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There are no known copyright restrictions in the United States on the use of the text. http://www.archive.org/details/cu31924056948841 EXPERIMENTAL PHAEMACOLOGY GEEENE EXPEKIMENTAL PHARMACOLOGY A LABOEATOEY GUIDE FOE THE STUDY OF THE PHYSIOLOGICAL ACTION OF DEUGS BY CHARLES WILSON gREENE, PH. D. PROFESSOR OF PHYSIOLOGY AND PHARMACOLOGY, UNIVERSITY OF MISSOURI. THIRD EDITION, REVISED WITH 37 NEW ILLUSTRATIONS PHILADELPHIA P. BLAKISTON'S SON & CO. 1012 WALNUT STREET 1909 Copyright, 1909, by P. Blakiston's Son & Co. *- Printed by The Maple Press York, Pa. PREFACE. Instruction in Piiarmacology should be based on a rigid course of required laboratory experiments. The student in the subject must be given every opportunity to observe for himself the changes produced by a drug in the activities of a tissue, of an organ, and of the entire organism. It is only on such intimate personal experience with the facts that one can reach a rational understanding of the principles of Pharmacology. The directions presented here have been formulated during the growth of the course as presented in the University of Missouri. Under each drug presented there is given a list of experiments chosen with due consideration to the facility with which they may be performed by students. This list is followed by detailed yet brief directions for the execution of the experi- ments. An occasional type illustration is given to guide the student in his efforts. It is assumed that the individual student will have time for only a selected number of experiments on each drug, and the plan of the Guide is so arranged as to support the instructor in the assignment and execution of a number of diversified experiments by the average laboratory class. I am indebted to the Department Teaching Staff, especially to Professor W. Koch, now of the University of Chicago, to Dr. W. H. Schultz, now of the U. S. Public Health and Marine Hospital Service, and to Professor R. B. Gibson for numerous suggestions and much assistance. I am under special obligation to Mr. G. T. Kline for the drawings of apparatus, to Professor Gibson and to my students of the past five years for the majority of the new illustrations presented in this edition of the Guide. C. W. G. University of Missouki, April, 1909. CONTENTS. THE ACTION OF DRUGS. Alcohol Ether Chloroform . . Chloral hydrate . The opium series . . Caffeine . ... Strychnine . . Cocaine . . . Quinine . . . Atropine, scopolamine Nicotine Curare . . . Pilocarpine Physostigmine Aconite . . Veratrine . . Digitalis Ergot . . . Suprarenal gland . . Nitroglycerine and the Carbolic acid . Potassium salts Calcium salts Barium salts . . . nitrites PAGE I 6 II 14 IS 20 24 29 32 33 37 40 42 44 48 5° 52 SS 56 59 61 61 62 63 OPERATIONS, APPARATUS AND SPECIAL METHODS. Physiological solutions . . .64 Anesthesia for dogs, cats, rabbits, and guinea-pigs . 65 The preparation of the ventricular muscle .... . 66 To test the action of drugs on the frog's heart 68 vii VUl CONTENTS. PAGB Irrigating and perfusing flasks 69 To test the action of drugs on the blood-pressure, respiration, etc., of a mammal . . ... .... 70 Method of testing the action of drugs on the reflexes of a frog 71 Method of giving and testing the action of a drug on the frog's gas- trocnemius muscle . . 72 Transfusion buret for mammals . 72 Apparatus for the study of the isolated mammalian heart .... 73 List of stock solutions 75 Report form for experiments on frogs 76 LIST OF ILLUSTRATIONS. FIG. PAGE 1. Alcohol perfused through the frog's heart 2 2. Ether on the isolated muscle of the terrapin's ventricle ... . 7 3. Strong ether solutions on the isolated ventricular muscle. 8 4. Ether on tone waves of auricular and sinus muscle. . 9 5. Ether on the irritability of the sciatic nerve 10 6. Chloroform on the rhythm of heart muscle 12 7. Chloroform perfusion of the frog's heart . 13 8. Chloroform on the irritability of nerve . 13 g. Morphine on the rhythm of terrapin's ventricle . 16 10. Morphine on the isolated heart of the cat . . . 17 11. Morphine on the isolated heart of the cat . 17 12. Caffeine on the ventricular muscle . . 21 13. Caffeine on the amount of muscular work 22 14. Strychnine on the ventricular muscle . . . 25 15. Strychnine on the muscular work . 26 16. Strychnine on the isolated mammalian heart . . . 27 17. Cocaine effects on the frog's heart . . 29 18. Cocaine on the muscular work . . 30 19. Quinine on the frog's heart 32 20. Atropine on the heart muscle . . 33 21. Atropine on the isolated cat's heart . 34 22. Nicotine on the ventricular muscle . . 38 23. Nicotine on the isolated cat's heart ... 39 24. Pilocarpine on the blood-pressure and on the respiration of the dog 42 25. Physostigmine on the isolated cat's heart . . . 45 26. Physostigmine followed by atropine on the mammalian blood- pressure and respiration . 46 27. Aconite on the isolated cat's heart. . . . . . 49 28. Veratrine on the isolated cat's heart . 51 29. Digitalis on the heart muscle ...... 53 30. Digitalis on the isolated cat's heart ... 54 ix X LIST OF ILLUSTRATIONS. FIG. PAGE 31. Adrenalin hydrochloride on the isolated cat's heart . . 57 32. Amyl nitrite on the human pulse .... . . 60 33. Calcium chloride on the terrapin's heart muscle ... 62 34. The terrapin's heart, how to cut an apex strip . . 67 35. Apparatus for the study of heart muscular strips . . 67 36. Apparatus for the study of drugs on the frog's heart . . 68 37. Apparatus for the study of the action of drugs on the mamma- lian heart 74 EXPERIMENTAL PHARMACOLOGY THE ACTION OF DRUGS. ALCOHOL. List of Experiments Showing the Effects of Alcohol. page. 1. On the frog .... i 2. On ventricular muscle . . i 3. On the frog's heart . . 2 4. On the isolated mammalian heart. .... 3 5. On the work of the frog's gastronemius muscle. 3 6. On voluntary work of human muscle. Demonstration . 4 7. On the circulatory and respiratory systems of the mammal . 4 8. On the reaction time of the reflex frog . ... 5 1. Alcohol on the frog. Inject into the dorsal lymph sacs of two frogs doses of 0.3 c.c. (5 minims) and 0.6 c.c, respectively, of 95 percent alcohol.' Strong alcohol is quickly absorbed from the lymph sac. The larger dose is sufficient to produce temporary complete loss of the reflexes, together with the loss of all respiratory movements. A dose of i c.c. is toxic for a 40-gram frog. Since the smaller dose is equivalent to 525 c.c. for a 7c-kilo man, it is evident that the frog is the more tolerant of alcohol.^ 2. Alcohol on ventricular muscle. Mount a strip of the ventricle of a terrapin in 0.7 percent sodium chloride (see page 66 for the method), and when it is contracting with an even and regular rhythm change to a solution of 2 percent alcohol in" physiological saline. Return the strip to 'All doses for frogs given in this book are calculated for an animal weighing 40 grams. Each animal used for experiment should be weighed on a "Harvard" platform balance and the dose given calculated in proportion to the weight of the animal used. "A report blank form for the tabulation of observations on the effect of drugs on frogs is given on page 76. 2 EXPERIMENTAL PHARMACOLOGY. pure saline solution after two to five minutes. Record the contractions on a drum moving i mm. a second. Repeat the experiment', using successive strengths of alcohol of 5 and 10 percent. The alcoholic effect will be dem- onstrated rather better on a ventricular strip that is contracting regularly in the weaker Ringer's solution, page 64, but the alcohol must be dissolved in Ringer's solution of the same composition. 3. Alcohol on the frog's heart. Destroy the brain and spinal cord of a frog, expose the heart by cutting away the ventral wall from directly over the ventricle, using care not to lose blood. Do not cut the bridge formed Fig. I. — Action of 2 percent alcohol on the frog's heart when perfused through the ascending vena cava. The alcohol was dissolved in Ringer's solution. The record was taken from the tip of the ventricle by the suspension method. Time in seconds and minutes. Perfusion began at the first arrow above the second's record and ended at the second arrow. by the sternum, but use it as a fixed point to which the heart may be anchored by a ligature around one of the aortic arches. Take a direct record of the movements of the ventricle, using a light straw lever of the fulcrum-power- weight order. Give 1.5 c.c. of 95 percent alcohol in the abdominal cavity. Take a continuous record during the time of absorption. This method demonstrates the effects on the volume, and on the type of systole and diastole. The rate is only slightly changed. More satisfactory results are obtained by perfusing the heart through a canula in the ascending vena cava. Perfuse the alcohol from four-ounce supply flasks provided with constant level tubes. Use a pressure of from 4 to 6 cm. The perfusion strength to use by this method is 2 to 5 percent alcohol made up in Ringer's solution. Perfuse the heart for from two to ALCOHOL. 3 four minutes at a time. Record the contractions of the ventricle. by a thread from its tip to the vertical arm of a balanced lever, page 68. In this experi- ment, as in all frog's heart perfusion, it is better to use the weaker Ringer for the normal solution. The Ringer's solution insures a uniform heart rate and strength for long intervals, while the sodium chloride solution will sustain the whole heart in regular and strong rhythm for only a few minutes. 4. Alcohol on the isolated mammalian heart. Use a rabbit or a cat for this experiment. Anesthetize quickly with ether (do not use chloro- form) , insert a canula in the carotid, bleed completely, defibrinate the blood and dilute it with nine volumes of Locke's solution. Use this diluted blood as a normal solution for perfusing the heart. Reserve enough of the solution for making the drug mixtures, pour the remainder into the perfusion appara- tus described on page 73, fill the tubes, adjust the apparatus and bring to a constant temperature of 36 to 37° C. (a higher temperature is unfavorable). Quickly remove the heart, taking care only to preserve enough of the aorta for the insertion of the canula without danger of interfering with the semi- lunar valves. Mount the heart without catching air in the canula, attach the recording lever of the Guthrie cardiograph and start the perfusion. The perfusion pressure should be from 80 to 100 cm. of water. The heart contracts and a uniform rhythm will be quickly established and may be maintained for several hours. Perfuse the heart with 0.2 percent alcohol in the Locke-blood solution for from 30 to 100 seconds at a time, allowing full time for a return to the normal after each drug perfusion. Raise the dose successively to 0.4 percent, i percent, and 2 percent of alcohol. The stronger solutions reduce the amplitude and ultimately the rate of the heart; the weaker doses, according to Dixon, in- crease the amplitude. 5. Alcohol on muscular work. Ligate one leg of a frog near the thigh to exclude its circulation (a quarter-inch rubber tube makes a fine ligature for this purpose). Inject 0.3 c.c. (5 minims) of 95 percent alcohol into the dorsal lymph sac. In exactly twenty minutes pith the frog, pin it out on the frog-board with the ventral side down, and ligate the alcoholized leg. Quickly prepare the tendon of the normal muscle, keeping the muscle covered with skin, attach to the muscle lever, and determine the work it can do by stimulating the muscle directly with a single induction shock once every two seconds until the muscle is completely exhausted. Load the muscle with a 30- to 50- gram weight. Record the contractions on the lower half of a drum with a speed of i mm. a second. 4 EXPERIMENTAL PHARMACOLOGY. Prepare the second or alcoholized muscle just twenty minutes after it has been ligated, mount, load, and stimulate in the same manner. Record the second experiment on the upper half of the same smoked papef and parallel with the record of the first. Repeat this experiment using a dose of 1 CO. of 95 percent alcohol, to demonstrate the injurious effects of alcohol on the work of the muscle. (Lee and Salant, Am. Jour. Physiology, Volume VIII, p. 6i, 1902.) A more difficult but more accurate experiment is obtained as follows: Destroying the brain only of a frog, pin it to the frog-board belly down, dissect out the right tendon Achilles, and attach to a muscle lever. Isolate the lumbar plexus on the right of the urostyle, using care not to interfere with the circulation of the gastrocnemius. Stimulate the right muscle as above. Now inject alcohol into the abdominal cavity, and after 20 to 30 minutes of absorption measure the work of the left gastrocnemius. This method has the advantage of maintaining the circulation intact for both the normal and the alcoholized muscle. The effect of alcohol on the speed of the contraction can be determined by one of two methods. Que can measure the simple muscle contraction before and after alcoholization. Perhaps a better method is to use Lee's automatic stimulating device (Am. Jour. Physiol., VIII, p. 61) which auto- matically stimulates a muscle at the moment of complete relaxation. Re- cord the contractions on a slowly moving drum, 2 mm. per second. 6. Alcohol on voluntary work of hiunan muscle. Demonstration. Measure the voluntary power of the flexors of the middle finger with a load of three kilos or more, using Mosso's ergograph. Take two or three normal records of voluntary contractions at intervals of 20 minutes. Now take a dose of 20 to 40 c.c. of 20 percent alcohol, according to the susceptibility of the individual. Remeasure the muscular power after 60, 90, and 120 minutes, respectively. Compute the work done in kilogrammeters. (Lom- bard, Jour. Physiol., Vol. 13, p. 49; Hallsten, Skand. Arch. f. Physiol. Bd. 16. S. 139.) 7. Alcohol on the circulatory and respiratory systems of the mammal. Anesthetize a dog with morphine and chloroform, p. 70. Take the blood-pressure from the carotid artery, and the respiration from a side branch of a tracheal canula. Expose the saphenous vein and insert a canula for intravenous injections, and attach it to a 50 c.c. buret. Students who have attained the requisite skill should take an onkomet- ric record with the blood-pressure. To prepare for this record open the abdominal cavity of the dog, remove the outer sheath from the left kidney ALCOHOL. 5 and enclose that organ in a renal onkometer. Record the kidney volume changes by means of a Brodie's bellows, or Roy's piston recorder, page 71. The anesthetic must be given with perfect regularity, 2 to 6 drops of chloroform every 30 seconds, the exact amount that will maintain constant anesthesia to be quickly ascertained for each animal. Take a record on the continuous kymograph and, when all is in good working condition and a normal record has been secured, slowly inject 20 percent wanned alcohol from the buret into the vein imtil some decided effect on the blood-pressure is noted, i.e., after a dose of 20 c.c. or more. Extreme caution must be observed lest the heart by rapid perfusion be sub- jected to an overconcentrated solution. The experiment should be re- peated with different doses. Since the anesthetics used all depress the irritability of the circulatory apparatus, this experiment ought to be demonstrated on a decerebrate ani- mal. In such an animal the medulla being intact will maintain natural respirations. Any alcoholic stimulation of the medullary centers can easily be observed. The recommended intravenous dose of alcohol will produce slowing of the heart, a phenomenon which disappears on section of the vagi, thus indicating a direct effect on the vagal centers. 8. Alcohol on the reaction time of the reflex frog. Destroy the brain of a frog, including the medulla, and when it has recovered from the shock test the normal reaction time to electrical stimuli applied to the toe. Measure the time of the reaction with a watch, or record it with a writing- point attached to the foot or leg of the suspended frog. Give a dose of 0.3 c.c. (5 minims) of 95 percent alcohol in the dorsal lymph sac. Retest the reaction time at exactly 20 and 40 minutes after the injection. Com- pare the results with experiments i and 5 above. EXPERIMENTAL PHARMACOLOGY. ETHER. List of Experiments Illustrating the Effects of Ether. page. 1. On the frog 6 2. On the ventricular muscle 6 3. On the frog's heart 7 4. On the mammalian heart . 7 5. On the irritability of voluntary muscle. 7 6. On the irritability of nerve tissue . . . 9 7. On the blood-pressure and respiration of a mammal 9 8. On the germination of seeds 10 9. On the growth of yeast . . 11 1. Ether on the frog. Inject 0.2 c.c. (3 1/2 minims) of ether' into the dorsal lymph sac or the abdominal cavity of a frog. Give 0.3 c.c. to a second frog. The dose can be given more accurately from the hypodermic if a 50 percent solution of ether in olive oil is used. The first dose will produce anesthesia in about 10 minutes. The stages most readily observed are : ist, great excitement shown by rapid respirations, active movements, and increased reflex irritability; 2d, slower respirations, very sluggish • response to external stimulation; 3d, loss of voluntary muscular control and sometimes of respiratory motions. Slight power of reflex response is retained, including eye reflexes. The voluntary motions will be regained in from 60 to 90 minutes if the animal is kept moist (winter frogs), and complete recovery in two hours. The frog will recover from the larger dose in from 20 to 24 hours, or it may even fail of recovery. 2. Ether on the ventricular muscle. Mount a strip of terrapin's ventricle and establish rhythmic contractions in a bath of 0.7 percent saline. Record on a drum moving i to 2 mm. per second. Immerse the strip in a bath of I percent ether in saline for two to three minutes, then return to the physiological saline bath. The sharp decrease in both amplitude and rate of contractions is recovered quickly in the saline bath. Repeat the experiment using 2, 4, and 6 percent ether solutions. The weaker solutions occasionally produce slight but temporary increase in the rate, the initial excitation stage. Also use strips of auricle and sinus. 'The dose is figured for a 40-gram frog. Proportionate doses should be given for other weights. In all experiments on frogs that depress their functions, the animal should be retained in a moist bell jar for as much as 24 hours, if necessary, in order to test the animal's power of recovery. ETHER. 7 3. Ether on the frog's heart. Pith a frog, expose its heart, insert a canula in the inferior vena cava and perfuse the heart in place by the method described for alcohol, experiment 3. This brings the solution into intimate contact with the entire heart and it responds almost instantly to any change in the composition of the irrigating fluid. Perfuse the heart first with Ringer's solution and follow with i percent ether in Ringer's solution. 4. Ether on the mammalian heart. Use the Roy-Adami method (given by Cushny, Jour. Exp. Medicine, Volume II, page 233) or the Fig. 2. — The action of ether on isolated heart muscle. In this experiment a strip of terrapin's ventricle was mounted in physiological saline until a regular rhythmic beat was established. The saline was then drawn off and the strip left suspended in moist air. At the point indicated ether vapor was driven through the moist chamber until the contractions ceased. The ether vapor was then removed with moist air at the second arrow and the recovery of the rhythm took place as shown. method described on page 73 and used in experiment 4 of the alcohol series. Etherize a cat or rabbit, draw the blood, defibrinate it, and dilute it with nine volumes of Locke's solution and use as a standard Locke-Blood perfusion fluid. Remove the heart and adjust it in the apparatus, page 74. Perfuse with the Locke-Blood solution and when the rhythm is established change to i percent ether in Locke-Blood. Use 2 percent ether in a later experiment. 5. Ether on the irritability of voluntary muscle. Mount a gas- trocnemius of the frog in the moist chamber, arrange to stimulate the muscle directly with a current of medium intensity but which produces a maximal contraction. Adjust a vapor apparatus containing saturated EXPERIMENTAL PHARMACOLOGY. a ^ 3 e N 1) T3 Tj 't-t >^'' > x" ^ ,^ c < o a. ^ d _o d _o ^ _3 o tn "o m CS B o 1 1 1 1 1 1 1 3 b Fig. 26 (Continued). Parts I, iX and iT give the respiration trace, blood-pressure and time, respectively, the trace shown. The parts of the trace numbered 2, 2X and 2T show the recovery tween the arrows. A few second's gap intervenes between the two parts of the figure. duce the characteristic effects. Examine the pupil before and after the physostigmine. 6. Physostigmine on the eye. Give 2 drops of i percent phy- sostigmine in one eye of a dog or a rabbit, at intervals of five minutes. It is better to use one of the experimeter's own eyes. Strong contraction of the pupil follows. A decrease in intraocular pressure has also been proven, 48 EXPERIMENTAL PHARMACOLOGY. and to produce this effect is the chief therapeutic use of the drug. A strik- ing comparison is obtained by dropping i percent atropine in the unused eye of the dog after the physostigmine effect has come on in the other eye. Physostigmine will overcome the atropine dilation of the pupil. The experi- menter may show the antagonism between homatropine and physostigmine on his own eyes, but it is recommended that one eye always be reserved. ACONITE. Experiments on the Action of Aconite. page. 1. On the frog 48 2. On the circulatory system of a mammal. 48 3. On the frog's heart 48 4. On the mammalian heart. . . . 48 1. Aconite on the frog. The dose is 0.5 c.c. of o.i percent aconite. Compare with digitalis. 2. Aconite on the circulatory system of the mammal. Take a continuous tracing of the blood-pressure of a dog. Give i c.c. of o.i percent aconitine crystals. Note particularly the progressive effects on the nervous and muscular elements of the circulatory apparatus. 3. Aconite on the frog's heart. Destroy the cerebrum and optic lobes only of a frog, -expose the ventricle and take a tracing. Give an in- jection of 0.5 c.c. of O.I percent aconitine in the lymph sac. One may expect a progressive stimulation of the accelerator and vagus nervous apparatus followed by paralysis of nerves and muscle. 4. Aconite on the mammalian heart. Prepare an isolated heart as described for the nicotine experiment 5. When the heart is contracting regularly with the Locke-blood perfusion then perfuse for 10 seconds with a 0.0002 percent aconite solution. A prolonged perfusion or perfusion with a stronger concentration of aconite will quickly set up incoordinate contractions and fibrillation. ACONITE. 49 XI S a, a o 50 EXPERIMENTAL PHARMACOLOGY. VERATRINE. Experiments on the Action of Veratrine. page. 1. On the frog. . .' . . -5° 2. On the mammal. . .... 50 3. Veratrine on heart strip. . . . 50 4. On the frog's heart. . . . 50 5. On the isolated mammalian heart. ... 50 6. On the form of the simple muscle contraction 50 7. On the circulatory and respiratory systems of the mammal. . 50 1. Veratrine on the frog. The dose for a frog is about 0.5 c.c. of a I percent solution of the fluid extract veratrum viride or 0.3 c.c. of o . 1 percent veratrine . Compare with the effects of aconite and of barium. See experiment 4. 2. Veratrine on the mammal. Give a cat or rabbit i c.c. of o.i percent veratrine hypodermically, or i c.c. of i percent for a dog. Keep under observation for a considerable time. 3. Veratrine on the heart strip. Subject the contracting strip of ventricle to 0.005 to 0-05 percent vera tine in sahne. 4. Veratrine on the frog's heart. Pith a frog, expose the heart and take a tracing when perfused with 0.005 percent veratrine in Ringer's solution (o.oi percent destroys coordination). 5. Aconite on the isolated mammalian heart. Prepare the appara- tus for the isolated heart experiment, isolate a cat's heart and perfuse with 0.0002 percent veratrine in Locke-blood solution. See Fig. 25. 6. Veratrine on the simple muscle contraction of the frog. Ligate one leg of a frog and give a hypodermic of 0.5 c.c. of o.i percent vera- trine. After 15 minutes prepare the veratrinized muscle and take simple muscle contractions to show the form of the contraction wave, using a tuning fork to record the drum speed. Compare this curve with that of the undrugged muscle. The frog of experiment i may be used to show the veratrine effect on muscle work. Stimulate once in three seconds in this experiment, since the relaxation may not be complete in an interval of two seconds. 7. Veratrine on the circulation and respiration of a mammal. Take a record of the blood-pressure from the carotid of an anesthetized dog. Tracheotomize and take respiratory tracings. Give i c.c. of i percent veratrine in the abdominal cavity. When marked cardiac slowing appears cut the vagi and note the effects on the heart. VERATRINE. 51 52 EXPERIMENTAL PHARMACOLOGY. DIGITALIS. Experiments Showing the Action of Digitalis. page. 1. On the frog. ... 52 2. On the ventricular muscle. ... . . . 52 3. On the frog's heart. . . 52 4. On the atropinized frog's heart. . 52 5. On the mammalian heart . . . 52 6. On the circulatory and respiratory systems of the mammal. 53 7. Digitalis as a diuretic 53 1. Digitalis on the frog. Give a dose of 0.5 c.c. of 0.2 percent of soluble digitalis. The digitalis effects develop slowly. Note the heart rate, and particularly the circulation in the web. Keep in a moist battery jar for at least two hours. Examine the heart if death occurs. 2. Digitalis on the ventricular muscle. Treat a strip of terrapin's ventricle contracting in saline to a bath of 0.002 percent digitalis in saline. Follow with pure saline. Repeat with a 0.005 percent digitalis. Still stronger solutions may be used, but a marked tone will result as shown in Figure 26. Digitalis solutions may be used made up in the weaker Ringer, but as the rate is slower and the amplitude much greater than that in sodium chloride solutions the picture will be quite different, though the same in kind. Delirium cordis of the strip is produced by the stronger solutions act- ing for several minutes. 3. Digitalis on the frog's heart. Pith a frog and take a record of the contractions of the ventricle when irrigated with physiological saline. Irrigate slowly with drops of 0.2 percent digitalis for two minutes, then wash off with saline. A more effective method is to perfuse the heart from a canula in the vena cava. Use a much weaker solution for perfusion, i.e., 0.0005 to o.ooi percent digitalis in Ringer. These effects should be compared with the effects on cardiac muscle above. 4. Digitalis on the atropinized frog's heart. Atropinize the frog's heart to eliminate the car'diaic nervous control, then repeat experiment 3 above. 5. Digitalis on the mammal heart. Use the method described on page 70. Isolate and perfuse the cat's heart with the normal solution DIGITALIS. 53 of Locke-blood, then with o.oooi percent digitalis (soluble digitalis) in Locke-blood. Increase the strength to 0.0005 percent. The stronger solution will usually produce a great increase in amplitude followed by fibrillation. The weaker solution, see figure 30, produces a typical mild therapeutic effect on the heart. Compare with the results of experiment 6. 6. Digitalis on the circulatory and respiratory systems of the mammal. Anesthetize a dog and take continuous kymographic records of the blood-pressure and of the respiration. Slowly inject into the saphe- nous vein 2 c.c. doses of 0.5 percent digitalis at five-minute intervals Digitalis o.oe^ Fig. 29. — Experiment showing the action of digitalis on the rhythm and tone of a strip of terrapin's ventricle. The strip was contracting in physiological saline. Between the words "on" and "off" it was subjected to 0.06 percent of digitalis in saline. until the three stages of digitalis effect on the heart and blood-pressure are obtained. The anesthetic must be perfectly constant. One may give the maximal dose of 4 c.c. of i percent digitalis at once. In this instance the three stages are passed through rapidly and the animal will usually die in 10 to 20 minutes. Read Cushny's Pharmacology, pp. 430-435. 7. Digitalis as a diuretic. Morphinize and chloroform a dog. Take the blood-pressure. Isolate the ureters near the bladder and insert canulas, using care not to occlude the ureters by twisting or otherwise. Con- nect the ureters by means of a T-tube with a horizontal 2 c.c. pipet graduated 54 EXPERIMENTAL PHARMACOLOGY. ERGOT. 55 to 1/50 c.c. Close the abdomen with sutures. Insert a venous canula and connect with a transfusion buret. Establish the normal secretion per 10 minutes, cutting off the column of secreted urine by injecting a bubble of air into the mouth of the buret by inserting a hypodermic needle through the rubber connecting tube. Now inject 5 c.c. of o.i percent digitalis or strophanthin into a vein and take the secretion in successive 10 minute periods until the flow is constant. Repeat the dose once or twice at long in- tervals. Mark the secretion intervals on the blood-pressure record. Compare these results with those observed on other diuretic drugs — caffeine, urea, inorganic salts, etc. ERGOT. Experiments on the Action of Ergot. page. 1. On the frog 55 2. On the heart muscle. 55 3. On the arterioles of the frog. 55 4. On the blood-pressure and heart rate of a mammal. 55 1. Ergot on the frog. Give 0.5 c.c. of the fluid extract. 2. Ergot on the heart muscle. Change a contracting heart strip from saline to a i o percent solution of Squibbs' fluid extract of ergot in saline solution. Allow it to act for five minutes. Take a continuous record. 3. Ergot on the arterioles of the frog's web. Wrap a frog in a wet cloth and fasten to a frog-board for examining the web. Give a lymph sac injection of 0.5 c.c. fluid extract of ergot. Select a good field of small arterioles and measure their diameter at once. The relative change in diameter of small vessels can be determined by selecting a field in which pigment spots mark the borders of the vessels. Sketch such a vessel and spots for the normal. Re-sketch after the drug. Re-measure at intervals of five minutes as the ergot is absorbed. 4. Ergot on the blood-pressure of a mammal. Give an intravenous dose of 0.5 c.c. fluid extract of ergot to a mammal while taking a record of the blood-pressure. 56 EXPERIMENTAL PHARMACOLOGY. SUPRARENAL GLAND. The commercial preparation of the active principle of suprarenal gland, adrenalin hydrochloride, presents the same physiological action as the gland extract and has the special advantage of preparation in definite and known strengths. It has come into general use for therapeutic purposes and is, therefore, used in these experiments. Experiments Showing the Action of Adrenalin Hydrochloride, page. 1. On the frog. 56 2. On the ventricular strip 56 3. On the frog's heart 56 4. On the isolated mammalian heart .... -56 5. On the simple muscle contraction . 58 6. On muscle work . . • 58 7. On the local mucous surfaces . . 58 8. On the size of the blood-vessels in the frog's web 58 9. On general blood-pressure and peripheral vaso-constriction 58 1. Adrenalin on the frog. Give 0.5 c.c. o.i percent in the dorsal lymph sac. 2. Adrenalin on the ventricular muscle. Transfer a terrapin's ventricular strip contracting in physiological saline to o.oi percent adren- alin in saline. Change after two to five minutes. The drum speed should be I cm. per minute. Suprarenal extract has also been shown to increase the amplitude and the rate of the ganglion free ventricular muscle of the dog. Cleghorn, Amer. Jour. Physiol., Volume III, p. 273. 3. Adrenalin on the frog's heart. Use the perfusion method, page 68, with the heart in place and the inflow canula in the ascending vena cava. Follow physiological Ringer perfusion with o.ooi percent adrenalin hydrochloride in Ringer. The drum speed should be 2 mm. per second. Direct application to the surface of the heart requires a strength of at least 0.05 percent adrenalin hydrochloride. 4. Adrenalin on the isolated heart. Perfuse a cat's heart in the usual way with Locke-blood solution for a normal, then change to a o.oooi percent adrenalin hydrochloride in Locke-blood. If the heart be beating feebly it often happens that the contractions will increase in amplitude by 200 percent and more. SUPRARENAL GLAND. 57 .B c ■t 8 wj tn )H »-- V oi ^^ ^ CO = Gulhne Cariiograph Fig. 37. — Illustrating the assembly of apparatus for the pharmacological study of the isolated heart of a mammal. The legends on the apparatus are self-explanatory. the outflow tube of the drugged perfusion fluid at the exact moment a second clamp is placed on the tube from the normal fluid reservoir (or vice versa) , the shift will be accomphshed without change of pressure on the heart. The tubes run independently to the canula which is itself so short that the time LIST or STOCK SOLUTIONS. 75 from the moment of turning a perfusion fluid on or off is reduced to a mini- mum. The canula is provided with a side washout tube. The Guthrie cardiograph shown is very adjustable in all essential fea- tures. It gives satisfactory and accurate records, if care is used in inserting the lever tips into the walls of the heart. This apparatus permits a direct record on the ordinary kymograph. It also permits one to surround the heart with a warm cup or jacket where greater constancy of temperature is desired, as in research work. LIST OF STOCK SOLUTIONS. Make the solution up in 0.7 percent sodium chloride solution and in Ringer's solution. Special solutions must be prepared for the mammalian heart experiments. Aconite o.i percent. Adrenalin hydrochloride o.ooi percent, o.oi percent, 0.05 percent, o.i percent. Alcohol 95 percent, 2 percent, 5 percent, 10 percent, 20 percent. Amyl nitrite 0.1 percent, pearls. Atropine o.ooi percent, 0.002 percent, 0.1 percent, 0.2 percent, i percent, 2 per- cent, 5 percent, and 1/120 grain tablets. Barium chloride o.oi percent, 0.1 percent, 0.2 percent, i percent. Caffeine 0.1 percent, 0.2 percent, 0.5 percent, e percent. Calcium chloride 0.03 percent, 0.06 percent, i percent. Carbolic acid 0.5 percent, i percent, 10 percent. Chloral hydrate 0.1 percent, i percent, 2 percent. Chloroform 0.05 percent, 0.1 percent, 0.5 percent, 20 percent in oil, pure. Cocaine hydrochlorate o.oi percent, 0.2 percent, 0.5 percent, i percent, 2 percent. Codeine 0.5 percent, i percent. Curare 0.2 percent, i percent. Digitalis 0.0005 percent, o.ooi percent, 0.002 percent, 0.1 percent, 0.2 percent, 0.5 percent, i percent. Ether i percent, 2 percent, 4 percent, 6 percent, 8 percent, pure. Ergot Squibb's fluid extract, 10 percent of fluid extract. Hyoscyamine i percent. Locke's solution. Morphine acetate i percent, 2 percent, 10 percent. Nicotine 0.02 percent, 0.1 percent, 0.2 percent, i percent. Nitroglycerine 0.1 percent. Physiological saline 0.7 percent. Physostigmine 0.1 percent, i percent. Pilocarpine nitrate 0.1 percent, i percent, 10 percent. Potassium chloride 0.03 percent, i percent, 5 percent. Potassium bromide 5 percent. Quinine hydrochlorate 0.1 percent, i percent. Ringer's solution, weak, strong. Sodium nitrate o.oi percent, 0.02 percent. Sodium sulphate i percent. Strychnine nitrate i percent, 0.1 percent, .02 percent. Thebaine 0.5 percent, i percent. Veratrine 0.05 percent, 0.1 percent, i percent, i percent of fluid extract. 76 EXPERIMENTAL PHARMACOLOGY. REPORT FORM FOR EXPERIMENTS ON FROGS. Animal Name Weight Date Experiment I. Normal Reactions. 3. Respiration 4. Reflexes 5. Eye I. Position, Activity, etc. 2. Circulation, Heart, Skin, Mucous Mem. II. Action or the Drug. Time Dose How given Dose per kilo. Observations on: h. m .s. ■ Apfjyijipg 2. Circulation 3. Respiration 4. Reflexes, etc. 5. Eye III. 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