins, a rise in the pressure of the opposite jugular vein resulted, because the catheter interfered with the influx of blood from this vein. The catheter being subse- quently brought into the axis of the superior vena cava by placing it against the side of the neck, the increase in pressure immediately disappeared. The entrance to the right auricle was determined approximately by introducing the catheter, first, into the right ventricle, and subsequently withdrawing it a sufficient distance. Ifa small catheter is used, and the insertion is made in the axis of the superior vena cava, absolutely no change in the level of the liquid in the other manometers results. 1 The nomenclature is the same as in ELLENBERGER and BAum’s Anatomie des Hundes, pages 432 to 457. 200 Russell Burton-Opitz. The T tube was inserted in the femoral vein midway between the groin and the orifice of the vena postica superior, about 3 cm. below the groin. In those cases in which the pressure was also recorded in the left saphenous vein, the femoral vein was connected with the manometer immediately below the groin, while the latter vein was secured close to the median edge: of the gracilis muscle, near the tip of Scarpa’s triangle. The pressure in the brachial vein was obtained in but two experi- ments, because of the difficulty of correctly adjusting the manometer to this blood-vessel. The distances between the different manometers were measured in almost all the animals for the purpose of calculating subsequently the average fall in pressure from the periphery to the centre of the circu- latory system. Naturally, these measurements could be made only approximately (air-line measurements). The respiratory movements were recorded by means of a tambour which communicated with the left pleural cavity. Although the variations in intrathoracic pressure are of great importance in an investigation of this kind, a detailed account need hardly be given. As the experimental conditions were in all cases as normal as possible, the changes in intrapleural pressure moved within normal limits. The greatest negative pressure prevailed in Experiment 15, the lowest in Experiment 7; in the former case it equalled 11 mm. Hg, in the latter instance 6 mm. Hg. The results obtained from eighteen experiments are comprehen- sively arranged in Table I. To prevent confusion, and to have at the same time a more ready means for comparison, the pressure is given in millimetres of mercury. In transferring the values obtained with sodium carbonate solution, the following formula was employed: H (Na;CO; sol.) X spec. grav. (NagCO, sol.) spec. grav. Hg H (mm: He): Table I shows very clearly that the pressure gradually decreases from the periphery toward the centre of the circulatory system. If the average value is taken, it is observed that the pressure in the left facial is 4.6 mm. Hg higher than in the left external jugular vein, in the vicinity of the chest. The manometers in these veins were on the average 150mm. apart. The fall in pressure amounts, therefore, to 1.0 mm. Hg for every 32 mm. distance. (Ether-narcosis light in all cases. Venous Pressures. (AB ISH VENOUS PRESSURE IN MM. Ha.1 Respiration normal). ane |= | =| 2] as | $s KH +83 mm | 3 | 2 | $& | S& | Distal Central) & ” 2 8 Sn we port. port. | 4 kilos grams. oheeK, 1 13.5 | 0.08 | 5.1 | —0.48 | —0.4 | 5.8 2 11.5 | 0.08 | 4.6] 0.16 7.6 3 16.5 | 0.10 | 5.7| 0.80 | 5.2 4 14.0 | 0.08 | 5:7 | —0.4 242 5 16.5 | 0.10 | 6.0} 2.8* 0.6 6 20.0 | 0.08 | 65 | 0.7 2A | HA aie, 7 19.5 | 0.10 | 4.1 | —0.08 Cen er 8 18.0 | 0.08 | 36] 0.2 2.0 | -28 | 44 9 165 | 0.08 | 4.0 | —0.8 299% e909" | 516 10 17.5 | 0.08 | 5.6] 0.7 0.16 | 1.2 | 44 11 7.5 | 0.0 —0.4 PHT Wh 3 Abel a9 12 HO 10:12. |95:2 |) 2.0% 1A | 5.0 13 6.0 | 0.0 Oa" | “O16 | 5.6 14 6.5 | 0.0 08 2.4 63 15 24.5 | 0.15 2.4% =.4- 9) = 2:05) 6d 16 9.0|0.0 | 54) 1.2% OO) Waa ss 17 7.0 | 0.0 0.0 | —0.08 ays 18 13.0 | 0.08 ~0.5 1 VAG 64 Av. value | 14.1 5.12} 0.52 | —0.08 | --1.38 | —2.96 | 5.39 Highest v. G5") 98. | “O16.\ 16a nate 76 Lowest v. 3.6 0.8 0.4 2.4 4.8 | 32 Difference ZON HO |i O56) “3036s hoe Right femoral vein | | 5.6 4.0 5.42 6.8 4.0 2 Srl Left saphenous vein | 6.8 8.4 TAZ | 8.8 H Ned Syl! 201 Right brachial vein 4.2 57) Sy) 2 SH 0.5 1 In this connection mention must also be made*of the determinations of the venous pressure in sheep made by JACOBSON and reported in the Archiv fiir Anat- omie und Physiologie, 1867, page 226. 202 Russell Burton-Opite. In the larger dogs the distance between the manometers in the facial vein and in the central portion of the superior vena cava, near the entrance to the right auricle, measured approximately 290 mm. The fall in pressure between these respective points is 8.08 mm. Hg, or 1.0 mm. Hg for every 35 mm. distance. The radius from this centre to the saphenous vein measured approximately 380 mm._ The fall in pressure amounts to 10.38 mm. Hg. The average decrease is 1.0 mm. Hg for every 36 mm. distance. The average fall in pressure from the left femoral vein to the entrance to the right auricle amounts to 8.35 mm. Hg. The distance over which this decrease takes place measured approximately 320 mm. The average decrease in pressure is 1.0 mm. Hg for every 38 mm. distance. From the foregoing data the average decrease in pressure of 1.0 mm. Hg for every 35 mm. distance is obtained. Experiments I, 3, 10, 13, and 17 show that the pressure in two corresponding veins is very nearly the same. In fact, the differences in the pressure of the left and right external jugular veins, on the one hand, and between the left and right femoral veins, on the other, are so slight that they might easily be due to the impossibility of adjust- ing the zero-point of the liquid exactly alike in both cases. Experi- ment 13 shows even a complete correspondence between the two femoral veins, the pressure being 5.6 mm. Hg in each vessel. If contrasted with the arterial pressure, the pressure in the entire venous system shows only very slight variations in different animals. This statement also implies that the pressure in a certain vein does not vary greatly in different animals. The difference between the highest and lowest pressure value is greatest in the left femoral vein, but even in this instance it amounts to only 4.4 mm. Hg. The difference in the pressure of the left external jugular vein obtained from all the experiments, amounted to 3.6 mm. Hg. It must be attributed, at least in part, to the fact that the T tube was inserted in four cases (marked *) higher in the neck. Naturally, the result was that the pressure was greater in these cases thanin the — others. On the whole, it may be said that a horizontal line drawn through the tip of the manubrium, marks the point central to which the pressure in this vein becomes negative and peripheral to which the pressure is positive’ The “danger line” of the surgeon lies, therefore, in close proximity to the thorax. Venous Pressures. 203 RESPIRATORY VARIATIONS IN VENOUS PRESSURE. In the preceding enumeration of the experiments only the average value of the pressure has been given, but we know that definite varia- tions occur with every inspiratory and expiratory movement. In Fig. 1, inserted to illustrate this statement, the respiratory variations in venous pressure were recorded by means of a Hurthle’s venous manometer, connected with the external jugular vein opposite the tip of the sternum. The respiratory movements were recorded by a tambour communicating with the left pleural cavity. The down- ward stroke corresponds, therefore, to inspiration, the upward stroke to expiration. The time-curve, written in fifths of seconds by a Jaquet chronograph, served as the abscissa for the latter record, the zero-line of the scale as the abscissa for the former curve. . Mm. NA,C O, io) S22 eee (OS Se i CE Sey Se ae. — * ae. SA m=. Oa: we ri oa. J 2 U8 J ie J TIME 4% SEC. a ee ae ee OS ee eee ee Se eee A ee SS SS SSS SS ee =] -6 a F ee ee 2". Hae E E E 'E FiGurRE 1.— The variations in venous pressure during normal respiration (external jugular vein). If a comparison is made with the calibration-scale, inserted at the beginning of the venous pressure, it is seen that a considerable variation occurs. In this case the pressure varied from +12 to —23 mm. Na,CO, solution, or 35 mm. in all (2.8 mm. Hg). It must be remembered, however, that the inspiratory movement (J to E) was in this instance deeper than usual; the greatest negative pressure at the end of inspiration amounted to 11 mm. Hg. Normally, therefore, the lowest pressure occurs at the end of in- spiration, while the highest pressure is synchronous with the end of expiration. The course of the respiratory variations in venous pres- sure is therefore the reverse of those occurring in the arterial system. For the purpose of determining the amplitude of the respiratory changes in venous pressure, two manometers were employed, one of which recorded only plus pressures, while the other was arranged in 204 Russell Burton-Opitz. such a way as to indicate only the values below zero. Their simul- taneous action was made possible by connecting the T tube in the vein, first, with a Y tube, the branches of which led to the respective manometers. The pressure was recorded in four different dogs in the left exter- nal jugular, facial, and femoral veins. Instead of the sodium-carbonate solution, a normal saline solution was used. The values were sub- sequently transferred into mm. Na,COs solution and mm. Hg accord- ing to the formula givén previously. The respiratory movements were normal in all cases. These four experiments gave the following average results. In the left external jugular vein the pressure be- tween its highest and lowest points showed a variation of 20 mm. Na,COs; solution (1.6 mm. Hg). In the femoral vein the pressure between its lowest inspiratory and highest expiratory value showed a variation of 8 mm. Na,CO, solution (0.6 mm. Hg). In the left . facial vein the respiratory variations ranged from 2 to 3 mm. Na,CO, solution (0.16 to 0.2 mm. Hg), The greatest variation in venous pressure during inspiration and expiration is therefore shown most conspicuously in close proximity to the chest. CHANGES IN VENOUS PRESSURE RESULTING FROM CERTAIN EXPERIMENTAL PROCEDURES. Effect of compression of the right external jugular vein. — In some of the experiments the right external jugular vein was tightly com- pressed, while the pressure was recorded in the veins of the opposite side. The effect of this procedure always betrayed itself in a rise above normal in the left facial and left external jugular veins. The increase in the pressure was, however, more conspicuous in the peripheral vessel, the facial vein. In Table II the normal pressure is given in relation with the pressure prevailing during the compression. It must also be men- tioned that in this table, as well as in the succeeding, the experiments are numbered in accordance with those dealing with the normal pres- sure. The values are given in mm. Hg only. Venous Pressures. 205 TABLE FT- COMPRESSION OF THE RIGHT EXTERNAL JUGULAR VEIN. Pressure during compression (mm. Hg) in Normal pressure (mm. Hg) in Experiment. Left external jugular vein. Left external F : i in. jugular vein. Left facial ve Left facial vein. 3.6 0.2 5.2 1.4: 5.6 0.7 6.8 1.2 a2 2.0 6.0 2.6 at ee: 6.3 2.0 Compression of both carotid arteries. —In these experiments the. common carotid arteries which had previously been placed in liga- tures, were raised and compressed between the fingers. The effect on the pressure in the left facial and jugular veins was generally not immediate. Three or four inspirations were required before the maximal decrease in pressure appeared. Table III is arranged in the same manner as the preceding; the normal pressure is inserted together with the pressure prevailing at the end of the compression. TAB TER WE: COMPRESSION OF BOTH CAROTID ARTERIES. Pressure at end of compression Normal pressure (mm. Hg) in (mm. Hg) in Experiment. Left external jugular vein. Left external : : Left facial vein. jugular vein. Left facial vein. 3.6 | 0.2 a2 —0.3 4.0 | —0.8 2.4 2.0 5.6 0.7 4.0 0.08 54 2.0 3.0 1.0 a 1.2 4.0 206 Russell Burton-Obitz. Compression of the femoral artery. — lhe femoral artery was com- pressed with the forceps opposite the T tube in the vein, z. ¢. about three to four cm. below the groin. Although a gradual fall in pressure always resulted, ne decrease was surprisingly slight. Under these conditions the pressure ap- parently assumes the value of the pressure prevailing in the next, more central venous trunk, the iliac vein. TABLE LY; COMPRESSION OF THE FEMORAL ARTERY. Normal pressure Pressure during Experiment. (mm. Hg) in compression (mm. Hg) femoral vein. in femoral vein. ae 2.4 5.6 Effect of stimulation of the vagus.— The right vagus nerve was stimulated in a number of instances with a tetanic current of suffi- cient strength to cause a gradual cessation of the action of the heart. The effect of this procedure always betrayed itself in a rise in pressure in all the veins. Attention has been called to this fact previously by Klemensiewicz! who observed the changes in pressure in the femoral artery and vein during the stimulation of this nerve. The rapidity of the rise is proportionate to the strength of the stimulus. If the heart is stopped slowly, the pressure increases at an equally slow rate. If, however, the current is very strong, so that an almost instantaneous stoppage results, the pressure rises very quickly at first. Naturally, the increase in pressure is also determined in a large measure by the respiratory movements, but of course only in case they do not cease in consequence of the stimulation. Supposing that a rise of 30 mm. soda solution has taken place in the external jugular veins solely on account of the backward stagnation of the column of ' KLEMENSIEWICZ, R.: Sitzungsberichte der kaiserlichen Akademie der Wissenschaften. Mathematisch-naturwissenschaftliche Classe. Wien, 1886, Sect. 3, pp. 66-84. Venous Pressures. 207 blood from the right auricle, the next inspiration will cause a decided fall in the level of the liquid, proportionate to the depth of this move- ment. But, as soon as the expiratory phase sets in, the pressure rises again, until its value is much greater than formerly. This phenomenon will be repeated with every respiratory movement oc- curring during the passive state of the heart. It must be explained in the following manner: The inspiratory movement draws a considerable quantity of blood into the central venous trunks, but, as the blood is not propelled onward, this amount is simply added to that already accumulated here. The pressure rises, therefore, in a corresponding measure, not steadily, however, but by degrees. The heart was kept in the passive state for a comparatively long time. In Experiments 8 and 10 the stimulation caused an almost immediate cessation of respiration, with the chest in the expiratory position. A weaker current being used in Experiments 9, 11, and 12, at least one complete respiratory phase occurred after the heart had ceaséd to beat. In Experiment 11, four respiratory movements took place during the passive state of the heart. The results clearly show e. TABLE V. STIMULATION OF THE VAGUS. Pressure at end Experiment. Pressure in Normal pressure, | of stimulation, | mm. Hg. mm. Hg. Left external jugular vein Superior v. cava (dist. p.) Left femoral vein STF Oo ANDO WAD Left facial vein Left external jugular vein Superior v. cava (dist. p.) Left femoral vein | MNO BO Mwbo Left facial vein Left external jugular vein Superior v. cava (dist. p.) Left femoral vein | ON ANA mor LY Left external jugular vein Superior v. cava (dist. p.) Left femoral vein | WHS £OOM une wwe eT ie Me) AnNnwao + ow Left facial vein Left external jugular vein Superior v. cava (dist. p.) Left femoral vein Oe wur oFOWN Ce ease eC A SHAD BWA 208 Russell Burton-Oprtz. that the increase in pressure is particularly noticeable in those cases in which the respiratory movements were not abated completely. After the stimulation the pressure decreased gradually to normal, every heart-beat causing a distinct fall in the pressure. In the experiments contained in Table V, the normal pressure is given in relation with the pressure prevailing at the end of the period of stimulation. Changes following section of the vagi.— This procedure was invari- ably followed by a fall in venous pressure, but the decrease was not equally evident in all cases. Experiments 14, 15, and 16 (Table V1) show a very decided effect; in Experiments 13 and 18, on the other hand, the decrease is less conspicuous. TABLE VI. THE CHANGES FOLLOWING SECTION OF THE VAGI. Normal Pressure after | Pressure in left Pressure in pressure. nerve section. | pleural cavity. mm. Hg. mm. Hg. mm. Hg. —3 to —18.5 Resp. slow. Left external jugular vein Left femoral vein Left external jugular vein Superior v. cava (dist. p.) Left femoral vein Resp. frequent. wesw wd —6.5 to —21 Resp. frequent, deep. AHS WS NWA Left external jugular vein Superior v. cava (dist. p.) Left femoral vein Left saphenous vein —175 Resp. frequent. Left external jugular vein Superior v. cava (dist. p.) Left femoral vein Left external jugular vein Superior v. cava (dist. p.) Left femoral vein Resp. slow, deep. COR HOD WARS ADANWSO HWA This slight inconsistency in the results cannot be ascribed to a variable increase in the frequency of the heart, because, even if a larger quantity of blood leaves the heart, an equal amount must be returned to this organ. Evidently it must be attributed wholly to differences in the rate and depth of the respiratory movements. The deep inspiratory movements usually following section of these nerves, naturally are accompanied by a very decided fall in venous pressure. When the expiratory phase sets in, followed by the long Venous Pressures. 209 pause, the pressure increases again and rises the higher, the longer the interval between the successive respirations. In brief, the respiratory variations in pressure are extremely conspicuous. It may readily be assumed that the pressure must be lower in those cases in which the respiratory movements are more frequent and deep. The longer the duration of the respiratory pause, the higher will the pressure become during this interval. These differ- ences in the frequency and depth of respiration are always present after section of the vagi, and undoubtedly are responsible for the variable conspicuousness of the decrease in pressure observed in Table VI. The excursions of the liquid being slow, so that secondary oscilla- tions could not occur, the highest and lowest pressure-values were recorded, the average being obtained subsequently by calculation. The pressures were read for about two minutes after the section of these nerves. Changes resulting from opening the chest (suspended respiration ). — The normal venous pressure having been obtained, the chest was opened, and the pressure again recorded about one minute after this operative procedure. In Experiments 9 and 12 the tissues of two or three intercostal spaces were cut and torn sufficiently, so that the “reflex” respiratory movements, following the collapse of the lungs, could no longer influence the level of the liquid in the manome- ters. In the other experiments, the abdominal cavity was opened first by an incision in the linea alba. The diaphragm was divided subsequently along its anterior edge. The heart-beats were counted before and after this operative pro- cedure. They were found to possess normal force and frequency at least for some time after the collapse of the lungs. The very decided changes in pressure noticed after the suspense of respira- tion, therefore cannot be attributed to differences in the action of the heart. The pressure in all the veins rose immediately with the first rush of air into the chest. The increase continued gradually for about thirty or forty seconds, when the maximal height was attained. The rise, as is evident in Table VII, was often very considerable. All the negative pressures disappeared, at least as far centrally as the distal portion of the superior vena cava. The important question, whether the negative pressure is also destroyed by this procedure directly in and near the entrance to the right auricle, could not be 210 Russell Burton-Opttz. determined by the method employed in this investigation, because the correct adjustment of the manometer with the chest closed: is impossible. An approximate adjustment is not permissible in this case, because under these conditions even the most minute changes must be taken into account. These experiments clearly show, that the negative pressure normally prevailing in the central venous trunks is wholly dependent on the rate and depth of the respiratory movements (aspiration of the chest). If the right auricle and ventricle are able to produce an active negative pressure independently, this pressure must be confined to the limits of the heart. As is shown in Table VII, the pressure in the distal portion of the superior vena cava on opening the chest rose as an average to +19.5 mm. soda solution,-or 1.55 mm. Hg. Considering the distance between this point and the right auricle, and the fall in pressure per millimetre distance (see page 202), we must conclude that the pressure was positive even at the entrance to the right side of the heart. On opening the abdomen no decided change in pressure could be observed. An increase, amounting to 5 mm. soda solution, was clearly recognized in only one instance (Experiment 10). It took place in the distal end of the superior vena cava. Table VII contains the normal pressure in relation with the pres+ sure prevailing shortly after the chest had been opened and the respiration suspended. TABLE. VII. THE CHANGES RESULTING FROM OPENING THE CHEST (SUSPENDED RESPIRATION). Pressure after Experiment. Pressure in Normal pressure, opening chest, mm. Hg. mm. Hg. 9 Left facial vein 4.0 6.4 Left external jugular vein —0.8 4.8 Superior v. cava (dist. p.) Shs 2.4 Left femoral vein 5.6 12 10 Left external jugular vein 0.7 2.9 Superior v. cava (dist. p.) —0.16 1.6 ll _ Left external jugular vein —04 a0 Superior v. cava (dist. p.) =17 14 Left femoral vein ou, 3.2, 2 Left facial vein Be; 6.5 Left external jugular vein 2.0 3.6 | Superior v. cava (dist. p.) —l.4 0.8 | Left femoral vein 5.0 6.0 Venous Pressures. 211 If after this period of suspended respiration, the lungs of the animak were: inflated artificially, another conspicuous change took place. Normally the pressure falls during inspiration and rises dur- ing-expiration (see Fig. 1). If artificial respiration is employed the reverse phenomenon occurs, z. ¢. a rise on inspiration and a fall during expiration. : The upper line of Fig. 2 represents the expansion of the lungs by the artificial air-current. The inspiratory phase continues from J to E and the expiratory period from Eto J. The ordinates are indicated by the same letters in the curve of the venous pressure. The respira- tory phases were recorded by a tambour, connected by means of a T tube with the tracheal cannula. In the case now under consideration E E E jE E eae gat bs phe 6 ee Sey ; sp Tras | = —~_} oat / — NATE CI SB Pe Se YW ap Yr YW UW TiME Ys SEC. go MM Na,CO, rn [{~ iene (é(a)— DENN (4 RN Lr 4 Nin al M\n ANnar y i E Nami) ENS 40 ! ; Ea cy Re ; E 20 J E J J E J J ° FiGurE 2.—The variations in venous pressure .during artificial respiration (external jugular vein). the stop-cock, interposed to lessen the excursions of the writing lever of the tambour, was closed somewhat too tightly. The inspiratory phase is therefore prolonged beyond its real duration. The venous pressure was recorded as in Fig. 1, by a Hiirthle’s venous manometer, connected with the external jugular vein in close proximity to the chest. As Figs. 1 and 2 were obtained from the same animal, it might be well to compare’ the pressure-values of these two curves. In Fig. 1, the pressure varied from —23 to +12 mm. Na,CO, solution. The chest being opened, the pressure rose considerably above normal, namely, to 63 mm. Na,CO, solution (5.0mm. Hg). Artificial respi- ration being employed subsequently, the pressure varied from 58 to 83 mm. Na,CO, solution. Thus, the lowest pressure value is reached in the latter case not at the end, but at the beginning of inspiration. Ina similar manner, the highest pressure which normally occurs at the end of expiration, is in this case synchronous with the end of inspiration. 212 Russell Burton-Opitz. The excursions of the liquid in the manometers are proportional to the frequency and the force of the artificial currents of air. If a great amount of air is forced into the lungs, a corresponding increase in venous pressure follows. The effect of artificial respiration seems to be purely mechanical. During the inspiratory phase, the pulmonary vessels are compressed, while during expiration they are more free, allowing during the latter period a greater flow from the right side of the heart. SUMMARY. Among the conclusions derived from the preceding tables, the following should be noted particularly : 1. The average venous pressure in eighteen dogs, varying in weight from 6 to 24.5 kilos, was as follows: Left facial vem =) 060 3) es ot eee nee pO elena eel es Left external jugular vemos .9 2). =): ne) ean O cae Right external jugular veins. 8. 202 es). 20 UGmmnne Sup. vena cava, distal portion . . Siege ee llests; Sup. vena cava, near entrance to eke antici 2.00 ae Right brachial) ves <9 we |; ea co ne ot ee Weftifemoralaviern. cies) ee) ee ener Right-feémoralvein ace 0. eee ee Oe Iteftrsaphenous vein (02) lee er 0 a ed 2. The pressure decreases gradually from the periphery toward the centre of the circulatory system. The fall in pressure amounts to 1.0mm. Hg every 35 mm. distance. 3. The pressure in two corresponding veins is very nearly the same. 4. The pressure in a certain vein does not vary greatly in different animals. As compared with the arterial system, the variations in pressure, in the entire venous system, are very slight. 5. In an animal with normal heart action and respiration, negative pressure appears first in very close proximity to the thoracic cavity. 6. Compression of the right jugular vein causes a decided rise in the pressure of the opposite facial and jugular veins. Compression of both carotid_arteries is followed by a distinct decrease in the pressure of the veins just mentioned. Compression of the femoral artery causes a slight fall in the pressure of the corresponding vein. 7. Stoppage of the heart by stimulation of the vagus is followed by a very decided increase in venous pressure, due to the accumulation Venous Pressures. 213 of the blood in front of the right side of the heart. The rise is more conspicuous in the central venous trunks. 8. Section of both vagi is followed by a fall in venous pressure, which, if the respiratory movements are favorable, may become extremely pronounced. g. After opening the chest, the pressure rises far above normal in all the veins. All negative pressures disappear, at least as far cen- trally as the entrance to the right auricle. 10. Normally the pressure falls during inspiration and rises during expiration. Artificial respiration being employed, the reverse phe- nomenon results. The respiratory variations in venous pressure are most conspicuous in close proximity to the chest. A STUDY OF THE PHYSIOLOGICAL ACTION AND TOXICOLOGY. OF CASSIUM CHLORIDE: By GA, PANE ORD: [From the Sheffield Laboratory of Physiological Chemistry, Yale University.] CONTENTS. Page Introductory . . : wR OR eee eo Ec General effects of caesium piteiide ni OA SOME Sos he: th OR Experiments on the frog «6 = fi be = a ancl poly Eexpeximentsvontab bits easei rmeermeners Experiments‘on-tats) ({.0..°0.- 4. 6G) so es al a) err Experiments on dogs . . 2) 5 het. 60 8 605 GD ot ie ener Metabolism experiments . . . Soe ea oe emg ee” en General considerations on iactabeleds oe Sl ND The elimination of czsium land: 200 =) cracker dust. 100 “ water. During the latter period a total of six grams was given, beginning with one gram on the first day, and increasing a gram each day. This amount caused no disturbance; but after the administration of four grams on the fourth day, there appeared gastro-intestinal disturb- ances so marked that further quantitative estimations of the urine were discontinued. The symptoms were similar to those shown by the preceding dog. No further excretion of the salt could be detected two weeks later. The nitrogen balance during the caesium period was, if anything, slightly greater than during the fore period. There was no marked difference in the excretion of SO,, P,O,;, and Cl, except for the small quantities of the latter which were introduced with the caesium. EXPERIMENT III. - FORE- PERIOD. Foon. URINE. Re- Nitro- } . | action| Nitro- gen. rav. | to gen. \litmus. grams. aCe grams. 4.856 .028 | acid | 4.826 ) 4.856 Bile 0! sn Shr 4.856 : 4.886 | 4.776 4.856 é : 4.740 4.786 a 5.034 J N of urine . N of faeces . 228 G. A. Hanford. EXPERIMENT III. CASIUM PERIOD. Foop. URINE. Re- | action | Nitro- | Total | Total | Total to gen. | SOs. | P,O;.) GLE jitmus., | grams. | grams. grams. grams. 1.025 | acid | 4.748) .... | 0:802)) 1.439 1.028} « | 49321 3.165 |0.875 | 1.719} 8.0 | 0.401 1.031] « | a ...+ [0.898 | 1.765 N of-urine . 14.575 | N of feces . 0.401 | | | ! ‘Totals:..- | xe an a | 2.575 | 4.932 Av. per day | “ee =e ne 992 0.858 | 1.641 EXPERIMENT III. SUMMARY, AVERAGE PER DAY. | ToraL NITROGEN. F ACES. | | Periods. | In- Ex- ; ‘ Nitro- gested. creted. Ce se ‘ 50s | EO gen. grams. grams. | AOS f Pat grams. gram. Fore | 4.842 4.986 1.237 | 013860 Cesium | 4.786 4.992, ; 1.055 | 0.858 | 1.641 | 0.134 Fourth experiment. — About one month after the last experiment the same bitch was again brought into approximate equilibrium dur- ing a fore period of six days. The daily diet during this experiment consisted of: 135 grams meat, 200 sa wlards 40 “ cracker dust, 100 <“ water. During the second period, one gram of the czsium salt (about two hundred and ten milligrams per kilo body weight) was given daily for five days. The first four days brought out no unusual symptoms, the Phystological Action, etc., of Cesium Chloride. 229 animal appearing well. On the fifth day, the animal seemed less well and had less appetite. The next morning the further feeding of the salt was abandoned, as the animal showed marked symptoms of its toxic action. Food was taken only after coaxing, and then most of it was vomited again. The feces were watery and light in color. The animal was scarcely able to stand; the same evidence of loss of con- trol being noted as has already been described, and the animal seem- ingly having lost the power of co-ordination for its hind legs. It was unable to hold the head erect. These symptoms continued to grow more marked until the next night, when death ensued, the animal being completely paralyzed. A few hours before death its reflexes were tested. There was noted the same progressive loss already mentioned in the injection experiments. Until the marked toxic symptoms appeared, there was no difference in the metabolism of the two periods, as reference to the tables will show. The slight differences in nitrogen, SO;, P,O,;,and Cl are of no moment. The animal’s weight was not greatly lessened. The experi- mental data are given in the table. EXPERIMENT IV. FORE PERIOD. | Re- action - Total | Total to EeOp |e Cl litmus. grams. | 1.027 576 ) 0.791 | 1.027 Were 0.904 1.025 | 4. 0.892 1.031 | « 426 | ossi | 1.029 (amet 0.847 | 1.026) « | 5.967. 0.898 | N of urine . 33.180 N of feces. 0.536 Totals. . .| 33.098 Av.perday| 5.516 230 G. A. Hanford. EXPERIMENT IV. CA/SIUM PERIOD. Foon. URINE. Re- .|action| Nitro- Total | Dry to gen. pOR: |e Clan ewite litmus. grams. -C. grams. grams. | grams. 1:0; || 2: .027 | acid | 5.714 1.362) en) }1.030] “ | 5.691 (1.381 10" | 275" OAT} 5.590 1.439 + 8.5 10 | 202 |1.030] « | 4.843 1.458 | 1.0 | 1.031 | 4.880) 1.132) f urine . 26.718 N of feces. 0.440 | 27.158 | 6.566 HAS2) 313 EXPERIMENT IV. SUMMARY, AVERAGE PER DAY. FACES. ToTAL NITROGEN. Periods. | | eee j ; In- | Ex Balance. | Vol. | Nitro- SO3., |) Pe@rniemee Nitro- gested.| creted. gen. eae gen. : grams. | rans | “era i e.c. ae Dararnil| grams. "grams, gram. Fore 5.516 5.619 —0.103 231 5030 27 869 | 1.272 | 0.089 -Czesium. | 5.647 | 5.432 +0.215 197 | 5.343 | 1.313°| 827°) 1.354 eee lifth experiment. — For this a bitch of seven kilos was used. The experiment lasted twenty-four days, consisting of a fore and after period of six- days each, and a twelve-day cesium period between these. Almost exact equilibrium was maintained during the fore period by feeding: 175 grams meat, 20) 3" wilard® 40 “ cracker dust, 150 “ water, Phystological Action, etc. of Cestum Chloride. 231 On the first eight days of the czsium period one and four-tenths grams (two hundred milligrams per kilo body weight) of the salt were added to the food. For the next two days, one and three- quarters grams were given, —an increase to two hundred and fifty mil- ligrams per kilo body weight. On the last two days of the period two hundred and seventy-five milligrams per kilo body weight were given amounting to one and nine-tenths grams. As the experiment pro- gressed, there was only a slight change in the nitrogen balance. No toxic or unusual symptoms were noted, the only effect of the largest dose being a tendency to produce diarrhoea. The SO, excreted during the last two periods was slightly less than the output during the fore period, but this difference is too small to be of serious significance. The nitrogen and P,O, output were practically unchanged, as was the Cl,— when the amount added to the diet in the caesium period is taken into consideration. Caesium was still being excreted three weeks after the last dose was fed. The experimental results are given in the tables: EXPERIMENT V. FORE PERIOD. Foop. | Re- | Spec. |action| Nitro- 'Total) Dry | Nitro- grav.| to gen. | ClP i we. eens extract: litmus. | | Day of exp. Body weight. | grams. | grams.| gms. | per cent. §! g 1.029| acid | 6.770 0.921) 6.495 | 1.036 6.219 | 0.959 . 9.361 6.495 | 1.017 6.701 0.940 6.609) 0.978) N of urine . 39.389 Nof faces. 1.613 | Totals. . 46 -» | 41.002 | 9.361 Av. p. day at a3 | 6.834 | 1.560 | | 232 G. A. Hanford. EXPERIMENT V. CASIUM PERIOD. Re- action | Nitro- to gen. \litmus. Day of exp. Body weight. | | acid 1.038 1.026 | 1.026 | 6. | 1.151 1.027 : | 1.381 11.025] §« 7 1.228 £52 0| 2.881 | 1.032 | | 1.030 | 1.028 5 | 1.040 | 1.028} “ | 6.609 E035) 7.182 N of urine . 79.424 N of faeces. 2.881 Totals . |$3.726 Bibbs ofa: 11.429 15.347 | 52.0) 2.881 Average | 6 ¢ 54 OA ghee tn eal nes 239| 0.952! 1.278| .. |0.240 per day | ! Phystological Action, etc, of Cesium Chloride. 233 EXPERIMENT V. AFTER PERIOD. Re- action| Nitro- Total Nitro-| Ether to gen. | SOs. |P,O;.| Cl. gen. | extract. litmus. Day of exp Body weight. grams. . | grams. | per cent. 1.035 6.955 jal | 1.047 1.032 | 6.627 012 | 0.894 1.033] “ | 6811}6. 944 | 1.009 F 1.030 | | 6651 892 | 1.056 1.027 | | 4.131) | 0.773 | 1.094. N of urine . 31.175 N of feces. 1.218 - | 31-393 EXPERIMENT V. SUMMARY, AVERAGE PER DAY. ToraL NITROGEN. Periods. In- Ex- gested. | creted. Balance. | . P,O;. grams. grams. gram. Ce E gram. | grams. Fore 6.903 6.834 +0.069 0.955 | 0.975 Cesium | 6.977 6.862 +0:115 | ‘ 0.952 | 1.278 After 6.417 6.278 +0.139 | 0.929 General considerations on metabolism. — From the foregoing experi- ments it seems demonstrated that caesium chloride in the doses given — forty to two hundred and seventy-five milligrams per kilo body weight — does not seriously affect proteid metabolism. When the dose becomes larger, a disturbing action on the gastro-intestinal tract results, as is evinced by vomiting and diarrhoea, with an occasional 234 G. A. Hanford. bloody faecal discharge. A dose sufficient to produce even such toxic effects has no noticeable action on proteid metabolism. The nitrogen output was not altered; at least such changes as occurred were too slight to be of moment. In the first experiment there was a fairly large progressive change, but this is the only one showing such. In Experiment II, a plus balance of 0.413 gram changed dur- ing the caesium period to a deficit of 0.171 gram. In Experiment V, the average daily nitrogen balance in grams for the three periods was respectively : +0.069 ard) LIS +0.139: When larger amounts of the salt were given the balance was de- stroyed, because the animals refused food or vomited when fed by force. Under such experimental conditions, the intake of nitrogen could not be accurately determined, and estimations could not be made. The results given agree in. general with those reported by Krum- macher! for sodium chloride (injected subcutaneously). Straub’ also reported that feeding comparable amounts of sodium chloride did not alter the nitrogen output. Pugliese,? on the other hand, observed that this salt depressed proteid metabolism, whereas potassium chlor- ide increased the exchange of nitrogen. Larger amounts of the salts were used than those fed in the present experiments. The excretion of sulphur and phosphorus, as might be expected, ran parallel to that of nitrogen. There was no difference of any con- sequence in the various periods. No evidence of excessive phos- phorus metabolism indicating marked nuclear or cellular decomposition was obtained. In this respect, the experiments agree with the results obtained by the observers just mentioned, after giving the chlorides of the other alkali metals. During the cesium period, the amount of chlorides eliminated in- creased to an extent about equal to the amount of chlorine added to the diet with the caesium. Thus, in Experiment IJ, the animal re- ceived three grams of chlorine in excess of that in the food. All except thirty centigrams of this was eliminated during the same period. In the last experiment (V), a total of 3.9 grams of chlorine was added as cesium chloride. During this period there was an excess eliminated over the first period of 3.6 grams; the after period ' KRUMMACHER: Zeitschrift fiir Biologie, 1900, xl, p. 173. 2 STRAUB: Zeitschrift fiir Biologie, 1894, xxxvii, p. 545. ® PUGLIESE: Archives italiennes de biologie, 1896, xxv, p. 17. Phystological Action, etc., of Castum Chloride. 235 contained an excess over the fore period of 0.2 gram chlorine. The chloride apparently is not stored up to any extent, but is for the most part rapidly eliminated. Czesium could often be detected spectro- scopically for several days after its administration. It must be remem- bered, however, that this test is a very delicate one. In those experiments CLEP IV, V,) in which the daily portions of urine were carefully separated by catheterization, the elimination of water by the kidneys was practically constant throughout the feed- ing. No noticeable disturbing effect was obtained even with the largest doses recorded. Pugliese reported similar results after feed- ing the chlorides of sodium and potassium. The elimination of cesium, —Czsium is excreted by way of the intestine as well as through the kidneys. Its elimination follows quite rapidly, although traces could be demonstrated spectroscopi- cally in the urine of some animals for many days after the last feed- ing. The salt disappeared from the feces before its presence ceased to be demonstrable in the urine. Whether this is attributable to the greater ease with which minute traces can be detected in the urine, or whether, as a matter of fact, the last traces are eliminated by way of the kidneys is not certain. In those cases in which the organs and tissues were carefully examined spectroscopically at a period when caesium ceased to be demonstrable in the urine, no evidence of the element was obtained. When various parts of the alimentary tract were examined spectroscopically after subcutaneous or intravenous injection of caesium chloride, casium was detected throughout the entire length of the intestine. In the stomach, the reaction was usually less pronounced. If we recall that cesium was shown above to be excreted by the salivary glands under such circumstances, it may be questioned whether the reaction obtained with the gastric contents was not in part or entirely due to admixture of saliva. Functional differences in the secretory processes along the digestive tract have been shown to exist in the case of various other substances similarly examined. Portions of hair from some of the animals which had received doses of czsium for some time were examined spectro- scopically with negative results. A few experiments on the elimination of caesium were carried out on man. The individuals took doses varying from fifty to three hundred and seventy-five milligrams dissolved in one hundred cubic centimetres of water in each case. Only with the largest dose was ceesium detected in the urine within the period of observation. In 236 G. A. Hanford. this instance the spectroscopic reaction was evident at the end of an hour. The faeces were not examined. The observations of Hiifner? on the excretion of lithium in man are of interest in this connection. The elimination of czsium through the intestine is interesting in view of the fact that relatively few elements (Ca, Mn, Fe, Li) have been shown to be excreted by that channel. Its presence in the saliva recalls the work of Bernard,? Langley and Fletcher,? and Eckhard, with potassium iodide, lithium citrate, and other salts. These inves- tigators have made it clear that not all salts introduced into the cir- culation reappear in the saliva. Certain of these, such as the ferrocyanides, fail in this respect. For lithium Good® has recently found in experiments on cats that when large quantities (one to two grams) were injected hypodermically, very considerable amounts were obtained from the stomach (by lavage), and from the bowel; and the saliva also contained appreciable quantities. In fatal poison- ing, more was found in the stomach and bowel contents than in the urine. In experiments in which small doses were administered re- peatedly, more lithium was excreted by the urine than by the ali- mentary tract. SUMMARY. Experiments on frogs.—1. No marked differences between the effect of % solutions of sodium chloride and cesium chloride upon cilia and red blood-corpuscles were noted. 2. Isolated muscles contract spontaneously in such solutions. The contractions cease sooner in the cesium than in the sodium solution. 3. Muscles exposed to cesium chloride lose their irritability toward electrical stimulation sooner than those exposed to sodium chloride. 4. The irritability of nerves disappears sooner in caesium chloride than in sodium chloride solutions. 5. Complete paralysis is produced by considerable doses of caesium chloride (one to two and one-half milligrams per gram body weight). ' HUFNER: Zeitschrift fiir physiologische Chemie, 1880, iv, p. 378. * BERNARD: Lecons de physiologie expérimentale, 1856, ii. ° LANGLEY and FLETCHER: Philosophical transactions of the Royal Society of London, 1889, clxxx, p. 149. * ECKHARD: Beitrage zur Physiologie, Leipzig, 1887, p. 13. Quoted in Schafer’s Text-book of physiology, i, p. 504. ® Goop: This journal, 1902, vi, p. xx; American journal of the medical sci- ences, 1903, Cxxv, p. 273. All of these observations on lithium are of interest in comparison with those noted in this paper. Phystological Action, etc. of Cesium Chloride. 237 6. No initial excitability was noted. 7. The cesium salt seems to act on both nerves and muscles. Experiments on mammals.— 8. In the rabbit, cat, and dog, final paralysis followed the subcutaneous injection of caesium chloride. 9. Two grams per kilo body weight (subcutaneously ) proved fatal to a rabbit. One-half to one gram per kilo body weight usually proved fatal to a cat or dog. 10. The symptoms elicited were those of intense gastro-intestinal disturbance, vomiting, diarrhoea, loss of reflexes, and progressive paralysis. 11. Intravenous injection produced an initial fall, followed by a marked rise in blood-pressure in both cats and dogs. The lymph flow from the thoracic duct was slightly accelerated. 12. Fatal doses (about three-quarters of a gram per kilo body weight) caused death by cardiac failure. - 13. Proteid metabolism in dogs was not noticeably disturbed by doses of from forty to two hundred and seventy-five milligrams per kilo body weight fed for several days. Sulphur and phosphorus met- abolism were also unaffected. Chlorine elimination was unchanged, except that the added amount fed with the cesium was rapidly excreted. 14. No diuretic action was obtained. 15. When larger amounts were given per os, marked gastro-intes- tinal disturbances resulted. 16. Elimination of the caesium by the intestine and kidneys was comparatively rapid, no prolonged retention being noted. 17. In man, the cesium was detected in the urine within an hour after ingestion of three hundred and seventy-five milligrams of caesium chloride. I desire to express my obligation to Professor Chittenden for sug- gesting this research, and to Professor Lafayette B. Mendel for help and criticism. SOME FACTS CONCERNING GEOTROPIC GATHERS INGS OF PARAMECIA. By ANNE MOORE. INTRODUCTION. Te experimenting with Paramecia it is often found necessary as a preliminary measure to wash them in distilled water. To ac- complish this it has been customary to take advantage of the fact that if they are removed from the culture to a test tube of distilled water they will, after swimming about actively, come to rest at the top of the tube. In following this method, I noticed some peculiarities in their behavior which seemed to me worth recording and worth further experimentation. The gathering at the top was apparently an expression of negative geotropism.! I wished to ascertain whether, having once gathered at the top, the Paramecia would change their position to the bottom of the tube, or, in other words, whether the sense of geotropism ever changes normally from negative to positive, and, if so, to ascertain what factors influence the change. The experiments were begun in the Physiological Laboratory of the University of Chicago, and were afterward continued in San Diego, California. OBSERVATIONS AT RooM TEMPERATURE (18°-20° C.), Small glass tubes half a centimetre in diameter and twelve centi- metres long were used. These were filled to within two centimetres of the top with distilled water, and then completely filled with water from the culture containing Paramecia. The Paramecia were at first carried downward with the stream of water, but soon began to swim about independently. Although their orientation was not uniform, there was a more or less steady movement downward. When the bottom was reached, which occurred usually in about fifteen minutes, ' Although the gathering at the top seemed not always to be the direct effect of an orientation, the word geotropism has been used for convenience, as indicative of the general character of the phenomena. 238 Facts Concerning Geotropi Gatherings of Paramecia. 239 they remained massed there a few moments, and then formed about the wall of the tube a well defined ring. This ring then began to rise slowly, the individuals composing it remaining massed close against the glass and against each other, indicating a stereotropic reaction. Occasionally the ring was thicker on the light side of the tube than on the other side, but this was not invariably true. The upward movement of the ring seemed independent of active swimming and of definite orientation. The rapidity with which the ring rose depended somewhat upon the temperature ; the lower the temperature the more slowly rising occurred. Ordinarily the minimum time in which it might be expected to reach the top was about two hours. If the tube was left for several days after the top was reached, the Paramecia became scattered throughout the tube and finally collected at the bottom. It sometimes happened that the Paramecia, instead of behaving with one accord in this way, became divided into two groups, one of which remained at the bottom, while the other rose to the top, as described above. As the rate of rising varies with the temperature, changes in temperature must be an important factor in determining the position of the animals, but as the sense of geotropism is not the same in all animals taken at the same time from the culture, and as it does not remain constant when external conditions are apparently unchanged, changes of temperature alone are insufficient to account for this behavior. THE EFFECT OF CHANGES OF JEMPERATURE. In Chicago, the experiments were tried during the winter. Several tubes were left for three hours in a thermostat at a temperature of 26°-28° C. The Paramecia collected at the top in dense clusters. On being removed from the thermostat to room temperature, they immediately streamed toward the bottom. They were returned to the thermostat, and left over night. The next morning they were found at the top, and, on being removed, again streamed downward. The tubes were put outside the window at a temperature of 2° C. At first the Paramecia scattered, but in ten minutes they were all at the bottom of the tubes. One tube was returned to the thermostat. Fifteen minutes later a ring had formed, and had begun to rise, while in the tubes outside the window there were no signs of rising. If left outside, or in the thermostat for as long as two days, the Para- mecia became scattered. 240 Anne Moore. These experiments were afterward repeated in San Diego, Cali- fornia, and results were obtained in harmony with those just described. The following experiment is typical. Two tubes were similarly pre- pared. Tube A was placed in a thermostat at a temperature of 26°—28° C.; tube B was placed in a larger tube filled with water and surrounded by a mixture of ice and salt, the temperature being kept as nearly as possible at 1° C. In ten minutes the Paramecia in tube B were massed at the bottom, and two hours later were still massed there. The tube was then transferred to the thermostat. The ring formed as usual and rose steadily. In an hour, -how- ever, the Paramecia scattered throughout the tube. If scattering occurred, as a rule no ring was again formed until conditions were again changed. Consequently a quarter of an hour later the tube was removed to room temperature, 18° C. They remained scattered for a time, and then collected in two groups, one at the top, the other at the bottom of the tube. They were then returned to the ther- mostat, and an hour later were collected at the top. In tube Aa ring had formed in ten minutes, and had begun to rise. In half an hour some of the Paramecia were at the top, but many were scattered. When returned to a temperature of 1° C., the process as described above occurred. The scattering of the Paramecia after having been made to gather at the top or bottom by an unusual temperature is an interesting adjustment to environment, and suggests the observations of Yasuda,! who found that protozoa have a remarkable power of adapting themselves to changes in the osmotic pressure of the medium surrounding them. It suggests also the observations of Jennings,” who shows that Infusoria, after reacting to a given stimulus one or more times, may, if the stimulus is not a harmful one, cease to react though the stimulus is repeated without change. Without attempting an explanation, he suggests that there is a difference in the physiological condition of the organism before and after the stimulus. The inversion of the sense of geotropism indicated in the experiments described above is a further illustration of the principle pointed out by Loeb,® that by appropriate stimulation the sense of an animal’s response may be inverted. He showed that changes in heliotropism may be correlated with changes in temperature. Increase ' YASUDA, ATSUSHI: Journal of the College of Science, Imperial University, Tokyo, 1900, xiii, p. Ior. 2 JENNINGS, H. S.: This journal, 1902, viii, p. 23. ° Loe, J.: Archiv fiir die gesammte Physiologie, 1893, liv, p. 81. Facts Concerning Geotropic Gatherings of Paramecia. 241 in temperature, for example, causes the Copepod Temora longicornis to change its sense of heliotropism from positive to negative; while decrease in temperature causes the change from negative to positive. & THE EFFrect OF WITHDRAWING WATER. An analogy has been noted between the effect of a lowering of the temperature and of the withdrawal of water. Loeb,! for example, showed that the larve of Polygordius and certain Copepods can be made positively heliotropic by increasing the concentration of the sea- water or by decreasing the temperature, and can be made negative by decreasing the concentration of the sea-water or by raising the temper- ature. He therefore came to the conclusion that raising the concen- tration of the salt solution has qualitatively and quantitatively the same effect as lowering the temperature. Greeley” has recently called at- tention to the fact that this is true, because the cell loses water when the temperature is lowered, as well as when the concentration of the surrounding medium is changed. I therefore tried the effect of weak salt solutions upon the behavior of Paramecia. The results were, however, not very satisfactory. When first put into #4 NaCl, or into weaker solutions of sodium chloride, there was a general scatter- ing as in water, but after an hour they gathered more thickly near the top. After several days they showed a tendency to go to the bottom, In 74 NaCl, they went to the bottom almost immediately, but shortly after died. In a solution of calcium chloride isosmotic with #4 NaCl, they went immediately to the bottom. In this solution water is withdrawn very readily. In accordance with a suggestion of Davenport, Miss Platt? ap- proached the problem of geotropism (geotaxis) by means of varying solutions, in order to test a conclusion reached by Schwarz that nega- tive geotropism is due to “the direct influence of gravity on the organism which incites movement in the opposite direction.’”’ Her plan was to obtain the specific gravity of the organism “ by finding the density of a solution in which the animals, either dead or paralyzed, remained suspended without rising or falling,’ and then to observe their movements in solutions of varying density. For if geotropism were a weight effect, a negatively geotropic organism should become LOEB: “Loe. cz. 2 GREELEY: This journal, 1go1, vi, p. 122. 3 Piatt, JuLIA B.: The American Naturalist, 1899, xxxiii, p. 31. 242 Anne Moore. positively geotropic in solutions of greater specific gravity than its own, supposing the animal to be normally heavier than water. She found the specific gravity of Paramecia to be approximately 1.017, but she could come to no conclusion from its behavior, for in Cambridge she could find no Paramecia with decided geotropic tendencies. From experiments on tadpoles, however, she concludes that the direct action of gravity, as expressed in the weight of the organisms, does not act as the incentive to negative geotropism, and she suggests that it is possible, both in tadpoles and in infusoria, that gravity may act through the internal organization of the animal, and that in this case the density of the surrounding medium might be expected to effect little if any change in the direction in which the organism moves. And indeed I find this to be true. In solutions of gum arabic of greater specific gravity than the Paramecia, the animals remain at the top or become scattered. If, however, changes in density of the surrounding medium are such as affect materially the amount of water in the protoplasm, as the movements of the organism are ultimately dependent upon the organization of the protoplasm, @ priori, one would expect such changes to affect such reactions as the negative response to gravity. In salt solutions, therefore, in which water is withdrawn, the internal constitution of their protoplasm is so altered that the Paramecia go to the bottom. INFLUENCE OF Foop. The fact that Paramecia were found at the bottom of the tube after remaining several days in #4 NaCl may be not entirely due to the withdrawal of water. It was found that when Paramecia were left in a tube of distilled water for some time, without the addition of food, they finally collected at the bottom and remained there. If water containing food was added, they were found next morning ina ring at the top of the tube. This indicates that the sense of geo- tropism differs in Paramecia when deprived of food and when food is supplied in abundance. It suggests a case mentioned by Loeb.! The young caterpillars of Porthesia chrysorrhcea are positively helio- tropic when hungry, but lose the sense of heliotropism when fed. * LoEB: Comparative physiology of the brain, 1go1, p. 195. Facts Concerning Geotropic Gatherings of Paramecia. 243 Tue EFFrect oF MECHANICAL SHOCK. It was mentioned above that when the tube was lifted from the thermostat the Paramecia streamed downward. This was noted on several occasions, and was probably not due simply to a change from the temperature 28° to the temperature 20°. Whether the Paramecia were in a ring, or whether they were scattered throughout the tube, it often happened that merely lifting the tube seemed to disturb them sufficiently to cause a downward movement. This suggested the idea that a more violent shock would cause a more marked gathering at the bottom of the tube. The tubes were therefore shaken by hand, with the unfailing result that the Paramecia collected at the bottom in a mass much more closely aggregated than was noted under any other circumstances, unless perhaps where the temperature was low- ered to. 1”, This effect of a mechanical shock is by no means new. Loeb! showed that shaking made certain Copepods temporarily positive, and indeed agitation of the water has been one of the most successful means of producing an inversion of the sense of an animal’s response. Towle? showed that even so slight a shock as contact with the mouth of a pipette was sufficient to render Cypridopsis, which is usually negatively heliotropic, temporarily positive. In spite of this, however, it seems well to emphasize here the effect of mechanical shock upon the geotropism of Paramecia, as it adds to the list of evidences of the importance of mechanical shock in the life history of body and other cells which of late have been forthcoming.®? In a recent article by Matthews and Whitcher,* the statement is made that the most probable explanation of the action of mechanical shock on the egg-substance is that it ‘‘ causes a partial gelation of the colloids of the egg-substance. It produces the same effect on the protoplasm as cold, and the two processes accordingly supplement each other. This conclusion is, we believe, strengthened by Mrs. Andrews’s observations on living proto- 1 Logs, J.: Archiv fiir die gesammte Physiologie, 1893, liv, p. 96. 2 TOWLE, E. W.: This journal, 1900, iii, p. 345. 8 For example, in the work of Meltzer on the Influence of Agitation on Animal Cells and Bacteria, Zeitschrift fiir Biologie, 1894, xxx, p. 3; of MATTHEWS on Arti- ficial Parthenogenesis in the Egg of the Starfish, This journal, rgot, vi, p. 142; and of FISCHER on Artificial Parthenogenesis in the Egg of Amphitrite, This journal, 1902, vii, p. 301. * MATTHEWS and WHITCHER: This journal, 1903, viii, p. 300. 244 Anne Moore. plasm. She observed that a mechanical shock caused a distinct change in the viscidity of the choano-flagellates, a very small jar causing the collar to become rigid.” In her article’ Mrs. Andrews shows that the “viscosity of protoplasm varies locally very swiftly. From a very fluid state, it becomes rapidly so viscous as to resist pressure, after the manner of a stiff bristle.’ It would be strange indeed if such changes in the viscidity of the protoplasm were not accompanied by changes in the reactions to external stimuli of such animals as Paramecia. SUMMARY. I. Paramecia are sometimes positively geotropic, sometimes nega- tively geotropic, sometimes without the sense of geotropism. 2. Positive geotropism may be induced in Paramecia by (a) Mechanical shock. The effect of the shock takes place quickly and is lost quickly. (6) Reduction of temperature. At 1° C. the effect is marked, and takes place quickly. In a comparatively short time, the animals may adapt themselves to the low temperature and lose the sense of geotropism. (c) Increase in concentration of the surrounding medium. This factor is not so constant as the other factors, and the effect not so marked. (2) Lack of food. The effect takes place slowly and is lost slowly. 3. Negative geotropism may be induced in Paramecia conversely by a plentiful food supply and by an increase in temperature within limits. 4. The geotropic reactions of Paramecia to these influences is of importance in their life history, for, as the positive reaction carries them away from the surface, they would be protected from surface agitations, from the effect of surface ice, and from the failure of surface food-supply. * ANDREWS: Journal of morphology (supplement), 1897, xii, p. 27. SOME OBSERVATIONS ON THE. EFFECTS OF AGITATION UPON-ARBACIA EGGS. 18 Sia dfs WINES ZANEA Re [From the Marine Biological Laboratory, Woods Hole, Massachusetts. | OR nearly twenty years I have studied at different times the mechanical effect of shaking on unicellular organisms, While spending my vacation last summer in Woods Hole and enjoying the hospitality of the Marine Biological Laboratory, I was anxious to study the effect of shaking upon the eggs of lower marine animals. Loeb ! discovered that the simple increase in the osmotic pressure of the sea-water is sufficient to start the process of segmentation in un- fertilized Arbacia eggs. Mathews? has shown that in unfertilized star-fish eggs this artificial parthenogenesis can be brought on by the mechanical effect of squirting the eggs with a pipette. Similar observations were made by Fischer® on the eggs of Amphitrite. In Arbacia eggs no artificial parthenogenesis could be started by the simple mechanical procedures employed by Mathews and Fischer.* In my studies of the effect of shaking upon bacteria? I found that different organisms differed in their behavior towards a certain degree of vibration, that a degree of shaking favorable to one organism might be indifferent to a second, and destructive to a third. As the very mild mechanical action employed by Mathews proved to be indifferent to the unfertilized Arbacia eggs, the question arose whether other or more energetic methods of shaking would not prove to be effective in one or the other direction upon the unfertilized as well as upon the fertilized eggs of the sea-urchin. The methods I have employed in my previous investigations upon blood-cells, as well as upon bacteria, were principally of two kinds. The organisms were either subjected to the finer continuous vibrations which exist 1 Logs: This journal, 1900, iii, p. 135. 2 MATHEWS: This journal, tgo1, vi, p. 142. 3 FISCHER: This journal, 1902, vii, p. 301. 4 Logs: Archiv fiir Entwickelungsmechanik, 1901-02, xiii, p. 481. > MELTZER : Zeitschrift fiir Biologie, 1894, xxx, p. 3. 245 246 S. J. Meltzer. in the neighborhood of strong rhythmical shocks, for instance, in all parts of a building where large engines are continuously at work; or they were subjected to the direct effect of the shocks, produced by energetically shaking bottles, containing the organisms, to and fro by the hand or by machines. In this latter method the effect proved to be incomparably greater when small, corpuscular firm bodies were placed in the liquids within the bottles, — glass beads, for instance. In the present series I have omitted the method of shaking gently by hand without the addition of other foreign bodies, since I found that Mathews and Whitcher! had started work on these lines. I confined myself to the study of the effects of more violent methods of shaking. The bottles which were shaken by free hand contained, besides the eggs, some glass beads, about one-tenth of the volume of the sea-water, the latter filling about one-third of the bottle. The shaking was carried on by not less than one hundred and eighty movements in a minute, mostly, however, two hundred and forty times and more in one minute. For other methods of shaking I have availed myself of the steam-engine and the dynamo located on the grounds of the United States Fish Commission. Bottles with or with- out beads were attached either to the piston of the steam-engine, which made only thirty-six to fifty excursions in a minute, or to the piston of the dynamo, which made steadily three hundred and sixty movements ina minute. Bottles containing Arbacia eggs were also placed on the large iron box of the steam-engine, or they were attached to a high pole connected with this box. In either case the eggs were subjected to a nearly continuous vibration emanating from the distant shock; the vibration was more intense on the pole than on the box, as could easily be felt and seen. The strongest effect of the direct shock was of course produced by the movements of the piston of the dynamo. The next strong effect was produced by shaking the bottles by the hand. The mildest effect of the direct shock was produced in the bottles attached to the piston of the steam- engine on account of the slowness of the movements of the latter. The temperature in the places where the bottles were attached was only slightly higher than that of the air. I shall now report briefly some of the observations I thus gathered. 1. Among unfertilized Arbacia eggs, which had been subjected to any of the methods of shaking (except of course when attached to * MATHEWS and WHITCHER: This journal, 1903, viii, p. 301. On the Effects of Agitation upon Arbacia Eggs. 247 the piston of the dynamo), there were always a small number seg- mented, while segmented eggs were absent in most of the controls. The segmented eggs were mostly in the two and four cell stages, rarely in the eight-cell stage, and never in a more advanced stage. The usual precautions were taken to avoid contamination with sperm ; this nevertheless does not absolutely exclude the possibility of an occasional contamination. However, it seems to me that the very fact that only a few eggs segmented, and that the segmentation did not advance beyond the very earliest stages, speaks against the possi- bility that the segmentation was due to a real fertilization which accidentally always could have occurred in the shaken specimen and rarely in the control. Moreover, since it has been established that in the eggs of the star-fish and Amphitrite the entire series of segmentation can be started and brought to a finish by mechanical effects, it is surely nothing unusual to find that strong mechanical effects can induce some degree of cleavage, even in a few of the Arbacia eggs, though the latter are in general very little susceptible to artificial mechanical influences. 2. Shaking by hand was carried on with fertilized as well as un- fertilized eggs for half a minute, one minute, two, three, four, and five minutes. The predominant feature of the effect of this mode of violent shaking was a greater or less destruction of the eggs. One interesting result came out very distinctly in every experiment: it is the fact of the superior resistance of the fertilized over the unfer- tilized eggs. The little bottles containing the fertilized or the un- fertilized eggs were prepared exactly alike, and in every experiment a bottle of each kind was kept in the same hand, and shaken simul- taneously for the same length of time. When examined under the microscope, the fertilized eggs shaken for five minutes looked, with regard to the number of disorganized eggs, like the unfertilized eggs shaken only for two minutes; or fertilized eggs shaken for three minutes looked like unfertilized, shaken for one minute and less. Furthermore, in the progress of the destruction of the unfertilized eggs, parallel with the disappearance of the eggs, there is a steady increase of dust-like débris. There are very few shapeless eggs or masses of large fragments present in the destroyed unfertilized eggs. On the other hand, in the violently shaken fertilized eggs, we see plenty of disorganized eggs of all shapes, and coarse fragments of all sizes and forms, and see but little fine, dust-like débris. 248 S. J. Meltzer. Unfertilized eggs are apparently more brittle ; they offer less resist- ance to a mechanical shock, and break down more readily into dust ; while the fertilized eggs are more elastic and coherent. I wish, how- ever, to state expressly that by using the terms brittle and elastic, I do not mean to offer an hypothesis as to the real nature of the change of structure; these terms are only other expressions for the facts I have observed. What I would be inclined to insist upon, is that the change is of a physical character. Possibly the assumption of Mathews and Whitcher,! that the difference in the resistance is due to a change in the viscosity of the protoplasm, is correct. There are, however, many other possible interpretations of the facts which Mathews and Whitcher and myself have observed. Thus we may, for instance, assume that the physiological molecules of the eggs, which are stirred through the action of the sperm, and get into readiness to enter into a new grouping so as to facilitate segmenta- tion, are more separated from one another. It is possible, therefore, that after fertilization each physiological molecule is surrounded by a greater sphere of an elastic fluid than before, and it is the elas- ticity of these spheres which acts as a buffer and dampens the effect of the mechanical shock. We should not omit to add that Morgan? in his studies on the effect of centrifugalization upon eggs, found that it is more destructive to unfertilized than upon fertilized eggs. In experiments on unfertilized eggs, it appeared further, that the longer the eggs were removed from the ovaries and preserved in sea- water, the less was their resistance toward mechanical shocks. How- ever, no detailed studies were made on this point. When unfertilized eggs were shaken for one minute, a small number of eggs remained uninjured, and a few have shown cleavage. In many experiments, the mass contained bodies smaller than eggs; they looked like small blastulae, and some of them were swimming rapidly. Whether they were real artificial blastulz, or were foreign invaders,’ etc., I was unable to determine. When the unfertilized eggs were shaken three to five minutes, there were neither unseg- mented nor segmented eggs, nor any swimming bodies to be seen. Fertilized eggs, when shaken for one minute, even very soon after fertilization, appeared very little injured; there were hardly any 1 MATHEWS and WHITCHER: Loe. cit. * MorGan: Archiv fiir Entwickelungsmechanik, 1902, xv, p. 238. * See LoesB: Archiv fiir Entwickelungsmechanik, 1902, xiv, p. 288. Ox the Effects of Agitation upon Arbacia Eggs. 249 fragments to be seen. But there were present quite a number of segmented eggs in an advanced stage, and even a few distinct blastula were seen. When shaken for five minutes, a good many injured eggs and large fragments were present, but the majority of the eggs were still intact. Among them there were many seg- mented eggs in all stages of cleavage. Fertilized eggs shaken for five minutes (by hand over two hundred times in a minute and with the addition of glass beads) contained blastulz resting on the bottom of the vessel and a fair number of swimming gastrulz, while the control contained nothing of that kind. The fact that by violent agitation of fertilized eggs the cycle of seg- mentation could be so hastened as to reach the gastrula stage ina few minutes, is so unusual that now, writing from notes and not being in a position to verify it, I hesitate to set it down unreservedly. When the eggs thus shaken are left alone,a good many more develop into blastule, but few into swimming gastrule, and none into plutei. All soon undergo decomposition. Violent shaking of the eggs within the bottles attached to the piston of the dynamo thoroughly destroyed fertilized and unfertilized eggs alike in the shortest time. Fertilized eggs which were kept in bottles on the box of the steam- engine, or were attached to the pole, and thus were subjected toa moderate but nearly continuous vibration, have been influenced in a double way. Eggs which were kept there from forty to eighty minutes have shown in all instances a marked advance in the segmentation over the eggs of the control. When in the control the four-cell stage predominated, with only a few of the eight-cell stage among them, the eggs subjected to vibration contained at this time predominantly eight or sixteen cell stages, or had progressed even farther. Further- more, the segmentation of the eggs in the bottles attached to the pole (more vibration) was greater than that on the box, although the temperature on the pole was lower than on the box. Keeping the eggs in the mentioned places for longer than two hours begins to affect their further development unfavorably, and the longer the eggs were subjected to the vibration, the more dis- tinctly they remained behind the control. The stage of plutei, if it was ever attained, was reached ten or twelve hours later, all being small and mostly crippled. The shaken eggs, as a rule, had only few swimming gastrulz, most of them were lying on the bottom. Even these, however, were, without exception, far in advance of those 250 S. J. Meltzer. eggs which were shaken for a longer or shorter time, and then kept under the same conditions as the control. For instance, thirty-six hours or two days after the beginning of an experiment, while the control would be teeming with well-developed plutei, the eggs shaken for twenty-four hours would show a few crippled plutei, some swim- ming gastrule, a good many resting blastule and eggs in all stages of division ; the eggs which were made to vibrate for only one hour, and placed near the control, than which they were then more de- veloped, would be already decomposed and emitting a foul odor. In other words, if fertilized eggs were once subjected to artificial vibration, they became decomposed early, if the vibration were not continued. The last series of experiments brings out the following instructive point. Mild vibrations of comparatively short duration, though they affect somewhat favorably the first steps of segmentation of fertilized eggs, upset their normal equilibrium to such a degree that further development is almost checked, unless vibration be continued, and even then the development of the eggs ultimately lags far behind that of the uninfluenced control eggs. Our experiments have shown that any kind of shaking might start the first steps of cleavage in a few of the unfertilized Arbacia eggs. Our experiments with violent shaking by hand have shown that some fertilized or unfertilized Arbacia eggs might by violent agitation be hastened in a very short time into an advanced stage of cleavage. Finally, our experiments with mild vibrations have shown that the first steps in segmentation of fertilized eggs can be slightly hastened by these vibrations, but the experiments have also shown that these vibrations are incapable of bringing the development of the egg to a normal finish, and that they upset the normal equilibrium of the fertilized eggs. Shaking or vibration, at least in the methods we employed, has proved to be incapable of producing artificial parthenogenesis in Arbacia eggs. But the experiments have shown that even these in- adequate vibrations are capable of profoundly influencing the finer mechanism, underlying the process of segmentation, and that they do not simply injure the eggs in a coarse, traumatic manner. In unfertilized Arbacia eggs, cleavage can be brought about by change in osmotic pressure, but not by simple mechanical means. In star-fish eggs, cleavage can be induced by very simple mechanical shocks, but not by the change in osmotic pressure. Since the dis- On the Effects of Agitation upon Arbacia Eggs. 251 covery by Loeb of artificial parthenogenesis by the addition of chemi- cals to the sea-water, it has been often stated that the entrance of the spermatozoon into the ovum causes changes which might be similar in character to those which are caused by an alteration in the osmotic pressure of the suspension fluid. But why not also assume that the great motility of the sperm is in every case an adequate mechanical shock appropriate to start the normal cycle of cleavage, just as we see that a simple mechanical shock may be the means of setting up an artificial segmentation of the eggs of the star-fish? The arti- ficial mechanical shocks at our disposal are capable of affecting the eggs profoundly, but for the purpose of setting up a nearly regular cleavage they are adequate only for eggs of one or the other species. Might it not be that the motility of the sperm is specific, and there- fore adequate and effective in each special case? Perhaps a study of the different rates, characters, etc., of the motions of the different spermatozoa will throw some light upon this question. ON THE EFFECTS OF SUBCUTANEOUS AN]J#Cri OF THE EXTRACT OF THE SUPRAKEN ye CAPSULE UPON THE BLOOD-VESSE@S OF THE BABB S.A By S. J. MELTZER anp, CLARA MELTZER? [From the Rockefeller Institute for Medical Research. ] EFFECTS UPON THE EARS OF NORMAL RABBITS. N a previous communication? we recorded the observation that after an intravenous injection of adrenalin, the vasoconstriction in a rabbit’s ear (on the non-operated side) is usually followed by a vasodilatation exceeding that which existed before the injection. A search in the literature on the subject satisfied us that our experience of the vasodilating after-effect is not an isolated one. Langley,? for instance, records that the submaxillary gland appears flushed after the blanching of the gland, caused by injection of suprarenal extract, vanishes. Regarding the general blood-pressure, Lewandowsky * states that in cats it frequently sinks below the original level, after the usual primary rise. We have interpreted our observation by the assumption that the reduced dose of adrenalin within the blood stimulates preferably the central vasodilating mechanisms. On the basis of this hypothesis we started out to determine a small dose of adrenalin which by intrave- nous injection might be capable of causing a primary dilatation of the ear-vessels. As we have stated in the above-mentioned paper, we met with full success in only very few instances. In most of these experiments an injection of the small dose brought either no change at all, or there was no change for a minute or two, and then a per- ceptible dilatation followed, or finally there was a very brief primary constriction, followed by a pronounced dilatation of the vessels. Research Scholar of the Rockefeller Institute. S. J. and CLARA MELTZER: This journal, 1903, ix, p. 147. LANGLEY, J. N.: Journal of physiology, 1901-1902, xxviii, p. 237- LEWANDOwSkyY : Archiv fiir Physiologie, 1899, p. 360. 252 - 1 9 3 4 Lofects of Suprarenal Capsule on Blood-Vessels. 253 In a new series of experiments we studied the effect of adrenalin upon the blood-vessels in the ear of the normal rabbit, when intro- duced subcutaneously. These studies brought to light more clearly the vasodilating effect of the suprarenal extract. We shall report our results briefly. These studies are not as easy a task as might appear at first thought. The blood-vessels of the rabbit’s ear, as is well known, show a con- tinual change in their volume. But these changes are not as regular as might appear from the statements of Schiff,! who was the first to observe them. Indeed, Becke van der Callenfels? published tables showing that there may be great irregularity in these changes. We can confirm his statements. Sometimes, indeed, constrictions of long duration are interrupted by short dilatations, as Schiff reported; but at times the dilatations last long and the constrictions are short, or both are short, or both long. The duration of each phase can vary from a few seconds to many minutes. It is obvious, therefore, that it is very difficult to say whether a dilatation of long duration which appears after an injection of adrenalin, is due to the injection or is one of the normal irregularities; or whether it is due to some of the numerous accidental conditions which favor dilatation. Warmth, for instance, favors dilatation. Thus dilatations prevailed in animals, the ears of which were observed by lamplight. Simple holding of the ears for the sake of better observation favors dilatation. Any motion of the animal causes paling of the ear, which is then followed by a long lasting flush. There is also an individual variability; in some rabbits constrictions, in others dilatations, preponderate. From our experience, it would appear that younger and smaller animals are apt to show more frequently pale ears. However, after considering all possible sources of error, the fact appeared to be unmistakable that subcutaneous injection of adrenalin often favors a primary dilatation of the blood-vessels of the rabbit’s ears. Investigators? who studied the effect of the suprarenal extract upon the general blood-pressure, have often made the assertion that sub- 1 ScuiFF: Archiv fiir physiologische Heilkunde, 1854, xiii, p. 523. 2? BECKE VAN DER CALLENFELS: Zeitschrift fiir rationelle Medizin, 1855, p. 157- 3 GoTTLieB: Archiv fiir experimentelle Pathologie, 1896, xxxvili, p. 99; LEWANDOWSKY: Loc. c7¢.; BorutTTrau: Archiv fiir die gesammte Physiologie, 1899, Ixxviii, p. 97. 254 S. J. Meltzer and Clara Meltzer. cutaneous injection induces no vasoconstriction. From our studies upon the blood-vessels of the rabbit’s ear, we can positively state that a subcutaneous injection of a sufficient dose of adrenalin will cause a distinct constriction of the vessels. Ina young rabbit, of a weight less than 1000 grams, an injection of I c.c. of pure, commercial ad- renalin (1 : 1000) will cause within ten minutes a distinct blanching of both ears. Usually the animal then becomes exceedingly pros- trated. In an animal of 1500 grams and more, a subcutaneous in- jection of about 1.5 to 2.0 c.c. of adrenalin will cause a gradual, slow but distinct narrowing of the blood-vessels, especially noticeable in the larger ones; the central artery may finally appear as a fine line, sometimes unevenly constricted, moniliform, but it never disappears entirely. When 0.6 to 1.0 c.c. of pure adrenalin is injected subcutaneously into a medium-sized rabbit, in most instances it may be observed that after a few minutes the periods of vasodilatation become steadily longer, and those of constriction shorter, until about ten to twenty minutes after the injection, when the dilatation remains practically stationary for a period of from ten to thirty minutes. The central artery stands out clearly in its entire length, and many very fine vessels become visible. As a rule, however, the small vessels dis- appear again soon, especially after the injection of a large dose, while the central artery remains dilated for some time. The dilatation of the vessels in these cases is not as intense as after an excitement or a struggle of the animal; it is more comparable to the dilatations seen generally after section of the sympathetic, which as a rule are also not very intense. When a smaller dose is injected, the effect is sometimes restricted to an increase in duration and a more frequent appearance of the phases of dilatation, but then an additional injection of 0.5 c.c. or more will bring out a permanent vasodilatation. In very rare cases a short period of constriction seemed to precede the vasodilatation. We should add that injections of saline or water do not favor vaso- dilatation. The following are abbreviated protocols of some of the experiments. Experiment 85. March 24, 1903.—10 A.M. Small gray rabbit, about 1200 grams. Ears watched for about half an hour ina cool room. Ears very pale, occasionally vessels fill faintly but constrict again quickly. Injected 12 minims of pure adrenalin. In a few minutes the ear-vessels fill up very well and remain full, except for very few and short intervals of con- Liffects of Suprarenal Capsule on Blood-Vessels. 255 striction, for about half an hour, when the vessels become narrower again ; but even after forty minutes the ear is not as pale as before injection. March 25. Injected 15 minims of saline, no effect. March 26. Injected saline, no effect. Half an hour later injected 12 minims of adrenalin, — very definite dilatation though not as marked as on the 24th. Experiment 96. April 5.— Large black rabbit watched for half an hour in a cold room. Blood-vessels vary, dilate and constrict; at first average duration of constriction five to eight seconds; of dilatation ten to fif- teen seconds. Later the constriction periods become longer. Injected 25 minims of adrenalin. During the first ten minutes slight variation, but the ear did not become really pale again, and the con- striction lasted only a second or two. After this period, the vessels remained stationary in dilatation for 15 minutes, then became narrower again. ‘Thirty-five minutes later vessels still somewhat dilated. The results of this series of experiments would seem to have an unfavorable practical bearing upon the subcutaneous application of adrenalin for hamostatic purposes. As we have seen above, only such doses of adrenalin as are large enough to cause a distinct and dangerous general muscular paralysis of the animal, can induce by subcutaneous injection a constriction of the blood-vessels. Only such doses, therefore, come into consideration in the employment of ad- renalin as a therapeutic measure. On the other hand, medium doses of this drug cause a vasodilatation; therefore, instead of contracting, the bleeding vessel would become dilated, and the bleeding would be increased. The results of the following series of experiments will throw some light upon a mechanism by which the suprarenal extract might indeed be capable of controlling certain forms of hemorrhage. EFFECT OF SUBCUTANEOUS INJECTION AFTER ELIMINATION OF THE AURICULAR VASOMOTORS ON ONE SIDE. In our previous paper in this Journal! referred to above, we have studied the effect of intravenous injection of adrenalin upon the ear-vessels of rabbits after section on one side of practically all nerves carrying vasomotors for the ear. We found that the constriction on the operated side lasted considerably longer than on the normal side. 1S. |. and CLARA MELrzien: Loc, C77. 256 S. J. Meltzer and Clara Meltzer. In a new series of experiments we studied, under the same conditions, the effect of subcutaneous injections. - The remarkable results which we uniformly obtained are chiefly as follows: In every adult rabbit in which, on one side, the sympathetic was cut, the ganglion removed, the third cervical nerve and its connections cut, or in which ganglion and cervical nerves together were eliminated, a medium dose of ad- renalin, when injected subcutaneously, brought out in every case a constriction of the vessels on the operated side, while on the non- operated side the vessels became more or less distinctly dilated. The constriction is a gradual one; it begins a few minutes after the in- jection, progresses slowly, and sometimes does not attain its maxi- mum for half an hour. The constriction is rarely so great as after an intravenous injection; but it may last for many. hours, — in fact, the vessels sometimes do not assume their original width before the fol- lowing day. The behavior of the blood-vessels of the ear on the unoperated side differs but little from that reported above, when adrenalin is injected subcutaneously into normal rabbits. We shall only add that, if all conditions are equal, the vessels of the normal ear in an operated animal generally show, as it seemed to us, a some- what lesser tendency toward frequent dilatations than those of a normal animal. Hence the dilating effect of adrenalin was more easily recognizable and appeared to be more marked in the operated animals than in the normal ones. It was in these animals that we first noticed the distinctly dilating effect of the subcutaneous injec- tions. The constricting effect upon the ear-vessels of the operated side is present in all cases, whether the dilatation of the vessels was due to the section of the sympathetic or to that of the cervical nerves. In fact, the constriction is marked even if, before the injection, there was no greater dilatation than the usual width in normal animals; which is indeed often the case a few days after the section of the sympathetic. It appeared, however, that in most cases when the cervical nerves alone were cut, even if the dilatation consequent upon this section was considerable, the constriction after the injection of adrenalin set in later and appeared less pronounced than in the cases in which the sympathetic was cut. In a few cases in which either the sympathetic alone or the cervical nerves alone were cut, the injection brought out either a constriction in the centre and a dilatation in the periphery of the ear, or vice versa, 2.é@., a dilatation in the centre and a constriction in the periphery, thus showing in one and the same ear the dilating effect Liffects of Suprarenal Capsule on Blood-Vessels. 257 upon vessels with central innervation and the constricting effect upon those which are deprived of a central control. In small and young rabbits, and by the use of very large doses, a subcutaneous injection brought out a constriction even on the un- operated side. But even in these cases the constriction set in later and was markedly less than on the operated side. In many experiments a leg was very tightly constricted and ad- renalin injected peripherally to the ligature. When, some time later, the ligature was removed, both ears blanched within a very short time, even after the use of medium doses. But even in these cases the constriction in the unoperated ear set in later and was distinctly less marked than in the operated ear. The cause of the greater efficiency of the subcutaneous injections in these experiments with ligation of an extremity, we shall have a better opportunity to discuss in a future paper on the influence of adrenalin upon the pupil. The following are a few abbreviated protocols of the last series of experiments. Experiment 53. Dee. 1, 1902. — Large brown rabbit anesthetized. Ganglion pulled out and third cervical nerve cut on the right side. Dec. 4. Right ear-vessels full ; left pale. 2.45 P.M. Injected 25 minims of adrenalin 1 : 1000 under the skin of the back. 2.50 P.M. Right ear paler; left variable. 3-10. Right ear pale; left full and stationary. Dec. 18. Right ear pretty well dilated; left pale. Injected 15 minims as above. Left soon became full, and remained so for several minutes, then gradually became paler. Right ear continued to pale gradually. Dec. 23,6 p.m. Injected 10 minims. Ina few minutes vessels of left ear dilated ; right ear pale. g. P.M. both ears returned to their previous states. Dec. 24. Right hind leg tied. Injected below ligature 20 minims. Liga- ture removed after five minutes. Right ear immediately becomes com- pletely pale ; left ear a little fuller than before injection. Lixperiment 54. Dec. 1, 1902. Rabbit anesthetized. Left cervical nerve cut. Dec. 15. Left sympathetic and also right third cervical cut. Dec. 16, 8.30 p.m. Injected 30 minims adrenalin 1 : 1000 under the skin of the neck. In 6 minutes both ears pale, left entire ear, right-central artery still visible. Animal thoroughly prostrated ; found dead next morning. 258 S. J. Meltzer and Clara Meltzer. Experiment 59. Dec. 11, 1902. Large gray rabbit anzsthetized. Left third cervical nerve and connections and left sympathetic cut. Dec. 17, 8.20 p.M. Left ear very full; right ear pale. 8.27. Injected under skin of neck 25 minims adrenalin. 8.29. Left ear paler; right fuller. Redness of right continues, while left continues to get paler. 8.45. Right ear still moderately full; left pale. Experiment 62. Dec. 16, 1902. Large white rabbit anzesthetized. Right ganglion removed and third cervical nerve and its connections cut. Dec. 17. Vessels of right ear fully dilated ; left ear very pale. Injected under skin of neck 20 minims adrenalin. In two minutes vessels of right began to contract ; in 14 minutes right ear quite pale ; left somewhat full. Dec. 23, 6 p.m. Hind leg tied with Esmarch bandage, injected distally 30 minims ; toxic symptoms while bandage still on ; bandage removed, both ears very pale. g P.M. Left ear pale ; vessels of right dilated. Animal recovered, and condition of ears as before injection. Dec. 24. Injected subcutaneously 15 minims; vessels of left ear became fuller ; right ear pale. Jan. 14, 1903, 5.30 P.M. Right leg tied very firmly ; injected below liga- ture 20 minims. No effect noted while ligature on. . 7 P.M. Ligature removed; right ear blanches immediately; left blanches a little later. Both our series of experiments establish beyond a doubt that the sub- cutaneous injection of a medium dose of adrenalin causes a dilatation of the vessels of the ears when they are under the control of central vasomotors, but it induces a distinct constriction of the ear-vessels when the central innervation is essentially eliminated. These medium doses are, however, far in excess of those which give in intravenous injections a maximum constriction. Above a certain minimum the smaller the dose the more distinct the dilating effect of the subcuta- neous injection upon the vessels of the normal ears. These results will be better understood when we recall the hy- pothesis which we offered in our last paper! in explanation of the facts recorded there, which hypothesis was the starting point for the present series of experiments. We have there put forward the assumption that the suprarenal extract, when reaching the central nervous system through the circulation, stimulates there the vaso- constricting as well as the vasodilating mechanisms. But in conform- 1S. J. and CLARA MELTZER: Loc. cit. Lifects of Suprarenal Capsule on Blood-Vessels. 259 ity with the mode of action of all stimuli upon the central vasomotor mechanisms, stronger stimulation by adrenalin favors vasoconstric- tion, and weaker stimulation favors vasodilatation. A large dose of adrenalin represents a strong stimulus, and a small dose a weak one. If a large (efficient) dose is introduced into the circulation it at once favors constriction. When, however, later on, by oxidation and elimination (and neutralization ?), the original dose becomes con- siderably reduced, the reduced dose still stimulates both mechanisms, but it now favors dilatation; hence the rapid disappearance of the constriction and the appearance of a dilatation beyond the normal, as an after-effect. When, however, the central influences are eliminated, there is no longer a central dilating force present to overcome the stimulation of the peripheral constricting mechanisms, for which the small dose is a sufficient stimulus; hence the prolonged constriction of the vessels in the ear deprived of its vasomotors.!. If we were right in our assumption, there was then a possibility of finding a small dose which would primarily cause dilatation. In the experiments with intravenous injections, we were not very successful in finding such doses. Our attention was then turned toward the method of subcutaneous injections in the expectation that in this method only very small doses at a time will be absorbed into the blood. We have seen the positive result. Our explanation of the results obtained in the present series of experiments is then as follows: When even a comparatively large dose of adrenalin is injected subcutaneously, only a very small frac- tion of it is absorbed at a time into the blood; some of it is soon eliminated and thus put out of service. The amount of the substance which is actually present in the blood is very small. When the vaso- motor nerves are intact, the small dose of adrenalin in the blood favors vasodilatation. The result is that either the dilatation only exactly neutralizes the (central and peripheral) constricting effect, and there is consequently no change in the appearance of the vessels; or it more or less overcompensates the constriction; the effect is then a more or less distinct dilatation of the vessels. However, if the central innervation is eliminated, the small dose within the blood stimulates the peripheral constricting mechanisms without any antagonistic influences of central origin ; hence the constriction of the blood- vessels of the ear on the operated side. 1 For further particulars of this hypothesis we refer to the above-mentioned communication. 260 S. J. Meltzer and Clara Meltzer. We wish to add a few remarks. Our experiments show in the first place that the suprarenal extract is very effective upon the blood- vessels even when injected subcutaneously. It has been generally assumed, as mentioned above, that subcutaneous injection of the suprarenal extract exerts no influence on the blood-pressure, and this was explained by the assumption that the extract of the suprarenal capsule becomes oxidized in the lymph spaces before it can reach the circulation.! Recently? some reports were published to the effect that when very large fatal doses were used, the blood-pressure be- came affected even by subcutaneous injection. This, however, might be interpreted by assuming that the surplus of oxygen in the lymph spaces was insufficient to destroy all the adrenalin. Our experiments, however, show unmistakably that even comparatively small doses of adrenalin are effective upon the state of the blood-vessels from the subcutaneous tissues, the effect being either a dilating or a constrict- ing one, depending upon the presence or absence of central vasomotor influences. That the suprarenal extract does not become oxidized by the tissues is best shown by the experiments with the injection into the tightly ligated legs. Although the substance remained in intimate contact with the tissues for hours, there appeared to be not even the slightest impairment of the drug after the ligature was removed. The following consideration is of general interest. If we have the constricting property of the extract in mind, our experiments have taught us the fact that subcutaneous injection of rather large doses has no effect on the ear-vessels when the central innervation is normal, but it exerts a considerable influence upon the vessels as soon as the central innervation is eliminated. Now our knowledge of the effects of all drugs, alkaloids, toxins, or metabolic products, is mostly derived from a study upon normal animals or organs. Are the effects the same when the organs are deprived of their normal innervation? As far as we know, this question has as yet hardly been seriously raised. Our experiments have demonstrated that the effect on pathological organs can be diametrically opposite to that on the normal ones! Finally we wish to recur again to the use of adrenalin as a hamo- static. Above, we raised the point that if a permissible dose of 1 LEWANDOWSKY and BoruTtTau: Loc. cit. 2 AMBERG: Archives internationales de pharmacodynamie et de thérapie, 1902, X1, Pp. 57. Liffects of Suprarenal Capsule on Blood-Vessels. 261 adrenalin, when injected subcutaneously, dilates the vessels, the use of adrenalin would obviously be somewhat harmful. Another objec- tion has often been made of late against the use of such drugs in hemorrhages as cause a contraction of all the blood-vessels in the body, that the general rise of blood-pressure will favor the escape of blood from the diseased or injured vessel. The harm would be greater than the good done by a possible moderate local contraction of this vessel. In our experiments, however, we have seen that a subcuta- neous injection of a permissible dose of adrenalin causes a dilatation of the vessels in normal parts, while vessels which are deprived of normal innervation become constricted. Now if a hemorrhage occurs in a diseased part, there is reason to assume that the vasomotor inner- vation of these parts is already essentially injured. In this case a subcutaneous injection of adrenalin could have an ideal hzemostatic effect: it would lower the blood-pressure in the normal parts about the lesion, which would divert the influx of blood from the bleeding point, while it would cause at the same timea direct constriction of the bleeding vessels. SUMMARY. Subcutaneous injection of suprarenal extract exerts a distinct effect upon the blood-vessels of the ear. In normal animals a large dis- tinctly poisonous dose causes blanching of the ears; a medium dose causes a moderate but distinct dilatation of the blood-vessels. In rabbits in which the vasomotor nerves were cut on one side, a sub- cutaneous injection of a medium dose of adrenalin induced a distinct constriction of the vessels on the operated side and a dilatation on the unoperated side. Apparently adrenalin is but very little oxidized in the subcutaneous tissues. DIFFERENCES OF POTENTIAL BETWEEN BLOOD AND SERUM AND BETWEEN NORMAL AND LAKED BLOOD. BY G. NesSTEW ALE, [From the Hull Physiological Laboratory of the University of Chicago.| T is well known that, in general, the contact of solutions of dif- ferent electrolytes, or of solutions of the same electrolyte of different strengths, gives rise to electromotive force. This was first explained by Nernst as due to the unequal velocity of diffusion of the ions. With the view of throwing further light on the properties of the envelopes of cells as regards their permeability for electrolytes, I have endeavored to determine, by Poggendorff’s compensation method, whether measurable differences of potential exist between defibrinated blood, or sediments rich in corpuscles suspended in the serum of the same blood, and the serum separated by centrifugaliza- tion or obtained from the clotted blood; and between defibrinated blood and blood laked in various ways. The idea in the first case was to see whether the presence of the corpuscles, in virtue of the unequal permeability of their envelopes for different ions, would cause any electrical difference, and in the second case to see whether the liberation of electrolytes and hamoglobin from the corpuscles, and the alteration in the permeability of their envelopes would develop a difference of potential. I had intended also to study the differences of potential between standard solutions of electrolytes (2. g. 0.9 per cent NaCl solution or serum) and suspensions of blood-corpuscles in the same solutions, plus definite quantities of electrolytes known to penetrate the corpuscles, and to compare those differences with the differences of potential between the same liquids when the blood- corpuscles are absent. These latter observations, however, I have not yet been able to make. Method. —'The two liquids occupied the two limbs of a U tube, into which dipped a pair of unpolarizable electrodes (ZnSO, clay mixed with 0.9 per cent NaCl solution). The glass tubes of the electrodes were straight, but tapered at the immersed ends so as to enter the U tube easily and to 262 Differences of Potential between Blood and Serum. Combination. in volts. Remarks. Blood, water Blood, water lood, water Sediment of blood, se- rum Sapotoxin-laked blood, control Blood, 0.9 per cent NaCl solution Blood, 0.9 per cent NaCl solution Blood, sapotoxin-laked blood Blood, sapotoxin-laked blood Blood, sapotoxin-laked blood Mixed somewhat Blood, heat-laked blood Sapotoxin-laked blood, serum Defibrinated blood, se- rum Blood, sapotoxin blood Blood, 0.9 per cent NaCl solution Water-laked blood, de- fibrinated blood Defib. blood, water Defibrinated blood, sap- otoxin blood Mixed-up blood in U tube Putrid blood, fresh blood 0.0215 0.0057 0.0028 less than 0.0002 less than 0.0002 0.0183 0.0065 less than 0.0002 0.0036 less than 0.0001 less than 0.0001 less than 0.0001 less than 0.0001 0.0002 0.0003 less than 0.0001 Blood —, water-+. Laking only at interface. Partially mixed up blood in one limb of tube, the other remaining full of un- altered blood. Mixed up still more. To 5 cc. of defibrinated blood, 0.9 c.c. of a 2 per cent sapotoxin solution in 0.9 per cent NaCl solution was added, and then, to make sure of maximum laking, a little sapotoxin in substance. The “control” consisted of blood to which as much 0.9 per cent NaCl solution was added as was added of the sapotoxin solution to the laked blood. Blood—, NaCl solution+. The defibrin- ated blood was drawn 48 hours before. Same blood, but after standing 48 hours more. Same blood. Enough sapotoxin was added in substance to cause complete laking. 0.0575 gm. sapotoxin in substance was added to 20 cc. of defibrinated blood drawn 24 hours previously. Laking is complete in 2 minutes at room tempera- ture. This observation of E. M. F. was taken 31 minutes after mixture of the blood and sapotoxin. Defib. blood +, sapotoxin blood —. Later on. For the defibrinated blood, A (50) = 39.73. For the sapotoxin blood, 4 (50) = 63.22. For the serum, A (50) = 85.93. For serum in 20 c.c. of which 0.068 grams sapotoxin was dissolved, A (50) = 85.08. For defibrinated blood, A (50) = 39.73. For heat-laked blood, A (50) = 37.84. Many Hb crystals in the sapotoxin blood. Blood —, NaCl solution +. Two volumes water were added to the blood. Water-laked blood—, defib. blood+, E. M. F. seemed to decrease after a few minutes. Defibrinated blood +, water —. Sapotoxin blood+, defibrinated blood—. For the sapotoxin blood, A (50) = 63.22. For the defibrinated blood, A (50) = 41.09. E. M. F. same as before. The putrid blood was not completely laked. Putrid blood +, fresh blood —. 263 264 G. NV. Stewart. fit snugly. The clay plugs were flush with the narrow ends. Before each observation, the difference of potential between the electrodes was determined by immersing them in a U tube filled with 0.9 per cent NaCl solution. Usually it was very small (less than 0.0002 volt), and unless this was the case, the electrodes were set up again. When the same electrodes were to be used for successive observations on more than one combination, their tips were immersed in test-tubes filled with 0.9 per cent NaC] solution. The U tube for the measurements and the test-tubes for the washing of the electrodes were always slipped into position, while the electrodes were separately clamped, and remained undisturbed through- out the experiment. When scrupulous care is exercised in preparing the electrodes at the start, good results can be obtained in this way without the necessity of setting up fresh electrodes for each fresh combination, results which, for the present purpose at least, can hardly be surpassed by those yielded by the so-called normal mercury-calomel electrodes. The resistance of the compensating wire (represented by a plug rheostat) was never less than 10,000 ohms. It will be observed that even after the action of such drastic hemolytic agents as sapotoxin, in doses sufficient to produce marked liberation of electrolytes from the corpuscles, the differences of poten- tial nite between the laked and unlaked blood are very small. No defi- differences could, in general, be made out between defibrinated blood, or a blood sediment very rich in corpuscles, and the serum separated from it. tiie wero y. OF RENE, By OTTO FOLIN. [from the Chemical Laboratory of the McLean Hospital for the Insane, Waverley, Mass.] THe TotTaALt ACIDITY OF URINE. OTWITHSTANDING the large number of investigations which have been published regarding the acidity of urine, no method has yet been found for determining this factor with even approximate accuracy. The reason for this condition is the fact that no successful attempt has been made to overcome the two chief difficulties which make direct titrations of urine unreliable: namely, first, the occurrence of calcium in the presence of monobasic phos- phates, and, secondly, the presence of ammonium salts. The older methods of directly titrating the acidity with tenth normal sodic hydrate in the presence of various indicators have there- fore been given up as worthless by most investigators, and the more recent methods have been directed toward the determination of the monobasic phosphates on the assumption that to these is due prac- tically all of the acidity of urine. These later methods have, however, been shown to be inaccurate for the determination of the phosphates, and are, moreover, certainly open to the fatal objection that a considerable part of the acidity of urine (sometimes more than one-half) is due to organic acids. Two years ago Nageli' took up again the method of directly titrating urine with tenth normal alkali, using phenolphtalein as indicator, and attempted to prove that this gives fairly accurate results. But it can easily be shown that the two most impor- tant experiments with which Nageli supports his conclusion give, if properly performed, results contradictory to those found by him. The experiments referred to are the direct titration of monocal- ciumphosphate, and the titration of any acid in the presence of ammonium salts. That monocalciumphosphate cannot be titrated with phenolphtalein and sodic hydrate under the conditions present 1 NAGELI: Zeitschrift fiir physiologische Chemie, 1900, xxx, p. 313. 265 266 Otto Folin. in urine is seen at once when neutral calcium chloride is added to a titrated monopotassium phosphate solution. The addition of the calcium salt will in every case materially increase the apparent acidity of the solution. Ndageli seems to have assumed that the amount of calcium present in urine is too small to produce any noticeable error in the titration of its acidity. In this he is mistaken. The error due to the calcium of urine, as will be shown below, may amount to more than ten per cent of the total acidity found. Nageli’s experiments with ammonium salt solutions are even more unsatisfactory. The apparent acidity of neutral ammonium salt solu- tions in the presence of phenolphtalein is so pronounced that phe- nolphtalein cannot be used as indicator in the presence of even such limited amounts of ammonium salts as occur in normal urine. Seventy milligrams of ammonium chloride, for example, containing about 13 c.c. 77 NH, (an amount by no means rare in 25 c.c. concen- trated urine) require in 100 c.c. of distilled water about 3 c.c. tenth normal sodic hydrate to give a fairly distinct pink coloration. Nageli has, therefore, by no means shown the old objections raised against the direct titration methods to be invalid, and it is clear that, in order to make such direct titration of the acidity of urine possible, the difficulties mentioned must be overcome. The disturbing effects of the calcium salts of urine can be com- pletely removed by means of a reaction discovered by Liebig. Liebig found that both di- and tricalcium phosphate can be “ dis- solved” by means of potassium oxalate. That this reaction is admirably suited to the purpose is seen from the following: A di- sodicphosphate solution is, owing to dissociation distinctly alkaline to phenolphtalein. If to such a pink colored solution is added calcium chloride, the pink color disappears, calciumphosphate is precipitated, and the solution is strongly acid. Adding a few crystals of neutral potassium-oxalate and shaking rapidly restores the original pink color of the solution, and the first flaky phosphate precipitate is replaced by a finely granular one of calcium oxalate. This trans- formation is quantitative, as can be shown by first adding potassium oxalate, and then calcium chloride, to a titrated monopotassium phosphate solution, — notwithstanding the presence of the calcium it will now be found, on titrating, that the acidity of the phosphate solution has not changed. The principle of the above method for counteracting the tendency of calcium to form basic phosphates, as has already been mentioned, The Acidity of Urine. 267 was discovered by Liebig over twenty years ago. L. de Jager! in his paper on the determination of calcium and magnesium in urine has used sodium oxalate for the same purpose. In addition to the calcium, there are present in urine certain smaller amounts of magnesium salts which are also generally supposed to interfere with the direct titration of phosphoric acid. This is, how- ever, not the case. Pure magnesium salt solutions when added toa disodicphosphate solution produce no precipitate, and do not change the reaction of the solution.2, The addition of potassium oxalate to urine before titrating the acidity is therefore amply sufficient to eliminate any error that would otherwise arise from the formation of earthy phosphates. The presence of ammonium salts in urine, on the other hand, seemed at first to offer almost insurmountable difficulties. If the ammonium salt simply increased the acidity, one could find how much this increase would amount to for a given quantity of ammonia, and then after determining this constituent make a corresponding correction in the acidity of the urine. This would indeed largely correct the error. But another objectionable feature is the fact that the ammonium salts give such a slowly increasing color with phenolphtalein and tenth normal alkali, that the end-point of the titration becomes exceedingly uncertain. These difficulties due to ammonium salts cannot both be removed quantitatively, to be sure, but they can be lessened to the point where the error becomes negligible, by means of the same reagent which was used above, — potassium oxalate. A neutral ammonium chloride solution was prepared, 1 c.c. of which contained 3.8 c.c. # NH;. 2 c.c. of this solution + 23 c.c. distilled water + 1 drop } per cent phenolphtalein solution required (at 24°) 1.2 c.c. 7% NaOH to produce a fairly pronounced pink coloration. The experiment was repeated as above, except that before titrating rather more powdered potassium oxalate was added than could be dissolved on shaking one minute. In this case 0.4 c.c. 7 NaOH produced about the same depth of color as in the previous experiment. The 11.4 c.c. 74 NH, contained in each of the above experiments 1 JAGER: Centralblatt fiir die medicinischen Wissenschaften, 1902, p. 641. 2 JAGER also overlooked the fact that phosphates can be titrated in the pres- ence of magnesium salts without the production of basic magnesium phosphates ; this renders his method for determining the magnesium in urine worthless. 268 Otto Folin. represents fully as much ammonia as is found in 25 c.c. normal urine having a specific gravity of not over 1.023. 5 c.c. of the above ammonium chloride solution (containing 19 c¢.c. i> NH,) required in 2§ c.c. of water 2.7 c.c. 74 NaOH to produce the same pink coloration as above. After adding an excess of potassium oxalate and shaking for one minute, 0.6 c.c. 7 NaOH sufficed to produce about the same end- point in the titration. Since 19 c.c. 7“ NH, represents more ammonia than, occurs in 25 c.c. of normal human urine, the result of the last experiment may be said to represent the upper limit of the error that can arise from the ammonium salts in normal urine on titrating the acidity of the latter in the presence of an excess of potassium oxalate. On titrating an acid solution, the error due to the ammonium salts might be thought to be greater because of the dilution that occurs on adding the alkali. As a matter of fact, this increase is very small in the presence of the oxalate, and is moreover just about neutralized in urine by the tendency of the dibasic phosphates formed during the titration to dissociate and give a distinct pink coloration with phe- nolphtalein a little before quite all the primary phosphate has been converted into the secondary phosphate. To illustrate: 20 c.c, standard monopotassium phosphate containing 100 mg. P,O; with a theoretical acidity of 14.1 c.c. 7/9 required, after adding 5 c.c of the above ammonium chloride solution, and 15 gm. powdered oxalate, 14.7 c.c. 7 NaOH to produce a distinct end reaction. For determining the total acidity of normal human urine, I there- fore propose the following simple method : With a pipette transfer 25 c.c. of urine into a small Erlenmeyer flask (capacity 200 c.c.). Add one, or at most, two drops one-half per cent phenolphtalein solution, and 15 to 20 grams powdered potas- sium oxalate. Shake about one minute, and titrate a¢ once with tenth normal sodic hydrate until a faint yet distinct pink coloration is pro- duced. The flask should be shaken during the titration, so as to keep the solution as strong as possible in oxalate. The following determinations taken from a recent metabolism experiment may be cited in order to illustrate the values involved on titrating the acidity of urine with and without the use of potassium oxalate: Lhe Acidity of Urine. 269 Total acidity in c.c. {5 in 25 c.c. P,O; in | NHsg in c.c. mg. in of 75 in 251 GE. DOECIC: Without oxalate. With only enough oxalate to prec. the Ca. | With excess of oxalate, 10.8 1Z9 104 It will be noted that the above directions for titrating the acidity of urine have not been applied to pathological urines containing ex cessive amounts of ammonia, such, for example, as are found during and preceding diabetic coma. My intention was to work out a somewhat different procedure for such urines, but after having made a preliminary test on a urine con- taining 38.2 c.c. 7 NH, in 25 c.c., I came to the conclusion that the method described above gives with certain precautions results that do not vary enough from the true values to make a separate method necessary. The test was made as follows: 25 c.c. urine shaken with about 20 gm. potassium oxalate was titrated as above, except that a second Erlenmeyer flask containing 25 c.c. of urine and an excess of oxalate was kept as a standard, and the titration was continued only until the titrated sample showed a very faint darkening when compared with the standard. The acidity thus titrated = 9.2 c.c. (4. 25 c.c. of the same urine were then transferred to a round-bottomed litre flask. 50c.c. tenth normal sodic hydrate and 50 c.c. methyl alcohol were then added, and the ammonia was distilled off at 50° C. in a vacuum, according to the Boussingault-Shaffer method.! 3.82 c.c. 79 NH, was found on titrating the distillate. The remaining alka- line liquid in the litre flask was cooled, and after adding 25 c.c. 44 HCl and a little potassium oxalate, it was titrated in the presence of phe- 1 SHAFFER: This journal, 1903, viii, p. 345. 270 Otto Folin. nolphtalein with tenth normal sodic hydrate. The titration required 222 CEG NAOT: In this experiment the acidity of the urine is therefore 50 + 22.2 — (38-25 25) = Sicies. MINERAL ACIDITY OF URINE. By the term mineral acidity is meant the excess of the combining equivalence of all the mineral acids of the urine above that of the known bases, sodium, potassium, calcium, magnesium, and ammonia. The only available method at present for determining this excess is to determine separately each of the mineral acids, and each of the bases, and then to subtract the sum of the combining power of the bases from the sum of the combining equivalence of the acids. It need scarcely be mentioned that to determine all these constituents with the necessary degree of accuracy is a task which few investiga- tors have cared to undertake.! The importance of making a large number of observations on nor- mal and pathological urines in regard to their mineral acidity or mineral alkalinity is, however, recognized.? My own purpose in attempting to determine the excess of mineral acidity or alkalinity, was to try to discover whether there is any ab- normality in the metabolism of the insane, and whether the urines of the insane show any indication of the occurrence of any unknown organic bases or acids. As a result of considerable experimentation, I have come to the conclusion that the method which I am about to describe, and which has been in use for some time in this laboratory gives the true excess ' After the writing of this paper was completed, I received the April number of Beitrage zur chemischen Physiologie und Pathologie, which contains an article by R. HOBER on the acidity of urine viewed from the standpoint of the ion-theory. Such a theoretical discussion of the subject was purposely left out of the present paper, but it will be found, I think, that the method here described is based upon a correct application of the ion-theory as it affects the dissociation of acids, salts, and indicators. H6per’s deduction that phenolphtalein must, of necessity, be the most suitable indicator for titrating the acidity of urine, is only partly correct. He forgets that phenolphtalein can ordinarily not be used in the presence of am- monium salts. * See BuNGE: Lehrbuch der physiologischen und pathologischen Chemie, 1898, 4th ed., p. 348; HERTER and WAKEMAN: New York University bulletin of the medical sciences, 1901, i, p. 7; HERTER: Journal of experimental medicine, 1901, v, p. 617; FR. SOETBEER: .Zeitschrift fiir physiologische Chemie, 1902, XXXV, p. 96. The Acidity of Urine. 271 of mineral acids or bases in urine with as great accuracy as can be obtained with the present state of knowledge concerning the com- position of urine. The principle of the method is simple and by no means new. It has been used for determining mineral acids in vinegar and for deter- mining the hydrochloric acid in stomach juice, but as far as I know has never been applied to urine. The method is as follows: 0.3 to 0.6 gm.of pure, dry, granular potassium carbonate is accurately weighed into a platinum dish, and 25 c.c. of urine are measured into it. The resulting alkaline solution is evaporated on the sand bath or electric oven to dryness, and when perfectly dry, the contents of the dish are burned below red heat over a so-called radial burner, giving a flame wide enough to heat the entire bottom of the platinum dish. The burning should continue for about an hour after all visible ammo- niacal fumes have ceased to come off. At the end of an hour the flame is removed, and 10 c.c. of hydrogen peroxide water is added. The dish is then covered with a watch glass, and gently warmed until the peroxide is decomposed. The watch glass is then taken off, and the sputterings rinsed into the dish by means of a little water. The contents of the dish are again evaporated to perfect dryness, and are then again heated over the radial burner as before for about an hour. The burning residue is now dissolved in water with the help of an excess of tenth normal hydrochloric acid (75 or 100 c.c. 79 HCl, de- pending on how much carbonate was taken), and is rinsed into an Erlenmeyer flask, boiled to drive off the carbonic acid, and cooled. The excess of acid is then titrated with tenth normal sodic hydrate in the presence of a small amount of potassium oxalate and two drops one-half per cent phenolphtalein solution. Since the amounts of alkali and of acid added to the urine in the above procedure are known, the final titration gives the data for calculating the apparent excess of mineral acids or alkalies origi- nally present in the urine. Before the final result is obtained, certain other factors must, however, be taken into account. The following factors must be determined: (1) thealkaline strength of the potassium carbonate; (2) the acidity of the hydrogen perox- ide; (3) the SO, content of the hydrogen peroxide; (4) the pre- formed ammonia in the urine; (5) the inorganic SO, of the urine, and, finally, (6) the total SO, found in the titrated solution of the urine residue. 272 Otto Folin. All these determinations are so easily executed as to require no description, and since both potassium carbonate and hydrogen perox- ide can be kept unchanged for months in well-stoppered glass bottles, the first three determinations enumerated above need not be made more than once (for any given sample of carbonate and peroxide). The determination of the mineral acidity therefore requires : — (1) The burning and titrating of the urine as described. (2) One ammonia determination. (3) Two sulphate determinations. The calculation of the results is not complicated. The preformed ammonia, the acidity of the hydrogen peroxide, and the acidity due to the organic SO, of the urine, all in terms of tenth normal acid, must be subtracted from the apparent excess of acidity found on titrating the burned urine residue. The acidity (in c.c. of #4) of the organic SO, is obtained by subtracting the sum of the SO, of the hydrogen peroxide and the inorganic SO, of the urine from the total SO, of the urine residue and dividing the amount so obtained in mg. by 8. To illustrate: 25 c.c. of urine were burned with 0.5287 gm. potassium carbonate (7.76 mg. of which contained 1 c.c. 7% alkali). The burned residue was boiled with 75 c.c. + HCl, and the titration required 19 c.c. 7 NaOH. An ammonia determination gave 5.2 c.c. 74, NH; in 25 c.c. of urine. The total SO; = 59.9 mg.; the inorganic SO; = 42.8 mg. (10 c.c. of the hydrogen peroxide used contained 8.8. mg. SO; and o.5 c.c. 7 acid). 0.5287 gm. K,CO; = 68.14 c.c. #4 NaOH ) _ Sy.1 Ce. 7 Namen NaOH added =19 on Rye ayes Pe HCl added ==). 5 0. Apparent acidity of urine = 12.1 Cc. 1 HCl. Ammonia in 25 C.c. Se BE? 1C.C. aa Acidity of H,O, = 05 “ “ | —6.7cc.2;HCl. Acidity of organic SO; = a92 a == Ue rae Mineral acidity in 25 c.c. =. 5:4 6.6. ee A few explanations of the above somewhat condensed directions for determining the mineral acidity may be added. 1. The chief difficulty in burning urine residue completely free from organic compounds containing ammonia is one that is frequently overlooked, and the urine literature contains many instances in which this oversight has undoubtedly led to erroneous results. This diffi- The Acidity of Urine. 273 culty is due to the urea and to a smaller extent to the alloxur bodies. - Although urea is both unstable and volatile at higher temperatures, it is by no means an easy task to burn pure urea completely into car- bonic acid and ammonia. . When heated even to a red heat in a plati- num crucible, it is converted into white stable cyanic and cyanuric acid derivatives which look like mineral matter. That this residue is actually figured as mineral matter in determinations of mineral residues of urine according to the methods given in textbooks is cer- tain. In Neubauer and Vogel’s “ Analyse des Harns,” for example (1oth edition, 1898, page 703), one is particularly warned against heating too high, as otherwise abundant fumes of “alkali chlorides ” are driven off. The alkali chlorides are, as a matter of fact, very little volatile, and the fumes warned against are nothing more or less than ammonium carbonate.! On account of these difficulties encountered in attempting to drive off urea quantitatively by means of heat, it is necessary to heat a Iong time as is prescribed above, and to use a flame that will heat the entire bottom of the platinum dish at once. If only a Bunsen burner is used, the cyanogen compounds will melt and flow away from the hot part of the dish, and thus escape decomposition. The errors that arise from such incomplete decomposition of the nitrogen compounds may be so large as to make the determination worthless, nor can it be corrected by determining the remaining ammonia, since the cyanuric acids also have a strong acid reaction. Where there is any doubt as to whether the decomposition of nitrogenous compounds has been complete, the final filtrate should, however, be distilled with alkali and the ammonia determined, as this will indicate approximately the amount of the error. 2. The burning process described above does not always yield a perfectly white ash. The small amount of carbonaceous residue left behind can of course be filtered off, but this is not necessary, as it is never enough to obscure the end-point of the titration. 1 The above statement does not mean that more intense ignition would give the correct amount of mineral residue. In my opinion it is, on the contrary, from the nature of the case, impossible to isolate the mineral constituents from human urine, or from the urine of carnivorous animals, by direct evaporation and ignition. What has been said regarding the determination of the total mineral residue of urine is also true of potassium determinations, and it looks to me very doubtful whether more than a very small portion of the potassium determinations in urine recorded in the literature are even approximately correct on account of the con- tamination with ammonia. 274 Otto Folin. 3. Pure, dry, granular potassium carbonate seems the best alkali to use when evaporating and burning the urine. It is much less hygroscopic than the ordinary powdered sodium carbonate, and can be kept for months in a small glass-stoppered bottle without chang- ing its alkaline value. The alkaline hydrates of sodium and potas- sium are not suitable; first, because if standard solutions are added it takes much longer to evaporate to dryness, and, secondly, because the hydrates are much more volatile than the carbonates. The potassium carbonate can be kept very conveniently in a “ spe- cific gravity” bottle. The amount of carbonate used for each deter- mination should be, as is mentioned above, from 0.3 to 0.6 gm. Larger amounts can of course be taken if it should seem necessary, but numerous experiments have convinced me that nothing is gained by adding larger amounts, and to do so entails an enormously in- creased tendency to bumping, with consequent loss of alkali, during the evaporation. 4. The hydrogen peroxide is added to oxidize the thiocyanates and any small amounts of sulphide which may have been formed during the burning. Before deciding on hydrogen peroxide, several other oxidizing agents were tried, such as potassium chlorate, sodium peroxide, and oxygen gas; but hydrogen peroxide was finally chosen as being the most suitable. For the suggestion of using this reagent I am indebted to H. Wislicenus.!_ Wislicenus used perfectly pure hydrogen peroxide in his experiments, but this seems scarcely prac- ticable on account of the difficulty of obtaining it. The commercial product is good enough. The necessary corrections for the SO, and the free sulphuric acid it contains are very easily made. 5. It may not be unnecessary to point out that in burning the urine residue as directed above in the presence of potassium carbo- nate, there is a certain danger that the gas may contain sulphur? In my experiments this danger was avoided. The gas used is made from gasolene,. and is free from any appreciable quantities of sulphur. This was tested by heating potassium carbonate alone for two hours, and then testing for sulphate. Since the flame used is very low there may not be much danger, and the sulphate determinations would soon indicate if any sulphur dioxide were absorbed from the gas ; but where this is the case, an alcohol burner must be used. ‘ WISLICENUS: Zeitschrift fiir analytische Chemie, Igor, xl, p. 441. 2 See CARL TH. MORNER: Zeitschrift fiir physiologische Chemie, 1897, Xxill, Desi The Acidity of Urine. 275 6. A few words must still be added in explanation of the correction used for the organic sulphur of the urine, including the ethereal and the so-called neutral sulphur. I am well aware that it is arbitrary to figure exactly one half of this sulphur as inorganic acid, and the other half (of the chemical equivalence) as “ organically ” combined. According to the present conceptions of the chemistry of the car- bon compounds, all of the above sulphur equivalence is in fact ‘‘or- ganic,” because of the partial combination with organic radicles. Since sulphur is such a pronounced acid-forming element, and since the acidity of such compounds as theethereal sulphates and sulphonic acids is so clearly due to the SO; group of such compounds, it would seem more logical in this connection to class the acidity derived from them with the mineral acidity. Having accepted this classification, it still remains arbitrary to assume that the organic sulphur of urine actually is there as mono- basic acids. In such compounds as the alkyl sulphides found in dog’s urine, we know in fact that we are dealing with neutral and not with acid compounds. The term “ neutral sulphur,” as used at present, is however, in my opinion, a misnomer, since we do not know that more than an exceed- ingly minute fraction of the organic sulphur in human urine is there in neutral form. Ethereal sulphates, chondroitin-sulphuric acid, and the sulphocyanides we know, on the other hand, to be monobasic acids, and it seems quite as probable that most of the other organic sulphur compounds existing in urine will be found to have the sul- phur with a free monovalent acid equivalence as to have it “ neutral.”’ Small traces of sulphur occurring in the mucoid and similar sub- stances may, on the other hand, be spoken of as neutral.'_ The error involved in assuming that the organic sulphur of the urine figures as monobasic acids is, therefore, it seems to me, in all probability so small as to be negligible.” 1 Urines containing appreciable quantities of albumen must be heated to boil- ing after acidifying with pure acetic acid and the clear filtrate taken for the mineral acidity determination. Very small quantities of albumen do not contain enough sulphur to interfere to any noticeable extent with the mineral acidity determination. 2 In order to avoid some criticism perhaps the “ organic phosphates ” should also be mentioned. These have not been overlooked, but the determinations recorded in the literature, as well as a number of determinations made in this laboratory by Mr. Philip Shaffer, indicate that the organic phosphates are present, if at all, in such minute quantities as to have no determinable effect on the acidity of urine. 276 Otto Folin. The following experiments are added in order to indicate how the accuracy of the method was established. I. 0.4560 gm. potassium carbonate was weighed into a large platinum crucible weighing 39.8760 gm. 0.895 gm. perfectly pure urea was added, and the crucible was then heated on the electric oven till no ammoniacal fumes were visible. The crucible was then heated over a radial burner one hour. After adding and evaporating 5 c.c. of water, the crucible was again heated to just below redness for one hour. At the end of this time the crucible and contents weighed 40.2797 gm. The crucible was heated for another hour, and now weighed 40.2798 gm. 40.2797 — 39.8760 = 0.4037 gm. (the weight of the carbonate made abso- lutely anhydrous). The theoretical weight of 0.4560 gm. of the potassium carbonate (7.76 mg. of which = 1 c.c. 7%, HCl) was 0.4054 gm. The heated carbonate was then dissolved in water and boiled with 75 c.c. ~~ HCl. After cooling, the titration required 16.5 c.c. {4 NaOH. ‘The value of the carbonate remaining was, therefore, 75—16.5 c.c. = 58.5 c.c. 7; NaOH. Theoretical = 58.76 c.c. 1, NaOH. 2. 0.3796 gm. potassium carbonate (corresponding to 48.93 c.c. 4, NaOH) was weighed into a platinum dish. About 1 gm. of Kahlbaum’s pure lactic acid (sp. gr. 1.21) and some water were added. ‘The mixture was evaporated and burned two hours. In order to burn the charred residue more completely, small quantities of distilled water were twice added and evaporated, and the burning continued for fifteen minutes after each evaporation. The residue was then dissolved in water and boiled with 60 c.c 74 HCl. The titration required 11.2 c.c. {4 NaOH. The value of the carbonate recovered was therefore 60 — 11.2 = 48.8 c.c. 7, NaOH. 3. 25 c.c. urine burned with 0.6096 gm. potassium carbonate gave a mineral acidity of 3.4 ¢.c. 7% in 25 C.c. 50 c.c. of the same urine burned with 0.5513 gm. potassium carbonate gave a mineral acidity of 7.05 c.c. 7% im 50 c.c. 10 OrGANIc AcIDITY IN URINE. Having described in the preceding pages how to titrate the total acidity of urine, and how to determine the mineral acidity of the same, but little need to be said in regard to the determination of the organic acids of the urine. By subtracting the mineral acidity from the total acidity is ob- tained the organic acidity, or rather the total equivalence of organic The Actdity of Urine. ar | acid, whether free or combined. This deduction is true even for pathological urines containing excessive amounts of combined or- ganic acids such as are found in diabetic coma, only in these cases SERIES No. l. eres Specific Total Mineral Organic : gravity. acidity. acidity. acidity. 1 1.025 12.9 4.7 8.2 iz 1.020 10.4 3.1 7.3 3 1.029 19.3 8.4 10.9 4 1.0305 22.0 4.9 7a 5 1.0245 12.6 a 8.2 SERIES No, 2. 1 1.0175 8.0 SZ 4.8 2 1.0185 10.0 343 4.6 3 1.018 9.0 See 5.8 4 1.027 15.0 8.5 6.5 5 1.027 16.4 US) 5.5 6 1.0175 7.0 2.0 5.0 SERIES No. 3. 1 1.021 9.8 —3.4 13:2 2 1.021 11.0 —4.3 5:3: 3 1.020 9.0 —3.8 12.8 4 1.022 9.0 0.4 8.6 5 1.0225 9.5 0 9.5 6 1.020 9.0 11.5 10.5 the mineral acidity is algebraically negative, 7. ¢. is replaced by mineral alkalinity, and the original total acidity may be said to be due wholly to organic acids. It is also true for urines which are directly 278 ; Otto Folin. alkaline to phenolphtalein, as becomes evident by expressing the original alkalinity in terms of algebraically negative acidity. To illustrate: A mixture of sodic acetate and acetic acid would have an original acidity corresponding to the amount of uncombined acetic acid. The total amount of organic acid in such a mixture would be obtained by making a mineral alkalinity determination and adding the result so obtained to that obtained by the direct titration. It has been very generally assumed that the acidity of urine is almost wholly due to the presence of monobasic phosphate, and that the organic acids of normal urine play but a very subordinate rdle. The extent to which the actual acid H ions of urine are derived from phosphoric acid depends on the amounts of the organic acids present, since these are in general much the weaker acids and therefore com- bine to a correspondingly smaller extent with the bases present. It is practically impossible to determine the exact point of equi- librium in such a complex unknown mixture of acids as is contained in urine, nor is this point of any very great importance. For practical purposes it is, therefore, far nearer the truth to assume, as is done in this paper, that the organic acids are free, and that the excess acidity only is due to “acid phosphates.” If this is done, it will be found that the acidity due to the phosphates varies within very wide limits, but that the greater part of the acidity of urine is in most cases due to organic acids. This is illustrated by the following acidity deter- minations taken from some recent metabolism experiments. All these acidity determinations were made in 25 c.c. of urine. It will be noticed that the urines in the last series (No. 3) con- tained no mineral acidity, but on the contrary a rather pronounced mineral alkalinity. These urines were highly unusual in that 20 per cent or more of the total nitrogen was present as ammonia. Not- withstanding this extraordinary high percentage of ammonia nitrogen, the acidity determinations proved at once that oxybutyric or other organic acids were not present to any extent that could be considered pathological. meohUDY OF THE REACTIONS AND- REACTION TIME OF THE MEDUSA GONIONEMA MURBACHII TO “PHOVICG. STIMULI BysROBERT M. YERKES, WITH THE ASSISTANCE OF JAMES B. AYER, Jr. CONTENTS. Page Rroblems . . -. SR liek ed eee LOM e's, Eee I Cet co eee PATS Reactions to light Sah saeisy Tepe ey merge ee aking: SPR Cale ame gl 200) RMA ETT SDE S Ny a le Ach os os 0 coe alae Snel or te eae ren inis sen AZO The directive influence oflight . . . 3 Cae eae ee LOL, Effects of increase (light) and decrease (darletess) a aHOne seendianon ya kere LOO The reaction time of Gonionema to photic stimuli . . ........ .. «288 Miethoday cas @ .. pA ; Soh! Epes en OS The influence of the intensity of Genes on te time ieee 4 95 6 ese ALY iRelatronrormeaction time toMight tO)Size aee-s fle tere eA oo Relation of reaction time to light to pigmentation . . . . .... . 293 Relation of reaction time to light to sexual condition . . . . .. . . 294 The influence of changes in temperature on the time of reaction . . . . 294 Localization of sensitiveness of Gonionema to photic stimuli . . . . .. . . 299 MMMEMRCE TICE ONICIUISIONS 7. Pisin ky ih) a er! Genre! och eR BA Se San ee caer Pees wo MeR PROBLEMS. HE experimental study which is the subject of this paper? is a continuation of work begun at Woods Hole three years ago. Certain of the earlier results have already been published in this journal.2 In my first paper, which dealt with the sensory reactions of Gonionema, some of the organism’s reactions to light were briefly described, and attention was called to their probable significance in the life of the medusa.! 1 The experimental work of this paper was done at Woods Hole during the summer of 1902. I desire to express my thanks for the assistance rendered me by the authorities of the Marine Biological Laboratory. 2 This paper is one of a series of Comparative Reaction-Time Studies, of which one dealing with the reaction time of the frog has already been published in the Harvard Psychological Studies, 1903, i, pp. 579-638; Psychological Review monograph, iv. 3 YERKES, R. M.: This journal, 1902, vi, pp. 434-439. /d7d., vii, pp. 181-198. 4 YERKES, R. M.: This journal, 1902, vi, pp. 445-447. 279 280 Robert M. Verkes. In the present work attempts are made (i) to note and analyze the various forms of reaction to photic stimuli exhibited, (2) to dis- cover their relations to the life-history, habits, and instincts of the organism, and (3) to study the time relations of the various reactions in the hope of discovering something concerning the réle of the nervous system. Although this paper is chiefly a discussion of the influences of certain environmental factors on reaction time, the central problems of the whole of the investigation are those of the functional importance of the nervous system. REACTIONS to LIGHT AND GRAVITY. In its natural habitat, attached to marine plants or resting on the bottom at a depth of several feet from the surface of the water, Gon- ionema is exposed to intensities of light which are usually less than that of daylight. When it is in a dense mass of eel grass, as is usually the case at Woods Hole, the light is very weak, but when it happens to come to the surface during the day it is exposed to light which may be of the intensity of direct sunlight. When the weeds to which Gonionemata are attached are disturbed the animals are either torn from their attachments, or are stimulated by the disturb- ance of the water to release their holds, and immediately swim upward. If the distance to the surface of the water is not more than three to four feet, they usually continue swimming until the apex of the bell reaches the surface; they then turn over quickly. As soon as the medusa has turned the apex of the bell downward, it ceases contracting and passively sinks in the water; this continues until it comes in contact with something to which it can attach itself by the tentacles or manubrium. Animals which start upward at a great distance from the surface become fatigued before they appear at the surface, and sink back; but usually they do not turn over as do those which reach the surface. It is noticeable that at low tide many more small individuals come to the surface after the water has been stirred than at high tide. Since the number of large animals does not vary markedly with the tide, it would appear that the small ones are not able to swim to the surface when the distance is relatively great. Why do the animals swim surfaceward instead of in the opposite direction when they leave their attachment? Evidently there are at least three factors which might determine the direction of movement either separately or working together: gravity, pressure, and light. Reactions of Medusa Gontonema Murbachiz. 281 When a Gonionema swims upward it is swimming against gravity, — that is, it is negatively geotactic. The medusz show the same kind of reaction when they swim against a stream of water. While react- ing positively to the tendency of gravity the animal is moving into regions of lower pressure, inasmuch as this force varies directly with the depth of water, and it is also coming into more intense light. Which, if any, of these agencies determines the direction of the animal’s movement ? That light is not the all important cause can be shown by placing the medusz in a vessel which is illuminated from below alone. Under such conditions they still swim upward when disturbed. That pres- sure is not of prime importance is proved by putting the animals into solutions of different densities, as well as by the use of sea-water with layers of other fluids above it. The animals uniformly move upward. It is probable, then, that gravity is chiefly responsible for the re- action. Ifasmall piece of cardboard or wood is placed on the sur- face of the water, animals coming against it continue swimming just as they do when free in the water. Often they continue until ex- hausted, when they sink, not by turning over, but as do individuals which have failed to reach the surface. Although negative geotaxis seems to be the most important feature of this reaction of Gonionema, it is not probable that light is without influence; it is simply not the prime and necessary factor in the determination of the reaction. In the reactions thus far described, we cannot say that Gonionema is positively phototactic, for although it does move toward the source of light, and into greater intensities, when swimming surfaceward, light is not the cause of the movement. On the other hand, experi- ments in the laboratory have shown that the animals are positively phototactic to certain intensities of light.! REACTIONS TO SUNLIGHT. In this connection reactions to direct sunlight are to be considered. When Gonionemata in a glazed white earthenware dish are placed in sunlight, they at once become exceedingly active. At first they swim surfaceward, often forcing the apex of the bell several millimetres out of the water as they reach the surface; later many cease coming to the surface, while others begin to swim downward, bumping against the bottom of the dish; after a still longer interval cf exposure, some 1 YERKES, R. M.: This journal, 1902, vi, p. 446. 282 Robert M. Yerkes. are found to move upward with the contractile phase of each beat and downward with the expansile phase. If now the sunlight is cut off from one end of the dish, thus leaving one portion bright and the other shaded, in a few minutes most of the animals will be in the shaded portion. Careful observation reveals the following reaction as an explanation of this fact. When an individual in swimming about chances to cross from the sunlit region SUNLIGHT. TRANSITION LINE. SHADOW. rs 5 SURFACE OF into the shadow, it very WATER. 2 : ‘ Z Ey sae quickly ceases swim- i ming and sinks to the bottom. If, later, in . swimming about it srw OF ‘ae chances to cross from WATER. ey - (a the shaded region into the sunlight, it in most cases immediately ceases swimming, turns over, and sinks passively to the bottom. But, in this case, when it again becomes active, it does not move indifferently in any direction, as it does when in the shadow; instead, it usually turns in such a way as to move back into the shaded region. Because of this reaction, the animals rapidly gather in the shadow. Both ¢he sudden decrease in light intensity, as the animal passes from sunlight to shadow, and the sudden increase, as it passes in the opposite direc- tion, Zemporarily inhibit activity. To indicate the usual number of animals in the sunlight and in the shadow, and also the number of times that animals react to the sun- light by sinking and then swimming back into the shadow, the follow- ing series of observations is given. During a period of forty-five ‘minutes (see Table 1), fifty-four reactions to the transition line, as the region of change of light intensity may be termed, were observed ; of this number forty were of the type already described, 7.¢., the animal ceased swimming as soon as it entered the sunlight, turned over, sank to the bottom, then, after a short interval, swam back into the shadow. The remaining fourteen cases were those of continued swimming in the sunlight. In almost three cases in four the medusz swam back into the shadow instead of continuing their activity in the sunlit portion of the dish, as they would evidently have done had the intensity of illumination been the same throughout the dish. Diagram indicating the various positions assumed by a Gonionema in the sunlight- shadow reaction. Reactions of Medusa Gontonema Murbachiz. 283 TABLE I. SHOWING THE NUMBER OF GONIONEMATA IN SHADOW AND IN SUNLIGHT. No. in shadow | No. in sunlight (4 of dish). (3 of dish). Time. a.m. 10.00 10.05 10.10 10.15 10.20 10.25 10.30 10.35 10.40 10.45 Total The reaction just described is to all appearances a perfectly defi- nite response to sunlight. But, one may ask, is it not a response to heat instead of to light? Yo obtain evidence on this point a two-inch screen of alum solution was placed between the sun and the vessel in which the medusz were swimming. This screen cut off the heat, whilst it permitted the light to pass with diminished intensity. Un- der such conditions the animals reacted in essentially the same way. We may therefore conclude that sunlight, by virtue of its intensity, causes a negatively phototactic reaction in Gonionema. During experiments with sunlight it was discovered that the me- dusze after being exposed to the light for a short time begin to try to avoid it. When first exposed, they swim upward as in their natural habitat, whereas after an interval, dependent upon the intensity of the light and the condition of the animals, they swim downward and persistently bump against the bottom or edges of the vessel. If a number of Gonionemata differing in size, sex, and sexual condition, are exposed to the sunlight as described, those with mature sexual products (heavy gonads) are the first to try to avoid the light, and later the others react in similar fashion. Clearly the animals are 284 Robert M. Verkes. attuned, so to speak, to a certain range of light intensity, and are negative in their reactions to higher intensities. The “ sexually ripe”’ individuals are more sensitive to sunlight, and react more violently to it than immature individuals. The animals discharge their sexual products when in very weak light or darkness. THE DIRECTIVE INFLUENCE OF LIGHT. Previously statements have been made concerning the directive influence of stimuli! Weak light stimulates the animals to activity, but apparently does not influence the direction of their movements to any marked extent; light of medium intensity seems to cause movement toward the source of light at first, but it is later avoided; finally, strong light, although it may attract at first, soon repels the animals. The greater the intensity, the greater the directive influence of light. We must now inquire, how does light direct the movements of Gonionema ? This question can be answered satisfactorily by certain simple experiments. In the first place we have seen that Gonionema when it sinks to the bottom after coming into sunlight usually turns back toward the dark. This apparently is accomplished by the more forceful and earlier contraction of that side of the bell furthest away from the shadow. That this inequality of contraction is due to differ- ence in stimulation seems probable, since the side away from the shadow is likely to be exposed to slightly more intense light than the remainder of the bell. Clearer and more satisfactory evidence of the directive value of stimuli in support of this statement is furnished by experiments with tactual and electrical stimuli. When a Gonionema, resting on the bottom of a dish with the apex of the bell up, is touched at some point on the margin, z¢ reacts by swimming upward and away from the side stimulated (Fig. 1). In not more than ten per cent of the cases does an animal thus stimulated swim toward the region of stimu- lation. If the animal chances to be resting bell down, the same direc- tion of movement is taken, but the position of the animal necessitates such a turning as Fig. 2 represents. Fig. 1 shows the direction of movement when the stimulus is applied at S to an individual resting bell up. This reaction is much more satisfactory and definite when electrical stimulation is employed, since it does not involve the inter- ' YERKES; This journal, 1902, vi, p. 447. Reactions of Medusa Gontonema Murbachiz. 285 ference with the organism’s movement which touching it is likely to cause. turns is determined by inequality of contraction. The region stimu- lated contracts first and most strongly, and the water thus being driven out of that side of the bell tends to force the bell forward on the stimulated side, therefore turn- ing the region stimulated upward movement when animal is stimu- lated in “bell-up” position. Smarks the region stimu- There can be no doubt that the direction in which the bell ipa) Fic.1.—Directionof Fic. 2. — Direction of movement when animal is stimu- lated in “bell- down” position. 1 marks the posi- if the animal is bell up, and down- ward if it is bell down. Any one who tries the experiment of ap- proaching electrodes to a point at the margin of Gonionema will get a beautifully definite demonstration of the directive influence of a localized stimulus. In sunlight the medusz at first come so forcibly to the surface that half the bell may appear above the water. Usually a bell thus forced out of the water inclines slightly to one side, and thus tends to turn the animal over, so that the observer can never be quite sure whether the turning is due altogether to the action of gravity, or whether it is in part due to some peculiarity in the final contraction of the bell. After having been in sunlight for a few minutes, the animals come to the surface with noticeably less impetus, and soon they fail to reach the surface at all. But even in the latter case they turn over, just as they do in ordinary light after they reach the surface. Under these conditions the turning due to stimulation by light evidently is accomplished by the bell contraction. Observation indicates that the side of the organism which is exposed to the most intense light contracts first and most strongly, thus forcing the bell over. As soon as the bell is downward, movement ceases and the animal sinks passively. Thus far we have learned that Gonionema is either positively or negatively phototactic, according to the intensity of the stimulus, that its activity, wzder certain conditions, is inhibited by strong light, that light and not the heat accompanying it is responsible for the reactions described, and that the direction of its movements is definitely de- termined by light as well as by other localized or unequally applied stimuli. lated. tion when stimu- lus was applied; 2 indicates the di- rection of move- ment. 286 Robert M. Verkes. EFFECTS OF INCREASE (LIGHT) AND DECREASE (DARKNESS) OF PHOTIC STIMULATION. We now come to the problem of inhibition of activity which has appeared in various forms during the experiments. Berger?! thus summarizes the results of a study of Charybdea made by him and Conant: ‘We have seen that it is very sensitive to light, strong light as also darkness inhibiting pulsations, while moderate light stimulated it to activity. Also, a sudden change from weaker to stronger light, or vice versa, may inhibit or stimulate to activity respectively. This behavior of Charybdea seems to be correlated with its habit of life on the bottom. We have no reason to doubt but that the eyes of the sensory clubs are the seat of light sensation.” And Romanes,? who has studied the reactions of many kinds of jelly- fishes, remarks that Sarsia is sensitive to light, and usually responds to a flash by one or more contractions of the bell. He, moreover, believes that the change from light to darkness is inhibitory of activity.? In studying the reactions of Gonionema to photic stimuli or the ‘“ photoskioptischen Sinn” (light-darkness sense), as Nagel* has named this kind of sensitiveness, I have found that Berger’s descrip- tions of the reactions of Charybdea do not hold true for Gonionema, and further, that his statement that Gonionema’s activity is inhibited by strong light is misleading. Gonionemata when taken from the sea and placed in ordinary daylight are active for a long time. Whenever the intensity of the light is considerably decreased, they come to rest on the bottom of the vessel. Any sudden increase in the light causes them to become active again. In general, we may say that increasing the intensity of light causes Gonionema when at rest to react by contracting the bell; decreasing the intensity causes no reaction uniformly, although in exceptional cases an animal may react regularly to decrease in 1 BERGER, F. W.: Memoirs of the Biological Laboratory of Johns Hopkins University, 1900, iv, p. 22. 2 ROMANES, G. J.: Jelly-Fish, Star-Fish, and Sea-Urchins ; being a research on Primitive Nervous Systems. New York, 1885, p. 39 e¢ seg. 8 For discussion of the stimulating effect of decrease in illumination, see RaAwitz, b.: Jenaische Zeitschrift, 1892, xxvii, pp. 1-232; Drost, K.: Morphol- ogisches Jahrbuch, 1887, xii, pp. 163-202; NAGEL, W. A.: Der Lichtsinn augen- loser Thiere Jena, 1896. * NAGEL, W. A.: Biologisches Centralblatt, 1894, xiv, pp. 385-390. Reactions of Medusa Gontonema Murbachie. 287 intensity, and fail to react to increase. If, however, a swimming Gonionema is stimulated by an increase in the intensity of light it expands and settles to the bottom. So, likewise, an individual resting quietly in strong light may very frequently be made to react by cutting off the light. Increase in light intensity uniformly causes a visible reaction in from one to thirty seconds; but the nature of the reaction depends upon the condition of the animal at the instant of stimulation. If it is in a state of expansion (inactive), the light causes it to contract, hence the locomotor reaction; if it is ina state of contraction (active or inactive), the light causes it to expand, hence the absence of a locomotor reaction in the presence of a visible motor reaction. Decrease in light intensity almost uni- formly causes a contracted animal to expand and come to rest, but it does not, except in certain unusual cases, cause an individual which is resting ina state of expansion to contract and become active. -Excised margins quite commonly react to decrease as well as to in- crease of light intensity by contracting, but seldom are normal individuals found which show this uniformity. Berger’s statement would be strictly correct if he had said that the influence of strong light on an active Gonionema is to inhibit its activity. In view of the above facts, it is clear that increase in the in- tensity of light has in part the same effect upon an active Gonionema as has decrease in intensity; both tend to inhibit activity. On the other hand, a quiescent animal is stimulated to activity by increase in the light intensity, while it gives no visible reaction uniformly to decrease in intensity. Obviously we cannot say, then, that strong light and darkness always inhibit activity. There can be no doubt that in the majority of cases light, 7. ¢., increase in the intensity of illumination to which an animal is exposed, causes activity, whereas darkness tends to keep the animal at rest. In the study of reaction time to photic stimuli to be considered later, the quieting influence of darkness and the stimulating influence of light were made use of as experimenting conditions. The animals when covered, in a dish, soon come to rest, and when uncovered and thus exposed to more intense light react quickly by contracting the bell. The reaction of Gonionema to sunlight which has been described ~ is now seen to be in agreement with the results obtained with day- light! In the experiments with sunlight the animals emerged from a weaker into a stronger intensity of light; hence, their activity was 1 YERKES: This journal, 1902, vi, p. 446. 288 Robert M. Verkes. temporarily inhibited, and they sank to the bottom. Ina few minutes, however, the strong light forced a motor reaction which for reasons already pointed out resulted in a movement toward the shadow. What may be conceived as the relation to the habits of the medusa of this temporary inhibitory effect of increase in light intensity is of interest. Gonionema when it reaches the surface of the water, after being disturbed in its habitat, turns over, and by reason of the in- fluence of the light, or if not because of it, at least in the presence of this factor, passively sinks downward with fully expanded bell and tentacles. As it slowly sinks in this condition, it has a far better chance of coming in contact with food than it would if it swam down rapidly with contracted tentacles. A similar line of reasoning is applicable when we consider the position which is assumed by the sinking animal. It generally sinks with the bell pointed downward and the manubrium swinging free in the water above the bell. Now, as the animal sinks, any prey which becomes ensnared in the ten- tacles can readily be carried to the lips by the movement of the tentacles upward with the current, whereas, since the animal is sinking, it would be difficult for the organs to carry food downward against the water pressure and enable the lips to seize it. It may be maintained, therefore, that the reaction is especially suitable for the obtaining of food. Light, having been one of the most important stimuli for the initiating of the surface reaction, — 7. ¢., turning, inhibition of activity, expansion of organs, — may finally have come to be the cause of a very similar reaction in the presence of other conditions, so that increase in light intensity now uniformly causes an active Gonionema to expand fully for a few seconds and permit itself to sink passively. THE REACTION TIME OF GONIONEMA TO PHOTIC STIMULI. Method. — Since a resting Gonionema almost invariably responds to an increase in light intensity with a sharp locomotor contraction of the bell, and since the time of this reaction is of such length as to be measurable with considerable accuracy by means of a stop watch, the light reaction of this organism offers an excellent opportunity for the study of the influence of various environmental conditions on the time of reaction. The remainder of this paper is a description of experiments made to determine: the influence of intensity of light on reaction time; Reactions of Medusa Gonionema Murbachiz. 289 the influence of temperature on the reaction time to light; and the relation of sex, sexual condition, size of organism, and pigmentation to reaction time. The following simple method served in the study of reaction time to light. Into a white earthenware dish containing about two inches of sea-water, placed before a window, a single Gonionema was put. So long as the animal was exposed to the ordinary daylight, it was active much of the time; but by placing a piece of card-board over TABLE II. REPRESENTATIVE SERIES OF REACTION TIMES TO DAYLIGHT. Animal No. 3. | Animal No. 4. 14 mm. in diameter. | 21] mm. in diameter. Experiment. Average Mean variation the dish to weaken the light considerably, the animal could be brought to rest in a short time. Trial showed that from one to five minutes was sufficient to allow the animal to settle down. If after a certain period the dish was quickly uncovered the medusa reacted to the increase in light by sharply contracting the bell. The time of this locomotor reaction was determined thus. The instant the experimenter removed the cover from the dish he started a stop watch, and the instant the animal reacted he stopped the watch and noted the time of reaction. Then, after permitting the animal to 290 Robert M. Verkes. swim about actively in the daylight for a period equal to that during which the dish had been covered, he again covered the dish. In the following experiments, unless otherwise indicated, the time of ex- posure to both intensities of light was five minutes, that is, the dish was covered for that period, and then uncovered for the same period. TABLE III. REACTION TIMES TO THREE INTENSITIES OF LIGHT. Weak light. Medium light. Strong light. Animal. Mean variation. Mean Mean cae ’ Sais Mean. variation. variation. 1.62 i 1.58 1.09 4.67 : ; 1.16 9.16 : 9! 12.92 20:34 : 7.16 SL é 3.08 1.86 ; : 2.03 3.67 : 1.93 General av. Generally ten reactions of each animal were measured. Table II gives two representative series of reaction times. The time of re action to daylight is ordinarily about seven seconds, and as can be seen from the table, the variability is about two seconds. In no case was a slow contraction of the bell which did not introduce a loco- motor reaction counted as a response to light. The influence of the intensity of light on the time of reaction. — Several animals were tried in each of three intensities of light. For the lowest intensity weak daylight, obtained by drawing the shade of the window in front of the dish, was used, for the medium intensity ordinary daylight, and for the strong intensity direct sunlight. Tables III, IV, and V contain the results of the experiments made. In each table the figures indicate the average for ten reactions, and their average variability. Reactions of Medusa Gontonema Murbachit. 291 In Table III, animal No. t shows a regular decrease in the time of reaction and likewise of variability with the increase in light intensity. For it the statement, the stronger the stimulus the shorter and less variable the reaction time, is true. Animal No. 2, however, reacted to the medium light little quicker than to weak light. The variability, moreover, is extremely great, 7.76 seconds. The meaning of these facts is easily discoverable, for when we refer to the record of individual reaction times, we find that three very slow reactions are included in the series; hence, the unexpectedly long average reaction time and the high variability. Clearly this result, because of the great difference in variability, is not directly comparable with that obtained with animal No. tr. Careful examination of thousands of reaction times, and of the conditions determining them, in so far TABLE IV. REACTION TIMES TO THREE INTENSITIES OF LIGHT. Weak daylight. Daylight. Sunlight. Mean Mean Mean Mean. oleae oie nee variation. variation. variation. 1.62 : 3:05 : 2.52 SV/All De 1.63 : 0.55 3.67 5 1.89 : 1.92 2.63 =) : 1.09 4.67 : : i ROS 3.16 : ’ : 1.60 as observable, shows that approximate equality in variability is the only safe basis for direct comparison of reaction times. By equality is meant proportionate, not absolute equality. If for one animal the variability of an average reaction time of ten seconds is four seconds, for another individual, the conditions remaining constant, the variability of a reaction time of five seconds should be about two seconds in order to make direct comparison valuable. The general averages of Table III are curiously misleading. They in- dicate a decrease in the time of reaction to medium light as compared with weak light, and also as compared with strong light. This fact 292 Robert M. Yerkes. in itself is not surprising in view of what we have already learned concerning the inhibitory effects of sunlight. But all the results which show anything approaching proportionate equality in variabil- ity! indicate a shorter time of reaction for sunlight than for either of the other intensities. In Table IV, for instance, the results of the reactions of five animals is given for the three intensities of light. The results are not for the same individuals for each intensity, as in Table III, but for animals taken at random. Comparison of the averages of this table show: (1) decrease in reaction time with increase in intensity of illumination, and (2) approximate proportionate equality in variability. In no case is the TABOR, Vi. REACTION TIME TO DAYLIGHT AND TO SUNLIGHT. Daylight. Sunlight. Animai. Mean Mean Mean. mans eins variation. variation. 3.35 : 202: 1.63 : 0.55 3.44 : 1.92 General av. : 2.81 : 1.70 latter much more than one-third of the reaction time. A variability in excess of one-third of the reaction time is indicative of irregular- ities in the series of reactions due to lack of uniformity of conditions. The averages of Table III are misleading because of the exceptional reactions of some of the animals. That weak light usually causes a slower reaction than ordinary daylight is proved by the results of Tables III] and IV. That sunlight does not at first cause a slower reaction than daylight is proved by the results of Tables IV and V. In the latter table the times stand 5.5 to 6.8. The variability of the sunlight reaction time is 1.70, that is, thirty-one per cent of the re- action time. The variability of the daylight reaction time is 2.81, that is, forty-one per cent of the reaction time. This increase in 1 The ratio of variability to reaction time being about the same for different individuals. Reactions of Medusa Gontonema Murbachiz. 293 variability with decrease in strength of the stimulus is precisely what all previous reaction time work leads us to anticipate. The conclusions to be drawn from the results of Tables II to V are: (1) Gonionema’s reaction time to light becomes shorter as the stimu- lus increases in strength; (2) absolute variability of reaction time also decreases as the stimulus increases; (3) sunlight usually causes quicker reaction than daylight, and (4) a variability of more than thirty to forty per cent of the reaction time is indicative of incon- stancy of conditions. Relation of reaction time to light to size. — Small Gonionemata are more active than large ones. Counting the number of contrac- tions of the bell per minute for a period of five minutes in case of animals of different sizes yielded the following results : Animals of 20 mm. in diameter gave an average of about 15 beats per minute. “c “c 15 te “ figures makes it appear evident that Vike constant, about 0.01337. In both cases the average of a large number of determinations is found to be about the same, and the variations are, in no case, more than 4 per cent from the mean. Expressed in another form, each 0.01 of specific gravity is found to be approximately equivalent to a lowering of the freezing point of ae =0.75 C. It will nawebe 3 seen from what source the factor 75, made use of in the third column and referred to above, is derived. Each 0.01 of the decimal portion of the specific gravity of a normal urine is equivalent to 0.75° C. lowering of the freezing point, and the theoretical freezing point of any urine may be determined by multiplying the decimal portion of the specific gravity by the factor 75. For example, in the first Experiments on Urine. 323. ease on Table I, the specific gravity = 1.0252; then 0.0252 x 75 = 1.89, a figure which compares very closely with the observed freezing point 1.87. In a second case, taken from Table II, No. 9, specific gravity is 1.0202, the observed freezing point 1.51°; 0.0202 X 75 = 1.51, which exactly coincides with the observed freezing point. These TABLE II. NORMAL INDIVIDUALS. lig 126 7 CERT Ee a a Sa a Ey soanad Calculated 2 = 1.0126 | 0.0128 1.0114 | 0.0129 1.0287 1 0.0131 1.0255 0.0130 1.0248 | 0.0132 ole | 0.0132 1.0132 0.0135 1.0242 0.0133 1.0202 5 0.0134 1.026 | 0.0134 1.0259 ‘| 0.0135 1.0255 | 0.0137 1.0225 | 0.0138 1.0225 0.0138 1.0219 : 0.0140 INCRE. oe a vee os ho 0 01337 ~ same factors are found to hold good, although within slightly wider limits, in the case of normal individuals under abnormal conditions, and in the urine of patients suffering from various diseases and under- going varying treatments, provided sugar and albumin are absent. This phase of the subject will be dealt with in the next section. 324 G. H. A. Clowes. SPECIFIC GRAVITY AND DEPRESSION OF FREEZING POINT OF THE URINE oF NORMAL INDIVIDUALS UNDER ABNORMAL CIRCUM- STANCES, AND OF PATHOLOGICAL. URINES OTHER THAN THOSE CONTAINING SUGAR AND ALBUMIN. It is not proposed at this stage to enter into a minute study of the chemical constitution of various urines as compared with their freez- ing point and its deviation from the theoretical. That phase of the subject will be discussed ina later section. It is, however, interesting to note that the increase in the proportion of chlorides and other salts having smaller ions than the average in urine, produces less effect upon the freezing point than would be anticipated. It is even more remarkable that pathological urines, as, for example, those of cancer patients in the last stages, in which the proportion of normal constit- uents is seriously interfered with, and the chlorides have practically disappeared, should retain their normal freezing point within very narrow limits, as will be seen from an inspection of Tables III and IV, cancer cases. The same close agreement was obtained in the urine of a typhoid fever case which for several days was almost free from chlorides and contained as much as 3 per cent of urea. DABBLE UI CANCER CAS naiae Fake Spec. gray. at —————————— LSC. Observed Calculated A. f Table IV gives results obtained during the last three weeks of his life, from the urine of a patient suffering from cancer of the stomach. This urine contained not more than one-tenth to one-twentieth of the normal proportion of chlorides, and yet, as will be seen, the average S value of x does not vary to any considerable extent from the normal. Lixperiments on Urine. 325 TABLE IV. CANCER CASE W. BoP. Spec. grav. at ee 15oee Observed Calculated A. 4 1.020 1.0198 1.019 1.41 1.0125 0.92 1.0162 1.19 1.0135 - 1.00 1.0152 1.07 1.0121 0.91 1 2 3 4 5 6 i 8 9 1.0117 0.92 1.0124 0.87 1.0141 1.04 1.0103 0.79 Mean The urine of patients before and after epileptic seizure has also been examined in a considerable number of cases. The freezing point has been found to remain fairly constant within reasonable limits. We have also included the urine of animals in our series of experiments. Table V gives the results obtained in two cases from a series of four guinea-pigs, from which it will be seen that a fair uniformity exists amongst the individual animals, although the difficulties associated with the accurate determination of the specific gravity lead to a much larger experimental error in the case of animals’ urine, where the nor- mal specific gravity is from one-third to one-half that of human beings. It will be seen from a consideration of the results enumerated in this section, that a fairly constant relationship is found to obtain be- tween the specific gravity and freezing point, even under the most abnormal conditions, and in urines of widely varying chemical compo- sition. On the other hand, no constant proportion can be traced between the chlorides, or any other chemical constituent either of 326 G. H. A. Clowes. normal or pathological urines, and the freezing point. Merely the sum total of effects is a constant, the individual components varying TABLE V. URINE OF EXPERIMENTAL GUINEA-PIGS. F. P. Spec. grav. ——————— (approx.) Observed Calculated Difference. atalscic: 1.009 1.012 1.010 1.011 1.010 1.011 1.011 1.0105 within wide limits. The actual influence exerted by various constitu- ents of the urine, and the way in which the proportions of these sub- stances are adjusted, will be considered briefly at a later stage. THE AVERAGE MOLECULAR OR JON WEIGHT OF THE SUBSTANCES DISSOLVED IN URINE. From the observation referred to above, that in normal urine the depression of the freezing point is about 0.75° for each o.o1 in the decimal of the specific gravity, it is comparatively simple to calculate the average molecular weight of the individual ions present in urine from the formula referred to above; M= 18.5 — if we assume that each 0.01 in the specific gravity determined at 15° is equivalent to 2.33 per cent of normal solids in the urine! Then, ‘ A large number of determinations of the dry solids in urine have been made by the writer from time to time, which have proved very conclusively that the factor 2.3 to 2.4, as commonly accepted, does not always represent the correct figure, but merely an average. Since, however, work of the nature described above Lixperiments on Urine. ae 2.33 7 — 5.5 See ye5: We have several times in the course of our work compared the average molecular weight as obtained from the specific gravity, with that obtained from the total weight of solids found on evaporating the urine. The average of a large number of determinations is practically the same, but the figures obtained, making use of the specific gravity, are much more uniform than those obtained from the weight of solids ‘direct. In fact, it may be said that the factor a= = is much more total solids EP: sible explanations for this: the first is the difficulty of determining total solids correctly, and the second is the fact that urea and salt (NaCl), the two most important constituents of the urine (so far as specific gravity, total solids, and freezing point are concerned), whilst possess- ing ions differing widely in their relative average weights of 60 and 30, also exert a very different effect upon the specific gravity, but in the inverse direction, such that aqueous solutions of urea or sodium chloride possessing the same specific gravity contain more nearly equal quantities of ions, than do solutions of these substances of equal per- centage concentration. The most important factors in determining approximately the specific gravity and freezing point of urine, are: (1) the percentage of urea, chlorides, and other readily dissociated salts producing a very marked effect upon the freezing point, and (2) the percentage of those residual organic constituents of the urine, such as uric acid, creatinine, pigments, and other organic substances which may be looked upon as practically inert so far as effect upon the osmotic pressure or freezing point is concerned. Since such a constant relationship appears to obtain between the specific gravity and freezing point, it must be assumed that a con- stant equilibrium is maintained between these two types of urinary constituents. Since the average molecular weight is slightly less nearly constant than is the factor There are two pos- is not absolute, but merely relative; and since the principal endeavor is to reach an average, and that within a fairly wide range of experimental error, it has been decided to use the factor 2.33 when dealing with normal urines. As will be shown later, it is necessary to employ 2.8 as the factor for sugar solutions, and 3.8 to 4 for those of albumin, so far as these individual constituents are concerned. It will also be seen that in the estimation of sugar by this method referred to later, it is a matter of indifference whether we employ the factor 2.33, 2-2, or even 2.0, 328 Gs Tae al CLO, than 60, and the average of the electrolytes lies considerably below that figure, it must be assumed that some direct relationship exists between the proportion of these bodies and of the non-conducting, large molecular complexes present in the urine. This question will be dealt with in the next section. Disregarding the total weight of solids and specific gravity, we have in several cases calculated the probable average size of the ion in a series of normal urines, allowing for the effect exerted by each indi- vidual constituent at the concentration in question, and have invariably obtained figures lying between 50 and 60, usually about 55. It will’ be impossible to present the data bearing on this question at present, as the material involved would carry us too far from the main object of this paper, the analysis of sugar urines, etc., dealt with in a later section. THE INFLUENCE EXERTED BY INDIVIDUAL IONS. As stated in the last section, the first important factors to deter- mine are: (1), What proportion of the total nitrogen of the urine is present in the form of urea; (2) The variation in the proportion of chlorides from the normal, and (3) The amount of inert or non-dis- sociated material. The variations in the amount of chlorides in urine is very marked. Incertain normal cases, the total excretion of sodium chloride may reach a figure equal to that of urea. In the last stages of cancer, in typhoid fever, etc., when the proportion of chlorides in the diet is considerably restricted, and in addition the body shows a tendency to retain those salts, the excretion of chlorides may fall to one-twentieth part of the normal or even entirely disappear. Such variations in the proportion of those bodies having the smallest ionic weight should, if other constituents remain normal, lead to a very marked variation of the relationship between specific gravity and freezing point. We must, therefore, assume that some condition of equilibrium actually exists within definite limits between the propor- tion of salts possessed of small ions and organic bodies possessed of a large molecular complex. It is true that in such pathological con- ditions the amount of ammonia in proportion to the total nitrogen is increased two and three times the normal, but the total quantity is, in any case, too small to account for more than a small portion of the effect produced by a diminution in chlorides; and, in such a case as that dealt with in Table IV, the ammonia would be practically Experiments on Urine. 329 counterbalanced by the uric acid increase. The phosphates and sulphates, whilst varying within fairly wide limits, possess, on the average, larger ions than the chlorides, and do not, under normal circumstances, constitute nearly so large a proportion of the total. The influence which they exert, after allowing for their organic com- binations, does not vary to a very considerable extent. It is not our intention to deal with this question from a theoretical standpoint in this paper, as any ideas advanced in this direction must necessarily be purely speculative; but we consider it highly probable that there is a tendency toward the maintenance of a definite state of equilibrium between the various organic excretory products and the simple salts, such as chlorides, sulphates, etc., which may account for the non-removal from the body, in the course of certain; diseases, of the products of sub-oxidation and impaired metabolism when an insuffi- cient supply of salts is excreted with the urine. These bodies accu- mulate in the system, and may, in their turn, retain, associated with themselves, those quantities of salts which are introduced with the diet. This phase of the subject, whilst of considerable importance, cannot be dealt with in this paper. THERAPEUTIC TREATMENT WITH CHLORIDES. Considerations of this nature may, however, be looked upon as a further argument in favor of the addition of sodium chloride to the milk diet of patients suffering from fevers, cancer, etc., a procedure frequently resorted to by clinicians, as the result of practical experi- ence. This course is advocated by Hatcher and Sollman,! in a paper dealing very completely with the effect of diminished sodium chloride excretion in typhoid fever. Unfortunately, these authors have not recorded the specific gravity of the urine in their tables, and since they themselves consider the figures referring to total solids as in- accurate, the factor, , derived from their work sp. gr. total solids is very far from a constant. There is, however, an indication that the large excess of sodium chloride which they administered brought about a disturbance in equilibrium of the system in a direction opposite to that exhibited in the total absence of chlorides, and it appears prob- able that the best state of equilibrium was maintained when not more 1 HATCHER and SOLLMAN: This journal, 1902, vol. viii, page 139. 330 G. H. A. Clowes. than five or six grams of sodium chloride were excreted in the space of twenty-four hours. We must, however, leave this subject for a later paper dealing with disturbances in chloride equilibrium in general. ANALYTICAL METHODS BASED UPON THE FACT THAT THE AVERAGE WEIGHT OF THE ION IN URINE IS SLIGHTLY LESS THAN 60. In diabetic urine, for example, we have to deal with a solution con- taining an admixture of normal urinary constituents having an average molecular weight of about 60, and sugar molecules having an average weight of 180. The estimation of sugar in diabetic urine, based upon this relationship, will be dealt with at a later stage. The estimation of albumin present in solution in urine, dependent upon the fact that the molecule of albumin is so large as to produce a practically negligible effect upon the freezing point, will be treated in Section 11. Estimation of sugar in diabetic urines. — Since the average mo- lecular weight of the normal substances present in urine is 57.5, and that of sugar is 180, it is obvious from a consideration of Van’t Hoff’s generalization referred to at the commencement of this paper, that the effect produced upon the osmotic pressure of any solution by a given weight of sugar would be slightly less than one-third (that is to say, in the proportion of 75) of that exerted by an equal weight of normal urinary solids. Now, if the effect exerted upon the specific gravity of solutions due to the introduction of a given weight of sugar be the same as that due to the solution of the same weight of normal urine constituents, the problem involved would be comparatively simple; but this is not the case. _ As the result of a series of careful determinations made in the Laboratory, we find that the proportions are as six to five; that is to say, six grams of sugar dissolved in one hundred of water would produce a solution having about the same specific gravity as five grams of ordinary urine solids in one hundred of water. Conse- quently the factor 2.33 cannot be applied to sugar-containing urines in order to determine the weight of substance dissolved. We have to make use of another factor for the sugar, which is about 2.81. (See note, page 326.) Before making the first freezing point determination on diabetic urine, the following calculation was carried out. If the freezing point Experiments on Urine. 200 of the diabetic urine were first determined, and then the theoretical freezing point of the same urine were deduced from the specific grav- ity, making use of the factor 75, as though it were normal urine, the difference between these two freezing points would be due to the relatively larger size of the sugar molecules as compared to the nor- mal urine molecules. Whilst exerting slightly less effect upon the specific gravity than would an equal weight of urine solids, the sugar should merely exert one-third of the effect upon the freezing point that would normally be expected from urine constituents. If the specific gravity were influenced to the same extent by sugar and normal urine solids, since the molecule of the latter is about one- third of the sugar molecule, each sugar molecule would be represented in the freezing point on the normal urine basis, only to the extent of one-third of its weight, the remaining two-thirds being accounted for by the difference between the observed and theoretical freezing point, and one-half of that figure would consequently be equivalent to the number of sugar molecules present in the solution; from which it will be seen that it would only be necessary to multiply the difference between the theoretical and observed freezing points of such urine by the factor 5, in order to determine the percentage of sugar in the solution. The effect exerted by sugar and normal urine solids upon the specific gravity is, however, not the same. As stated above, five grams of the normal solids produce about the same result as six grams of sugar, so that if the normal factors made use of in calculating the solids of urine be employed, the molecule of sugar would appear as merely 2 of 180=150. Since this 150 functions in the same manner as 574 of the normal urine constituents, the difference, 150 — 573 = 924, is unaccounted for and is represented by the difference between the theoretical and observed freezing point; and in order to determine the percentage of sugar we should multiply the difference 573 CB in question by the factor which is about 0.6. A simple mathe- matical derivation of the factor 6 employed in our work is included in the form of a footnote.! 1 0.75° of lowering of the F. P. is equivalent to 0.01 of specific gravity of urine when the latter is induced by normal solid constituents of urine without the admix- ture of sugar or albumin. It may be calculated and also shown by experiment, that 0.75° is equivalent to 0.026 of specific gravity due to sugar in any dextrose- containing solution; consequently if we represent the decimal portion of the 332 G. Hf. A. Clowes. We have since made a large number of determinations of the sugar in urine by this method, multiplying the difference between the theo- retical and observed freezing points by the factor 6, and have com- pared results thus obtained with the analyses by means of polarization of light, fermentation of sugar, loss of specific gravity due to fermen- tation, reduction of Pavy’s solution, etc. This method has shown itself extremely accurate in almost all cases and no special precautions have been taken at any time. It has been our endeavor, so far as possible, to carry on analyses under those conditions which obtain in the ordinary clinical laboratory, so that it may not be said that this method is one which can only be made use of where special physico- chemical corrections for errors may be introduced. The following tables, VI, VII, and VIII, refer to the urine of patients suffering from diabetes; the first column giving the specific gravity, the second the observed, and the third the calculated freezing point ; the fourth gives the difference between these latter, and the fifth the percentage of sugar calculated from the above by means of the factor 6; the sixth column gives the determination of the sugar by polariz- ation of light, and the seventh any check determination that may have been made by some other dependable method; the eighth gives the é S : E : value of x’ which varies considerably from the normal (0.0133), in these cases. specific gravity of the urine as S and the fraction of that specific gravity due to the action of sugar as 1, then, S ° é 1. 0.01 0:75° = theoretical F. P: A S~ > 0.75° = theoretical F. P. of luti , ers 750 — a 0.026 7s neoretical F. P. of a pure sugar solution. 2 Ser ee SNe) Vee nell -: (sax 1 0.01 ) 0.75° = the observed F. P. Subtracting equation 3 from equation 1, eu Zo) ((Ditioin bea) So ge 1200 ‘ and since the weight of sugar in 100 c.c. = the portion of the specific gravity due to sugar, multiplied by 280, : imal Die Toy 1, 1 sen Weight of sugar % = dua a Les = 6 times Diff. in F. P. Experiments on Urine. G22 TABLE VI. DIABETES CASE A. 1 ea Be —$<_—__——. Sugar Ob- Cal- Sharer Seale oe | Tosetie served. culated. : See | spe fr. per cent. per cent. per cent. 1.50 2.62 é 6.7 6.8 — a2 2.50 6.5 6.3 1.565 2.07 7.2 Ve 1.325 2AT 6.9 1.475 2.82 8.1 1.86 2.91 6.3 1.94 2.81 Se 1.90 2.63 3 4.4 1.835 We 2) 308, 1.865 2.45 L 39 1.845 2.475 3.8 2 3 4 5 6 7 8 9 SS = = no K SO 1.72 2.49 4.6 1.70 Aad 4.7 1.90 2.83 5.6 — w — Tuy aS 1.89 2.56 4.0 1.70 Bai ass 6.2 1.82 2.82 ‘ 6.0 — On _ ~I 334 G. H. A. Clowes. TABLE VIL “DIABETES CASE: B. z A : Sugar c a eT ea Day) | Peee4 On. "Cae a eae by ae loss in 5° C. bee served. culated. Sp. gr. per cent. per cent. per cent. 1.0376 .605 2.82 ue 7.3 7.4 1.0315 : 2.36 5.8 5.9 1.0265 : 199 Sell Sh 1.0271 : 2.03 3.5 33 1.0221 toile 1.66 Neff 2.0 1.0285 6. 2.14 3.0 2.9 1.0363 . Dh : Ded 1.0372 : 2.79 Shi) 1.0376 : 2.82 : 6.5 TABLE VIII. DIABETES CASE, CG: ft, Eh ee : Sugar eee et at Ob- Cal- Difference. ie ee oe loss in : served, culated. : hae a Sp. gr. per cent. per cent. per cent. 1.0275 1.29 2.06 4.6 5.0 1.0247 1.40 ee 2h 1.018 1.247 aos 0.6 0.6 1.0225 1.355 2.0 2.0 1.0235 W225 Se 3.0 1.0165 1.089 0.9 0.6 1.0138 0.963 0.5 1.0126 0.965 Sace nil 1.0192 1.49 5050 nil 1.0204 1.205 23 1.9 1.0199 NEAL : 2.0 1.0168 1.26 1.0093 0.748 1.0166 1.055 1.019 1.055 Experiments on Urine. 335 As an example of the method of calculation, taking the first deter- mination in Table VI, the urine having a specific gravity of 1.0349 had a freezing point 1.50° below that of water. The decimal portion of the specific gravity, 0044906 75. 2.62-~ The difference between theoretical and observed freezing points, 3.62, —~ 150.1, 3, 1.12 X 6 = 6.72 per cent sugar. The result obtained by polarization was 6.8 per cent. A second example, the first on Table VII, showed a specific gravity of 1.0376 and an observed freezing point of 1.605”. The decimal portion of the specific gravity, D.0370" 75 = = 2752. Oz — 1.005 —= 1.225, 22h <6 = 7.35 per cent of sugar. In this case the polarization method gave 7.3 per cent, and the loss of specific gravity by fermentation 7.4 per cent. Estimation of sugar in artificially prepared sugar urines. — In order to confirm these results, I prepared some artificial sugar urines, by TABLE IX. Bee Sugar Spec. grav. at Ol eee , Sugar Sugar by added. eG: a a | diff. X 6. | rotation. served. culated. | per cent. per cent. per cent. 0 1.0239 V9 : i nil nil Diff., 0.0073 Diff., 0.215 2.03 1.0312 : ms Mas 2.01 2.0 Diff., 0.0073 iff 4.06 1.0385 : f ; 4.08 4.0 Sugar Spec. grav. at ae Sugar | Sugar by ae 1c: Ob- Cal Seats Cte OalkOtacion: by fer- served. culated. mentat’n. per cent. per cent. per cent. nil nil nil 3.0 Syl 3.1 EY, 59 5.8 336 G. H, A. Clowes. dissolving varying proportions of sugar in normal urines of known specific gravity and freezing point. In Tables IX, X, and XI, three such series of experiments are given. TABLE XI. Sugar |Spec. grav. at Ob- Cal- : Sugar Sugar by added. L5oNE: Space: oalareal diff. X 6. | rotation. per cent. per cent. per cent. 0 AAS : nil nil 2.65 2.05 2.73 4.90 2.295 4.83 In order to facilitate the work and save unnecessary correction, those urines were chosen which possessed an exactly normal freezing point. The effect upon the specific gravity and freezing point on adding two and four grams respectively in the first series, and three and six grams in the second series, was carefully observed. It was found that the effect exerted upon the specific gravity by each 1 per cent of sugar added was about equal to 0.00355 to 0.0036, whilst the influence exerted upon the freezing point varied between 0.100 and 0.107, the theoretical being 0.103. Thus, the average effect upon the freezing point was so nearly equal to the theoretical that the molec- ular weight of sugar might be calculated by means of the formula M= aT RO) 180. (See Table IX.) A 103 The difference between the observed and calculated freezing point for 2.03 grams of sugar added, equal 0.335°, which, multiplied by = 2.01 per cent of sugar, the rotation showing 2 per cent. On addition of 4.06 grams, the effect upon the freezing point was equal to 0.68°, which, multiplied by 6, gives 4.08 per cent of sugar, with a rotation equal to 4 per cent. Thus, there can be absolutely no doubt that the factor which was first calculated on the theoretical basis and subsequently demonstrated to be correct, making use of diabetic urine, and normal urine to which sugar had been added, must be accepted ; and the figures obtained by Fuchs bearing upon the subject of diabetic urine must be looked upon as erroneous. He gives 10 as the factor by which the difference between the two freezing points Experiments on Urine. 337 must be multiplied, which would, as may readily be seen, lead to serious error in each case presented in the tables accompanying this article; and further, this factor is not in agreement with the theory and calculations based upon the relative size of the molecules. Practical method of working. — The method which we have adopted in the laboratory is as follows: The specific gravity of the urine is determined at 15° approximately, and any variation in temperature allowed for by adding 0.0001 for each 1° C. above 15°. The freezing point of the urine is determined, and at the same time the urine is polarized. The theoretical freezing point is calculated from the specific gravity by multiplying the portion of the specific gravity after the decimal point by 75, the observed freezing point is subtracted from this figure, and the difference in degrees Centigrade is multi- plied by 6, which gives very approximately the percentage of sugar in the urine. The results agree very closely with those found by other methods, such as polarization, provided there is nothing present in the urine which interferes with the other methods. So far as I am able to say, this method is less influenced by external conditions than any other. It is also possible to make a determination in a very short space of time, as many as ten or twelve such determinations having been made ina single hour. It is very surprising that radical changes in diet do not affect the result very materially, although I have on occasion observed slight error due to the treatment of diabetic cases on a restricted diet, with large quantities of bicarbonate, which, pos- sessing as it does much smaller ions than the average of those present in urine, should diminish the average ionic weight of the urine. It should be borne in mind that this method is more especially applicable to urine containing a.large percentage of sugar; for, the larger the proportion of sugar in a urine, the smaller is the proportion of ordinary urine solids. In fact, a point is often reached at which the normal constituents are so distributed in a large bulk of urine that, were the sugar removed, the specific gravity due to their influence would not be more than 1.002 or 1.003. In urines of very slight concentration, less than half a per cent, it is hardly safe to depend upon this method for absolute results, although very satisfactory for a series of comparative results from day to day. Above 2 per cent up to 7 and 8 per cent, the method was found to be accurate with a maximum experimental error of 0.3 to 0.4 per cent, the average variation not being as much as 0.1 per cent. As stated above, we have, in carrying out this work, refrained from 338 G.NIT..A.. Clowes. introducing corrections for sub-cooling, atmospheric conditions, etc., whereby the experimental error might be reduced in a physicochemi- cal laboratory to an almost negligible quantity. The method may be employed, as stated above, with fairly accurate results, in any physi- ological chemical laboratory, or even in the clinical laboratory of hospi- tals. In studying and treating severe cases of diabetes, it is of the greatest value to obtain accurate information as early as possible, and in that respect we have obtained the most satisfactory results by com- bining this method and that of polarization, confirming our results from time to time by one of the other methods. One point of especial importance might be mentioned at this stage. Betaoxybutyric acid, when present in urine, interferes very perceptibly with rotation of the plane of polarized light, causing the dextrose to show a lower figure than would be anticipated from the actual per- centage of sugar present in the solution. When large quantities of this acid are present, the freezing point results deviate from the rota- tion figure. In fact, the agreement of the results obtained by these two methods for a period of several days justifies the assumption that the acid in question is absent. This fact alone is of considerable importance, as the fermentation method usually employed, and sub- sequent examination for betaoxybutyric acid, involves a considerable expenditure of time. We have, in presenting cases, purposely chosen those which showed large quantities of sugar with only traces of the oxyacids, in order not to complicate the problem to too great an extent. We have, however, had under observation cases in which considerable quantities of the oxyacids were present, sufficient to exert a more than negligible effect upon the rotation and freezing point. We have not, however, ventured to make use of this differ- ence as a means of estimating the quantity of oxybutyric acid, owing to the fact that the sources of experimental error are so numerous in such a case as to make its use out of the question, except when large quantities of the acid are present, which is seldom the case. Estimation of albumin. — The quantitative estimation of albumin in urine is extremely difficult to carry out accurately; and since it is possible, in the majority of cases, to form a fair idea of the actual amount of coagulable albumin present in urine, by our method, we propose to give it in outline, although it has not been as thoroughly investigated or proved as serviceable as has the method of estimating sugar. Whilst the sugar molecule is 180, as compared with the 57 to 60 of Experiments on Urine. 339 urine solids, the molecular weight of albumin is so large as to be looked upon as infinitely great when compared with the 60 of urine solids referred to above. That is to say: the effect produced upon the freezing point by albumin should be so small as to be negligible, especially in view of the fact that it is seldom present in urine in larger quantities than 1 per cent. This does not, however, apply to the spe- cific gravity, which is influenced by albumin, when actually in solution, just as it is by other solids. Bearing this in mind, we tried the effect of adding acouple of drops of acetic acid to the filtered urine, deter- mining the specific gravity and freezing point, then boiling the urine in order to precipitate the albumin, which would be thrown out of solution by means of dilute acetic acid, and once more determining the freezing point and specific gravity in the clear centrifuged portion. Boiling the urine in order to precipitate the albumin, and centrifug- ing in order to remove the precipitated solids, leads to an increase in its concentration sufficient to interfere materially with any calculation, based upon the loss of specific gravity effected by the removal of the albumin, unless we have some means at our disposal of reducing the second specific gravity to the same basis of ion concentration as the first. The slight change in specific gravity would not be sufficient to interfere materially with the degree of dissociation of the salts, and although the removal of albumin should lead to an increased activity on the part of certain ions, others have probably been completely re- moved in combination with the proteid. These factors, however, appear from the results obtained to counterbalance one another, and may, therefore, be neglected. Our procedure is as follows: The decimal portion of specific gravity determined after the addition of a drop or two of acetic, but before boiling, is designated S,. The freezing point determined in the same urine at the same time is repre- sented by A,. After boiling and centrifuging, the decimal portion of the specific gravity and the freezing point, once more determined, are indicated as S, and A,. Then, in order to reduce S, to the same ionic concentration as S,, the former is multiplied by A, and divided by A,. This quantity is then subtracted from S,, which gives that portion of the specific gravity figure which may be attributed to the influence of the bodies precipitated by boiling (albumin). It has been found that each 0.01 of specific gravity is equivalent to 3.8 or 4 per cent of albumin. The difference obtained above is therefore mul- tiplied by 400 in order to obtain the percentage of albumin. Table XII gives a series of results obtained in this way, in which a very 340 GoTh A. Clowes. fair agreement may be observed between the method in question and other accepted methods which require a much larger expenditure of time. As this method is somewhat complicated, it will be simpler to illus- trate it by means of an example. In Case 1, the specific gravity, determined at 15° C., by means of a very accurate Westphal balance, TABLE XII. ESTIMATION OF ALBUMIN (IN URINES, ETC.). Albumin by other methods. Ss : 2 ; Albumin 1: 2 2: fi "| Diff. X 400. per cent. per cent. 0.0261 | 0.0262 | 1.93! 0252 0.0009 0.36 0:35 0.0161 | 0.0173 | 1.265 0.0007 0.28 0.30 0.0153 | 0.0164 285 | 0.01487 0.00043 0.17 0.20 0.0075 | 0.0052 0.0045 0.0030 1.20 1.00 0.0211 | 0.0225 0.0203 0.0008 0.32 0.35 0.0135 | 0.0139 ; 0.01314 0.00036 0.14 0.13 0.0223 | 0.0223 : 0.0207 0.0016 0.64 6 7 8 0.0205 | 0.0212 | 1. 0.0205 nil nil 9 0.0259 | 0.0283 0.0259 nil EXUDATE CANCER CASE K. 0.0117 | 0.0082 | 0.525 .625 | 0.0070 0.0047 EGG ALBUMIN SOLUTION. | 0.0197 | 0.0030 | 0.245 , 0.0046 0.0151 | was 1.0261 before, and 1.0262 after boiling. The freezing points were respectively 1.935 and 2.010 before and after boiling. The factor Ae eae consequently equal to 0.0252. 0.0252 subtracted from 0.0261, the decimal portion of the original specific gravity, gives 0.0009, which, multiplied by 400 = 0.36 per cent. It must be mentioned at this stage, that whilst a large proportion of determinations give accurate results, the possibilities of error are considerable, and in certain cases we have been unable to explain devi- ations from the correct figure, such as that exhibited in Case 8, in the table. If accurately and carefully handled, such a method should be of considerable use, especially from a theoretical standpoint, and in Experiments on Urine. 341 those cases in which we have to deal with a large percentage of albu- min, the experimental error should be practically negligible, if the precaution is taken of making both specific gravity determinations at the same time, and at exactly the same temperature, and using the same thermometer for the freezing point determinations in two successive experiments. A normal urine free from albumin has been included in the table as Case 9, in order to show that there is nothing in normal urine to interfere with satisfactory results by this method. We have also in- cluded two cases of albumin solutions of high concentration, one an_ exudate in a cancer case containing 1.75 per cent of albumin, and the other a solution of egg white in water, containing six parts of albumin. These solutions were handled in exactly the same way as the urines, the second specific gravity being reduced to the same ionic concen- tration as the first. There are, of course, very disturbing factors in this case, owing to the removal of certain salts by the precipitated proteids and to the neglect of the influence exerted upon the freezing point by the proteids themselves. Consequently, the close agreement in the results obtained from the egg-white solution can only be looked upon as accidental. This method is merely offered in the form of a suggestion, as hav- ing possible application for purposes of confirmation and also in experimental work. We should not recommend it for daily use in the laboratory, as has been done in the case of the method employed for the estimation of sugar. Analysis of urines containing both sugar and albumin. — It will be seen from the above that albumin and sugar may both be estimated in the same urine by means of the freezing point method. A few drops of acetic acid are added, S, and A, determined, the urine is boiled, and S, and A, obtained. The albumin is estimated, as de- scribed in the last section, by combination of these factors, and the sugar may be determined, making use of S, and A,, calculating the theoretical freezing point from S,, deducting A, from the result, and multiplying the figure obtained by 6. The few drops of acetic acid added exert no appreciable effect upon the estimation of sugar by this method. In fact, it may be said that albumin itself, when present in small quantities, exerts so slight an effect as not materially to interfere with the direct estimation of sugar in urine. 342 G. Hf. A. Clowes: SUMMARY. 1. In normal urine the depression of the freezing point is directly proportional to the specific gravity, and may be determined from the latter by multiplying the figures after the decimal point by 75. (As an example, if the specific gravity is 1.022, 0.022 x 75 =1.65, which is found by experiment to be the depression of the freezing point of such a solution in degrees C.) (See Tables [and II.) This portion of the work is in agreement with the findings of Fuchs. 2. In pathological urines other than those containing sugar and albumin, the same tendency to maintain a constant proportion between the freezing point and specific gravity may be observed, although within rather wider limits than in the case of normal urines. (See Tables III and IV.) 3. The average weight of the molecule or ion in urine may be de- termined from these figures as approximately 56 to 60, making use of Beckmann’s formula, where J7 = molecular weight of substance dissolved; / =a constant having the value of 18.5 when water is employed as the solvent; mz = the quantity of substance dissolved, assumed in this case to be 2.33 grams of substance for each o.o1 of specific gravity; and A = the observed depression of the freezing point (0.75° for each o.o1 of spe- cific gravity ). 4. In cancer, typhoid fever, and other diseases in which the excre- tion of chlorides is extremely small, the effect exerted upon the freezing point depression is not so great as might be expected from the removal of such a large proportion of the smaller ions. This tendency to maintain a constant state of equilibrium in the average size of the ions and molecules present in the urine may account for the high re- tention of the products of sub-oxidation and abnormal metabolism, known to exist in these cases. This view of the case may be advanced as a further argument in favor of the therapeutic administration of chlorides to patients on a milk diet, in order that molecular equilib- rium of the urine may be maintained, and a more complete elimination of the products of metabolism effected. 5. In diabetic urines, the quantity of sugar may be very readily estimated by determining the lowering of the freezing point of the Experiments on Urine. 343 urine in question, and calculating the theoretical lowering of the freezing point from the specific gravity. The difference between these two quantities in degrees C., when multiplied by 6, gives a very close approximation of the actual percentage of sugar present in the solution. This factor, 6, calculated on a theoretical basis (see footnote, page 331), and subsequently confirmed in practice, is dependent on the fact that the molecular weight of sugar is 180, whilst the average of urine solids is below 60. (See Tables VI, VII, VIII, IX, X, and XI.) These results are not all in accord with the observations made by Fuchs, who arrived at his factor, 10, by purely empirical means. 6. The quantity of albumin may be estimated by determining the specific gravity and freezing point in a urine to which a couple of drops of dilute acetic acid has been added, then boiling in order to pre- cipitate the albumin, filtering and once more determining the specific gravity and freezing point. The second specific gravity is reduced to the same ionic concentration as the first, by multiplying its decimal portion by the freezing point before boiling, and dividing by the freezing point obtained after boiling. This calculated specific gravity is then subtracted from the original specific gravity determined before boiling, and the difference multiplied by the factor 400, which gives the percentage of albumin. (See Table XII.) 7. Ina urine containing both albumin and sugar, the former is first estimated by addition of acetic acid, as above, and the freezing point and specific gravity obtained after boiling are employed in the estima- tion of sugar. NEW EXPERIMENTS ON THE PHYSIOLOGICAL ACTION OF -THE. BPROTEOSES. By FRANK P. UNDERHILL. (Research Scholar of the Rockefeller Institute.) [From the Sheffield Laboratory of Physiological Chemistry, Vale University. ] CONTENTS. Page Introductory. . . Re ees ee ke i en ete eee ea lees OD Technique of the Ce euaments eek: ies, ae Ae eT reek Vel ehth Oy OO Intravenous injections of typical native s proteits eee 354 Intravenous injections of proteoses prepared by the digestion of aroteids i animal origin with vegetable enzymes . . . 5 eh Are proteoses prepared from proteids and Ses both oF veperable § origin, MON-LOXICGH we) Fs ue, : Sl Intravenous injections of proteoses ie pared feat repeiable mroteids by hydrolysis with acids or with superheated water. . . Sa able ys op iene) ik RODS The physiological action of native proteoses . . : 359 Are products prepared from edestin with acid, accordine to the methods at Pick and Spiro, truly non-toxic? . . : : 362 Are the toxic effects of proteoses destroyed By Ave Pick anid Spiro methotie ai Pere e eS aE Sep sae ames eo ote ak ees Ore See eee et OG Conclusions . . . ee 2 ee eden a Soa wie cp ere Nay ae ies aly Or eee SL SPINGEL DKESSUECIELACINPS more recent monograph upon the same subject. Brief mention of important points only can be given in this place. Kiihne and Chittenden believed that the result of pancreatic pro- teolysis was a production in equal amounts of hemi- and antipeptone, of which the hemipeptone only was further resolved into amido acids. Kutscher* showed that prolonged tryptic digestion completely changed proteid into a mixture of amido acids such as may be obtained by boiling proteid with acids. Cohnheim® discovered erepsin, a fer- ment which rapidly splits albumoses into amido bodies within the intestines ; and Loewi,®° after feeding a pancreatic digest consisting of amido bodies, has been able to maintain a dog in nitrogen equilibrium almost as well as after feeding proteid. Loewi concludes that he has LANGSTEIN: Ergebnisse der Physiologie, 1902, i, p. 63. CREMER : /éid., p. 803. PFLUGER: Archiv fiir die gesammte Physiologie, 1903, xxix, p. I. KUTSCHER: Die Endprodukte der Trypsinverdauung, Strassburg, 1899. COHNHEIM : Zeitschrift fiir physiologische Chemie, 1901, xxxili, p. 451. * Loewr: Archiv fiir experimentelle Pathologie und Pharmakologie, 1902, xviii, p. 303. 1 2 3 4 5 380 On the Formation of Dextrose in Metabolism. 381 proved that a proteid synthesis from amido bodies takes place within the organism. The fact that various proteids yield amido bodies different in kind and amount has led Emil Fischer to make a prolonged series of inves- tigations in this direction. Kossel! first drew attention to the fact that cleavage products of proteid, such as leucin, histidin, lysatinin, lysin, and arginin, each contained the same number of carbon atoms as dextrose, and compared an aggregation of amido acid radicles forming proteid, with the analogous polysaccharides. At the same time Kossel, in conversation with one of the present writers (L.), declared his belief that these amido bodies are the mother substances of the proteid dextrose found in diabetes. This idea was later ad- vanced in a paper by F. Miiller,? who stated that if proteid could yield 50 per cent of leucin, as was found by Cohn, it could hardly contain a sugar radical equal to 60 per cent, which was the amount of dextrose formed from proteid in phlorhizin diabetes as determined by Reilly, Nolan, and Lusk.? Lusk# at this time suggested that leucin, an amido fatty acid, might arise from dextrose molecules in the proteid complex. This view was discussed by F. Miiller,> who considered it improbable, although inti- mating that it was difficult to disprove. The proteid of meat and gelatine yield 60 per cent of dextrose in diabetic metabolism,® and Halsey? has shown the same to be true of casein. But Halsey could not show that feeding leucin increased the dextrose excretion in phlorhizin diabetes. Cohn ® believed that the liver glycogen was increased in rabbits after feeding leucin, but these experiments have never been considered conclusive. Recently Stookey ® has fed various gluco-proteids to fasting hens and has observed little glycogen formation in consequence. At the time this research was commenced the problem offered was: what amount of dextrose, if any, would be produced after feeding a 1 KossEL: Deutsche medicinische Wochenschrift, 1898, p. 58. 2 MULLER and SEEMAN: Deutsche medicinische Wochenschrift, 1899, p. 209. 8 REILLY, NOLAN, and Lusk: This journal, 1898, i, p. 395. 4 Lusk: This journal, 1899, iii, p. 153. 5 MULLER: Zeitschrift fiir Biologie, tgot, xlii, p. 545. 6 REILLY, NOLAN, and Lusk: Loc. cit. 7 HALsEy: Sitzungsberichte der Gesellschaft zur Beforderung der gesammten Naturwissenschaften, Marburg, 1899, p. 102. 8 CouHN: Zeitschrift fiir physiologische Chemie, 1899, xxviii, p. 21I. ® STOOKEY: This journal, 1903, ix, p. 138. 382 Percy G. Stiles and Graham Lusk. phlorhizinized dog with a digestive mixture of proteid decomposition products? If a mixture of amido bodies yields dextrose, then the synthetic origin of dextrose in metabolism as advocated by Pfliger, F. Miiller, Halsey, and others, would be established, whether such sugar arose directly from the amido bodies fed or indirectly from the metabolism of proteid formed from them. After this research was well under way, Knopf,! using the same method, published an account showing the synthetic production of sugar from asparagin fed to a dog. METHOD. In order to measure the production of sugar, phlorhizin diabetes was induced. After one or two days of fasting phlorhizin was admin- istered three times daily by hypodermic injections. The amount given each time was 2 gms. dissolved in about 20 c.c. of 1.2 per cent sodium carbonate solution. The injections were given at approxi- mately equal intervals. On the third day of phlorhizin treatment (the fourth or fifth of fasting) the metabolism usually reaches a level which will be maintained with remarkable uniformity through several subsequent days, the nitrogen elimination being very nearly constant and the sugar appearing in quantity according to a ratio which does not vary widely from that previously determined by Lusk (5 = 375). The even conditions of phlorhizin diabetes gave us a base-level above which the production of additional sugar from the pancreatic digest fed stood out conspicuously. The digest.2 — This was obtained by the pancreatic digestion of washed meat which had been allowed to continue for fourteen months with proper precautions against putrefaction. The resulting mixture of products was a dark, syrupy fluid with but little sediment or sus- pended matter. The taste and odor were pronounced but not foul. The mixture gave only a dubious biuret reaction. As prepared for our use, the material contained 1.33 per cent of nitrogen and gave a depression of the freezing point of 1.72° C. This had a practical interest, for the concentration of salts in such digests must have much to do with the possibility of retaining them in the stomach. If they 1 KNoprF : Zeitschrift fiir physiologische Chemie, 1903, xlix, p. 123. 2 This was kindly furnished us by Prof. W. J. Gies of Columbia University, to whom we express our thanks. On the Formation of Dextrose in Metabolism. 383 are too concentrated they are sure to be vomited; if they are too dilute, excessive volumes must be given. It is difficult to hit upon a desirable mean. It was always necessary to give the fluid by a stomach-tube, as none of the dogs would take it voluntarily. Difficulties. — Only two of five experiments ran a successful course. In two cases failure of the kidneys occurred, and death followed closely upon the suppression of the urine. In another instance stubborn vomiting compelled us to give up the trial. Fortunately the two experiments which were carried through without mishap were closely concordant. EXPERIMENTS. Experiment I, —The animal was a bitch weighing about 16 kg. On the third day of diabetes the urine was analyzed and the sugar was found to be high in proportion to the nitrogen, the ratio of 4.15 indicating that the preliminary sweeping of sugar from the system had not been accom- plished. ‘The urine of the following night gave a ratio of 3.94, and it was considered that the diabetic condition had become sufficiently settled to attempt the feeding of the digest. Just before this was done a final sample of the urine from the bladder gave the D: N ratio of 3.66. ‘The first portion of the digest introduced amounted to 200 c.c. (N, 2.66 gms.). After an hour and fifteen minutes the dog vomited 150 c.c. of fluid, which was saved, and an hour later returned to the stomach together with 200 c.c. of the original mixture. The dog had now received 5.32 gms. of nitrogen in the form of simple digestive products. ‘There was no more vomiting for four hours, when about 250 c.c. of fluid, only slightly colored, was ejected. This was not returned, but analyzed for nitrogen, and found to contain but 0.18 gm. ‘The quantity of nitrogen fed and retained was estimated at 5.14 gms. The stomach remained irritable, and there was vomiting during the following night, but apparently only of water and mucus. The dog defeecated once in the middle of the feeding period; the faeces were moderate in amount and did not differ from those passed during fasting. ‘The analyses of the urine are tabulated on page 384. Experiment JJ, —The animal was a large bitch weighing 32.6 kg. After three days of diabetes and six of fasting the urine was collected and analyzed for two preliminary periods of twelve hours each. At the beginning of the third period, 400 c.c. of the digest (N, 5.32 gms.) was given and retained without any subsequent sign of digestive disturbance or any diarrhcea. The urine of the feeding period and the twelve hours following was analyzed. The findings are given on page 384. 384 Percy G. Stiles and Graham Lusk. EXPERIMENT I. be D. - I. Preliminary 12 hours! . 7.04 27.78 ear II. Feeding period 12 hours 11.38 39.58 3.48 III. After period 12 hours. 8.22 28.00 3.40 1 The analyses in the preliminary stage were actually for a period of sixteen hours. The figures have been reduced to a twelve-hour basis. 2 Ratio in last sample of bladder urine = 3.66: 1. EXPERIMENT II. First preliminary 12 hours . Second preliminary 12 hours . Feeding period 12 hours After period 12 hours DISCUSSION OF THE TABLES. In both cases the nitrogen fed seems to have been quantitatively eliminated. In Experiment I the excess of nitrogen excreted in the feeding period as compared with fasting is 4.34 gms., and in the after period the excess is 1.18 gms., a total of 5.52 gms. nitrogen excreted for 5.14 gms. fed. In Experiment II the excess of nitrogen elimina- tion in the feeding period over the preceding twelve hours is 3.93 gms., and in the after period 1.65 gms.,a total of 5.58 gms. nitrogen excreted for 5.32 gms. fed. In both experiments the sugar rose in the feeding period, in Experi- ment I by 11.80 gms., in Experiment II by 12.62 gms. It is noteworthy that the excess of nitrogen elimination extends over two periods, while that of sugar is limited to one. This circumstance accounts for the low D: N ratios in the after periods. The sugar had fallen to the fasting level, while the nitrogen remained markedly above it. If On the Formation of Dextrose tn Metabolism. 385 all the excess of nitrogen had appeared in the feeding-period, we should have had ratios for that period of 3.10 and 3.33 respectively, and a return in the final period to values of 3.97 and 3.80 in the two experi- ments. It may be that a return to a higher ratio could have been demonstrated if the urine had been collected during an additional twelve hours. It is to be regretted that the desirability of doing this was not recognized at the time. CONCLUSIONS. It appears that 5 gms. nitrogen fed in the form of the products of pancreatic digestion may give rise to the formation of about 12 gms. of dextrose, or D: N::2.4:1. The same amount of nitrogen fed as native proteid would be expected to produce 18 to 19 gms. of sugar. No light is thrown upon the question whether the sugar in our experi- ‘ments was formed after a proteid synthesis had occurred or more directly from the amido-bodies. Neither have we any evidence as to the relative importance of the several digestive products which were fed. Further trials, made with the individual bodies present in such mixtures and in pursuance of Knopf’s plan as applied to asparagin, may clear up this matter. The experiment shows that it is impossible for a large sugar radical to exist in the proteid molecule. It will be noticed that the amido nitrogen fed was quantitatively eliminated, and did not protect the body’s proteid as do meat and gelatine under similar circumstances. It is interesting to possess new facts which show how closely parallel is the course of the sugar metabolism after feeding amido-bodies with that which follows upon a proteid diet. ON THE QUESTION OF PROTEID SYNTHESIS THE, ANIMAL, BODY. By YANDELL HENDERSON anp ARTHUR L. DEAN. [From the Sheffield Laboratory of Physiological Chemistry, Yale University.] HAT the animal body is endowed with very limited capacities for synthetic processes is a current and habitual assumption rather than a principle demonstrated by experiment. For while the corollary of this statement — that plants are solely devoted to synthe- sis — has been found insufficient by botanists, physiologists, mainly perhaps because of the experimental difficulties involved, have con- tinued to accept the dictum of Liebig so far as it applies to animals with little modification, and until recently with no serious question. The recent discovery by Cohnheim! of the ferment ‘‘erepsin ” is full of suggestion. Cohnheim’s investigations show that in the well- known experiment of Neumeister — the supposed reconversion of albumose to coagulable proteid by the action of intestinal mucosa — the primary products of digestion are in fact further decomposed into the ultimate products of proteolysis — into simple crystalline nitroge- nous substances. If such an alteration take place to any consider- able extent in the normal course of absorption, it is evident that within the animal body there must be a mechanism capable of resyn- thesizing these simple substances to form the proteids of the blood and tissues. The question thus raised has been put to the direct test of experi- ment by Loewi. In the preliminary report of his experiments Loewi stated that he had succeeded in maintaining a dog in nitrogenous equi- librium on a diet in which all albuminous material had been replaced by the products of the prolonged self-digestion of pancreas. In the account of his completed investigations published recently, Loewi? gives the details of repeated experiments all yielding a similar result. This is the more striking because it was accomplished in spite of the ? COHNHEIM : Zeitschrift fiir physiologische Chemie, 1901, xxxiii, p. 451. * Loewr: Archiy fiir experimentelle Pathologie und Pharmakologie, 1902, xlviii, p. 303. 386 Proteid Synthesis in the Animal Body. 387 disturbances of the alimentary tract which ordinarily occur on a diet of predissolved material. So successfully was this difficulty over- come in one of the later experiments that the animal exhibited a gain in weight and a plus balance between the income and output of nitro- gen. Loewi interprets this retention of nitrogen as indicating that the proteid cleavage products of the diet were resynthesized to supply the needs of the tissues for proteid. The importance of the subject seemed to warrant an immediate test of the validity of this view. For this purpose— rather than as a mere repetition of Loewi’s experiments — we have employed in the experiment detailed below not the products of pancreatic digestion, but those resulting from the action of a mineral acid on proteid by prolonged boiling. Four kilos of lean beef were carefully freed from fat and connective tissue and run through the meat-chopper. This material was placed in a flask with two litres of water containing 240 c.c. of concentrated sulphuric acid. The flask was heated in a steam sterilizer for twenty hours, and then upon a sand bath, where its contents were boiled for two hundred and fifty hours. The volume was kept at about five litres, so that the strength of acid was from seven to nine per cent. Repeated tests made during the boiling showed that a biuret react- ing substance was continually being split off in small amounts from the antialbumid which remained undissolved in the fluid. Finally, therefore, this antialbumid was filtered off, washed by twice suspend- ing it in water and filtering; and the combined filtrates were concen- trated to three litres. At the end of this treatment the last trace of the biuret reaction had disappeared, — a point which was determined with the utmost care in all dilutions and with every possible modifi- cation of the test, and among others that of Neumeister relied upon by Loewi. The sulphuric acid was removed by means of hot satu- rated baryta water and the slight excess of barium by a few drops of dilute sulphuric acid. The fluid was concentrated to about two litres. Its content of nitrogen was then determined by the Kjeldahl method, and 100 c.c. pipetted off into each of eighteen small flasks. These were stoppered with cotton wool and placed in the steam sterilizer for an hour. As it was essential that the animal’s calorific needs should be fully supplied, and that the material used should be free from any albumi- nous substance, we employed for the purpose the best quality of lard and arrow-root starch. In each there was in the amounts fed daily a barely detectable trace of nitrogen. The food was prepared each Vandell Henderson and Arthur L. Dean. 388 ‘eoyleip § Suljtw0 j ‘eoyiieip § Sur1m0 A ” “BOY ILI ‘eOYlieIp § SuWo A ‘VJOS sox ‘WJOS sa0m@y f SuIZIUIO A ‘jeu -10U sadaxy f SuIWIO A ‘TeWOU sI0x “SUITWO A ” ‘Suse *‘souod poy 80°0— cL:0— “WerIp Iod “ae 8S co's “wetp 1ed*ae —_—_—_ ee oO N © tT 1m SO Eee conic SZ +7 ” €z judy ” eNae aourleq “"N ‘jndjno 1230L pSselo[ed feel a "YOIeIS ‘doo “LNAWTYadXa AHL AO SLTASHAY GNV SNOILIGNOD DNIMOHS HTaV.L ‘CO6I ‘ALVC Fasting. 35 iT “ce 0.83 85 Fed bones. “ Proteid Synthesis tn the Animal Body. 389 1 The figures for the calorific value of the food are calculated for the starch and lard only,— that of the nitrogenous substances as mo a Q, =) n te 3 a o o = ~ 1S) ovo is n o pa wn -— io} — c - n ae) o o i= A cS =| = = fon] o S =) ra) Ss =) ~ = ° a n ° pat > —_ o o 2 = = vo > = on o - os 4S = fos] a Ee (e} (=| a. < = on = Oo Q For the sake of a safe basis of calcu- 2 The total nitrogen in the feces between April 24 and May 13 (nineteen days) was 9.6 grams. lation it is assumed in the table that one twelfth of this amount, or 0.80 gram, was contained in the faeces of each day of feeding. utilization of the nitrogen of the food was very poor, filter paper in the food amounted to 154 grams in all. The The The total weight of the air-dry feces was 174 grams. only 83 per cent. 6, 5 per cent; K,HPO,, 70 per cent; Fe,Cl 3 On and after May 6 the food contained each day 2 grams of the following mixture: NaCl, 15 per cent ; CaH PO,, 6 per cent; MgCly, 4 per cent. day by heating the contents of one of the flasks in a casserole and adding to it the starch which had previously been ground and mixed with a small quantity of cold water. While this mixture was still warm the lard was stirred in, together with enough finely divided filter paper to give a decidedly thick consistency to the mass. During the greater part of the period of feeding the animal ate this food in two portions daily, voluntarily, and even with apparent enjoyment, in spite of the intensely bitter taste of the proteid products. Toward the end of the experiment, how- ever, considerable persuasion, and finally force, was necessary to in- duce complete ingestion. For the investigation we em- ployed a lean fox-terrier bitch. It was kept in a cage suitable to col- lecting any urine that might be passed. Catheterization was per- formed each morning. The feces, consisting largely of filter paper, were united for analysis, bones being fed as a means of demarca- tion at the beginning and end of the nineteen days the animal was under observation. Whenever vomiting occurred the material was returned to the animal's stomach immediately, — which ex- cept for the filter paper would have been impossible. Although vomiting and diarrhoea occurred on the majority of the days of feeding, these conditions were not 390 Vandell Henderson and Arthur L. Dean. so marked as to invalidate the essential accuracy of the data presented. Before and after the period of feeding the animal was allowed to fast for a few days in order that from the amount of nitrogen eliminated in the urine under these conditions the “ hunger mini- mum” or waste of the tissue proteids might be determined. The results of the investigation are given in the accompanying table (page 388). The numerical results here presented are essentially similar to those obtained by Loewi. Even in the earlier days of feeding the nitrogen elimination was not increased by the full amount of the nitrogen ingested. From the ninth to the thirteenth day of feed- ing the animal was in nitrogenous equilibrium. Body-weight was maintained. It seems fair to conclude, therefore, (1) that the nitrogenous sub- stances in the diet were not immediately and wholly converted into urea and excreted; (2) that they were on the contrary to a con- siderable extent retained; and (3) that that portion which was expended (appearing in the urine) exerted a marked proteid-sparing action. These reactions seem to us, however, to afford a sufficient explanation of the facts without invoking the more radical hypothesis of proteid synthesis. The diminution in the nitrogen excretion from 1.9 grams in the fore period to 0.8 gram in the after period of fasting suggests that the protoplasmic waste had not been made good, and that the retention of nitrogen is not in itself a proof of proteid synthesis. OBSERVATIONS ON THE URINE OF THE MUSKRAT (FIBER ZIBETHICUS). By ROBERT BANKS GIBSON. [From the Sheffield Laboratory of Physiological Chemistry, Yale University.] Ov knowledge of the comparative chemistry of the urine is so fragmentary that it seems desirable to present a few observa- tions which the writer has had the opportunity of making at Professor Mendel’s suggestion on a rodent, Fiber zibethicus. Except in the case of a few of the domestic animals, only occasional statements regarding the composition of mammalian urine are to be found in physiological literature. It is assumed, from the data available, that in general the urine of carnivora corresponds in chemical makeup with that of man; whereas the urine of herbivora is characterized by an occasional deficiency in phosphoric acid, a reaction usually alka- line to litmus and a high content of hippuric acid and other aromatic compounds — all depending largely on the peculiar character of the diet of these animals.!_ That specific peculiarities in the metabolism of individual species may occur is illustrated in the case of the dog by the occurrence of kynurenic acid, a substance not yet found in any other animal. Regarding the dietetic habits of the muskrat there seems to be a difference of opinion among writers.2 Our specimen, an appar- ently full-grown animal weighing 800 grams, readily ate such vege- table foods as apples, carrots, lettuce, and corn; and it likewise consumed animal tissues in the form of lean meat, pancreas, and liver, General characters of the urine. — The dazly volume of the urine varied from 54 to 205 c.c., the average of many days being 118 c.c. This quantity is considerably larger per unit of body weight than 1 Cf. HOPKINS: SCHAFER’S Text-book of physiology, 1898, i, p. 637-638. 2 Cf. MENDEL and JACKSON: This journal, 1808, ii, p. 27. 3 “Tt dives with great facility, feeding on the roots, leaves, and stems of water plants, and on the fruits and vegetables growing near the margins of the streams it inhabits” (Encyclopedia Britannica). BEDDARD writes: “Thus it appears that this rodent, like so many others, is largely carnivorous” (Cambridge Natural History, 1902, x, p. 478). 391 392 Robert Banks Gibson. the output of the common laboratory mammals. Thus Alezais! noted an average urinary secretion amounting to 8 per cent of the body weight in the guinea pig, a rodent somewhat comparable with the muskrat in regard to its dietetic habits and its structural characteris- tics. Whether this peculiarity is in any way related to the muskrat’s aquatic habits could not be determined definitely. It was occa- sionally noted that after a bath the animal eliminated somewhat larger volumes of urine than at other times. But Sacc? has called attention to the relatively large volume of urine secreted by a terrestrial rodent, the marmot (Arctomys). He obtained as much as 25 to 36 per cent of the body-weight, and suggests that this noticeable renal activity is dependent on the insignificant loss of water by way of the lungs and skin in the rodents. Corresponding with the large output of urine in the muskrat, the specific gravity of the secretion was usually rather low, being in general below 1.010, and varying from 1.006 to 1.016. The urine emitted a faint musk-like odor which became more pronounced after heating. The color of the fresh urine was pale yellow, except during fasting or on a meat diet, when a deeper color was observed, even in dilute urine. When kept with thymol in a stoppered vessel exposed to the light, the urine gradually grew darker, becoming almost black. In the dark, how- ever, no appreciable change in color was noticed. The reaction to litmus was acid during fasting and after carnivorous diet; at other times it was only faintly alkaline or neutral, always remaining acid to phenolphthalein. The average acidity to the latter indicator was equivalent to 70 c.c. #4 acid per litre. Neumeister® has observed the urine of the primitive mammal, Echidna aculeata, to remain neutral after feeding meat and eggs, although it is usually assumed that the urine, even of herbivora, becomes acid in reaction to litmus on a carnivorous diet. The muskrat urine was ordinarily free from any sediment; in the concentrated alkaline secretion crystals of triple phosphate and of calcium oxalate were occasionally found. In the acid urines uric acid crystals separated out at times. Composition of the urine. — Several litres of urine collected during a period of mixed diet yielded the analysis reported below.* Further ' ALEzAis: Archives de physiologie, 1897, ix, p. 576. 2 Sacc: Comptes rendus, 1872, Ixxv, p. 1839. % NEUMEISTER: Zeitschrift fiir Biologie, 1898, xxxvi, p. 77. * The samples were preserved with thymol which Cronheim (Archiv fir Physiologie, 1902, p. 262) has lately shown to be most satisfactory. « Observations on the Urine of the Muskrat. — 393 data were obtained by collecting the urine in daily periods with various experimental diets. The total N was estimated by the Kjeldahl-Gunning process; uric acid by the Ludwig-Salkowski method; urea by the method of Morner and Sjoquist, which seemed trustworthy in the absence of any considerable quantities of hippuric acid ; 1 ammonia by Folin’s method ; oxalic acid by the process of Autenrieth and Barth; * and the other constituents by the commonly described methods. ANALYSIS OF MUSKRAT URINE. Grams per litre. Grams per litre. PotalgNieees 50s) a Sea Oe Phosphoric acid (P,0;) . 0.69 (Urea a 6 ee peion meas P,O; with alkali earths . 0.45 Hippuricacid . .. . 0.25 Sulphuric acid (SO3) . . 0.48 MRCIACIG Meta cuwsl ose) 0:22 EitherealsS@xs-) a-8 0:02 Oxalicacid’ ~ =... . =. 0:04 Chiorine (as NaCl) . . 0.40 To ascertain something regarding the average daily output of the more important constituents, the urine was carefully collected for four days during a mixed diet somewhat larger in quantity and richer in meat than in the case above. The output for this period was 423 c.c., having a specific gravity of 1.011. The data obtained follow. Grams per day. | Grams per litre. otal nitrogen 52 2 «4. . 0.808 7.62 WEARE MC ete) hea «ate Scobie 1.635 15.43 Wirieracidy 52.25) ose 0.037 0.35 LSTHTONES G WARREN ceo A eome 0.008 0.08 Manchin iDOGIeS: sie: « s) seoc 0.01 Phosphoric acid (P,0;) . . . ! 0.83 1 Cf. MoOrneEr: Skandinavisches Archiv fiir Physiologie, 1903, xiv, p. 279. 2 AUTENRIETH and BARTH: Zeitschrift fiir physiologische Chemie, 1902, XXXV, Pp. 327. 394 Robert Banks Gibson. The distribution of nitrogen in the various types of nitrogenous constituents in the two experiments was as follows: — Exp.1. Exp. 2. per cent. per cent. Urea nitrogen (sah E>. 23) 91.3 94.3 Winieacidinitrogen™ <0 -ee e 15 1.5 Ammonia nitrogen. . .. . Suse 0.9 Hippuric acid nitrogen Xanthin bodies nitrogen . Undetermined Comments on the analytical data. — From the figures presented the nitrogenous metabolism of the muskrat is seen to resemble quantita- tively that of the guinea pig, the average output per hundred grams of animal being 0.1 gm. N.! The small proportion of nitrogen in the form of ammonia compounds (one per cent) corresponds with previous experience on other herbivora? and with prevailing ideas regarding the origin of ammonia in metabolism. Although uric acid was excreted in noticeable quantity, the figures are no larger than those obtained by Mittelbach for the urine of various herbivora.2 He found quantities ranging from 90 to 450 mgm. per litre. It will be noted above that an increase of uric acid in the muskrat urine followed the more liberal introduction of meat into the diet. Neumeis- ter‘ failed to find uric acid in the urine of Echidna under similar conditions. The elimination of phosphoric acid noted is of interest in view of the current statements regarding the low output in the herbivora.® Since in the dog and cat the ingestion of tissues rich in nucleic acid is followed by a large elimination of allantoin, pancreas feeding was tried in the case of the muskrat, with negative results. Similar 1 ALEZAIS: Loc. cét., p. 579: ? HupPPERT: Analyse des Harns, 1898, p. 42. * MITTELBACH: Zeitschrift fiir physiologische Chemie, 1888, xii, p. 466. 4 NEUMEISTER: Loc. cit. ° Cf. Sacc: Loc. cit. (marmot). Also BERTRAM: Zeitschrift fiir Biologie, 1878, xiv, p. 335. Observations on the Urine of the Muskrat. 395 experience has followed earlier experiments on rabbits in this labora- tory! Kynurenic acid was also missing and creatinine could not be isolated. The urine contained urobilin ; at times bile pigments were present, giving Huppert’s test and imparting a greenish tint to the fluid. Proteids and sugar were never detected. * MENDEL, UNDERHILL, and WuITE: This journal, 1903, Vili, p. 399. SALIVARY DIGESTION IN THE STOMACH|! By W. B. CANNON aAnp H. F. DAY. [From the Laboratory of Physiology in the Harvard Medical School.] N stating the functions of saliva the common reference is to its importance as a lubricant in facilitating the movement of the parts of the mouth upon one.another and in aiding the passage of the food through the cesophagus. There is a widespread impression that the chemical function is slight. Saliva can indeed change starch to sugar, but during mastication there is little time for amylolysis, and in the stomach the action of ptyalin is soon stopped by the acid gastric juice. Such is the view commonly expressed.2_ This paper is a report of a critical inquiry into the reasons for this view, and an experimental study of the degree of salivary digestion in the cardiac and pyloric ends of the stomach. To support the conclusion that salivary digestion in the stomach is slight, certain studies of gastric contents after feeding starches are cited, and attention is called to the common conceptions of the effect of gastric peristalsis. Briicke ® found in the stomach contents of dogs killed one to five hours after eating starch paste or mush, no sugar or only slight amounts, unless it was already present in the food ingested. In 1877 v. Mering* concluded, after feeding starch paste to dogs, that the saliva of dogs was without digestive influence, evidently because ptyalin was absent, and that in man, although ptyalin must be considered, it is of secondary importance. Obser- vations on human beings by Ewald and Boas® in 1886 seemed to 1 A preliminary report of this research was presented to the American Physi- ological Society in December, 1902, and was printed in the proceedings of the meeting, This journal, 1903, viii, p. xxviii. 2 See, for example, NEUMEISTER, Lehrbuch der physiologischen Chemie, Jena, 1897, pp. 287, 288. 8 BRUCKE: Sitzungsberichte der kaiserlichen Akademie der Wissenschaften, Wien, 1872, Ixv, p. 144. * v. MERING: Archiv fiir Physiologie, 1877, p. 393. ® EwaLp and Boas: Archiv fiir pathologische Anatomie und Physiologie, und fiir klinische Medicin, 1886, civ, p. 296. 396 Sahvary Digestion in the Stomach. 397 sustain v. Mering’s contention, for after giving patients starch paste to drink only slight amounts of sugar were found in the stomach. The next year Seegen+ reported experiments in which he fed dogs carbohydrate food of diverse forms (flour cakes, potatoes, rice), and yet in the gastric contents failed to find more than a trace of sugar. These chemical experiments tending to prove that saliva has only slight action in the stomach were supported by observations and theories of the churning effect of gastric peristalsis. Beaumont’s? well-known description of the movement of the bolus along the gastric walls, and Brinton’s? theory of peripheral and axial streaming of the food in the stomach offered reasons for believing that all the food is rapidly mixed with gastric juice and is thus in a short time made acid throughout. The duration of salivary digestion must therefore neces- sarily be brief. The conclusion from the above evidence that salivary digestion in the stomach is slight is not above criticism. In the first place the experiments of Briicke, v. Mering, and Seegen were performed upon dogs. The absence of sugar from the stomach, noted by these observers after giving a carbohydrate meal, is amply explained, as v. Mering admitted, by the fact that the dog’s saliva does not possess a diastatic ferment. Even with ptyalin present in the saliva, which was the case in the experiments of Ewald and Boas on human beings, the starch paste as a test food would be objectionable. It is not only not palatable, but is in a state to be swallowed immediately without being chewed. There are thus two reasons for its not being mixed with sufficient saliva to cause noteworthy amylolysis. In- asmuch as there was no ptyalin, or almost no ptyalin, mixed with the food given in all these experiments, it is clear that they do not furnish direct evidence that salivary digestion in the stomach must be slight. The indirect evidence against gastric amylolysis derived from Beaumont’s observations and Brinton’s reasoning as to mixing cur- rents, is also subject to criticism. In 1898, Cannon ® brought forward proof that neither Beaumont’s nor Brinton’s account of the movement of the food in the stomach was correct. A marked difference was observed between the effects of the mechanical activities of the pyloric 1 SEEGEN: Archiv fiir die gesammte Physiologie, 1887, xl, p. 46. 2? BEAUMONT: Physiology of digestion, Plattsburgh, 1833, p. IIo. 8 BRINTON: The diseases of the stomach, Philadelphia, 1865, p. 24. 4 See GRUTZNER: Archiv fiir die gesammte Physiologie, 1876, xii, p. 285. 5 CANNON: This journal, 1898, i, p. 378. 398 W. B. Cannon and H. F. Day. and the cardiac portions of the stomach. In the cardiac portion there is no peristalsis, and the food, held in the tonic grasp of the gastric musculature, shows no signs of movement ; in the pyloric portion, on the other hand, gastric peristalsis mixes the food thoroughly with the digestive juices. Little pellets of starch paste lying in the cardiac end immediately after the food’ is ingested may be seen with the X-rays in the same relative positions for almost two hours; the pellets in the pyloric end are moved to and fro by the passing waves of constriction. There is moreover a marked difference in the appearance of the contents of the two parts of the stomach after digestion has proceeded for even thirty minutes: the food in the pyloric end is usually far advanced toward chymification ; the food in the cardiac end has still its original appearance, which it may retain even an hour and a half after ingestion. This observation that the food in the cardiac end of the stomach is not moved, and therefore is not mixed with the gastric juice, suggested that the cardiac contents might retain their original chemical reaction for a considerable period. Tests made on several cats and dogs, from one to one and a half hours after feeding, showed that the contents of the pyloric end were in- variably strongly acid; the surface of the cardiac contents was also acid, but the internal mass in the cardiac end remained unchanged in its reaction. Inasmuch as salivary digestion may continue so long as free acid is absent, the conclusion was drawn that salivary digestion might proceed in the fundus for an hour and a half or longer without interference by the acid gastric juice. The observations and the conclusion just detailed have been con- firmed by Oehl,! and still more completely by Heyde working under Griitzner? in Tibingen. Rats, rabbits, guinea pigs, and cats were fed by Heyde with different kinds of food in definite amounts and killed at different intervals after eating. The stomachs were carefully removed and frozen; sections were made through the frozen gastric contents, and acid indicators mixed with the food revealed at once the extent of acidification. The inner layers of the food in the cardiac end retained for hours a neutral or weakly alkaline reaction. Only the outer layers were slightly acidified and digested. Thus the diastatic ferment of the saliva may continue its action in the fundus for a long period wholly unhindered. The difference in motor activities between the cardiac and pyloric ' OEHL: Archives italiennes de biologie, 1899, xxxii, p. 114. * GRUTZNER: Reprint from Deutsche Medizinal-Zeitung, 1902, No. 28. Salivary Digestion tn the Stomach. 399 ends of the stomach has been noted also in human beings. Beau- mont’s observations on Alexis St. Martin hint at a difference, and v. Pfungen! and Moritz? have made it certain that in man the peristalsis is confined to the pyloric end. Since Beaumont’s time few observations have been made on the movements of the food in the human stomach. In 1897, however, Hemmeter ? stated that after many experiments on animals and investigations through fistula into the human stomach, he found no confirmation of Beaumont’s and Brinton’s views as to mixing currents. In 1900 Hemmeter* repeated this statement and affirmed that Cannon’s assertion that the food is churned by peristaltic waves only in the pyloric portion was correct, After thus bringing confirmatory data to prove the fundus free from peristalsis and after entirely rejecting the idea of mixing currents, he still declares that the contents of the fundus are soon mixed with the gastric secretions. The only explanation offered for this conclusion is that food taken from the stomach by means of an Einhorn bucket always contains gastric juice. Since the dorsal wall of the stomach in man slopes forward from the cardiac opening, a tube introduced through the cesophagus comes immediately in contact with the dorsal wall, and will remove first the food lying in proximity to the secreting mucous membrane. Clearly this faulty evidence allows no conclusion to be drawn as to the presence of acid in the interior of the cardiac mass, and such evidence cannot be accepted as contradicting the accumulated testimony, from much more exact methods, that the internal food in the fundus long remains unmixed with acid. The discussion thus far has led to two conclusions: (1) that the reasons commonly given to prove salivary digestion possible in the stomach for only a short time are by no means convincing, and (2) that in the fundus, a reservoir in which the food may rest for hours unmoved, salivary digestion may indeed continue for a long period without interruption. Several researches not widely quoted lend support to the view that salivary digestion in the stomach may beof importance. As long ago as 1880, von den Velden ® pointed out that free hydrochloric acid did not appear for almost an hour after eating breakfast and for almost two 1 y. PFUNGEN: Centralblatt fiir Physiologie, 1887, i, p. 220. 2 Moritz : Zeitschrift fiir Biologie, 1895, xxxii, p. 339- 8 HEMMETER: Diseases of the stomach, Philadelphia, 1897, p. 86. 4 HEMMETER: Loc. cit., second edition, 1900, pp. 85 and 88. 5 vy. D. VELDEN: Deutsches Archiv fiir klinische Medicin, 1880, xxv, pp. 105 and IIt. 400 W. B. Cannon and H. F. Day hours after eating a full mid-day meal. Austen! in 1899, after study- ing one of his students, stated that for a period of at least one hour after an ordinary meal the albuminous matter of the food united with the hydrochloric acid of the gastric juice as fast as the acid was se- creted and thus prevented it from stopping the digestion of starch. Hensay? and Miiller® were the first to present quantitative measure- ments of the amounts of sugar and dextrins which might be formed in the stomach when food is carefully chewed. These observers fed rice mush made pleasing to the taste with meat extract and butter. After a certain time, usually one half hour, they pressed out the gas- tric contents as completely as possible and secured the remnant by washing. They found that a large part of the expressed carbohydrates, 59.4 to 79.6 per cent, had been made soluble by the saliva. Of the dissolved carbohydrates over one half, even two thirds, consisted of maltose and of dextrins closely related to maltose, and the remainder of dextrins more nearly related to starch. The four reports just mentioned combine to show that the common teaching that saliva must be unimportant in the stomach, because its action is quickly stopped, is not correct. Saliva certainly may be im- portant in the digestion of starch if the food is well chewed and thus thoroughly mixed with the ferment. The observers who have brought forward these positive results have not, it will be noted, regarded the differences between the pyloric part of the stomach and the fundus. It was the purpose of the research here reported to study the condi- tions of salivary digestion particularly in the two portions of the stomach: in the active pyloric portion where the food is soon mixed with the acid juice; and in the quiet cardiac reservoir where the food lies unmoved for a long time until it begins to be forced gradually into the churning mechanism at the pyloric end. METHOD. The cat was the animal used in this investigation. The stomach of the cat, as observations with the X-rays have proved, is like the ' AUSTEN: Boston medical and surgical journal, 1899, cxl, p. 325. 2 HENSAY: Miinchener medicinische Wochenschrift, 1got, xlviii p. 1208. ® MULLER: Sitzungsberichte der physikalisch-medicinische Gesellschaft, Wiirz- burg, Igo!, p. 4. * CANNON: This journal, 1903, viii, p. xxii; Roux and BALTHAZARD: Archives de physiologie, 1898, xxx, p. 85; WuILLIAMS: The Réntgen ray in medicine and surgery, New York, 1901, pp. 360-372. Sahvary Digestion in the Stomach. 401 stomach of the dog, rat, rabbit, guinea pig, and man, in being separ- able into two parts, — the quiet cardiac end and the active pyloric end. Moreover the mucosa of the cat’s stomach resembles that of the dog and of man, not only in structure but also in pouring out an active secretion from almost every part of its surface. The cat may be regarded, therefore, as a fairly typical animal for the purposes of the present investigation. From twenty-four to thirty-six hours previous to an experiment the cat was allowed to fast, in order that the stomach might be free from food and prepared to receive the test meal. Crackers, examined and found free from sugar, were used as the test food. Unless otherwise stated a uniform amount of coarsely powdered crackers, 30 gms., was mixed with a uniform amount of filtered human saliva, loo c.c. The mixture has a consistency of thick mush, similar to that of food chewed to a degree suitable for swallowing. The food thus prepared was given in one of two ways: it was either mixed in small amounts and fed immediately to the animal, or the total amount of crackers was mixed with the total amount of saliva and introduced at once into the stomach by a stomach tube. As the results were the same with both methods, the latter, because more expeditious, was usually employed. After the food was in the stomach the animals were allowed to live one half hour, one hour, one and a half hours, or two hours. At the end of the time the animal was quickly etherized, the abdomen opened along the middle line and along a line toward the left parallel with the greater curvature of the stomach. With a curved hook a ligature was passed around the stomach at the region where the peristaltic waves start toward the pylorus,? and tied firmly. Thus the contents of the cardiac and pyloric portions were separated. The pylorus and cardia were next ligatured and the stomach re- moved with as little handling as possible. Openings were now cut in the stomach wall and the contents of each part were emptied into an evaporating dish. The food in the pyloric end invariably had a consistency of thin mush. Occasionally hair or remnants of meat were found in the pyloric end; cases in which these disturbing factors were present have been excluded from this report. 1 OprEL : Lehrbuch der vergleichenden mikroskopischen Anatomie der Wir- belthiere, erster Theil, Der Magen, Jena, 1896, pp. 408, 443, 463; CARVALLO: Article “ Estomac,” Dictionnaire de physiologie, edited by Richet, Paris, 1902, v, p. 818. : 2 CANNON: This journal, 1898, i, p. 364. 402 W. LB. Cannon and Ff. fF. Day. The consistency of the food in the cardiac end was very different from that of the food in the pyloric end. It was not fluid, like the food in the pyloric end, and it often retained its shape sufficiently to permit the surface food to be separated from the internal mass. The contents in the evaporating dishes, if not fluid, were slightly diluted with water, and the enzyme action quickly stopped by heating to the boiling point. The food was now evaporated to dryness by steam heat; the dry residue was ground to a fine powder in a mortar and kept in a desiccator until its weight was constant. One gram, removed from each part of the dried and powdered stomach con- tents, was mixed with 100 cc. distilled water. After standing for about one half hour the mixture was filtered, and the filtrate was poured several times through the residue on the filter. In each in- stance 25 c.c. of the filtrate were taken for the sugar test. The sugar content, determined according to Allihn’s method,! was estimated as maltose.2 It was thus possible to know the percentage of sugar in the dry residue of the stomach contents. FACTORS TO BE CONSIDERED. The first and most important of the factors to be considered is the presence of free hydrochloric acid. As already stated, experiments in 1898 proved that free acid was absent from the middle of the cardiac mass for one and a half or two hours after eating. Similar tests made during the present research have confirmed the earlier observations. At the end of one half hour after a carbohydrate meal, free hydro- chloric acid is present in the pyloric end of the stomach, but at the end of two hours there is no free acid present in the middle of the cardiac food. Another factor to be regarded is the rapidity of salivary digestion. The common statements as to the speed of the change from starch into sugar are based upon observations on starch paste.? Tests with other forms of starchy food show in some cases a much slower rate. Observations made on the test material used in this research, under- ALLIHN : Zeitschrift fiir analytische Chemie, 1883, xxii, p. 448. * MuscutLus and v. MERING: Zeitschrift fiir physiologische Chemie, 1878-9, ii, p. 409; EwaLp and Boas: Loc. cit., p. 297. * CHITTENDEN and Ey: Journal of physiology, 1882, iii, p. 327. HAMMARSTEN: Jahresberichté tiber die Fortschritte der Thierchemie, 1871, isi pologe Salivary Digestion in the Stomach. 403 going salivary digestion zx vitro at 38° C., show that in seven minutes four fifths of the amount of sugar found at the end of an hour is al- ready present. To be sure, under these conditions the accumulation of the products of the digestion inhibits the rapidity of the action of the ferment as time passes,! but it is clear that salivary digestion is sufficiently rapid to cause a considerable amylolysis before the acid is secreted even in the pyloric end to a degree preventing further activity of the ptyalin. Control experiments were made to discover if in the stomach or in the treatment of its contents there was any factor which, aside from the saliva, would result in any considerable change from starch to sugar. Crackers mixed with distilled water were fed to animals, and after an hour the stomach contents were treated in the usual routine. Under these conditions only the slightest traces of a reducing agent were discovered. RESULTS. The difference in salivary digestion in the two ends of the stomach after different periods of time is shown in the table on page 404. Several matters are to be noted in reference to the figures in this table. There is a remarkable diversity in the amount of maltose present in different cases having the same period of digestion, and there is no very uniform increase in the figures as the period of digestion is prolonged. Probably numerous agents are concerned in producing this diversity, but control experiments carried on zz vitro indicate that the most important cause is the variation in the activity of the saliva at different times, — a fact to which attention has been called by several observers.? It is evident that the figures in these cases cannot be compared absolutely ; in each instance, however, the ratio of the change in the two parts of the stomach may be taken and these ratios will serve for comparisons. The ratios derived from the figures show that there is in every case a greater percentage of sugar present in the cardiac end than in the pyloric end. Two considerations serve to prove that the actual differences between the Zotal amounts of sugar produced in the two ends of the stomach are notably greater than the differences between 1 LEA: Journal of physiology, 1890, xi, p. 239. 2 See HoFBAUER: Archiv fiir die gesammte Physiologie, 1897, Ixv, p. 503; CHITTENDEN and RICHARDS: This journal, 1898, i, p. 461; OEHL: Memorie del reale istituto lombardo di scienze e lettere, 1902, xix, p. 135. 404 W.B. Cannon and FH, F. Day. the sugar present in unit volumes of the dried contents. In the first place, as previously stated, the pyloric contents are invariably more fluid than the cardiac contents: it follows, therefore, that, since a In this and in subsequent tables each number represents the fractional gram of maltose present in one gram, of dried contents of different parts of the stomach, after different periods of time. Period. Pyloric end, | Cardiac end. + hr, 0.352 0.363 0.171 0.209 0.338 0.401 Average ratio . July 18 0.293 Aug. 1 0.095 Jan. 30 0.111 Average ratio . 1 hrs. July 11 0.360 CoS 0.244 ienZ6 0.262 Aug. 1 0.135 Jan. 14 0.291 Average ratio . 0.315 0.291 Average ratio larger amount of fluid must be evaporated from the pyloric food than from the cardiac food, in order to secure the dried masses, there is relatively less sugar in a unit volume of the original pyloric food in Salivary Digestion in the Stomach. 405 comparison with a unit volume of the original cardiac contents than the ratios given in the tables would indicate. For this reason, there- fore, the actual disparity of sugar production in the two ends of the stomach is greater than that seen in the dried contents. The second factor increasing these differences is the inequality in the cubic con- tents of the two ends of the stomach. After a full meal the cardiac end holds by far the greater part of the focd. Several observa- tions on the relative capacity of pyloric and cardiac portions of the stomach, as shown by their contents after the ingestion of about 100 c.c. of food, brought forth the average ratio of 1 to 5. In order to get the ratio of the total amounts of sugar in the two regions it is necessary to multiply the cardiac figure by 5; from this factor alone, therefore, the ratios given in the above table change so that they are as 10 to 57.5 for one half hour, as 10 to 88 for one hour, as 10 to 71 for one and one half hours, and as 10 to 63.5 for two hours. It is to be observed that after one half hour the amount of sugar in equal parts of the dried contents of the two regions of the stomach is almost the same, that the greatest difference between the two regions appears in the estimates for one hour, and that the ratios for an hour and a half and for two hours again approach unity. Without much doubt the reason for the percentage sugar content being almost the same in the two portions of the stomach at the end of a half hour is that within that time the sugar formation takes place at almost equal rates in the two portions, z.¢. for some time after the ingestion of food the ptyalin is not inhibited even in the pyloric region by the appearance of free acid. Every examination of cases in which diges- tion had proceeded for a half hour demonstrated that free acid was already present in the pyloric contents. Salivary digestion in the pyloric end of the stomach was therefore at a standstill. That salivary digestion does not cease, however, in the pyloric end until toward the end of the half hour is shown by the large amount of sugar produced compared with that in the cardiac end. On the other hand, the fact that there is a difference between the sugar percentages in the two portions shows that the free acid in the pyloric end has had an inhib- itory effect. This inhibitory effect is more marked if the speed of action of the ptyalin is retarded (as, for example, by diluting it), for then the acid has opportunity to check the activity before consider- able change has occurred. Thus in the stomach of an animal fed 30 gms. crackers mixed with 100 c.c. diluted saliva (saliva 25 c.c., water 75 c.c.), the ratio of sugar percentages at the end of a half hour was 406 W.B. Cannon and H. F. Day. not near 10: II.5, the average when undiluted saliva was given, but was as IO to 20, a ratio approximating that found at the end of an hour when undiluted saliva is used. Under ordinary circumstances in human beings the saliva is thus diluted by drinking at meals. If the results secured with the cat may be transferred to the human subject (a matter to be considered later), the factor of dilution would certainly enhance the relative value of the fundus as a region for salivary digestion. The change in the ratios in the above tables, from 10: 17. 6 at the end of an hour, to 10: 12.7 at the end of two hours, can be con- sidered only after evidence of other changes has been presented. The evidence for these changes will now be given. It is certain that the sugar formed is in solution, and it is highly probable that this solution may diffuse from a region in which it is more concentrated into a region in which it is less concentrated. It may also pass to the lowest position which a fluid may take in the stomach. That such changes in the sugar concentrations in the stomach occur is evidenced by the following observations. In four animals digestion was allowed to proceed for one and a half hours. The contents of the cardiac end were then removed in two parts: an external mass from near the ventral wall of the stomach, which was lowest during digestion ; and the internal mass, dorsal in its relation to the first mass. When these masses were dried the sugar percentages were as follows: External food Internal food (from lowest part). | (from higher part). Ol 0.500 0.410 0.357 0.326 0.263 0.360 0.281 These results indicate that as the sugar solution is formed it passes into a dependent portion of the stomach. Further data on this point were secured by having an animal rest on the left side during a digestive period of an hour. Since the cat’s stomach lies more nearly transverse than longitudinal in the body, the position on the left side caused the cardiac end to lie below the pyloric. The sugar Salivary Digestion in the Stomach. 407 percentages of the food in the most dependent portion and in the interior are as follows: External food Internal food (from lowest part). | (from higher part). 0.398 0.301 0.482 0.468 0.481 0.422 When an animal lies on its 77g#¢ side during an hour of digestion, opposite results are secured from the cardiac end, thus: External food Internal food (from highest part).| (from lower part). 0.291 0.423 As already noted, at the end of an hour or an hour and a half the food near the wall in the cardiac end of the stomach almost inva- riably shows the presence of free acid, while the internal food of this region retains its original reaction. Evidently in the cases cited the internal region, favorable for amylolysis, contains less sugar than the dependent region, in which the process is hindered or prevented. The most reasonable explanation for a larger amount of sugar near the dependent gastric wall than in the interior of the food mass, is that the sugar solution runs into the lowest region from the effect of gravity. Inasmuch as the sugar solution passes thus from the midst of the food in the stomach to the gastric wall, it is probable that diffusion also occurs from the cardiac region into the pyloric region, in which sugar is present in less amount. The fact of diffusion can readily be demonstrated by feeding first meat, and later starchy food mixed with saliva. Under such circumstances the meat is found crowded against the greater curvature, the starchy food lies along the lesser curvature, and between the two foods a perfectly clear separation is possible. If the meat by itself causes no reduction of copper, whatever reduc- tion it may cause subsequent to its being in the stomach alongside of food undergoing amylolysis must be due to diffusion of sugar 408 W. B. Cannon and H. F. Day. into the meat. An animal was fed thus with shredded canned salmon and later with crackers mixed with saliva; and the meat taken at the end of an hour from near the surface in the cardiac region, fully a centimetre and a half from the starchy food, although originally giving no reaction for sugar, contained about 0.7 per cent sugar cal- culated as maltose. Since the sugar in the starchy food was only 27 per cent, the relative per cent of sugar in the meat was almost 3 per cent. Diffusion of sugar into the meat had evidently taken place to a considerable degree. A further result of the solution of the sugar is the possibility, in this state, of its being absorbed. Brandl! and v. Mering? have proved that sugars may be absorbed from the stomach, and have shown that within limits the rate of absorption increases with the increase of concentration of the solution. Inasmuch as the sugar is present in the cases under consideration in somewhat high concentrations, it is certainly very likely that some sugar is absorbed directly from the stomach. Only these facts of diffusion and absorption will explain certain observations repeatedly made in the course of the experiments, namely, that control digestions zz vztro almost invariably resulted in the production of more sugar than could be found in the cardiac end of the stomach. Typical examples of the difference are as follows: Control food Cardiac food. (22 vitro). July 18 0.473 26 0.309 ee | 0.436 Aug. 1 0.309 In these instances there is no free acid present in the cardiac end to prevent the action of the ptyalin; and, moreover, the action of the ptyalin is not retarded by its products, for there is not so great an accumulation of sugar in the fundus as in the control dishes. The 1 BRANDL: Zeitschrift fiir Biologie, 1892, xxix, p. 277. 2 vy. MERING: Verhandlungen des xii Congresses fiir innere Medicin zu Wies- baden, 1893, p. 471. Salivary Digestion in the Stomach. 409 facts already presented justify the conclusion that there is a continuous formation of sugar in the fundus, that as the sugar is formed it diffuses from the region of greater concentration into regions of less concen- tration, and that it is absorbed as it comes in contact with the gastric walls. Thus the differences between sugar percentages in the two ends of the stomach would become less as time elapsed, and thus there might readily be less sugar present in the cardiac end of the stomach than in an artificial digestion from which the products do not pass away. It is probable that as the sugar diffuses from the region of greater concentration into regions of less concentration a certain amount of the ptyalin is carried away with it. That this loss is not serious is shown by making a watery extract of the cardiac contents and testing its amylolytic power. Such extracts were made of pyloric contents, and of food near the surface and in the interior of the cardiac end after digestion had proceeded for an hour. Tested with starch paste, blue with iodine, these extracts gave the following results: pyloric food, no change of color in four hours; surface of cardiac food, slight change of color; interior of cardiac food, complete disappear- ance of color in a short time. Manifestly ptyalin was still active in the cardiac end of the stomach. Further evidence of absorption was secured by feeding two animals with equal amounts of the same food mixed with equal amounts of the same saliva, and examining the stomach contents at different intervals after the food was given. The experiment was tried twice with the following results : Period. Cardiac food. Pyloric food. + hours 0.363 0.352 0.455 0.315 0.209 0.171 0.244 0.135 In these two cases the cardiac sugar content increases as time goes on; naturally it would be expected that as the cardiac food passes into the pyloric end the pyloric sugar content also would increase; instead, however, as time goes on there is a decrease in the percentage in the pyloric end. These two cases are not sufficient to allow sure 410 W. B. Cannon and H, F. Day. conclusions to be drawn, but they indicate that sugar passes out of the pyloric end of the stomach more rapidly than the undissolved portions of the food. A selective action at the pylorus is hardly to be expected, for the food that comes to it is not a mixture of hard particles in fluid, but a uniform creamy substance. Active absorption at the pyloric end, for which the peristalsis is especially favorable, is suggested as an explanation of the results which these two cases furnish. Effect of position on sugar formation.— It is. important to know if position has an effect on the mixing of the gastric contents with the gastric secretions, and if thereby salivary digestion is modified. Observations were made on animals caused to rest on the right side or on the left side during the period of digestion. As the full stomach in the cat lies nearly transverse, the long axis of the organ © was nearly vertical in either case. The results secured were as follows : ANIMALS ON LEFT SIDE. Pyloric end. | Cardiac end. Ratio. 0.191 | 0.350 10 : 18.3 0.435 0.475 : 10.9 0.227 0.451 LOS Averame ration.) sees sn ANIMALS ON RIGHT SIDE. Pecwljnsak 0.306 JENIN IEP 6 os 0.251 Average ratio Examination of these results reveals no very marked differences in the ratios of sugar content when the long axis of the stomach is reversed in direction. If the animal is on the left side, with the cardiac end lower than the pyloric end, there is, however, more sugar present in the food in the fundus than is the case when the opposite relation of the parts is maintained. Salivary Digestion tn the Stomach. All Effect of variations in the food, and massage. — When the food is liquid, it is to be expected that the gastric juice will be more readily and more uniformly mixed with the food than when the food is present in somewhat viscid masses. Crackers (30 gms.) were ground to a coarse powder and mixed with 150 c.c. filtered saliva. The mixture was about as fluid as the chyme ordinarily seen in the pyloric end of the stomach. After one hour the percentage sugar content in dried food from the two ends of the stomach was as follows : Pyloric end. Cardiac end. 0.427 0.519 The average ratio for one hour with the usual test food was 10: 17.6; with the liquid diet there is a considerable decrease in the disparity. Similarly small amounts of food in the stomach would naturally be more quickly and uniformly permeated by the gastric secre- tions, and the differences to be observed when large amounts are given would not under these circumstances be expected. Animals were fed one half the usual test meal,—15 gms. crackers, 50 C.c. saliva, — and digestion allowed to proceed for one hour. The fol- lowing results show the sugar production in the two parts of the stomach : Date. Pyloric end. Cardiac end. Ratio. ANUS Si 2a) oc 0.369 0.349 10 : 9.4 Jens BUN Bia =e 0.296 0.284 10 : 9.6 Averase ratio! panies een LOKIOIS In these cases more sugar is present in a unit weight of dried pyloric content than in a unit weight of dried cardiac content, a fact difficult of explanation. A difference in the ratios similar to that observed when the amount of food was small was seen in two instances in which the upper abdomen was massaged at intervals of about five minutes during one 412 W. B. Cannon and FH. F. Day. hour of digestion. The sugar content in these instances was as follows: Pyloric end. Cardiac end. 0.484 0.391 0.493 0.423 Average ratio In these instances, as when liquid food or a small amount of food was given, the sugar content of the two ends of the stomach was more nearly the same than in the usual cases with large amounts of semi-solid food resting in the stomach undisturbed. The larger percentage of sugar in the pyloric end, when little food was given and when the stomach after a full meal was massaged, was not expected and cannot at present be explained. Effect of combining proteid with carbohydrate food. — From the work of Pawlow and his school! it is to be expected that after the introduction of flesh food, the character of the secretion of the gastric juice will change; there will be in the early stages of digestion a more abundant flow of gastric juice, with a concomitant greater pro- duction of hydrochloric acid, than is normal when carbohydrates alone are ingested. On the other hand, as pointed out by Chittenden and Smith,” proteid not only favors the diastatic action of ptyalin by com- bining with hydrochloric acid so as to delay the appearance of the free acid, but also seems to act, in the form of a small percentage of acid proteid, as a direct stimulant to diastatic action. The effects of pro- teid favorable to diastatic activity might therefore counterbalance the extra production of acid destructive to that activity. Such in fact was the result of experiment. A cat was fed 45 gms. of thoroughly mixed fish and crackers (25 gms. salmon, 20 gms. crackers) and 100 c.c. diluted saliva (50 c.c. saliva, 50 c.c. water). After one hour the stomach was examined in the usual manner. No free acid was found in the cardiac end, and in the pyloric end there was only a slight ' PawLow: The work of the digestive glands, London, 1902, pp. 31, 34; and 365. ? CHITTENDEN and SMITH: Studies from the laboratory of physiological chem- istry, Sheffield Scientific School of Yale College, 1885, i, p. 33. Salivary Digestion in the Stomach. A13 discoloration of the test paper. The food, treated in the manner already described, yielded the following amounts of sugar: Internal cardiac, 0.153 External cardiac, 0.152 Pyloric, 0.147 The ratio of sugar production in the two parts of the stomach when flesh is added to the carbohydrate food —about Io to 10.3 — need only to be compared with the ratio obtained when carbohydrate food alone is given—- 10 to 17.6-—to see that the proteid protects the ptyalin from the acid in the pyloric end and permits the diastatic action to continue for an hour at least at a rate equal to that in the cardiac end. It should be remarked that the protection afforded by the proteid is really effective only in the relatively small pyloric portion of the stomach and to some‘extent on the surface of the cardiac portion. The greater mass of the food, lying in the fundus, undergoes unin- terrupted amylolysis, not because the proteid protects the ptyalin, but ‘because the food in this region is not mixed with the gastric juice. Change of starch into dextrin. — Starch not changed to maltose in the stomach may be changed in considerable degree to dextrin. Inasmuch as dextrin is not directly fermentable, the amount of dextrin thus produced represents just so much carbohydrate food preserved from possible loss to the organism by fermentation. The amount of dextrin formed was roughly calculated in several cases as follows. One gram of the dried stomach contents was taken, about 100 c.c. water were added, and after one half hour the mixture was filtered through a weighed filter, on which the residue (starch and proteid) was several times washed, then dried, and residue and filter together weighed again. The loss of weight was taken to represent the soluble carbohydrates. From the total weight of soluble carbo- hydrates was deducted the weight of the sugar, and the remainder indicated the dextrin formed. The salts present were not deter- mined. The dextrin thus roughly estimated varied in several instances between seventeen and forty per cent. The following ex- ample illustrates the relations between the various products in the different parts of the stomach: Aug. 1 Amount taken.| Starch. Dissolved. Maltose. Dextrin. Internal cardiac 1.0 0.354 0.646 0.250 0.396 External cardiac 1.0 0.441 0.559 0.237 0.322 Pyloric 1.0 0.687 0.313 0.135 0.178 414 W. B. Cannon and FH. F. Day. In all cases there was a large amount of dextrin in the internal part of the cardiac contents, to which the hydrochloric acid penetrates last. Evidently fermentation may proceed for a long time in this region unchecked by acidity. It is of obvious advantage, therefore, to have in this region a considerable amount of the starch ingested preserved to the organism by being changed to a form fermentable with difficulty or not at all. DISCUSSION OF RESULTS. In reviewing the observations here recorded on salivary digestion in the cardiac and pyloric ends of the stomach it is to be observed that invariably under normal conditions, when ordinary amounts of food are given, more sugar is produced in the cardiac than in the pyloric end. The conditions present in the cardiac end of the stomach are wholly in agreement with the contentions of observers who have urged that saliva may continue its chemical function for some time after being swallowed; the conditions present in the pyloric end, however, are very different, for the food there soon becomes acid and the action of the saliva stops. In 1880 von den Velden divided gastric digestion into two periods; in the first period, before free hydrochloric acid appears, the saliva swallowed with the food is still effective; in the second period, after free hydrochloric acid appears, only the pepsin continues activity. It is clear, however, from the results presented, that these two periods are different in the two ends of the stomach; in the pyloric end the first period is short, in the cardiac end it may last three or four times longer than it lasts in the pyloric end. In the early stages of digestion in the stomach, therefore, the cardiac end serves chiefly for salivary digestion; the pyloric end, after a brief course of salivary digestion, is thenceforth the seat of the strictly peptic changes. Later, as the cardiac con- tents become penetrated by gastric juice, diastatic activity ceases, and the stomach contents as a whole are subjected to the action of proteolytic ferments. It is of interest to note that the results reported in this paper are in close agreement with the results obtained by Ellenberger and Hof- meister ‘in their observations on the horse and pig, and by Hohmeier in his observations on the rat. The cardiac end of the stomach in * ELLENBERGER and HoFMEISTER: Archiv fiir wissenschaftliche und prak- tische Thierheilkunde, 1884, vii, p. 6, and 1886, xii, p. 126. * HOHMEIER : Inaugural-Dissertation, Tiibingen, gol. Salivary Digestion in the Stomach. 415 the horse, the.pig, and the rat is to a great extent lined with pave- ment epithelium and with “cardia glands,” distinguished from the fundus glands in not having an acid secretion.1 According to these observers this region becomes, in the absence of gastric secretion, the seat of prolonged amylolysis. That there is this similarity in salivary digestion between animals without acid secretion in the cardiac end and animals with free secretion there, indicates that the division of the stomach into two regions with functions chemically different during the early stages of gastric digestion is a general fact. The important agent in either case is the mechanical agent — the absence of peristalsis in the cardiac end and the consequent quiescence of the food in this region. As already pointed out (p. 401), the distinc- tion between the active pyloric and the inactive cardiac end of the stomach has already been observed in many animals including man. It is altogether probable, therefore, that in man as in other animals the cardiac end serves chiefly for the action of ptyalin during the early stages of gastric digestion. The recent observations of Miiller and of Hensay, together with the results here presented, emphasize strongly the importance of mastication. Only by mastication is the food properly mixed with saliva and properly broken up so that all parts of it can be pene- trated readily by the saliva. When the food has thus been thoroughly jnsalivated it will undergo to a great degree salivary digestion in the cardiac end of the stomach. SUMMARY. The evidence that the action of ptyalin is inhibited in the stomach soon after the ingestion of food is inconclusive. ‘The support for this evidence from the commonly accepted accounts of mixing currents in the stomach is not well founded. Observations show that in many animals, including man, gastric peristalsis occurs only in the pyloric end of the stomach; the cardiac end remains undisturbed by the waves. Food in the pyloric end is soon mixed with the gastric se- cretions, but food in the cardiac end of the stomach is not mixed with the acid gastric juices for two hours or more, and in this region, therefore, during that time salivary digestion may go on undisturbed. Examination of the dried contents of the pyloric and cardiac portions of the stomachs of cats, after carbohydrate food mixed with 1 OppeEL: Lehrbuch der vergleichenden mikroskopischen Anatomie der Wir- belthiere, erster Theil, Der Magen, Jena, 1896, pp. 240, 337, 346, 397- 416 W. B. Cannon and H. F. Day. active saliva has been given, shows that the percentage of sugar present is about the same in the two portions at the end of a half hour, and at the end of an hour the cardiac portion contains about eighty per cent more sugar in unit volumes than the pyloric portion. The actual amount of sugar present in the fundus is relatively much greater than this ratio would indicate, for the fundus contains after an ordinary meal about five times as much food as the pyloric portion. After an hour the ratio of the sugar percentages in the two parts - of the stomach begins to approximate unity again. This change is probably due largely to diffusion of sugar from the fundus into the pyloric end, and to some extent to absorption. The diffusion of the sugar does not to a marked degree remove the ptyalin from the food. Position does not very notably affect the differences in sugar pro- duction between the two parts of the stomach, although with the fundus lower than the pyloric portion slightly more sugar is found in the fundus than when the opposite relation is maintained. When liquid food is given, when small amounts of food are given, and when the stomach is massaged, sugar percentages in the two parts of the stomach are nearly the same. Mixing proteid with carbohydrate food protects the ptyalin from the action of free hydrochloric acid in the relatively small pyloric part of the stomach and on the surface of the cardiac contents. The greater mass of the food, lying in the fundus, undergoes uninterrupted amylolysis, not because the proteid protects the ptyalin, but because the food in this region is not mixed with the gastric juice. Much of the starch not changed to sugar is changed to dextrin, and thus, since dextrin is not readily fermented, the food is saved to the organism. The especial value of this process lies in the fact that it occurs to the greatest degree in the fundus, in which region the hydrochloric acid, inhibiting the action of many of the organized ferments, does not for some time make its appearance. In the early stages of gastric digestion, if food has been properly masticated, the fundus serves chiefly for the action of the ptyalin; the pyloric portion, after a brief stage of salivary digestion, is there- after the seat of strictly peptic changes. Later, after two hours or more, as the contents of the fundus become acid, the food in the stomach as a whole is subjected to the action of proteolytic fermentation. NUCLEIN METABOLISM IN LYMPHATIC LEUKEMIA. By YANDELL HENDERSON anp GASTON H. EDWARDS. [from the Physiological Laboratory of the Vale Medical School.] LTHOUGH the metabolism of the nucleins has been the subject of a considerable number of investigations during the last few years, the net result has left much of uncertainty regarding the processes involved in the various forms of leucocytosis, physiological, experimental, and pathological. The first broad comparative study of the variations of metabolism involved in these conditions was that of Milroy and Malcolm.! On the basis of their own researches and those of previous investigators they drew a sharp distinction between forms of leucocytosis which previously (and on the basis merely of the similarities in the blood counts) had been regarded as essentially similar. They showed that while in the leucocytosis produced by the injection or ingestion of nuclein the increased number of the leucocytes in the blood is associated with an increased excretion of uric acid and phosphates (the latter in greater amount than could originate in the nuclein absorbed), in chronic leukaemia on the other hand the excretion of these substances is rather below the average for normal individuals. To these conclusions v. Moraczewski2 has added the observation that in the cases of leukaemia studied by him there was a marked retention of nitrogen, phosphorus, chlorine, and calcium, and an alteration in the relative amounts of sodium and potassium excreted. In acute leukemia, on the contrary, Magnus Levy ® has found that the excretion of nitrogen, uric acid, and phosphates is enormously increased, coincident, however, with only a slight leucocy- tosis. Accordingly White and Hopkins,‘ in discussing the results of these investigators and adding observations made by themselves, 1 MiLroy and Matco.tm: Journal of physiology, 1898, xxiii, p. 232; and 1900, XXV, Pp. 105. 2 vy. MORACZEWSKI: Virchow’s Archiv fiir pathologische Anatomie, 1898, cli, Pp. 22. ELEY Y = Lizd,, 1899; eli, p. 107. 4 Waite and Hopkins: Journal of physiology, 1899, xxiv, p. 42. 417 418 Yandell Henderson and Gaston H. Edwards. are led to the conclusion that there is no “ necessary proportionality between the number of circulating leucocytes and the excretion of those products (P,O; and alloxuric bodies) which result from the breakdown of nucleins.” Recently there has been under treatment in the public clinic of the Yale Medical School a case of lymphatic leukaemia which, through the kindness of Dr. O. T. Osborne,! we have been enabled to observe. As the clinical aspects of this case have already been discussed else- where no further description of them is needed here than to say that the patient was a male, sixty-four years of age, and presented a case of leukaemia typical of the purely lymphatic variety of slow develop- ment and progress. It was therefore especially suited to the study of metabolism in this form of leucocytosis. Although no attempt was made to regulate the diet a careful record was kept, and it was found to vary only within very narrow limits, and to be almost nuclein free. It consisted of oatmeal, bread, pota- toes, milk, butter, cheese, eggs, and occasionally beef, tea, coffee, and a small amount of whiskey. The urine was collected for twenty-four hours in bottles containing a few cubic centimetres of toluol, and was brought to the laboratory next day for analysis. Total nitrogen was estimated by the Kjeldahl-Gunning method; uric acid by Hopkins’s method, weighing the crystals; phosphoric acid by titra- tion with uranium acetate, using potassium ferrocyanide as indicator ; total acidity and chlorides by the ordinary methods. In order to discover whether there might not be an elimination of phosphorus in organic combination a number of determinations were made of the total amount after evaporation of a sample of urine and ignition with sodium hydroxide and potassium nitrate. The results, however, agreed entirely with those obtained by the titration method. Allan- toin was looked for by evaporating 400 c.c. of urine toa syrup, adding a little strong acetic acid, and after several weeks examining for the crystals. The results were wholly negative. The unreliability of some, and the difficulties of all of the methods at present available for the estimation of the xanthin bases, and the fact that there is no reason to suppose that the relative amounts of uric acid and the other alloxuric bodies vary in any considerable degree dissuaded us from the attempt to determine this excretion. The urine was at all times wholly free from albumin or sugar and in all other respects entirely normal. 1 OsBoRNE, O. T.: American medicine, 1902, iv, p. 533- Nucleen Metabolism in Lymphatic Leukemia. 419 The results of observations extending over more than six months are given in the accompanying table, together with the calculated ratios of the principal excretives, and such other data as seem of importance. The significance of the figures is perhaps best seen in the charts showing their variations. The data presented show that in spite of the enormous leucocytosis (175000—380000 per cubic millimeter, of which 96 per cent were lymphocytes), and in spite of the alternations of great increase and equally marked diminution in the number of circulating corpuscles, the excretion of uric acid and phosphates was at no time excessive. The leucocytosis seems to be due not to a general increase in nuclein metabolism, but to a failure in the normal destructive processes. A diminution in the number of circulating leucocytes was accompanied by a considerable increase in uric acid excretion, although the actual amount excreted "was small compared with the reduction in the number of circulating leucocytes. Their diminution was therefore probably due to an abstrac- tion from the blood and storage, rather than to a destruction of cor- puscles. This view is supported also by the changes observed in the size of the lymph glands. More detailed consideration reveals two periods in which the course of metabolism was markedly different. During these the average daily amounts and ratios were as follows: October and November. January to April. N 12 grs. N 9 grs. Uniemcid Ni
  • Erie OistN Er: By TORALD SOLLMANN. [From the Pharmacological Laboratory of Western Reserve University, Cleveland, Ohio. | CONTENTS. Page PEPUTUNOCUCE OE. Gels fo ware so ME ay seat oe ee soy Sy ay eee Seep 426 II. Methods: ilo LMECH CHGS OMNIS) oc 6 Ss 6 SoBe 6 cha ooo oe es oun & 4S Pap Micthodsiot analysich ‘citar! en ne Rats) Sonn in) Ws teak, eye Whee aoe ILI. Results of injection experiments . .. . a. ; ao AHS 1. Effect of sodium sulphate injection on chitarides: A, A niarenen = Zo 2. Saline diuretics which lower the per cent of chlorine in the urine. . ~-429 3. Does the injection of the salts stimulate the retention of chlorides? . 434 4. Saline diuretics which do not cause chlorine retention. . . . . . 435 Sa biheCHo mother diGneticragentse.) Ws) Gi 4 (tenet eae te OS Om Etech ofnephniticmapentss. cs. 05 9-0 co" iy so) ee ed a 7. Otherfactors . . - 443 IV. Discussion of the effects of she various rier on ae aieeaee of ne urine, and the light which pi throw on the mechanism of chlorine MeELentiones| 9 ps ed C8 Cae Aa 1. What is the essential factor in nthe chloginie enone syadke 447 2. The per cent of chlorine in the urine is not determined 2 the total per cent of chlorine inthe serum . . . : : : 447 3. Is the urine poor in chlorine secreted poor in ithied ion, Or is it seoreted with the normal content of chlorine, but modified after its secretion, by absorption of chlorine or by the secretion of water? . . . 449 4. What is the mechanism by which urine with a low per cent of citrine is formed from sera containing a low per cent of free sodium chloride, but a normal or only slightly subnormal per cent of total sodium chloride? .. . : : 449 5. The saline diuretics increase ihe absolute amount of ehlovine: w hile they diminish its percent . . . 54 See Ses oro 50) 6. The effect of sodium nitrate, iodide, ‘ad EnipHionyanade LN ee ees S| 7. Phlorhizin and nephritic poisons. . Re 451 8. The difference in the behavior of alba ad jee? Ridaeys as re- AAS, UNS Geen Of Caine 6 6 o-oo 6 oo 6 o b oe a BOI Name @onclisions. castle gms tt ay Mead Minar ee ccs ce Sethe ase ne 452 425 426 Torald Sollmann. I. INTRODUCTORY. | Ea a previous paper! I pointed out the importance of the phe- nomenon of chloride retention to the theory of the mechanism of urine secretion, and I discussed there the data which we possessed at that time. It was seen that these were sufficient to define the problem more or less sharply, but that they did not justify any defi- nite conclusions. In the present investigations I have attempted to approach the problem, in the first place, by studying the effect of various classes of diuretic and nephritic agents upon chloride excre- tion. After the research had been planned in detail there appeared | a series of papers from Filehne’s laboratory? and a research by Loewi? which dealt with some of these problems. These were, however, to some extent mutually contradictory, and covered only a part of the questions which I intended to investigate. I therefore carried out the research as planned, with the result that the cause of the contradictory results was cleared up, and that the facts are now sufficiently numerous for safe generalizations. II, MeETHODs. 1. Injection experiments. — The experiments were made exclusively on dogs. As it was my purpose to investigate as many conditions as possible, no precautions were taken to keep the animals on a uniform diet. Some urines were accordingly rich in chloride, others were poor in this ion. This did not influence the results. The animals received a large dose of morphine, and were kept under a light ether anaesthesia throughout the experiments. In Experiments VIII to XXIX, both vagi were divided to abolish any inhibitory effect of the vagi on urine secretion, such as is claimed by Corin, and confirmed by the experi- ments of Anten.! The ureters were exposed by a small incision through the linea alba, and narrow glass cannulze were introduced near the bladder. The urine was collected continuously, the col- lecting vessel being changed every ten to twenty minutes. The in- jections were made into the femoral vein. The fluids were heated to 1 SOLLMANN, T.: This journal, 1902, viii, p. 155. 2 FILEHNE, W.: BIBERFELD, RUSCHHAUPT, PoToTzky, and ERCKLENTZ: Archiv fiir die gesammte Physiologie, 1go2, xci, p. 565. ® LoEwt!, O.: Archiv fiir experimentelle Pathologie, 1902, xlvili, p. 410. * ANTEN, H.: Archives internationales de Pharmacodynamie, 1901, vill, p. 455- Effect of Diuretics, etc., on the Chlorides of the Urine. 427 + 38° C., and injected in two to four minutes, usually an hour apart. The first injection was of 35 c.c. per kg., the succeeding injections each usually of 25 c.c. per kg. Three or four injections were made. The urine was collected for about an hour before the first injection. It was found that the composition of the bladder urine bears no rela- tion to that secreted after the operation. The saline diuretics were used in the uniform strength of 4%. The following solutions were employed : !|— Sodium salts. — Acetate, 1.94 per cent crystals; ferrocyanide, 7.43 per cent crystals ; iodide, 2.16 per cent ; phosphate (Na,HPQ,), 5.10 per cent crys- tals; sulphate, 4.6 per cent crystals ; sulphocyanide, 1.16 per cent. Non-electrolytes. — Glucose (C. P. Dextrose), 2.57 per cent; urea, 0.886 per cent, in water or in % sulphate. Non-saline diuretics. — Alcohol, 3 per cent in water or in 4 sulphate ; juniper oil, o.4 per cent, and alcohol 1.6 per cent, in sulphate ; caffein, 0.04 per cent of citrated caffein in ” sulphate; phlorhizin, 0.4 per cent in water 7 or in ” sulphate; methylene blue, 0.5 per cent in 4% sulphate. ‘The citrated caffein was also used hypodermically in 1 per cent solution. Nephritic agents. — These will be discussed in the text. 2. Methods of analysis. — The chlorides were determined by evapo- rating the urine (usually 5 to 20 c.c.) with about half a gram Na,COg, carbonizing, and fusing with sufficient NaNO,; dissolving, neutralizing with HNO, and titrating with AgNO, (1 c.c. = 1 mg. NaCl), using chromate as indicator. In the presence of iodides, the method of Salkowski? was used. Neubauer and Vogel® quote this paper of Salkowski as reference for the state- ment that the method can also be used for bromides. The quotation is incorrect and the method not applicable: 10 c.c. of NaBr solution require before treatment, ro c.c. of 7 AgNO,; after treatment (when they should require no AgNO;) they use 7.3 ¢.c. in one test, 8.0 c.c. in another. In a few experiments, in which the freezing point and nitrogen were determined, this was done by the method of Beckmann and of Kjeldahl. | 1 For a to per cent solution, ro grams of the salt are dissolved in 90 grams of distilled water. 2 SALKOWSKI, E.: Archiv fiir die gesammte Physiologie, 1872, vi, p. 214. 3 NEUBAUER and VoGEL (H. Huppert): Analyse des Harnes, oth edition, Wiesbaden, 1898, p. 713. 428 Torald Sollmann. III. ResuLts oF INJECTION EXPERIMENTS. 1. Effect of sodium sulphate injection on chlorides, A, and nitrogen. — Three preliminary experiments were made to ascertain whether it EXPERIMENT I. Sa Mg.in10m.| 1 paresis.) AL )|) Ne. | Cl \Ateele |= = N Cl Ns per cent. | per cent. Bladder urine ... . ee 0.790 | 0798 | 0.243 | .... scciena.. jl erceretetal OTR Before injection . . . 0.2 After injection : OtonliimS. 14.7 O775 | 0127 | 0:035 | 11-39") TS8i7SeoelSe eee Wf ion Bie Tato a Gg 8 11.4 0.790 | 0.094 | 0.020 9.01 | 10.69 | 2.28 | 4.7 58m.tolhr.48m. . 10.0 0.765 | 0.120 | 0.060 7.65 | 1204 | 6.00 | 2.0 1h. 48m. to 2 h. 34 m. 10.9 0.640 | 0.123 | 0.055 TASs| USASH GOO 2rZ Zhen S4ometo.end. 6 nee eee OnLS EXPERIMENT II. BetOyennyECtiOnl seem 2.0 BOO URVY er) souma mi acos. || NOS After injection : SNS. ae oe 11.4 0.895 | 0112 | 0.040 | 10.12 | 12.77 | 4.56 | 2.8 Binidaee helest oe ee k pies sada || KO)Otess} EXPERIMENT III. Bladdermnines 0s ne shee ae | ooo || ade Ae |) Ale Before injection . . . 0.6 After injection : 2EREORD Sa No 8.9 0.740 | 0.140 | 0.040 | 6.59 | 12.46 | 3.56 | 3.5 So, oO wise G cs 6 Piped 0.765 | 0.112 | 0.020 | 17.36 | 25.42 | 4.54 | 5.6 60m.tolhr. 35m. . 22 0.740 | 0.118 | 0.020 | 1680 | 2679 | 4.54 | 5.9 1 h.35 m. to 2h. 29 m. 250 0.660 | 0.122 | 0.020 | 1650 | 30.60 | 5.00 | 6.1 2h.29m.to 3h.14 m. 22.7 0.740 | 0.158 | 0.020 | 16.50 | 35.85 | 4.54 | 7.9 3 h. 14 m. to 4h, 04 m. 14.7 0.790 | 0.193 | 0035 | 11.61 | 28.40 | 5.15 | 5.8 . 04 m.to 4h.45 m. 0.835 Lofect of Diuretics, etc., on the Chlorides of the Urine. 429 would be necessary to determine the changes in nitrogen and the freezing-point, as well as the chlorides. The three experiments gave very uniform results, the urinary con- stituents during active diuresis varying as follows : — Depression of freezing-point: 0.640 to 0.790° C. (This factor varied be- tween o.85 and 1.30 in Experiments VI and VII, in which 35 c.c. per kg. Na,SO,, 25 c.c. urea, and 25 c.c. glucose were injected an hour apart.) Per cent N, 0.0938 to 0.1232; per cent NaCl, 0.020 to 0.40; ay ZO tO” 7.9% The increased diuresis, as usual, tends to lessen the concentration of the urinary constituents, whilst it increases their absolute quantity. The per cent of chlorine and the freezing-point are but little affected by the degree of diuresis. The diuresis reaches its maximum in twenty to sixty minutes, and is still quite perceptible in five hours. The nitrogen and chlorine change generally in the same direction, : N : but by no means in the same proportion, the factor Nac] V@tying between 2.0 and 7.9; the difference is seen very strikingly in the last two urines of Experiment III. The factor is independent of the N NaCl diuresis, and does not vary inversely to the diuresis, as would be demanded by the reabsorption theory. Since the nitrogen and A vary quite independently of the chlorine, it is evident that they are controlled in part by other factors, which would complicate the problem. I deemed it better, therefore, to neglect them in the further experiments. It was noticed incidentally that the depth of the color of the urines varied in the same direction as the per cent of nitrogen, so that the two would seem to be excreted by the same mechanism. 2. Saline diuretics which lower the per cent of chlorine in the urine. —This class comprises solutions of the acetate, ferrocyanide, phos- phate, and sulphate of sodium; as also urea, glucose, and water. With the exception of the very small diuresis produced by the last substance, the phenomena are exactly alike in all cases. The diuresis sets in very shortly after the injection. The per cent of chlorine falls at the same time to a very low figure (to less than 0.1 per cent, mean about 0.020 per cent). The chlorine is usually the lower, the poorer the original urine was in chlorides. The fall of the 430 Torvald Sollmann. per cent of chlorine is entirely independent of the diuresis in quantity and in duration. The low content in chlorine always persists with little change for an hour, whilst the diuresis becomes very much less. If further injections are made the chlorine remains low or is lowered still further. The absolute amount of chlorine is uniformly increased by a considerable amount, varying with the diuresis. The following abstracts of the experiments will illustrate these conclusions : — Sodium sulphate. — Twelve experiments were made, the injections ranging from 25 to 75 c.c. per kg.. These reduced the per cent of NaCl (from 0.019—0.555, mean 0.150) to 0.15-0.050, mean 0.018. Examples : — EXPERIMENT V. Minutes after injection. Diuresis in 10 min. NaCl. Total quan- tity of NaCl in 10 min. Before injection Injection of 35 c.c. per kg. of SO, 0-15 15-30 30-45 c.c 0.75 8.0 per cent. 0.280 0.015 0.015 0.015 mgms. 2.10 1.20 3.30 1.95 EXPERIMENT VI. Before injection Injection of 35 c.c. per kg. OFS 30-45 Before injection Injection of 35 c.c. per kg. Liffect of Diuretics, etc., on the Chlorides of the Urine. 431 EXPERIMENT XV.1 Time. Diuresis. Per cent. Beroresmjetuiony. 4 =< . ayers 6.0 0555 Injection of 35 c.c.perkg. . . 0-20 36.0 0.110 20-60 18.0 0.118 60-90 5.3 0.050 EXPERIMENT XVI. Before injection Injection of 35 c.c. per kg. Sodium phosphate. — Three experiments, with injections of 25 to 35 C.c. per kg. The per cent of NaCl is reduced (from 0.020-0.160) to 0.017— 0.056; the absolute amount per 10 min. is increased (from 0.40-2.40) to I.10-I1.20 mg. Example : — EXPERIMENT XVIII. Time. Diuresis. Per cent. Beforeimjection 5. 2 . 3 = - seek 0.25 0.160 Injection of 35 c.c. per kg. of | Name Og ec es, se ne 0.045 0.080 0.063 0.056 1 The columns in these tables correspond to those of Experiments V to XI on the preceding page. 432 Torvald Sollmann. Sodium ferrocyanide. — Two experiments, with injections of 25 and 35 c.c. per kg. EXPERIMENT XXVII.1 Time. Diuresis. Per cent. ‘ 35 c.c. per kg. of 3% alcohol in 9 water; 25 c.c. per kg. Na,SO,4? c.c. per kg. NagFe(CN), . .~ 0-10 20-40 60-80 EXPERIMENT XXVIII. Oneal WHE Go a 6 Ss sc mtaiere 16 0.704 iss 35 c.c. per kg. NagFe (CN),-- - 0-10 33.0 0.089 AY EW 10-20 24.0 0.038 9.12 20-40 16.0 0.030 4.80 1 The columns in these tables correspond to those of Experiments V to XI on page 430. 2 Injections made an hour apart, before the injection of the ferrocyanide. Sodium acetate. — Two experiments: the diuresis is quite small, but the effect on the per cent of chlorine is the same. EXPERIMENT XI. Time. Diuresis. Per cent. SoNC G4 PCIe Nas SO ee anes GIO ifs) 0.021 Z5/C:C, per kg. NaCoHaOnns cr 20.5 0.015 13.0 0.022 6.0 0.020 Effect of Diuretics, etc. on the Chlorides of the Urine. 433 EXPERIMENT XVII. Per cent. Time. ]iuresis. @iamalvarne <<. 2S Ls. Bests 16 0.070 go-e-c per ke. NaCjH,05 - . . 2.0 0.065 4.3 0 044 Urea. — This substance, dissolved in water (three experiments) or in sulphate (one experiment), reduces the per cent of NaCl (from 0.015-0.055) to 0.012—0.046. Example : — EXPERIMENT VI. Time. Diuresis. Per cent. Boece pen ke. NajSOy =. ©. Sone : 0.015 25 c.c. per kg. urea in water . . : 0.015 0.012 The following experiment illustrates how a urine of very low chilo- rine content may show a slight temporary increase. This was occa- sionally seen with other salts, but was always negligibly small; it is probably to be explained by the theory of Cushny, z. e. by a lesser reabsorption of chlorine due to the diuresis. EXPERIMENT XXIV. Na,SO,, cantharidin 25 c.c. per kg. urea in Na,SO, Time. Diuresis. Per cent. 11.0 36.0 6.5 0.027 0.046 0.017 434 Torvald Sollmann. Dextrose. — Three experiments with injections of 25 or 35 c.c. perkg. The per cent of NaCl is reduced (from o0.012-0.256) to 0.012-0.061. Example : — EXPERIMENT XIX. Time. Diuresis. | Per cent. Mg. LeXenrovee’ TNS Ge Saers 2.0 0.256 5.12 35 c.c. per kg. of glucose . . . 0-20 10.0 0.082 8.20 20-40 5.0 0.061 3.05 0.103 Water. — One experiment: this reduces the per cent of chlorine in the same way as Salts, but as it causes no diuresis, the absolute amount is also reduced. EXPERIMENT XXV. Time. Diuresis. Per cent. Mg. Watery alcohol, NagSO, . . . dai 15.0 0.036 5.40 25) CC perm ke Tor waters meen 0-15 16.5 0.029 4.79 10.0 0.029 3. Does the injection of the salts stimulate the retention of chlorides ? — To answer this question, the chlorine content of the urine was com- pared after injection of 0.5 per cent sodium chloride, dissolved in water and in 2.3 per cent sodium sulphate crystals. Three animals were used, the watery solution being injected first in two of these experiments, last in the other. There was no difference in the per cent, sodium chloride in water reducing the per cent in urine (from Lifect of Diuretics, etc. on the Chlorides of the Urine. 435 0.050-0.380) to 0.025-0.180; sodium chloride in sodium sulphate reducing the per cent in urine (from 0.029-0.180) to 0.020-0.045. The diminution of the chlorine is, therefore, not due to the presence of a foreign salt, but to the dilution of the blood. However, the total amount of chlorine is greater when sulphate is injected, on account of the greater diuresis. Example: — EXPERIMENT XII. Time. | Diuresis. NaCl. per cent. IFS yA So ee One ates zs 0.050 SOMeC-ukco. 05% Nacl 5 0.060 0.029 0.021 0.023 0.038 0.033 4. Saline diuretics which do not cause chlorine retention. — Under this heading come: sodium nitrate, sulphocyanide, and iodide (and pre- sumably also the bromide; but this was not tested, for want of a suit- able method). These salts differ from the preceding, not merely by failure to cause chlorine retention, but they even increase the per cent of chlorine greatly if this has been artificially lowered. It is also remarkable that the injected iodide reacts toward sulphate injection just like the chloride, and that these ions were excreted (in the con- ditions of the experiment) in approximately equimolecular ratio. This was not investigated in connection with the other ions. Since Loewi! had already demonstrated the effect of the nitrate ion, I con- tented myself with a former experiment, already quoted in part? and which is inserted here somewhat more in detail, in addition to the experiments made with the other ions mentioned. 1 Loew! O.: Archiv ftir experimentelle Pathologie und Pharmakologie, 1902, xlvili, p. 410. 2 SOLLMAXNN T.: This journal, 1902, viii, p. 155. Torvald Sollmann. Nitrate experiment.— Dog of 16 kg., injection of 75 c.c. per kg. of 1.23 per cent NaNO, solution (A 0.481), in 10 min. Time after injection, URINE AFTER INJECTION. Quantity in 10 min. NaCl. NaNOs. NaySQOjq. 10 min. . 24 min. . 42 min. . per cent. 0.40 0.38 0.37 0.35 0.28 0.26 0.24 SERUM. NaCl. per cent. 1.481 NaNOs. per cent. 0.217 0 067 0.064 0.051 0.079 0.096 Na,SO,. Total solids. per cent. 4193 2.780 2.570 2.910 2.580 2.640 3.745 Serum in blood. Before injection After injection: ] min. 15 min. . Thr: 23 hrs. . per cent. 0.37 0.38 0.43 0.48 per cent. 0.023 0.261 0.219 0.122 0 146 per cent. 0.159 0.131 none trace 0.023 per cent. 56.22 72.22 65.96 61.58 58.10 It is seen that the urine after nitrate injection has a high per cent of chlorine, slightly higher than that of the serum. Liffect of Diuretics, etc. on the Chlorides of the Urine. Sulphocyanide : — EXPERIMENT XXVI. 4 Time. Diuresis. Nac Original urine . Aqueous alcohol, Na,SO4, NayFe (CN), 25 c.c. per kg. NaSCN . 0-10 10-30 30-50 per cent. 0.300 0.027 0 278 0.115 0.054 EXPERIMENT XXVIII. Original urine . Na,Fe (CN), The sulphocyanide has raised the to 0.300 per cent. 25 cc. per kg. NaSCN . 25 c.c. per kg. NaSCN . chlorine of the urine (from 0.030) 438 Torald Sollmann. lodide : — EXPERIMENT XIV. Equivalents.! NaCl | Naci|Nal + : ; Nal X +Nal.| X c.c. Pir p. cent, | p. cent. INGDSIOVE S tom ge f 01027 00) 0!562))| 2 = O:562" | S1SiGs eso 2 e.c ke. Nal: 0.106 | 0.245 | 1.813 3.432 | 68-9.-|_130:3 0.100 | 0.243 | 1.710 SoH) || SO) |) WO227/ 0.133 | 0.212 | 2.280 3.681 | 45.6 | 73.6 25 c.c. kg. phlor- hizin in water. 0.060 | 0.064: 1.026 1.449) 921058) Noor 0.096 | 0.094 | 1.642 2.263 30.5 EXPERIMENT XV. NavSOly fe Mate 0 | 0.050) 0.0 | 0.860 25 c.c.kg. Nal. . 0.248 | 0.773 | 4.241 0.200] .... | 3.420 25.c.c. kg. NagSO, Per cent X 100 molecular weight 1 equals, for NaCl, per cent X 17.1; for Nal, per cent X 6.61. Sodium iodide (two experiments) raises the percent of chlorine in the urine. With the quantities which were used, the chlorine and iodine are excreted in approximately equimolecular proportion, but not quite so. Injection of sulphate or water cuts down the iodine in the same way as it does the chlorine. 5, Effect of other diuretic agents. —- Alcohol, oil of juniper, ether, methylene blue, caffein citrate, or phlorhizin have no effect on the per cent of chlorine, beyond that of the vehicle in which they are administered. Liffect of Diuretics, etc., on the Chlorides of the Urine. 439 Alcohol. — Given intravenously in 3 per cent solution, in water (two experi- ments) or in % Na,SO, (one experiment), in dose of 25 and 35 c.c. per kg. excretion of chlorine may also be diminished. EXPERIMENT XXVII. When given in water there is much less diuresis, so that the total Example : — Time. Diuresis. NaCl. Before injection 35 c.c. per kg. of 3% alcohol in WitkC ami etei cr ios mie slate 25 c.c. per kg. of Na,SO, . 8.00 5.00 per cent. 0.300 0.103 0.043 0.092 Funiper. — A mixture of 0.4 per cent juniper oil and 1.6 per cent of alcohol in “” Na.SO, is given intravenously in the dose of 35 c.c. per kg. EXPERIMENT XVII. Time. Diuresis. Per cent. NaC,H30,; alcohol in NagSO, . Juniper mixture 17.0 40.0 325 0.017 0.019 0.019 Ether. —Vhis was injected hypodermically ; 10 c.c. per kg., divided into 6 doses, being distributed over 50 minutes,*when the animal died. EXPERIMENT XXV. Time. Diuresis. Per cent. Alcohol in water, NagSO4; water, Na,SO,; ether 0-10 40-50 0.015 0.012 440 Torald Sollmann. Methylene blue. — 25 c.c. per kg. of a o.5 per cent solution in 4% Na SO, was injected intravenously. Two animals died, with anuria and strong convulsions, within 20 minutes after the injection. The following succeeded : —- EXPERIMENT XVI. | | Time. Diuresis. Per cent. Na,SO,, phlorhizin, caffein . . ciel 2.5 0.014 Methwieiesblueiy-s annem 5.0 0.024 8.0 0.039 ZD 0.057 Caffen. —This was used hypodermically in two experiments (10 to 20 mg. per kg.) and intravenously, dissolved in % Na,SO,, 25 c.c. per kg. of 0.04 per cent in two others. Both vagi were cut.’ When used hypo- dermically it caused an insignificant rise if the chlorine was already low. EXPERIMENT XIX. Time. Diuresis. Per cent. Glucosé?.... 2 55 ee rar ifs 0.103 Caffein intravenously . . . 0-20 : 0.045 20-40 ‘ 0.024 40-60 oh 0.022 ' ANTEN, H.: Archives internationales de Pharmacodynamie, 1901, vill, p. 455. Effect of Diuretics, etc., on the Chlorides of the Urine. 441 EXPERIMENT XIII. ‘Time. Diuresis. Per cent. Urea . 2.0 Caffein hypodermically . . 6.0 3.0 1.5 Phlorhizin. — This was given intravenously, 25 c.c. per kg. of 0.4 per cent solution, dissolved in one experiment in water, in another in 4% Na,SO,. Example : — EXPERIMENT XIV. Time. Diuresis. NaCl. Nal. per cent. per cent. INES On INE 95 Sooo 4p 6¢ 195 0.133 0.212 21.0 0.060 0.064 Watery phlorhizin 13.5 0.096 0.094 442 Torald Sollmann. 6. Effect of nephritic agents. — Arsenate of soda, mercuric chloride, (one experiment each), and cantharidin (three experiments) did not affect the chloride retention. Examples :— Arsenate of sodium in 1 per cent solution hypodermically. EXPERIMENT XIX. Time. | Diuresis. | NaCl. Proteid. per cent. Glucose; catfemyNajsOj 7. 4 sue Shae 5.5 0.022 | None. ATSenatcsel Ohm Sap etal. een: ee 0.5 Z51C-C. Pelakp ys NasS ©, 7mm ane 13.0 Trace. Arsenate, 20) mp. per ko ie Less. Trace. IRepeatedilastidoses.as-aa. vr aeeunnnn: Considerable. Repeated last dose . 25 c.c. per kg. NagSO, . Arsenate, 20 mg. per kg. intravenously The urine stops 10 minutes later, but the animal remains alive for an hour longer. Effect of Diuretics, etc., on the Chlorides of the Urine. 443 Mercurie chloride. —The dog has received daily hypodermic injections of 5 c.c. of o.r per cent HgCl, for the five days preceding the operation. Weight at operation, 8.9 kg. EXPERIMENT XXIV. Time. Diuresis. NaCl. Proteid. per cent. Bladderuriné <9. « 2 « eles waists 0.050 ‘race: Secreted while on table . . ote 1.6 0.156 Trace. 35 c.c. per kg. of NagSO, . 0-10 34.0 0.018 Very faint. 10-20 31.0 0.014 Very faint. Cantharidin ! (10 mg. per kg.) 0-10 24.0 0.018 Very faint. 10-30 11.0 0.027 Slightly more. EXPERIMENT XVIII. N,.HPO,, caffein, NagSO, . Sore 4 None. Cantharidin, 5 mg.perkg. . : Faintest trace. Cantharidin, 10 mg. per kg. . é Appreciably more. Died. 1 ] per cent solution in acetic ether, given hypodermically. Pp g yp df Experiment XXI.— 5 mg. per kg. of cantharidin was injected on the day pre- ceding the operation. The bladder urine contains considerable proteid, but no sugar. Very little urine secretion follows the injection of saline and other diuretics, but the per cent of chlorine is reduced as usual. The bladder urine contains 0.354 per cent NaCl; after injection of salines, the urine contains at first 0.108, later 0.ogo per cent. Kidneys suffering from aloin nephritis (produced by the hypodermic injection of 5 c.c. of 5 per cent aloin, daily, for three days) can also secrete a urine with a chlorine per cent lower than that of serum (0.27 per cent). The animal died before injections could be made. 7. Other factors. — Some other factors, which might be supposed to have an influence on the chloride excretion were observed inci- dentally. 444 Torvald Sollmann. Diuresis. —'The extent of the diuresis did not in any case materially modify the per cent of chlorine in the urine. Examples : — EXPERIMENT VII. EXPERIMENT XI. EXPERIMENT XVI. Diuresis. NaCl. Diuresis. NaCl. Diuresis. NaCl. per cent. per cent. per cent. 14.0 0.025 0.019 68.0 0.013 3.0 0.025 0.020 mes 0.014 The per cent of chlorine is just as low with a small as with a large urine flow Examples : — EXPERIMENT X. EXPERIMENT XIV. Max. Diuresis. NaCl. Max. diuresis. NaCl. per cent. per cent. c.c, 0.021 33.0 0.027 Time. — The low per cent of chlorine in the urine outlasts the diuresis very much. In seventeen experiments it remained uniformly low for the hour, or longer, during which it was observed. In seven other experiments it shows a slight rise with time. This was so small (never exceeding o.1 per cent) that it seems superfluous to risk any explanations. It may be due to the return of the composition of the blood toward the normal. Example : — EXPERIMEN?T I. Time after injection. NaCl. per cent. Q-17 min. 0.035 17-58 “ 0.020 SealGts) & 0.060 Lifect of Diuretics, etc., on the Chlorides of the Urine. 445 Laking. — This was observed in five experiments, as the result of the injection of watery solutions of urea, phlorhizin, or alcohol. It did not affect the chlorine in any of these experiments. Examples : — EXPERIMENT VII. NaCl. per cent, Na,SO,, glucose. . No hemoglobin . . 0.030 Watery urea . . . Hemoglobin . . . 0.025 EXPERIMENT XIV. Na SO; Nalges. = No hemoglobin Watery phlorhizin . Hemoglobin EXPERIMENT XXVII. NaCl. per cent. Original urine. . . No hemoglobin . . 0.300 Watery alcohol . . Hemoglobin . . . 0.103 0.043 NaS Ofer een Muchless hemoglobin 0.092 Be b 0.019 Ferrocyanide . . . No hemoglobin . . 0.025 IV. DIscussIoN OF THE EFFECTS OF THE VARIOUS FACTORS ON THE CHLORIDES OF THE URINE, AND THE LIGHT WHICH THEY THROW ON THE MECHANISM OF CHLORINE RETENTION. These factors may be divided into four classes : — Class I. Those which diminish the per cent of chlorides (to 0.008, 0.060 per cent), but which through increased diuresis cause a greater absolute amount of chlorine to be excreted in the urine. This class comprises: Solutions of acetate, ferrocyanide, phosphate, and sul- phate of sodium, urea, and glucose; as also the drugs of class III, if these are administered in solutions of the above salts. 446 Torald Sollmann. Class IT. Those which diminish the per cent of chlorine to the same degree, but which do not increase the urine secretion, and which there- fore lower also the absolute amount of chlorine excreted by the urine. This class comprises water, and we could add, deficient chlorine income. Class IIT. Those which do not affect the per cent of chlorine mate- rially; namely - (a) The diuretics which do not dilute the blood: caffein, phlorhizin, juniper oil. (6) Nephritic agents: arsenic, cantharidin, mercury, ether, aloin. (c) The degree of diuresis, laking of the blood, and (within the limit of the experiments) the time, and the molecular concentration and the quantity of fluid injected. Class IV. Those which greatly increase the per cent, and the ab- solute amount of chlorine in urines originally poor in this ton. This class comprises: Nitrate, sulphocyanide, chloride, iodide (and probably bromide) of sodium. The results are so constant, both qualitatively and quantitatively, that the mechanism by which they are produced must be compara- tively simple. They agree entirely with those obtained through dif- ferent methods by Loewi! with sodium nitrate, phlorhizin, and water, on dogs. Very different results are obtained on the rabbit. Cushny? finds that in this animal the injection of Na,SO, often increases the per cent of chlorine in the urine. Pototzky® finds that this is the case if the per cent of chlorine is originally low, whereas the per cent of chlorine is dimin- ished if it was originally high. In either case the effect of the injection is to approximate the per cent of chlorine in the urine to that of the serum. The same results are seen in the rabbit, with caffein,* diuretin,® sugar,® urea,’ phlorhizin,® sodium phosphate, and nephritic agents.’ 1 LoEwI, O.: Archiv fiir experimentelle Pathologie und Pharmakologie, 1902, xlvili, p. 410. 2 CusHny, A. R.: Journal of physiology, 1g02, xxvii, p. 429. 8 Porotzky: Archiv fiir die gesammte Physiologie, 1902, xci, p. 565. * KatTsuyamMa, K.: Zeitschrift fiir physiologische Chemie, tgor, xxxii, p. 235. 5 KatsuyaMa, K.: Loc. cit.; PototzKy: Loc. cit. 6 POTOTZKY: Mopac: 7 KasuYyAMA, K.: Loc. cét.; Pototzky: Loc. cit. * RuscHHAuPT: Archiv fiir die gesammte Physiologie, tg02, xci, p. 565; Cusuny, A. R.: Loc. cit. *SLOEWL, Onn iocncer: 10 RUSCHHAUPT: Loc. cit. Lifect of Diuretics, etc., on the Chlorides of the Urine. 447 Water and salt hunger being the only agents which uniformly lower the per cent of chlorine in rabbits’ urine. The difference between the results of Cushny and those obtained by Magnus and by myself is therefore explained, as I supposed (p. 16r) by the different animals which were employed. Zhe mechanism of chloride excretion reacts differently in rabbits and dogs. I shall recur to this difference later (page 451) and confine myself at present to the experiments with dogs. 1. What is the essential factor in the chlorine retention? — If we con- fine our attention for the present to the first class of diuretics which diminish the per cent of chlorine in the urine, it will be seen that they possess the following factors in common: A dilution of the blood serum, and consequently a diminished per cent of chlorine in the serum; the presence of a foreign substance in the serum and in the urine; and an increased diuresis. A comparison of Class I with Class II permits the elimination of all but one of these factors as unessential. The increased diuresis is not essential, for it does not exist in Class II, and even in Class I the per cent of chlorine is quite inde- pendent of the diuresis. The presence of a foreign substance is not essential, for none is present in Class II; nor is the per cent of chlorine in the urine any lower if a mixture of chlorine and SQ, is injected, than if a pure chlorine solution is administered. The dilution of the serum is not in itself essential, for it does not exist in the chlorine retention produced by salt-starvation. The essential factor in the production of the low per cent of chlorine in the urine ts therefore the lowered per cent of this ton in the serum. 2. The per cent of chlorine in the urine is not determined by the total per cent of chlorine in the serum. — The conclusion stated in the pre- ceding paragraph is not supported by direct determinations of the chlorine in the serum. On the contrary, it is found that the urine remains poor in chlorine when the per cent of this ion in the serum has returned to normal; and that in some conditions (7. e. if NO, is introduced) the chlorine of the urine may be high when that of the serum has been lowered. I quote from some previous experiments.” 1 SOLLMANN, T.: This journal, 1902, viii, p. 155. 2 SOLLMANN, T.: Archiv fir experimentelle Pathologie und Pharmakologie, TQS, xiv, p.l. 448 Torald Sollmann. EXPERIMENT VII (former series). NaCl in NaCl in serum. urine. per cent. per cent. SOS SHH. 6 6 = ee 5 5 6 0.57 0.105 50 min. after injectionof SO, . . . 0.45 0.040 34 hours after injection of SO, . . . 0.54 <0.030 EXPERIMENT VI (former series). Beforennijection ga. ie eee 0.56 3 min. after injection of SO, . . . 0.43 3% hours after injection of SO,. . . 0.56 NITRATE EXPERIMENT. 1 min. after injection of NO, 1 hour after injection of NO; In view of this contradiction, it is necessary to have recourse to Forster's hypothesis that the greater part of the serum chlorides ordinarily exists in the form of combinations (probably with the proteids) which are not capable of excretion by the urine, and that only the free chlorides can be excreted. It is true, as I have pointed out! (page 166), that the existence of such combinations has not been directly demonstrated. Until this is done, the considerations 1 SOLLMANN, T.: This journal, 1902, viii, p. 155. * BuFFA (Archives internationales de Pharmacodynamie, 1900, vii, p. 425) argues that there is such a combination from the fact that if serum is precipitated by ammonium sulphate and the precipitate is redissolved in the original quantity of water, this solution has the same A as the original serum. This shows, he believes, that the ammonium sulphate displaces the chlorine from its compound with the serum proteid. It seems to me that the experimental disposition, as far as can be judged from his meagre description and data, is too crude to allow any such far-reaching conclusions. His result might be pure coincidence. However, even if it be accepted, it would not explain the chlorine retention, for according to him the ammonium sulphate liberates the chlorine and would therefore make it filtrable. Lifect of Deruretics, etc. on the Chlorides of the Urine. 449 here laid down are amongst the strongest arguments for assuming their existence. The conclusion stated in the preceding paragraph must therefore be modified: The essential factor in the production of a low per cent of chlorine in the urine ts the lessened amount of unbound chloride in the serum. 3. Is the urine poor in chlorine secreted poor in this ion, or is it secreted with the normal content of chlorine, but modified after its secretion, by absorption of chlorine or by the secretion of water? — If the urine were diluted after its secretion, the per cent of chlorine should vary according to the diuresis; if the low chlorine were due to a reabsorption of chlorine, then increased diuresis, leaving less time for this reabsorption, should give a urine richer in chlorine; if the low per cent were due to a secretion of water, then an increased diuresis, in which the secretion of water is increased, should yield a urine poorer in chlorine. Since the diuresis does not affect the per cent of chlorine, the urine must be secreted poor in this ion. The extremely rapid urine forma- tion also speaks against secondary changes. We may conclude that: The urines poor tn chlorides have a low per cent of this salt when they are first formed, the low per cent, in other words, ts not due to reab- sorption or to secondary dilution. 4. What is the mechanism by which urine with a low per cent of chlorine is formed from sera containing a low per cent of free sodium chloride, but a normal or only slightly subnormal per cent of total sodium chloride ? The independence of the chlorine in the urine from the per cent of total chlorine in the serum has been sufficiently shown, so that it is not neces- sary to discuss a theory that the kidneys are impermeable to a low per cent of chlorine, but permeable to a large per cent. Accepting then that the chlorine of the urine is determined by the free chlorine of the serum, we have the following theories: 1. The excretion of chlorine occurs by filtration, the chlorine of the filtrate corresponding to the free sodium chloride of the serum. 2. The excretion of chlorine occurs by secretion, the presence of free sodium chloride stimulating the renal (glomerular ?) cells to the secretion of this salt. A number of facts speak strongly against a pure filtration theory: (a) No physical filter is known which will effect this separation ! (page 166). i SOLEMANING dis 3 LoGenGre 450 LTovald Sollmaun. (6) The separation of such a urine would demand a greater filtra- tion pressure than exists. This would not hold in the present case of salt injections, for quite enough foreign salt is present to make the total concentration of the urine superior to that of the serum. How- ever, in water diuresis, this is not the case’ (page 172). (c) My former experiments? on chlorine injection also speak against a simple filtration. In these it is seen that the per cent of chlorine in the urine is superior to that of the serum, at a time when the quantity of serum in the body has returned to normal, and when therefore a considerable amount of the chlorine of the serum must be bound. For instance: In Experiment IV one and one-half hours after in- jection the quantity of serum has returned to normal, the per cent of sodium chloride in the serum is 0.703; in the urine is 0.836. This could only be explained on the filtration theory by assuming that a considerable reabsorption of water has taken place. If this were so, then the per cent of chlorine in the urine should be inversely proportional to the diuresis, for the greater the diuresis, the less would be the chance for the reabsorption of water. As a fact, how- ever, the per cent of chlorine in the urine is practically independent of the degree of diuresis. If filtration does not suffice to explain the phenomena of chloride excretion, we are forced to assume a vital mechanism. I attempted to demonstrate this by studying the effect of renal stimulants and irritants on the chlorine excretion, which, if the pro- cess were a vital one, might be supposed to have an influence upon it. The attempt was unsuccessful, for no such influence was per- ceptible. This, of course, does not prove that the process-is physical. It still remains to explain several phenomena. '5, The saline diuretics increase the absolute amount of chlorine, while they diminish its per cent.— The saline diuretics, whilst they lower the per cent of chlorine in the urine, never cause its complete dis- appearance, and indeed increase the absolute quantity of chlorine excreted: In accordance with the above theory this can only be explained by assuming that the diuretics increase the total amount of free sodium 1 SOLLMANN, T.: Loc. czt. ? SOLLMANN, T.: Archiv fiir experimentelle Pathologie und Pharmakologie, 19go!, xlvi, p. I. Liffect of Diuretics, etc., on the Chlorides of the Urine. 451 chloride. Since the per cent in the urine is independent of the amount of diuresis and of the amount of chlorine which has been removed, it would seem that the liberation of sodium chloride took place constantly. In other words, when the per cent of free sodium chloride in the serum tends to fall below a certain minimum, a further amount of sodium chloride is liberated from its combination. 6. The effect of sodium nitrate, iodide, and sulphocyanide.— Loewi,! who was only acquainted with the effect of sodium nitrate, assumed that it caused the passage of chlorine from the tissues into the serum. This is disproven by analysis of serum, which contains only 0.4 per cent sodium chloride. That this action plays only a small, if any part, is also shown by the fact that nitrate brings no more chlorine out of corpuscles than does sulphate. A sample of fresh defibrinated dog’s blood is mixed with 14 volumes of 10 per cent Na,SO, crystals; another sample with 1 volume of the sulphate and 4 volume of 15 per cent NaNO;. The samples are centrifugalized. The sulphate serum contains 0.200 per cent NaCl, the nitrate serum 0.196 per cent. The action must be something different. The similarity of these anions is suggestive: they are all monovalent, and dissociate in equal degree. It would seem that they are able to displace the sodium chloride from its unfiltrable combination, which the other anions are unable to do. The fact that sodium iodide and sodium chloride are excreted in practically equimolecular proportions, and that sodium iodide is affected in the same way as sodium chloride by diuretics, favors this view. 7, Phlorhizin and nephritic poisons. — The fact that phlorhizin and nephritic agents, which increase the per cent of sugar and of proteid in the urine, do not affect the chlorine, shows that they do not increase the general permeability of the kidneys and that their action is specific. 8. The difference in the behavior of rabbits’ and dogs’ kidneys as regards the excretion of chlorine. — The differences, which have been pointed out on page 446, would admit of the following explanations : -— I. The sodium chloride does not exist in unfiltrable combinations in rabbits’ serum. This explanation cannot be the true one, since 1 Lorwl, O.: Archiv fiir experimentelle Pathologie und Pharmakologie, 1902, xlviii, p. 410. 452 Torvald Sollmann. water, or salt-starvation, diminishes the chlorine in the rabbits’ urine just as in dogs’ urine. 2. The unfiltrable chlorine compounds, either in the serum or tissues, are broken up by all diuretics. Against this speaks the fact that diuretics /ower the per cent of chlorine in the urine, if it was previously abnormally high. 3 3. Diuretics break down the resistance of the kidney to the excretion of combined sodium chloride. This seems the most likely hypothesis, and if we consider the greater susceptibility of the rabbits’ kidneys to nephritic agents, it is not at all unlikely. It would be interesting to know to which class the human kidney belongs? This could easily be determined by administering diuretics (except nitrate) on a milk diet. V. CoNCLUSIONS. 1. Effect of sodium sulphate injection on chlorine, A, and nitrogen. The increased diuresis, as usual, tends to lessen the concentration of the urinary constituents, whilst it increases their absolute quan- tity. The per cent of chlorine, and the A, are but little affected by the degree of diuresis. The nitrogen and chlorine vary generally in the same direction, but by no means in the same proportion, the factor a varying between 2.0 and 7.9. This factor is independ- ent of the degree of diuresis. 2. Effect of various factors upon the chlorine of the urine, in the dog. These factors may be divided into four classes. I. Diminishing the per cent (to about 0.020 per cent) but increas- ing the absolute amount: solutions of urea, glucose, alcohol, sodium acetate, ferrocyanide, phosphate, and sulphate. II. Diminishing the per cent and the absolute amount : water, salt- starvation. III. Without effect: nephritic agents, caffein, phlorhizin, laking, degree of diuresis, and (within the limits of the experiments), the quantity or concentration of the injected fluid. IV. Increasing the per cent of chlorine if this has been low: solu- tions of sodium nitrate, iodide, and sulphocyanide. 3. Mechanism of the chloride retention. The essential factor is the lowered quantity of unbound sodium chloride in the serum (not the Lifect of Diuretics, etc., on the Chlorides of the Urine. 453 absolute amount of sodium chloride in the serum, nor the dilution of the serum, nor the presence of foreign salts, nor the diuresis). The low per cent of chlorine is mainly due to the urine being secreted poor in this salt, and not to secondary dilution, nor to reabsorption of chlorine. The uninjured renal cells secrete only free sodium chloride, not combined sodium chloride. This property is not affected in the dog by diuretics or by nephritic poisons, whereas in the rabbit these agents cause the excretion of combined sodium chloride. The sodium chloride is displaced from its combination by the nitrate, iodide, and sulphocyanide ions, but not by acetate, ferro- cyanide, phosphate, sulphate, urea, or glucose. Increased permeability of the kidneys to glucose or proteid is not necessarily accompanied by increased permeability to chlorides. In conclusion, I wish to thank Mr. C. A. Lenhart and Dr. R. A. Hatcher for much valuable aid in carrying out the experiments. THE COMPARATIVE DIURETIC EFFECT OF SADEINE SOLUTIONS! By TORALD SOLLMANN. [#rom the Pharmacological Laboratory, Western Reserve Medical College, Cleveland, Ohio.] CONTENTS. Page I. Non-secretion of urine . . MPEP Ss cs IS II. Influence of glycosuria on the teal faites PRET sks dc a) UNE Ilf. The time-relations of the saline diuresis .-. . . . .) 9.) )sh gee IV. Comparative diuretic effect of various diuretics .-. . . . . #005 aueetom V. Causes of the difference in diuretic effect . . . Sh! VI. How does the molecular concentration of the tageteesd salen eoaeuee diuresis? . . aes tie A «45,0. VII. The comparative aeete alte af diluted and andiluted bloat . (le sens VITI. “Conclusions 5:08 2 6 ee ee I. NON-SECRETION OF URINE. ye is common in a series of diuretic experiments on dogs, a num- ber of the animals secreted practically no urine. This occurred in seven out of twenty-four experiments (29 per cent) in which diuretic injections were made. The urine of six of these non-diuretic animals contained proteid; in only one animal which gave a poor diuresis (Experiment X) was the urine free from proteids. In two of the animals (XX and XXI) the nephritis was due to the previous injection of nephritics (bichromate and cantharidin) ; in one (VIII), to the inspiration of liquid ether ; in three (XIII, XXIX, and XXX) it was not accounted for. It seems from these results that the main cause of anuria is nephritis. It can be seen, however, that not every form of albu- minuria causes anuria. No anuria exists in the acute stage, imme- diately following the injection of the nephritic agent (cantharidin, Experiments XVIII and XXIV; alcohol, XVII; arsenate sodium, ' The experiments described in the preceding paper offered an opportunity for studying the rate of diuresis produced by these salts. The investigation was also extended to the phenomena of urine filtration which may be observed in the excised kidney. 454 Comparative Diuretic Effect of Saline Solutions. 455 XIX; ether, XXV); and in subacute mercurial nephritis (Ex- periment XXIV)’ The resistance of non-secreting kidneys to diuretic agents 1s prac- tically absolute. As examples I may quote Experiments XX and ool Phe animals had received: XX, 5 c.c. of 5 per cent ie@r,0,; XXI, 1 c.c. per kg. of 0.5 per cent cantharidin, hypo- dermically, a day before the operation. Neither animal secreted any urine during an hour under anesthesia. They then received each the following injections, per kg., in the course of three hours: 140 c.c. Na,SO, solution ; 30 c.c. Na,HPOy, solution (= 170 c.c. of total fluid); 0.032 gm. citrated caffein ; 0.4 gm. chloral; 0.016 gm. diuretin; 0.18 gm. urea. As the result of these, dog XX secreted in three hours 10 c.c. of urine (= 1.6 c.c. per kg.) and had a serous diarrhoea ; XXI secreted in two and one-half outses.5 G.c. of urine (— ‘1 c.c. per kg:). In one experiment (X) section of the vagi relieved the anuria some- what; in VIII this was not effective; in the other five the vagi were divided before the injections were made. Experiment X.— 11.25-12.20. No urine. 12.22. Injection of 35 per c.c. kg. Na,SO,; no urine to 12.41. 12.41. Injection of 35 per c.c. kg. NagSO,; no urine to 1.10. 1.10. Divided both vagi. 1.17. Lurst drops of urine. 1.37. 9.5 c.c. of urine in 20 min. 1.57- 15 c.c. of urine in 20 min. Injected 25 c.c. per kg. NagH PO, 2.17. 13 C.c. of urine in 20 min. 2.37. 6 .c. of urine in 20 min. 257. 2:¢.c. Injected 25 c.c. per kg: NaC,H;O;, 3.37. No urine. It was also noted, in the only experiment in which it was tried, that Ayperisotonic injections relieve the anurta somewhat. 1 HELLIN and Spiro (Archiv fiir experimentelle Pathologie und Pharmakologie, 1897, xxxviii, p. 368) found that arsenate of potassium, and cantharidin, entirely suppressed the caffein and the phlorhizin diuresis in rabbits, whereas bichromate had no effect. This is another illustration of the difference between the dog’s and rabbit’s kidneys. 456 Torvald Sollmann. Experiment XXX (only one kidney used). — Before injections ; no urine in 40 min. Injection of 40 c.c. per kg. of 4.2 per cent Na,SO, crystals per kg. in 30 min. ; average urine in Io min., 0.67 c.c. Injection of 35 c.c. per kg. of 4.2 per cent Na,SQO, crystals per kg. in 26 min.; average urine in ro min., 1.0. Injection of 10 c.c. per kg. of 32.0 per cent Na,SO, crystals per kg. in 50 to 65 min.; average urine in 1o min., 6.0. II. INFLUENCE OF GLYCOSURIA ON THE INITIAL DIURESIS. It was noticed that almost all good diuretic animals had a pro- nounced glycosuria, and vice versa. The sodium chloride per cent of the original urine, on the other hand, seemed to have no effect on the diuresis. The influence of the glycosuria is well seen from the following epitome of the urines which were secreted before any injections were made: Vo sugar: g cases; diuretic factor’ from o to 1.9, mean 0.7. Small amount of sugar: 3 cases; diuretic factor from 0.7 to 2.8, mean 1.5. Considerable sugar: 11 cases ; diuretic factor from o to 6.6, mean 2.0. II]. THe TIME-RELATIONS OF THE SALINE DIURESIS. The diuresis sets in very quickly after the injection of the saline solution, reaches its maximum usually in the first ten minutes, is maintained for about thirty minutes, and then declines quite rapidly. The amount secreted in ten minutes is often as much as 30 to 35 C.c. The onset of the diuresis occurs frequently during the injection. This is seen very strikingly in Experiment XIV. No urine had been secreted in the twenty minutes preceding the injection, but within a minute after starting the injection there appeared also the first drops of urine. In a few instances there was some delay, as in Experiment XVI, in which methylene blue in sodium sulphate was injected; the diuresis and blue appeared in ten minutes. Repeated injections, after an interval of an hour, again restore the diuresis, and the same phenomena are observed as after the first injection. The diuresis is usually about the-same for each injection, if the same solution is used; sometimes it is rather greater, and some- ' Cubic centimetres of urine secreted in one hour, divided by the weight of the animal in kilograms. Comparative Diuretic Effect of Saline Solutions. 457 times rather less in degree (Experiment XV), or jess lasting (Ex- periment XVI). This is presumably due to the lowered circulation from the prolonged anesthesia. IV. CoMPARATIVE DivuRETIC EFFECT OF VARIOUS DIURETICS. The uniform technic employed in these experiments offers an excellent opportunity of comparing the diuretic effects. For this purpose I chose as déuretic factor of the maximum rate of diuresis the maximum number of cubic centimetres of urine secreted in forty consecutive minutes, divided by the weight of the animal in kilograms. This factor disregards the rate of urine secretion before injection, for this has no appreciable effect upon the quantity of urine secreted in response to the diuretics. The period of observation is sufficiently long to eliminate accidental variations. The period of maximum diuresis is chosen rather than a definite period after the injection, to take account of the variations in the onset of the diuresis. As will be seen, this factor is really very constant, with different animals, if the same solution is used ; it is much more uniform than any other factor which I have tried to apply, and it varies in a constant manner with different solutions. “The factor is only computed to 0.5. All animals, the diuretic factor of which remained less than 5 after saline injections, are excluded as abnormal. Variations tn the quantity of the injected solution (between 25 and 75 cc. per kg.) have little effect upon the rate of diurests « 75 c.c. per kg. of Na,SO, solution: 3 experiments ; diuretic factor: extremes, 6tO 14-2; mean, 13- 25 and 35 c.c. per kg. of Na,SO, solution: 9g experiments ; diuretic factor: extremes, 10 to 20; mean, 13. The same holds of other salts, or of successive injections; 2. ¢. if several injections are given an hour apart, as was done in my experi- ments, the diuretic factor is practically the same for each injection.! This fact is very important, for it permits the comparison of all the injections, no matter in what order they were given. In the fol- lowing table, the means of the results obtained on different animals are compared. 1 It may be well to repeat that this diuretic factor relates only to the maximal rate of diuresis. It is quite probable that the diuresis is more prolonged and therefore absolutely greater when larger quantities of solution are injected. My experiments do not bear on this question. 458 Torald Sollmann. MAXIMAL RATE OF DIURESIS WITH THE VARIOUS DIURETICS. 25 to 35 c.c. per kg. of the solution, injected into the femoral vein in three minutes. The braces join those solutions which have practically the same diuretic factor. Diuretic factor. Solution. pee Mean. Extremes. {Nacl (OG Ane er eke cea ese ce 1 0.5 to 2.5 3 WAleatol SU in water anes <0 1? ile 720) 2 PNAC, HyOx rita ens Bak | 4 15 * 65 2 NaSO, 7% with NaCl05% . | 6 LOe 395 3 pase Pe ee eee 6p be Ri 1 3 Glacese: 7s 9 jc tee Verte Ps ae | 63 6.0 to 6.5 2 NialS CNG) ieee A le 74 6:0) 5585 3 {Nal ei ie: wack Bee MEM : 10 5:0 5° 5 2 Mee Mile Payee eae 10 7.0 “ 12.5 2 fNa2SOq E,W 0 er 13 10.0 “ 20.0 p UNagH POs?) 0 thee ee 13} 9.5 “17.0 2 (7 Na,SO, + alcohol3% . . | about 153 BO OC 1 | ” Na SO, + caffein 0.04% . . 8 git 15.0 to 20.0 2 | 7 NagSO, + juniper ol 04%. | “ 18 s000 1 | 7 Na gSO, + phlorhizin 0.4 % | 183 eae 1 {Nas Re(CN), Lien meee | 203 16.0 to 24.5 2 ! 75 c.c. per kg. This table, deduced from the means, can be well supported by the study of individual experiments in which different salts were injected successively into the same animal: Water. Less than SO,, Experiment XXV. Alcohol in water. Less than SO,, Experiments XXV and XXVI. Acetate. Less than SO, or PO,, Experiments XI and XVII. Glucose. Less than SO,, Experiment XIX. SCM. Less than SO, or Fe(CN),; more than alcohol in water, Experi- ments XXV and XXVI. Comparative Diuretic Effect of Saline Solutions. 459 fodide. Less than SO,, Experiments XIV and XV. Urea. Less than SO,, Experiment VII; more than glucose, Experiments VI and VII. PO;. Less than SO,, Experiment XVIII; more than (7H. Os and o@7. Experiment XI. FeCl). More than SO, and SCN, Experiment XXVI and XXVII. SO, and alcohol. Greater than C,H,O,, Experiment XVII. SO, and juniper. Greater than C,H,O,, Experiment XVII. Caffein in SO, Greater than SO,, Experiments XVI and XIX; than glucose, Experiment XIX. Lhlorhizin. Greater than SO,, Experiment XVI. V. CAUSES OF THE DIFFERENCE IN DIURETIC ILFFECT. The following table shows that the diuretic effect of the saline diuretics is generally proportional to the dissociation, z. ¢. is mainly a factor of the molecular concentration of the injected solution : In 7% solution, 1 mol. disso- ciliates into! | | Mean diuretic | factor. NaC HiOg. 7 «| | 1.03 NaNO; ar. an | 1.8 Glucose NaSCN Neil Urea NaySO, Na,liPO, Na,zFe (CN), 1 Compiled from Hamburger (A) and Ostwald (A). It is seen that a molecule dissociating into 2.6 molecules gives the highest diuresis; one dissociating into 1.8, less; 1.03, least. There are, however, breaks in the series: glucose, and especially urea, stand high; Nal stands above NaNO, or NaSCN. The conclusion is therefore justified that the diuretic power of saline solutions is proportional, in the first place, to their freezing- 460 | Torald Sollmann. point;- and therefore in equimolecular solutions (in the sense of Hamburger) to their dissociation. Equiosmotic solutions, however, also vary. If this difference between equiosmotic solutions is ex- pressed as “specific diuretic’ power, then the specific diuretic power of urea and glucose surpasses the salts, urea surpasses glucose, iodide surpasses nitrate and sulphocyanide. These conclusions appear in agreement with the results of Haake and Spiro,! although the differences in the methods makes comparison difficult. VI. How bors THE MOLECULAR CONCENTRATION OF THE INJECTED SOLUTION INFLUENCE DIURESIS? The influence of the molecular concentration on diuresis which these experiments illustrate, was already shown by Miinzer.2 The explanation which has been given seems very simple. The hyper- isotonic solution draws fluid fromthe tissues, so that the result is the same as if so much more fluid were injected. This explanation is not sufficient in regard to the maximal rate of diuresis; for a substance dissociating into 2.6 molecules could in- crease the injected 25 c.c. of fluid to no more than 70 c.c.; and as has been shown (p. 457), such an increase in the amount of isotonic fluid would not alter the rate of diuresis. Some other explanation is necessary. This could be sought in a vital stimulation of the renal epithelium by the hyperisotonic solutions. However, it is not neces- sary to have recourse to such an obscure explanation, for the same phenomenon is seen on the perfusion of excised and dead kidneys with salt solutions. Method of the perfusion experiments.—The kidneys were exposed by a large incision through the linea alba and another incision along the border of the ribs. A cannula was inserted into the ureter and another into the renal artery, toward the kidney, and connected at once with a bulb con- taining the warm perfusion fluid (saline solutions, with or without the addition of blood) placed at a height of 140 cm. above the animal. The perfusion was begun; a cannula was then placed in the renal vein, toward the kidney, and the kidney excised, the capsule being usually removed. An outflow of fluid from the ureter began at once, and con- 1 HAAKE and Spiro: Beitrage zur chemischen Physiologie, 1902, ii, p. 149. * Mtnzer, E.: Archiv fiir experimentelle Pathologie und Pharmakologie, 1898, xli, p. 74. Comparative Diuretic Effect of Saline Solutions. 461 tinued indefinitely. The rate of urine flow varied from ? to 22 c.c. in to minutes. That this fluid did not result from a rupture of the blood- vessels, is shown by: — 1. The low filtration pressure used. 2. If blood is circulated after the saline, the urinary fluid remains free from corpuscles. 3. The changes in the composition of the urinary fluid on changing the perfusing fluid are only complete after some 20 to 4o minutes. 4. The secretion varies with the vein outflow, the injection pressure remaining unchanged. 5- If blood diluted with Na,SO, is circulated, the per cent of NaCl in the urine is generally less than in the serum. The following typical experiment shows that ¢he rate of circulation and of urine formation varies with the osmotic pressure of the perfusing solution - EXPERIMENT XXXVI. Flow from ureter Flow from vein Perfusing solution. : : p ; g in 10 minutes. in 10 minutes. c.c c.c NaCl $% + Na,SO, crystals 115% . 6.0 95.0 6.0 40.0 MACWOOU en 2) om Be . 15.0 NaCl 1.95% NaCl 3% Na,SO, 8% The increased urine flow is simply a consequence of the increased circulation, for others of my experiments, which are reserved for a later paper, show that in the dead kidney, as in the living, the filtra- tion of urine depends mainly upon the rate of perfusion, and but little on the filtration pressure. In the light of these experiments the superior diuretic action of hypertsotonic solutions 1s explained very A462 Torald Sollmann. simply, by their causing a shrinkage of the cells, and through this in- creasing the lumen of the blood-vessels, and hence the rapidity of the circulation. That we are dealing here with a purely physical phenomenon is shown by the fact that the changes of circulation are the same in kidneys which have been excised for three days. Vein. Ureter. NaGlY, ao Face a lO 3 eel ety icy erica. Semel Co(0, 1 WH 1 Strong alcohol also increases the circulation. EXPERIMENT XXXVII. Time. Ureter. NaCl 3.5% 2.30 2.45 3.00 Alcohol 80% Bals Bal5 NaCl 2% 3.25 This result explains, on a physical basis, a number of phenomena which had hitherto to be regarded as proofs of “vital” secretory stimu- lations. (a) The superior diuretic action of hyperisotonic solutions, and the fact that intravenous injection of water has but little diuretic effect. (6) Why the addition of a urinary constituent (harnfahige Sub- stanz) increases diuresis. This has been noted by all observers who worked with sluggish kidneys. Munk!, for instance, in his perfu- sion experiments, found very littie secretion unless some such con- stituent was added. This he interprets as due to a stimulation; as he increased the concentration (NaCl was added to 2 per cent, etc.), the phenomenon is identical with that just described. 1 Munk, I.: Archiv fiir pathologische Anatomie, cvii, p. 291. Comparative Diuretic Effect of Saline Solutions. 463 VII. THE ComparRATIVE DiuRETIC EFFECT OF DILUTED AND UNDILUTED BLOop. A blood diluted with saline solution circulates more rapidly, and con- sequently filters more urine, than an undiluted blood. Examples: — EXPERIMENT XXXIII. Flow from Flow from 1 part of defibrinated blood to ; y vein. ureter. 3 Part isotonic saline solution | 0 ce « “ 3 few drops 1 Really belongs to previous period. EXPERIMENT XXXVI. (The kidney has lain for two days.) | | Flow from Flow from vein. Ureter. Pure saline Blood 1, saline 6 Pure saline A64 Torald Sollmann. These two experiments, selected from a number of others,’ illus- trate a fact which is really self-evident, but which seems to have been neglected entirely by experimenters: (a) Munk? found that ordinary defibrinated blood would not cir- culate through the excised kidneys, unless it had been diluted with saline solutions. He seeks the cause of this phenomenon in some clotting which, however, he could not demonstrate. The cause is simply that the undiluted blood is too viscid to circulate through the contracted vessels of the excised kidney. (6) The diuretic effect of hydramic plethora is partly, at least, explained by the dilution of the blood and the consequent more rapid renal circulation; conversely, the absence of diuresis on the injection of blood (Magnus®*) is explained by the thickening of the blood and consequent slower renal circulation. (c) It is not justifiable to estimate the rapidity of the circulation in the kidney by measuring the kidney volume, as is commonly done; for by dilution the renal circulation may be quickened without changing the calibre of the vessels; and by dehydration (hyperiso- tonic solutions) the calibre of the vessels may be altered without cor- responding changes in the volume of the kidney. VUHI. Concriusions. 1. The maximal rate of diuresis is fairly uniform for a given salt. 2. It is not markedly influenced by variations of 25 to 75 c.c. per kg. in the quantity of fluid injected. 3. In equimolecular solutions it varies generally with the number of dissociated ions, but urea has a greater diuretic effect than glucose: either is more active than the salts in equiosmotic solutions; the iodide is more diuretic than the nitrate or sulphocyanide. 4. The superior diuretic effect of hyperosmotic solutions cannot be satisfactorily explained by the greater.hydraemia. The perfusion ex- periments show it to be due to increased circulation through the kid- neys, produced by the dehydration of the renal tissues. Hypoisotonic solutions have the opposite effect. * Some experiments are not very clear, because a solution containing a large amount of blood often obstructs the vessels so that the following solution does not circulate for a considerable time. 2 MuNK, I.: Loc. cit. 3 MAGNuS, R.: Archiv fiir experimentelle Pathologie und Pharmakologie, 1gor, xlv, p. 250. Comparative Diuretic Effect of Saline Solutions. 465 5. Hydrzmic plethora increases diuresis, amongst other mechan- isms, by diminishing the viscidity of the blood, and therefore increas- ing the circulation in the kidney. 6. The volume of the kidney is not a safe index of the circulation through this organ, even if the arterial pressure remain constant. 7. The urine filtration in the excised kidney depends much more upon the rapidity of the blood-flow than upon the arterial pressure. THE RESPONSE OF THE FROG TO: LiGker BY ELLEN. LOREEDE. CONTENTS. Page I. Introduction. . . : MS moe ASE, II. Response to white Baht § in the (Gameemie of chs laboratee et Oe eC Diffuse lights. s-ccs > Se aS ow 8 ee eps Soe ree eS Directsliitt i. 0a 5 eben se ce. ia Rooting We hiss a as Diffuse light versus Smo Cr mermrre mie me G5 il Light reflected from below = % 35. 5 2 = « a0 os ety ee Light transmitted from above s: “95 29 62) 3) 8 ree ce Phototaxis:in, water. .) . s. eely .obee 2 oe "Ss en Orientation . . 56 atin AO ka) ee Light transmitted dhraush a ‘eeenne Prism.) 2.59 coe aree eee The orientation of the frog with one eye covered . . . . =» s GN w see ueee Effect of prolonged light. . . . 3 1a Sy ae eee III. Response to white light in increased aa in iereree tometer + eer The effect of increased temperature; . . . .. .- ©) s: susie ee The effect of lowered temperature . 9. .0 . ss 7. 2) eee eee Stereotropism . . ‘ Nee she 25/77) Effect of darkness on upward anal Gawinward’ movements in water . . . 477 IV. Response to monochromatic light .-. . . :; .|. 9. «= 9) s.r Red i) sce tee ew Jewel ty aoe 4 Be 0 oct oe Yellow 20 0%. te 8 In - sl pee et ew ke 8) Green © 20 sole eR ne ep Blue esse ; 478 Response to diorently colored iehts admitted at opaos onde of a TECeptacle sn. we 478 Unequal amounts of light tranenvitieds throught the seat an eiveeen ine blueimediaye cnr: 5 ‘ PE aS) Response to a red and toa Blue pakerounde eas 480 » Response when the entire environment is one-half blue aed one- half ied 485 Response when white light is admitted at opposite ends of a receptacle, one-half of the surface of which is painted red, the other half blue . 485 V. Conclusions... 2. 6) 2 Sl se ek ae tes Sor tc I. INTRODUCTION. i his study of light-response and color-sense of animals, Graber! states that frogs are negatively heliotropic. Loeb,? however, in his paper on the extension of heliotropic phenomena in the animal kingdom, finds them positively heliotropic. ‘ GRABER: Grundlinien zur Erforschung des Helligkeits und Farbensinnes der Thiere, Prag, 1884. * LoeB: Der Heliotropismus der Thiere und seine Uebereinstimmung mit dem Heliotropismus der Pflanzen, 1890, p. 89. 466 The Response of the Frog to Light. 467 Loeb does not give a detailed account of his observations, but Graber gives tabulated results of experiments carried out between October 10 and 20. He used a large box about 2 cm. high and divided into two compartments, one of which was dark, the other illuminated with diffuse light (daylight). Three series of experi- ments of ten trials each were performed with Rana esculenta, forty frogs in each trial. The frogs were placed in the boundary between the light and the dark compartment, and each trial covered a period of fifteen minutes. The totals of the results are as follows: I IT III Sto pee elas 166 174 Darke as 29) 267 Zan 226 indicating a reaction-proportion of 15:10. Loeb finds that frogs move to the source of light, through whatever colored medium it be transmitted, a quantitative difference only being observable between the effects of lights of differing refrangibility. Graber had found, in three series of experiments of ten trials each, that 736 responded to the red, and 464 to the blue; the reaction- proportion being 6:10. Loeb does not state whether or not he made observations with the intermediate colors, green and yellow. Graber, however, tested the response to green but not to yellow. As compared with red, the results in the two series of experiments were, I IT Dark Red) ws. 1450 Briphtzereen) paar oo0 the reaction-proportion being 10:13. Compared with blue, he found the responses to be, I I Brightgreen =. . - 440 Dende ible 6 5 4 AsO) the reaction-proportion being in this case 7:11. He compares the “attraction-strength ” !.of the colors, and finds them to be, Red. Yellow. Green. Blue. 1 ye 0.7 0.5 In order to carry out more detailed observations than have hitherto been made on the frog, and in order to determine conclusively, if 1 GRABER attributed the response to differently colored lights as an exhibition of the color-preference of the animal. 468 Ellen Torelle. possible, its orientation to light, Dr. Morgan, to whom I am deeply indebted for kindly criticism, suggested that a series of experiments be performed to include responses of the frog to—(1) diffuse light, (2) direct light, (3) light reflected from below, (4) light transmitted from above, (5) light transmitted through a gelatine prism, (6) orientation with one eye covered, (7) orientation and reaction in high temperature and in low temperature, (8) response to monochro- matic light. The experiments were carried out in the Bryn Mawr biological Jaboratory from October to February, 1902-03. The material con- sisted of the two species, R. virescens virescens and R. clamata. The frogs were kept in an aquarium in the laboratory, where they seemed to remain in good condition. In testing responses to light, two boxes were used as receptacles, the inner surfaces of which were painted a dull black, with the ex- ception of the glass surface of one wall, through which the light was admitted. Each of the covers of the boxes contained a longitudinal slit, about an inch wide, permitting the movements of the frog to be observed without removal of the cover, a strip of black wadding which could be noiselessly lifted being laid over the slit. At first, no time-limit was set for each trial, the frogs being kept in the box from ten to twenty minutes, or more, a varying numter of frogs being used in each set of experiments. Later, all these ex- periments were repeated, a time-limit of ten minutes was set for each trial, and the same number of frogs was used in each set of experi- ments, except in cases where lack of conclusive response seemed to call for the trial of more individuals. Only one frog was used in each trial. The results obtained fall into three divisions: Response to white light in the temperature of the laboratory; response to white light in increased and in lowered temperatures; response to monochro- matic light. II. RESPONSE TO WHITE LIGHT IN THE TEMPERATURE OF THE LABORATORY. Diffuse light. — ‘The response to diffuse light was first observed; a tin box, nine inches long, five inches high, and twelve inches wide, prepared as above described, served as a receptacle. In the first set of experiments, six frogs were used. Each was placed at the The Response of the Frog to Light. 469 rear, which was the darker end of the box, with the head turned away from the source of light. Though the time of response varied with each individual, as a rule, from one-fourth of one minute to one minute sufficed for turning and for moving the twelve inches to the opposite or light end of the box. While there was usually some movement from side to side of the box at this light end, the frog remained here during the rest of the time, which in this first set of experiments was twenty minutes or more. In all cases, whether moving or resting, the median plane of the body of the frog was parallel with the incoming ray. In a second set, of observations, made a month later, five frogs were used. Each trial lasted ten minutes, and the results were sub- stantially as before. These results seemed to indicate that the species of frog used were positively phototactic to diffuse light (daylight), and that in diffuse daylight the orientation of the frog was such that the median plane of the body was placed parallel to the incoming ray. Direct light. — The apparatus used in the foregoing experiment was used also in determining the response to direct light. Five frogs were used in the first set of experiments, and five in the second. The sunlight fell into one end of the box only. In each case, the response was immediate and positive. The animals moved directly to the illuminated end of the box, where they remained a variable length of time, from two to four minutes, when they moved backward, just outside the circle of bright illumination, where they remained until taken away, the median plane of the body being parallel to the incoming ray. In most cases, when the sun-illuminated area was small, the head was not turned from the light during the retreat, which was accomplished by moving first one side of the body, then the other, sidewise and backward. In other cases the frogs turned at right angles to the light, hopped outside the area of intense illumi- nation, and orientated themselves with their heads in the direction of the incoming ray. Since the retreat into the area of less intense illumination might have been caused by the heat of the sun’s rays, the experiments were repeated, heat being cut off by placing a glass vessel with parallel sides three and one-quarter inches apart and filled with water, close to the glass end of the box containing the frog to be tested. In each case, the result was practically the same as before. When the frog was placed in the rear of the box with its head directed from the 470 Ellen Torelle. source of light, it turned, moved into the sunlight close to the glass end, where it remained a short interval, and then retreated as before, remaining in a resting position in the area of lesser illumination until removed. When placed within the area of intense illumination, with the head directed toward the source of light, it left this region as before. Tests were made out-of-doors, with the animals unconfined and free to move into a shadow from the sunshine or vice versa. Ten frogs were tried. Each was placed on a glass plate, covered with a bell-jar rendered impervious to light, and carried onto the lawn near the laboratory, where it was deposited about three yards from the shadow of the building, the bell-jar removed, and the frog left on the plate with its head turned away from the sun and from the shadow of the building. The frog at first hopped forward, then stopped, turned in the direc- tion of the sun, and hopped well into the shadow, where it remained quietly for ten minutes. Jt was then moved into the sunshine, in about its former position. Again it turned and hopped into the shadow. The results were very much the same in the case of each frog tried; there was a positive and decided movement from the sunshine into the shadow. Since the sun’s rays and the shadow of the building during these experiments were in exactly the same direction from the frog, it was impossible to decide whether the movement was due to a response to the direction of the ray or toward a shadow. Therefore, later in the day, when the shadow of the building became oblique to the direction of the sun’s rays, the experiments were repeated, the frog being placed in such a position that if it moved into the shadow it must hop at right angles to the direction of the rays. In each case, the results were substantially these: First, the frog turned in the direction of the (sun) ray; second, it moved .quickly into the shadow by a direct path. The experiments were repeated on different bright days, but the results were always the same as regards movement from the sun-illumined area into the shadow. In some instances the frog remained in the grass; in others, it moved close to the wall of the building. The question now arose — Does the frog recognize the shadow as an area of less intense illumination, or would it move toward or onto a black surface as well if this were placed in the sunlight? The side of a large wooden box was covered with black cloth, and The Response of the Frog to Light. A7I the frog placed near the black perpendicular surface. It hopped close to this, remained but a couple of minutes, then moved to the wall of the gray-colored building, where it remained at rest in the angle formed by the wall and the ground. When placed near the un- covered box (pine) on the side in full sunlight, there was no move- ment toward it. When the box was raised on one edge and propped, so that the other edge was about four inches from the ground, the frog moved toward the shadow thus formed, crept well under the box, placed the body between its floor and the ground, where it remained with its head directed outward. A black cloth was fastened close to the ground in the centre of a sun-illumined area, and a frog placed near it moved onto it, crept along the edge as if seeking cover, then hopped off. A second frog also hopped onto the cloth, but almost immediately moved off. Apparently a dark surface, brightly illuminated, does not produce the effect of a shadow or of diffuse light. Tests were also made at mid-day on a level tract of ground about two acres in extent, which contained neither trees nor any object that could cast a shadow. Six frogs were tried. When freed, each moved indifferently toward any point of the compass, but usually kept on moving in the direction in which it began to move. In several trials no movement resulted; the frog crouched low between short bunches of grass, its head held close to the ground. When dark black or dark brown screens were placed in the middle of this area, and the frogs placed within five yards of them, the movement was toward and into the shadow of the screen, where they usually re- mained indefinitely. Diffuse light versus sunlight. A tin box eighteen inches long, three inches high, and three inches wide, painted a dull black inside and with the opposite ends, consisting of glass plates, placed so that the sun’s rays were transmitted through one end and diffuse light through the other, was used as a receptacle. Five frogs were tried, each being given three trials, in each of which the first position in the receptacle was changed. That is, the frog was deposited first at the end at which diffuse light was transmitted, then in the middle of the box, then near the end at which sunlight was transmitted. In each case the frog turned toward and moved to the end at which the direct ray was transmitted, but did not remain within the circle of most in- tense illumination. In some cases it méved to the opposite end of the box; in others, without turning, it retreated into the area of less intense illumination. 472 Lillen Torelle. This experiment corroborates and reinforces the results obtained with diffuse light and direct light. Light reflected from below. — In this set of experiments, a tin box, nine inches long, five inches high, and twelve inches wide, was used, all of whose surfaces were painted a duil black except the floor, which was made of window-glass. The box was supported so that the move- ments of the frog could be watched from below as well as from above. In the first set of experiments, five frogs were tried; in the second, fifteen. The results in both cases were the same, and differed with the amount of light (diffuse) admitted. (a) When light was reflected from the whole area of the lower surface, the frog remained in normal resting position. (0) When light was reflected from one-half of the lower surface, the frog hopped toward the light area. (c) When the light was reflected from one-third of the surface, there was movement toward the light area, but the head was held at a greater angle to the horizontal. In all the above trials it was found that the less the amount of light admitted, the greater the angle of the head to the horizontal plane of the floor of the box; so that, when light was reflected from the entire lower surface, a normal resting position was taken, about two-thirds of the ventral and posterior part of the body resting on the plate. When two-thirds of the lower surface of the box was covered (opaque to the light) only one-third of the ventral and pos- terior part of the body rested on the glass plate. In each case the frog moved from the darkened area onto or near the lighted area. Light transmitted from above. — The box used in Experiment III was used here, the glass plate serving now as the upper side of the box. Eighteen frogs were tried; the average of results was about the same. In all cases the response to the direction of the incoming ray was immediate. The body was raised to an angle of about 45° to the horizontal. If a portion of the upper surface was covered, the frog moved to the uncovered side. Frequently, too, the frog jumped upward, toward the source of light. Later, it was seen in experiments on five frogs, that the angle of inclination of the body varies as the distance of the frog from the upper illuminated surface. Each frog was placed in a tall glass jar which rested on a black cloth and was covered laterally by an opaque black cloth. If the entire lower and one-half of the lateral surfaces were covered, the angle of inclination of the frog’s body was about 45°. The Response of the Frog to Light. 473 If the entire jar was covered the body was raised so that the forelegs were as nearly as possible at right angles to the horizontal bottom of the jar. This made the inclination of the body 60° or over. Fre- quently the frog assumed an almost erect position, by means of placing the forefeet against the side of the jar. Some of these results can be demonstrated at any time by simply placing a frog in a tin pail and covering the pail with a wire gauze. The results are valuable here, together with those of the foregoing experiments, as showing that the frog is positively phototactic to light coming from any direction. Phototaxis in water. —Is the frog positively phototactic in water? In order to answer this question a frog was placed successively in tubes of varying diameters, the smallest being one and three-eighths inches, one end closed with wire gauze, the tube placed at angles of inclination varying from 45° to a plane parallel with the floor of the _ receptacle, the end covered with gauze being held near the wall of the receptacle. Light was admitted from one end only, and the tubes were completely immersed in water. Five frogs were tried, each in three trials. All moved close to the illuminated end of the tube. Orientation. — In the first five experiments, the floor of the recep- tacle was bare, being kept moist by occasional rinsings with cold water. It seemed desirable to ascertain if the movements and accu- racy of orientation would be affected by the presence of a bank of sand or pebbles in the box, between the source of light and the frog. Upon six inches of the central longitudinal area and across the entire width of a box nine inches wide, twelve inches long, and five inches high, a bank of sand two and one-half inches high was made, the sides of which sloped gradually toward the darker and toward the illumi- nated ends of the box. Twelve frogs were tried. The movements of one frog will be followed as illustrative of the response of all. The frog was placed in the rear compartment, with its head turned from the source of light. It immediately turned around, moved to the bank, where it paused, craw/ed, not hopped, up the bank to the top, then across the plane surface to the opposite edge, where it re- mained one and one-half minutes, then crawled down the bank and moved close to the glass at the light end of the box. The same frog was again placed in the rear compartment after about one and one-half inches of water had been poured into it. It swam about at first, then crawled up the bank in the direction of the light, turned again toward the water, but soon moved to the lighted 474 Ellen Torelle. edge of the bank, where it remained four minutes, when it was. re- moved and water poured into the lighted end of the box. Within one minute the frog had crawled over the bank and into the water at the lighted end, where it remained during the rest of the experiment, or nine minutes, moving from side to side of the box with its head against the glass end. The responses of the other eleven frogs varied somewhat with the individual, but were in the main like the one above described. Light transmitted through a gelatine prism. — A triangular prismatic plate, three inches in diameter at the base, was made by mixing lamp-black with dissolved gelatine and allowing it to become firm. This was then placed in front of the glass end of a box with the thick end of the prism to one side, so that light of differing intensities was admitted at the same time into the box. From time to time the position of the prism was reversed. In all cases the frog hopped to the side of the box at which the most light was transmitted, z. e. the thin part of the prism, with the median plane of the body in the direction of the incoming ray. The orientation of the frog with one eye covered. — The left eye was first covered with black cambric of several thicknesses, cut and sewed together so as to fit smoothly over the left portion of the head, above the nostril and anterior to the tympanum. This cap-like garment was fastened to a cambric band passed around the body just posterior to the forelegs. The frog was placed in the box used in the former experiment, with its head directed from the source of light. It immediately turned, with its right eye directed toward the source of light, z. ¢. with its body oblique to the incoming ray. The angle of deviation from the direction of the incoming ray differed in different individuals. Five frogs were tried, but in no case was the orientation that observed when both eyes were uncovered. Next, the right eye was covered in the same way that the left one had been, and now the frog orientated itself so that the left eye was directed toward the incoming ray. The frog was then removed from the box and allowed to jump freely on the floor; the movement was toward the left, and the frog alighted on the floor on one side, in an uncertain, floundering way. In these experiments the responses were no doubt modified by the irritation caused by the covering, of which each frog tried to rid it- self. That all the movements were due to this cause cannot be con- cluded, for in each set, when the right or the left eyes were covered The Response of the Frog to Light. 475 the orientation was characteristically different, as if resulting from differing causes, and not merely similar movements caused by the irritation of the covering. Effect of prolonged light. — Does exposure to light for a prolonged period alter the response to light-stimuli? In order to answer this question two frogs were kept confined in glass-lined boxes two and one-half inches by one and one-half inches, the ends of which were covered with wire gauze. Since the frog turns in a very small space, cords were passed through the boxes from side to side and one-half inch from the top, forming a sort of fence, which allowed space for up and down movements of the head, but not for turning around. One frog was kept in the box from II A.M. to 4 P.M.; the other from 8.20 A.M. to 4.20 P.M. When freed and placed in the box with one lighted end, the response was the same as before, z.¢., the frogs were positively phototactic and also moved close to the lighted end of the box. The foregoing experiments seem to indicate two different kinds of response to light. One kind, the response to the direction of the rays which affect orientation, is unquestionably phototaxis; the other I shall not venture to call photopathy in the present unsettled definition of the term.! III]. RESPONSE TO WHITE LIGHT IN INCREASED AND IN LOWERED TEMPERATURES. The effect of increased temperature. — The temperature of the aqua- rium in which the frogs were kept varied from 12° to 15° C. The temperature of the room in which the experiments were performed varied from about 18° to 20° C. In order to observe the effect of a rise in temperature on the character of the response to light, the box, before described, was placed within a large box, also having a glass end, and into which enough water could be poured to come well up the sides of the inner box. This water was heated by means of an Argand burner placed under the larger box. - The temperature could be increased or kept constant as desired. A marked accelera- tion in time of response was noted in temperatures up to and in- cluding 25° C. The frog moved immediately and directly from the darker end of the box to the lighted end, where it remained close to 1 HoiMES, S. J.: This journal, rgot, iv, p. 211; Horr and Lee: This journal, 1901, ix, p. 460. 476 Ellen Torelle. the glass. Between 25° and 30° C. the frog became restless and moved about much. Above 30° C. movements toward the darker end were as frequent as those toward the lighter end, the response to light being overcome by the effect of heat. The effect of lowered temperature.—In observing the effect of lowered temperature upon the response to light, the same apparatus was used as described for Experiment I b, z. e. a small tin box, twelve inches long, nine inches wide, and five inches high, containing a glass end, within a larger box sixteen inches long, twelve inches wide, and eight inches high, also furnished with a glass end. The bottom of the smaller box was covered with a layer of sand one-half inch thick, and the box was surrounded by ice placed in the larger box. The temperature of the water in the aquarium in which the frogs were kept was 15° C., the temperature of the box was 8° C. When a frog was placed in its rear end, head turned from the light, it moved to the light end once, remained there for one-half minute, but retreated, turned away from the light, and remained in the rear of the box, either moving about, its head down as if it were trying to get under something, or quietly crouching, with the head down during the other nine and one half minutes of the experiment. When returned to the aquarium, the above movements continued in the water, the frog remaining for several minutes on the floor of the aquarium. Five frogs were tried; three of these did not leave the rear end of the box at any time. Reaction in water to lowered temperatures. —In order to test the reaction of the frog in water to lowered temperatures, a glass jar sixteen inches by eight inches in diameter was filled with water, and set in a box containing ice, so that the lower one-third of the surface was surrounded by ice; in other respects the jar was left entirely uncovered. When the temperature of the water in the jar was 8° C. the frog was put into it. With swimming movements it went down almost immediately, head foremost, to the bottom of the jar. With legs out- spread, almost at right angles to the longitudinal axis of the body, it moved about on the bottom of the jar, from time to time repeating the movements described as taking place in Experiment IIb, but rarely coming to the surface. From Experiments I, IT, IIIb, one is led to conclude that an increase of temperature to 30° C. lessens the time of response to light, 7. e. accelerates the rate; that below 8° C. the frog becomes negatively phototactic, whether it is in water or on a dry surface. The Response of the Frog to Light. A77 Stereotropism.— If opportunity be given, does the frog burrow in sand in temperatures below 8° C., or are the movements observed stereotropic responses ? In order to answer this question, sand, to the depth of several inches, was placed in a tall giass jar, the jar being then filled with water. The sand was arranged so that its upper surface sloped from side to side. Twelve frogs were tried. When the temperature of the water in the jar became 10° C. the frogs went down and remained down, with the body flat and limbs outspread, but no attempt was made to burrow. The crouching movements, together with the pass- ing of the head over the surface of the sand as if exercising a sense of touch, continued with a lowering of the temperature to 4° C., when they ceased. When a rock was lowered into the jar in such a way that a small space was formed between it and the wall of the jar, the frog crawled into this space and remained there. When a space was formed between the bottom of the jar and the rock, it crawled into that. This was tested several times, and was also observed when the temperature of the water in the aquarium in which the frogs were kept was lowered to 10° C. and below. When this was done, all the frogs responded, either by flattening their bodies against the stone floor, or by creeping under the rocks usually kept there. It there- fore seems that the frog is stereotropic in temperatures between to. ©. and 4° C. Effect of darkness on upward and downward movements in water. — The same jar used in the preceding experiment was used for this. The upper two-thirds of the jar including the open surface was covered with a cloth opaque to the light. With the temperature of the jar at 10° C. five frogs were tried, each being left in the jar ten minutes. They went immediately to the bottom, but rose to the top at intervals as before, and their movements seemed the same as when the jar was left uncovered. When the lower two- thirds of the jar was covered, no change was produced. IV. RESPONSE TO MONOCHROMATIC LIGHT. The response to monochromatic light was studied in different ways. First, glass vessels with parallel sides three and one-half inches apart were used to hold solutions of pigment recommended by Davenport.' 1 Davenport: Experimental morphology, p. 157. 478 Ellen Torelle. An alcoholic solution of fuchsin was used in testing the response to red; Lyon’s blue, aconcentrated solution of potassium chromate, and nickel nitrate were used for blue, yellow, and green respectively. The response to each was first separately observed. A glass vessel containing a solution of fuchsin was placed close to the glass end of the tin box used'in some of the previous experi- ments. This box was twelve inches long, nine inches wide, and five inches high, and the inner surfaces were painted a dull black; a slit in the cover, which was overlaid with several thicknesses of wadding, made frequent observations easy and caused little, if any, disturbance to the animal. Red. — (a) When placed close to the red, the frog turned and hopped to the rear or opposite end of the box. This happened two out of seven times. Five times when so placed it turned away from the red, but remained in the front half of the box. (6) When placed in the rear of the box it remained there six out of seven times. The seventh time it wandered about back and forth. (c) When placed at or near the middle of the box, it was indifferent as to moving backward or forward. It usually remained about where it was placed. Yellow. — The concentrated solution of potassium chromate was used in the same way that the fuchsin had been used. Five frogs were tried in ten trials. In each case, the frog moved to the source of the light, but soon retreated, remaining seated usually a short distance from it, indifferent as to orientation. Green. — Four frogs were tried in twelve trials. There was much moving about, to and from the green, but in no case did the frog remain for any length of time close to the green light. Blue. — Three frogs were tried in thirteen trials. The reaction was immediate and positive. Each frog hopped close to the glass, usually with the tip of its head against it, and frequently remained so until removed. Response to differently colored lights admitted at opposite ends of a receptacle. — The question arose as to how the frog would respond were differently colored lights admitted into opposite ends of the receptacle. In order to answer this, a tin box eighteen inches long, three inches wide, and three inches high, whose inner surfaces were painted a dull black with the exception of the opposite ends, which consisted of glass, was used as a receptacle. Results.—(a) The vessels before described were placed close to the The Response of the Frog to Light. 479 glassends. One was filled witha solution of fuchsin, the other with asolution of nickel nitrate. Five frogs were tried. Each moved from the red to the green or toward the green. (6) When the green and the yellow lights were opposed, movement was from the yellow toward the green. ‘The frogs usually remained a few inches from the green end of the box with heads turned toward the green light, but they were not always precisely orientated by the rays. Five frogs were tried, each in two trials. (c) Next yellow and red were used in the same way. Five frogs were tried. The movement was from red to yellow. (dz) When the blue light and the red light were at the opposite ends, the response was an immediate movement toward the blue. The TABLE I. Time at blue end. Time at red end. Position of frog at beginning of experiment. 8 min. 2 min. Head turned toward red and in red end of box. Same as l. 10 “ce O “ce 10 ““c Same as l. ee Same as l. Same as l. Same as l. difference between the response to the blue and the responses to the green and yellow is very marked. Blue not only effects an immediate response, but the frog remains close to the glass end where the blue solution is placed, frequently with its head against the glass and its median longitudinal axis parallel to the incoming ray. Unequal amounts of light transmitted through the red and through the blue media. — Other tests were made with a greater amount of light transmitted through the red than through the blue medium. A vessel with parallel sides three and one half inches apart was used for the blue solution, one with its parallel sides one and one half inches apart being used for the red. In order to be able to make more accurate comparisons, it was thought best to note the time during which the frog in each trial remained with its head directed toward one or the 480 Ellen Torelle. other light, a ten-minute limit for each trial being taken. Since the responses to green and to yellow had seemed conclusive, and since previous observers differed as to the response to red and to blue, attention was confined to testing the response to these colors. The results when red and blue were opposed are shown in Table I, showing a reaction-proportion of 4:2 in favor of the blue, even when more light was transmitted through the red medium. Response to a red and to a blue background.— One-half of the inner surface of a tin box twelve inches long, nine inches wide, and five inches high was covered transversely with blue, one-half with red cheese-cloth. White light was admitted through the glass, at the end, which was covered with blue. The results are shown in able ll: TABLE, IL No. of frog. Time at blue end. Time at red end. Position of frog at the beginning of the experiment. 7 min. 3 min. Di 13 4 Head turned from light in the rear of red compartment. Head turned from light in the middle of red compartment. Head turned from light in the rear of red compartment. Same as 3, Same as 3. Then the strips were reversed, white light being admitted through the glass at the end, which was covered with red. The results are embodied in Table III. Time at blue end. TABLE III. Time at red end. Position of frog at beginning of the experiment. 10 min. 10 ce 8 “ O min. Head turned from light and in rear of blue compartment. Same as l. Same as l. Same as l. In the middle of the red area, head turned toward the light. The Response of the Frog to Light. 481 The box was lined with the strips laid lengthwise, the white light admitted equally on both; the position of the frog at the beginning of each trial, together with the results, being indicated in Table IV. PAGES IE Ere Time at blue Time at red Position of frog at beginning end. end. of experiment. 9} min. > min. In rear enc of red compartment, head turned from light. Ora haa | Same as l. 6 : : Same as I. 9 : ce In rear of blue compartment, head turned from light. IQ) eS Da Same as 4. Red and blue solutions were placed in front of the red and blue- lined sides of the box respectively, with results shown in Table V. LABCE Ne Time at blue Time at red | Position of frog when end. end. experiment began, 10 min. QO min. | In rear of red compartment, head turned toward the light. 5 ie S) aes | In rear of red compartment, head turned from the light. lines 3 | In middle of blue compartment, head at right angles to incom- ing light. OS In rear of blue compartment, head , toward light. ORS | In rear of blue compartment, head turned from light. The results of the experiments with the colored cloths did not seem convincing, for the cloth offered an absorptive surface to the skin of the frog, and the dyes as well might have vitiating influences. So the external surfaces of three rectangular glass vessels were painted in the one case blue and red, transversely applied; in the other, the position of the colors was reversed; in the third, the paint was longitudinally applied. The blue corresponded to the tube paint known as new blue; the red, to vermilion. White light was transmitted at the open end through an ordinary window-pane. 482 Lillen Torelle. (a) The vessel on which the paints were longitudinally applied was first used. TABLE VI. Time at blue Time at red Position of frog at beginning of end. end. experiment. 10 min. O min. In rear of red compartment. ce In rear of red compartment. * In rear of blue compartment. “ In middle of blue compartment. In middle of red compartment. In rear of blue compartment. In middle of red compartment. In rear of red compartment. In rear of blue compartment. In ant. end of red compartment. ant. end of red compartment. rear end of red compartment. rear end of blue compartment. The above table (Table VI) shows a response of eleven out of thir- teen to blue. The response to red may be accounted for by fear, or by sluggishness. (6) Next the vessels to which the colors had been transversely applied were used. The frog was first placed in the vessel in which the red was next to the white light. It was watched for ten minutes ; then this same frog was put into the aquarium in which the blue was next to the white light and again watched ten minutes. The frog was always placed in the same relative positions in the two vessels and the positions differed for each experiment. When red was next to the white light the responses were those indicated in Table VII: | The Response of the Frog to Light. 483 ABER WLI Time at blue | Timeatred | Position of frog when end. end. experiment began. 10 min. In right-hand, rear corner of blue. (Moved to red boundary and stopped.) 10 In anterior part of blue compart- ment. (Moved to red boun- dary and stopped.) Remained in blue compartment. In middle of red compartment. In rear of middle part of blue compartment. In rear of left-hand corner of blue compartment. In middle of red compartment. When blue was next to the white light the frogs responded as shown in Table VIII: TAB EES VUE Position of frog at Time on blue. Time on red. Wh scotia 5; beginning of experiment. O min. | 10 min. In middle of red compartment. In middle of blue compartment. In middle of blue compartment. In rear of red compartment. In rear of red compartment. In middle of blue compartment. A constancy in the response of the same frog, in vessels in which the colors are reversed, is here observed, except in frogs 1 and 5 of the last set. The first I can account for, as the glass plate at the open end fell during the experiment and frightened the frog into retreat; the case of the fifth I cannot account for except that its condition was rather sluggish. A week later the same experiments were repeated with the follow- ing results: When red is next to the white light the following results were obtained: 484 Ellen Torelle. TAB IE Exe Position of frog at beginning of experiment. Time on blue. Time on red. 10 min. Oiminy In rear of blue compartment. In rear of blue compartment. In middle of red compartment. When blue is next to the white light the results are those indicated in Table X: TAR ILE Ss Position of frog at beginning Time on blue. Time on red. = of experiment. 2 min. In rear of red compartment. In rear of red compartment. In middle of blue compartment. The experiments were repeated, using other frogs, and changing the time of each trial from ten to twenty minutes. When red is next to the source of light the behavior of the frog is that indicated in Gable xc ANB Io Xcle ena ‘ sit a Position of frog at beginning ‘Time on blue. Time on red. : of experiment. 20 mins. | 0 mins. In middle-left of red compartment. 20 | In middle-left of red compartment. Ze ; In middle-left of red compartment. When blue was next to the source of light the frogs responded as indicated in Table XII: The Response of the Frog to Light. 485 TABLE XII. Position of frog at beginning of experiment. Time on blue. Time on red. 4 min. In middle of blue compartment. Tie“ In middle-left of blue compartment. a « In middle of blue compartment. Calculating in minutes the response to a red or to a blue back- ground, when white light is admitted, the response to the blue was three times greater than that to the red, the actual number of minutes on the blue being 479; on the red, 159. Response when the entire environment is one-half blue and one-half red. — A glass plate, one-half of which was painted red, the other one-half blue, was placed before the opening of the vessel! so that the red of the plate was adjacent to the red of the vessel, and the blue of the plate adjacent to the blue of the aquarium. The trials were of twenty minutes’ duration and gave the following results: TABLE XIII. Position of frog when placed Time on blue. Time on red. = in the vessel. 16 min. In rear of red compartment. 20s In rear of blue compartment. In middle of red compartment. In middle of blue compartment. In front end of blue compartment. In front end of red compartment. In this set of experiments the reaction-proportion is as 14:1 in favor of the blue. Response when white light is admitted at opposite ends of a re- ceptacle, one-half of the surface of which is painted red, the other half blue. — A tin box eighteen inches long, three inches wide, and 1 In which the strips of red and blue ran lengthwise. A486 Ellen Torelle. three inches high, and containing opposite glass ends (three inches by three inches), was laid off into equal compartments and its inner walls painted blue and red. In six trials the same frog was used, being put in the same relative position but upon a different color in consecutive experiments. In eleven trials the colors were reversed after each experiment, the frog being placed now on red, now on blue, and again on the boundary between the two. The results of the eleven trials are shown in the following table: TABLE XIV. Position of frog at Time on blue. | Time on red. aus >, beginning of experiment. 10 min. 0 min. In rear of red compartment. 10 0 In front end of blue compartment. 10 . 0 In middle of blue compartment. In rear of blue compartment. In front end of red compartment. In middle of red compartment. In rear of red compartment. In front end of red compartment. In middle of red compartment. In rear of red compartment. In rear of blue compartment. The results in the former case show a greater length of time on the blue in the case of all except the second frog, which, as indicated in Table XV, remained in the red compartment for ten minutes when placed in the red compartment. The results obtained in response to monochromatic light seem to illustrate Loeb’s theory “that the more refrangible rays are extraor- dinarily more active than the less refrangible, which occasionally remain almost ineffective.” ! According to Abelsdorff,? red rays affect the pupils of the eyes of some animals like darkness. 1 Logs, J.: Der Heliotropismus der Thiere, p. 20. 2 ABELSDORFF, G.: Archiv fiir Physiologie, 1900, p. 561. The Response of the Frog to Light. 487 Graber’s result on the frog can be explained only on the ground of a confusion arising as a result of using so many frogs (forty) at the same time in one receptacle. TABLE XV. No. of | Time on Time on Position of frog at the begin- trials. blue. red. ning of the experiment. 10 min. 0 min. At glass end of blue compartment. 10 Oe At glass end of blue compartment. ila At glass end of red compartment. = At glass end of red compartment. At glass end of blue compartment. At glass end of blue compartment. CONCLUSIONS. 1. At the usual temperature of the laboratory, between 16° and 21° C., Rana virescens virescens and R. clamata are positively phototactic. 2. They respond to light coming from above and from below, as well as from the side. 3. They respond differently to different intensities of light. They move out of the sunlight into the shadow, even when by so doing the movement is away from, or at right angles to, the direction of the ray. 4. When one eye is covered, the body is placed with its median plane oblique to the ray. 5. When a bank of sand is interposed between the frogs and the light, they crawl over this and move to the source of light. 6. Arise in the temperature to 30° C. accelerates the rate of the positive response. A lowering of the temperature to 10° C. produces movements away from the light. 7. When placed in water the temperature of which is lowered to 10° C., the frogs swim downward: (@) In an uncovered glass ves- sel; (0) Ina vessel, the upper two-thirds of which has been dark- ened; (c) In a vessel the lower two-thirds of which has been darkened. 488 Ellen Torelle. 8. The frogs turn away from red light and move toward blue light. They move toward green and toward yellow light, but are not defi- nitely orientated by either. g. When red light is admitted at one end and green light at the other end of a receptacle, the frogs move from the red to or toward the green. When red and yellow lights are opposed in the same way, movement is from the red to the yellow. When red and blue are opposed, movement is immediately toward the blue. 10. When white light is admitted at one end of a receptacle, and the frogs are given a choice of a red or of a blue environment, they move, in most cases, into the blue, and remain in it longer than they do in the red. 11. When one-half of the entire receptacle is blue and the other half is red (no white light being admitted), movement is from the red to the blue. ENDEX TO VOL: 2, ae J. J. On the true elementary composition of purified adrenalin and the relation of the substance to epinephrin, xvii. ApAms, G. P. On the negative and posi- tive phototropism of the earthworm Allo- lobophora foetida (Sav.) as determined by light of different intensities, 26. Adrenalin, composition, xvii. Alcohol, excretion of uric acid, xi. Agitation, effect on Arbacia eggs, 245, xviil. Apnea, 24. Arbacia eggs atfected by agitation, 245. Auditory affected by visual stimuli, 116. ACTERIA, chemistry, xviii. BEEBE, S. P. The effect of alcohol and alcoholic fluids upon the excretion of uric acid in man, xi. Blood, coagulation affected by adrenalin, 35: , coagulation, influenced by formal- dehyde, etc., 187. ——,, electrical potential, 262. , Sugar content affected by adrenalin, 35: Blood-pressure in veins, 161, 198. Brain, irritability during anzmia, 131. Brown, O. H. The immunity of Fundulus eggs and embryos to electrical stimula- tion, IIT. (Ce chloride, physiological action, 214. CaNNON, W. B., and H. F. Day. digestion in the stomach, 396. Cell substance, method of obtaining, xviii. Cervical sympathetic, effect of section com- pared with removal of superior ganglion, Xviil. : Chinic acid, influence on elimination of uric acid, xvi. Chlorides in urine, affected by diuretics, etc , 425. CLowes, G. H. A. The relationship between the freezing point depression Salivary IX. and specific gravity of urine, under vary- ing conditions of metabolism, and its clinical value in the estimation of sugar and albumin, 319. Color-sense, frog, 466. CusHNy, A. On the pharmacological action of optical isomers, xiv. ACY. EY 396. DEAN, A. L. See HENDERSONand DEAN, 386. Dextrose from pancreatic digest, 380. Diabetes, phlorhizin, respiration experi- ments, Xvlil. Diuretics, effect on chlorides of urine, 425, xii. ——,, saline solutions, 454. DoNnaLpson, H. H. Dr. Hatai’s observa- tions on the effect of lecithin on the growth of the nervous system of the white rat, xviii. See CANNON and Day, DWARDS, G. H. See HENDERSON and EDWARDS, 417. Epinephrin, xvii. Eye movements, relation to visual stimuli, 122. petscBes®. M. H. Artificial partheno- genesis in Nereis, [00. FouLin, O. The acidity of urine, 265. Fo.Lin, O. On rigor mortis, 374. Formaldehyde, action on blood, 187. Fundulus eggs and embryos immune to electrical stimulation, IIT. EOTROPISM of Paramecia, 238. G1sson, R. B. Observations on the urine of the muskrat (Fiber zibethicus), Boer Gigs, W. J. Peptic proteolysis in acid solutions of equal conductivity, xvii. Girs, W. J. On the irritability of the brain during anemia, 131. 489 490 | Lndex. Gigs, W. J., and S. J. MELTZER. Studies on the influence of artificial respiration upon strychnine spasms and respiratory movements, I. Giss, W. J. See TALTAVALL and GIEs, XV. Glycogen, formation from proteids, 138. GuTuRrig£, C. C. The influence of for- maldehyde on the action of certain laking agents and on coagulation of blood, 187. H AEMOLYSIS, 187. ——, cold) 72. HANForD, G. A. A study of the physio- logical action and toxicology of caesium chloride, 214. HENDERSON, Y., and A. L. DEAN. On the question of proteid synthesis in the ani- mal body, 386, HENDERSON, Y., and G. H. Epwarbs. Nuclein metabolism in lymphatic leu- keemia, 417. MMUNITY of Fundulus eggs and em- bryos to electrical stimulation, III. kK IDNEY, perfusion, 460. ECITHIN, influences growth of ner- vous system, xviii. Leukaemia, metabolism, 417. LEVENE, P. A. On nucleic acid, xvii. Light, response of frog, 466. Lusk, G.,and A.R. MANDEL. Respiration experiments in phlorhizin diabetes, xviii. Lusk, G. See STILEs and Lusk, 380. Lymph-flow, secretin, xv. Lyon, E. P. Experiments in artificial parthenogenesis, 308. ACDOUGALL, R. On the influence of varying intensities and qualities of visual stimulation upon the rapidity of reactions to auditory stimuli, 116. MacDouGa.1, R. On the relation of eye movements to limiting visual stimuli, 122. MANDEL, A. R. See Lusk and MANDEL, XViii. Medusa, reactions, 279. MEETZER, CLARA. See MELTZER and MELTZER, 57, 147, 252, xViii. MELTZER, S.J. Some observations on the effects of agitation upon Arbacia eggs, 245, XViil. MELTZER, S. J.,and CLARA MELTZER. On a difference in the effect between the simple cutting of the cervical sympathetic nerve and the removal of the superior ganglion, xviii. MELTZER, S. J., and CLARA MELTZER. A study of the vasomotor nerves of the rabbit’s ear contained in the third cervi- cal and in the cervical sympathetic nerves, 57. MELTZER, S. J., and CLARA. MELTZER. The share of the central vasomotor in- nervation in the vasoconstriction caused by intravenous injection of suprarenal extract, 147. MELTZER, S. J.,and CLARA MELTZER. On the effects of subcutaneous injection of the extract of the suprarenal capsule upon the blood-vessels of the rabbit’s Ear, 252: MELTZER, S.J. See Gres and MELTZER, I. MENDEL, L. B., with H.C. THACHER. On secretin and lymph-flow, xv. Metabolism, dextrose from pancreatic digest, 380, xviii. ——,, glycogen, 138. ——,, nuclein, 417. ——,, proteid synthesis, 386. Moore, A. Some facts concerning geo- ° tropic gatherings of Paramecia, 238. Muscular contraction, effect on circulation, 161. N ERVOUS system, growth influenced by lecithin, xviii. Nucleic acid, xvii. Nucleic acid of wheat embryo, specific rotation, 69. Nuclein metabolism in leukzmia, 417. Nucleo-proteid, polarization, 69. ~ PITZ, R. BurRTON-. Muscular contrac- tion and the venous blood-flow, 16r. Opirz, R. Burron-. Venous pressures, 198. Optical isomers, pharmacological action, xiv. OsBorNE, T. B. The specific rotation of the nucleic acid of the wheat embryo, 69. Oxyhemoglobin, crystallization, 97, xvili. ARAMECIA, geotropism, 238. Parthenogenesis, artificial, 100, 308. Phototropism, 26. Proceedings of the American Physiological Society, ix. Proteid synthesis, 386. Lndex. Proteids, a source of glycogen, 138. Proteolysis, peptic, in acid solutions of equal conductivity, xvii. Proteoses, physiological action, 345. EICHERT, E. T. New crystalline forms of oxyhzmoglobin artificially produced, xviii. REICHERT, E. T. Quick methods for crystallizing oxyhemoglobin: inhibitory and accelerator phenomena, etc. : changes in the form of crystallization, 97. Respiration, artificial, effect on strychnine spasms, I. Respiration in phlorhizin diabetes, xviii. Respiratory variations in venous pressure, 198. RicHArpDs, A. N. RICHARDS, 35. Rigor mortis, 374. See VOSBURGH and Satine solutions, diuretic effect, 454, xiil. Salivary digestion in stomach, 396. Secretin and lymph-flow, xv. SOLLMANN, JT. The effect of saline injec- tions, diuretics, and nephritic poisons on the chloride-content of the urine in the dog, xii. SOLLMANN, T. The cause of the greater diuretic action of hyperisotonic salt- solutions, xiii. SOLLMANN, T. The effect of diuretics, nephritic poisons, and other agencies on the chlorides of the urine, 425. SOLLMANN, T. The comparative diuretic effect of saline solutions, 454. STEWART, G. N. The influence of cold on the action of some hamolytic agents, 72. SSTEWARY, G. N. Differences of potential between blood and serum and between normal and Jaked blood, 262. STILES, P. G.,andG Lusk. On the forma- tion of dextrose in metabolism from the end-products of a pancreatic digest of meat, 380, Xviill. Stomach, salivary digestion in, 396. STOOKEY, L. B. On the formation of glycogen from glycoproteids and other proteids, 138. Srorey, T. A. The immediate influence of exercise upon the irritability of human voluntary muscle, 52. 491 Strontium, xviii. Strychnine spasms affected by artificial respiration, I. Suprarenal extract, action on blood-vessels, 147, 252. Sympathetic, effect of removal of superior ganglion compared with section of cervi- cal sympathetic, xviii. ALTAVALL, W. A., and W. J. GIEs. The influence of chinic acid on the elimination of uric acid, xvi. THACHER, H. C. On the excretion of strontium, xviii. THACHER, H. C. See THACHER, XV. TORELLE, E. The response of the frog to light, 466. NDERHILL, F. P. New experi- ments on the physiological action of the proteoses, 345. Uric acid, elimination influenced by chinic acid, xvi. Urine, acidity, 265. —, chlorides affected by diuretics, poi- sons, etc., 425. ——, depression of freezing point and spe- cific gravity related to metabolism, 319. , estimation of sugar and albumin, 319. Urine of muskrat, 391. MENDEL and \/ SsOMOTaR nerves in rabbit’s ear, 57. . Vasomotors, affected by suprarenal extract, 147. VAUGHAN, V.C. The chemistry of bacte- rial cells, with a demonstration of the apparatus used in obtaining the cellular substance in large amount, xviii. Venous blood-flow during muscular con- traction, 161. Venous pressure, 198. Visual stimuli affect auditory stimuli, 116. Visual stimuli affect eye movements, 122. VosBuRGH, C. H., and A. N. RICHARDS. An experimental study of the sugar con- tent and extravascular coagulation of the blood after administration of adrenalin, 35: / BEEES: R. M. A study of the re- actions and reaction time of the medusa Gonionema Murbachii to photic stimuli, 297. Ae atau ~ yt ~ ims fac sicy ao SE e Ors Maes > cig ges Ee LS es IBINDING SECT. MAR 4 4966 QP American Journal of Physiology (404 Biological & Medica] Serials | PLEASE DO NOT REMOVE CARDS OR SLIPS FROM THIS POCKET Se eee ee UNIVERSITY OF TORONTO LIBRARY ‘ o “1 * 1 . tobe “ oa f ‘ J ’ AN we ‘ 5 » i Ni a, ae ae ey ‘ 1 . “4 Z ve) y wens i : ‘ «4 n i ? ‘ i . ’ oe ee oan ‘ F j 7 i * x & ve_-? ‘ , i TD er =a Ly Ne. ; - i : P fp , ve - S. t 4 re = 1 4 * es o ' esr F , ' / L¢ - a 7 . . ' 2% + * ' va, ' 7 x ; - J - . of ‘ vans mer ’ - 7 . F) : _ . r = 7 ' ; t ; at os Me +” " . 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