CORNELL UNIVERSITY LIBRARY FROM Cornell University Library QP 42.C81 Laboratory directions for course one in 3 1924 003 184 565 Cornell University Library The original of this book is in the Cornell University Library. There are no known copyright restrictions in the United States on the use of the text. http://www.archive.org/details/cu31924003184565 LABORATORY DIRECTIONS FOR COURSE ONE IN PHYSIOLOGY Department of PHYSIOLOGY AND PHARMACOLOGY Cornell University, Ithaca, N. Y. I P C PRESS ITHACA CONTENTS PAGE I. The Chemistry of the Body 7 Carbohydrates 7 Proteids 10 Fats I2 II. The Blood and Lymph 14 Coagulation, Plasma, Fibrin, Serum 15 The Red and White Corpuscles 17 Haemoglobin and its Derivatives 20 III. Muscle and Nerve 23 Stimuli and Stimulation 29 Electricity as a Stimulus..'. 32, 3g Contraction of Muscle 35 Regulation of Electricity as a Stimulus 39 Electrical Stimulation of Muscle and Nerve 42 Stimulation of Human Nerves 48 Responses 51 Work of Muscular Contraction 54 IV. Plain Muscle and Gland 58 Reflex Action ^ 60 Visceral Movement and Secretion 62 V. Heart and Circulation 65 The Heart 66 Tne Human Heart yy Blood Pressure 80 The Pulse : 84 VI. Respiration 87 VII. Animal Heat 90 VIII. Vision 91 The Eye as an Optical Instrument 92 The Clinical Examination of the Eye 106 The Phycho-Physiology of Vision 108 The Eye Reflexes 111 NOTE. The following presents an arrangement of experiments in Physi : ology designed for use in the laboratory work of Course One in Physiology. Wherever possible the work is so arranged that it leads logically to the application of that side of physiology to Medi- cine. Often, however, this application is not possible in the labora- tory because of the necessarily limited nature of the work, but in those cases the bearing of physiology on the later medical studies,— - pathology and clinical medicine, — is emphasized in lecture and quiz. The whole laboratory work is supplemented by lectures, demonstra- tions, recitations and quizzes which unify the work of the course. In preparing these directions, I am glad to acknowledge the friendly assistance of my colleagues in the Department. B. F. KINGSBURY. LABORATORY DIRECTIONS. The laboratory work will be divided into six divisions : ( I ) Chemistry (preliminary) and the Blood, (2) Muscle and Nerve, (3) Plain Muscle and Gland, (4) Heart and Circulation, (5) Res- piration, (6) Vision. After the work of each division is finished, the laboratory note- book is to be handed in for inspection and correction, and a quiz taken, which may be arranged for by placing your name on a posted list or handing it to the instructor in charge. Should the quiz show insufficient knowledge or work carelessly done, the whole or por- tions of the work of that division must be repeated. The Laboratory Note Book. This should contain a brief, accu- rate statement of results for each experiment, consisting of descrip- tion, description and tracing or simply the tracing record neatly and fully labelled. These tracings should be neatly mounted either in the book or on card board. Interleaved laboratory guides may be used as note books as well. Care of Apparatus. Each group of two students will be assigned to a set of apparatus, which is to be kept in the lockers assigned. The set includes (a) chemical glassware, (b) apparatus for experi- mental physiology, (c) optical apparatus. Lists will be furnished and the apparatus should be checked up when the assignment is made. It will be in order when the student receives it. Should this not be the case, notify 'the Instructor at once. After the appar- atus has been used each time it should be put back in the locker in good condition. Any repairs needed should be reported immediately. Much of the apparatus is expensive and the student is held responsible for the condition of the instruments while in his hands. Other pieces of apparatus, not included here, may be obtained when needed by applying to the Instructor in charge. At the end of the term the apparatus is to be again checked up with the Instructor and turned in to the Department. THE CHEMISTRY OF THE BODY. Preliminary Work. I. CHEMISTRY OF THE BODY. (a) Carbohydrates. (b) Proteids. (c) Fats. II. THE BLOOD. (a) Coagulation: Fibrin, Plasma, Serum. (b) Nature of Coagulation, (cj The Blood Corpuscles. 1. Isotonicity. 2. Number of red and white cells. (d) Hemoglobin and its Derivatives. 1. Hemoglobin Crystals. 2. Hematin, Hemin, Hematoporphyrin, Hemochromo- gen. 3. The Spectra of the Blood Pigments. There are certain chemical substances whose association with the life processes is particularly close. While the study of these belongs rightly to a special division of the subject, physiological chemistry, and their thorough consideration will doubtless be taken up later as Physiological Chemistry, it will be found necessary to become somewhat familiar with them now at the beginning of the study of Physiology in order better to understand some of the other sides of the subject. The groups with which we have to deal are the Carbohydrates, Fats, and Proteids, together with some of the derivatives of these. While none of these chemical compounds occur in inorganic nature, the Proteids are the most closely associated with the phenomena of life. CARBOHYDRATES. These are chemical compounds occurring in plants and animals and are composed of C, H, and O, the last two in water proportions. There are three important groups: The Monosaccharids (formula: C 6 H 12 6 ), The Disaccharids (formula: C 12 H„ O u ), and The Polysaccharids (formula: (C„ H, O e ) n . The groups are closely related and are convertible into one another in the animal body by processes of condensation and hydrolysis. I. The Monosaccharids. Simple Sugars. The most im portant ones are Glucose and Fructose- Solubility. Test the solubility of glucose in (a) water, (b) alcohol, (c) ether, by putting a small quantity in a test tube and adding the. fluid and allowing it to stand for a time. Tests. The simple sugars are chemically either aldehydes or ketones, and possess a reducing power which is the basis of some important tests. Thus silver nitrate may be reduced to metallic silver, cupric hydrate reduced to cuprous hydrate or oxid. Test I. Trammers' Test. To a solution of glucose in a test- tube, add about 1-5 to 1-3 its volume of 20% NaOH or KOH, and then, drop by drop, as much of a 10% solution of copper sulphate as it will dissolve. Carefully heat the top of the liquid in the test- tube when a yellow precipitate, changing to red, indicates the pres- ence of a reducing substance, — in this case glucose. Test II. Fermentation. Sugars are peculiar in undergoing alcoholic fermentation with yeast. Place in a fermentation tube a 1% solution of glucose and add a few grains of yeast. Allow the fermentation tube to stand for about 24 hours, when the collection of carbonic acid gas (carbon dioxid) at the top of the tube indicates that fermentation has taken place. Other important tests need not be given here. However, there will be demonstrated to you (a) that glucose rotates polarized light (to the right), (b) Moore's test, (c) the phenyl hydrazine test, (d) lactic acid fermentation, (e) the reduction of silver nitrate above mentioned. II. The Disaccharids. Double Sugars. These con- sist of condensations of two molecules of simple sugar with the loss of one molecule of water. M'-f M"=D+H,0. The important and common ones are : Saccharose or cane sugar, Maltose or malt sugar, I^actose or milk sugar. The Reducing Power of Disaccharids. Test solutions of each of the above by Trommers' test and record results. Hydrolysis. The chemical structure of disaccharids, as made up of two molecules of simple sugar, can be demonstrated by hydro - lysing them. Experiment 4. Place a 1% solution of cane sugar in a test tube and add a few drops of HCL and heat to boiling. Allow it to become cool and apply Trommer's test. The abundant amount of monosaccharid formed gives a strong reducing test, whereas cane sugar gave none. Cane sugar does not give many of the sugar tests ; thus, Moore's test is negative ; it is not directly fermentable. Try, however, the fermentation test as above and note and explain the result. Solutions of maltose and lactose could have been hydrc- lysed in the same way. III. The Polysaccharids. Multiple Sugars. Starches, gums, celluloses. These are substances of high molecular weight which has not yet been exactly determined. They are polymerization forms from mono- and disaccharids into which they may be finally split up by hydrolysis. Starch is one of the commonest and most important. Solubility. Test the solubility of Starch by putting a little in a test-tube and shaking it up in cold water. Observe that there is no apparent solution. Allow it to settle and add to a little of the supernatant fluid a drop of iodine solution. Color? Shake up t!he settled starch and add a drop of iodine solution as before. Result? Boil a pinch of starch in a test-tube of water and observe that it swells up, becomes translucent and forms an opalescent solution. Add to a portion of this solution a drop of iodine solution. Result Boiling bursts the starch grain and converts insoluble starch into soluble starch. Dextrin. Test the solubility of dextrin by placing a few grains in a test-tube of cold water. To a portion of the solution add a drop of iodine solution and note the color. Compare with starch. Hydrolysis of Starch. Half fill a test-tube with a 1% solution of starch and add a drop or two of HCL and heat for half an hour in a water bath. With iodine solution, test small portions of it at intervals of 5 minutes. Note and explain the color changes. The starch has been converted into sugar through dextrin. Apply Trom- mer's test for the presence of a reducing sugar. The starch solution itself gives no reduction. JO Indiffusibility. Starch is further a non-diffusible substance (See Proteids). Cellulose makes up the framework of plant tissues. Glycogen, sometimes called animal starch, is a storage form of carbohydrate in the animal body. This substance and some of its properties will be demonstrated to you. Glycogen, dextrin and cel- lulose can all be hydrolyzed. The carbohydrates that occur normally in our body are glucose, (together with some fructose and galactose), lactose (only in nurs- ing women), and glycogen. PROTEIDS. These are the most important chemical substances in the body, occurring always in the living protoplasm wherever found, abso- lutely necessary in the food. They are complex bodies, which are little understood chemically. The proteid molecule is very large and contains C, N, H, O, usually S., and sometimes as well Fe and T. How these elements are grouped together in the proteid molecule is as yet incompletely known. Some of the nitrogen and some of the sulphur are loosely combined as may be shown by the following ex- periments. Experiment 8. To about 5 c.c. of diluted egg-albumen, add a few drops of 20% KOH, warm slowly and hold a piece of moist- ened red litmus paper over the mouth of the test-tube. The litmus paper turns blue, showing that ammonia gas is being evolved. The ammonia may also be detected by the smell. Hold a piece of filter paper moistened with HCL over the end of the test-tube"; a clou i of ammonium chlorid fumes is formed. Experiment p. To about 5 c.c. of 20% solution of KOH, add two drops of 'lead acetate solution ; a precipitate forms which redis- solves on shaking. When clear, add some solution of egg albumen and boil. A brown or black color indicates lead sulphid. Indiffusibility. One of the results apparently of the large size of the proteid molecule is its inability to pass through the pores of an animal or vegetable membrane, — i.e., its indiffusibility. Experiment 10. Place some egg albumen, glucose, and salt, in solution in a dialyser and suspend it in a beaker of distilled water. II Allow it to stand for a day and test the water in the beaker for sugar (Trommer's test) and for salt (with silver nitrate solution), and for proteid by the color test below. The first two will be found to be positive, the last negative. The Tests for Proteids. Thesemay be conveniently grouped ' as Color tests, Precipitation tests, and Coagulation tests. I. The Color Tests. (a). The Biuret Test. ( Piotrowsky's Reaction). To a solu- tion of egg albumen, add a few drops of dilute copper sulphate solution and then KOH to excess. A violet color appears which indicates the presence of proteid. Proteoses and peptones (formed in digestion) give instead a rose pink coloration. (b). The Xanthoproteic Test. To a solution of egg albumen in a test-tube, add strong nitric acid; a white- precipitate is formed. Boil it and the precipitate turns yellow. Cool it under the water tap and carefully add ammonia to excess; the yellow turns to an orange. Dilute solutions may give these color reactions in solution. (c). Millon's Reaction. To a solution of egg albumen in a test-tube, add some Millon's reagent (this consists of a solution of mercurous and mercuric nitrates in nitric acid). A white pre- cipitate forms upon the addition of the reagent which turns a brick red on boiling. II. The Precipitation of Proteids by neutral salts is of im- portance in separating them from other substances in solution, and from each other. It depends upon varying their solubilities in solutions of neutral salts. Solubility. Proteids are insoluble in alcohol and ether. Some are soluble in distilled water (e.g., albumen), some in dilute saline solutions (e.g., globulins) while some are soluble in concentrated saline solutions (some vegetable proteids.) The salts usually em- ployed in precipitating proteids from solution are: Magnesium Sulphate, Ammonium Sulphate, Ammonium Chlorid, and Sodium Chlorid. (a) Magnesium Sulphate. Saturate some white of egg solu- tion with magnesium sulphate by adding crystals until no more will dissolve. A precipitate of globulin falls. The albumen remains in solution as may be demonstrated by filtering and testing the filtrate 12 for proteid (Biuret test). Ammonium chlorid and sodium chlorid act like magnesium sulphate. (by Ammonium Sulphate. Saturate a solution of egg white with ammonium sulphate and note that a precipitate is formed, including this time all the proteid, as could be demonstrated by filter- ing and testing the filtrate. If to the solution of proteid an equal volume of a saturated solution of ammonium sulphate were added, the globulin is precipitated while the albumen remains in solution. These salts, therefore, afford a means of separating and distin- guishing between proteids, e.g., albumen and globulin. III. Coagulation. This is the precipitation of the proteid as a changed insoluble compound. Important coagulants are (a) heat, (b) strong acids, (c) certain other acids (phosphomolybdic, phos- photungstic), (d) other organic compounds (picric and tannic acids), (e) soluble salts of the heavy metals (Hg., Cu., Pb., Zn., etc.), (f) alcohol on prolonged action, (g) certain enzymes or ferments (clotting of milk, coagulation of blood). Test the action of representatives of these groups on a solution of egg albumen. The tests that will usually be made use of in this department are the color tests, the action of heat, nitric acid, picric and citric acids. Classification. Although a consideration of the classification of the proteids belongs to a more detailed study of them in physi- ological chemistry, an idea of their occurrence and relations would be of assistance now. It is recommended that the simple classifica- tion given in Beddard, etc., "Practical Physk>logy," p. 175, be con- sulted. Especially important for the work in physiology are the simple proteids, nucleo-proteids, and nucleins. FATS. The fats and oils occur in vegetable and animal tissues. They are compounds of fatty acids and glycerin (a tri-acid alcohol) and other higher alcohols. The Fatty Acids. These belong to a series* whose sim- *01eic acid, however, belongs to another parallel series, the acrylic acid series. 13 plest members are formic and acetic acid. Stearic, Palmitic and Oleic acids are the usual fatty acids occuring in animal fat, the first two are solid at ordinary temperatures, the oleic acid liquid. Saponification. Just as the lower members of the fatty acid series, e. g., acetic, unite to form salts with metals, so the higher members unite with metals to form Soaps. Experiment if. Place two or three flakes of stearic acid in a test-tube and add water and shake. Note that it does not dissolve. Add a little 20% KOH and shake again, warming if necessary ; solu- tion occurs, a soap being formed. Sodium and potassium soaps are soluble in water, certain other soaps, e.g., calcium soaps, are not. Neutral Pats. The glycerin compounds of the fatty acids have certain properties which are more or less familiar to you. (a) They form a grease-spot on paper which remains as a permanent stain. — does not evaporate on standing; (b) they are insoluble in water; soluble, however in (hot) alcohol, ether and chloroform, benzin, benzene and other similar solvents, (c) Burnt fat has a character- istic odor due to the formation of a substance, acrolein. The fats that occur in the adipose tissue of the animal body are mixtures of stearin (tristearin) palmitin (tripalmitin) and olein (triolein), the proportions being different in different animals and upon this depends the consistency of the fat. In ourselves, the olein forms about )% of the fat. Emulsification. Since fats are insoluble in water, they soon separate from it when shaken up with it. If, however, soap is present, the globules of oil remain suspended, forming an emulsion. Experiment 18. Place in one test-tube some water and in a second test-tube some soap solution. To each add some cotton-seed or olive oil and shake. Note the result. Experiment 19. The oil doubtless is somewhat rancid, that is, contains some free fatty acid. Add to a little in a test-tube, some weak KOH and shake. An emulsion is formed. Explanation. Divide the emulsion into two portions. To one portion add a little mucilage, shake well and allow it to stand. Observe that the portion containing the mucilage "stands up" much longer. u Lecithin and Cholesterin, two compounds occurring especially in the nervous system and red blood corpuscles, will be considered elsewhere. Experiment 20. Test .for proteids (a) muscle (b) nervous tissue, (c) gland (pancreas, kidney, salivary gland) proceeding as follows: The blood is first well washed out by injecting a 0.9% solution of common salt through the arteries until it comes clear from the veins. Take pieces of . the organ and grind it up with 0.9% salt solution and filter. Test the filtrate for proteids as .you deem best. Take small fragments of the tissue, place them in dis- tilled water and apply Millon's reagent. Experiment 2.1. The Xanthoproteic test may.be applied, to your own skin by touching a spot with nitric acid, washing it. away with distilled water and applying then a drop of ammonia. Experiment 22. Place pieces of subcutaneous or omental fat in a test-tube with some 5% KOH. Warm it gently. Cautiously add HCL and allow it to cool. A layer of fat and fatty acid forms upon the top in the test tube. THE BLOOD AND THE LYMPH. The blood and the lymph form the nourishing fluids of the body, carrying to the tissues the food stuffs absorbed by the intestines, and taking from the tissues the waste products to the excretory sur- faces. A second function of the blood is to convey to the various parts of the body the oxygen absorbed from the lungs. There cir- culate in the blood, protective bodies and other complex products in minute quantities ; drugs, poisons, and other adventitious sub- stances, so that chemically it is of great complexity. Structurally, blood consists of the corpuscles, red or erythro- cytes, white or leucocytes, and the blood plates, floating in the fluid portion, the plasma. Before proceeding to a study of the blood, the phenomenon of clotting which serves to protect the body against loss of blood by Hemorrhage must be considered. The Coagulation of the blood ' is due to the formation of a sponge-work of fibrin entangling the corpuscles and by its contrac- tion squeezing out the fluid portion as the Blood Serum. There are several important questions to be considered here, — 15 the origin of fibrin, the conditions under which it is formed and why coagulation does not take place in the circulating blood. Experiment 23. Allow some cat's blood to flow into a test-tube, cool it and allow it to stand in the cold for 24 hours. Note the clot and its appearance ; -the exuded serum. Take a fragment of clot from the horse blood and wash it out under the tap until the . corpuscles are washed away and only the fibrin is left. Note the texture and elasticity of the fibrin frame- work. Place a small piece of the fibrin in a test-tube and apply the Xanthoproteic test and Millon's reagent. The Serum. Obtain from the stock table half a small test- tubeful of serum from horse blood and add to it an equal volume of saturated solution of ammonium sulphate. The serum-globulins are precipitated out. Filter out the precipitate and apply to the filtrate the heat test (for albumin) after acidulating with acetic acid. Filter again and dilute the filtrate with an equal volume of dis- tilled water. To one-third of this add a few drops of silver nitrate solution. The result indicates chlorides in the serum. The other portions may be tested for phosphates and sulphates by means of the Ammonium molybdate test and Barium chlorid solution respectively (Consult your inorganic chemistry). Glucose is also an important constituent of plasma, but tests for it are too difficult to be tried in this course, and it further dis- appears from the serum on standing (why?). However, Trommer's test for a reducing substance in fresh serum may be applied to the serum obtained from the cat's blood. The Coagulation of Blood. This is retarded or hastened by different conditions which may be contrasted as follows : Retarded. Hastened. (1) Addition of neutral salts. Dilution with distilled ■water. (2) Addition of soluble oxalate Addition of soluble calcium salts. or oxalic acid. (3) Cold. Heat - (4) Prevention of contact with Agitation and contact with foreign bodies by collect- rough substances. ing under oil. Foreign bodies in the blood-ves- (5) Retaining within the living sel; diseased condition of flhe uninjured blood vessel. blood vessel. (6) Albumoses, etc. Nucleo-proteids. (7) Heating to 56°. "Fibrin ferment." i6 Experiment 24. This is best performed with fresh blood, but because of the difficulty of providing so many with fresh blood, "salted" horse blood will be employed. Different features of the experiment will be demonserated to 'you with fresh blood. Allow some blood to flow from a cut artery into a saturated solution of magnesium sulphate until the vohime reaches four time.* the original amount of magnesium sulphate. The magnesium sul- phate prevents clotting. Allow the mixture to stand in a cool place until the corpuscles have settled. Pipette off the supernatant "salted plasma." Divide it into four parts in 'four test-tubes. To each of the 4 add about 8 times its volume of water. Place in tube A a few drops of a 54% solution of ammonium oxalate; in tube B a small piece of blood clot. Place tube C in a water bath at 38 . Add to tube D a few drops of oxalate and heat to 6o° C. It will be found that in test- tubes B and C clotting takes place sooner probably in C than in B. To test tubes A and D now add a few drops of calcium chlorid solu- tion. Tube A now clots while D remains unclotted. The above experiments illustrate three of the conditions favoring and retarding the coagulation of the blood, indicating that the presence of calcium is necessary for clotting, that clotting is hastened by heating, that there is something in clotted blood which furthers coagulation, and that the power to clot is destroyed by a temperature of about 60 desr. C. 17 The usually accepted interpretation of the process is well shown by the following scheme from Beddard, etc. "Practical Physic ology." Living blood. Plasma. I Albumin. Globulin. Corpuscles. White. ,• Red. Ca. salts + Pro-thr ora bin. Fibrinogen + Fibrin ferment. ' r ' 2nd globulin. Fibrin. Serum. Clot." I Dead blood. The nucleo-proteid seems to be especially set free by the disinte- gration of the leucocytes whence conditions 4 for retarding and 4 and 5 for hastening coagulation are to be explained. More obscure are conditions 5 and 6 for retarding and 6 for hastening. Defibrinated Blood. Blood may be freed from fibrin, "defibrin- ated," by beating it with a bundle of sticks or wires as it flows from the body. Such blood is useful for many tests and will be employed in experiments below. THE RED CORPUSCLES. Isotonicity. The red blood corpuscles react readily to changes in the density of the surrounding medium, retaining their form and shape together with their content of hemoglobin when they are iso- tonic with the surrounding plasma. Conditions of Hypisotonicity cause them to swell and lose their hemoglobin ; excessive density or hyperisotonicity in the surrounding medium causes shrinking. Experiment 25. Dilute equal volumes of defibrinatcd blood with (a") water, (b) physiological salt solution, (c) 2% salt solution. Note that test-tube A becomes clear, a condition known as laking. i8 Other substances can cause the hemoglobin to leave the corpuslces and break them up; such are, — (a ) freezing, (b) acids, (c) ether. Teste the power of ether and acetic acid to dissolve out the hemo- globin by shaking up separate amounts of defibrinated blood with ether and with 2% acetic acid. Chemical substances that have the power of destroying red blood corpuscles are known as Hemolysins. Shake up some blood in a test-tube with about J4 its volume of a solution of the drug Saponin in 0.9% salt solution. Result. A solution of about 0.9% of Sodium chlorid is isotonic with human blood, hence that is the strength of the Physiological Salt Solution employed in work with mammalian tissues. For "frog tis- sues, 0.6% solution is more normal. In general, a 0.75% (n|8) solution may be employed as a physiological salt solution. Counting: the Red Blood Corpuscles. By means of the Thoma-Zeiss Haemocytometer furnished you, determine the num- ber of red blood corpuscles per cubic millimeter in your blood, pro- ceeding very carefully according to the following directions. A. Caution. In counting the blood corpuscles, it is necessary to proceed with the utmost caution as a slight error due to care- less technique becomes much magnified in the final result. The count- ing pipettes will be given to you clean and you will be expected to return them in the same condition. Dirty pipettes will be cleaned or new ones furnished at your expense. The Method consists in diluting the blood a known amount, counting the number of corpuscles in a small known volume of the diluted blood, and from the count obtained, calculating the number in one cubic millimeter of undiluted blood. Obtaining the Blood. Qeanse the tip of the finger or the lobe of the ear with soap and water and then wipe it well with a piece of absorbent cotton wet with alcohol. With a sterilized needle or haemospath prick the cleaned finger or lobe of the ear and allow a good sized drop of blood to form without pressure. Then insert the point of the larger, erythrocyte, pipette, and very carefully draw up in the manner shown you the blood to the mark 0.5. Wipe off all blood adhering to the outside of the pipette with absorb- ent cotton. If the blood is drawn in beyond the mark it may per- 19 haps be possible to bring it back to the mark by carefully touching the end of the pipette to the filter paper. Diluting the Blood. Place the end of the pipette in Hayem's solution and by suction draw in fluid up to the mark 101. Be care- ful not to allow the blood to escape from the end of the pipette in so doing. Close both ends of the pipette and shake it well to thoroughly mix the blood and the diluent. Filling the Counting Cell. After the blood has been well mixed, allow several drops to escape, wipe off the end of the pipette and then catch a small drop upon the center of the glass disk in the counting cell without allowing the diluted blood to overflow into the moat. Cover quickly and carefully and press down gently upon the cover until Newton's rings are seen. Should they not appear, cover and cell must be first carefully cleaned and the work must be repeated from the beginning. Allow the corpuscles time to settle and then proceed to count them. Counting. It will be seen that the field contains areas of 25 squares in which the bounding squares are divided by a line. Count the number of corpuscles in each small square, counting all the corpuscles that are upon the upper and left hand bounding lines and disregarding all those upon the lower and right hand lines. Count in this way 100 small squares and calculate the number per cubic millimeter. It will help you to count them in the blocks of 16 small squares. If preferred, all the corpuscles within the block of 25 small squares formed by the bisecting line (16 full squares, 16 half squares and 4 quarter squares) counted and then count 4 such blocks. Calculation. Each small square is 1-400 of a square milli- meter and the cell is 1-10 millimeter deep; each square, therefore, represents 1-4,000 of a cubic millimeter of diluted blood. The dilution is 1 :2co and 100 squares are counted. The number of corpuscles in a cubic millimeter of blood, therefore, equals the num- ber counted multiplied by 4,000 and 200 but divided by 100 or the number of cells counted. Control Count. Rinse off the cover and counting cell with distilled water and dry them carefully by means of lens paper or gauze. Shake up the pipette and as before after letting 2 or 3 drops 20 escape receive a small drop upon the disc in the counting cell and make a second count of ioo squares. If the second count confirms the first, submit your results for examination. A second count does not of course obviate ' errors made in obtaining and diluting the sample of blood. If the instruct tor considers the count incorrect, the experiment must be repeated from the beginning with a fresh drop of blood, the counting cell and pipette being first cleaned and dried in the manner given below. Cleaning the Cell. Carefully rinse out the cell with distilled water and dry it with absorbent cotton. Do not use alcohol or other solvent in cleaning it. Rinse off the cover with distilled water and wipe it on a piece of gauze or lens paper. Cleaning the Pipette. Rinse out the pipette with saline solution by drawing it into it and shaking it and then forcing it out. After the salt solution wash it out with alcohol and then with ether and dry it by drawing air through it by means of an aspirator. Unless the pipette is kept clean it is valueless. Counting the White Corpuscles. The procedure is the same as in counting the red corpuscles except that the other pipette is taken, the entire number of small squares are counted in blocks of 25, and instead of the diluent used in counting red cor- puscles, 4% acetic acid or Toison's fluid must be employed. Count the number of leucocytes in the entire number of small squares, or 16 blocks. Calculate the number in a cubic millimeter. The dilution is 1 :20 and the total number counted, therefore, is 20 times 4,000, times the number counted divided by 400. Make a second count with another drop. If there is a marked error the count must be repeated with a fresh drop of blood. When you have finished, pipette and cell and cover must be cleaned as directed above. Determination of Amount of Haemoglobin. Demon- stration. HAEMOGLOBIN AND ITS DERIVATIVES. Haemoglobin. Upon a clean slide place a rather large drop of blood from your finger. Around it place a ring of natural 21 Canada Balsam and place upon it a cover glass so that the drop is sealed in by the balsam. Set the specimen aside for a day or so and examine it with a microscope for crystals of oxy-hemoglobin. Note forms and color. Co-haejnoglobin. Pass some illuminating gas through a test- tube full of defibrinated blood for a few minutes until Co-haemo- globin has been formed, and then add, drop by drop, pure ether until the blood has become laked. Allow it to stand in the cold, on the window sill or in the cold room in an open beaker for a day or two. Examine then and crystals of haemoglobin will probably be found. Some of these may be removed by means of a pipette to a slide and examined under the microscope. Reducing the alkalinity by the cautious addition of a weak solution of acid sodium phosphate tends to hasten crystallization (Hermann's Practicum.) The derivatives of haemoglobin are of considerable importance when we remember that the blood is continually undergoing decom- position in the body normally and especially in conditions of internal haemorrhage. In certain diseases (e. g., malaria) there is a great destruction of red corpuscles. All fevers are attended by a more or less marked dissolution of the erythrocytes. Hematin. Oxyhemoglobin, treated with acids and alkalies, h decomposed into Hematin and a proteid constituent of haemoglobin which has been termed Globin. Experiment 30. In a test-tube add to some defibrinated blood a few drops of strong caustic potash solution and warm. The solu- tion turns to a greenish red, indicating the formation of alkali-hem- atin. Neutralize it by the cautious addition of HCL. drop by drop and the hematin is thrown down together with the proteid present as a dirty-brown precipitate. Experiment 31. — To some dried blood in a test-tube add several cubic centimeters of strong acetic acid and warm. A brown color is assumed due to Acid-hematin. Neutralization of the acid by means of ammonia or other alkali will cause precipitation as before. Hematoporphyrin. This is derived from the hematin by a spliting off of the Fe. It is apparently closely related to, — isomeric with, — Bilirubin of the bile which is undoubtedly the form in which the hemoglobin waste leaves the body. It is likewise closely related 22 to Hematoidin which was described by Virchow as occurring in old blood-clots within the body. Bilirubin and hematoidin appear to be identical. Experiment 32. Place a small amount of dried blood in a test- tube and add concentrated sulphuric acid. The pigment is decom- posed and hematoporphyrin goes into solution. The solution in sulphuric acid may be filtered through an asbestos filter and to it added distilled water until the hematoporphyrin is thrown down as a precipitate. Cautiously add NaOH until the solution is slightly alkaline, when it will again dissolve. Hemin, or Hydrochloride of Hematin. (Histology labora- tory work.) THE SPECTRA OF THE BLOOD PIGMENTS. Oxy-haemoglobin. To a few drops of defibrinated blood in a test-tube add distilled water and shake. Place some of the solution in a watch glass and examine it by means of the spectroscope employ- ing the solar comparison spectrum. Note the two . characteristic absorption bands and their relative width and location. There is also absorption at the two ends of the spectrum. Haejnoglobin. To the diluted blood in the test-tube add ammo- nium sulphid until the oxyhemoglobin is reduced to hemoglobin. Place some of the Hb. solution in a watch glass upon the stand of the spectroscope and note that the two absorption bands are replaced by one band. Compare the spectra of Hb and HbO. Shake thor- oughly the solution of hemoglobin which you formed by the reduction of the oxy-hemoglobin and observe that the bright red color of oxy-hemoglobin is regained. Examination under the spectroscope would again show the characterstic two absorption bands. The Spectra of Co-hemoglobin, hematin, and hematoporphyrin and hemochromogen will be demonstrated to you. MUSCLE AND NERVE. I. Irritability, Conductivity, Contractility. II. Stimuli. Chemical, thermal, mechanical, electrical. III. The Irritability of Muscle. IV. The Galvanic and Faradic Currents. V. The Contraction of Muscle. (a) The Simple Twitch. (b) Minimal and Maximal Stimuli. (c) The Summation of Contractions. (d) Incomplete and Complete Tetanus. (e) Summation of Subminimal Stimuli, i VI. Electricity as a Stimulus. (a) Regulation of Electricity as a Stimulus. (b) The laws of Electrical Stimulation. (c) Electrotonus. (d) Pfliiger's Law. (e) Stimulation of Human Nerves. (f) Irritability and Conductivity in Nerves Compared. VII. The Responses to Stimulation. (a) Mechanical. (b) Thermal. (c) Chemical. (d) Electrical. VIII. The "Work of Muscular Contraction. (a) Work done. (b) Absolute Work. (c) Isometric Contraction. IX. Fatigue. It is advantageous to consider next the physiology of Muscle and Nerve. The application of exact methods is here the simplest and the general features of life phenomena are here well represented ; further, it is necessary in later work to have the physiology of muscle and nerve as a back ground for the study of the special physiology involved. Three properties which seem to be fundamental in living matter wherever found are here developed to a high degree of specialization 1 : Irritability, (excitability) common property of all protoplasm; Con- ductivity, pre-eminently characterise of nerve; Contractility, pecu- liarly the property of muscle. 24 By irritability is meant the power of setting free energy in response to some disturbing influence, the amount of energy set free being often out of all proportion to the influencing cause. The external and internal influences that are effective are known as Stimuli. The Responses to stimulation with which we meet in living matter are various. Muscle responds by a transformation of energy which appears largely as mechanical movement (contraction) and heat. A gland responds by increased formation of secretion; the electrical organ of the Electric fishes, (e. g., Torpedo) gives a strong electrical response, etc. It should be remembered that the law of the Conservation of Energy holds in the phenomena of the living as well as of the non-living world, and each response represents a transformation of energy and never a creation of energy. There are, then, three sides of the physiology of muscle and nerve which are to be considered, (i) Stimuli and the phenomena of stimulation, (2) The properties of Irritability and Conductivity, (3) The Responses to stimulation. Irritability and Conductivity may be demonstrated on the mus- cular and nervous tissues of many animals. Cold-blooded animals are easier to work with, for obvious reasons. The frog is especially suited for experimental work on muscle and nerve and will be used here in this course. It will be necessary, therefore, to facilitate later work, that you become somewhat familiar with the anatomy of the frog and the methods of "making muscle and nerve prepara- tions. Four muscles, or groups of muscles are suitable for this work: (1) The Gastrocnemius muscle, (2) the Semimembranosus- gracilis preparation, (3) the double semimembranosus-gracilis prepa- ration, and (4) the Sartorius. Before making the muscle preparations from the living tissue, dissect them out carefully in a preserved specimen according to the directions that follow. I. The Gastrocnemius Muscle-Nerve Preparation. This is the one that will be usually employed. It is to- be prepared in the following manner. Kill the frog by pithing. For this, take the frog in the left hand with the head of the frog between the index and middle fingers, the thumb upon the back of the frog. Bend the head down and the articulation between the 25 Fig. 1. Muscles of the Leg. Frog. Dorsal Aspect. 1 = M. ilio-fibularis. 2 = M. semimembranosus. 3 = M. gastrocnemius. skull and vertebral column becomes evident. With a slender scalpel or fine scissors cut the atlan'to-occipital ligaments and the medulla oblongata at this point and insert a tracer into the cranial cavity destroying the brain. The destruction of the spinal cord cause* contraction of the muscles of the legs which are thereby rigidly extended. The contraction of the muscles soon passes off and the legs become limp and relaxed. Place the frog dorsal side up on a glass plate and remove the skin carefully from the leg and thigh. The tendo Achillis is thus exposed, divided below the sesamoid bone and the gastrocnemius muscle freed up to the knee. The leg. is carefully disarticulated at the knee and cut away, care being taken not to injure the nerve where it enters the dorsal side of the upper end of the muscle. The sciatic nerve from which the Gastrocnemius muscle receives- its innervation is dissected as follows : — Upon the dorsal side of the thigh (Fig. i) carefully separate the M. gluteus maximus and M. ilio-fibularis (Biceps) from the M. semimembranosus, thereby dis- closing the sciatic nerve. The lower (caudal) end of the urostyle is next carefully lifted and the muscles adjoining it cut on each side close to the urostyle exposing higher up the sciatic nerve and its three component nerves. Carefully remove the urostyle. Cut the spinal column across between the sixth and seventh vertebrae and bisect the 7th and 8th vertebrae in the middle plane. Grasp the section to which the nerve-roots are attached, lift it with the scissors free the sciatic nerve down to the knee, taking care not to cut it or stretch it. Lay the nerve along tihe side of the Gastrocnemius muscle. Cut the femur across about one centimeter above its condyles. For attachment to a muscle lever, a bent pin as a double hook is inserted into the tendon of Achilles. Before making the preparation, the necessary apparatus must be first set up and in working order. When not to be used imme- diately, however, the muscle-nerve preparation should be stored within the abdominal cavity of the frog or covered over with the ovary (if the frog is a female), or with cotton wet with physiological salt solution. Muscle and nerve must at every step be kept moist, if necessary by the use of physiological salt solution. a? Fig. 2. Muscles of the Leg. Frog. Ventral Aspect. 3 = M. gastrocnemius. 4 = M. sartorius. 5 = M. gracilis. 28 It is often of advantage to retain the skin of the leg as a sleeve over the gastrocnemius preparation. To do this, cut the skin around (in a circle) at the ankle and strip it free up to the knee, turning it wrong side out like 'the finger of a glove. Cut the tendon of Achilles below the sesamoid bone and free it up to the knee. Remove the tibia at the knee and pull the skin sleeve back down over the gastroc- nemius muscle. Then dissect out the sciatic nerve in the mannei directed above, removing the skin down to the knee. In many instances it would not be necessary to dissect out the entire length of the sciatic nerve. Gastrocnemius Muscle-Nerve Preparation for Demon- stration. When it is not important to record the con- tractions, the sciatic nerve may be dissected out down to the knee, the skin being left intact upon the leg and foot. After the entire length of the nerve has been dissected out, the femur is cut Fig. 3. , Method of clamping Muscle-nerve Preparation for demonstrating ac- tion of stimuli. across above the knee and the leg fastened in the clamp at the knee up side down, the foot and toes serving as an indicator or lever. (Fig- 3)- Care must be taken that the nerve is not caught in tftve clamp. The Semimembranosus-Gracilis Preparation. The relations of these muscles is seen from the figures. The fascia 20 bordering them is to be cut away with the scissors and from the ■dorsal side, the blunt scalpel handle inserted between these muscles and the M. ilio-fibularis or Biceps, freeing them from the femur and the remaining muscles of the thigh. If the M. semitendinosus, a •double-bellied muscle, is found to be included with them, it should be cut near its distal end. The distal attachment of these muscles is to the head of the tibia, so that cutting the femur just above the knee and the tibia just below the knee leaves the bones at the knee in a convenient form to hold in the femur clamp ; a hook also, may be easily passed through the articulation. Cut away the muscle mass and disarticulate the upper end of the femur. Cut through the long ■slender ilium (Consult figure of skeleton) near the acetabulum and witb the scalpel separate the pubic bones at the symphysis pubis. A hook can be inserted through the cartilage of the acetabulum or the fragment of bone held in a clamp. The Double Semimembranosus-Gracilis Preparation. This is made in the same way as the single Semimembranosus-gracilis preparation, except that the preparation is made at both sides and after disarticulating the femurs at the hip and cutting away the muscle mass, the symphysis pubis should be cut transversely just above the attachment of the semimembranosus and gracilis muscles leaving them thus joined by a thin layer of bone. The Sartorius. Upon the ventral side of the thigh of the frog (Fig. 2) is a long thin muscle whose origin is from the symphysis pubis and whose distal attachment is to the fascia of the leg tlve capsule of the knee and to the tibia. It is a delicate muscle, at first not easily separated from the neighboring muscles. The muscle fibers are parallel, running the entire length of the muscle, and this relation makes the muscle valuable for demonstration of certain ifacts. The nerve enters the muscle at about its middle. STIMULI AND THEIR ACTION. The stimuli which cause nerve and muscle to react may be ■grouped as chemical, thermal, mechanical and electrical. In the body, the "normal stimulus" for the muscle is the Nervous impulse. This name but masks our ignorance, as the nature of the real •change that constitutes the stimulus is unknown; possibly chemical 3° processes underlie it ; if not, certainly molecular changes. Glands also- are excited to activity by the nervous impulse as a stimulus. In the nerve fiber the nervous impulse is originated normaHy either by' a sense-cell, or another nerve fiber influences its nerve-cell, or "The Will" in some way starts an impulse. The irritability of a motor nerve and the action of a stimuli upon it are most easily determined by the contraction of the muscle- to which the nerve goes, — the muscle thus acting as an indicator to show the state of activity of the nerve. Mechanical Stimuli. Make a sciatic-grastrocnemius prep- aration of the kind shown in Figure 3 as directed in the text,, the femur-clamp being attached to an iron stand by means of a double clamp. With the scissors clip the end of the nerve and observe the resultant contraction of the muscle. The scissors have given the nerve a mechanical stimulation. Other more elaborate experi- ments might be performed and special apparatus has been devised for studying the effect of mechanical stimulation (Demonstration.) Accidental mechanical stimulation of nerves, sensory or motor, will doubtless occur to you (e. g., hitting the "crazy bone.") Thermal Stimuli. Heat a needle red hot and apply it cautiously to the end of the nerve. Usually the heat of the needle will cause contraction of the muscle; however, the hot needle kills the portion of the nerve with which it comes in contact and some- times without first stimulating it. Chemical Stimuli. With the same preparation test the stimulating value of a number of chemical solutions. To do thU, place in a watch glass a drop of the solution to be tested and bring the drop in contact with the end of the nerve as it hangs down ; its stimulating action is shown by the movements of the frog's foot. Drying, as you will see, itself irritates the nerve, so that it is nec- essary to moisten the nerve now and then by allowing physiological salt solution to drop over it. It will probably be necessary to take a second muscle-nerve preparation to complete the list of chemicals to be tested. After one solution has been tested, cut off the portion of the nerve that came in contact with it, wipe out the watch glass and test another solution. 3t Test the following solutions of chemicals. They will not all have the same value as nerve stimulants. Record your results. Ammonia. Potassium hydroxid, 5%. Zinc chlorid, %% Mercuric chlorid, 5%. Acetic acid, strong solution. Nitric acid, 10%. Magnesium sulphate, saturated solution. Glycerin. Sodium chlorid, saturated solution. Finally, allow the nerve to become dry. r~ For more exact experimental work it would be advisable to employ only standard solutions, and take greater precautions to pre- vent drying out of the nerve. Much remains to be done before the action of chemical stimuli is understood. Cases of stimulation of sensory nerves by chemical agents will doubtless be remembered by you (cuts, raw surfaces, burns, toothache sometimes, etc.) Electrical Stimuli. The Galvani Experiment. Place a copper plate across a zinc plate at an angle of about 20 degrees and across the gap formed lay the nerve of a muscle-nerve preparation. When the nerve touches both plates the muscle contracts. This experiment is of historical interest as through it,- — accidentally and in modified form, — Galvani in 1786 discovered the form of electricity that bears his name (Galvanic.) The salt solutions contained in the nerve coming in contact with the different metals, copper and zinc, forms a small battery cell and completes the circuit. The electric current so caused to flow stimu- lates the nerve and causes the muscle to contract. IRRITABILITY OF MUSCLE. In the above experiments it has been shown that the nerve rt spond to various stimuli. If the same were applied to a muscle directly it woud be found that the muscle itself responded by contraction to these same forms of stimulation. Such experiments, however, would not be conclusive or of value in proving the independent irritability of muscle, for the muscle is full of nerve fibers passing to each of 32 the individual muscle fibers, and it is these and not the muscle fibers which would be stimulated first. In order to test the irritability of muscle it is therefore necessary to eliminate the nerve fibers. This may be accomplished by (a) Degeneration, — cutting the motor nerve of the muscle and after some time it will be found to have completely degenerated, (b) Curare injected subcutaneously interrupts the ■communication of the nerve with the muscle by paralyzing the motor end plate. It is this method which will be employed here, (c) The independent irritability of muscle is also shown by stimulating mus- •cle in places where the nerves are absent, such 'as, e. g., — (i) the ends of the sartorius muscle in the frog, (2) the ureter, (3) the apex •of the heart (?). Experiment 40. Inject into the dorsal lymph sac of a frog ?4-^2 c - c - of a 1% solution of curare. In 15-20 minutes, the frog will be completely paralyzed. Pith the frog and dissect out one of -the muscles of the leg for stimulation and test (1) the chemical ■stimulation of HC1, NaCl, distilled water, ammonia. Try the Gal- vani experiment with the sartorius (see electrical stimuli above), (c) Suspend the muscle in a vial of physiological salt solution heated to about 45°C; the muscle contracts, passing into a condition of Rigor caloris. (d) The mechanical stimulation of a blow upon the muscle is not so easily seen ; however, it exists and the sartorius is "best suited for demonstrating the efficiency of this form of stimula- tion. THE GALVANIC AND FARADIC CURRENTS. Electricity, whose stimulating action is thus illustrated in the simple manner given above, as a stimulus possesses several mani- fest advantages over the other forms of stimuli. It does not kill or injure the part stimulated whereas they must do so more or les.-:. The strength of stimulus can be/ more easily regulated than in the •case of the other forms. It can be used on the uninjured intact "body for the stimulation of deeper lying parts and organs, which the other forms of stimuli cannot so well accomplish. These feat- ures of electricity make it a stimulus of great value in physiology and medicine, and it will be necessary to consider in some detail during the course the electrical current, its forms, generation, regu- lation, measurement, detection and application. Before proceeding 33 to apply it further in the study of physiology of muscle and nerve,, we must examine its forms and their application. I. The Galvanic Current. When certain chemical' substances go into solution in water (especially) they are believed to become dissociated into their component acid and metallic radi- cals, negative and positive ions, which on separation become the bearers of opposite charges of electricity. Thus, NaCl in solution becomes separated into Na (positive) and CI (negative.) If there is chemical action such that the positive ions can be drawn toward one side and the negative ions toward the other side, and the two points of attraction connected by a wire or other conductor, an elec- tric current will flow from the positive side through 1 the wire to- the negative side. Thus, to take a concrete example; — If a copper plate and a zinc plate be suspended in a dilute solution of sulphuric acid and the two connected by a wire, a current will flow from the copper (posi- tive) through the wire to the zinc (negative,) This depends upon the following chemical reaction: Zn-f-H 2 S0 4 =ZnS0 4 +2H. and we may content ourselves here with the following explanation. The sul- phuric acid dissolved in the water becomes dissociated into its ions (acid and metallic radicals), Hydrogen and S0 4 , the former bearing a positive charge, the latter a negative charge. The S0 4 unites with the Zn, depositing, so to speak, its negative charge while H passes off at the copper pole giving to it its positive charge. A more correct explanation or attempt at explanation would lead us into the domain of physical chemistry. The positive charge may be considered to represent a higher degree of electrical intensity which tends to accumulate at the copper plate (See Difference of Potential), to be equalized by the flow of current through the wire from the copper to the zinc. Battery Cells. The principles illustrated by the above- example have been made use of in the construction of many forms of battery cells as a source of electricity. T!he cells which will be demonstrated to you and whose construction and chemical actien you should understand are : Dcmiell cell, Bunsen cell, Grenet cell, Edison cell, Leclanche cell, dry cell. Preserve a copy of the table given you. These, and similar types of battery cells, are used in physiology 34 and medicine as a source of electricity. Daniell and Edison cells have a more constant E.M.F. (voltage) ; Bunsen cells possess a fairly constant voltage and a higher current (Amperage), while the Grenet cells have a high efficiency but it is of short duration. Keys. Appliances for opening and closing an electric cir- cuit. The following keys may be used : (a) Simple Keys, for open- ing and closing a circuit, (b) Short-circuiting Keys, arranged to short circuit an electric current; they may also be used as simple keys, (c) Pole-changing Keys, to reverse the direction in which the current is flowing, (d) Switches, to transfer the current from one circuit to another. The Commutator, Pole-changer, or Rocking- Key, combines keys (c) and (d). The rocking key with metal contacts may also be used as a short-circuiting key. They can of course, all of them, mercury or metal contact commutators, be employed as simple keys. Examine the mercury or metal commutator assigned to you ; understand and diagram the three or four ways in which this piece of apparatus may be used. Electrodes. Metal or other terminals conveying the elec- tricity to the tissue or part of the body to be stimulated and thus completing the circuit. The electrode connected with the positive pole of the battery cell is called the Anode; the one connected with the negative pole, the Kathode. Two forms will be used by you, — The Platinum Electrodes and the N on-polarizable Electrodes. Understand the reasons for employing these forms of electrodes; the method of preparation of the non-polarizable electrodes will be demonstrated to you. II. The Induced or [Faradic Current. In addi- tion to the galvanic current, the induced current is often used for stimulation. It is formed by electro-magnetic induction, and depends upon the following facts whose explanation cannot be attempted here (Demonstration). (a) When a wire which is part of a completed circuit is moved in a magnetic field across the lines of force ( an electric current is generated' — induced — in the wire so moved. If the wire is moved back in 'the direction opposite to that first employed, the current in the wire is reversed in direction. 35 {b) When an electric current is passed through a coil of wire, it develops around it a magnetic field — converting the coil into a magnet, an electro-magnet. If a wire or coil of wire is moved across this field, a current is induced in the second coil while it is "being moved, the direction of the current being reversed when the direction of movement is reversed. (c) Making and breaking (closing and opening) the current in the first or primary coil has the effect of movement, so that when the current in the primary coil is made and broken, two cur- rents are formed in the secondary circuit which are of opposite direc- tion. Upon these facts depends the construction of the Inductorium. This is a form of induction coil used in physi- ology and medicine. A current is formed in the secondary circuit each time the primary circuit is made and broken. Of these, the break current is the stronger. The nearer the secondary coil is to the primary, the stronger the current induced in the secondary coil. Likewise, when the secondary coil has its axis at right angles to the axis of the primary coil, no current will be induced, and as it is rotated toward the parallel axis, progressively greater current will be induced. The Interrupted Current. It is often desirable to stimulate by means of a rapid succession of currents of short duration. With the galvanic current this is accomplished by some form of inter- rupter. The inductorium is provided with a form of automatic interrupter whose action you should understand and be v able to dia- gram. This is called the Wagner Hammer. III. The Direct Dynamo Current may of course be used in place of the galvanic current. IV. The Alternating Dynamo Current is use- ful in electro-therapeutics less so in physiology. V. Static Electricity. Employed in therapeutics : seldom in experimental physiology. THE CONTRACTION OF MUSCLE. Before proceeding farther in the examination of electricity as . a stimulus, let us examine one of the Responses which muscle shows - when subjected to stimulation, i. e., Contraction. 36 The Simple Twitch. This you have already seen as the result of mechanical, thermal and chemical stimulation. In order to study it in more detail the graphic method will be employed. The Graphic Method. The plotting of curves is largely employed in the sciences (e. g., physics, physiology, medicine, etc.) when it is desired to obtain a record of a variable in terms of two functions of that variable. In medicine (fever cures, urine secre- tion, respirations, pulse rate, etc.) and in physiology time is one function, and therefore in physiology a moving surface is employed upon which the other function, the amount of vital activity, records itself. Often, as in the case of the contraction of a muscle, the amoun: of movement (activity) is so small that it is advantageous to have it amplified by means of a magnifying lever. Experiment 41. Connect a dry cell with the inductorium for single shock, with a simple key and a signal magnet in the primary circuit. From the binding posts of the secondary coil, pass fine wires to the binding post on the femur-clamp and to the binding Fig. 4. Simple Twitch. post on the lever which should be connected with the muscle prepa- ration by a short coiled wire (Fig. 4). Employ a Semimembranosus- gracilis preparation suspended from a femur clamp and attached to a light muscle lever. Choose a position of the secondary coil at which the muscle responds only to the break current. Bring the signal magnet to write on the smoked surface of the drum immediately below the writing point of the muscle lever. Revolve the drum by hand to form a base line. Then spin the drum rapidly by hand and when it is running smoothly, quickly make and break once the 37 primary current. The muscle records its contractions as a simple curve in which you may recognize these three parts : a latent period intervening between the moment of stimulation and the beginning of contraction, the period of increasing contraction, the period of relax- ation. In the frog muscle, under ordinary conditions, these periods have about the value of i-ioo second, 4-100 second and 5-100 sec- ond respectively. Their relative and absolute duration, however, depend upon various factors (Demonstration). Experiment 42. The strength of stimulus has a great deal to do with the response obtained. Perform the following experiment to demonstrate this : A dry cell with a simple key is connected with the inductorium for single shock. Wires from the secondary coil are connected with the femur clamp and muscle lever (Fig. 4). The drum is to be revolved by hand. Draw a base line. With the posi- tion of the secondary coil giving the weakest possible current, make and break the primary current. No contraction will result. Record the stimulation upon the drum by a dot and rotate the drum about 5 millimeters and repeat the experiment . employing slightly stronger stimulus. Continue to increase the strength of stimulus, indicating each stimulation by a dot, and rotating 5 millimeters after each trial. Soon a strength of current will be reached which will cause con- traction, — a Minimal Stimulus. Gradually increase the strength of current until at last a height of contraction is reached which is not exceeded with further increment in the strength of stimulus, — a Maximal Contraction. Subminimal Stimuli, although by themselves not causing contraction, must not be assumed to be without effect. Examination of another form of response than the chemical, — the electrical re- sponse (see below), would show that this is not true. , , Experiment 43. Connect a dry cell through a simple key with the inductorium for single shock. From the binding posts of the secondary coil pass wires to the binding posts of the moist chamber and connect them with the platinum electrodes in the moist chamber (Fig. 5). Dissect out a muscle-nerve preparation and fasten it m the moist chamber with the tendon attached to the muscle lever, arranged to record the contractions on the drum. Place the nerve over the electrodes. Put in the moist chamber a piece of blotting 38 or filter paper wet with water, and cover. Find a position of the secondary ooil that will give the weakest stimulus which is effective. Choose a stimulus just subminimal in strength. Prepare to record contractions as in experiment 42. Draw a base line. At intervals of 4 seconds stimulate the muscle indicating each stimulation by a dot upon the drum rotating it at its slowest rate, 5 millimeters Fig. 5. iimitLx between each trial. Afer repeating the stimulation several times, the muscle will respond by contractions of increasing height. There is here the effect of a summation of stimuli which are individually subminimal. Therefore, every time we stimulate with a break induction shock, we must remember that there is a make shock which, though subminimal may yet have some effect on the succeeding contraction. For exact work it is well to "cut off" in some way the make current and prevent it from reaching the tissue. Summation of Contractions. When two or more stimuli are given to nerve or muscle, the result will depend upon the time rela- tions of the stimuli, and the character of the contractions resulting under these circumstances will be demonstrated to you. You will see, however, that when the second stimulus falls within the period of contraction or relaxation from the effects of the first stimulus, the second contraction is, as it were, piled on top of the first, the muscles not stopp'ng to finish the first contraction but starting off straightway on the second contraction. Incomplete Tetanus. If a series of stimuli are sent in one after .another at a rate such that each succeeding stimulation will cause tha 39 muscle to contract again before it has fully relaxed from the pre- ceding contraction the muscle will remain in a state of contraction in which, however, the individual component contractions can still be seen, v Experiment 44. Connect a dry cell with the inductorium for single shock with a simple key in the primary circuit. Connect the platinum electrodes of the moist chamber with the terminals of the secondary coil (Fig. 5). Make the muscle-nerve preparation and place it in the moist chamber connected with the writing lever so that it may record its contractions on a drum. Have the recordng drum set to revolve at a rapid rate. Choose a position of the second- ary coil giving just a break contraction. Start the drum and draw a base line ; then by means of the key make and break the current at the rate of 4-5 times a second. (A watch ticks 5 times a second.) Repeat the experiment making and breaking the current by means of the key as fast as you can. How fast can you do it? Experiment 45. Change the wires in the primary circuit to the binding posts of the inductorium. for interrupted shock, and repeat the experiment holding the key closed for several seconds. There results a complete fusion of response Complete Tetanus. ELECTRICITY AS A STIMULUS. It is necessary for you to know more about the stimulus which you have been us'ng; how it may be regulated and how it acts, as it is- of considerable practical importance. Regulation of Electricity as a Stimulus. Electromotive Force (E. M. F) ; Difference of Potential. In a battery cell the intensity of energy upon which the flow of current depends is called the E.M.F. At the copper or carbon pole in the batteries studied by you the intensity may be spoken of as greater than at the zinc or negative pale. This difference is known as the "difference of potential" between the two poles. When the two poles are connected by a conductor permit- ting it, there is a flow of current which would equalize the difference of potential were it not that the chemical activ'ty in the cell tends continually to maintain it. The E.M.F. then is equal to the difference 40 of potential existing between the two poles of the circuit. Between any two points in the circuit there is a difference of potential which is greater the farther they are apart. The E.M.F. represents the sum of the differences of potential existing bctwe«;ji all the different points in the circuit. Determine the E.M.F. in volts for the dry cells assigned to you, number them and keep a record of their voltage. Resistance. Understand the analogy of the "flow" of the electric current and the flow of a current of water in pipes. In order that an electric current flow, it is necessary that there be a certain amount of E.M.F. to overcome the "resistance" in the cir- cuit. In the flow of water through pipes the smaller the pipe and the longer the pipe, the greater is the resistance to its flow, and analo- gous conditions prevail in the case of the electric current : the longer the wire and the smaller its caliber, the greater the resistance. A third factor upon which resistance depends is the character of the con- ducting substance, and from the resistance substances offer to the flow of the electric current they may be grouped an non-conductors or insulators, poor conductors and good conductors. Examples of each will doubtless occur to you. In the case of the batteries already mentioned the resistance to the flow of current when the two poles are connected, lies not only "in the wire" but in the cell as well so that it is convenient to speak of the resistance here as external and internal. The internal resistance may be considerable and if the external resistance is small it must be considered in applying Ohm's law given below, since the R there represents the entire resistance internal and external. If the external resistance is great, however, as when the current is passed through the tissues of the body the internal resistance may be neglected. Measurement of Current. The amount of current then varies with the E.M.F. and inversely as the Resistance. The relation of E.M.F., R. and Intensity of current is formulated as Ohm's law, I=E-^-R, — the amount of current equals the E.M.F. divided by the resistance. The Ampere is the unit of measurement for the strength of current. In the case of any of the batteries exam- ined the resistance, internal and external, is so slight when they are connected up by means of a short wire of large caliber that the am- 41 perage will probably exceed the amount measureable by the ammeter available. If, however, the resistance is increased by (Ohm's law) by placing in the circuit a longer and finer wire, it may then be meas- ured, and if the internal and external resistances are known the amperage can be calculated. Place in the circuit of the dry cell whose voltage is known, as a known resistance, i meter of resistance wire (resistance about — ohms) and measure the amperage by means of the ammeter. Can you calculate the internal resistance of the cell? Measurement of Resistance. It will not be neces- sary for you to do this yourselves. In cases where it is necessary, it will not be measured directly but indirectly by comparison with known resistances by means of Resistance Boxes or the Wheatstone Bridge. The unit of resistance is the Ohm. According to Ohm^s law then a battery giving an E.M.F. of i volt with i ohm resistance in the circuit would produce a current of i ampere. The Regulation of the Amount of Current. From Ohm's law, it is evident that the current may be regulated either (a) by regulating the voltage, or (b) regulating the resist- ance, — increased resistance causing decreased current, increased E.M.F. increased current and vice versa. Practically, three ways offer themselves (a) Joining cells together to increase the E.M.F. or current, (b) Regulating Resist- ance, (c) By a Shunt. Joining Cells Together. This may be done either by joining them positive pole to positive pole, or positive pole to negative pole, the two ways being indicated as joining them 'in par- allel" and "in series." If you were to join two or more cells first in series and then in parallel and by means of voltmeter and ammeter test the voltage and amperage of each combination, it would be seen that when they are joined in series the voltage is increased while the current remains practically the same, while when they are joined in parallel, the current is increased while the E.M.F. remains practically the same. In physiology we usually join cells in series. Joining the cells in Multiple, is grouping them in series and then combining these groups- 42 in parallel, thus accomplishing increase in both amperage and voltage. For a given number of cells an arrangement of groups may be found that will give the greatest efficiency. Regulation of Resistance. As stated above, in- creased resistance will cause decreased current. Special instruments for introducing resistance into a circuit are the Rheostat, Resistance- Box, Rhecchord. The Shunt. If an electric current is divided and led through two wires, the fraction of current flowing through each branch will be inversely proportional to the resistance in each branch. Since the resistance varies with the length of wire, it is easy to closely regulate the amount o'f current. By this means, also, any fraction of a voltage may be obtained by "leading off" from any two points in a circuit; the nearer the points* are together the less the E.M.F. (difference of potential) obtained. Compare Electromotive Force above. The Rheocord. This instrument applying methods (b)- and (c) given above shouid be well understood and the three ways in which it may be used, appreciated and diagramed. The Induced Current. Review the structure of the inductorium. It is important that you understand the generation of the opening and closing secondary currents, their differences as to- strength, and duration and why these differences exist; i. e., con- sider the size of the wire and the number of turns in the primary and secondary coils, self-induction and its effects. The break induced current is thus of shorter duration and greater intensity than the make induced current. It is important that you have a clear idea of the differences between the galvanic and induced electrical currents for understanding their value and action in the stimulation of muscle and nerve. Compare a graphic repre- sentation of the induced currents with that of the galvanic currents. The manner of regulating the strength of the induced current is already understood by you. The I/aws of Electrical Stimulation. The following so-called "laws" are helpful generalizations but not absolute in their application, nor are they necessarily peculiar to- 43 electrical stimulation but are doubtless fundamentally more or less universal in their application ; the first, for example, is demonstrable though not with the same facility for other forms of stimulation. I. Change and not Intensity of Current Stimu- lates. This is not absolutely true for there are several known exceptions to the general rule. Experiment 47. Join two dry cells in series and connect the positive pole with the O-post of the rheochord placing in the circuit a simple key. Prepare itwo non-polarizable electrodes and connect them with the O-post and slider of the rheocord. Prepare a sartorius Pig 6. Pig. 7. muscle and put a non-polarizable electrode against each end. Place the slider close to the O-post and close the key. Practically none of the current passes through the muscle but all through the rheochord. Gradually, slowly and evenly move the slider along the wire without lifting it, to the other post of the rheochord. If this is carefully done there will be no contraction of the muscle. Open the key and con- traction takes place. Again place the slider about 20 centimeters from the O-post. Close the circuit; contraction results; open the circuit and again the muscle contracts. From this, it appears that it is not the flow of the current that stimulates but the sudden change of the closing and opening of the current. Experiment 48. Connect up the dry cells* as before, but place in the circuit of one of them a short-circuiting key with "the key closed (Fig. 7). Place the slider about 50 centimeters from the O-post; close the simple key; contraction occurs. Open the short- circuiting key thus placing the second cell in the circuit and the mus cle again contracts. This law of sudden change having a stimulating 44 value was first formulated by DuBois-Reymond. Consult your text- book upon this point. II. Kathode Stimulates at Make, Anode at Break. (Experiment 49.) To demonstrate this, cauterize a frog and when it is entirely under, pith it and dissect out the sartorius muscle. Slit one end of the muscle longitudinally forming legs, and place it upon ice from which it is protected by paraffined paper. Against each leg place a non-polarizable electrode (Fig. 8). Con- nect up two cells as in experiment 47, with the simple key rheochrod and non-polarizable electrodes. Place the slider about 50 centimeters from the O-post. Close the key, the kathode leg contracts. Open the key ; the anode leg will contract. We may find apparent exceptions to this later when we stimu- late deep-lying nerve and muscle. It is necessary to keep in mind that the points where the current enters and leaves the irritable tissue are of real importance, so that it will be necessary to remember the distinction between the physical and the physiological anode and kathode, since they may not be, in fact never are, precisely the same. III. The Kathode Stimulation is the Stronger. (Experiment 50). Arrange the cells, rheochord, key and non- polarizable electrodes as before (Fig. 8). Dissect out the sartorius of the other leg, slit it and place it upon ice as before with paraffined pa- per between the muscle and the ice. Let the two divisions of the muscle be against the two non-polarizable elec- trodes (Fig. 8). With the slider next the O-post, open and close the key. , Repeat, having the slider y 2 centi- meter farther away from the O-post each time, noting at which electrode contraction first appears, and at what position of the slider. Repeat the experiment for confirmation. We have chosen to have you demonstrate these peculiarities of electrical stimulation with muscle and with the galvanic current. Were you to test it, you would find that these same laws hold also for nerve and when induced current is employed. m^ajas^^ l 45 Electrotonus. The passage of the electric current modifies markedly the irrita- bility and conductivity of nerve and muscle, and this fact is at the basis of "laws" II and III. The following statement may be illus- trated by the experiments 51 and 52 that follow. When an electric current is passed through a nerve or muscle, irritability and conductivity during the passage of the current are increased around the kathode and decreased around the anode. When the current is broken the conditions are reversed. Very strong currents also decrease the irritability and conductivity in the neigh- borhood of the kathode as well, while the current is made. Experiment 51. Connect up three cells in series with a rocking key and rheochord in the circuit (Fig. 9). Place the slider about tc centimeters from the O-post of the rheochord. Connect the slider and O-post of the rheochord with the rocking key which is also to be con- nected with the non-polarizable electrodes in the. moist chamber and arranged for reversing the current. Connect up a dry cell with the inductorium for single shock with a simple key in the primary circuit. From the binding posts of the secondary coil wires are to connect with the platinum electrodes which are to be nearer the muscle than the non-polarizable electrodes but as close to the one non-polarizable electrode as possible. Place a piece of blotting paper in the moist chamber wet with water. Cover the moist chamber. Arrange a muscle-nerve preparation, securing as long a stretch of nerve as possible, and place it in the moist chamber attached to the muscle lever for writing on the drum. Let the lever be just afterloaded with a 20-gram weight. The drum should be set to revolve at its slowest rate. With the key of the polarizing circuit open, test the stimulating electrodes and choose a strength of current such that only break con- tractions occur and these as weak as possible. Then record the upon the drum revolving at its lowest rate, groups of five contractions, as follows : (1) With the polarizing current open. (2) Close the polar- izing current and again stimulate. (3) Open the polarizing current again stimulate. (4) By means of the rocking key reverse the 46 polarizing current, so that the anode is next the muscle ; close it and again stimulate. (5) Open the polarizing current and again stimu- late. It may be necessary to increase the strength of the stimulating current after (3). If after (3) the response is entirely lost, if one waits long enough, and tests it again it will return. Record your results. Do they justify the statements made above concerning the changes in irritability caused by the passage of the current? The name Electrotonus given to these changes in irrita- bility and conductivity caused by the electric current is a poor name but it has gained a hold. The change around the anode is called Anelectrotonus; that around the kathode, Katelectrotonus. Do these experiments throw light on the reason for the second law of stimula- tion given above? The change in conductivity can be examined by means of another experiment. Fig. 0. Fig. 10. Experiment 52. As in the last experiment, arrange a polarizing current with three dry cells, rheochord, rocking key and simple key but do not use the platinum electrodes (see Fig. 10). Have the non-polarizable electrodes in the moist chamber half an inch or more apart. With the same or, — better, — a fresh muscle-nerve preparation in the moist chamber prepare to record contractions upon a drum revolving at its slowest rate. Arrange to use about 1-3 of the available polarizing current. 47 Start the drum, arrange the writing lever, which should be just afterloaded with 10-20 grams, and then drop upon the nerve between the non-poiarizable electrodes a drop or two of saturated salt solution. The muscle soon begins to undergo the irregular tetanus of salt stimulation. With the polarizing electrode between the muscle and the salt the kathode, make the polarizing current. Open it. Reverse the current so as to make that electrode the anode and again cloie and open the current. Results and their explanation. Repeat the experiment employing about two-thirds of the avail- able polarizing current. Repeat the experiment using the full available polarizing current. What bearing do the results have on the verification of the state- ment made at the beginning under Electrotonus ? Were you to test the change in rate of conduction, you would find that the rate also is diminished and increased around the anode and kathode respectively. Pflueger's law. As a result of the changes in irritability and conductivity around the kathode and anode, the response to stimulation varies under different conditions, the direction and strength of the current modi- fying the result. Experiment 53. Arrange one pair of non-polarizable electrodes in the moist chamber, connecting them with three dry cells in series with a simple key, fheochord and commutator in the circuit, connected as shown in Fig. 10. Trace the course of the current and ascertain in which position of the rocker the anode is next the muscle, — i. e., the current ascending. Prepare a muscle-nerve preparation and con- nect to record its contractions on a drum revolving at its slowest rate. With the ascending current, and with the slider next the O-post, make and break the current. No contraction will result. Move the slider y 2 centimeter from the O-post and again make and break the current. Repeat, moving the slider J4 centimeter at a time until finally contractions are secured. Note whether make or break con- tractions appear first and at what position of the slider. After both make and break contractions have been secured, larger intervals on 4 8 the rhebchord may be chosen between successive trials. When the full available current is reached continue adding cells in series until an intensity of current is reached such that there is no closing con- traction. Repeat the experiment using a descending current. Record your results in the following table : Ascending current. Descending current. Make Break. Make. Break. Weak current || | || | Medium current jj | || ( Strong current || | || Very strong current... |j | || | Examine the results and see how they are to be explained by the altered conditions of irritability and conductivity around the anode arid kathode which we have considered under electrotonus. Stimulation of Human Nerves. When one turns to the stimulation of nerves within the body, there is met a result apparently different from what would be expected from Pflueger's law- Such, however, is not the case. In order to understand the "law of contraction" here, there is to be considered (a) the resistance offered by the body to the electric cur- rent (b) the difference between the physical and the physiological electrodes, (c) the advantages of unipolar stimulation, and finally, (d) that the density of the current where it enters and leaves the nerve or muscle is an important factor in its efficiency as a stimulus. Motor Points. The points where individual muscles caii best be stimulated. They are usually the points of entrance of the motor nerves of the muscles. Consult Figs. 12, 13 and 14. Nerve Points. Places where the nerves of the body, can best be stimulated. Experiment 54. Connect up three dry cells in series. Place a simple key in the circuit and attach 1 to the inductorium for single shock (Fig. 11). Connect long wires to the secondary coil and ascer- tain if possible which is the kathode at the break current. Connect the indifferent electrodes with the other wire and place it on the back of the neck. Have both electrodes well wet and covered with cotton 49 cloth. With a sufficiently strong current, find out the motor points on tLe forearm (Figs. 13 and 14) for (1) supinator longus (brachio- radialis), (2) Flexor pollicis longus, (3) Adductor minimi digiti. (4) Dorsal interossei, (5) Flexor sublimis digitorum. Find the ulnar nerve at the elbow, the ulnar and median nerves at the wrist. Fig. 13 Motor Points of the Head. = M. frontalis. = M. orbicularis palpebrarum. = M. Levator menti. = M. zygomaticus. Fig. 13. Motor Points, Arm, Flexor Aspect. 1 = M. supinator longus. 2 = M. flexor pollicis longus. 3 = M. Adductor minimi digiti. 5 = M. flexor sublimis digitorum. 6 = N. medianus. 7 = N. ulnaris. Fig. 14. Motor Points, Arm, Ex- tensor Aspect. 1 = M. supinator longus. 4 = M. interossei. (What muscles of the hand do they innervate?) Find also the motor points for the following muscies of the face (Fig. 12). (1) Frontalis. (2) Orbicularis palpebrarum (oculi), (3) Levator menti (Mentalis), (4) Caninus (Lev. ang. oris) (5) Risorius. Other muscles may be tried if desired. Consult Figs. 12, 13 and 14. Experiment 55. The Law of Normal Contraction. Connect up 8 dry cells in series. Place in the circuit a rocking key and a simple key. Connect the brass electrodes with the rocking key and make the kathode the stimulating electrode. Place the indiffer- 5© ent electrode upon the back of the neck with the stimulating electrode over the ulnar nerve at the elbow, make and break the current. If there is no contraction of the muscles innervated by the ulnar nerve., add cells in series one at a time until there appears contraction at the make of the current. Is there contraction at the break ? Reverse the direction of the current by means of the rock : ng key so as to make the stimulating electrode the anode ; there will be no contrac- tion. Add cells until there is anodic contraction and note which is first attained, contraction on closing or opening. Make the stimulat- ing electrode the kathode and continue adding cells until contraction occurs upon opening the current, or closing tetanus is secured;- Note that the order in which the contractions appear is the following: cells, weak current, K. C- C. cells, stronger current, K. C. C, A. C. C, A. O. C. cells, strong current, K. C. C, A. C. C, A. O. C, K. O. C. cells, very strong current, K. C. Tetanus, which may ap- pear before K. O. C. F ! ll in the table. This normal order in which the contractions appear with increas- ing strength of current is important, since in conditions of degenera- tion of the motor nerves, the order in which K.C.C. and A.C.C. (or 5i A.O.C) appear is often reversed, thus; — A.C.C., K.C.C., A.O.C., K.O.C. Relative Irritability of Muscle and Nerve to the Faradic and Galvanic Currents. Both galvanic a.nd faradic electricity have been used in the work so far, and in many cases they might have been used interchangeably. Were there time experiments could be performed to show that they have a different value for the stimulation of muscle and nerve, muscle requiring currents of longer duration as effective stimuli than does nerve. Nerve is also more irritable than muscle. Reaction of Degeneration. When the normal muscle is stimulated', it is of course the nerve fibers in the muscle that are stimulated. In cases of degeneration of motor nerves, it is the muscle fiber itself which responds. The difference of reaction of muscle to the galvanic and faradic currents in cases of nerve and muscle degen- eration is known as the Reaction of Degeneration. RESPONSES OF MUSCLE AND NERVE TO STIMULATION. As a result of stimulation, the muscle responds by contraction, which you have already studied. The mechanical response, however, is not the only one, and is accompanied by (a) thermal, (b) chemical, and (c) electrical changes- These will be studied in the laboratory and in demonstrations. When nerve is stimulated, the change, — which may be called ■excitatory state, is propagated along the nerve fiber to its termina- tion. In contrast to muscle, it has very little that is demonstrable, — no mechanical response, no clearly proven chemical change, or eleva- tion of temperature that can be detected. There is, however, a marked electrical change. Experiment 56. The Demarcation, Current or Cur- rent of Injury. As carefully as possible remove tihe skin from the tlrgh of a pithed frog and dissect out carefully with out injuring the surface, any muscle of the thigh or leg, — for ex- ample, the gracilis-semimembranosus. Prepare two non-polarizable electrodes and by means of a fine wire, connect them up with a gal- vanometer (Fig. 16). If you do not know how the instrument responds to the direction of current, test it by means of a battery cell and a rheochord arranged to have a difference of polential of not more than 1-200 of a volt (Have the whole resistance of the 20 meters of wire in the circuit, and take off from it with the slider at, say, 7 centimeters). Test the non-polarizable electrodes after they have been prepared, by bringing them in contact with each other ; there should be no deflection of the galvanometer needle. Place both electrodes upon the uninjured (natural) surface of the muscle ; there will be no, or only a very slight deflection of the needle. Now cut the muscle across with a clean smooth cut. Place one electrode upon the cut surface and the other upon the natural surface. There is a marked deflection of the needle. Note the deflection and which electrode it is that is in contact with the cut surface. Place both electrodes upon the cut surface. Result. Gradually move one electrode toward the edge of the cut surface and onto the natural surface. Result. Explanation of results. Fig. 16. Fig. 17. Muscle tissue, uninjured and at rest, seems to show no differ- ence in electrical condition. The explanation of the demarcation ■current will be discussed elsewhere. Nerves show also in the same way a current of injury which you can demonstrate for yourselves in the carefully prepared sciatic nerve. 53 The Action Current. When nerve or muscle is active it undergoes an electrical change forming a difference of potential negative at the active part as compared with the resting part through a galvanometer. When thus connected up so as to permit it, a flow of current takes place, from the active part through the tissue to the resting part, and through the galvanometer back to the injured part. This is the action current. (See demonstration.) Secondary Contraction. By means of two muscle- nerve preparations carefully prepared, you can demonstrate your- self the current of action by using one muscle as an indicator whose nerve is stimulated by the action current of the first muscle (fig. 17). Experiment 57. Arrange one^ cell and inductorium with a sim- ple key in the primary circuit and attach the platinum electrodes to the binding posts of the secondary coil. Carefully prepare two muscle-nerve preparations and arrange them so that the nerve of the one lies across the muscle of the first preparation (Fig. 17). With a single induction shock, stimulate the nerve of the first prepa- ration; the muscle contracts and practically simultaneously with it the muscle of the second preparation. The nerve of the second preparation is stimulated by the action current of the first muscle. Secondary Tetanus may be induced in the second mus- cle accompanying tetanus of the first when a number of rapidly repeated stimuli are employed. The action current is an important indication of the activity in the muscle, and is quite a delicate test, as can be judged from the above experiments and demonstrations. The activity of nerve is also accompanied by an action current. Activity in the central nervous system, in sense-organs, in glands,, is also accompanied by an electrical change, which in fact thus affords us our most sensitive test of the activity in living matter everywhere. We will have occasion to refer to the Action Current in later work. Electrotonic Currents. A third form of electrical change will be merely considered in the demonstrations. It should be under- stood that the demarcation current and electrotonic currents are in- cluded here for convenience and not because they are directly con- nected with the electrical change in nerve or muscle during activity. 54 Che,mical Response. The electrical change is to be regarded as an accompaniment of the chemical change which must be consid- ered fundamental, underlying all the forms of response. This will be considered in the demonstrations. In nerve the evidence of chemical change is practically lacking. Thermal Response. Demonstration only. This is an important accompaniment of the chemical change and the mechanical change of form. Heat formation and contraction are the most important forms in which the energy of muscular activity appears. In the case of nerve, again, there is no evidence of heat formation during activity. Mechanical Response. See pages . THE WORK OF MUSCULAR CONTRACTION. It is necessary to consider some of the results of muscular con- traction. The two chief forms in which the energy of the response to stimulation appears are, as has been said, heat and movement. When a muscle contracts and lifts a load (or in the body, moves a bone attached to its tendon of insertion), it performs work, giving to the weight an energy of position which when the muscle relaxes, is "given back" to the muscle in the form of heat. Increase in the amount of load may even occasion at first an increase in the height of contraction. The real test, however, is the amount of work done, which is found by applying the following equation : — W=hw., where W equals the work done, and h equals actual distance through which the weight is lifted, w equals the weight lifted. The actual height is found by dividing the recorded height by the magnification, which is found by the direct proportion, a :b : :c :d ; where a equals actual height, b equals recorded height, c the distance of point of attachment of muscle to fulcrum of lever, and d is the total length ■of lever. Experiment $8. Record upon a drum revolved by hand the lieights of contraction of a semimembranosus-gracilis muscle prepa- ration stimulated directly with a uniform submaximal induction shock, the muscle being loaded with 10, 20, 50, 100, 150, 200, 250, 300 grams in the successive trials. Unless you are expeditious, it 55 will be better to use the moist chamber in performing this experi- ment. Avoid stretching the muscle by having it just afterloaded, i. e., let the weight and lever be just supported by the screw when the muscle is relaxed. Calculate the actual work done and plot it in the form of a curve having on the abscissa the intervals representing 50 grams each, the intervals on the ordinates being gram-millimeters. It thus appears that increased resistance creates in muscle an increase in effort. Experiment 59. Obtain a record of the amount of word done by a muscle (semimembranosus-gracilis preparation), the muscle being just afterloaded with 50 grams, the contractions being re- corded upon a drum revolving at its slowest rate, maximal break induction shocks being sent in at intervals of 4 seconds. Continue the stimulation until the muscle is exhausted. Fix the record and calculate the total amount of work done by measuring the recorded heights of contraction, adding them together and reducing to the actual height, recording final results in terms of gram-millimeters. Other phases of the work done by muscle when it contracts will be taken up in demonstration. Isometric Contractions. In the preceding experi- ments the ' resistance (weight) has remained nearly uniform throughout the contraction (inertia excepted) and the muscle has been free to contract its full extent. Such conditions are termed isotonic conditions. Conditions occur, however, in which the con- traction is resisted with an ever-increasing resistance, and the mus- cle is prevented from contracting to any great extent. Such con- tractions are known as Isometric contractions. This is the case when a muscle contracts against a stiff spring. The energy in this case is during contraction stored in the spring as tension to appear as heat when the muscle relaxes. Experiment 60. Record the isometric contraction of a muscle by means of a spring lever. It is necessary first to find the value of the spring against which the muscle will act. Graduation of the Isometric Spring. To the spring is at- tached a writing lever. Fasten the spring with the hook down and 56 bring the writing lever point against the drum. Turn the drum around once by hand to record a base line. Place ioo grams in the scale pan attached to the spring. When the spring is bent, again revolve the drum once. Repeat, for each ioo grams up to 500 grams. Fix and preserve the record for reference. The Isometric Contraction. Make a muscle-nerve preparation and clamp the femur in the jaws of the femur clamp. By means of a double hook, connect the Achilles tendon of the gastrocnemius muscle with the spring turned hook side up. Bring the writing point against the drum revolving at its fastest speed and by means of a single maximal break induction shock stimulate the nerve. An isometric muscle curve will be written. Disconnect the muscle from the spring and connect it to the ordinary writing lever which should be of the same length as the isometric lever and just after load it with 20 grams. Stimulate the muscle with a break induction shock of the same strength as before, and aim to have the contraction recorded on the drum revolving at the same rate of speed as nearly under the isometric curve as is possible. Compare the two curves as to (a) form, (b) work done. It will probably be found that the isometric contraction took place more rapidly and the summit of contraction (extreme contraction) was longer held. Measure the height of the isometric contraction in comparison with the record of the spring's tension, reduce it to the absolute height of contraction and calculate the work done by the muscle (W = w. h -=- 2). Measure'the height of the isotonic contraction in comparison and determine the amount of work done. The iso- metric contraction will doubtless be found to represent several times the amount of work done during the isotonic contraction. This shows that to increased tension muscle responds by increased force of contraction. This should be borne in mind later when the contraction of the heart muscle is considered. FATIGUE. Experiment 61. Prepare a semimembranosus-gracilis prepara- tion and attach it to the femur clamp and muscle lever. Just after- 57 load it with 20 grams. Pass fine wires from the terminals of the secondary coil to the two ends of the muscle and by means of break induction shocks of such strength that the make current contrac- tions do not appear, stimulate the muscle at intervals of 2 seconds and record the contractions on a slowly moving drum. When the muscle has been exhausted, so that it no longer contracts, permit it to rest for 5 minutes and again stimulate as before. A short period of recovery is shown. It is possible to employ the time-marking circuit as the primary circuit of the inductorium and obtain auto- matic stimulation at the stated interval. Experiment 62. Arrange the ergograph to record the contrac- tions of the abductor indicis in the manner shown you. Place the point of the adjustable rod in the middle hole of the spring. Bring the writing point against a drum revolving at the slowest rate. Con- tract the muscle voluntarily every 2 seconds until exhaustion sets in. How does muscular fatigue in the body differ from fatigue of a muscle removed from the body? Where are the possible seats of exhaustion in muscular fatigue? What points become fatigued first? PI,AIN MUSCI,B AND GI,AND. I. Plain Muscle. Spontaneous Rhythmic Contraction. Response to stimulation: its peculiarities. II. Reflex Action. Reflex response; reflex time. III. The Sympathetic Nervous System. IV. Inhibition and Excitation. V. Visceral Movement. Intestinal Movements, Influence of Nerves. VI. Secretion. Salivary Secretion. Secretory Nerves. PLAIN MUSCLE. You have seen that skeletal muscle is dependent on the central nervous system (i) for its contraction, (2) for its nutrition (lecture and recitations) and (3) for the co-ordination of action by which the purposiveness of the movement is expressed. In skeletal mus- cle, each muscle fiber receives its own nerve fiber ; the contraction can only exceptionally pass from muscle-fiber to muscle-fiber and the contraction of the muscle is the sum of the contractions of its component muscle cells. In the contraction of plain muscle which is the basis of most visceral movement (ex. esophagus) and in the heart beat, the rela- tions that nerve and muscle have to each other are more difficult of analysis. I. Plain and cardiac muscle seem to possess an inherent capac- ity for rhythmic contraction. The part : cipation of a nervous mechan- ism in carrying it out has not been excluded. Experiment 63. Pith a frog, toad or Necturus and dissect out the full length of the esophagus. Tie threads around both ends, at- taching one to the holder in the moist chamber, the other to a light muscle lever. Bring the pointer to bear lightly against a smoked drum re- volving at the slowest rate. You may obtain an idea of the rate, by marking on the drum and keeping' time by your watch, or arranging 59 a signal magnet to record minutes on the drum below the muscle record. Intestine might also be tried and found to contract rhyth- mically. Is a local nervous mechanism at the basis of these rhyth- mic contractions? II. Late histological work tells us that plain muscle cells and heart cells are probably connected together by "intercellular bridges'' so that it is possible that the impulse passes from cell to cell. III. Plain or non-striated muscle may be designated physio- logically as slozv muscle ; whereas cross-striated muscle is quick in in its contraction. Experiment 64. From the stomach of a N.ecturus cut a ring near the pylorus and suspend it between two pin hooks suitably bent, the head of one of the pins clamped in a flat-jawed clamp, the other bent again so as to hook' into the muscle lever. To this 1 nst pin wire is attached the other end going to the binding post of the muscle lever clamp. Connect wires from the lever and clamp with the rheochord in shunt, the source of electricity being 6 fresh dry cells of high amperage connected in series. Arrange the writing lever to record on a drum revolving at a medium rate. Below it let a signal magnet in a parallel series record the moment of making and breaking the current while a second signal magnet records sec- onds. Use a fresh ring of stomach for each experiment and prove the following: (1) The galvanic current stimulates at make and break. (2) The amount of contraction is affected by the duration of the flow of current. Measure the latent period, the period of contraction and the period of relaxation in a typical curve. Is it necessary that a current have an appreciable duration in order to cause plain mus- cle to contract? Will a single break induction shock cause plain muscle to contract? Why not? How is it with skeletal muscle? Nerve ? Reflex Action. The activity of plain muscle and gland are largely occasioned or influenced reflexly; that is, by peripheral stimuli acting through the central nervous system. The reflex arc by which this is accomplished consists of the afferent impulse, the 6o efferent impulse and the reflex center which "reflects" the incoming into the outgoing impulse. The time it takes a nervous impulse to pass over a given length of nerve is known to you; the reflex time is longer because of a delay occuring within the central nervous system in the translation of the afferent into the efferent impulse. Experiment 65. With a sharp-pointed scalpel cut through the spinal cord at the atlanto-occipital articulation and with a tracer destroy the brain. Allow the frog to remain upon the glass, plate covered with a damp cloth for a time that the shock may pass off. Then clamp the head through the upper and lower jaws and hang it up. The legs will soon hang down. Pinch one foot sligthly with the coarse forceps. The foot is drawn up reflexly. Pinch the foot hard: both legs may be moved. Moisten a piece of filter paper with strong acetic acid and place it upon one thigh. Observe and record the reflex responses occa- sioned by the chemical stimulus. Remove the filter paper and rinse off the spot with distilled water. Immerse one foot up to the ankle in a breaker of 1-10% sulphuric acid and count the number of sec- onds intervening between the moment of immersion and the reflex response. The time is greater, however, than the true reflex time. Experiment 66. The Reflex Time. With the reflex frog employed in the above experiment or with another if neces- sary, take the reflex time by the following procedure : To the longest toe of one foot, tie a thread and connect it with a muscle lever, arranged to write upon a rapidly revolving drum. Wrap two loops of bared fine wire around the foot and ankle =md connect them with the secondary coil of an inductorium arranged to give interrupted shock. Have a key, signal magnet, and two dry- cells in the primary circuit. Have a time marker for 1-5 or 1-4 seconds intervals and the signal magnet writing immediately below the muscle lever and in the same vertical line. Start the drum and with a strong interrupted shock send in a short stimulus. Both legs will contract and the gastrocnemius muscle give the reflex time. Compare your result with the velocity of the nervous impulse. A more exact method is the following : Cut the skin along the front of the Tibia and circularly at the ankle and free it up to the 6i knee. Dissect out the Achilles tendon and gastrocnemius muscle up to the knee. Tie the remaining muscles and Tibia tightly to prevent bleeding and remove the foot and leg below the ligature. Clamp the Tibia near the knee. Connect the Achilles tendon with the muscle lever: wrap the fine wire from the secondary coil bind- ing post about the skin that was dissected free, and obtain the reflex time as above. Inhibition of Reflex Action. Demonstration. The Sympathetic Nervous System. While in the case of skeletal muscle a single nervous element carries the impulse from central nervous system to muscle, a second element is found in the path to plain muscle and gland, the cells and fibers which be- long to it making up the Sympathetic System. The Ganglia are where the cell bodies are located and their extensive and varied dis- tribution causes the relation and interrelation of the cerebro-spinal and sympathtic systems to be exceedingly complex. The elements of the sympathetic system, however, seem simply to be interpolated in the path from central nervous system to peri- pheral structures innervated and to have no independent action or control (exceptions?). The structures innervated comprise: vis- ceral muscle (e.g., — stomach, intestines) ; glands (e.g., — the salivary glands, gastric glands, etc.) ; blood vessels, ducts and capsules; hair muscle ; intrinsic eye muscle. The nerve fibers concerned in the in- nervation of plain muscle and gland have been by Langley dis- tinguished as preganglionic and postganglionic. Motor (Augmentor) and Inhibitory Impulses. In many cases plain muscle and gland receive impulses producing- opposite effects, — contraction or relaxation, increased or decreased secretion, and probably there is in every case a corresponding dou- ble nerve supply. In the case of both the kinds of fibers, however, the path consists of two nervous elements in series, of which the sec- ond belongs to the sympathetic system. The double innervation is especially found in the glands and muscle belonging to the alimentary tract and respiratory system, and in a portion of the circulatory system. The phenomenon of inhibition is very puzzling and is found as well in the central nervous system where we shall have occasion to consider it again. 62 VISCERAL MOVEMENT. Experiment 67. Intestinal Movements. Anaesthetize a dog, cat or rabbit* and open the abdominal cavity under warm (38°) physiological salt solution, exposing the intestines. Ob- serve their movements and try to detect 2 kinds ; so-called "Sivay- ing" movements of the entire intestine, and Peristaltic movements, — rings of contraction traveling slowly down the intestine. Examine these : how many per minute ? Does a region of relaxation precede the contraction? If you were to experiment further, you would find (a) that peristaltic movements would continue after the cerebro- spinal nerves going to the intestines were cut (splanchnics and vagus) and (b) that drugs paralyzing nerves (nicotine, atropine,, and cocaine) would check the peristalsis. What would be your conclusion from these two facts? Compare with the peristalsis the swaying movements. Experiment 68. Inhibition of Peristalsis. Remove the animal temporarily from the bath of physiological salt solution covering the abdominal organs with a cloth wet with warm physio logical salt solution and search out and cut the splanchnic nerves on both sides. Return the animal to the warm bath. What change is there in the peristalsis ? Explanation. SECRETION. Experiment dp. The Secretion of the Submaxillary gland. Anaesthetize a cat or dog and perform the follow- ing operation to expose the submaxillary gland and its duct an by asphyxiation caused by clamping the trachea, (b) asphyxiation from the administration of CO gas, (c) Opening the femoral vein and permitting the animal to bleed to death. Note and explain where possible the effect upon the blood pressure. Experiment 93. Reflex Regulation of Blood Pres- sure and Heart. With . a second animal take the blood pressure and respiration tracings as in the preceding experiments (90, 91, 92), and test the influence that the stimulation of the fol- lowing nerves has upon the heart and blood pressure: (a) Ammonia: Stimulation of nasal branches of trigeminus. With a pipette introduce into each nostril a drop of ammonia. (b) Try also electrical stimulation of the nasal mucosa by placing one electrode against the septum the other against the lateral wall of the nasal cavity. (c) Expose and stimulate the Superior Laryngeal Nerve. (d) Expose and stimulate the Lingual Nerve. (e) Expose and stimulate the Splanchnic nerves and Semi- lunar ganglion. (f) Expose and stimulate the Sciatic nerve. (g) Insert a probe down the trachea through the respiration cannula and stimulate mechanically the mucous membrane near the bifurcation. You tried (e) and (f) after both the vagus nerves were cut; 8 4 compare the present results with those then obtained. Work up the record calculating the change in heart rate and blood pressure which the stimulation caused in each case. Kill the animal in one of the three ways (a, b, or o) given un- der experiment 92. Experiment 94. Blood Pressure in Man. The direct measurement of blood pressure in ourselves is,, of course, not possi- ble save in exceptional cases. It has been done. An indirect method must be resorted to whenever in clinical work it is desirable to take the arterial pressure. Such methods are necessarily inexact for reasons that you will readily appreciate. Of the instruments devised for the purpose of obtaining meas- urement of the blood pressure in ourselves, there are available; — (1) the Riva-Rocci Sphygmonanometer, (2) the Hill & Barnard Sphygmomanometers, (c) the Basch Sphygmomanometer, (d) the Oliver Haemodynamometer, (e) Janeway's Sphygmomanometer. With the Hill & Barnard instrument and also with either the Riva-Rocci, Oliver, v. Basch, or Janeway apparatus, find the ap- proximate arterial pressure in your right fore-arm, arm or radial artery according to the demands of the instrument used. You should appreciate the sources of error in these pieces of apparatus. The development of more accurate methods would be welcome. The Clinical Application of these methods of estimating arterial pressure is found in certain cases of heart and kidney disease, dis- eases involving the vasomotor mechanism, etc. ; also occasionally in ' administering an anaesthetic. THE PULSE. The rhythmic activity of the heart forces at intervals of systole a certain volume of blood (about no c. c.) into the arterial system and so passes on to it its periodicity of action. This has three sides to be considered. The injection at systole of such a quantity of blood into the arteries increases the velocity of flow throughout the arterial system. This rhythmic increase in velocity constitutes the Velocity Pulse (The tachograph and its demonstration). Corresponding to the increase in the amount of blood which the heart forces into the arterial system at systole there is a per- 85 iodic increase and decrease in the volume of blood in each organ, or part of the body. This is the Volume Pulse (The Plethysmo- graph and its demonstration). The condition of dilation or con- traction of the arteries greatly affects it. The amount of blood in a part, the distribution of the blood in the body, is under the control of the vasomotor nerves. It is quite important that you understand the mechanism on which the regulation of the blood supply depends. The sudden addition of the systolic output to the blood already in the aorta causes an increase in pressure which is transmitted throughout the arterial system as a wave of increased pressure, the Pressure Pulse, or the pulse as commonly known. Experiment 95. Feeling the Pulse. Place the balls of the volar surface of the last phalanges of the first three fingers over the radial artery in the wrist, located between the spinous process of the radius and the tendon of the flexor carpi radialis, and note ; — (a) the Regularity of the heart's action, (b) the Rate of the heart- beat: this you have already done (Exp. 88), (c) the Tension, dis- tension of the artery, whether the pulse' is soft or hard; (d) the Character of the pulsations, — whether large or small, whether quick or slow ; that is, whether the distension and relaxation takes place quicklv or not. Combinations of these characters partly determine the description of the pulse as strong, weak, contracted, full, empty, etc. Examine faithfully the radial pulse in the right and left arms of three individuals setting down your characterization of the pulse in each case and have the instructor verify them. A correct judg- ment of the pulse comes only after long practice. Experiment 96. Sphygmography. Obtain by means ■of the sphygmograph assigned you a graphic representation of the radial pulse in your right or left arm. Be careful to adjust the in- strument as exactly as possible so that the pelotte rests over the artery at the radial tuberosity, and that your arm and hand rest •easily and relaxed and that you avoid movement while the tracing is being taken. Identify in the pulse curve so taken (a) the pre- dicrotic notch, dicrotic notch and postdicrotic notch, (b) can you 86 determine whether the pulse is celer, tardus, durus, or mollis? Have you any criticism to make of the method? Experiment 97. Influence of Amyl Nitrite. Prepare to make a second pulse tracing, and when all is ready, breathe in two drops of Amyl nitrite placed on a cloth. When you begin to feel the effects, take the pulse tracing. Amyl nitrite paralyzes the musculature of the arterioles, causing dilation. Observe and explain: — (a) the decreased tension, (b) the exaggerated dicrotic notch or the occurrence of a dicrotic pulse. When a marked dicrotic notch occurs in the pulse, what condition of the vascular system is suggested ? The Velocity of the Pulse Wave. Demonstration. The length of the Pulse "Wave may be calculated from the above. The Pulse taken in connection with other features, gives val- uable information as to the heart action, the condition of the peri- pheral vessels and the tension in the arterial system, the arterial pressure, which you have already studied. RESPIRATION. The close relation of the Respiratory and Circulatory systems is indicated by the work above (the pulse, heart rate, blood pres- sure). Many of the facts of respiration, however, involve such careful and exact work in the field of gas analysis that they are not suited for general laboratory work, but must be given in specia' demonstration. The following outline presents an analysis of Respiration am! the factors involved. RESPIRATION DEPENDS UPON I. The Mechanical Factors. II. The Chemical and Physical Factors. III. The "Vital" Factors. I. The Mechanical Factors are A. The Elasticity of the Lungs, and B. Respiratory Movements, involving (a) The Muscles of Respiration and their action. 1. The Diaphragm. 2. The Intercostals. 3. The accessory muscles of inspiration. 4. The muscles of expiration. (b) The Nervous Regulation of Respiration, by 1. The Respiratory Center, through 2. The condition of the blood and reflexly, 3. The vagus nerve, also through 4. Other sensory nerves and likewise 5. Higher Centers, — -"psychic" control, etc. The Result of A. and B. is (a) The Inspiration and Expiration of air (amount?).' (b) Diffusion of gases in the lungs, (c) Change of pressure in the lungs, altering (d) The Partial Pressure of O, and CO. which are im- portant for II. II. The Chemical and Physical Factors include A. Partial Pressure and Tension of On and CO... (a) In the alveolar air, (b) Their tension in the blood, (c) Their tension in the tissues. B. Chemical affinity of Hb. for O,. 88 C. Chemical affinities of C0 3 . D. Diffusion and Osmosis. III. The "Vital" Factors. A. In addition to the above, there is probably an action of the capillary and pulmonary epithelium. Experiment 98. The Respiratory Movements. By means of some form of pneumograph or stethograph and a tam- bour, record on a drum revolving at a moderate rate of speed your in- spirations and expirations. Determine the rate at which the drum is revolving and have it indicated on the tracing. Record the respiratory movements occurring under the follow- ing conditions: (a) Lying flat on the back. (b) Sitting. (c) Standing. (d) After having run up stairs or otherwise exercised. (e) Record a laugh, (f) A cough. (g) A sneeze. Set down on the tracing age and time of day. At typical places in the curve measure the relative time of expiration and inspiration. Note the character of the inspiratory and expiratory portions of the curve. Experiment pp. The Volume of the Air Inspired and Expired. By means of a spirometer, determine in yourselves: — (a) The volume of tidal air (approximately). (b) The volume of complemental air. (c) The volume of supplemental air. (d) The entire vital capacity. Record your results. The Elasticity of the I^ungs and Intrathoracic and Intrapulmonary Pressure. Demonstration. The Gases of Inspired and Expired Air. Demon- stration. The Blood Gases. Demonstration. The Respiratory Center. In experiments 90, 91, 92, and 93; you have tested the influence of a number of sensory 8 9 ..erves upon the respiratory center. Examine the records and un- derstand the effect of stimulating the nasal branches of the trigem- inus, the lingual, the superior laryngeal, vagus, sciatic and splanchnic. The Respiratory Center and the Vagus Nerve. Head's experiment. Demonstration. The Phenomena of Hyperpnoea, Dyspoea, Asphyxia, CO-Poisoning. Study the phenomena of asphyxiation in those records in which the animal was killed by this means, keeping- in mind the influence of the bloo'd on the respiratory center. Respiratory Center and Anaemia. See the records in which the animal was killed by bleeding', hemorrhage, Respiration and Blood Pressure. In experiment 89, note the respiratory fluctuations of the blood pressure and make an analysis of the factors that serve to cause them. Respiration and the Heart Rate. Examine rec- ords of experiments 89-93 and note and explain (?) the relation of the pulse rate to the respiratory phase. Experiment 100. Respiration and the Pulse. Valsalva's Experiment. This experiment may be performed if the Instructor permits. Arrange to take a pulse tracing and while it is being traced, close the glottis and make a forced expiration. Note the effect upon the pulse. The explanation. Experiment 101. Muller's Experiment. If the Instructor per- mits, make a sphygmographic ; record of the radial pulse and while the tracing is being taken, close the glottis and make a forced in- spiration. Again note the pulse curve. Experiment 102. Prepare to take a pulse tracing and when all is ready, breathe in two drops of amyl nitrite on a cloth. When you begin to feel the effects take the pulse tracing making the while deep inspirations and expirations. Let the one working with you note and indicate on the record the periods of inspiration and expiration. Observe and explain effect of respiration on (a) the tension of the pulse (arterial pressure), (b) the pulse rate. Experiment 103. The Respiratory Sounds. By means of a stethoscope, listen to the sound of the quiet breathing- go a,nd forced breathing over the right lung (say, about 5th or 6th rib). The Vesicular Breathing which is heard is a soft, purring, sound, peculiar, hard to characterize and recognize at first. It is not explained in the same way by all. Its recognition and distinc- tion from abnormal respiratory sounds will, be a matter of impor- tance in your clinical work later. Note the relation of the sound to the expiration and inspiration. During forced breathing, an- other crackling sound may be heard. Bronchial Breathing. With a stethoscope listen to the breath- ing in front over the trachea and the upper part of the sternum; behind, at the vertebra prominens, above and below. This sound, likewise, is peculiar and important. Note the character of the sound and the differences in inspiration and expiration. Compare it with the vesicular breathing. The Vocal Fremitus. Place your hands upon various regions of the chest wall while the person experimented on says, "33," "99," or counts, "1, 2, 3, etc.," etc. The vibrations can be distinctly felt by the hand. Place your ear over various portions of the chest wall while the person counts and note the character of the trans- mitted sound. Percussion. Demonstration. ANIMAL HEAT. Experiment 104. Upon three successive days, by means of a thermometer placed in the axilla or under the tongue, determine your own body temperature at the hours of, 7 A. M. (or upon aris- ing), 10 A. M., 3 P. M. and 9 P. M. (or upon retiring). Record your results. Be prepared to explain or discuss them. The Source of Body Heat. The chief source of the body heat is the skeletal musculature which furnishes about 40%. The circulatory system furnishes about 5% ; Glands large percent- age. The Heat Value of the Food Stuffs. The heat value of one of them will be demonstrated to you- Calorimetry. Demonstration. THE PHYSIOLOGY OF VISION. I. The Eye as an Optical Instrument. A. (a) Laws of Optics. (b) The Constants of the Eye. Cardinal Points. (c) Images on the Retina. 1. Sensory Regions: Macula, Blind-spot, Peripheral Boundary. 2. Sensory Layer: Purkinje's Figures, etc. 3. Visual Acuity. B. Optical Defects. (a) Lost Light. (b) Acentricity of Refracting Surfaces. (c) Spherical Aberration. (d) Chromatic Abberation. (e) Optical Defects of Refraction. 1. Myopia. 2. Hyperopia. C. Accommodation: Lens changes, range. 3. Correction of Myopia and Hyperopia. 4. Astigmatism. D. Clinical Examination of the Eye. (a) Ophthalmoscopy. (b) Skiascopy. II. The Nutrition of the Eye. III. The Response of the Retina to Stimulation. . (a) The Limits of Vision. (b) The Changes in the Retina. 1. Visual Purple. 2. The Movement of the Pigment. 3. Electrical Changes. (c) The Course of Excitation. 1. It is gradual. 2. Exhaustion and Recovery. 3. Adaptation. IV. The "Psycho-Physiology" of Vision. (a) Color Vision. (b) Complementary Colors. (c) Color Induction. (d) The Theory of Color "Vision. (e) The Function of the Rods and Twilight-Seeing, (f ) Color Blindness. 9 2 V. Binocular Vision. A. (a) The Movements of the Eye. (b) Convergence and Accommodation; the Eye-reflexes. (c) The Visual Fields. (d) The Corresponding Regions of the two Retinas, (f) The Visual Fields and the Brain Centers. B. (a) Perspective. (b) Stereoscopy. VI. Visual Illusions. I. THE EYE AS AN OPTICAL INSTRUMENT. The Fundamental I,aws of Optics. In order to understand the eye as an optical instrument the fundamental laws of optical physics must be well understood and it will be best to review them at the beginning. From the stand-point of the eye it is advantageous to approach the phenomena of refraction in a somewhat different way from that usually given in courses of physics. The following enumeration of topics will assist you in the necessary review. Comment and explanation are given in fine type. i. Refraction and the law of sines. The index of refraction. 2. The law of reflection. 3. Reflection at a curved surface. Center of curvature, prin- cipal and conjugate foci, vertex and the derivation of the formula I -f- p 4- I -f- p' = I -4- F. 4. The formation of an image by a plane mirror. The formation of an image by a concave mirror. 5. Refraction at a spherical surface; the center of curvature, principal point and plane, principal foci, conjugate foci. The formula: F' -=- f + F" -=- f" = -1. 6. The formation of an image by refraction at a spherical sur- face. Effect of location of object upon the location and size of image. 7. Refraction by a series of spherical surfaces: conjugate planes, the principal foci, conjugate foci, principal points, and planes, the nodal points. 93 8. The special cases of the biconvex and biconcave lenses : The formula : I -=- f + I -^ f" = i ^- F. 9. Combination of lenses. The formula : - 1 -4- F' + 1 -=- F" = 1 -f- F'". Note 1. Refraction and the law of sines may be found well pre* sented in almost any text book of physics. Sin. \_a _ V_ Sin. L/ 3 = V 77 ' where V = Velocity in medium 1 and V" is velocity in medium 2. Tha index of refraction of a medium is the velocity of light in that medium compared to the velocity in a vacuum: n' = V -f- V. for one medium, and n" = V -3- V" for the second medium. V^ __ V" n' ' velocity of light in air is so nearly that in a vacuum (1.00029 in air as- compared to 1.0 in vacuum) that V Sin. U V^V' = n' = land^ 7 - = n"= slir ^ Note 2. The angle of incidence equals the angle of reflection^ Consult a good text book of physics. ^ Note. 3. Make a diagram locating the 5 points mentioned. The derivation of the formula you will find given in any good text-book of physics. Appreciate that it applies only when the reflecting sur- face is very small as compared with the radius of curvature. It shows you that object and image always have a constant relation to each other such that for each position of object there is but a single position of image. The formula you will see is the same as the one given under 9. The same fundamental laws underly both reflection and refraction. Note 4. "What is the relative position of object and the imag& formed by reflection at a plane surface? Can a real image be formed by a plane mirror? Why or why not? Under what conditions does a concave mirror form a real image? Construct a figure to determine- the size and location of an image of a given object. (Employ, from the two end points of the object, rays parallel to the axial ray and rays- passing through the center of curvature) . Note 5. Make a diagram locating the principal point and center of curvature. Take cognizance of the law of sines and locate the- principal foci. There are two, one in each medium. Their location is determined by the radius of curvature and the indices of refraction of the two media concerned. The principal focal distances are propor- tional to the indices of refraction of the two media as is shown in the following derivation of the formula P' -v- f + P" -7- f" = 1. Choose- one conjugate focus and locate the second. 94 Derivation of F' -=- f + F" -=- f" = 1. (Adapted from Tigerstedt.J In figure 22, o is a point without the principal focus, the rays proceed- ing from which are refracted at the spherical surface whose center of -curvature is C. Ray ov which passes through C is unrefracted; ray Fig. 22. •oa, any other ray, is refracted (according to the law of refraction) and point i is the conjugate image-point of o. With the radius and normal ca, the incident and refracted ray forms the angles a and p. In triangles CAO and CAI, Si n, \_oac oc W SinTL^r = ~^ and . . sin. LP _ _EL ("Law of Sines" in trigonometry; the sides v ' sin. \_aic ac ' «of a triangle are proportional to the sines of. the opposite angles), but \_a = 180° — \_oac, and sin \_oac f= sin ]_a (Trigonometry). Dividing (1) by (2)*ind since oc = f + r and ic = f" — r, and ac = r, — ™ - sin La sin \_aic f -\-r. (3) sin L^ jin \aoc f — r. sin La n" sin \-aic sin \-aio ao. Slnce sTn~T^ = V and sin \-aoc = sin Laoi == ~ai.' ' {V n' ai f" — r. If we consider only a small part of the spherical surface, in other words, take av relatively small in proportion to the radius of curva- ture, ao will approach f and ai t", and may be considered as equal to :them t]ien n" V _ V + i. (5) n , f „ — f „ _ r Multiply by the denominator and divide by f I", gives //:■. — i — 1 r- which shows that o and i are con- \°> fi t pi — r jugate points, for eacli value of f there is but one value of f". If now f be taken as infinitely large you obtain the second principal focal •distance, 95 (7) ^; = and'F" = " r , In the same manner f" being t t n" — n' ' infinitely large, P' =• "' r , > n"-n' (8 >- The principal foci depend upon the radius of curvature and the in- dices of refraction. Multiplying (6) by r is obtained n" — n' . . n' r 1 n"r 1 ( 9 ) n " _ n / " {>' + n n „/ ' ~pr,= 1 an