COLUMBIA LIBRARIES OFFSITE HEALTH SCIENCES STANDARD / 1 HX64098990 /*^ ; QP44.P831903 Experiments for stud | EXPERIMENTS FOR STl'DEKTS IN THE HARVARD MEDICAL SCHOOL STfu'tti Etrition By W. T. PORTER :ap COLUMBIA UNivPRPtTY DEPARTMENT OF PHrSlfHOHY College of Physicians and Surgeons 437 west fifty ninth stkeet NEW YORK THE UNIVERSITY PRESS Camijrtfigr, fftass. 1903 Columbia <18ntoer*ftp College of $'op£trians anb iburgeons Hibrarp Digitized by the Internet Archive in 2010 with funding from Columbia University Libraries http://www.archive.org/details/experimentsforstOOport EXPERIMENTS FOR STCDEXTS IX THE HARVARD MEDICAL SCHOOL NOTICE The experiments performed by Harvard med- ical students are contained in the following publications : 1. An Introduction to Physiology, Parts I and II, containing experiments in general physiology, in- cluding muscle and nerve, and in the circulation of the blood. 2. An Introduction to Physiology, Part IV, Physiological Optics. 3. Experiments for Students in the Harvard Medical School, Third Edition, containing experi- ments upon the central nervous system, skin, general sensations, taste, vision, fermentation, digestion, blood, respiration, and metabolism. Additional experiments will be added as rapidly as possible. EXPERIMENTS FOR STUDENTS IN THE HARVARD MEDICAL SCHOOL QftixXi lErjittcm By W. T. PORTER THE UNIVERSITY PRESS Cambridge, fflass. 1903 4\ no3 Copyright, 1903 By W. T. Porter cry CONTEXTS The Central Nervous System Simple Reflex Actions 1 The spinal cord a seat of simple reflexes — Influence of afferent impulses on reflex action — Threshold \alue lower in end organ than in nerve-trunk — Summation of afferent impulses — SegnYental arrangement of rellex apparatus — Reflexes in man. Tendon Reflexes 6 Knee jerk — Ankle jerk — Gower's experiment. Effect of Strychnine on Reflex Action ... 8 Complex Co-ordinated Reflexes 8 Removal of cerebral hemispheres — Posture, etc. — Bal- ancing experiment — Retinal retire — Croak reflex. Apparent Purpose; in Reflex Action 12 Reflex and Reaction Time 13 Reflex time — Reaction time — Reaction time with choice. Inhibition of Reflexes 15 Through peripheral afferent nerves — Through central afferent paths ; the optic lobes. The Roots of Spinal Nerves 17 Lttdwig's demonstration — Localization of movements at different levels of the spinal cord. VI CONTENTS Distribution of Sensory Spinal Nerves .... 19 Muscular Tonus 20 Brondgeest's experiment. II The Skin Sensations of Temperature . 21 Hot and cold spots — Outline — Mechanical stimulation — Chemical stimulation — Electrical stimulation — Tern perature after-sensation — Balance between loss and gaiii of heat — Fatigue — Relation of stimulated area to sen- sation — Perception of difference — Relatively insensitive regions. Sensations of Pressure 24 Pressure spots — Threshold value — Touch discrimina- tion — Weber's law — After-sensation of pressure — Temperature and pressure — Touch illusion ; Aristotle's experiment. Ill General Sensations Tickle 29 Irradiation — After image — Topography — Summation — Fatigue. Pain 30 Threshold value — Latent period — Summation — Topog- raphy — Individual variation —Temperature stimuli. Motor Sensations 31 Judgment of weight — Sensation of effort — Sensation of motion. CONTEXTS VU IV Taste Threshold value — Topography — Relation of taste to area stimulated ■ — Electrical stimulation 32 Vision Mapping the blind spot — Yellow spot — Field of vision. Color Blindness 35 Method of examination and diagnosis. VI Fermentation Specific Action 38 Conversion of starch to sugar by germinating barley — Con- version of starch to sugar by salivary diastase (ptyalin) — Extraction of diastase from germinating barley — Specific action of ferments. Proteid Digestion by Pepsin 41 Gastric digestion of cooked beef and bread — Artificial gastric juice — Digestion with artificial gastric juice — Extraction of pepsin — Change of proteid to peptone by pepsin. Splitting of Casein by Renntn 44 Rennin extract — Separation of rennin — Precipitation of casein — Experiments of Arthus and Pages. Precipitation of Fibrin by Fibrin Ferment ... 48 Buchanan's experiment — Extraction of fibrin ferment — Extraction of fibrinogen — Precipitation of fibrinogen by fibrin ferment. Ammoniacal Fermentation of Urea by Urease . . 50 Extraction of urease. Vlll CONTENTS Splitting and Synthesis of Fats 54 Chemistry of fats and soaps — Splitting of fats by the pan- creatic juice — Preparation of neutral fat — The emulsion test for fatty acid — Extraction of lipase — Hydrolysis of ethyl butyrate by lipase — Syuthesis of neutral fat by lipase. Immunity 67 Ehrlich's ricin experiments — Ricin antitoxine — Theory of immunity. HAEMO LYTIC AND BACTERIOLYTIC FERMENTS .... 76 Bordet's experiments. Oxidizing Ferments 79 Schonbein's experiment — Further oxidations by animal tissues — Oxidation by nucleo-proteid — Oxidation about the nucleus — Glycolysis in blood —Oxidation not de- pendent on living cells of blood — Relation of glycolysis to the pancreas and the lymph— Glycolytic ferment of pancreas. Alcoholic Fermentation 87 The yeast plant — Chemical relations of carbohydrates. VII Blood Specific Gravity . 94 Drawing the blood — Determination of specific gravity- Counting the red corpuscles — Counting the white cor- puscles. Estimation of Haemoglobin 100 Hoppe-Seyler's method (modified). Haemorrhage and Regeneration ....... 101 Alkalinity 102 Zuntz-Loewy-Engel method. Coagulation Time 104 CONTENTS IX VIII Respiration Chemistry of Respiration 104 Estimation of oxygen, carbon dioxide, and water. Mechanics of Respiration 106 Artificial scheme — Inspiration — Expiration — Normal respiration — Forced respiration — Obstructed air pas- sages — Asphyxia — Coughing : sneezing — Hiccough — Perforation of the pleura. EXPERIMENTS FOR STUDENTS IX THE HARVARD MEDICAL SCHOOL I THE CENTRAL NERVOUS SYSTEM Simple Reflex Actions The Spinal Cord a Seat of Simple Reflexes. — 1. By means of a hook or thread passed through the lower jaw suspend vertically a frog the brain of which has been destroyed with the seeker ; the legs must not touch the table. Pinch a toe with the forceps. The leg will be drawn up. A stimulus to the skin has caused the con- traction of muscles. The afferent impulse set going by the sensory stimulus is changed into a motor efferent impulse. This is an example of reflex action. 2. Destroy the spinal cord with the seeker. Stimulate the skin of the right leg electrically and mechanically. 2 THE CENTRAL NERVOUS SYSTEM In no case will the sensory stimulus call forth the reflex contraction of a skeletal muscle. Yet the nerves coming from the skin and going to the muscles are still intact. Only the spinal cord has been destroyed. The conversion of sensory into motor impulses for skeletal muscles is a function of the central nervous system. Influence of Afferent Impulses on Reflex Action. — Destroy the brain of a strong frog with the seeker. Gently pinch a toe of the right foot. Only the right leg will be drawn up. Pinch a toe of the left foot. Only the left foot will be drawn up. Pinch a finger. Only the corresponding arm will move. Pinch the whole foot sharply. More extended movements will be made. The character and location of the stimulus affect the resulting contraction. Threshold Value Lower in End Organ than in Nerve-Trunk. — 1. Carefully expose the sciatic nerve. Determine the least strength of tetanizing current that will cause a crossed reflex when applied to the skin of the foot. Now apply the same stimulus to the trunk of the nerve. As a rule, the intensity required to produce reflex action is less when the stimulus is applied SIMPLE KEFLEX ACTIONS 6 to the peripheral endings of the sensory nerves than when the nerve-trunks are stimulated. 2. Divide the skin over the back in the median line. Raise the skin on one side until the small nerves which pass across the dorsal lymph sac to innervate the skin come into view. Sever from the surrounding skin a piece about one centi- metre square containing the endings of one of the nerves. Let the isolated piece with its nerve endings remain connected with the body only by the trunk of the nerve. As before, determine the least strength of tetanizing current that will cause a reflex movement when applied to the nerve-endings in the skin and to the nerve-trunk respectively. * The threshold value for reflex action will again be found lower in the nerve-endings than in the nerve-trunk. Summation of Afferent Impulses. — Pass two fine copper wires about the -frog's foot a centi- metre apart and connect them with the secondary coil. Connect the primary coil through a simple key with a dry cell. Stimulate with regularly repeated make induction currents of such strength that single stimuli cause no reflex contraction. Summation of the subminimal stimuli will finally cause reflex contraction. Determine that the number of stimuli neces- 4 THE CENTRAL NERVOUS SYSTEM saryto produce a reflex becomes smaller when (1) the strength of the induction currents is increased, and (2) when the interval between the stimuli is lessened. Segmental Arrangement of Reflex Apparatus. — 1. Gently pass the seeker over the abdominal walls on one side. The muscles in that region only will twitch. Eepeat the stimulus, but use a stronger pressure. The area contracting will increase in extent approximately in proportion to the increase in the stimulus. The afferent nerves from any one region are more closely related to the efferent nerves of that same region than to those of other regions. The fact that both afferent and efferent fibres spring from the cord at the same level suggests that their nerve C3lls lie also at approxi- mately the same level. On increasing the stim- ulus the afferent impulse spreads from segment to segment of the cord. Further evidence of the segmental arrangement will be gained by the following experiment. 2. With a clean, sharp knife make transverse sections of the spinal cord, beginning in the cer- vical region. A short time after each section test the reflexes from the hind limb by mechani- cal stimulation. SIMPLE REFLEX ACTIONS 5 Note the level below which no section can be made without rendering the reflex impossible. The nerve cells concerned in this reflex lie on the caudal side of this line. Now in a second frog make transverse sections, beginning at the caudal end of the cord, and test the reflexes as before, until the level is reached beyond which a section will destroy the reflex. Observe that the portion of the cord comprised between the two levels determined forms a seg- ment which contains the central apparatus con- cerned in the reflex studied. Reflexes in Man. — 1. From the Skin. — Eub the plantar surface of the foot gently with some hard object. The foot will be retracted reflexly. Similar results may be obtained by rubbing the skin of the inside of the thigh, which will cause contraction of the cremaster muscles ; or by rubbing the skin of the abdomen, which will be followed by contraction of the abdominal muscles. These reflexes are of importance in clinical diagnosis because by means of them the seat of a diseased area in the central nervous system may sometimes be defined, since the reflex depends on the integrity of the corresponding reflex arc. 2. Cornea Reflex. — Touch the cornea gently with a thread. 6 THE CENTRAL NERVOUS SYSTEM The eye will be closed involuntarily. 3. Throat Reflex. — Touch the posterior wall of the throat. The movements of swallowing will usually follow. 4. Pupil Reflexes ; Light Reflex. — Close one eye for several seconds, then open it quickly. Note the contraction of the pupil. 5. Consensual Reflex. — Close one eye as before, but watch the pupil of the other eye when the first is opened again. The pupil will contract. 6. Accommodation Reflexes. — Look alternately at a near and a far object. The pupil will con- tract when the eye adjusts itself to see the near object. Tendon Eeflexes Knee Jerk. — Sit in such a position that the knee is bent at a right angle, and the foot hangs free. Let an assistant strike the patellar liga- ment with the side of the hand. Note the sudden contraction of the extensors of the thigh, the so-called knee jerk. Flex the knee at different angles and deter- mine in which position the resulting contraction is greatest. Knee jerk can be obtained only within certain limits of extension. TENDON REFLEXES 7 Let the subject immediately before the stimu- lus is applied forcibly contract some other group of muscles ; clench the hand, for example. The knee jerk is reinforced. Ankle Jerk. — Bend the foot at ri & KH /' H ' NH! + O - N ^ C » H * NHa +H O * H< C w H 6 OH + ° - ^ fc el -3 i 'o? s ^ - S >> A 5 53 "8 a fl A S -§ S » s § . >>* '-£ « o '■§ 3 a > *i a> o a> "3 .£ "^ fa - 3 Pi 5 ^ 5 1 a as u «3 . "I"! ■3 * -a -s 3 S -f .a as o oj >> g N 11 "y a a ■£ « s 1 § £ £ HI •a 3 II §i S a a ►5 \A fa FERMENTATION 93 £ £ *> ■ § -1 S> '-3 £ £ -g * s =" ^ -5 ~£ ^o & .3 -p'Z- „M la I. 3 **! .* - Is 2 § >> 3 o » is? ^ j!^^ I b 2 81! 3 a 3 .a s« £-E I s »i^ = " o ij I- # «j So O 5 3 oa ft ft O 6 S « JO _ "-g ajSo *§ ® . - 3 o S o ec ©^ £>>!- 5 ft *J .Stl^^a & -3 ©* § 3 S "3 e8 3 9 £ 3 * g I "§> 1 8 -3 I I e & -3 B ° Ills .§ 8-&&S.&S a ti j £ E c o <; © .d 5 | .3 2 £ s 5 § o OS +s SI *• 8 ° J a .-g 3 3 . ^« S g.2 ft . ~ -£ Q) a 3 *> "8 1 1 1 1 -° 0O.30 3 | "43 ft fa . fi * * 1 ■S s ^ .3 1 o * S '5 x § 2 I 5 94 BLOOD The zymase attacks only those sugars which present a specific stereo-contiguratiun. The position of their atoms in space must fit the position of the atoms of the ferment (the lock and the key). Thus, only the dextro-rotatory forms of the aldehyde sugars (d-glu- cose, d-mannose, d-galactose) are attacked ; the sugars that rotate the plane of polarized light to the left are not attacked. It is probable that the zymase of different species of yeast presents characteristic dif- ferences. It is known that the products formed in the fermentation of sugar by different species of yeasts are to a large degree characteristic. Often these products are injurious. Upon this specific action of ferments testa the work of Hansen, 1 who taught the brewers to make pure cultures of the most favorable species of yeast, and thereby raised the- brewing industry to the level of an applied science. BLOOD Specific Gravity Drawing the Blood. — Wash the lobe of the ear with a bit of absorbent cotton dipped in clean water. 2 Bub the lobe dry with another piece of cotton. Pass a three-sided surgical needle 1 Hansen: Untersuelmngen an der Praxis der Gahrungs- Industrie, 1895. 2 Subjects who are "bleeders" are not to be used for this observation. SPECIFIC GRAVITY 95 through a Bunsen flame. (Do not heat the needle red or the temper will be drawn and the sharpness lost.) Stretch the skin of the lobe between the fingers of the left hand. Make a quick puncture one-eighth inch deep in the edge of the lobe. Press gently to start the flaw; The blood must now flow freely. On no account use blood squeezed out. Determination of Specific Gravity. 1 — Fill a small beaker half full of a mixture of benzol and chloroform of a specific gravity of about 1059. Let a drop of the blood fall into this mixture. The drop will remain spherical, for blood does not mix with benzol and chloroform. If the drop sinks, add chloroform drop by drop, mean- while stirring the mixture with a glass rod, until the drop neither rises to the surface nor sinks to the bottom but swims with the mixture. If the drop rests upon the surface, add benzol in a similar manner. When the drop neither sinks nor floats, its specific gravity must be that of the benzol-chloroform mixture. Pour the mixture into a glass cylinder, through a piece of linen to hold back the blood-drop, and take the specific gravity of the^benzol-chloroform with an areoni- 1 Roy : Journal of physiology, 1884, v, p. ix. Hammerschlag, A. : Wiener klinische Wochenschrift, 1890, iii, p. 1018. 96 BLOOD eter. The result is also the specific gravity of the blood. The values obtained are slightly too low. The error is one unit in the third decimal place. Determine the specific gravity of the blood under the following conditions. Record the re- sults in the laboratory note-book. Hand to the instructor a copy of your observations written in ink upon a laboratory blank. The material col- lected by the class will be analyzed statistically by a committee and a report made. 1. The specific gravity of the blood in a healthy man. 2. In the same man half an hour after drink- ing 750 c.c. of water. 3. In the same man one hour after drinking 750 c.c. of water. 4. In the same man after profuse sweating. Note any feeling of thirst. 5. In a healthy woman. Hammerschlag found the specific gravity in chlorosis and nephritis diminished as the haemo- globin diminished. Xo relation was observed between the appearance of oedema and a reduc- tion in the specific gravity. Counting the Red Corpuscles. — See that the pipettes of the Thoma-Zeiss apparatus are per- fectly clean and dry. Open the bottle contain- SPECIFIC GRAVITY 97 ing Gower's solution (sodium sulphate, 7.3 grams ; acetic acid, 20 c.c; water, 125 c.c). Prick the ear as directed on page 94. In a large drop which has collected without pressure put the point of the smaller Thoma-Zeiss pipette ("red counter"). Fill the pipette to the mark 0.5 by careful suction. Should the mark be passed, lower the column to the mark by touching the point of the pipette to filter paper. When the mark is reached, clean the outside of the pipette, dip the end in Gower's diluent solution, and draw the liquid very carefully up to the mark 101. (Should the liquid pass the mark, the pipette must be cleaned and dried and the whole process repeated.) Close, the ends of the pipette with the ringers, and shake it gently for one minute in order to mix the blood thoroughly with the diluent. The blood will now be diluted 200 times its volume. Remove the rubber tube from the pipette. Blow out the unmixed solution in the capillary tube, between the point and the bulb, and several drops of the mixture in the bulb. Wipe off the end of the pipette. Touch it to the ruled disc. Let a very small drop flow out. Place the cover- glass on the drop. The flattened drop should almost cover the glass. If it spread into the moat, clean the disc and use a second, smaller 7 98 BLOOD drop. Tf Newton's color-rings cannot be seen between the coverglass and the disc by placing the eyes near the level of the coverglass, another preparation must be made, with cleaner disc and coverglass. Use Leitz No. 5 or Zeiss D objective. Bring the drop into focus and then, using the microm- eter screw, find the ruled field. On the central portion of the disc 1 square millimetre has been ruled into 400 squares, each square having therefore an area of ^^ square millimetre. Each 16 small squares are sur- rounded by double lines, thus forming a " large square." In the Zappert-Ewing slide, the cen- tral square of 1 mm. is surrounded by eight other squares of 1 mm. each, and the central ruling is extended through the surrounding squares, which are intersected by lines ^ mm. apart. Count the number of corpuscles, square by square, in 200 small squares. Corpuscles touching the north and south lines of each area are to be counted in, those touching the east and west lines are to be omitted from the count. Each square has an area of ^J^ square milli- metre. The thickness of the layer of blood, i. e. the distance from the ruled disc to the cover- glass, is 0.1 mm. The volume of the space above each square, therefore, is ^J^ cubic millimetre. SPECIFIC GRAVITY 99 As the blood is diluted 200 times its volume, and the number of squares counted is 200, the total number of corpuscles in a cubic millimetre is x x 200 x 4000 200 x being the total number of corpuscles counted. In short, to obtain the number of corpuscles in a cubic millimetre, multiply by 4000 the number counted in 200 squares. Clean the pipette as soon as the counting is done. Cleaning the Pipette. — Draw clean Gower's solution through the pipette, then alcohol, and finally ether. Dry the pipette by sucking (not blowing) air through \tM Control Counting. — Count the red corpuscles in a second drop. If the result differ greatly from that of the first count, the corpuscles in a third drop must be counted. Counting the White Corpuscles. — Have ready a diluting solution of glacial acetic acid (one- third of one per cent). This solution will make the red cells invisible. Obtain a very large drop of blood. Fill the large Thoma-Zeiss pipette (white counter) by very gentle suction. Keep 1 Pipettes left dirty will be cleaned at the student's ex- pense, or, where necessary, a new one purchased. The cost is considerable. 100 BLCOD the pipette nearly horizontal, both in obtain- ing the drop and in drawing in the diluting solu- tion ; the bottle should be tilted. Count the white corpuscles in the entire ruled disc. Eepeat with a second, drop. Estimation of Haemoglobin Hoppe-Seyler's Method 1 (modified). — "Weigh about five grams of crystallized haemoglobin. Make a concentrated solution in a measured quantity of distilled water. Saturate with car- bonic oxide. Preserve in glass tubes containing about 6 c.c., the ends drawn out and closed in the Bunsen flame. Before using, dilute with distilled water to 0.2 per cent CO-Haemoglobin and saturate with CO. Place in one compart- ment of the double container with parallel glass sides. In the other compartment place about 2 c.c. of 0.1 per cent sodium hydrate solution. Prom a drop of blood obtained from the ear as directed on page 94 fill the pipette to the mark (3 cubic millimetres; by careful suction. Should the mark be passed, lower the column to it by touching the point of the pipette to filter paper. When the mark is reached, clean the outside of the pipette, and then blow the contents of the pipette 1 Hoppe-Seyler : Handbuch der physiologisch- una patholo- gisch-chemischen Analyse, 1893, p. 412. HAEMORRHAGE AND REGENERATION 101 into the 0.1 per cent sodium hydrate solution. Eemove all the blood by drawing the sodium hydrate solution in and out of the pipette. Look at the parallel columns of haemoglobin solution and blood solution through the blackened tube against an evenly illuminated sheet of white paper plaeed ten inches away. Dilute the blood with 0.1 per cent XaOH solution until its color is precisely that of the haemoglobin solution. Measure the volume of the two solutions in c.c. Then the volume of the haemoglobin («) solution is to the known quantity of haemo- globin which it contains («') as the volume of the blood solution (b) is to the desired weight of haemoglobin (x) it contains, or the weight of haemoglobin in three cubic millimetres of the blood. Haemorrhage and Regeneration Determine the specific gravity, number of red and white corpuscles per millimetre, and per- centage of haemoglobin in the same animal under the following conditions : Xormal ; two hours after a profuse haemorrhage ; one day, three days, and five days after the haemorrhage. Plot all three curves upon one co-ordinate system. 102 BLOOD Alkalinity Zuntz-Loewy 1 -Eiigel 2 Method. — Place j^ tar- taric acid 3 in a finely graduated pipette (1 c.c. in 20) with glass stopcock. Place in a small beaker 5 c.c. of water dis- tilled in glass and proved neutral in reaction. Select the larger pipette of the Thoma-Zeiss haemocytometer. Note the cubic millimetres contained in the pipette 4 up to the mark 0.5. Remove this quantity from the water. Dry the pipette with alcohol (page 99). Fill the pipette to the mark 0.5 with blood from the ear. Re- move any blood from the outside of the tube. Place the end of the tube in the neutral water and gently expel the blood. Wash out the last traces of blood by gently drawing the water in and out of the tube. If this be done with care, the mixture will now measure practically 5.0 c.c. including the blood. Titrate the mixture with the Y5 tartaric acid solution drop by drop. 1 Loewy : Archiv fiir die gesammte Physiologie, 1894, lviii, p. 462. 2 Engel : Berliner klinische Wochenschrift, 1898, xxxv, p. 308. 3 A normal solution of tartaric acid (C 4 H c 6 ) contains -^J — 75 g. in 1 litre. A ^ tartaric acid solution contains ff '= 1 g. in 1 litre. 4 This must be determined for each pipette. ALKALINITY 103 Before and after the addition of each drop of the acid let a drop of the mixture fall gently on a piece of light-colored glazed litmus paper previously impregnated with saturated neutral sodium chloride solution. In such paper the salts on which the alkaline reaction of the blood largely depends diffuse more rapidly than the haemoglobin. The latter forms a yellow spot which is surrounded by a clear solution of the blood salts. When the titration acid has com- bined with all the alkali in the blood a sharp red ring will appear around the yellow spot of haemoglobin. This ring is clearer when the blood is wiped off after having rested a few moments on the paper.**" Normally, the alkalinity of 0.05 c.c. blood is satisfied by about 5 c.c. y\ tartaric acid. Then 100 c.c. blood would require 0.5x20x100 = 1000 c.c. y \ tartaric acid. 1000 c.c. = l litre normal tartaric acid saturates 40 g. XaOH. 1 litre y \ tartaric acid = -f £ =533 mg. NaOH. The alkalinity of 100 c.c. blood = 533 mg. XaOH. 2 Hence 0.05 c.c. blood = 0.25 mg. XaOH. 1 The same tint of paper should he used in 'comparative experiments. Light colored papers should be observed by di- rect light ; darker papers by transmitted light. Litmus may be replaced by lacmoid (for directions, see Cohnstein : Virchow's Archiv fur allgemeine Pathologie, cxxx, and Bockmann : Che- misch-technische L'ntersuchungs-Methoden). 2 The average given by Engel is 426.4 — 533.0 mg. XaOH. 104 kespiration Coagulation Time. Fasten on a glass slide a metal ring pierced with a small hole. Place a little vaseline on the upper surface of the ring. Upon this lay a perfectly clean cover glass upon the middle of the under surface of which has been placed a large drop of blood drawn from the ear with the precautions mentioned on page 94 As soon as the drop is in place within the cell, make it ro- tate by blowing gently against it by means of a pointed glass tube applied to the hole in the metal ring. The drop will cease to move when coagulation sets in. Note the interval between the drawing of the blood and the onset of coagulation. The method is rough, and a fairly correct re- sult requires much care and a number of obser- vations, but even thus it reveals the important diminution in coagulability in certain diseases, e. g. jaundice. RESPIRATION Chemistry of Eespiration Estimation of Oxygen, Carbon Dioxide, and Water. 1 — Weigh bottles 3, 4, and 5 (4 and 5 1 Apparatus. — Two aspirator bottles, with box. A wooden tray, containing a jar for the guinea-pig, and six bottles, viz. : CHEMISTRY OF RESPIRATION 105 together). Place the guinea-pig in the jar and weigh. During one hour draw air through bot- tles 1 to 6 by placing an aspirator bottle on its box and allowing the water to flow from this bottle to the one remaining on the desk. The rubber connecting tube must be changed when the aspirator bottles are changed. After one hour weigh bottle 3, and bottles -i and 5. Tabulate results as follows : Grams. Weight of jar and guinea-pig at beginning " " " end . Loss Wi. of bottle 3 (sulph. acid) at beginning " t end . Gain (= water absorbed) . . . Weight of bottles 4 and 5 at beginning " " " end . . Gain (= carbon dioxide absorbed) Total water and carbon dioxide absorbed Loss in weight of jar and guinea-pig . Difference (= oxygen absorbed) Respiratory quotient ^Tos. 1 and 4, filled with soda-lime, to absorb carbonic acid ; Kos. 2, 3, and 5, filled with pumice stone soaked in sulphuric acid, to absorb moisture ; Xo. 6, a Miiller valve, to prevent air being forced back through the series of bottles by a wrong coupling of the aspirator tubes. 106 respiration Mechanics of Eespiration Artificial Scheme. — Eaise the left glass" rod above the opening in the rubber tubing. Hold the lower end of the free cylinder even with the rubber balloon, and pour in water till the level just reaches the balloon. Lower the left glass rod to cover the opening. The surface of the water in the attached cylinder represents the diaphragm and movable chest-walls; the interior of the cylinder above the water, the thoracic cavity ; and the rubber balloon, the lungs. The left manometer shows the intra-thoracic pressure ; the right manometer shows the intra-pulmonary pressure. The left glass rod closes the entrance to the cylinder, i. e. makes the thoracic cavity a closed cavity, as is normal ; the right glass rod, with its lower end partly covering the opening in the rubber tubing, controls the entrance to the balloon (the respiratory passages). Inspiration. — Nearly close the respiratory pas- sage. Lower the water level to the base of the thoracic cylinder. Note the change in the size of the lung, and in the pressure in the lung and in the thorax. Give reasons for these changes. Expiration. — Widen the respiratory passage MECHANICS OF RESPIRATION 107 slightly. Eaise the water level slowly till the lung is slightly but evenly distended. Note the pressure in the pleural cavity. Is it positive or negative ? Why ? Normal Respiration. — Slowly and rhythmi- cally raise and lower the diaphragm (water level) between the inspiratory and expiratory level, taking care that the lung never becomes even slightly collapsed at the end of expiration. Give reasons for the changes in the intra- pulmonary pressure. Forced Respiration. — Eaise and lower the diaphragm more quickly. Observe that the differences in pressure are increased. *- Obstructed Air Passages. — Diminish the inlet in the respiratory tube by moving the glass plug. Eaise and lower the diaphragm. The differences of pressure will be increased. Asphyxia. — Close the entrance to the lungs entirely. Note the effect of movements of the diaphragm upon the intra-thoracic and intra-pulmonary pressures. Coughing : Sneezing. — Eemove the glass rod from the respiratory passage. Bring the lung to full inspiration. Close the respiratory opening with the moistened thumb. Eaise the diaphragm 108 RESPIRATION half-way toward expiration. Suddenly open the respiratory passage. Air is quickly and forcibly expelled from the lung (cough, sneeze). Hiccough. — Lower the diaphragm quickly toward full inspiration, and while the lung is expanding close the respiratory opening with the moistened thumb (hiccough). Note the sudden changes of pressure in the two cavities. Perforation of the Pleura. — Open the inlet to the pleura. Note the effect of the opening into the pleural cavity upon the lung and upon the intra-pulmo- nary and intra-thoracic pressure. Observe the result of movements of the diaphragm. COLUMBIA UNIVERSITY LIBRARIES This book is due on the date indicated below, or at the expiration of a definite period after the date of borrowing, as provided by the library rules or by special arrangement with the Librarian in charge. DATE BORROWED DATE DUE DATE BORROWED DATE DUE C28 (747) MIOO BF44 rcrter P83 1903 Experiments for studerrtsj^ Harvard aeflical schoo. 9P4^ PF3 /9fl3 j0