Columbia ©mbergttp m tfje £ity of Jgeto gorfc COLLEGE OF PHYSICIANS AND SURGEONS Reference Library Given by Digitized by the Internet Archive in 2010 with funding from Open Knowledge Commons http://www.archive.org/details/notesonpractical01prud NOTES ON THE PRACTICAL COURSE IN Normal Histology GIVEN IN THE Laboratory of the Alumni Association OF THE COLLEGE OF PHYSICIANS AND SURGEONS NEW YORK CITY BY T. MITCHELL PRUDDEN, M.D. NEW YORK TROWS PRINTING AND BOOKBINDING CO., 205-213 East 12TH Street 1879 PREFACE. The full course for classes in Normal Histology in this laboratory comprises forty lessons, of from one and a half to two hours each. Students are furnished with microscopes, reagents, and all necessary apparatus, with the exception of razors, slides, cover-glasses, and boxes for the preservation of specimens. So little time is usually at the dis- posal of medical students for collateral reading, and so necessary is it to occupy as little of the laboratory time as possible in oral descrip- tions of tissues and methods, that these notes have been prepared with the expectation that students will anticipate each lesson by read- ing beforehand the brief section devoted to its theme, and thus be ready to commence the practical work of the lesson hour without loss of time. It is not to be expected that epitomized descriptions of structures as elaborate as are many of those with which we have to deal in his- tology, will be in all cases perfectly clear and intelligible without the aid of figures ; but the actual specimens prepared, and the sketches from them which are made in the laboratory by the students them- selves, will make good, it is hoped, the lack of illustration in the text. There are many points in this as in every developing science which are still unsettled — opinion in regard to them changing or being modi- fied as new facts and investigations are recorded. These have been treated, for the most part, very briefly in the text, it being left for the supplementary oral instruction to enlarge upon and explain them as the light thrown upon each by new researches may seem to require. T. M. P. Laboratory of the Alumni Association, College of Physicians and Surgeons, New York, Sept., 1879. INTRODUCTION. GttJNJiRAL METHODS FOR PRESERVING TISSUES AND PREPAR- ING THEM FOR STUDY. Animal tissues must conform to certain physical conditions before they can be subjected to a satisfactory microscopical examination. Por- tions of them subjected to study must be sufficiently thin to allow the light to pass readily through them, and transparent enough to permit the determination of the form, character, and relations of their struc- tural elements. At the same time the refractive power of the different elements should not be too nearly alike, since upon differences in this respect the form and characters which microscopical objects present to the eye are largely dependent ; or, in case they are so, the differ- ent elements must be rendered visible by staining them with coloring agents. Certain tissues naturally undergo rapid changes of structure after death ; these are to be prevented by the application of preserva- tive agents. Some are too soft to permit the preparation of thin sec- tions and must be hardened ; others are too hard and must be softened. In some specimens one, in others another structural feature, is to be brought into prominence. All of these indications in the histological technique are to be met in such a way as to leave the structures under investigation in as natural a form as possible. Finally, specimens suitably prepared for examination are, in many cases, to be rendered permanent for future reference and study. We will now consider briefly some of the methods by which these indications may be fulfilled. Most histological specimens are laid either with or without some enclosing fluid medium, on a glass plate, and covered with a very thin slip of glass, before being brought under the instrument. One of the simplest methods of studying tissues is to place them, when quite fresh, and after they are reduced to a condition of suitable tenuity, on a slide with some fluid which alters their physi- cal condition but little or not at all, or at least very slowly, and ex- amine them at once. Such fluids are called indifferent fluids ; and among the best and most commonly employed are the aqueous humor, blood-serum, amniotic fluid. These organic fluids, however, although well suited for this purpose, are not always readily obtained, and are moreover liable to undergo more or less rapid decomposition ; and since for most purposes a dilute solution of common salt, one-half to three-quarters per cent., answers very well, we shall generally employ 6 NORMAL HISTOLOGY. this when, in the following lessons, we have occasion to use an indif- ferent fluid in the study of fresh tissues. The examination of fresh tissues is very important, not only because it enables us to follow the vital phenomena in certain 'elements, but because we are able by comparison to determine the amount of change which tissues undergo when prepared by more elaborate methods. Still this simple mode of examination is in many respects unsatisfac- tory. In the first place, it is not always easy to procure fresh tissues for' every observation, and even in the indifferent fluids the tissues sooner or later undergo very considerable structural alterations, so that they cannot be permanently preserved. Again, fresh tissues are fre- quently not sufficiently hard and firm to allow the necessary prepara- tion of specimens. A still more important difficulty which this method presents is the lack of clearness in the details of structure of fresh tissues. A very considerable proportion of the fresh animal tissues are nearly transparent, in thin pieces, and their structural elements possess so nearly the same refractive power, that we see through them, but do not see them : or, if we do see them indistinctly, it is not generally with that definiteness which our purposes demand. Now, these difficulties are usually met by the employment of agents which harden and pre- serve the tissues and at the same time render the details of their struc- ture visible, by changing the refractive power of one or other of their elements ; or we employ, as above indicated, certain coloring agents, which, being taken up with different degrees of avidity by different parts, permit the recognition of details by differences in color ; or, such agents are used as both harden and stain at once ; or, finally, which is the most common method, we employ two or more of the different classes of agents one after the other. We shall consider here only some of the most commonly employed of the hardening, preservative and coloring agents. Alcohol is one of the most valuable of the preservative and harden- ing agents. It causes a considerable shrinkage of the tissues by the withdrawal of water from them, and, like many of the preservative agents, causes a precipitation of certain of their albuminoid constitu- ents, thus diminishing their transparency. Alcohol is, in general, to be used at first diluted -with one-third water, and after the bits of tissue have lain for twenty-four hours in this they are transferred to commercial alcohol (eighty-five per cent.), in which they may be preserved indefinitely, losing in time, how- ever, somewhat of the first clearness and naturalness of structural detail. Bits of tissue to be preserved in alcohol, as in other hardening agents, should be quite small — not larger, as a rule, than i or 2 cms. on a side — and the quantity of fluid should be abundant. Certain structures are best preserved by plunging them at once into strong alcohol. Chromic acid in solution and solutions of potassium and ammo- nium bichromate are very frequently employed to preserve and harden tissue, and many structures are more perfectly preserved in these fluids than in alcohol. The hardening process proceeds more slowly in the INTRODUCTION. 7 chromic solutions than in alcohol, and the structures do not shrink as much. The tissue seems to be hardened and preserved by a slow process somewhat analogous to that of tanning. It is a common practice to commence the hardening process with one of the chromic fluids, and complete it with alcohol. Pure chromic acid is usually employed in solution of from one- sixth to one-half per cent. Potassium and ammonium bichromate are usually used in 2 per cent, solutions. A very valuable and much em- ployed preservative solution is the so-called Midler's Fluid, consist- ing of — Sodium Sulphate I Potassium Bichromate 2 Water 100 The ingredients are simply dissolved in water and the solution fil- tered. Chromic acid dissolves the lime salts in bone, and is often used to soften them in preparation for section-cutting. Tissues which con- tain fat are usually better preserved in the chromic fluids than in alco- hol, since the fat is readily dissolved by the latter. Picric Acid. — This agent hardens tissues, preserving in many cases their structural features most perfectly, and at the same time staining them intensely yellow. It is generally necessary to complete the hardening process with alcohol. Picric acid is one of the best agents for the decalcification of bone, although it acts very slowly. It is commonly employed in cold, satu- rated, aqueous solution. Osmic Acid. — This substance has the power, in dilute solutions, of fixing and hardening the tissue elements in a nearly normal form, and is one of the most valuable of this class of agents. It gives tis- sues a gray or brown appearance, and stains fat and certain allied substances deep black. It is a very expensive substance, and hence its use is at present somewhat limited. It is generally employed in a one per cent, aqueous solution, and the tissues should be quite fresh when immersed in it, and, as a rule, should remain for twenty-four hours. Specimens hardened in osmic acid, although very perfect at first, commonly become quite granular and black after a time, and nearly worthless. The preservative fluids are sometimes brought into more perfect and immediate contact with the tissue elements by injecting them into the blood-vessels of the part before cutting them in pieces and immersing them in the fluids. This method is of special value when alcohol is used for hardening small organs like the kidney. Indications as to which of these agents are best adapted for the preservation of different' tissues, and the more exact details of the methods of employing them, will be given as we proceed with our practical study. Hematoxylin is one of the most generally useful of the staining agents. It has the power of staining certain parts, as the nuclei of cells, deeply, while other parts are much less or not at all stained. It 8 NORMAL HISTOLOGY. can be employed for staining tissues which have been hardened by any of the above agents. The following is Prof. Delafield's method of preparing the solu- tion : To make 200 c.c. of the solution, take 150 c.c. of saturated solu- tion of ammonia alum ; prepare a saturated solution of haematoxylin in absolute alcohol, and add 4 c.c. of it to the alum solution. This at first produces a violet, or sometimes a dirty red color, which, on ex- posure to the light in an open vessel, usually assumes in a few days a deep violet color. If the color does not become deep enough, a few drops more of the hematoxylin solution are added and the fluid exposed anew to the light. After standing for at least a week, and when the desired color is obtained, the solution is filtered and 25 c.c. each of glycerine and wood naphtha are added. Such a solution is to be diluted with several times its bulk of water before using, the exact amount of dilution depending upon the rapidity with which we wish the speci- men to be stained. As a rule, slow staining with a dilute solution gives the best results, and is less likely to cause shrinkage of the spe- cimen. In staining, bits of tissue are simply placed in a small dish of the solution, so that they are bathed on all sides by it and allowed to remain until sufficiently colored. The time required will depend, of course, upon the strength of the solution, and also to a considerable degree upon the character and previous preparation of the tissue. The excess of coloring fluid is to be thoroughly washed out of the specimen by water before mounting and studying. Carmine. — This is employed in the same manner as hematoxylin, and like it stains different tissue elements with different degrees of in- tensity. Tissues preserved in chromic acid solutions do not stain as readily in carmine as in haematoxylin. Fre/s method for its preparation is the following : take of powdered carmine 0.30 grm., and add a sufficient quantity of aqua ammonias to dissolve it, mix with 30 c.c. of distilled water, filter, and add glycerine 30 grms., alcohol 4 grms. Eosin. — This substance stains tissues somewhat more uniformly than those just mentioned, and is especially valuable when used in connection with other coloring agents, such as haematoxylin, which stain the cell nuclei more deeply, since by this method of double staining we have certain structural elements exhibiting one color, others another. Eosin may be conveniently used either in aqueous or alcoholic solutions of 1 to 100. Picro-carminate of Ammonia or Pier o-car mine. — This substance is for many purposes superior to the simple carmine. It usually stains more rapidly than the latter, and we can obtain with it at once the yellow color from the picric acid in certain elements, while others are stained red by the carmine. It is prepared by adding to a saturated solution of picric acid a strong ammoniacal solution of carmine to saturation, evaporating the mixture to one-fifth its bulk, allowing to cool, filtering from the de- posit, and evaporating the filtrate to dryness over a water-bath. The picro-carmine is left in the form of a crystalline ochre-red powder. INTRODUCTION. 9 This powder should be dissolved in water, for use, in the proportion of t to 100. Certain fluid tissues, such as blood, lymph, etc., are fitted for study, either fresh or after suitable preservation, when they are spread out in thin layers and covered. Certain tissues occur in the form of membranes of sufficient thinness to admit of study without other ma- nipulation than spreading them out smoothly on a slide. In other cases we have recourse to the dissociation of tissues by needles, the structure being carefully separated into parts sufficiently minute for microscopical examination. The operation of dissociation with needles, or picking, or teasing, as it is commonly called, will vary in its details, depending upon the nature of the tissue and the special feature which we wish to study. In many cases we wish to study the structural ele- ments of a tissue in their normal relations to one another, and in parts which are too thick to permit a direct observation. In such cases we have recourse to thin sections cut from the tissues by a sharp knife or razor — the tissue, if not sufficiently hard naturally, being hardened by one or other of the above described methods. The razor employed for this purpose should have a thin blade, perfectly flat on the lower side, as it is held horizontally in the hand for cutting, and somewhat concave on the upper side, so that a small quantity of fluid will lie upon it. It is often desirable, in studying the distribution of the blood- or lymph-vessels, to fill them by injection with some colored substance by means of which their ramifications may be readily recognized. One of the most convenient and generally employed injecting materials is a solution of gelatine colored with Prussian blue. This may be pre- pared as follows : dissolve 4 grms. of gelatine in 60 c.c. of pure water on a water-bath ; divide the solution into two portions : to one portion add 4 c.c. of a saturated solution of sulphate of iron (green vitriol), stirring constantly; to the other add first 8 c.c. saturated solution of ferrocyanide of potassium, and then 8 c.c. saturated solution of oxalic acid ; these two portions are now to be slowly mixed with constant stirring, and then heated up to about the boiling-point of water. The solution is now filtered hot through flannel and is ready for use. An animal injected with this solution must of course be kept warm during the injection, as must all the utensils employed, so that the gelatine may not harden and stop the vessels. The details of the process of injection will be given in the course of our practical study. It often occurs that a bit of tissue from which we wish to prepare a section is too small and delicate to be held in the fingers ; in such cases the object may be placed between two bits of some hardened tissue, such as liver, or between two bits of soft cork, and thus held while the section is made. Or such a specimen may be embedded in a mixture of white wax and paraffine, equal parts, melted together with addition of a sufficient quantity of olive oil to give the mass the proper consistency for cutting when cold. The details of the methods of teasing, embedding, and section-cutting, will be learned in the course of our practical studies. Sections, bits of dissociated tissue, membranes, etc., having been 10 NORMAL HISTOLOGY. dul) T prepared, they are to be mounted on a slide for study. The choice of the fluid to be employed for this purpose will depend upon the nature of the specimen, the mode of preparation to which it has been subjected, and the structural features which we wish especially to demonstrate. One of the fluids most frequently employed is glyce- rine. Many of the preservative and hardening agents, such as alcohol, precipitate, as above remarked, certain albuminoid substances in the tissues, in the form of small, strongly refractive particles, thus render- ing them more or less opaque,* or at least translucent. Now, glycerine possesses the power of penetrating many such tissues, and since, as a rule, its index of refraction is much more nearly like that of the albu- minous particles than is the refractive index of the substance lying between them, when the tissue becomes soaked with glycerine the light passes more directly through and the tissue becomes more trans- parent. Many specimens, further, preserve their structural features for a long time very perfectly in glycerine. The specimens are either soaked until they become transparent, in a small dish of glycerine, and then transferred to a slide and covered with a drop of the same ; or they may be put at once into a drop upon the slide and covered. The preparations may be made permanent by painting a rim of some kind of varnish — such as asphalt varnish — around the edge of the cover-glass. The strongly refractive power of glycerine, although of value in rendering tissues transparent in the way just described, is, however, in some cases prejudicial to our aims, because it makes them too trans- parent, its refractive power being so nearly like that of the tissue- elements themselves that they remain nearly, invisible, or their more delicate structure is concealed. For we find within certain limits that the greater the difference between the refractive power of an object and that of the fluid in which it lies, the more distinct will be the out- lines of the object. We have, then, in using glycerine as a mounting medium which renders tissues transparent, to guard against its too excessive action ; and this may be done by mixing with it, in propor- tions varying with the tissue under investigation, some less refractive substance such as water. For permanent preservation, however, most tissues are to be put into pure glycerine. Ca?iada balsam is for many tissues a most excellent mounting medium. It possesses, to a still greater degree than glycerine, the power of rendering tissues transparent, concealing proportionately, in the manner above described, certain of their minute structural features. This difficulty can, however, be to a considerable extent obviated with balsam, as with glycerine, by the judicious use of coloring agents. The most convenient way of using Canada balsam is in solution in * A transparent object becomes more or less opaque or translucent when in any- way it is made to enclose a multitude of small strongly refractive particles, because the light which enters it, passing alternately from a more strongly refractive particle into the less refractive substance which surrounds it, and then again into another par- ticle, and so on, finally becomes to a certain extent lost, a part only reaching the eye, and that after a roundabout course among the particles. INTRODUCTION. 1 1 chloroform. The pure commercial balsam is thinned with chloroform until it will drop readily from the end of a glass rod. It is to be kept in tightly stoppered bottles. The mode of procedure in Canada balsam mounting is the following : the specimen having been suit- ably prepared and stained, it is freed as completely as possible from water by touching its edges with a bit of fine blotting-paper, and then laid into a dish containing a few cubic centimetres of common strong alcohol ; after from ten to fifteen minutes it is transferred to absolute alcohol. It lies in this for from ten to fifteen minutes, when it is taken out, the superfluous alcohol removed as before, and laid in oil of cloves. As soon as it becomes transparent, which will usually occur in from five to ten minutes, the excess of oil is removed with blotting-paper and the section is transferred to a drop of balsam on a slide and cov- ered. This process, which seems at first somewhat complicated, is readily understood when we remember that neither the water in which the specimen usually lies when the staining is completed, nor the alco- hol, which is very hygroscopic and removes the water from the speci- men, are miseible with balsam ; and, further, that alcohol is miscible with oil of cloves, and this with balsam. Care must be taken, in these manipulations, not to breathe on the specimen, nor to allow any moisture to come in contact with it, since even a small amount of moisture causes a precipitate in the balsam and renders the specimen well-nigh worthless, unless it be remounted. Canada balsam is, as a rule, best adapted for mounting those specimens in which we wish to study the general structure of a tissue rather than its more minute characters. Preparations in which the blood and lymphatic vessels have been injected with some colored material usually show well when mounted in balsam. In a very large number of cases, a double stain- ing of the specimen with hematoxylin and eosin, before mounting in balsam, gives excellent results. To accomplish this, we may first stain in the usual way with hematoxylin, and accomplish the eosin staining by adding a small amount of a solution of eosin in absolute alcohol to the absolute alcohol used for the dehydration of the speci- men, before laying it in balsam. Acetic acid is an agent of great value in certain examinations of tissue. It, too, possesses the power of rendering certain tissues trans- parent. In accomplishing this effect, however, it acts in an entirely different way from the above mentioned agents. It does not simply surround the structures with a strongly refractive substance, but it causes albuminoid particles to swell up and become actually more transparent. Moreover, it does not act alike upon all parts of tissues ; for example, while it renders cell-bodies more transparent, it does not produce the same effect upon the nuclei, but rather causes them to be- come more distinct, through actual shrinkage and the greater contrast which they present after the change to the transparent cell-bodies. It is usually employed in the study of fresh tissues, and is much less used than formerly, on account of the very essential changes in form which it is now known to induce in the tissue-elements. It may be used in solutions of from two to three per cent. The chemical agents which the histologist uses, and the manipula- 12 NORMAL HISTOLOGY. tive devices to which he has recourse in the study of the tissues, are very numerous, and we have considered here only a few of the more important and typical. We shall acquaint ourselves with others as we proceed with the practical study. The preparation of each tissue presents to the worker in histology a separate problem, and in few de- partments of science is careful attention to technical minutiae of more importance than in that which now engages us. CHAPTER I. THE CELL IN GENERAL. In all animal bodies are found certain tiny structural elements, called cells ; and before commencing the systematic study of the tis- sues, it is necessary to obtain some definite conception of the nature of these elementary organisms. We may consider cells from a mor- phological and from a physiological standpoint. What is the structure of cells, and what do they do ? First, then, what is the structure of cells ? We find a great diversity in the structure of animal cells, some being extremely simple, others quite complex. The most common, and usually the most prominent structural feature of the cell, that portion which gives to it form and consistence, is called the cell-body. This usually consists of an albuminoid material, sometimes transpar- ent and apparently structureless, sometimes finely or coarsely granu- lar, and not infrequently presenting, at least after death, a reticulated appearance; this material is called protoplasm in its typical active form, and may be then very soft and viscid, like thin jelly ; or it may become so modified as to be hard, and even horny like the nail. The cell-body presents a great variety of forms ; it may be spherical, cu- boidal, cylindrical, fusiform, ovoid, pear-shaped, discoidal, or scale- like ; it often sends off processes like branches or wings, and some- times assumes the most irregular bizarre forms. We not infrequently find embedded in the cell-body, pigment-granules, droplets of fat, and various kinds of crystals. The form of the cell-body seems usually to depend largely upon the pressure to which it is or has been subjected by adjacent structures. Within the cell-body we usually find, centrally placed or at the side, one or more spherical, ovoidal, or irregular-shaped bodies, called nuclei (singular, nucleus). The nucleus usually presents a sharply de- fined contour, is frequently coarsely granular, and sometimes a coarse or filiform network is seen suspended within or stretching from side to side. The nucleus may be very small in proportion to the size of the cell-body, or may make up nearly the entire bulk of the cell. In the processes of degeneration and decomposition, and under the action of certain chemical agents, the nucleus seems to be more resistant than the cell-body, and on treatment of the cell with certain coloring agents, such as carmine and hematoxylin, the nucleus is more deeply stained than the cell-body. Within the nucleus, again, we frequently find one or more small spherical or irregular-shaped bodies, looking like vesicles or shining granules, which are called nucleoli. They 14 NORMAL HISTOLOGY. would seem, in some cases at least, to be connected with the above- mentioned intra-nuclear network. Of the exact nature and signifi- cance of the nucleus and nucleolus, we have, at present, little definite knowledge. Finally, a small proportion of animal cells are enclosed by an envelope — the cell-membrane, which may be thick or thin, now presenting well-defined structural peculiarities, and again quite homo- geneous and structureless. In many cases the cell-membrane would seem to be simply a peripheral hardened layer of the cell-body. It will thus be seen that we may have, in an animal cell, four distinct structural elements : the body, the nucleus, the nucleolus, and the mem- brane. It is only in a few varieties of cells, however, that all of these elements are present. The cell-membrane is the least commonly pre- sent of all, and there are certain cells which consist of a cell-body alone. Regarding cells now from a physiological point of view, we find the expression of their vitality in four distinct ways : they nourish themselves ; they grow ; they perform certain functions for their own good and for the benefit of the organism of which they form a part ; and finally, under certain circumstances, they are capable of repro- ducing their like. Or, in more concise language, we say : the cell ex- presses its vitality in nutrition, growth, function, and reproduction. Not all of these expressions of vitality, however, can be subjected to direct microscopical observation. Nutrition being, as we believe, es- sentially a chemical process, cannot become the subject of direct microscopical study, at least until very essential, and at present ap- parently impossible, improvements shall have been made in our technique. The growth of cells too, is for the most part so gradual, that we cannot directly follow it, but are obliged to study it in differ- ent phases of its progress. The functional activity of cells can be indirectly subjected to mi- croscopical investigation when it is associated with demonstrable changes in the morphological characters of the cell, or directly ob- served when it expresses itself in motion ; thus, we can readily detect the difference between a condition of functional activity and rest in the peptic cells of the stomach ; and the observation of ciliary and amoeboid movements in certain cells are among the most fascinating of histological studies. Finally, regarding the reproduction of cells, in a few instances the act has been directly observed under the micro- scope, but in the majority of cases our knowledge is derived from the study of a succession of consecutive stages in the process. Every new cell which appears in the animal body, during and subsequently to its development, is derived from a pre-existing cell, and all the cells are derivatives of a single original cell, the ovum. New cells are pro- duced by a process of division in older cells. Cell-division seems to occur in a variety of ways, usually commencing in the nucleus. Of the details of the process we have at present but little satisfactory classified knowledge, and although interesting and valuable facts are rapidly accumulating, the scope of these lessons will not permit us to tarry long upon the subject. In one of the apparently simplest modes of cell-division, one or more constrictions appear around the cell-body, either before or after THE CELL IN GENERAL. 1 5 certain changes in the nucleus have led to its partial or entire division ; these constrictions grow deeper and deeper, until finally the parts sepa- rate and become individual cells. This variety of cell-divison is fre- quently termed reproduction by fission. If division occurs in cells which are enclosed in a distinct mem- brane or envelope, so that the new organisms are not at once set free, the process is called endogenous cell-reproduction. Or finally, as frequently occurs, the cell-body may send off from some part a bud-like process, which by a constriction of its pedicle is at length freed ; this process is called cell-reproduction by budding or gemmation. These modes of cell-reproduction seem to be different, and yet there is much reason for believing that they are really only modifica- tions of one process ; but in the present condition of our knowledge on the subject all general statements should be very cautiously made, and such classifications as the above are to be regarded merely as for convenience of study. Cells are variously classified according to their nature and relation to adjacent parts : thus, we have epithelial cells, which cover the skin and mucous membranes and occur in certain parts of the glandular organs; connective-tissue cells, which lie scattered through the sub- stance of the structures presently to be studied as connective tissue, in certain parts undergoing modification of form and relation to neigh- boring parts and called endothelial cells ; gland-cells are those which, possessing peculiar functional or morphological characters, make up the tissue of the parenchyma of certain glands and organs. There are other classes of cells which will be considered in our systematic study of the tissues. PRACTICAL STUDY. Many of the general characters of cells may be learned from the study of the epithelial cells of the bladder, the pigmented cells of the retina, and the ciliated cells from the mucous membrane of the frog's mouth. Epithelial Cells from the Rabbit's Bladder. — The bladder of a re- cently killed rabbit is opened and the mucous membrane scraped with a scalpel. The grayish mass which is scraped off consists almost entirely of cells. It is put immediately into a mixture of alcohol (85 per cent.), one part, water two parts, and allowed to remain for twenty-four hours. A tiny bit of the cell-mass is then placed on a slide with a drop of a dilute aqueous solution of eosin, and teased into extremely fine fragments with needles. By the time the cells are sufficiently separated, they will have become stained of a light rose-red color. A small drop of glycerine is now mixed with the fluid on the slide, and the whole carefully covered with a thin glass so as to exclude all bubbles of air. The specimen is now ready for study, and should be examined first with a low and then with a high power. The cells will be found to have a great variety of forms, some of them evidently determined by the pressure of adjacent cells. They possess a finely granular cell- body, with more coarsely granular nuclei, and nucleoli. If it be desired 1 6 NORMAL HISTOLOGY. to preserve the specimen, a narrow rim of asphalt varnish is painted around the cover-glass, covering the edges of the latter and extending for a short distance on to the slide. Pigmented Cells of the Retina. — A fresh eye (from the ox or sheep), or better, one which has lain for a few days in Miiller's fluid, is opened by an equatorial section, and the vitreous body and the retina removed from the posterior half. If the remaining portion, including the sclera, choroid, and a portion of the pigmented epithelium of the retina, be put under water in a shallow dish, and brushed gently over the surface with a fine camel's-hair pencil, delicate pigmented flakes will float off in the water. These are the desired cells. One or two bits should be put into a drop of glycerine on a slide. Another bit is put on to another slide with a drop of haematoxylon solution, and after about ten minutes the coloring fluid carefully washed off with water, and the stained fragments placed with the other in the glycerine on the other slide. They are now covered and examined. These cells are flat, hexagonal, and joined together edge to edge, giving a pavemented appearance to the fragments. Most of the cell-bodies are closely crowded with irregular-shaped brown or black pigment-granules. Sometimes such are seen as have but few granules within them, and occasionally they are entirely free. When the cell-bodies are crowded with pigment, the nucleus appears as an irregular, sharply outlined structure containing no pigment and looking like a hole in the cell. When the pigment is not present in considerable quantity, or not at all, the nucleus is much less clearly outlined. In cells which have been stained with hematoxylin, how- ever, the nuclei all present well defined outlines and are stained of a violet color. Ciliated Cells from the Frog's Month. — The mucous membrane of the roof of the mouth or the gullet of a living or recently killed frog is gently scraped with a scalpel. The slimy mass which is thus pro- cured is transferred to a drop of one-half per cent, salt solution, on a slide, and thoroughly teased apart with needles. The specimen is now covered, a bit of hair being placed beforehand beside the speci- men to prevent the cover-glass from pressing on the cells. The cells are spheroidal or shortly columnar, and will be seen isolated or in groups, the cilia springing, in the form of delicate rows of hair-like processes, from the side of the cell which, when the latter is in situ, lies at the free surface of the mucous membrane. A considerable number of non-ciliated cells will also be observed. The form of the cilia will be most readily seen in cells in which the movement is becoming languid, which occurs gradually in all the cells, and finally ceases altogether. The movement, when vigorous, often causes cells and masses of cells to revolve and move about in the fluid and fre- quently causes currents in the latter, into which floating particles are drawn and then driven onward with considerable velocity. If it be desired to preserve specimens of the ciliated cells, portions of the mucous membrane may be scraped as before, and the mass treated with dilute alcohol and stained and mounted as above directed for the epithelial cells of the bladder. CHAPTER II. CONNECTIVE TISSUE. a. Intercellular Substance. Our knowledge of the animal tissues is not yet extensive and exact enough to enable us to make a satisfactory classification of them, but for convenience of study we may regard the body as composed of simple tissues and of organs. As examples of the first we have con- nective tissue, muscular tissue, nerve-tissue, etc. ; of the second, the liver, the lungs, the skin, mucous membranes, etc. Among the simple tissues there is a large and important group, called connective tissues, the members of which, though presenting many marked differences, yet seem so closely allied, both in structure and life history, as to justify their grouping under the above common name. The members of this group of tissues may be tabulated as follows : * i. Fibrillar connective tissue. 2. Embryonal and mucous tissue. 3. Fat tissue. 4. Reticular connective tissue. 5. Cartilage. 6. Bone and teeth. Aside from many striking points of similarity in their structure, which we can better appreciate after having made a practical study of the group, three considerations may be briefly noticed here as of weight in determining this classification. At an early period of em- bryonic life, when the animal is composed almost exclusively of cells, it is found that one of the first definite arrangements or groupings of these cells consists in the formation of three distinct layers: an outer, a middle, and an inner layer. Now it is found that the cells in these different layers have an entirely distinct capacity in their power of producing the tissues which are found in the adult animal. From the cells in the outer layer are produced the skin with its adnexa, certain organs of sense, and the central nervous system ; from the inner layer are formed the intestinal epithelium and glands, and certain of the large organs of the body ; while from the middle layer are developed * In addition to these varieties we find in certain parts of the body membranous layers or sheaths — sometimes structureless, sometimes having well-marked structural features — which differ in many respects from the above varieties of connective tissue, but whose separate consideration here would carry us beyond the scope which time permits these lessons to assume. They will be briefly considered as we meet with them in our systematic study of the parts of the body in which they occur. 2 1 8 NORMAL HISTOLOGY. the muscles, the vascular systems, and, which especially concerns us here, the tissues tabulated above as members of the connective-tissue group. Besides the relationship given to them by this common origin, these tissues show their close alliance by the fact that during the pro- cess of development one is sometimes formed from another. Finally, certain frequently observed pathological conditions seem to consist chiefly in the transformation of one of these forms of tissue into another of the same group. With fibrillar connective tissue or connective tissue proper, or sim- ply connective tissue, as it is often called, we commence our systematic study. This tissue is most widely distributed in the human body, occurring in the greatest diversity of forms, and an exact knowledge of its structure and arrangement is absolutely essential to a correct understanding of most other tissues and the organs, since it occurs in one form or another in nearly all of them. Fibrillar connective tissue, under the name of tendons and ligaments, forms bands and cords which bind the muscles to the bones, and bind the bones together. It is spread out in thin layers in the fasciae and aponeuroses ; it surrounds the bones and cartilage as periosteum and perichondrium. It divides and encloses muscular bundles and the nerves ; it supports the blood and lymphatic vessels, and forms the limiting membrane of the serous cavities. It forms an encasing membrane for many organs, and, ex- tending into their interior, serves, under the name of interstitial tissue, to support their parenchyma. Everywhere it performs these chief and essential functions; it supports, it binds parts _ together, it protects. Fibrillar connective tissue is composed of two distinct classes of struc- tural elements : a. cells, and b. a substance lying between the cells, the intercellular or basement substance. The intercellular substance consists chiefly of two distinct kinds of fibres : fibrillated fibres and elastic fibres. The fibrillated fibres are tiny, grayish, translucent cords, which, sometimes singly, sometimes in straight or wavy bundles, lie nearly parallel to one another, and again cross each other at all con- ceivable angles, forming complicated net-works. When examined fresh, with high magnifying powers, the individual fibres are seen to be moderately refractive ; they have a delicate longitudinal striation — this striation being, as we shall presently see, the expression of the fact that each fibre is made up of a number of still finer fibrillar. These fibrillated fibres, although frequently crossing one another, and intri- cately interlacing, do not, as a rule, branch nor form anastomoses with one another. On boiling for a considerable time in water they are converted into gelatine, and when treated with acetic acid or dilute alkalies they swell up, lose their longitudinal striations, become very transparent, and finally almost invisible. It is not easy, in studying fresh tissues, to convince one's self that the longitudinal striations on the fibres are really the expression of their fibrillar structure, since any attempt to pick the fibres apart with needles is of little avail, because the fibrillar are bound together by 3 minimal amount of cement substance. Li, however, the tissue be placed for a few hours in some fluid CONNECTIVE TISSUE. 19 which dissolves this cement substance, as picric or osmic acid, the ultimate elements may be readily separated by teasing. The second variety of fibres which occur in connective tissue — the elastic fibres — are much more strongly refractive than the first, hence presenting more sharply marked contours ; they are not longitudinally striated, and are not usually grouped together in bundles ; they often branch and form anastomoses with one another, sometimes joining at frequent intervals to form a narrow-meshed net, and again stretching away for long distances to form a broadly-spaced reticulum. Sometimes the fibres are broad and band-like, sometimes extremely fine ; on being boiled in water they are not converted into gelatine, and they are un- changed by acetic and dilute alkalies. These fibres, as their name indicates, possess elasticity, and as a consequence of this property we often find, when the fibres have been severed by teasing or other modes of preparation, that the free ends curl over in the act of retrac- tion, forming very characteristic curves or spirals. The elastic sub- stance sometimes occurs in the form of granules instead of fibres. The relative number of the fibrillar and elastic fibres varies greatly in different tissues : in some we find but few elastic fibres, others contain little else. The interstices of the interlacing fibres are filled with the nutritive fluids of the body, or in some cases a small amount of a more consistent homogeneous material binds them together. The marked difference in general appearance, which is seen in different parts composed of connective tissue, is due to differences in the arrangement of the fibres and bundles and the relative proportion of the fibrillated and elastic fibres. PRACTICAL STUDY. Subcutaneous connective tissue. — To study the basement substance of fibrillar connective tissue, the skin should be reflected back from the abdominal wall of a recently killed rabbit or dog, and, choosing a part which is free from fat, a bit of the loose subcutaneous tissue is seized with the forceps and snipped off with scissors. The bit of tis- sue, which will -contract to a little lump around the point of the forceps, is now to be carefully spread out on a slide and covered with one-half per cent, salt solution. The specimen will be seen to contain a large proportion of fibril- lated fibres crossing one another in all directions, with a few narrow elastic fibres. After studying in salt solution, a drop of two per cent, solution of acetic acid should be allowed to run under one edge of the cover-glass, the salt solution being drawn off by a bit of filter paper placed at the opposite edge, and the effect carefully observed. Tail Tendon of Mouse. — In order to demonstrate that the striated fibres are composed of finer fibrillae, a bit of the tail tendon of a mouse or a small tendon from any animal, should be soaked for a few days in a one per cent, solution of osmic acid, washed and carefully teased apart on a slide in glycerine. To make a permanent preparation the cover may be surrounded by a rim of asphalt varnish. Adventitia of the Aorta. — A shred should be stripped from the 20 NORMAL HISTOLOGY. outer layers of the aorta of any mammal, either fresh or after it has been in preservative fluids, carefully teased on a slide and mounted in glycerine. In this specimen the elastic fibres preponderate in the basement substance. Connective Tissue. b. Cells. We consider next the cellular elements of fibrillar connective tissue. Two distinct classes of cells are found here. First : those which are essential components of it, preserving a fixed and definite relation to the basement substance, and being tolerably constant in the different varieties of tissue, in form, size, and number, the so- called fixed connective-tissue cells; and second, small spherical cells, resembling in all their characters the white blood-cells, with which they are believed to be identical. These latter cells escape from the blood- vessels and wander through the tissues, in which they are found in varying number under normal conditions, and are called wandering cells. These cells will be studied in connection with the blood. Among the fixed connective-tissue cells, by far the greater proportion are more or less flattened, presenting to the eye, when seen from the edge or in cross-section, the appearance of slender spindles. The cell-bodies are for the most part quite transparent, often very thin and scale-like, frequently so delicate as to be difficult of recogni- tion, and sometimes the protoplasm in the vicinity of the nucleus is distinctly granular. These fixed connective-tissue cells present a great variety of forms, being round, ovoid, oblong, fusiform or irregularly rectangular, often sending off branches which seem to be connected with the branches of neighboring cells. Sometimes the thin cell-body sends off one or more delicate wing-like processes at varying angles. These cells may have one or more nuclei ; they lie in the interstices of the fibres, which they often enwrap with their delicate bodies. The form which they assume in the different varieties of connective tissue would seem to be dependent upon the varying conditions of pressure to which they are subjected by the adjacent fibres. These flattened connective-tissue cells in many parts of the body may, and in certain parts constantly do, contain pigment-granules. In certain parts of the body the connective tissue presents free surfaces, lining more or less well-defined closed spaces or cavities, or free surfaces which are movable over one another, as is seen in the great serous cavities, in the blood- and lymph-channels, tendon-sheaths, etc. In these cases the flat connective-tissue cells usually undergo some modification in their form, character, and relations to one another, and are called endothelial cells or endothelium. Finally, in certain parts of the body, usually in the vicinity of blood-vessels, are found irregular-shaped, granular cells, not flat, of varying size and form, which resemble in many respects cells found in the embryo, but whose nature and pur- pose is little understood. These are sometimes called plasma cells. The various forms of connective-tissue cells and their relations to CONNECTIVE TISSUE. 21 the intercellular substance may be studied by considering, somewhat in detail, a few different and typical forms of connective tissue. Those which we shall employ are : the subcutaneous tissue, the choroid, tendons, the cornea, and for the study of endothelial cells, the serous membranes of the peritoneum. PRACTICAL STUDY. Cells in the Subcutaneous Connective Tissue. — The fixed connective- tissue cells which occur in that form of tissue in which the basement substance is loosely arranged in crossing or interlacing fibres or bundles — often called areolar tissue — may be studied in the subcutaneous tis- sue or fasciae of such animals as the rabbit, dog, or guinea-pig, or in man. The cells vary somewhat in size, shape, and number, in the different animals, but those in the rabbit may be regarded as typical. In the study of these cells, whose bodies are for the most part so thin and transparent as to be almost invisible even with high magnifying powers, we have to fulfil two important indications in our technical procedure; we must treat the tissue with some agent which will render the cells visible, and at the same time the form of the delicate cell-body must remain as nearly as possible unchanged. These ends may be attained in the following way : the skin being reflected back from the abdominal walls of a freshly killed rabbit, with an ordinary hypodermic syringe, inject beneath the loose adherent tissue several drops of an aqueous solution of nitrate of silver, i part to 1,000 ; a circumscribed cedematous area will be thus produced, from which a bit may be snipped off with scissors, spread out in a thin layer on a slide, covered with one-half per cent, salt solution, and studied. The silver serves to fix the cells in their natural form without much shrinkage, and renders the cell-body faintly visible. This method of bringing re- agents into contact with the tissues, is called the method of interstitial injection. In order to bring the cells still more clearly into view, the specimen may be stained, first with a very dilute solution of hema- toxylin, and then with a dilute aqueous solution of eosin ; the nuclei will then be seen colored violet, the cell-bodies a light rose-red. The cells in this tissue are for the most part extremely thin, and of various, often quite irregular forms, sometimes sending off narrow processes by which they join neighboring cells, and sometimes furnished with wing- like projections. Nerves and capillary blood-vessels are sometimes seen in the specimens, and occasionally in the vicinity of the latter are found the above-mentioned plasma cells. The specimens may be per- manently preserved in glycerine and enclosed by a rim of asphalt varnish. Connective-tissue Cells of the Choroid. — Pigmented connective-tis- sue cells may be studied in the choroid of the eye of any of the mam- malia (except of albinos, where the choroid cells are unpigmented). A shred of the choroid should be torn off with forceps, and one bit spread out and studied in glycerine unstained, another stained with hematoxylin. Irregular-shaped, often somewhat branched and flat- tened cells, are seen lying embedded in a membranous basement sub- 22 NORMAL HISTOLOGY. stance containing elastic fibres, the body being crowded, except in the part occupied by the nucleus, with a multitude of brown or black granules ; the nucleus looks like a clear space in the unstained speci- mens, and is colored violet, as usual, by the hematoxylin. Tendon, teased. — The tendons are composed of a varying number of parallel bundles of nbrillated connective-tissue fibres, surrounded by an envelope of connective tissue, whose fibres are irregularly arranged, and covered, as they run in their sheaths, by a single layer of flattened cells, which have the character of the cells presently to be described as endothelium. The complicated forms which tendon-cells present can be most easily understood when they are studied in their natural relation to the parallel bundles of nbrillated fibres which form the intercellular substance. Owing to their extreme tenuity and the con- sequent possibility of studying them with but little manipulation, the tail tendons of the mouse or rat are well suited for this purpose. If the skin of the tail of a recently killed mouse or rat be torn across transversely by slight twisting or pressure with the edge of the nail, and gentle traction be exerted at both sides of the rupture, the caudal vertebrae will readily separate, and as the traction continues a multi- tude of extremely fine tendon-bundles will be seen stretching across the break. When the tendons by this natural and simple dissection have been freed for one or two centimetres of their length, they are laid, still under slight tension, on a bit of glass of suitable size, the ends cemented to the glass with a bit of soft wax or paraffine, and the remainder of the tail cut off. The fastening of the ends is to prevent the tendon from shrinking when immersed in the preservative fluid. The bit of glass with its tendon-bundles is now immersed for twenty- four hours in a one per cent, solution of osmic acid, then washed in pure water. One or two of the tiny bundles is now to be carefully picked into smaller fibres with needles, laid for a few hours in picro- carmine, washed again, still further teased on a slide, covered with glycerine, and studied. The individual bundles of nbrillated fibres will be readily seen, and arranged in rows along these bundles, edge to edge, with more or less irregular contours, the flattened tendon- cells will be seen to lie. Their nuclei, stained red by the picro-car- mine, when seen from the side appear oval or rectangular, and are often arranged in couples along the fibres ; when seen edgewise they look like short, thick red lines. The cell-bodies, when seen sidewise, look like faintly colored, often indefinitely outlined, very thin plates, stretching out from the nuclei and partially enwrapping the tendon- fibres. When the cell-body is placed with its edge toward the ob- server, and in close apposition with the fibre, it is not to be distin- guished, owing to its extreme thinness, from the line which marks the border of the fibre ; if, however, it has been separated, in part or en- tirely, from the fibre, by the previous manipulations, it will appear as a faint line, at some part of which is seen the elongated nucleus. Examining the specimen still further, one sees in the side view of the cells, sometimes along a single cell, sometimes along a row of them, one or more fine lines or striae, and on looking carefully at the ceils placed edgewise, he can convince himself that thin, narrow wings are CONNECTIVE TISSUE. 23 given off from the cell-body, and that it is the edges of these wings which cause the striae in the cells seen on the flat. In teased speci- mens of tendon one occasionally finds irregular-shaped branching cells. We have then in tendon parallel bundles of fibrillated fibres, arranged along and in the interstices between which lie flattened cells, whose thin bodies partially enwrap certain fibres an$J send off between other and neighboring fibres branches and thin narrow wings. The interstices between the bundles, in which the tendon-cells lie, are lymph-channels. Transverse Sections of Tendon. — A very clear view of the rela- tions between the cells and fibres of tendon, as well as the relation of the wings to the cell-bodies, may be obtained by making a transverse section of a hardened and stained tendon. Any small tendon from a recently killed animal will answer the purpose. It should be freed from surrounding tissues and immediately immersed in a small quan- tity of a half per cent, solution of gold chloride. Here it remains for half an hour, when it is removed, washed with pure water, and put into a few cubic centimetres of the following mixture, known as the redu- cing fluid : Amyl Alcohol 1 Formic Acid 1 Water 100 After remaining for twenty-four hours in the reducing fluid, the specimen will probably have assumed a rich violet color ; if not, it- should be kept for twenty-four hours longer in a fresh portion of the fluid. When the requisite color has been obtained the specimen is" hardened for a day in alcohol, embedded in hardened liver or wax, and thin cross-sections made from it. The sections are now stained lightly with hasmatoxylin and mounted in glycerine. They should be kept as much as possible from the light, which after a time destroys gold preparations. This method of staining with gold is known as Pritchard's method. The simpler method of gold-staining known as Conheim's method differs from that just given, in that, after soaking in the gold solution, the specimen is exposed to the light until it has as- sumed the violet color. It is then mounted and preserved as before. This method is less certain in its results than Pritchard's, being less apt to give clear pictures. In both methods the staining action consists in the precipitation of the gold in metallic form, in a state of extreme comminution, in the tissue. In one case this precipitation is effected by the acid mixture, in the other by the light. This deposition of gold in the tissues occurs for the most part in the protoplasm of the cells, bringing them into sharp contrast with surrounding parts and fixing their form. There is one source of error, however, in the inter- pretation of gold specimens, which should never be forgotten. The gold is apparently sometimes deposited and the characteristic color produced outside of the cell protoplasm, and especially in spaces in the tissues which are filled with albuminoid materials, so that the utmost caution is required in determining whether a given area of gold deposit 24 NORMAL HISTOLOGY. and staining really indicates the presence of cell protoplasm. And, in fact, it is in some cases impossible, at present, to decide this question. The Cornea — Transverse Sections. — We shall employ for our study here the cornea of the frog, because of the ease with which it can be obtained, and because, on account of its thinness, it is well suited to the various manipulations to which we shall subject it. A frog's eye should be enucleated directly after death, and placed entire in M tiller's fluid, where it should remain for ten days. The cornea is then ex- cised just within the sclero-corneal junction and laid for a few hours in dilute alcohol (alcohol i, water 2), and then transferred for a day to strong alcohol. Two or three short radial incisions are then made at the edge, so that it will lie flat. It is embedded between two bits of liver well hardened in alcohol, and thin sections made transversely across it ; the sections are stained first with dilute hematoxylin, and then with eosin, and mounted in glycerine. If the sections are made so as to include the entire thickness of the cornea, both the anterior and posterior edges will be seen to be covered with epithelial cells which rest upon thin homoge- neous membranes. On the anterior edge the cells are several layers deep and have various forms ; on the posterior they are flat and ar- ranged in a single row. Between these two layers of cells lies the con- nective-tissue substance proper of the cornea, which alone concerns us here. The basement substance of the cornea consists of fine fibril- lated fibres closely bound together by a small amount of cementing substance, and arranged in irregular layers or lamellae. Between these lamellae are seen the cells of the cornea, which, in this view, seem to have the form of slender elongated spindles, part of them being closely surrounded by the intercellular substance, part lying in small cavities. La?nincB of Cornea. — In order to determine the exact form of the cells, which in this mode of preparation are seen only from the edge, it is necessary to study the cornea as seen from the side. For this purpose a cornea should be carefully excised just within the sclero- corneal junction, avoiding, as much as possible, pulling or stretching the part. It is now stained with gold chloride by Pritchard's method, as given above when speaking of the tendon. "When the cornea has become violet it should be carefully washed and put into glycerine. The epithelium on both the anterior and posterior surfaces is now scraped off, and with a little care the part may be divided into several thin layers by means of fine forceps. These layers are lightly stained with haematoxylin and mounted in glycerine. In a specimen thus prepared, the basement substance looks homogeneous or delicately striated ; fine nerve-fibres are seen stretching across the specimen in various directions. The corneal cells, which are the most prominent objects in the specimen, are seen thickly scattered over the field, stained of a reddish violet color. They have flat, irregular-shaped bodies which send off a variable number of longer and shorter pro- cesses ; the nuclei are large, ovoidal, or irregular-shaped, and usually contain nucleoli. Fine irregular-branching, almost linear structures are seen in good preparations thickly scattered over the specimen, CONNECTIVE TISSUE. 25 and very frequently lying nearly at right angles to one another. A part at least of these are continuous with the cell-bodies whose processes they are ; whether or not they are all cell processes is not yet definitely known. It will be seen from the above studies, that the connective-tissue cells of the cornea are flattened and branched cells, and that certain of them, at least, lie in spaces between the fibres of the intercellular substance. We have now to study more carefully the nature of these spaces and their relation to the cells. Cornea treated with Silver. — Strong solutions of nitrate of silver have the power of staining the intercellular substance of connective tissue light brown, while the cells are left uncolored. In order to stain the cornea of the frog with silver, the following process should be employed : the spinal cord of the animal having been broken up with a needle, a finger is introduced into the mouth so as to press the eyeball forward and bring the cornea into prominence ; the membrana nictitans is drawn away with the thumb or a pair of fine forceps, so as to leave the anterior surface of the cornea quite free. The eye is now held for an instant over a jet of steam, when the epithelium will become white or milky in appearance, and can be readily scraped off by passing the blade of a scalpel lightly over the surface. It is neces- sary to remove the epithelium in order that the silver solution may have ready access to the connective-tissue substance of the cornea ; and the advantage of steaming is, that it can be scraped off without the use of much force, which would disturb the relations of the parts beneath. The epithelium being thus removed, a five-per-cent. solu- tion of silver nitrate is allowed to flow over the cornea and remain for two or three minutes in contact with it. By this treatment the whole cornea becomes opaque and stiff. The silver is now neutralized and its further action prevented by washing the cornea with a one-per-cent. salt solution. It is now carefully excised and placed in a dish con- taining a mixture of alcohol and water, 1 to 2, and exposed to di- rect sunlight or bright daylight for from a. few minutes to half an hour, depending upon the intensity of the light. When it has become brown it is to be laid in glycerine and stripped into thin layers, as directed above, for the gold cornea ; the layers are mounted in gly- cerine. If the preparation is successful, clear, branching, communi- cating spaces are seen on a yellowish or brown ground. These spaces, although larger, evidently correspond in position to the cells in the cornea, as seen after treatment with chloride of gold ; and if a specimen thus prepared be stained with haematoxylin, the corneal cells will be seen lying within them. It is difficult to determine with certainty whether or not the cells send processes into all of the channels which radiate from the spaces in which they lie; it is probable that some of the narrow branching bodies or lines noticed above in the gold cornea are nothing more than these branching and communicating spaces in which an albu- minous fluid accumulates, which is stained by the gold very much as cell protoplasm itself is. We thus see that the cornea is perme- ated by numerous branching and intercommunicating spaces, and that in these spaces the flat, branching connective-tissue cells of the 26 NORMAL HISTOLOGY. cornea lie. These spaces are called lymph-spaces, and what we have been able to demonstrate in regard to the relation of cells to the lymph-spaces in the cornea by these various modes of preparation seems to be true, with certain modifications, of most of the varieties of connective tissue. These cells lie in spaces, sometimes com- pletely, sometimes only partially filling them. These spaces com- municate with one another, and communicate also, on the one hand, with the blood-vessels, and, on the other, with the lymphatics. Through them lymph-currents pass, bathing the cells and supplying them with nutritive material. The precise way in which these lymph- spaces (sometimes called serous canaliculi) communicate with the lymph- and blood-vessels is as yet unknown to us. It is extremely probable that it is through these lymph-spaces exclusively that the white blood-cells travel in their peregrinations through the tissues. We study these lymph-spaces in the cornea alone, because the scope of these lessons is too limited to admit of such a detailed study of all the varieties of connective tissue, and because, while quite typical of other tissues, the relation of the cells to the spaces is here more clearly defined. Serous Membranes — Endothelium. — The so-called serous mem- branes are formed by layers of fibrillar connective-tissue fibres mingled with a varying number of elastic fibres, and containing ordi- nary flattened connective-tissue cells. They are more or less abun- dantly furnished with blood and lymphatic vessels. On the free sur- face of these membranes rests a continuous layer of flattened cells, differing in many respects from the ordinary connective-tissue cells, and called endothelial cells or endothelium. These cells are usually transparent, irregularly polygonal in form, and frequently much elon- gated ; they possess one or more ovoidal nuclei, which often project above the level of the free surface of the cell-body ; they are placed edge to edge, like the stones in a mosaic, and seem to be joined to- gether by a minimal amount of an albuminoid cement substance. Isolated Endothelium. — Before studying the endothelial cells in situ it is advisable to see the isolated cells. This may be accom- plished by macerating any serous membrane, such as the pericardium or peritoneum of a mammal or the frog, for a day or two in a mixture of one-third alcohol to two-thirds water, and then gently scraping the free surface with a scalpel. The cells will readily separate from the underlying tissue, and may be stained with hematoxylin and mounted in glycerine. Endothelium in situ — Mesentery. — The endothelial cells, in their relation to adjacent parts, may be studied in the mesentery of the dog, or rabbit, or frog, and in the omentum of the dog. In order to bring the outlines of the cells clearly into view, the membrane should be first treated with a solution of nitrate of silver. This substance in dilute solutions forms with the cement substance between the endothelium an albuminate of silver, which, on exposure to light, becomes brown or black, thus clearly defining the outline of the cells. The mode of proceeding is as follows : A portion of the mesen- CONNECTIVE TISSUE. 27 tery of the recently killed dog or rabbit should be carefully removed and laid over the rim of a shallow dish so that it rests loosely over the opening. All stretching and pulling of the membrane should be avoided, because this would destroy the natural relations of the cells to one another. The membrane must be allowed to sag a little into the dish, so that it may be bathed on both sides by the silver solution. It is now to be carefully washed with distilled water to remove any albuminous substance or blood — which would cause a granular precipi- tate of silver albuminate on the surface — and the dish then filled with an aqueous solution of nitrate of silver, 1 to 500. The dish should be gently shaken at frequent intervals, so as to bring fresh portions of the solution into contact with the membrane, and after from twenty minutes to half an hour the tissue will be seen to have become cloudy or milky. The silver is now poured off and the membrane carefully washed with pure water. The cells will have been fixed by the silver, so that the membrane may be removed without further danger of disturbing the relations of the cells, and laid in a dish containing water to which one-third its bulk of alcohol has been added. It is now exposed to the sunlight, and after from a few minutes to half an hour — sometimes longer, depending upon the intensity of the light — the tissue will be seen to have assumed a brown color. The specimens are now trans- ferred to dilute hematoxylin, where they remain until sufficiently stained, and finally small bits are cut off, spread smoothly on a slide, and mounted in glycerine. The mesentery will be seen to consist of a thin membrane of fibrillar connective tissue with a few delicate elastic fibres, and here and there small blood-vessels, the whole covered with the delicate mosaic of endothelial cells. The out- lines of the endothelium on both the upper and under sides of the membrane may be brought successively into view by careful focus- sing. Omentum. — A portion of the omentum of the dog should be treated with silver in the way just directed for the mesentery, and also stained with hematoxylin and mounted in glycerine. The omentum of the dog, as of man, consists of an irregular meshed net, whose trabecule are made up of fascicles of fibrillar connective tissue of varying thick- ness, the broader containing blood- and lymph-vessels and fat-cells, the narrower consisting of single bundles offibrille — all being alike covered with a single layer of endothelium. Here and there are seen groups of irregularly polygonal granular cells, which are connected with the lymphatic apparatus. In many parts the endothelial cells are seen in profile, when their nuclei appear lenticular in form, usually projecting above the general level of the cell-body, which is itself in most cases thicker in the vicinity of the nucleus than at the points of junction with adjoining cells. The specimens of both omentum and mesentery may be preserved in the usual way; but silver preparations, like the gold, do not preserve their first clearness very long, unless carefully kept from the light. Stomata. — Considering the serous cavities as spaces in the con- nective tissue lined with modified connective-tissue cells, it will be 28 NORMAL HISTOLOGY. seen that, although unlike in general character, they are quite analo- gous with the smaller spaces, containing sometimes only one cell, which are found everywhere in the connective tissue, and which were studied in detail in the cornea. This analogy becomes still more evi- dent when we consider their relations to the lymphatic vessels. In considering the connective-tissue spaces of the cornea, it was said that although serving as lymph-passages, it had never been possible as yet to demonstrate their exact mode of communication with the lymphatic vessels. In the large lymph-spaces, such as the peritoneal cavity, however, the mode of communication has been quite definitely ascer- tained. In those parts of the walls of the peritoneum which are most abundantly supplied with lymphatic vessels — for example, in the cen- tral tendon of the diaphragm — numerous small openings, called stoma- ta, exist, leading from the peritoneal cavity directly into the ves- sels, and these openings are readily recognized by a peculiar arrange- ment of the endothelial cells in their vicinity. The stomata may be more easily studied, however, in the frog than in the warm-blooded animals. In this animal there lies directly in front of the vertebral column, and extending the whole length of the trunk, a large lym- phatic vessel or cistern, which is separated from the peritoneal cavity by a thin connective-tissue septum covered on both sides by endo- thelial cells. In this septum are found a great number of stomata. They are readily demonstrated by the following procedure : the spinal cord of a frog being broken up with a needle, the skin is cut around just behind the front legs, and entirely stripped from the body. The peritoneal cavity is opened by an incision reaching from the symphysis to the sternum, and the entire visceral contents, with the exception of the kidneys, removed — care being taken to cut the mes- entery as far as possible from its posterior attachment, so as not to injure the septum of the lymphatic sac. The hind legs are now tied together by a thread ; the anterior part of the body cut off just be- hind the front legs ; the remaining part washed with pure water, to remove blood, and suspended in a solution of nitrate of silver, i to 500. Here it should be frequently agitated to bring fresh portions of the solution into contact with the membrane, and after from twenty minutes to half an hour, when the tissue has become milky, the whole should be removed and washed, and laid in a shallow dish containing pure water. A thin white membrane will now be seen floating on each side of the kidneys ; this is the anterior wall of the lymph-sac. After exposure to the light, until the membrane becomes brown, it should be snipped out with the scissors, stained with haematoxylin, and mounted in glycerine with the peritoneal surface uppermost. The general surface is seen to be covered with polygonal endo- thelium, while scattered here and there over the specimen are tiny openings around which the endothelial cells are arranged in a more or less radiate manner. These cells surrounding the stomata are usually considerably elongated ; and whereas over the general surface the nuclei are situated near the centre of the cells, here they lie near the edge which borders the opening. By careful focussing one can readi- ly distinguish the silver markings which outline the cells on the under CONNECTIVE TISSUE. 29 side of the specimen, those lining the lymph-sac, as well as the con- nective-tissue fibres and cells above them. The cells on the side toward the lymph-sac often extend inward over the opening, so as nearly or entirely to close it : it would seem, indeed, as if the stomata were rather valvular than permanently patulous openings. One sometimes sees, here and there, black irregular spots between the endothelium, which should not be mistaken for stomata, as they are only irregular deposits of the albuminate of silver in the cement- ing substance. CHAPTER III. EMBRYONAL AND MUCOUS TISSUE — FAT TISSUE — RETICULAR TISSUE. Embryonal and Mucous Tissue. At a certain period of embryonic life, those parts of the body which are destined finally to become fibrillar connective tissue consist almost entirely of small spheroidal cells — the intercellular substance being absent, or consisting only of a very small quantity of fluid lying be- tween and bathing the cells. As the process of development goes on, some of the cells retain their original spheroidal form, while others change their character, becoming elongated and fusiform, often termi- nating at their extremities in delicate single or branching processes ; others become flattened and assume irregular shapes, sending off branching processes by which they are joined to one another. Hand in hand with this change in the cells there occurs an accumulation of intercellular material, which is at first fluid, and later presents the ap- pearance of a homogeneous gelatinoid substance. Then within the gelatinoid intercellular substance appear fine fibrillse, which become more and more abundant, arranging themselves now in bundles, and again to form irregular net-works. The cells approach more and more closely to the type of the adult connective-tissue cells, as development goes on ; the intercellular substance loses its soft gelatinoid character, and is finally replaced by the fibrillated and elastic fibres with which we are already familiar. The process of development is a very grad- ual one, and although the younger forms of embryonal connective tissue and the adult connective tissue are distinct enough, we are yet unable to separate them sharply, since they merge so gradually into one another. In general, however, simply as a matter of convenience, we call connective tissue, which is almost entirely made up of sphe- roidal, spindle-shaped, or flattened cells, in which little accumulation and little differentiation of the intercellular substance has occurred, embryonal tissue ; while to that older form, which consists of variously shaped, spheroidal, flat, branching and anastomosing cells, with a gelatinoid, homogeneous, or partially fibrillated intercellular substance, the term mucous tissue is usually applied. The name mucous tissue was given to this form of young tissue, because the soft gelatinoid in- tercellular substance was found to contain a certain amount oi murine, which may be thrown down in the form of a whitish, often stringy precipitate, by the addition of acetic acid. At present, however, tis- sues presenting the above-mentioned characters are usually called EMBRYONAL AND MUCOUS TISSUE, ETC. 3 1 mucous tissues, whether the intercellular substance contains mucine or not. Mucous tissue is not found in the human adult under normal conditions, but frequently occurs as a pathological production. PRACTICAL STUDY. Subcutaneous Tissue of Embryo. — Embryonal connective tissue may be studied in the subcutaneous tissue of any young mammalian embryo. The animal having been placed for a few days in Muller's fluid, bits of the subcutaneous tissue are torn off from the abdominal wall with fine forceps, stained first with hasmatoxylin, and then with eosin, carefully teased in glycerine, and covered. Umbilical Cord. — In the umbilical cord we have a typical example of mucous tissue. The cord of any young mammal, as the pig, is to be put into Muller's fluid, where it remains for a week. It is then washed and transferred to alcohol. After twenty-four hours it may be embedded between two bits of hardened liver, and transverse sections made from it. The sections are stained with hematoxylin and eosin, and studied in glycerine, in which they may be preserved ; or the water maybe removed and the specimens mounted in Canada balsam. The surface of the cord is seen to be covered with several layers of flattened epithelium, and the three large blood-vessels are seen in transverse sections. The amount of fibrillation present in the intercellular sub- stance depends upon the age of the embryo. Fat Tissue. Fat-tissue is a modified form of connective tissue, in which the intercellular substance is present in proportionally small amount, a large part of the protoplasm of the cells being replaced by fat, which crowds the remaining part together with the nucleus to one side of the cell, nearly or entirely concealing both. The fat-cells thus formed are arranged in clusters or lobules, enclosed by fibrillar connective tissue, which sends into the lobules and between the cells broader and narrower bundles, which serve to support the cells and carry the blood and lymphatic vessels, etc. Owing to the pressure to which the fat-cells are subjected, they usually assume in the adult animal a polyhedral form. When fresh fat is examined by teasing bits of the tissue from a recently killed animal, in \ per cent, salt solution, little else is seen than a congeries of more or less globular or polyhedral masses of fat-cells, with larger and smaller fat droplets. The fat is char- racterized by its great refractive power ; by the dark contour of its globules by transmitted, and their yellowish silvery lustre by reflected light ; by its solubility in alcohol and ether, and by its assumption of a deep black color on treatment with osmic acid. These fat-cells are enclosed by a membrane, though this is usually invisible in fresh fat, and here and there the nuclei are seen crowded to one side. The connective tissue which encloses the lobules is seen in picked speci- mens in broken masses and shreds, scattered through the preparation. Sometimes the fat is crystallized within the cells, when it appears in 32 NORMAL HISTOLOGY. the form of masses of radiating needle-like crystals. The methods by which we can demonstrate the presence of cell protoplasm and nuclei in adult fat-tissue, and their relations to the cell-membrane and the fat, will be given below. In order to understand clearly the nature of adult fat-tissue, it is necessary to study it during the process of development. At an early period of life, those parts of the body which are finally to become fat- tissue possess the character of mucous tissue with a more or less fibril- lated intercellular substance. The first change which we notice in the cells as the transformation into fat-tissue commences, is the ap- pearance in the cell-body of small shining particles. These particles, of which there may be many, become gradually larger, until they pre- sent the form and character of distinct droplets of fat. As these drop- lets increase in size, they coalesce, forming one or more drops, which presently become large enough to crowd the nucleus to one side. The growing drops finally unite into one large drop, which at length becomes so large as to occupy nearly the whole of the cell, leaving only a thin crescent of protoplasm and a squeezed and distorted nucleus crowded up against the cell-membrane. At last we can no longer see, without special modes of preparation, any trace of cell protoplasm, and only the deformed remnant of the nucleus. This process is called fatty infiltration. In those parts of the body where the fat is invariably found, this change in the cells occurs in the vicin- ity of little tufts of capillary blood-vessels, so that at one period the forming fat is seen lying in scattered clusters in the meshes of distinct groups of blood-capillaries. It is these clusters of fat-cells, with their accompanying blood-vessels, which determine, when the fat is fully formed, the lobular character of the tissue. In many parts of the body and under varying conditions, sometimes physiological, some- times pathological, there is an accumulation of fat in the protoplasm of cells ; but it is, for the most part, temporary, and the fat-cells have no definite grouping in lobules and about the blood-vessels in the way above described for the permanent fat. PRACTICAL STUDY. Fresh Fat from Rabbit. — A bit of subcutaneous fat from the freshly killed rabbit should be teased on a slide in salt solution, and studied without staining. Fat Tissue treated with Nitrate of Silver. — If a bit of skin be reflected back from the abdominal wall of a recently killed rabbit, and an interstitial injection of a solution of nitrate of silver, i to 1,000, be made into one of the fat-lobules which are exposed in the subcutaneous tissue, and a small bit of the oedematous fat snipped off at once and carefully teased on a slide without the addition of other fluid, the various parts of the fat-cells can be readily seen. In some way which we do not yet understand, the silver causes the narrow rim of cell protoplasm to swell, separating the membrane and the nucleus from the fat in such a way as to make a complete demonstration of the structure of the cell. EMBRYONAL AND MUCOUS TISSUE, ETC. 33 Cross-seciion of Adult Fat.— A. bit of fat-tissue from the adult human subject should be hardened in alcohol, by which the fat will be for the most part dissolved out of the cells, leaving them filled with the alcohol. Thin sections are made and stained with hematoxylin. These preparations show the relations of the cells to one another, and the lobular character of the fat-tissue. If the blood-vessels of the part from which the tissue is taken have been previously filled with some colored injection, the relations of the lobules to the blood- vessels will be well shown. Uninjected specimens may be preserved in glycerine; injected specimens may be stained with hematoxylin and eosin. and mounted in Canada balsam. Developing Fat from Young Animal— -Bits of the omentum or mesentery of a nearly mature fcetal or a new-born rabbit should be snip- ped off and carefully spread out on a slide with the addition of salt solution. Cells, singly and in clusters, will be seen which present various stages of the above described fatty infiltration. For permanent preservation the specimens may be laid, for an hour, in dilute alco- hol — i alcohol, & water — then stained with eosin and mounted in glycerine. Reticular Connective Tissue. This tissue forms a large part of the supporting framework of the lymphatic glands, and is found, in somewhat modified form, in other parts of the body. It consists of extremely fine fibres, which, running in all directions, cross and join one another at frequent intervals, forming a finely meshed net-work. This net-work of fibres is not flat- tened to form a membrane, but extends in all directions, like the tra- becule of a sponge. Irregularly scattered over the fibres are flattened nucleated cells, having the character of endothelium, which sometimes lie at the points of intersection of the fibres, sometimes along their sides, enwrapping them with their transparent bodies. When the cells are in situ upon the fibres, the whole presents the appearance of a mass of anastomosing, branched, or spindle-shaped cells ; and, as such, the reticular connective tissue has until recently been regarded — erroneously however, as our practical study will show. The meshes of the reticular tissue are loosely filled, in the lymphatic glands, with small round cells — lymph-cells — which, however, seem to have no direct connection with the tissue we are studying, and may be easily removed by the manipulations presently to be described. practical study. Lymphatic Gland of Dog treated with Osmic Acid. — From a re- cently killed dog one of the mesenteric glands should be removed, and a hypodermic syringe being partially filled with a one per cent, solution of osmic acid, the canula is thrust well into the gland and the acid slowly injected till the organ becomes somewhat tense; the canula is then withdrawn and the gland dropped into strong alcohol. After a few days the gland will be sufficiently hard to permit the pre- '3 34 NORMAL HISTOLOGY. paration of thin sections with a razor. The sections should be carefully shaken in a test-tube one-third filled with water, to remove the lymph- cells, which lie in the meshes of the reticular tissue and conceal it. They are then stained with hematoxylin, and studied and preserved in glycerine. The object of the osmic acid injection is to harden the flat cells which lie upon the fibres, and fix them firmly in place. The tissue really looks, after this mode of preparation, like a mass of branching anastomosing cells. Lymphatic Gland of Dog treated with Picric Acid. — By the fol- lowing mode of preparation, the cells which lie upon the fibres are loosened from the latter, and after their separation, by shaking the specimens in water, we see simply a mass of intersecting and anasto- mosing fibres. Another gland of the dog should be put into a saturated solution of picric acid, and allowed to remain twenty-four hours (not longer), then transferred to strong alcohol till it is hard enough to cut. Thin sections are shaken, as before, in water and stained. The shaking should be carefully and efficiently done, or many of the cells will re- main clinging to the fibres. Indeed, in the best preparations, this is apt to be the case in some parts of the specimen • but it is not difficult to free sufficiently large areas of the section to convince ones'-self of the truth of the above view of the nature of the reticular connective tissue. CHAPTER IV. CARTILAGE— BONE— TEETH. Cartilage. Cartilage consists, like the other members of the connective-tissue group, of cells and intercellular substance. There is nothing charac- teristic, however, in the form of the cartilage-cells. It is in the peculiar nature of the intercellular substance and the relations which the cells bear to it, that we find the distinctive features of this form of connective tissue. The cartilage-cells are spheroidal, flattened, or angular in form ; the cell-body is transparent, and often contains tiny droplets of fat, and sometimes pigment-granules. The cells have one, or sometimes two sharply defined nuclei, which are granular and often seem to contain an irregular network of some more strongly refractive substance. Round each cartilage-cell, in the adult animal, and closely enclosing it, is a homogeneous envelope called the capsule. The sub- stance forming this capsule is identical with the intercellular substance of hyaline cartilage, presently to be described. The cartilage-cells very readily lose their normal form and relation to the capsule by the application of a great variety of substances, even by slight exposure to the air. The most common change which is noticed in them is a rapid shrinkage, such as occurs when cartilage is exposed to the air or treated with strong salt solutions, or any substance which extracts water from the tissues. Under these circumstances the cell becomes more coarsely granular, it shrinks away from the capsule at certain points, giving the edge of the cell a festooned appearance ; sometimes large, clear spheroidal spaces, called vacuoles, appear in the cell-body, and finally the cell shrinks to a shapeless mass in the centre or at one side of the cavity, or retains its connection with the capsule by one or more narrow irregular projections from the shrunken mass. The basement or intercellular substance is not the same in all carti- lages, and, according to the differences in its nature, cartilage is divided into hyaline cartilage, fibro-cartilage, ftbro-elastic cartilage. In hya- line cartilage the intercellular substance is homogeneous and transpar- ent in thin layers, somewhat opalescent in thicker masses ; it is of firm consistence, cutting readily with the knife, and contains at tolerably regular intervals variously shaped cavities in which the cells lie, exactly filling them. The layer of basement substance which immediately sur- rounds the cells possesses slightly different refractive power, and it is this layer which constitutes the capsule above described. The cell-spaces or cavities in hyaline cartilage do not by the ordinary modes of prepa- 36 NORMAL HISTOLOGY. ration appear to be connected by lymph-channels, as are the cell-spaces in other varieties of connective tissue, yet the rapid passage of fluids through the tissue under certain circumstances, together with some recent microscopical observations, render it extremely probable that such communications do exist, though we are not at present able to demonstrate them with certainty. Although by the ordinary modes of preparation the basement substance of hyaline cartilage appears quite homogeneous, certain changes which it undergoes under pathological conditions, or by the use of certain macerating or digesting fluids, lead us to believe that it really contains a groundwork of delicate fibrillae. The basement substance of hyaline cartilage differs chemically from the basement substance of other members of the connective-tissue group, yet recent researches have thrown serious doubt upon the view formerly held, i.