m of I ru D D a m a EXPERIMENTAL PHARMACOLOGY BY DENNIS E. JACKSON, PH.D., M.D. ASSOCIATE PROFESSOR OF PHARMACOLOGY, WASHINGTON UNIVERSITY MEDICAL SCHOOL, ST. LOUIS. WITH THREE HUNDRED NINETY ORIGINAL ILLUSTRA- TIONS INCLUDING TWENTY-FOUR FULL-PAGE COLOR PLATES . ST. LOUIS C. V. MOSBY COMPANY 1917 COPYRIGHT, 1917, BY C. V. MOSBY COMPANY Press of C. V. Mosby Company St. Louis PREFACE. For several years the writer has had a growing convic- tion that the teaching of pharmacology might be greatly facilitated, and rendered much more effective and compre- hensive, if each student could have in his own hands a laboratory manual giving exact, specific, detailed directions for carrying out most of the experiments which he will be called upon to perform in the study of this most inter- esting, vital and complex subject. The small number of manuals of this character which heretofore have appeared, in this field may be most strikingly compared with the very large number of laboratory manuals which have been pub- lished on such subjects as chemistry, botany, physics, zoology, etc. And the thoughtful teacher might be at once inclined to ask himself whether or not the general scope and character of the work done in these various experi- mental fields may not have been to some extent indicated by the number and character of experimental manuals de- voted to these subjects. In consideration of these points the author has therefore ventured to hope that in present- ing this manual of experimental pharmacology to teachers and students, some small amount of good may be accom- plished. My especial thanks are due to the publishers, who have rendered every assistance they could in the progress of this work; to Mr. Paul Knabe, who has faithfully devoted much time and labor to the proof reading, the arrangement of the illustrations, and the printing of the book; and to Mr. Paul P. Halleck, who in making the drawings contained herein has given me the advantage both of his extensive experience as an artist, and of his special training as a physician. I am deeply indebted to Mr. John A. Higgins, 4 PREFACE who for seven years has faithfully assisted me in per- forming most of the experiments from which the tracings illustrated in this book have been mainly derived. D. E. J. Pharmacological Laboratory, Washington University Medical School. CONTENTS. PART I. PRELIMINARY EXERCISE. PAGE Assignment of Tables and Permanent Apparatus . . 33 EXPERIMENTS. I. Ether. (Action on the Central Nervous System. Cerebrum.) . . 53 Chloroform. (Action on the Central Nervous System. Optic Lobes.) 55 Ether, Ethyl Chloride, Chloroform, Ethyl Bromide. (Irritability and Conductivity of Nerve.) 57 Ethyl Chloride. (Local Anesthesia.) 64 II. Ether. (Action on the Heart. Dissection for the Vagus Nerve in the Frog.) 65 Chloroform. (Action on the Frog's Heart.) 70 Chloroform. (Action on Lymph Hearts.) 70 III. Turtle: Vagus Dissection. (Action of Ether on the Heart.) . . 71 Chloroform. (Action on the Turtle's Heart.) 76 IV. Ether, Chloroform, Ethyl Bromide. (Dog: Respiration, Blood- pressure, Cervical Vagi, and Sympathetics.) 77 Anesthetization of the Animal 77 Insertion of Tracheal and Carotid Cannulas; Isolation of Vagi and External Jugular Vein 85 Insertion of Femoral Injecting Cannula ; Dissection of Femoral Artery and Vein and Saphenous Nerve 93 Recording Blood-pressure 96 Recording Respiration . 97 Adjustment of Writing Points 98 Other Methods of Recording Respiration 98 Beginning of the Records 99 V. Ether, Chloroform, Ethyl Bromide. (Dog: Motor Areas, Blood- pressure, Blood, Heart.) 103 Dissection of Pulmonary Artery and Vein 112 VI. Nitrous Oxide, Carbon Dioxide, Oxygen. (Frog: Central Nervous System.) 113 VII. Nitrous Oxide, Ethyl Chloride, Carbon Dioxide, Increased Atmos- pheric Pressure, (Decreased Atmospheric Pressure.) (Frog, Guinea Pig, Rat, Kitten, or Pup.) 117 Paul Bert's Experiment 120 6 CONTENTS PAGE VIII. The Closed Method of Anesthesia. For Ether, Chloroform, Ethyl Chloride, Ethyl Bromide, (Nitrous Oxide), "Somno- form," etc., with Oxygen, .Student Method. (Dogs or Cats.) 1-21 IX. Intratracheal Insufflation 129 X. Alcohol. (Frog: Central Nervous System, Heart and Vago- Sympathetic Nerve.) 133 XL Alcohol. (Turtle: Heart and Vagus Nerve.) 135 XII. Ethyl Alcohol, Brandy, Whiskey, Wine, Methyl Alcohol, Amyl Alcohol. (Dog: Blood-pressure, Respiration, Esophagus.) 136 XIII. Whiskey or Brandy. (Reaction Time.) 144 XIV. Alcohol, Whiskey, Brandy, Wine. (Dog or Cat: Myocardio- graphic Tracings, Cardiac .Sympathetic Nerves.) .... 147 XV. Antiseptic Action of Alcohol 157 XVI. Alcohol, Brandy, Urethane, Chloral. (Dog: Blood-pressure, Respiration, Cerebrospinal Fluid, Kidney or Spleen.) . . 158 XVII. Chloral Hydrate, Urethane, Paraldehyde, Chloretone. (Frogs: Central Nervous System.) 168 XVIII. Chloral Hydrate. (Action on the Frog's Heart.) .... 169 XIX. Chloral Hydrate. (Frog: Retinal Circulation With the Ophthalmoscope.) 169 XX. Chloral Hydrate, Adrenaline. (Turtle's Heart.) 172 XXI. Chloral Hydrate and Alkalis 172 XXII. Morphine. (Frog: Central Nervous System.) 172 XXIII. Thebaine, Codeine. (Frog: Central Nervous System.) . . . 173 XXIV. Morphine. (Chemical Test -for Morphine.) 173 XXV. Morphine. (Dog: Respiration, Excretion, Pupils, Central Ner- vous System, General Symptoms.) 175 XXVI. Fehling's Test for Reducing Bodies 176 XXVII. Morphine. (Cat: General Symptoms, Central Nervous System.) 177 XXVIII. Morphine, Codeine. (Dog: Respiration, Blood-pressure, Oxy- gen Consumption, Urine.) 177 XXIX. Morphine, Codeine, Pantopon, Heroine, Peronine, Dionine, Nar- cotine or Thebaine. (Spinal Dog: Bronchioles.) . . . 194 XXX. Heroine or Codeine. (Spinal Dog: Blood-pressure, Lung Vol- ume and Bladder Contractions.) 206 XXXI. Strychnine. (Frog: Action on the Cord.) 217 XXXII. Strychnine. (Frog: Heart and Vago-sympathetic Nerve.) . 220 XXXIII. Strychnine. (Turtle: Heart and Vagus Nerve.) 220 XXXIV. Strychnine. (Dog: Blood-pressure, Respiration, and Kidney, Spleen or Intestinal Loop.) 222 XXXV. Strychnine. (Ether, Morphine, Chloral Hydrate.) (Dog: Blood-pressure, Respiration, Oxygen Consumption, Air Em- bolism.) 226 CONTENTS 7 PAGE XXXVI. Strychnine. (Student: Reaction Time.) 230 XXXVII. Picrotoxine. (Frog: Action on Medulla and Cord.) ... 231 XXXVIII. Picrotoxine, Chloretone. (Dog: Blood-pressure, Respiration and Kidney, Spleen or Intestinal Loop Volume.) . . 233 XXXIX. Hydrastine. (Frog: Spinal Cord.) 238 XL. Hydrastine. (Frog: Heart and Vagus Nerve.) 240 XLI. Hydrastine. (Turtle: Heart and Vagus Nerve.) .... 241 XLII. Caffeine.' (Frog: Central Nervous System, Muscles.) . . 241 XLIII. Caffeine. (Frog: Muscle and Nerve.) 243 XLIV. Caffeine. (Frog: Heart and Vagus Nerve.) 244 XLV. Caffeine. (Turtle: Heart and Vagus Nerve.) 244 XLVI. Caffeine. (Man: Reaction Time.) 244 XLVII. Caffeine. (Frog: Muscular Work.) 245 XLVIII. Caffeine. (Rabbit: Diuresis, Cervical Nerves, Depressor.) . 247 XLIX. Caffeine, Sodium Sulphate. (Dog: Blood-pressure, Diuresis, Respiration, Sciatic Nerve.) 240 L. Diuretine, (Sodium-theobromine-salicylate), Agurine, (So- dium-theobromine-acetate). (Rabbit: Diuresis and Res- piration.) 253 LI. Urea, S. A. Matthews' Solution, or Saline Diuretics. (Rab- bit or Cat: Diuresis.) 254 LII. Curara. (Frog: General Action, Claud Bernard's Experi- ment.) 255 LIII. Curara. (Frog: Heart and Vago-sympathetie Nerve.) . . 257 LIV. Curara. (Turtle: Heart and Vagus Nerve.) 257 LV. Curara, Strychnine. (Dog or Cat: Blood-pressure, Respira- tion, Urine, Sciatic Nerve. Dog: Salivary Ducts and Nerves.) 257 Dog 250 LVI. Coniine. (Frog: Heart and Vagus Nerve.) 260 LVII. Coniine. (Turtle: Heart and Vagus Nerve, Lungs and Sym- pathetic Nerves.) 260 LVIII. Coniine. (Dog: Blood-pressure, Respiration, Salivary Glands and Kidney, Spleen or Intestinal Loop.) 265 LIX. Atropine. (Frog: Heart and Vagus Nerve.) L'tis LX. Atropine. (Frog: Muscle and Nerve) 260 LXI. Atropine. (Turtle: Heart and Vagus Nerve.) 2(!'.i LXII. Atropine. (Cat, Guinea Pig, Rat, Dog, Pigeon, or Chicken: Pupil.) 260 LXIII. Atropine. (Dog, Cat or Rabbit : Blood-pressure, Respiration, Heart and Vagus Nerve, Dog, Salivary Secretion and Chorda Tympanl, Sweat Nerves, Pancreatic Secretion.) 270 LXIV. Scopolamine. (Frog: General Symptoms.) 273 LXV. Pilocarpine, Atropiue. (Frog: Heart and Vagus Nerve.) . 2":: LXVI. Pilocarpine or Arecoline and Atropine. (Frog: Retinal Cir- culation.) 274 8 CONTENTS PAGE LXVII. Pilocarpine or Arecolinc and Atropiue. (Dog, Cat, Rabbit, and Pigeon or Chicken: Pupil.) 275 LXVIII. Pilocarpine, Atropine. (Dog: Blood-pressure, Respiration, Salivary and Pancreatic Secretions.) 275 LXIX. Pilocarpine, Arecoline, Adrenaline, Atropine, and Barium. (Dog: Bladder, Intestine, Respiration, Blood-pressure.) 278 LXX. Pilocarpine, Adrenaline, Arecoline, Atropine, Barium. (Spinal Dog: Blood-pressure and Bronchioles.) . . 287 LXXI. Nicotine. (Frog: General Symptoms.) 300 LXXII. Nicotine. (Frog: Heart and Vagus Nerve.) 300 LXXIII. Nicotine. (Turtle: Heart and Vagus Nerve.) .... 301 LXXIV. Nicotine. (Turtle: Lungs.) 302 LXXV. Nicotine, Arecoline, Atropine. (Dog: Blood-pressure, Res- piration, Limb Volume, Intestinal Contraction.) . . . 304 LXXVI. Nicotine, Adrenaline, Pilocarpine, Atropine. (Dog: Blood- pressure, Intraocular Pressure, Respiration and Kidney, Spleen or Intestinal Loop Volume.) 307 LXXVII. Nicotine, Adrenaline, Barium. (Dog: Pulmonary Blood- pressure, Carotid Pressure.) 310 LXXVIII. Nicotine, Pilocarpine, Atropine. (Dog: Intraocular Nerves, Salivary Glands, Oxygen Consumption, Blood-pressure and Respiration.) 318 LXXIX. Lobeline. (Frog or Turtle: Heart and Inhibitory Nerves.) 322 LXXX. Lobeline, Pilocarpine. (Turtle: Lung Tracings.) . . . 322 LXXXI. Lobeline, Adrenaline, Pilocarpine, Tetramethylammonium chloride. (Dog: Bladder Contraction, Blood-pressure, Respiration, Pupil.) 325 LXXXII. Lobeline, Nicotine, Pilocarpine. ( Guinea Pig, Cat, Dog, or Rabbit; Uterus Strip.) 332 LXXXIII. Adrenaline, Lobeline, Nicotine, Pilocarpine, Atropine. (Guinea Pig, Rabbit, Dog, Cat, Frog: Intestinal Seg- ment.) 334 LXXXIV. Muscarine, Atropine. (Turtle: Lung Tracings.) .... 336 LXXXV. Physostigmine. (Frog: Heart Tracing.) 337 LXXXVI. Physostigmine, Atropine, (Sodium Nitrite). (Frog: Stom- ach Ring.) 337 LXXXVII. Physostigmine. (Turtle: Heart Tracing. ) 338 LXXXVIII. Physostigmine, (Adrenaline, Atropine). (Turtle: Lung Tracing.) 338 LXXXIX. Physostigmine, Hyoscine, Adrenaline, (Trimethylamine ) (Dog: Respiration, Blood-pressure, Intestinal Contrac- tions.) 339 XC. Adrenaline, Sodium Nitrite, Barium Chloride. (Dog, Cat or Rabbit: Perfusion of Kidney.) 342 CONTENTS 9 PAGE XCI. Physostigmine, Atropine, (Heroine), Adrenaline. (Spinal Dog or Cat : Bronchioles, Blood-pressure, and Bladder Contrac- tions.) , . . ." 346 XCII. Cocaine. (Frog: Central Nervous System.) 350 XCIII. Cocaine, Physostigmine. (Rabbit, Cat, Dog, Pigeon, Sparrow. Chicken, Rat : Action on Pupil.) 350 XCIV. Cocaine, Novocaine. (Local Anesthetic Action.) 351 XCV. Cocaine. (Frog or Turtle: Heart Tracings.) 351 XCVI. Cocaine. (Frog: Action on Muscular Work.) 352 XCVII. Cocaine, Novocaine, Barium, Adrenaline. (Dog or Cat: Res- piration, Blood-pressure, Intraocular Pressure, Local Vascu- lar Action and Intestinal Contractions.) 353 XCVIII. Novocaiue. (Dog: Spinal Anesthesia.) 356 XCIX. Ergot. (Rooster: Action on Comb.) 360 C. Ergot. (Frog: Capillary Circulation.) . 361 CI. Tyramine. (Frog: Capillary Circulation.) 363 CII. Ergamine. (Turtle: Lung Tracing.) 363 CHI. Ergotoxine, Ergamine, Adrenaline, Barium. (Dog. or Cat: Blood-pressure, Respiration, Uterine Contractions Bar- hour's Method.) 363 CIV. Ergamine, Adrenaline, Tyramine, (Codeine or Heroine). (Dog: Blood-pressure, Pulmonary Blood-pressure, Respiration.) . 369 CV. Ergamine, Adrenaline (or Hordenine), Atropine. (Spinal Dog, or Cat: Bronchioles.) 373 CVI. Ergotoxine, Ergamine. (Cat, Guinea Pig, Dog, Rabbit: Uterine Strip.) 380 CVII. Ergot. (Cat: Action on Uterus.) 3S1 CVIII. Pituitrin, Ergamine, Adrenaline. (Dog, Cat. or Rabbit: Uter- ine Contractions, Blood-pressure.) 382 CIX. Pituitrin, Ergamine, Levulose, Adrenaline. (Dog: Thoracic Duct, Blood-pressure, Bladder Contractions, Respiration.) 38-4 CX. Pituitrin. (Frog: Capillary Circulation.) 387 CXI. Pituitrin. (Frog or Turtle: Heart Tracing.) -. 388 CXII. Pituitrin. (Turtle: Lung Tracing.) '388 CXIII. Pituitrin. (Guinea Pig, Cat, Dog, Rabbit : Uterine Strip.) . 390 CXIV. Pituitary Extract, Adrenaline, Atropine, Barium (Dog: Bron- chial Contraction.) 391 CXV. Pituitrin, Adrenaline, Aconitine. (Dog: Urine Secretion, In- testinal Contractions, Blood-pressure, and Respiration.) . .".92 CXVI. Pituitrin, Adrenaline, Vanadium. (Dog: Pulmonary Blood- pressure.) 394 CXVII. Dissection of the Eye. Its Anatomy and Pharmacology . . . 394 CXVIII. Amyl Nitrite. (Student: Plethysmographic Record, General Action.) 397 10 CONTENTS PAGE CXIX. Amyl Nitrite. (Student: Pulse Tracing.) 399 CXX. Amyl Nitrite. (Student: Corpuscles in Retinal Vessels.) 400 CXXI. Amyl Nitrite. (Student: Retinal Blood Vessels.) ... 401 CXXII. Amyl Nitrite. (Student: Effect on Vision.) 403 CXXIII. Amyl Nitrite, Nitroglycerine, Sodium Nitrite. (Dog: Blood-pressure, Respiration, Spleen or Intestinal Loop Volume, Blood.) 404 CXXIV. Nitrites, Pilocarpine, Adrenaline. (Dog: Bronchial Ac- tion.) 406 CXXV. Digitoxin. (Frog: General Action.) 407 CXXVI. Digitoxin. (Frog: Heart Tracing.) 408 CXXVII. Digitoxin. (Turtle: Heart Tracing.) 408 CXXVIII. Digitoxin. (Dog or Cat: Blood-pressure and Respiration.) 408 CXXIX. Digitoxin, Strophanthin, Nitroglycerin. (Dog: Pulmonary Blood-pressure, Carotid Pressure.) 415 CXXX. Digitoxin. (Dog: Heart Tracings, Carotid Pressure.) . . 418 CXXXI. Digitoxin, Strophanthin. (Dog: Diuresis, Spleen Volume, Leg Volume, Blood-pressure and Respiration.) . . . 420 CXXXIT. Adrenaline, Potassium Chloride, Digitoxin, Strophanthin. (Cat, Rabbit, Dog: Heart Perfusion Laugendorff Method.) 424 CXXXIII. Aconitine. (Frog: General Action.) 428 CXXXIV. Aconitine. (Frog: Heart Tracing.) 429 CXXXV. Aconitine. (Turtle: Heart Tracing.) 429 CXXXVI. Aconitine. (Dog: Blood-pressure, Respiration, Tempera- ture.) 429 CXXXVII. Aconitine. (Dog: Heart Tracings, Blood-pressure.) . . 431 CXXXVIII. Aconitine. (Student: Local Action.) 433 CXXXIX. Veratrine. (Frog: General Action.) 433 CXL. Veratrine. (Frog or Turtle: Heart and Inhibitory Ap- paratus.) 434 CXLI. Veratrine. (Frog: Skeletal Muscle.) 434 CXLII. Veratrine. (Turtle: Lung Tracing.) 437 CXLIII. Veratrine, Adrenaline. (Dog: Blood-pressure, Respiration, Intestinal Contraction.) 437 CXLIV. Veratrine. (Dog: Heart Tracings, Blood-pressure.) . . 440 CXLV. Apomorphine. (Dog: Vomiting Center.) 440 CXLA T I. Ipecac. (Dog: Emesis.) 440 CXLVII. Sodium Cyanide, (Hydrocyanic Acid), Sodium Sulphide, Hydrogen Peroxide. (Dog: Respiration, Blood-pres- sure, Oxygen Consumption, Blood Glycosuria.) . . . 441 CXL VIII. Quinine. (Frog: General Symptoms.) 447 CXLIX. Quinine. (Frog or Turtle: Heart Tracing.) 447 CL. Quinine. (Frog: Action on White Corpuscles Binz's Ex- periment.) 447 CONTENTS 11 PAGE CLI. Antipyrine. (Frog-: General Action.) 449 CLII. Antipyrine, /3-tetrahydronaphthylamine Hydrochlorido. (Dog: Respiration, Blood-pressure, Leg- Volume.) 449 CLIII. Antipyrine, Peptone. (Two Rabbits: Temperature Regula- tion.) 451 CLIV. Quinine, Peptone. (Two Rabbits: Temperature Regulation.) 451 CLV. Phenacetiue, Aeetanilide or Aspirin (Acetylsalicylic Acid). (Fevered Animal: Temperature.) 451 CLVI. Acetylsalicylic Acid (Aspirin). (Student: Headache.) . . 452 CLVII. Phenylsalicylate (Salol). (Student: Excretion, Absorption.) 452 CLVIII. /3-tetrahydronaphthylamine Hydrochloride, Pilocarpine. (Dog: Oxygen Consumption, Blood-pressure, Respiration.) . . 453 CLIX. Carbolic Acid (Phenol). (Frog: General Action.) ... 454 CLX. Carbolic Acid, Sodium Sulphate. (Dog: Local Action, Res- piration, Blood-pressure, Spleen Volume, Antidote.) . . 454 CLXI. Phloridzin, Adrenaline. (Rabbit: Glycosuria.) 457 CLXII. Potassium Iodide. (Student: Absorption, Excretion.) . . 457 CLXIII. Alkalies, Acids, Sodium Nitrite, Adrenaline. (Frog: Perfu- sion of Vessels.) 458 CLXIV. Magnesium, Calcium. (Rabbit: Anesthesia, Antagonism. Meltzer and Auer's experiment.) 460 CLXV. Arsenic. (Dog or Rabbit: Respiration, Blood-pressure, Peri- stalsis, Renal Action, Blood.) 460 CLXVI. Antimony (Tartar Emetic). (Dog: Emesis.) 462 CLXVII. Vanadium, Sodium Hydroxide, Ammonia. (Dog: Blood-pres- sure, Respiration, Spleen Volume, Reflex and Local Ac- tions, Intestinal or Bladder Contractions.) 462 III. Acid, Alkali Rhubarb, Croton Oil, Magnesium Sulphate. (Dog: Antagonism of Acids and Alkalies, Absorption and Excretion of Rhubarb, Local Action of Croton Oil and Magnesium Sulphate Moreau 's Experiment.) . . 466 PART II. SHOP WORK. I. The Shop 470 Equipment 476 List of Equipment 479 Mechanical Procedures 489 Glass Blowing . 49. 1 ! Frog Clips 495 Brass Arterial Cannulas 496 Stands and Castings 496 Lacquering 498 12 CONTENTS PHOTOGRAPHY. PAGE II. Photographic equipment 500 Making negatives 502 Lantern slides 505. Making prints 508 Blue prints '. 510 LIST OF DEALERS. List of Dealers in Equipment and Supplies 515 ILLUSTRATIONS. FIG. PAGE 1. Harvard inductorium 35 2. DuBois-Reymoml induction coil 36 3. Harvard signal magnet 36 4. Signal magnet 36 5. Hale's signal magnet 36 6. Mercury manometer and signal magnet 37 7. Harvard shielded electrodes 38 8. "VYoulff ether bottle with regulating clamp 38 9. Large size tracheal cannula 39 10. Medium size tracheal cannula 39 11. Small size tracheal cannula 39 12. Mohr pinch cocks 40 13. Marey tambour 40 14. Adjustable tambour with three interchangeable bowls 40 15. Stethograph drum 41 16. Kidney oncometer 41 17. Eoy's kidney oncometer 42 is. Arterial cannula 42 19. Beaker 43 20. Dog board and mouth rod 43 21. Animal board and head holder 43 22. Small, white evaporating dish 43 23. Glass bladder cannula 44 24. Graduated cylinder 44 25. Casserole 44 26. Harvard long paper kymograph 45 27. Htirthle long paper kymograph 45 28. Turtle board 46 29. Specimen jar 46 30. Burette and double clamps 46 31. Battery jar 47 32. Small wood tables 47 33. Sri-refine 48 34. Hemostat 48 35. Small sharp-pointed dissecting forceps ... 4s 36. Scalpel 49 37. Small aneurism needle 49 38. Large aneurism needle 49 39. Large blunt-pointed dissecting forceps 49 40. Small blunt-pointed dissecting forceps 49 41. Dissecting scissors 49 42. Dissecting probe (dental) 49 43. Large moderately blunt-pointed dissecting forceps 50 44. Needle holder 50 14 ILLUSTRATIONS FIG. PAGE 45. Large bottle for holding stock salt solution 52 46. Frog board and clip (Harvard) 54 47. Dissection of a frog showing position of the brain, sciatic nerve and arteries and muscles of the hind limb (Color plate) .... 54 48. Frog's brain 55 49. Method of pithing a frog 56 50. Harvard moist chamber 57 51. Harvard muscle lever 58 52. Harvard gas chamber 58 53. Ether bottles showing method of administering air and ether . . 59 54. Three forms of containers for ethyl chloride 60 55. Method of smoking drums 61 56. Automatic shellacing pan and drying rack for drum records ... 62 57. Varnishing pan for varnishing records 63 58. Print and tracing trimmer 63 59. Method of arranging the inductorium 64 60. Dissection of a frog to show the position of the heart, vagus nerve and the muscles of the hind limb (Color plate) '>."> 61. Diagrammatic dissection to show the innervation of the frog's heart 66 (52. Heart lever 66 63. Arrangement of apparatus for recording frog heart tracings ... 67 64. Medicine dropper 68 65. Anatomy of the frog's heart 69 66. Diagrammatic representation of the lymph spaces of the frog . . 70 67. Apparatus for recording turtle heart tracings 72 68. Method of sawing out a square in the plastron of a turtle .... 73 69. Diagrammatic representation of the turtle's heart (Color plate) . 74 70. Schematic representation of the vagus and sympathetic nerves in a turtle ^5 71. Method of etherizing a dog 77 72. Laboratory table 79 1 73. Metronome for operating the electric time signal SO 74. Lieb-Becker time marker made from an Ingersoll watch ... 80 75. Harvard time clock 81 76. Jaquet chronograph 77. Two forms of time clocks 82 78. Method of fastening the animal's head to the dog board .... 83 79. Heavy string with slip noose ready to put around the fore limb . . 83 80. Method of attaching fore limbs to the dog board 84 81. Method for quickly fastening the string to the board without tyiiiy any knots S4 82. Method of fastening the hind limbs 85 S3. Method of incising the skin to expose the trachea 86 84. Same as Fig. 83. Separation of borders of sternohyoid muscles . 87 So. Same as Fig. 83. Exposing the trachea 87 86. Same as Fig. 83. Lifting up and passing forceps beneath trachea . 88 87. Same as Fig. 83. Fifth step in the operation 88 ss. Same as Fig. S3. Insertion of the tracheal cannula S9 89. Same as Fig. 83. Lifting up right carotid sheath on an aneurism needle 89 ILLUSTRATIONS 15 FIG. PAGE 90. Same as Fig. 83. Ligation of the carotid and vago-sympathetic nerve 90 91. Same as Fig. 83. Opening the carotid artery 90 92. Same as Fig. 83. Insertion of the arterial canmila 91 93. Same as Fig. 83. Final step in operation 91 94. Insertion of femoral injecting cannula 93 95. Dissection to expose the femoral artery and vein and saphenons nerve 95 96. Same as Fig. 95. Position and relations of the vein, artery and nerve 95 97. Exposure of the skull for a trephine opening 103 98. Six inch tinner's snips. For cutting thick skin and fascia, etc. . 104 99. Same as Fig. 97. Exposing dura mater 104 100. Trephine 105 101. Upper surface of a dog's brain 106 102. "Straight" glass cannula 107 103. Hand bellows 107 104. Bandage saw 108 105 Method of opening the chest by a median incision 109 106. Method of exposing the left pulmonary artery and vein (Color plate) 110 107. Applying the cardiometer over the ventricles Ill 108. Cardiometer ' 112 109. Administration of nitrous oxide or oxygen to a frog 114 110. Method for making, purifying and administering nitrous oxide to a frog 115 111. Yoke for tanks of oxygen, nitrous oxide or carbon dioxide . . . 115 112. A double yoke for holding gas tanks 116 113. Yoke for holding gas tanks 116 114. Guthrie's carbon dioxide generator 117 115. Method for studying the action of nitrous oxide, ethyl chloride, etc .... 118 116. Apparatus used for closed ether anesthesia 122 117. Table arranged for performing an experiment 123 118. Diagrammatic view of the pan as seen from above 124 119. Tracing obtained by the closed method of anesthesia 125 120. Tracing showing the initial action of nitrous oxide 126 121. Tracing showing the action of nitrous oxide and ethyl chloride . 127 122. Apparatus for intratracheal insufflation 129 123. Apparatus for administering nitrous oxide to an animal .... 130 124. Tracing showing action of carbon dioxide 131 125. Injection of drug solutions into anterior lymph sac of frog . . 134 126. Injection of solutions into anterior lymph sac with a syringe . 134 127. Injecting pipette made of glass 135 128. Arrangement of apparatus for recording esophageal contractions 137 129. Tracing showing four esophageal contractions, blood-pressure and respiration 138 130. Harvard membrane manometer 139 131. Arrangement of apparatus which may be used as a membrane manometer 141 16 ILLUSTRATIONS TIG. PAGE 132. Tracing showing action of alcohol on blood-pressure and respira- tion 142 133. Dissection showing vessels and nerves in the neck and upper part of the chest in a dog (Color plate) 142 134. Arrangement of apparatus for recording reaction time for sight . 143 135. Simple key 145 136. Electric tuning fork 145 137. Apparatus for recording reaction time for hearing 146 138. Box for anesthetizing cats 147 139. Bell-jar as used for anesthetizing eats 148 140. Glass or earthen ware jar covered by a glass plate 148 141. Myocardiograph 149 142. Cardiometer arranged for use as a myocardiograph 150 143. Cardiometer made from a large thistle tube 151 144. Arrangement of apparatus for recording heart tracings .... 152 145. Special heart holder 153 146. Heart levers for dogs 154 147. Schematic representation of the innervation of the heart (Color plate) 154 148. Innervation of heart in the cat 155 149. MyocardiograpMc and blood-pressure tracings from a dog . . . 156 150. Fermentation tube 157 151. Apparatus for recording the pressure of the cerebrospinal fluid . 159 152. Spleen oncometer for dogs 160 153. Spleen oncometer for dogs 161 154. Kidney oncometer 162 155. Rear view of same oncometer shown in Fig. 154 162 156. Kidney oncometer made of a metal pill or ointment box .... 163 157. View showing the oncometer partly open 163 158. Dissection exposing the kidney from a median incision .... 164 159. Arrangement of apparatus for making several records simulta- neously 165 160. Appearance of the blood-vessels in the ears of a white rabbit (Color plate) 166 161. Dissection showing position of left pulmonary vessels and sympa- thetic trunk in chest above diaphragm (Color plate) .... 166 162. Dissection to show the abdominal viscera (dog) 167 163. Electric ophthalmoscope 170 164. Method used for observing the retinal circulation in a frog . . . 171 165. Ventral and dorsal views of a pigeon's brain 173 166. Posterior view of the brain and semicircular canals of a pigeon . 174 167. Lateral view of head of pigeon showing brain, etc 174 168. Base of the brain of a dog 175 169. Upper surface of the skull of a cat 178 170. Mesial section showing the left half of the interior of a cat 's skull 179 171. Dorsal surface of the brain of a cat 180 172. Apparatus for recording and measuring the rate of oxygen con- sumption 181 173. Inner construction of the pans shown in Fig. 172 182 174. Lateral view of a cross-section of the apparatus shown in Fig. 172 182 ILLUSTRATIONS 1 FIG. PAGE 175. Arrangement for recording oxygen consumption by an animal . 183 176. Apparatus used for making pure oxygen 185 177. Gas reservoir made from a very shallow, wide, round cake pan . 18(5 178. Dreser's apparatus for respiratory measurements 187 179. Technie for inserting a bladder cannula 188 180. Tracing showing action of morphine on oxygen consumption . . 191 181. Kecord showing the action of adrenaline on the rate of oxygen consumption, uterine contractions, blood-pressure and respira- tion 192 182. Schematic representation of the course of the right phrenic nerve in a dog 193 183. Dissection of lower part of neck and upper part of chest on right side in dog (Color plate) 194 184. Dissection of lower part of neck and upper part of chest and of axillary region in dog (Color plate) 194 185. Large needles for sewing with heavy twine 195 186. Brass tube with spear point 196 187. Arrangement of animal for recording lung volume changes . . . 196 188. Apparatus for keeping the systematic blood-pressure at a con- stant level 197 189. Lung volume and blood-pressure record 198 190. Tracings showing the action of morphine 199 191. Tracings showing the action of pantopon 200 192. Tracings showing the action of peronine 201 193. Tracings showing the action of dionine 202 194. Tracings showing the action of narcotine 203 195. Tracings showing the progressive actions of narcophine, narcotine and morphine 204 196. Method of administering capsules, pills or tablets to dogs . . 205 197. Mercury bulb 206 198. Apparatus for recording bladder contractions 207 199. Same as Fig. 198. Dissection for the femoral vessels .... 208 200. Lung shield made of thin sheet brass 209 201. Method of recording volume changes of the lung by use of the lung shield 210 202. Tracing showing action of heroine and adrenaline 212 203. Tracing showing the action of codeine and epinine 213 204. Tracing showing the action of muscarine 214 205. Tracing showing the action of codeine on turtle's lungs . . . 215 206. Three kinds of catheters 216 207. Dissection of the pelvis of dog 216 203. Arrangement of apparatus for recording convulsions in a frog . 218 209. Tracing showing the action of strychnine 219 210. Greene's method of irrigating the heart 221 211. Tracing showing the action of strychnine on the turtle's heart . 222 212. Glass oncometer for a small loop of the intestine 223 213. Glass ureteral cannula with rubber tube connection 225 214. Tracing showing the action of morphine 228 215. Tracings showing the action of picrotoxine 232 216. Tracings showing the action of brucine 233 18 ILLUSTRATIONS FIG. PAGE 217. Method of administering medicine to a dog by means of the stom- ach tube , . . . 234 218. Mouth gag for dogs, cats or rabbits 235 219. Dissection to expose the sciatic- nerve 237 220. Method of destroying the cerebrum only in a frog 238 221. Tracing showing action of hydrastine 239 222. Innervation of the heart in the frog or turtle 240 223. Tracing showing the action of arecolinc. hydrastinine and ad- renaline 242 224. Arrangement of a frog and apparatus for recording fatigue trac- ings 245 225. Showing a method for making cannulas with separable points . . 246 226. Structures in the neck of a rabbit showing the arrangement of the nerves on the left side (Color plate) 247 227. Glass cannula showing a special washout opening 248 228. Arrangement of two tambours to form a drop recorder .... 250 229. Tracing showing action of sodium sulphate 251 230. Tracing showing the action of curara 256 231. Innervation of the salivary glands in the dog (Color plate) . . 257 232. A turtle prepared for recording lung tracings 261 233. Arrangement of apparatus for recording lung contractions . . . 262 234. Lung tracing from a turtle 263 235. Lung and heart tracings from a turtle 264 236. Diagrammatic representation of innervation of lachrymal glands 265 237. First incision for exposing the chorda tympani nerve, etc. . . . 266 238. Dissection showing positioii and relation of hypoglossal and lin- gual nerves (Color plate) 266 239. Exposure of the lingual and hypoglossal nerves and salivary ducts (Color plate) . . . ' . .266 240. Exposure of the chorda tympani nerve (Color plate) .... 266 241. Tracing showing the action of pilocarpine 274 242. General course of the nerves to the salivary glands (Color plate) 274 243. The submaxillary and sublingual glands and their ducts, etc. (Color plate)' 274 244. A dissection showing position and relations of pancreatic ducts in dog 276 245. 'Position and relations and method of isolating large duet of pancreas in dog (Color plate) 278 246. Arrangement of apparatus for recording contractions of intestine. 279 247. Tracing showing the action of barium, adrenaline and atropine . 280 248. Tracing showing action of barium and adrenaline 281 249. Tracing showing the action of arecoline and of atropine . . . 282 250. Innervation of the retractor penis muscle (Color plate) .... 282 251. Tracing showing the action of pilocarpine 283 252. Tracing showing the action of a fatal dose of barium chloride . 284 253. Tracing showing the action of adrenaline and barium chloride . 285 254. Tracing showing the actioii of a fatal dose of barium chloride . 286 255. A form of apparatus used in recording lung tracings 288 256. A form of apparatus used in recording lung tracings .... 289 ILLUSTRATIONS 19 FIG. PAGE 257. Adjustment of the apparatus shown in Fig. 255 in the chest of a dog 290 2.~>s. Method of making the first incision before trephining the skull . 292 259. The trephine opening 292 260. Method of quickly cutting across the brain stem 293 261. Method of destroying the brain 293 262. Plugging trephine opening with cotton after brain is destroyed . 294 263A. Tracing showing the action of pilocarpine and atropine . . . 295 2(i3B. Tracing showing the action of muscarine and atropine .... 295 2<>4. Tracing showing the action of lodal 296 2(i5. Tracing showing the action of arecoline 298 I'liii. Tracing showing the action of arecoline and atropine .... 299 2. Bone cutting forceps 320 L's.'I. Tracing showing the action of lobeline, arecoline and atropine . 323 2s4. Tracing showing the action of lobeline 324 285. Tracing showing the action of lobeline 324 286. Tracing showing the action of pilocarpine 325 28~. Tracing showing the action of lobeline 326 2ss. Tracing showing the action of lobeline 327 289. Tracing showing the action of tetramethylammonium chloride . 329 290. Tracing showing the action of tetramethylammonium chloride . 330 2SU. Tracing showing the action of pilocarpine, and tetramethylam- monium chloride 331 292. Arrangement of apparatus for recording contractions from a uterine strip, or from an arterial ring, ureter ring, intestinal strip, ring of frog's stomach, etc 333 _!.;. Tracing showing the action of muscarine 335 294. Diagrammatic cross-section of the intestine (Color plate) . . . 336 2 ( ..">. Tracing showing the action of nicotine, arecoline and atropine . 336 296. Tracing showing the action of trimethylamine 340 297. Tracing showing the action of pilocarpine and trimethylamine . 341 20 ILLUSTRATIONS FIG. PAGE 298. Arrangement of apparatus for perfusioii of an excised organ . . 343 299. Tracings showing action of sodium orthovanadate, barium chlo- ride, and adrenaline 345 300. Tracing showing the action of heroine and adrenaline .... 348 301. Tracing showing effects of cocaine 352 302. Method of exposing the lymphatic ducts and connecting cannulas to collect the lymph or chyle (Color plate) 356 303. Metallic muzzle for administering an anesthetic to a dog . . . 357 304. View of the reverse side of the metallic muzzle shown in Fig. 303 358 305. Arrangement of apparatus for observing the capillary circulation 362 306. Arrangement of animal and apparatus for recording uterine con- tractions 364 307. Tracing showing the action of barium chloride 365 308. Tracing showing the action of ergamine Chistamine) and adrena- line 367 309. Tracing showing the action of ergamine 368 310. Tracing showing the action of tyramine 370 311. Tracing showing the action of adrenaline and ergamine . . . 372 312. Tracing showing the action of ergamine and hordenine .... 376 313. Tracing showing the action in succession of arecoline, lodal, the- baine, lodal, hordenine and adrenaline 377 . r !14. Tracing showing the consecutive actions of ergotoxine phosphate, pilocarpine, (ergotoxine) and adrenaline 378 315. Tracing showing the action of arecoline, ergotoxine, (arecoline) and adrenaline 379 316. Arrangement of apparatus for recording contractions of a uterine strip, intestinal strip, etc 381 317. Arrangement of apparatus for recording contractions of the uterus in situ 382 318. Schematic representation of the involuntary nervous system (Color plate) 384 319. Method of isolating the thoracic duct at the root of the neck (Color plate) 384 320. Diagrammatic representation of the lymphatic system in a cat . 386 321. Tracing showing the action of pituitrin 3ss 322. Tracing showing the action of pituitrin 389 323. Tracing showing the action of pituitrin 391 324. Schematic representation of the innervation of the eye (Color plate 394 325. Diagrammatic representation of the structure and innervation of the eye (Color plate) 394 326. Plethysmograph for recording volume changes in hand and fore- arm ^ 398 327. Dudgeon 's sphygmograph arranged for recording tracings from the radial pulse 399 328. Tracing showing action of amylnitrite 400 329. Tracing showing the action of nitroglycerine 405 330. Tracing showing the action of digitoxin 409 331. Tracing showing the action of digitoxin 410 332. Tracing showing the action of digitoxin 411 ILLUSTRATIONS 21 FIG. PAGE 333. Tracing showing the action of digitoxin 412 334. Tracing showing the final result of the action of digitoxin . . 413 335. Illustration showing principles involved in construction of Ed- munds' liver oncometer 416 33(3. Tracing showing the action of adrenaline 417 .'!.'!7. Spleen oncometer made of crimped sheet brass 421 338. Liver oncometer 42 2 339. Tracing showing the action of tetraniethylanimonium chloride . 423 .">40. Arrangement of apparatus for recording tracings from an excised heart 425 341. Cat's heart 426 342. Dog's heart 427 343. Tracing showing the final action of aconitinc . 432 344. Tracing showing the action of veratrine 435 345. Arrangement of apparatus for spinning a drum ... ... 436 34(5. Tracing showing the action of veratrine 438 347. Tracing showing the action of sodium cyanide 442 348. Tracing showing the action of potassium cyanide 443 349. Tracing showing the action of sodium cyanide 444 350. Tracings showing the action of dilute sodium cyanide solution . 445 351. Tracing showing the action of pilocarpine and /3-tetrahydronaph- thylamine hydrochlorkle 450 352. Two tracings showing the action of a drug which markedly lowers blood-pressure 455 353. Arrangement of apparatus for perfusion of the vessels of a brain- less frog 459 354. Tracing showing the action of adrenaline sodium orthovanadate, amylnitrite and adrenaline 463 355. Tracing showing the action of vanadium 464 356. Tracing showing the action of vanadium 465 357. Arrangement of the ligatures for isolating segments of the in- testine 467 358. A schematic representation of an electric wiring system .... 471 359. Foot bellows 472 360. Diagrammatic representation of an artificial respiration machine 473 361. View of system of pulleys used to operate the interrupting valve 474 362. Lever gate valve 474 363. Diagram showing method of operation of lever gate reversing valves ' . 475 364. Portable artificial respiration machine 475 365. Special form of interrupting valve 476 366. Special interrupting valve 477 367. A motor driven long paper kymograph 478 368. Detailed view of one plan of construction of the speed regulating device for the kymograph 479 369. Motor driven long paper kymograph 480 370. Hand drill 481 371. Blast lamp 482 372. Details of the mechanical construction of an adjustable tambour 483 373. A large bowled tambour 484 22 ILLUSTRATIONS FIG. PAGE 374. Method of tying head of a small screw into rubber membrane . 4X4 375. Some of the more common types of gas pipe fittings 4sii 376. Small electric heater 4*7 377. Method of preparing two pieces of brass tubing for making a tracheal cannula 4iMi 378. Method of making "straight" glass r-annulas 4 Hi' 379. Same as Fig. 378 ... I '.'I' 380. Same as Fig. 378 4 Hi' 381. Same as Fig. 378 4<)4 382. Same as Fig. 378 4H4 383. Process for making frog clips 4!>5 384. Method for making very small brass cannulas 490 385. Large stand with. L-shaped base . 4!>7 386. Method of arranging the camera and arc light for copying . . 501 387. Method of suspending an adjustable arc light above the operating- table ">- 388. Measuring glass ">'' | 4 389. Adjustable frame for cutting lantern slide mats 50 7 .390. Frame for making blue prints ->H INTRODUCTION. The unit of procedure adopted in this manual is the ex- periment. Each experiment is, as a rule, complete within itself, although in many instances an orderly sequence pro- ceeding from the simple to the more complex, from the known to the unknown, has been introduced. The writer has at all times tried to hold in mind the fact that the in- structor is not only teaching pharmacology but that he is also teaching medical students. And the mental and tech- nical abilities and limitations of these students are quite as significant from the standpoint of the teacher as is the wide extent, the complexity, and the importance of the sub- ject which he practically invariably has a too limited time to cover. It is constantly necessary for the teacher of pharmacology to bear in mind that the knowledge which his students possess of the fundamental principles of anat- omy, neurology, physiological chemistry, pathology, and especially of physiology, is by no means complete, and much of the instructor's time must of necessity be consumed in again bringing to the attention of the students fundamental and often exceedingly elementary facts involved in the nature of subjects prerequisite to the course, in pharma- cology. And it will not infrequently severely tax the in- genuity of the teacher of pharmacology to determine by what means he can, within a brief period of time, best recall to the student's mind some fundamental principles, e. g., of physiology or neurology, without a knowledge of which further progress in pharmacology is totally impos- sible. The author has kept these points carefully in mind in preparing this manual, and many of the experiments, illustrations and tracings have been introduced quite as much with the object of teaching certain fundamental prin- 24 INTRODUCTION ciples of anatomy, chemistry, physiology, etc., as for their immediate use in the work on pharmacology. It has been the author's aim to try to develop experimen- tally a knowledge of the general principles of pharmacolog- ical reactions, rather than to lay great emphasis on a vast array of details regarding the specific action of a long list of substances. There are more than 100,000 known organic preparations, with many more theoretically possible. In ad- dition to this there are some 3,000 or 4,000 inorganic sub- stances, salts, etc. A very large proportion of these bodies might be studied separately and individually so far as their pharmacological properties and reactions are concerned. And if we attempt to have our students make a fairly in- tensive study of only the one-thousandth part of all this vast array of chemical substances, the task is still so great that perhaps no human mind can grasp and carry within the memory at any one time the almost limitless extent of the specific details of the pharmacological reactions of which even this comparatively small number of drugs may theoretically be capable. And notwithstanding the more or less abortive attempts of nearly all recent writers and examining boards, to limit as far as possible the number of drugs which the student must study, the task of selection is still largely one for the individual instructor. The experiments listed herein are, as a rule, arranged with reference to individual drugs. The simplest and easiest experiments on any given substance are usually placed at the beginning of the section dealing with that body. Being keenly aware of the difficulty often experi- enced in obtaining suitable experimental material the author has included a large number of experiments on frogs and turtles, the supply of which is less liable to variation than is that of the vastly more desirable mammalian ma- terial. Generally a number of experiments are given on each drug, especially if it be one of importance. It is in- tended that these experiments be assigned to the students INTRODUCTION 25 on the day before the experiment is to be performed in order that each member of the class may familiarize himself with the work he is expected to do. Many of the experiments may be done as demonstrations. It is usually advisable for each group to do a different experiment at any given labora- tory period. This economizes on the amount of special apparatus required and also furnishes an opportunity for each group of students to compare its results with those obtained by the other groups. This arrangement also gives an opportunity for the instructor to devote most attention to those experiments where help is most needed. The general anesthetics, being of fundamental impor- tance for the progress of the course, are taken up first. Following this is a group of drugs chiefly characterized by their action on the central nervous system. After these come a series of substances possessing specific actions on some one or more parts of the involuntary nervous system. These are followed by drugs which act mainly on the cir- culatory system, then follow the antipyretics, a few mis- cellaneous drugs, and finally a few experiments on acids, alkalies, and some of the heavy metals. The second part of the book contains two chapters, one on shop work and one on photography. These are chiefly of interest to the instructor, and it is advised that these be read in connection with the general preparation of appa- ratus, equipment, etc., for the course in pharmacology. Any general text book on the subject of pharmacology may be used in connection with this manual, or if the in- structor prefers to deliver a course of set lectures on the general field of pharmacology, no didactic text at all may be required. That is a matter for each teacher to decide for himself. Usually drugs are taken up one at a time. It is desir- able not to confuse the student more than can be helped by the introduction of too many drugs, especially if the actions of the drugs involve general pharmacological prin- 26 IXTRODUCTIOX ciples with which the student is unfamiliar. It often oc- curs, however, that as the student gains in experience and in technical ability, drags which have already been studied may be reintroduced either as a matter of review, or to demonstrate certain actions of other drugs which are not evident until brought to light by the changed response of certain structures to drugs injected secondarily, or to serve as a check on the action of the apparatus and the general teclmic employed in the experiment. For this latter pur- pose great use is made of adrenaline in these experiments. This often serves the double purpose of reviving an animal when it is in a very feeble condition, and also gives the student (aud hixtnictor) an immediate indication of the accurary of the working of his apparatus and of the condi- tion of the animal. It should be especially emphasized that the extensive use made of adrenaline in many of the ex- periments is solely for the purposes here indicated, and its frequent injection should not be considered in any sense as a useless repetition of the same experiment. It is imperative to use the strictest economy with the ex- perimental material. For this reason it is desirable for the students to learn everything possible from each animal used. Consequently many experiments are listed here in which a variety of reactions may be recorded at the same time. The instructor should use his judgment in the case of each group of students regarding the number of records which the group will probably be able to successfully se- cure. And he should not hesitate to eliminate any indicated part of the experiment in which he believes the group will fail. The author has, however, often been amazed at the excellent success which students with some experience may frequently obtain in carrying out exceedingly difficult and involved experiments. And the writer recommends that the instructor should not hesitate to permit a group of students to attempt to carry out a difficult experiment whenever he can advisedly do so. For it should be espe- cially emphasized that a student's own failure may be of INTRODUCTION 27 vastly more interest and value to him than would be a per- fect success of that same experiment demonstrated by the instructor or his assistants. Many instructors advise that each student in the group take his turn at doing various portions of the routine work. In the writer's opinion this will probably not be the most valuable line of procedure in the long run. For while it may be very desirable for each student to acquire a certain amount of skill in performing each part of the experiment (and students usually want to do this at the start) the fact remains that the total time devoted to the subject is too short for any student to become an expert in carrying out all phases of the work. It will yield a greater percentage of pharmacological successes for each student to learn a given portion of the routine work well and to faithfully carry this out for each experiment. It should be empha- sized that the chief object of the experimental course is not to teach surgery, but pharmacology. For while students may, and in a thoroughly satisfactory course perhaps do, acquire a very fair amount of the knowledge of surgery which they will later possess, this should be looked upon solely as a matter of secondary importance. Practice dissections on dead animals are frequently de- scribed at the end of experiments. This is a matter of great importance and the instructor can often be of much help to the student by aiding in this work to see that it is properly done. These dissections usually precede experi- ments in which the dissected structures will be concerned. A few words may be said about the matter of dosage. This is a difficult subject and the writer has been compelled to depend mainly on his own records and experience in this line, for most of the published dose tables, etc., are based on quantities of the drugs to be given by mouth. A further difficulty arises from the great variation in the size and re- sistance of different animals, and from the variation in potency of the different drugs as purchased in the open 28 INTRODUCTION market. The instructor is advised to make all the observa- tions he can on this subject for the benefit of his students. One of the most valuable things which a course in ex- perimental pharmacology can offer to a student is the very great opportunity which is presented to develop his power to think, to observe, and to learn at first hand for himself. In nearly all of the experiments questions are asked which are intended to direct his attention to the most vital and important features of the work, and to encourage him to test out experimentally the truth or falsity of his own conclusions. Every student of modern medicine must have been im- pressed at some time in his work by the very great aid which he has derived in his study of anatomy or neurology or operative surgery from the use of illustrations, dia- grams, etc, These are frequently of the greatest use for rapidly reviewing work over which one has long since passed, or for quickly advancing one's knowledge into fields with which he may be less familiar. The author has care- fully considered this phase of the subject in writing the present manual. And numerous illustrations, tracings, dia- grams, etc., have been devised and presented with the spe- cial object of enabling the student, teacher or practitioner of medicine to quickly and accurately grasp the full mean- ing and significance of important actions of the drugs con- sidered. To one who already possesses a moderate famil- iarity with the subject of modern pharmacology, a brief glance at the nature of many of the experiments presented, together with a rapid study of the accompanying tracings, may reveal the character and results of the effects which follow the application of drugs to the animal organism with a vividness which can be exceeded only by the knowledge acquired by the actual performance of the experiments themselves. Finally it may be stated that originality and individu- ality, not only for the student but for the instructor as well, INTRODUCTION 29 should be encouraged in every way possible. For experi- mental pharmacology covers a wide range, and there is at present perhaps no phase of the whole field of medicine which promises more for the future alleviation of human suffering than does this, in a sense one of the oldest, and yet one of the newest of all the divisions of medical science. A NOTE TO THE STUDENT. When pursued under satisfactory conditions experi- mental pharmacology is one of the most valuable and in- teresting of all medical subjects. The province of this work is comparatively new, and unfortunately so far as the medical student is concerned, is but poorly developed. The student, as well as his teacher, will feel these limita- tions mainly in the lack of suitable apparatus and perhaps in many cases in a lack of sufficient experimental material. The apparatus as a rule is very expensive and usually is obtained only with considerable difficulty, while in a large number of instances equipment suitable for the perform- ance of many of the most valuable and interesting experi- ments must be made up according to special directions. From this it is perfectly obvious that no two schools can expect to possess exactly the same kind of apparatus for the performance of any given series of experiments. The student will often find it necessary to carry out his work with apparatus entirely different from that described in the text and often perhaps with an equipment which is exceedingly unsatisfactory. He should by no means be discouraged thereby, for much of the most valuable ex- perimental work of all history has been performed with crude and unwieldy apparatus, and often under most dis- couraging circumstances. To accomplish much with little is a sure sign of ability and the medical student who ap- proaches the subject of experimental pharmacology at the present time will find numerous opportunities to demon- strate his aptitude in this direction. He should seize these opportunities with keenness and alertness and with a full appreciation of the advantage which he possesses over that of the medical student who may have been taught ex- perimental pharmacology some ten or fifteen years ago. 32 A XOTE TO THE STUDENT Each experiment in this book was designed primarily to give the student an opportunity to learn to think, and sec- ondarily to teach him some valuable point in connection with the drugs studied. The writer fully appreciates that there are certain difficulties and limitations beyond which the average medical student can not go, and for the satis- factory performance of the following experiments there has been assumed a certain standard of attainment which to the author's mind represents approximately that de- gree of training which the average sophomore student at the present time should have had when he takes up the study of experimental pharmacology. The student will feel constantly the necessity of drawing extensively upon his knowledge of anatomy, neurology, and physiology, and to a less extent upon his training in chemistry, physiolog- ical chemistry, pathology, bacteriology, and physics. And he must bear constantly in mind the practical clinical ap- plication and action of the great majority of the drugs with which he will experiment. EXPERIMENTAL PHARMACOLOGY PART I. PRELIMINARY EXERCISE. Assignment of Tables and Permanent Apparatus. At a time previous to the first laboratory meeting if pos- sible the students will arrange themselves according to instructions into groups of four or five each. It is gener- ally desirable (especially if the students are unknown to the instructor) for the students to arrange these groups themselves. This should usually be done Avith due con- sideration of the relative degree of progress and of ability which each student possesses, students of approxi- mately equal standing being grouped together. This is a matter of considerable importance to the student, for no one cares to drag a poor student through several weeks of difficult experimentation, while on the other hand the poorer students should not be cheated out of their opportunities to learn because other more compe- tent students do all of the work. The average of the grades which the students have received in previous courses is usually a fair basis for forming these groups. For mammalian experiments students work in the groups of four or five (rarely three or six under special condi- tions). Each group of four (or five) is subdivided into sub-groups of two (or two and three) for work on frogs, turtles, etc. Each group of students will be assigned to a table (or locker) in which the permanent apparatus of the group is already placed and is in perfect working condition. This 34 EXPERIMENTAL PHARMACOLOGY apparatus should be checked up quickly, and all omissions or imperfections sJiould be reported to the technician for correction. A typewritten list of the apparatus will be given to each group. Each piece of permanent apparatus be- longing to a given table is marked plainly with the num- ber belonging to that table to prevent loss. The perma- nent list includes : 2 Simple keys (Fig. 135) 2 Heart levers (Fig. 62) 2 Stimulating electrodes (Fig. 1) 2 Sewing needles 2 Signal magnets (Figs. 3, 4, and 5) 2 Induction coils (or 1 induction coil with a double pole, double throw knife, switch, Fig. 1) 1 Manometer with signal magnet base line marker and tubing (Fig. 6) 1 Ether bottle, tubing and Hoffmann screw clamp or 1 anesthetic device with oxygen tank, burette, pinch clamps and tubing (Fig. 8) 3 (or 4) Tracheal cannulas (Figs. 9, 10, and 11) 8 Mohr's pinch clamps (Fig. 12) 3 Recording tambours with T -tubes and tubing (Figs. 13 and 14) 1 Stethograph drum (Fig. 15) 1 (or 2) Oncometers, T-tubes and tubing (kidney, spleen, or intestinal loop, see Figs. 16 and 17) 2 Frog boards (Fig. 46) 2 (to 4) Burettes, tubing and one funnel (small) 1 Large double clamp (to hold frog board, etc.) 4 (or 5) Large stands (Fig. 94) 2 Small stands 1 Pressure bottle, tube, rope and pulley (Fig. 6) 1 Dozen frog clips (Fig. 46) 1 Ball small twine 1 Ball heavy twine 1 Pad of absorbent cotton (a 3-iuch section cut from a I Ib. roll with a large sharp knife) 2 (or 3) Arterial cannulas (see Fig. IS). More may be needed 2 Beakers, 25 and 50 cubic centimeters (Fig. 19) 2 Small flasks 1 Tube for respiration faucet (for artificial respiration) 1 Dog board with mouth rod (Fig. 20) 1 Thermometer 1 Heart oncometer (cardionieter) (Fig. 108) 1 Small white evaporating dish (Fig. 22) 1 Bladder cannula (Fig. 23) 1 Spool white thread (heavy ) 2 Medicine droppers (Fig. 64) 1 Injecting pipette for frogs (Fig. 127) 1 Graduated cylinder, 50 cubic centimeters (Fig. 24) 1 Porcelain dipper (casserole) (Fig. 25) LIST OF APPARATUS 35 8 Pieces insulated connecting wire (No. 18) 2 Kymographs (Harvard) with 4 fans each (or long paper kymographs, Figs. 26 and 27) 2 Turtle boards (Fig. 28) 1 Specimen jar (Fig. 29) 6 Double clamps (Fig. 30) 4 Burette clamps (Fig. 30) 1 Battery jar, 4-inch (Fig. 31) 6 Test tubes 2 Small tables, 3 inches and 4 inches in height (to support kymographs, Fig. 32) 1 Test tube brush 1 Pound of ether Eacli student will sign the following statement at the bottom of the typewritten list: "We, the undersigned, have received the above apparatus in good condition, ex- cept as noted, and for which we each stand responsible to the department. Date. Signed 1 . 4. 3. 5. 6. Fig. 1. Harvard inductorium with dry cell and simple key in series. In the sec- ondary circuit is a double pole double throw knife switch to which are connected two platinum electrodes. By use of this combination two groups of students can use one inductorium and dry cell without either group disturbing the apparatus of the other group. 36 EXPERIMENTAL PHARMACOLOGY Fig. 2. Du Bois Reymond induction coil. Fig. 3. Harvard signal magnet. Fig. 4. Signal magnet. Mm Life record 6econd5 Fig. 5. Hale's signal magnet. When this signal magnet is used with a Harvard time clock possessing a special adjustment for ten second and minute intervals, three time records may be recorded simultaneously. (W. Hale: Jour, of Phar. and Exper. Ther., 1916, viii, p. 445.) MERCURY MANOMETER 37 Fig. 6. Mercury manometer and signal magnet. The arrangement of the tubing (M) connecting the pressure bottle (R) and the arterial cannula (and washout, P, U, V, W) to the manometer is also shown. The pressure bottle should be (adjustably) suspended about four or live feet above the taole by means of a small rope (T) passing through a pulley (S) on the ceiling. A. pointer of signal magnet B, which can be made of a Harvard signal magnet. The rod of the signal magnet has been cut off and bent to pass down (adjustably) into the hole bored in the upper end of the manometer board (H) at K. C. writing point of D, the aluminum wire (No. 18) attached to the manometer plunger E, to the lower end of which the float F, is attached. The inner diameter of the glass tube TV, should be slightly greater than one-fourth inch and the float is made (one inch long) from a one-fourth inch polished hard rubber rod. The lower end of the float is bored out with a 3/16 inch drill to float (full of air) on the surface of the mercury G. Polished drill rod steel (1/32 inch in diameter) is used for the plunger which is driven into a small drill hole in the upper part of the float. /, sup- porting rod of the manometer. /, glass T-tube connected by rubber tubing ( Y) to the right limb of the U-tube. L, adjustable brass (or iron) wire ( ! s inch) from which a thread (Z) supports a small weight to hold the writing point on the drum. O, O, wires running to the signal magnet base line marker (B) from X, X, binding posts which receive electric impulses from the time clock. It is better but more difficult and expensive for the U-tube to have a side outlet blown on the right hand limb in place of the T-tube here shown. The left hand limb of the U-tube should be twelve inches long. A little oil is placed around the float. The U-tube and T-tube are attached to th board by copper wires passed through holes and twisted together behind the board. 38 EXPERIMENTAL PHAII M ACOLOGY Special apparatus for individual experiments Avill be given out from time to time as needed. Drum paper will be furnished, 10 sheets at a time, as re- quired. Fig. 7. Harvard shielded electrodes. Ether will be given out in 1 Ib. cans on presentation of a signed order blank. Ether used beyond the amount esti- mated to be necessary will be charged for at cost. Fig. 8. Ether bottle (3-necked Woulff, 500 c.c.) with regulating clamp. The short T-tubes are made of one-half inch brass tubing (see chapter on shop work). Drugs and experimental material will be furnished by the department as needed. The cost of wasted material will be deducted from the student's breakage deposit. TRACHEAE CAXXULAS 39 /TT feb Fig. 9. Large (one-half inch) size tracheal cannula. Fig. 10. Medium (three-eighths inch) size tracheal cannula. Fig. 11. Small (one-fourth inch) size tracheal cannula. 40 EXPERIMENTAL PHARMACOLOGY Fig. 12. Mohr pinch cocks. Fig. 13. Marey tambour. Jma// 5/zea cup Set screw for supporting rod jcmv for tamoour cup Tube io Oncomefer M&dium sized cup. ' i t ' /" ,,/ Extra \ openings for \ \supportiny rod cup Fig. 14. Adjustable tambour with three interchangeable bowls. All i arts approximately half natural size. It is exceedingly important for the student to have some larijc-bwlcd tambours. None of these are at present on the market and each laboratory must provide for itself. The ordinary Marey tambour is wholly inadequate for many forms of work because the bowl is entirely too small. The adjustable form here shown is highly recommended for all purposes for which tambours can be used. A mechanical drawing of this tambour is shown in the chapter on shop work where a cheap form of large- bowled tambour is also described. STETHOGRAPH DRUM, KIDNEY ONCOMETER Fig. IS. Stethograph drum, made of 2 i>i>(uic or (jreat shallowness of the respiration. Avoid thi* carffnJJi/. When the limbs become limp and drop down flaecidly when lifted and turned loose then touch the cornea gently and see if the dog winks. If not, hastily place it on a dog board on the table (Figs. 20 and 72). The animal's head is quickly drawn forward between the upright posts and the rod is pushed through between the teeth (just behind the long HW Fig. 72. Laboratory table. The top of the table is 5 l / 2 feet long and 33 inches wide. The height is 35 inches. The small square stand at the head of the table is 13 inches square at the top and has a small (7 inches) round sink in the center. Gas (G), air (A) (positive or negative pressure, constant or interrupted current), hot (H W) and cold (C W) water, inductorium or battery current (B). clock current (T), and drop light circuit (L) are all connected with the (immovable) square stand. The piping for the water, electricity, etc., runs in the floor. One locker and one large drawer are available on each side of the table. The dog board is in position on the table. The sink, etc., should be at the end of the table toward the window. canines). A heavy twine about sixteen inches long should have been previously laid across the board just back of the upright posts. When the rod is pushed in this twine is then ready to be brought up at once and lied ax tif/litli/ as possible around the dog's mouth just back of the rod. 80 EXPERIMENTAL PHARMACOLOGY Fig. 73. Metronome for operating the electric time signal. Fig. 74. Lieb-Becker time marker made from an Ingersoll watch. Time intervals of 1 second, 5 seconds or 1 minute may be recorded. Obtainable from Mr. J. Becker, Terrace Avenue, Maywood, N. J. Price $5.50. (See C. C. Lieb: Jour, of Pharm. and Therapeutics, 1917, 9, 227.) ANESTHETIZATION OF ANIMAL 81 The operator uses both hands to draw this string tight, and when the first knot is tied the assistant places his right thumb over the knot to hold it tightly while the second knot is tied. Why should this string be tied so tightf/i/ Fig. 75. Harvard time clock. The average student will probably find out before the first experiment is finished. The towel is now quickly tucked down over the dog's, mouth and nose and a little ether is poured on. The most steady and reliable student in the 82 EXPERIMENTAL PHARMACOLOGY Fig. 76. Jaquet chronograph (records in intervals of 1/5 second and 1 second). V Fig. 77. Two forms of time clocks. (Both made by E. Zimmermann, Leipzig and Berlin.) The large clock (Bowditch-Baltzar) marks intervals of 1, 2, 3, 4, 5, 10, 15, JO, 30 and 60 seconds. ARRANGING FOR OPERATION 83 group now takes charge of the anesthetic and henceforth directs his attention solely to this ivork. Quickly slip the cords (each of which lias a slip noose, Fig. 79) over the Fig. 78. Method of fastening the animal's head to the dog board. Fig. 79. Heavy string with slip noose ready to put around the fore limb. fore legs up to the elbows (Fig. 80). Draw these cords tightly and then wrap the ends around the screw eyes at the edge of the dog hoard (Fig. 81.) After the third or 84 EXPERIMENTAL PHARMACOLOGY fourth round draw the end of each cord in between the screw eye and the edge of the board. This will usually Fig. 80. Method of attaching fore limbs to the dog board. Fig. 81. Method for quickly fastening the string to the board without tieing any knots. hold tightly and saves tying any knots which should be avoided if possible. Stretch out the hind legs and tie them down as shown in Fig. 82. PRELIMINARY OPERATIONS 85 (b) Insertion of Tracheal and Carotid Cannulas; Isola- tion of Vagi and External Jugular Vein. As soon as the animal is securely fastened down, a median incision is made in the skin and fascia over the trachea as shown in Fig. 83. Observe with great care the teclmic shown in the illustration and follow it carefullv. Next take two aneurism Fig. 82. Method of fastening the hind limbs. needles and separate the mesial borders of the sternohyoid muscles as shown in Fig. 84. This brings into view the trachea (Fig. 85) with the carotid sheath containing the carotid artery and vago-sympathetic nerves on each side (posteriorly) of the wind-pipe. Next take an aneurism needle and hook it under the trachea as shoAvn in Fig. 86. With the largest forceps pick up by one end the heavy twine to tie in the trachea! cannula. While holding this in the forceps lift up the trachea with the aneurism needle and push the forceps (holding the twine) through the 86 EXPERIMENTAL PHARMACOLOGY fascia back of the trachea. About half the length of the forceps is pushed through below the trachea and the for- ceps are thus left in place to hold up the trachea. The end of the twine is taken out of the forceps and the twine is drawn through a little over half its length (Fig. 87). The Left hand of " Incision -thru skin . fascia fo Muscle. Fig. 83. Method of incising the skin over the trachea. twine is then tied loosely and with scissors the trachea is cut crosxn-ixi' about three-fourths in tiro (Fig. 87). AVith large sharp-pointed forceps the operator (right hand) now holds open the cut portion of the trachea while the assist- ant (right hand) pushes in the tracheal cannula (Fig. 88). This is at once tied in and connected with the ether bottle PRELIMINARY OPERATIONS 87 peedles how h> tear Fascist union, between Sferno- hyo/c/eus muscles l~ig. 84. Separation of the borders of the sternohyoid muscles with two aneurism needles. .Carotid, sheath. Conraininq Vaqo- sy/npafnerfc neri/e ^ Carol-id artery M. Sterno-hyoideus Fig. 85. The trachea is exposed and the carotid sheath is seen just to the postero- lateral border of the windpipe. 88 EXPERIMENTAL PHARMACOLOGY Operator Fig. 86. An aneurism needle is used to lift up the trachea while the forceps (holding the end of a heavy string) are passed beneath the trachea. Cut Trache? 3/y thru, cross n wise, between rinqs. loosely tied on Fig. 87. The string is tied loosely and the forceps are left in position to hold up the trachea which is cut crosswise about three-fourths in two with the scissors. PRELIMINARY OPERATIONS 89 Fig. 88. Insertion of the tracheal cannula. 7?t Carotid arkry Separate blunt pointed probe. Do/rr use ftnwe Fig. 89. lifting up the right carotid sheath on an aneurism needle. A blunt probe is then used to separate the vago-sympathetic trunk from the artery. 90 EXPERIMENTAL PHARMACOLOGY Loose liaarure, P/sCe on with, forceps^ NOT withfin y which these movements are originated and controlled. Now deepen the anesthesia and again stimulate. Is there any change in the response of ETHER, CHLOROFORM,, ETHYL BROMIDE 107 the muscles'? Again lighten the anesthesia and secure more "normal' 1 movements. Now give the animal a lit- the (not too much) chloroform and again stimulate. Are the movements affected in any way? How does this com- pare with ether? If the instructor advises it the action of ethyl bromide on the motor areas may be tried also. Re- place the animal in the usual position and re-adjust your apparatus. Fig. 102. "Straight" glass cannula. Several different sizes of these are often needed. 3. Dissect out one femoral artery (Fig. 96) and place in it (pointing toward the heart) a small straight cannula (Fig. 102). Leave a bull-dog clamp on the artery proxi- mal to the cannula. Into a test tube draw off about three or four cubic centimeters of blood from the artery, and at once pour an equal quantity of ether into the blood. Shake the two together for a few seconds and set the tube Fig. 103. Hand bellows. aside for two or three minutes. Then observe the appear- ance of the blood. Can you detect any changes? How do you explain this? 4. Kepeat this with chloroform. Do these tubes of blood clot? 5. Repeat with ethyl bromide. 6. Cardiometer. Arrange for artificial respiration. If 103 EXPERIMENTAL PHARMACOLOGY possible this should be done with a thoroughly reliable res- piration machine (Fig. 360). If this is not available then use a hand bellows (Fig. 103). Prepare a needle and thread and four strong twine (heavy) strings about eighteen inches long. With the scalpel make a median longitudinal incision in the skin and fascia over the sternum. The incision extends from the root of the neck to the end of the xiphoid cartilage. When the fascia and muscular layers come into sight a number of blood vessels will be seen passing mesially in pairs to the midline of the sternum where they pass into the chest. Do not cut these vessels if it can be avoided Fig. 104. Bancage taw. (which is sometimes impossible). In the center line it is usually possible to cut between the ends of each pair of vessels and thus avoid much hemorrhage. If a vessel is cut clamp it with a hemostat. The bleed- ing should soon cease. Have plenty of absorbent cotton (in small wads) at hand to sponge off the operative field. When the center line of the sternum is reached then take, a saw (Fig. 104) and saw open the chest as shown in Fig. 105. Start tie artificial respiration as soon as any open- ing is made into the chest. It is exceedingly Important to keep the incision in the center line. If this is done prac- OPENING THE CHEST 109 tically all important blood vessels will be avoided. Just inside the chest the mammary vessels will be found on each side of the midline. These vessels should be sepa- rated, each pair remaining attached to the under surface of its corresponding side of the sternum. If one of these vessels is cut it must be quickly caught with a hemostat and then a string is pushed (with the large sharp-pointed forceps) through the chest wall close to the lateral sternal Fig. 105. Method of opening the chest by a median incision. border and the end brought around inside the chest. This string is now tied firmly and should shut off the vessel on one side of the cut place. But a second string is generally needed on the opposite side of the opening in the vessel to prevent hemorrhage from the other end of the vessel. All hemorrhage should be checked before one proceeds with the experiment. When all bleeding has stopped then (with the forceps) pass the four large twine strings through 110 EXPERIMENTAL PHARMACOLOGY the margins of the chest avails as shown in Fig. 106. Tie these ends, draw the chest wall open, and fasten the strings to the operating board as shown in Fig. 107. This fully exposes the lungs and the heart which is cov- ered by the pericardial sac. Did you see the anterior mediastinum? What became of it? With scissors open the pericardium in the midline. Then bring the cut edges of the pericardium out laterally and sew them (with two or three stitches on each side) to the chest wall. This forms a kind of hammock in which the heart lies. The animal must be given sufficient ether to keep it quiet all the time. Observe carefully the beating of the heart and the movements of the lungs. Did the blood-pressure fall much when you opened the chest? It should not. Does the heart rise and fall as the lungs are inflated and de- flated? If so, try to reduce the extent of inflation a little and see if the animal does Avell (blood-pressure remains normal and convulsive movements do not appear). This rise and fall of the heart is the most troublesome thing concerned in the taking of heart tracings. Now take the cardiometer (Fig. 108) and stretch the rubber membrane outward from the opening, rolling part of the edge of the membrane back over the metal rim. Now place the cardi- ometer down over the heart (ventricles only, see Fig. 107) and bring the membrane down to the auriculo-ventricular groove. Roll the edge of the membrane off the metal part and allow the opening in the membrane to close around the auriculo-ventricular groove. Does the blood-pressure re- main normal? If not, wait a little and if necessary re- adjust the cardiometer. Connect the cardiometer tube with a recording tambour which may write either above or be- low the blood-pressure, depending on whether the pressure is low or high respectively. Adjust all writing points and take two or three inches of "normal" tracing. The cardi- ometer record should be one or two inches in amplitude. Tig. 106. Method of exposing the left pulmonary artery and vein. /-. lung. P, phrenic nerve lying on the pericardium (//) over the heart. D, the diaphragm. CARDIOMETER TRACINGS 111 Stimulate one vagus nerve and see how this affects the tracings. Allow the heart to recover and take two inches more of "normal" tracing. Now crowd on the ether and note the effect on the pressure and cardiometer tracings. What does the cardiometer tracing show with respect to the heart? Be sure you describe this fully and correctly in your notes. Faucet from artificial resp/'rafro/) Ha^d machine Fig. 107. Method of applying the cardiometer over the ventricles. Artificial respi- ration is carried on either with a hand bellows or by an artificial respiration machine. The ether bottle has a by-pass so the amount of anesthetic can be regulated. The excess air escapes through the tube in the straight end of the tracheal cannula which is regu- lated by the screw clamp to give the desired amount of expansion and exhaustion of the lungs. Allow the animal to recover and then give it some chloro- form. How does this compare with ether? Now inject one-half cubic centimeter of adrenaline. Plow does this affect the heart? Is the drum going fast enough to show the individual heart heats? Allow the animal to return to normal and then give it EXPERIMENTAL PHARMACOLOGY some ethyl bromide. How does this affect the heart! In- ject a little adrenaline and let the animal recover. (It will be interesting to try ethyl chloride also. It can be sprayed into one of the rubber tubes going to the tracheal cannula. To do this an extra T-tube may be placed in the circuit. ) Fig. 108. Cardiometer. (See also Fig. 143.) 7. Dissection of Pulmonary Artery and Vein. Remove the cardiometer and cut the stitches that hold the peri- cardium to the chest wall. Pull the pericardium and heart all over toward the right side of the animal. Observe the left pulmonary veins at the root of the lung. Observe Fig. 106 closely. At the base of the heart observe the aorta passing back posteriorly and then turning caudalward. In the hollow of the arch of the aorta between it and the heart a curved eminence covered with white fascia will be seen coming from the base of the heart and passing down- wards, outwards and backwards into the lung beneath the most prominent pulmonary vein. With a blunt probe care- fully dissect away some of the fascia over the curved emi- NITROUS OXIDE,, CARBON DIOXIDE, OXYGEN 113 nence, and the left pulmonary artery can be seen passing out into the base of the lung. Place an aneurism needle beneath the artery, raise it up and clear a section of the artery about three-fourths of an inch long with the probe. Could you put a cannula into this artery and record the pulmonary blood-pressure! The heart will probably have ceased beating by this time. If it has not, stop the respira- tion and let the animal die. // time permits it will be very instructive to try to revive the heart by massage and by injecting adrenaline. Keep up the artificial respiration during these efforts. EXPERIMENT VI. Nitrous Oxide, Carbon Dioxide, Oxygen. (Frog: Central Nervous System.) 1 . Place a frog in a one pint milk bottle as shown in Fig. 109. Arrange a nitrous oxide tank (and an oxygen tank also if the laboratory can afford one if not omit the oxy- gen) as shown in the illustration. The apparatus shown in Fig. 110 may also be used if a nitrous oxide tank is not available. Observe (and count) the rate of the frog's res- piration, lymph heart beats and heart beats. Note the size of the pupils, position which the frog assumes, etc. Now open the N 2 tank a little and run into the bottle a very small amount of the gas. Make a note of the time of day. The outlet must be opened as the gas is run in, for these taiiks may have 1000 pounds or more pressure to the square inch and would quickly burst the bottle or blow out the cork. AVatch the frog carefully as it begins to breathe the gas. Does it show any signs of suffocation? There was already sufficient oxygen in the bottle to run the frog some time. Gradually run in more N 2 and watch carefully for the first symptoms shown by the frog. As the atmosphere in the bottle becomes more and more filled m EXPERIMENTAL PHARMACOLOGY with the gas the frog will manifest distinct symptoms. How long does it take to completely anesthetize the ani- mal? When this stage is reached count the respirations, lymph heart beats and heart beats. Inject a little oxygen from time to lime and see if the animal comes out from Wheel wrench Fig. 109. Administration of nitrous oxide or oxygen to a frog. under the anesthetic. As the oxygen increases in the bottle the frog will recover. How long does this take and how long a time is required to anesthetize the frog in the first place? How does this anesthetic compare with ether or chloroform or ethyl bromide? 2. Place another frog in the bottle. Note the time of NITROUS OXIDE ANESTHESIA 115 day. Turn on the N 2 and fill the bottle at once with this gas (washing most of the air out of the bottle with the N 2 0). How long does it take to anesthetize the frog? When Fig. 110. Method for making, purifying and administering nitrous oxide to a frog. Strong solutions of ferrous sulphate, sodium hydrate and concentrated sulphuric acid are placed in the wash bottles. Fig. 111. Yoke for tanks of oxygen, nitrous oxide or carbon dioxide. These yokes are attached to the tanks and a rubber tube is slipped over the nozzle of the yoke. When the valve of the tank is opened a little the oxygen passes out through the tube. The yokes can be obtained of dealers in surgical supplies or from the Lennox Chemical Company, Cleveland, Ohio (Price $ .75). the animal is deeply anesthetized remove it quickly from the bottle and see how long it takes for complete recovery. 116 EXPERIMENTAL PHARMACOLOGY Keep a record of these periods of time. Does the frog again become completely normal? 3. Place another frog in the milk bottle. Xow inject C0 2 Oxygen -Leather washer- Nitrous oxid ^ Fig. 112. A double yoke for holding gas tanks. Made by bolting together two bars of iron. Fig. 113. Yoke for holding gas tanks. Made of gas piping and fittings (see chapter on shop work). into the bottle. This may be done from a tank or from a Guthrie generator (Fig. 11-1). Observe the effect on the NITROUS OXIDE, ETHYL CHLORIDE, CARBON DIOXIDE 117 animal. How is the respiration affected? How does this compare with the action of N 2 ? If you have oxygen, run some of this into the bottle and see if this counteracts the C0 2 . Fig. 114. Guthrie's carbon dioxide generator. Two quart milk bottles are used to hold blocks of marble 'and dilute acid (A) and the wash water (bottle B). EXPERIMENT VII. Nitrous Oxide, Ethyl Chloride, Carbon Dioxide, Increased Atmospheric Pressure, (Decreased Atmospheric Pres- sure). (Frog, Guinea Pig, Rat, Kitten, or Pup.) 1. Place a frog and a guinea pig (or other small mam- mal see that the frog is protected) in a large bottle ar- ranged as illustrated in Fig. 115. Open the outlet and run 118 EXPERIMENTAL PHARMACOLOGY some oxygen into the bottle. What effect does this have on the animals? It is to be noted that this experiment permits comparison of the relative effects of the substances ad- ministered on warm-blooded and cold-blooded animals. The Outlet Gebauer's eihyl chlorid Fig. 115. Method for studying the action of nitrous oxide, ethyl chloride, carbon dioxide, oxygen, increased (or decreased) atmospheric pressure on warm and cold-blooded animals. skin absorption or excretion of the frog should be held in mind. Increase the amount of oxygen in the bottle. Then with the greatest caution raise the oxygen pressure in the bottle by closing the outlet and opening the clip on the tube ATMOSPHERIC PRESSURE CHANGES 119 going to the manometer while more oxygen is run in. Do not Now out the mercury by turning on the oxygen sud- denly. What effect has this increased pressure on the ani- mals f 2. If a suction pump (or negative air pressure) is avail- able this may now be used. Open the outlet and connect this to the suction pump or negative pressure faucet. Open the clip to the manometer and exhaust the air in the bottle as many centimeters of mercury as the oxygen pressure has been raised. What effect has this on the animals? 3. Wait a few minutes to note how the animals act and then again open the outlet and equalize the pressure inside and outside of the bottle. Koll up four or five sticks of sodium or potassium hydrate in wire gauze and put them in the bottle in such a position that the animals cannot touch the alkali. What is the purpose of this? Be sure the alkali does not rest directly on the bottom of the bot- tle. Why? Allow the animals to become quiet again and then begin to gradually run N 2 into the bottle, leaving the outlet open as gas is injected. Bring on the anesthesia by very gradual degrees and do not excite the animal if pos- sible. Do you notice any symptoms of somnolence in either animal! Or do you note symptoms of excitement and con- vulsive jumping-like movements? After the animals be- come completely anesthetized begin to admit oxygen. How long does it take to produce complete anesthesia? Be care- ful that the oxygen does not become too low. If th ; s occurs one animal may die. Which one? Is it possible f o you to estimate how much oxygen (i. e., what per cent) you admit by closing the outlet and raising the atmospheric pressure in the bottle a given number of millimeters of mercury? Try to so balance the proportions of N 2 and oxygen in the bottle that you can maintain a regular anesthesia in the animals for ten or fifteen minutes. 4. Now gradually admit more and more oxygen and note 120 EXPERIMENTAL PHARMACOLOGY carefully the recovery symptoms. What principles are in- volved in nitrous oxide analgesia or anesthesia ? How long- does it take the animals to become normal? How does this compare with ether? 5. Eemove the alkali and allow the animals to become normal, or much better, get two fresh animals (a small tur- tle may also be included if the bottle is large enough) and then with the animals in the bottle run in a little C0 2 . Note the changes in rate and depth of respiration if any occur. Add more C0 2 . Can you produce an anesthesia with CO. :' Read this up in your text. Compare the symptoms in the two (or three) animals. Allow the animals to recover. 6. Paul Bert's Experiment. Replace the alkali in the bottle and again run X 2 into the bottle but leave the outlet open. In this way wash out the air and obtain almost a pure atmosphere of N 2 0. Do not iraste any more gas than is necessary. (As soon as marked symptoms of asphyxia ap- pear add a little oxygen.) When nearly all of the air (nitro- gen) has been run out of the bottle then close the outlet and wait a little if the animals are not unconscious and do not show too marked symptoms of asphyxia. Then slowly raise the pressure in the bottle by admitting oxygen. Paul Bert found that in an atmosphere consisting of eighty per cent X 2 and twenty per cent oxygen, hut with the pressure raised one-fourth above the normal atmospheric pressure, a complete nonasphyxial anesthesia could be produced and maintained indefinitely. Can you repeat his experiment? What gas does an animal give off in its expired air? What is the fate and mode of excretion of absorbed nitrous oxide? In what form is it carried in the blood! How does this compare with ether and chloroform or ethyl chloride or ethyl bromide! What is the purpose of the alkali in these experiments ! 7. Allow the animals to recover (or obtain fresh ones). Place them in the bottle (the alkali should also be in) and CLOSED METHOD OF ANESTHESIA then inject a small amount of ethyl chloride vapor. This is best done with a Gebaner tube as shown in the picture but other containers which may be used are also in the market (Fig. 54). If ampoules are used the neck should be filed a little and then the entire neck end of the ampoule is in- serted like a cork (air tight) into the rubber tube going into the bottle. The outlet is opened and the neck of the ampoule is snapped off by bending the tube. The ethyl chloride is very volatile and at once rushes into the bottle. Wait a lit- tle while for the drug to act. It generally acts fairly rap- idly but may require a little time for diffusion through the bottle and absorption into the animals' blood. How do the symptoms compare with those produced by ether or chloro- form? How long does it take to produce complete anesthe- sia ! If you add oxygen as needed, how long can you keep up this anesthesia with one dose of ethyl chloride? Do not give more etliijl chloride than is absolutely necessary or you may kill one or both of the animals. "Somnoform" or Brugg's mixture may be used also if the drugs are available (they can be bought from dental supply houses and are put up in ampoules). Similarly ethyl bromide may be used. A *i important for the cot to be trell filled iritli the water. Place the cork in the burette and connect the tube in the cork to a medium sized tambour which is adjusted for a fairly large magnifi- cation. Arrange this tambour to write at the top of your records; next below this should be the blood-pressure (manometer) record, below this the respiration, and at the bottom should be the base line marked bv a signal RECORDING LSOPHACHAL CONTRA' TIONS 137 magnet which records five or ten second intervals. If a metronome or Harvard clock is used, shorter time inter- vals must be employed. This may call for a faster drum spe<- Depressor nerve Cardiac nerves from the stellate ganglion Fig. 148. The innervaticm of the heart in the cat. (After Boehm. ) small fibers passing from the ganglia or the anterior loop of the annulus toward the heart. These will probably be derived from the vagus and the heart will then be slowed. Pick up some others of the small fibers lower down and stimulate them. You will probably find a fiber which does not cause any slowing of the heart and no immediate effect may follow its stimulation. But if you get a pure sympa- thetic cardiac fiber, stimulation of this nerve will, after a EXPERIMENTAL PHARMACOLOGY II 3'5> T3 S.2 g ' CC o II ~ rt < *- ^ in 03 nj o I- U "o iJ"3 '-l J2 60 ~ bo c rt 07: o ANTISEPTIC ACTION OF ALCOHOL 157 very perceptible latent period, cause a change in the heart beat either producing an acceleration of the rate or in- creasing the strength of the beat (augmentor effect). If possible, secure tracings showing these effects on the heart. How do these records compare with the action of adrena- line on the heart? Do you know of any other drugs that act on the heart similarly to adrenaline? Watch for these later in your course. Kill the animal by asphyxia. EXPERIMENT XV. Antiseptic Action of Alcohol. 1. Obtain four fermentation tubes (Fig. 150). Place a cake of yeast in two hundred cubic centimeters of water, Fig. 150. Fermentation tube. add some glucose and shake up the mixture thoroughly. Pour out enough of the mixture to fill one fermentation tube, add sufficient absolute alcohol to the mixture to make 158 EXPERIMENTAL PHARMACOLOGY a one per cent solution and fill the tube. Similarly fill the other three tubes with the mixture, but place in the second tube ten per cent of alcohol, in the third, forty per cent, and in the fourth, seventy per cent. Be sure the air is all out of the tops of the tubes. Place these in an incubator at 37 degrees Centigrade (or in a warm room) until the next day. Then examine the tubes and record any obser- vations you may make. A culture of colon bacilli may be used instead of yeast. EXPERIMENT XVI. Alcohol, Brandy, Urethane, Chloral. (Dog: Blood-pressure, Respiration, Cerebrospinal Fluid, Kidney or Spleen.) 1. Etherize a dog and arrange for blood-pressure and respiratory tracings. Provide two injecting burettes (one containing adrenaline, the other twenty per cent alcohol). Turn the dog's head to the left, trephine the skull (see Figs. 97 and 100; also read Experiment V, 2, page 103). Make the trephine opening in the skull as carefully as pos- sible so the edges will be smooth and regular. With small scissors cut away the dura mater over the area covered by the opening. Do not injure the brain and try to avoid all hemorrhage. NOAV place a perforated (rubber) cork tightly in the opening so that solutions cannot leak around it. The cork must not press on tlie brain. The perfora- tion in the cork carries a small (5/16 inch) glass tube. This tube is filled Avith salt solution and then connected by rubber tubing to a small water manometer (Fig. 151). From the funnel the manometer and tubing are filled with normal salt solution, the glass tube in the cork is filled with salt solution from a pipette, and the rubber tube is slipped over the glass tube. This makes a complete fluid connection between the cerebrospinal fluid in the subdural spaces and the meniscus of the salt solution in the left hand limb of the manometer. For adjustments in pres- RECORDING CEREBROSPINAL, PRESSURE 159 sure, the manometer can be moved up and down on the stand. The dog's head can now be rotated back to the original position and the pin put through between the teeth. Mark on the glass (or record from the scale) the level of the meniscus. Adjust the apparatus to record blood-pressure and res- piration. If you have a small and very sensitive tambour you may also connect this to the top of the manometer tube Fig. 151. Arrangement of apparatus for recording the pressure of the cerebrospinal fluid. (left) and try to record changes in the pressure of the cerebrospinal fluid. Otherwise simply observe and write down the variations which the manometer shows. Becht at the University of Chicago records intracranial pressure by means of a long glass tube inclined upward at a slight angle from the horizontal. In this way a slight increase in pressure moves the fluid in the small bore of the glass tube. 160 EXPERIMENTAL PHARMACOLOGY 2. With a medium tetanizing current stimulate the right vagus nerve for a second or so. How does this affect the respiration, blood-pressure, and cerebrospinal pressure? What mechanical factors are involved ? Xow inject one- half cubic centimeter of adrenaline and repeat your obser- vations. What mechanical factors are concerned? When the records return to normal inject two cubic cen- Fig. 152. Spleen oncometer for dogs. A little less than natural size. timeters of alcohol. Note the effect on the circulation and respiration and then estimate how much larger dose you can safely inject. When the records return to the nor- mal inject more alcohol and watch carefully for changes in the cerebrospinal fluid. It may be necessary to inject three or four times to produce any results. "What do you ob- serve! How do you explain this? Stop the drum and wait ten minutes to allow the animal to recover and to see ADJUSTMENT OF ONCOMETER 161 if other changes occur in the pressure of the cerebrospinal fluid. The anesthesia should be as nearly perfect as pos- sible while the above parts of the experiment are being performed. 3. With a median longitudinal incision now open the abdomen and place hemostats at each side on the edges of the wound. Pull upward and outward on these (two) hem- ostats and expose the viscera. Do not manipulate these organs any more than you can help or the animal may pass into a condition of shock. Keep Hie Intestines inside the abdomen. If you have a spleen oncometer (Figs. 152 and 153) this is easiest for a beginner to adjust. Gently pull Fig. 153. Spleen oncometer for dogs. About one-half natural size. the spleen forward and fit it into the oncometer, close the instrument and place it back into the abdomen, attach the tube for the tambour and close the abdomen air tight with three or four hemostats. (Sew it up if you do not have hemostats.) The abdominal wound must be closed tightly and there should be no internal hemorrhage. If you have a kidney oncometer (Figs. 154 and 156) instead of one for the spleen, then refer to Fig. 158, and in the manner there shown expose the left kidney. Do not injure the renal ves- sels but gently lift up the kidney and slip it into the on- cometer. Carefully avoid catching loops of the intestines or a piece of the omentum in the oncometer. Close the lid and fasten the latches (or put on the rubber band) and connect the tube for the tambour. Carefully replace the 162 EXPERIMENTAL PHARMACOLOGY Fig. 154. Kidney oncometer (natural size for medium sized dogs). Front view. Made of sheet brass. Fig. 155. Rear view of same oncometer shown in Fig. 154. OISTCOMETERS 163 ]''ig. 156. Front view of kidney oncometer made of a round metal pill or ointment box. Closed by a rubber band. 1'ig. 157. View showing the oncometer partly open. This oncometer can also be used well for a loop of the intestine. 164 EXPERIMENTAL PHARMACOLOGY intestines around the kidney and close the abdominal wound tightly. The recording tambour should have a fairly large bowl and the magnification should be large. Adjust all writing Fig. 158. Dissection showing the method of exposing the kidney from a median incision. Do not cut across the side of the abdominal wall. When the kidney is placed inside the oncometer the abdomen is closed air tight with hemostats. LK, left kidney. S, stomach. RA, renal artery. K.V , renal vein. L, ureter. /, intestine. ADJUSTMENT OF APPARATUS 165 points on the drum, recording 1 from above downward, on- cometer, blood-pressure, respiration, base line and time signal. The writing points slwuld not be in a straight line perpendicularly but should be so adjusted that each two adjacent pointers can just pass each other. 2plre, Lea -F>7?ff3ffee. Fig. 159. Arrangement of apparatus for making several records at the same time on the drum. The proper adjustment of these tambours, etc., is one of the most dif- ficult parts of the whole experiment. Suitable stands which can be placed close to- gether at the bottom aid greatly. (See chapter on shop work.) 4. Start the drum and inject one-half cubic centimeter of adrenaline. Make a small cross just under the position of each record at the moment of injecting the drug. Do you get a satisfactory record? The purpose of this in- jection is to show you what a good spleen or kidney volume tracing should look like. Consult the instructor to get his opinion of your record. 166 EXPERIMENTAL PHARMACOLOGY Now stimulate one vagus nerve and record the result. When all the pointers return to normal inject a fair sized dose of alcohol. Does this affect the blood-pressure? How does the spleen or kidney tracing obtained now compare with the one produced by adrenaline ? How do you explain this? What mechanical factors are involved? Inject an- other dose of adrenaline and see if you can determine two phases to the adrenaline action. How do you explain this? Now obtain tracings showing the action of brandy, ure- thane (ten per cent solution, two cubic centimeters for the first injection), and chloral (four per cent solution, one cubic centimeter for the first injection). The oncometer tracing is liable to become unsatisfactory after three or four records have been obtained from it. Can you deter- mine what this is due to! (See Fig. 160.) How do ure- thane and chloral affect the blood-pressure and respira- tion? Which is the more active drug? Kill the animal by closing off the respiration. Do you get an oncometer tracing? How is the blood-pressure affected? 5. If time permits, carry out the following dissections : Open the chest by a median longitudinal incision and pull the heart (pericardium) over to the right side. Deep down in the chest (behind the diaphragm as it arches upward) and a little way latterly from the median line you will find the esophagus and the aorta. These can be traced down from the upper part of the chest and from the heart. Look for the vagus trunks on the esophagus (Fig. 161). Be- neath the pleura at the side of the spinal column you can find the main branches of the thoracic sympathetic. Pick these up and trace them down behind the diaphragm. Open the abdomen, divide the diaphragm, and pull the stomach and liver to the right. Can you trace the passage of these sympathetic fibers from the chest down into the abdomen? Observe carefully the exact position which the fibers occupy and see into what kind of a structure thev pass. If the stomach, liver and diaphragm were in their \ \ Fig. loO. Illustration showing the appearance of the blood-vessels in the ears of a white rabbit. (By permission of Seelig and Joseph.) "To show the contrast between the constricted vessels still connected with the vaso-constrictor center (left ear) and the control dilated vessels that have been disconnected from that center (right ear). Drawing made late in the experiment when the animal was apparently in a state of deep shock. The strong vaso-constriction in the left ear was replaced by a wide dilatation as soon as the connection of this ear with the vasomotor center was severed." (From Seelig and Joseph: Jour, of Laboratory and Clinical Medicine, 1916, i, p. 283.) This illustration shows the continued marked activity of the vaso-constrictor center in the ears of animals when they are apparently "in a state of deep shock." The student is urged to be constantly on the watch to see if he can observe a similar action of the center on the vessels of the kidney, spleen, or intestinal loop as indicated by the character of the oncometer records in animals which do well in the early part of an experiment but pass apparently into "a state of deep shock" in the later stages of the experiment. In this case how would the oncometer records be affected? Fig. 161. Dissection (dog) showing the position of the left pulmonary vessels and the sympathetic trunk in the chest above the diaphragm. Ms, mediastinum; Jl/T 1 , mammary vessels (seen through the mediastinal membranes); T, thymus; / ', vagus trunk; Pa, left pulmonary artery; Pvs, left pulmonary veins; H, heart covered over by the pericardium. The connection of the pericardial sac to the diaphragm is torn loose from the diaphragm at the edge, P; Ph, left phrenic nerve lying on the pericardium; Lit, lower lobe of The left lung; V, V, branches of the vagus trunks on the esophagus, Oe; Ao, aorta; Sy, sym- pathetic trunk; D, D, diaphragm; /."', liver; S, edge of stomach. PRACTICE DISSECTIONS 167 normal position, could you now find these same fibers in the abdomen! Consult Figs. 158 and 162. Perform a similar dissection on the right side. Could you find these Fig. 162. Dissection to show the abdominal viscera (dog). /, intestine; O, omen- turn; D, duodenum; P, pancreas; Sp, spleen; Li', liver; S, stomach; RK, right kidney; LK, left kidney; LO, left ovary; RO, right ovary; RU , right ureter; LU, left ureter; RH . right uterine horn; LH , left uterine horn; U, uterus; R, rectum; B, bladder (pulled outward and downward). fibers and stimulate them electrically in a living animal? On which side are the fibers easier to reach? "What are the functions of the splanchnic nerves? Consult Fig. 318 to determine the general distribution of the visceral nerve. 168 EXPERIMENTAL PHARMACOLOGY EXPERIMENT XVII. Chloral Hydrate, Urethane, Paraldehyde, Chloretone. (Frogs: Central Nervous System.) 1. Into the anterior lymph sac (Fig. 66) of a frog in- ject (see Figs. 125 and 126) one cubic centimeter of four per cent chloral hydrate solution. Place the frog on moist cotton in a battery jar and observe its symptoms. Try its reflexes from time to time by touching it. Turn it over and see if it can regain its normal position. Are there any symptoms of stimulation? Some local irritation may be caused by the drug when first injected. How long does it take for the animal to become completely narco- tized? How do the symptoms compare with those pro- duced by ether, chloroform or nitrous oxide! 2. Into the anterior lymph sac of another frog inject one cubic centimeter of a ten per cent urethane solution. Care- fully observe its symptoms, noting the condition of the reflexes, power of equilibrium, etc., from time to time. How does this drug compare with chloral or ether? 3. Inject another frog with one-half cubic centimeter of paraldehyde. Observe its actions carefully and compare these with those manifested by the other frogs. What structures or organs are chiefly concerned in the produc- tion of the symptoms you observe! How would a decere-. brated frog act under paraldehyde? 4. Inject a fourth frog with chloretone solution. This solution can be made up as f ollows : Place about half a gram of chloretone crystals in a beaker and pour a few drops of absolute alcohol over the drug. The chloretone should soon dissolve. Now add water until faint traces of a precipitate (white) begin to appear. Then add just enouf/li alcohol to redissolve the precipitate. Of this solu- tion one or two cubic centimeters may be injected into the frog. (Chloretone is also sometimes dissolved in olive oil for administration to animals.) ACTION OF CHLORAL HYDRATE 169 Save all the frogs until next day and note all later symp- toms. How does the length of duration of the anesthesia compare with that produced by ether or chloroform? Do any of the frogs recover? If not, smaller doses may be tried again. EXPERIMENT XVIII. Chloral Hydrate. (Action on the Frog's Heart.) 1. Pith a frog and arrange for recording heart tracings (see Fig. 63). Obtain one or two normal tracings (show- ing the effect of vagus stimulation). Start a new round on the drum and apply four per cent chloral hydrate solu- tion to the heart with a medicine dropper. Stimulate the vagus nerve from time to time and note any changes. Con- tinue the application of the drug until the heart stops. Time the record and draw three or four horizontal com- parison lines around the drum between the records. These lines are made by rotating the drum by hand while a sta- tionary tambour pointer or signal magnet pointer marks on the drum. How did the drug affect the tonus of the heart muscle? Was the inhibitory apparatus affected? Examine the condition of the auricles and ventricle. EXPERIMENT XIX. Chloral Hydrate. (Frog: Retinal Circulation With the Ophthalmoscope. ) 1. Examine carefully an ophthalmoscope (Fig. 163). Fasten a frog to a board as shown in Fig. 164. Then with the ophthalmoscope look into the frog's eye from a posi- tion in front of the animal, but slightly from above and from the side. Turn the lenses in the instrument until you find one that permits you to see the red blood vessels in the fundus of the eye. Examine these carefully. Can you 170 EXPERIMENTAL PHARMACOLOGY detect any movement inside these vessels? The larger ones show a motion resembling that of a rapidly moving belt. Seek out some very fine vessels and watch for move- ments of the corpuscles. Can you distinguish individual corpuscles in these finer vessels'? Find a place where a Fig. 163. Electric ophthalmoscope. The small (replaceable) battery is concealed in the handle of the instrument. very small vessel divides. Watch the movements of the corpuscles as they strike against the walls of the vessel at the point of division. Can you see this in the human eye? Now carefully observe the rate and appearance of the corpuscle flow in some easily observed (very smalt) ves- RETINAL CIRCULATION CHANGES 171 sels. Keep this observation carefully in mind for later comparisons. Under the skin of the back inject with a hypodermic syr- inge one cubic centimeter of four per cent chloral hydrate solution. At intervals of five minutes or less again care- fully observe the rate and appearance of the corpuscle flo\v in the vessels previously examined. Does the frog become deeply narcotized? How does chloral affect the heart! Fig. 164. Position and method used for observing the retinal circulation in a frog. The ophthalmoscope shown in Fig. 163 is being used, but several other (cheaper) forms of ophthalmoscopes are on the market and may be equally well employed. Are the muscular walls of the vessels- directly affected by chloral hydrate? What conclusions can you draw from this experiment? You may repeat this experiment using urethane or paraldehyde or chloroform to anesthetize the frog if you have time. Later in your course other drugs, such as nitro- glycerine, amylnitrite, arecoline, atropine, etc., may also be used in this experiment. 172 EXPERIMENTAL PHARMACOLOGY EXPEKIMENT XX. Chloral Hydrate, Adrenaline. (Turtle's Heart.) 1. Pith a turtle and take a normal heart tracing. Then drop on the heart four per cent chloral hydrate solution until the beats become slow. Then drop on adrenaline solution (1:10,000) and note carefully any change in rate or amplitude of the heart record. What structures are af- fected by each drug? What conclusions can you draw from the experiment? EXPERIMENT XXI. Chloral Hydrate and Alkalies. 1. Into a test tube containing two cubic centimeters of a four per cent chloral hydrate solution pour an equal volume of potassium hydrate solution. What do you ob- serve ? Smell the mixture. What do you note ? A reaction represented by the following equation has taken place : CC1 3 CHO + KOH = CHC1 3 + HCOOK What bodies are formed? Are they soluble in water? EXPERIMENT XXII. Morphine. (Frog: Central Nervous System.) 1. Into the anterior lymph sac of a frog inject one cubic centimeter of four per cent morphine acetate solution. (The sulphate or hydrochlorate of morphine may be used instead.) Place the animal on moist cotton in a battery jar and observe its actions. Try the reflexes from time to time. Are the pupils affected? Is there any change in the respiratory movements? How does the action of the drug compare with that of nitrous oxide or chloral? If the frog becomes completely narcotized do not cast it aside ACTION OF OPIUM ALKALOIDS 173 hut carefully save it until the next day observing it several times in the meantime if possible. Do you note any changes in the reflexes at any time? Does the frog re- cover? What symptoms are exhibited during the recovery period? How do you explain this? EXPERIMENT XXIII. Thebaine, Codeine. (Frog: Central Nervous System.) Inject a frog with one cubic centimeter of two per cent thebaine solution and a second animal with one cubic centi- meter of two per cent codeine solution. Place the frogs on moist cotton in a battery jar and watch the symptoms pro- duced by the drugs. Compare these animals with the one that got morphine. EXPERIMENT XXIV. Morphine. (Chemical Test for Morphine.) 1. Add a few drops of a dilute mixture of ferric chloride and potassium ferricyanide solutions to a morphine salt so- N.I Olfactory nerves Olfactory lobe Cerebral hemisphere N.n N.vr Ha Heck- optic Hypophysis Optic lobe Cerebellum Medulla oblongata Spinal cord Fig. 165. Ventral and dorsal views of a pigeon's brain. (Modified from Wiedersheim.) 174 EXPEKIMENTAL PHAKMACOLOGY lution. A deep blue color appears. Considerable mor- phine produces a precipitate of Prussian blue. Potassium ferricyanide oxidizes morphine to oxy-dimor- phine : 2 CANO, + 2 KOH + K.Fe 2 (CN) 12 = 2H 2 O + (C 17 H 18 NO 3 ) 2 + 2K 4 Fe (CN). Morphine Potassium Oxy-dimorphine Potassium ferricyanide ferrocyanide Potassium ferrocyanide then forms Prussian blue with Cerebrum Optic lobe Cerebellum Semicircular canals Medulla oblonqata Spinal cord Fig. 166. Posterior view of the brain and semicircular canals of a pigeon. Skin (cut) Cut edge of skull bone Cerebrum Optic lobe Cerebellum External ear Trachea Semicircular canals Medulla pinal cord Fig. 167. Lateral view of the head of a pigeon showing the brain, external auditory opening and semicircular canals. GENERAL ACTION OF MORPHINE 175 ferric chloride (Autenrieth and Warren). The instructor may give you other tests for morphine if he desires to do so. EXPERIMENT XXV. Morphine. (Dog: Respiration, Excretion, Pupils, Central Nervous System, General Symptoms.) 1. Inject subcutaneously into a dog twenty milligrams (one cubic centimeter of two per cent solution) per kilo- 0/facfory bulb Optic nerve Optic chiasnid Optic tract Hypophysis - Cerebral peduncle~ Pons- Olfactory tract - Sulcus rhinalis -- Fossa lateralis idtfv^r --Pii~i form lobe -Oculomotor nerve Jrochlesr nerve -Tncjemmal nerve cX:&&r < i * nerve Corpus trapezoideum '$-- Qlosso-pharynqeal verve ' ---Vaqus nerve --Accessory nerve Acoustic P 'd --^^Q^; -' ^^' ^^ii ^N" ! x f: wM" m Spinal cord -' W t ''j^ Median fissure Fig. 168. Base of the brain of a dog. (Modified from Sisson.) gram of weight of morphine hydrochlorate (or the acetate or sulphate). Note carefully the size of the pupils and 176 EXPERIMENTAL PHARMACOLOGY watch for any change in these. Allow the animal to walk about the room and do not disturb it at first. How is the respiration affected? Does the animal vomit! If so, can yon detect morphine in the vomitns ? How is morphine ex- creted? Is there present an increase in the secretion of saliva? How do yon account for this? Does the animal defecate? How is the intelligence of the dog affected? What later changes do you note in the respiration? Are there any symptoms of excitement? Take the rectal tem- perature. When the animal lies down and becomes quiet, then try its reflexes from time to time by pinching, loud noises, etc. Eecord the respiration on the drum and watch for irregularities (Cheyne-Stokes respiration). Are there any changes in the pupils? Consult several text-books to find out what action morphine has on the dog's pupil. Would the administration of ether to a dog that had pre- viously received a dose of morphine in any way affect the action of the alkaloid on the pupil? Has the animal's tem- perature changed? Keep the animal in a quiet place (in a metabolism cage if possible) until next day and follow the course of the drug's action as fully as you can. Is the recovery complete? How long does this require? If the animal dies what will be the immediate cause of death ? If you succeed in collecting any urine test this with Bene- dict's modification of Fehling's solution. Do you get a positive test? What does this show? If you do not have this solution use Fehling's or Haines' solution. EXPEKIMEXT XXVI. Fehling's Test for Reducing Bodies. 1. Into a test tube pour five cubic centimeters each of solutions A and B. Bring the mixture to a boil. Is there any change from a clear deep blue color? If so the solu- tion is probably decomposed. If no change of color and no precipitate forms the solution is satisfactory. Add GENERAL ACTION OF MORPHINE 177 drop by drop to this warm solution five or ten drops of the urine to be tested. Wait a little while and if no reduc- tion (yellowish or reddish precipitate) appears, then again heat the mixture. A red or reddish-yellow precipitate in- dicates the presence of reducing bodies in the urine. (If no precipitate forms at once, set the tube aside for a few minutes and observe it later.) This is usually due to sugar, but other substances (e. g., glycuronic acid, etc.) may give a similar reaction. For tests to differentiate be- tween these bodies the student is referred to text-books on physiological chemistry. EXPERIMENT XXVII. Morphine. (Cat: General Symptoms, Central Nervous System.) 1. Inject into a cat subcutaneously twenty-five milli- grams of morphine sulphate (or the hydrochlorate or ace- tate) per kilogram of body weight. Observe carefully the symptoms produced by the drug in this animal and com- pare them with those exhibited by the dog that was in- jected with morphine. AVhat differences do you note as regards the pupils, intelligence, reflexes, convulsive tremors, etc. ? EXPERIMENT XXVIII. Morphine, Codeine. (Dog: Respiration, Blood-pressure, Oxygen Consumption, Urine.) 1. Arrange a dog for recording blood-pressure and res- piration. Place adrenaline in one injecting burette (femo- ral vein) and a morphine salt solution (one cubic centi- meter equals five milligrams) in another burette (femoral vein). The dog should weigh about ten or twelve kilos. If you do not have suitable apparatus omit the oxygen deter- 178 EXPERIMENTAL PHARMACOLOGY Nasal Maxillary Premaxillary Malar Lachrymal Temporal Coronal Suture Mastoid Infer parietal Fig. 169. The upper surface of the skull of a cat. (Partially adapted from Jayne. ) THE CAT S SKULL 179 m O TO p_ l-h O i-h S- r-h n p <; 3 ft / s Q> X ^ O, ^*^_,^ ^ re 3 OP Vomer. a X 0~ i f 3- 5* y> ^ ^ ^M O> J -t rnb-i -* ; A* -o' 1 i 2--o .^| o D-" 180 EXPERIMENTAL PHARMACOLOGY urination and proceed with the remaining observations. To determine marked changes in the rate of oxygen con- sumption by the animal an apparatus similar to that shown in Fig. 172 is required. (See also Fig. 175.) This con- sists essentially of the anesthetic apparatus shown in Fig. 116 but with the addition of a four or six inch thin alumi- num (or pasteboard) disc which rests (stuck on with nraci- Olfactory lobe Crucial fissure Lateral sulcus Suprasylvian sulcus Great longitudinal fissure Lateral lobe of cerebellum Posterior pyramids Cray matter of cord Oyrus Marginal is Oyrus Suprasylvius Oyrus Ectosylvius Vermis of cerebellum Ned u I Id oblongata 1st. cervical nerve Spinal cord White matter of cord Fig. 171. Dorsal surface of the brain of a cat. (Partially adapted from Daviscn.) lage) on top of the bath cap covering the large pan in the bottom of which is placed strong (not saturated) sodium hydrate solution [Ca(OH) 2 may also be added if desired] to the depth of about three-fourths or one inch. Oxygen is run into the breathing pan from the tank as needed. In the center of the aluminum disc are two small holes in which is tied a twine string about four feet long. One, two or three bull-dog forceps must usually be laid on the top of the disc to cause it to move down readily as the dog in- spires. As the dog expires the disc moves upward. These RATE OF OXV(JKX CONSUMPTION 181 Counter balancing qht Vooc.c. Graduated cylinder Fig. 172. Arrangement of apparatus for recording and measuring the rate of oxy- gen consumption. (See also Fig. 175.) The side tube of the trachea! cannula opens into the interior of the large square pan. The trough (Fig. 173) is filled with water and the breathing pan dips up and down in the water. A layer (3/4 inch deep) of strong sodium or potassium hydrate solution is placed in the bottom of the inner pan to absorb the CO 2 exhaled by the animal. If the clip on the tube leading from the graduated cylinder to the pan be closed while the oxygen tank is opened a little, the water in the cylinder will be forced up into the pressure bottle. When the cylinder is thus filled with oxygen the tank valve is closed. The oxygen remains stationary in the cylinder but can be immediately run into the pan by opening the clip on the com- municating rubber tube, as the water in the pressure bottle will quickly run down and displace the oxygen which is thus forced out into the pan. This causes the writing lever on the drum to make a sharp rapid descent. As the animal uses up the oxygen and the breathing pan slowly descends the writing point on the drum slowly goes up. (See Fig. 175.) 182 EXPERIMENTAL PHARMACOLOGY fairly rapid movements up and down correspond to the regular respiratory movements of the animal. But in ad- dition to these rapid movements a larger and more pro- Breathinq pan Inner pan Trouqh (wafer) Outer pan Respiratory openinq NaOH solution Hinge rod Oxyqen inlet Ether inlet Fig. 173. Inner construction of the pans shown in Fig. 172. These pans can be made of sheet brass or tinned iron. Pans which can be used for the purpose can often be purchased at a hardware store (or a ten cent store). (See Journal of Laboratory and Clinical Medicine, 1916, ii, p. 145; also ibid, 1916, ii, p. 94. ) Removable hinge rod Counrerbalancinq weiqhf- Stopper Ji Inches 13 xiz r. T. rtillrck Fig. 174. Lateral view of a cross-section of the apparatus shown in Fig. 172. The breathing pan is best made of very thin sheet brass (which is easily soldered and is not affected by alkalies as is aluminum). The pan should be carefully counterpoised with an adjustable weight. The dimensions are indicated in inches on the scale. longed movement of the disc occurs. This corresponds to the injection of oxygen from the tank into the pan when the disc will be lifted up a considerable distance (perhaps RATE OF OXYGEN CONSUMPTION 183 one inch), and then to the gradual consumption of this oxygen by the dog during which interval the disc will be falling (one inch). During all this time the exhaled car- bon dioxide is being absorbed by the alkali solution. The twine string attached to the disc passes over two pulleys (one inch brass wheels these should be of the best quality and can be bought at any good hardware store for about twenty or thirty cents apiece). The opposite end of the Fig. 175. A simpler arrangement for recording the rate and amount of oxygen consumption by an animal. (See also Fig. 172.) There is more chance for "lost mo- tion" by use of the flexible bath cap over the pan than with the apparatus shown in Fig. 172. (See Journal of Laboratory and Clinical Medicine, 1916, ii, p. 94.) string is clamped on to the long arm of a frog heart lever by means of a bull-dog clamp. Two clamps may be neede'd to draw the lever down readily. These clamps serve not only to hold the string to the lever but act as balancing weights as well. The heart lever writes at the top of the drum, below this is the blood-pressure (mercury ma- nometer), next the respiration (tambour connected to the 184 EXPERIMENTAL PHARMACOLOGY stethograph drum), and at the bottom is the base line and time marker. The drum should have an approximately constant slow speed. The arrangement of the apparatus and records is shown in Fig. 175. The anesthesia should be fairly light and maintained solely with ether (since morphine is injected later). If the apparatus is in good condition the anesthe- sia will be approximately constant. Observe the character of the tracing on the drum, also Fig. 180. The thin narrow curved lines in the oxygen consumption record are made while the drum is standing still. This narrow line repre- sents the downward movement of the lever as the pan is filled with oxygen. The extent of this down stroke is op- tional but should be regulated by the tension of the oxygen on the bath cap. The cap should not lie filled so full as to stretch it, as this would cause too great a mechanical obstruction to the breathing of the animal'. This must be carefully avoided. When the pan is filled sufficiently with oxygen the writing lever will have descended to a certain level on the drum. This level marks what may be termed the lower base line for the oxygen record. In filling the pan with oxygen at all later times see to it that the lever again descends to this same level as nearly as you can de- termine. This is done by watching the lever go down as oxygen is run in very cautiously. Conversely the highest point in the oxygen record may be called the upper base line for this record. If while the drum is stopped the lever be run down to the lower base line by adding oxygen to the pan, then just as the lever reaches the base line the injec- tion of oxygen is stopped and the drum is started. (It is desirable that the drum start quickly and soon reach the maximum for that rate of speed.) As the drum runs the lever moves up and down a short distance rapidly at each inspiration and expiration. We are not much concerned now with these short, rapid movements as they correspond fairly closely with the respiration tracing from the stetho- THE GENERATION OF OXYGEN i sr> Mercury bulb or funnel To anesthetic device or to reservoir lOTHl.mVUW '.IIIIIUUMI. Wash borHc Fig. 176. A cheap form of apparatus used lor making pure oxygen. Sodium per- oxide^ is placed in the left hand bottle and water is allowed to drop slowly down on to the NaoOo from the mercury bulb above. Oxygen is liberated and at once bubbles over through the water in the wash bottle. In one experiment 74 grams of sodium peroxide generated sufficient oxygen to run a IS kilo dog for one hour. At the end of this period the left hand bottle was exchanged for a second (quart milk bottle) containing a sec- ond 74 grams of sodium peroxide and this again liberated sufficient oxygen to run the animal another hour. In this experiment the closed anesthesia apparatus shown in Fig. 116 (see also Fig. 175) was used. It is advisable to use some kind of reservoir to catch the oxygen generated as the rate of liberation cannot be controlled accurately by the addition of the water. 186 EXPERIMENTAL PHARMACOLOGY graph drum. These movements do, however, with many drugs, record very profound and striking changes in the bronchioles. (Can you detect any evidence of this when morphine is injected into the femoral vein?) But the im- portant point in the oxygen record is the gradual rise of the lever as the oxygen in the pan is consumed by the dog. The rate of this rise determines the rate of oxygen con- sumption. Watch carefully and when the lever reaches a satisfactory altitude (this will vary with each experiment and the student with a little practice can estimate about when to stop), which will generally be about two inches if a large drum is used (lower and less magnified if a small drum is used), then suddenly stop the drum and at Rubber bath cap 9 das inlet 9*W Cake pan Flanqeonpan Added flanqe Gas outlet 1 Fig. 177. A simple gas reservoir made from a very shallow, wide, round cake pan with two spouts soldered into the walls. A large bath cap is stretched over the pan and serves to form an adjustable gas reservoir suitable for use with the apparatus shown in Fig. 176. A small spirometer ( 1 or 2 gallons) may also be used as a reservoir. The spirometer should be delicately counterpoised as the oxygen is not delivered from the wash bottle under a high pressure. A large, thin walled rubber bag may also be used. once run a fresh supply of oxygen into the pan. The lever comes down and when the base line is reached stop the oxygen inflow and immediately start the drum. (If the drum is exceedingly slow the oxygen can be run in while the drum is turning. This is very convenient.) When the lever again reaches its former high point stop the drum and at once reinject oxygen. This gives a saw-tooth like record. And the distance between each two consecutive teeth or descending narrow lines in the record gives a measure of the relative amount of oxygen consumed dur- ing that period of time. Tf a drug which slows the con- OXYGEN DETERMINATION 1ST sumption of oxygen is given, then the distance between the consecutive descending lines will be increased; while a drug which increases the relative consumption of oxy- To suction apparatus -Large glass tube or Liebig condenser with graduated scale (c.c.) Removable pinchcocks ' Inspiratory\ 4-1, ;. * To trachea of animal Glass tube Large glass jar or dish /Inspiratory valve Fig. 178. Dreser's arrangement of apparatus for recording the volume of air ex- pired by an animal in a given length of time. The large glass tube (or Liebig con- denser jacket; is filled with water which is supported up in the tube by the pressure of the atmosphere. The by-pass is closed and the clip on the tube leading from the milk bottle inspiratory valve is removed. When the animal inspires, air enters the in- spiratory tube, bubbles through the water in the bottom of the bottle and thence passes to the lungs. At expiration the air passes through the straight course of the tubes to the large glass jar or dish and thence is liberated in the lower end of the large glass tube. The exhaled air then quickly displaces the water and rises to the upper part of the large glass tube where it can be measured on the scale. 188 EXPERIMENTAL PHARMACOLOGY gen will cause a decrease in the distance between consecu- tive descending lines. If the instructor desires it is an easy matter to place a gas measuring device in the path of the oxygen inflow tube ' II To recording tambour Mercury bulb Hemostet Bladder cannula into beaker or to recorder Urachus Loose liqature Fig. 179. Technic for inserting a bladder cannula or for connecting a mercury bulb to record bladder contractions. (For discussion see text.) and measure the amount of oxygen run in at each filling of the pan (see Fig. 172). This is instructive and is a valuable procedure in the beginning, but with a little prac- tice the operator will be able to attain sufficient accuracy RATE OF OXYGEN CONSUMPTION 189 by simply watching the lever as it writes on the drum. A monkey wrench is better than the regular wheel wrench to control the valve on the oxygen tank where careful regu- lation is needed. It is very desirable to have the tank fastened doAvn with a clamp to the table (see Figs. 112 and 113). To obtain urine for tests the abdomen is opened over the bladder which is caught in a hemostat at the urachus (Fig. 179). The bladder is then raised a little and a second hemostat is clamped on the opposite side of the urachus in such a manner that an opening can be cut with a scalpel or scissors just between the tips of the hemostats. Be- fore this opening is made place a twine string around the upper part of the bladder (just below the points of the hemostats) and tie it loosely. Open the bladder (do not allow any urine to escape or blood to run down into the bladder if it can be avoided) and quickly insert the blad- der cannula. Tie the ligature and replace the bladder within the abdomen which is closed by hemostats. Catch the urine in a beaker and test some early to see if it con- tains glucose. When all apparatus is adjusted start the drum and take several records of the oxygen consumption in order to become familiar with the method and to get some nor- mal records. Your success will depend largely on your ability to determine exactly when to stop and start the drum and to judge when the lever has gone high enough. This is the most diffcult part of the experiment and should alivays be done by that member of the group who is best able to carry out this work. Your "normal" oxygen records should be almost exactly alike both in form and in the distance they occupy on the drum. Inject one cubic centimeter of morphine. Watch the oxygen records closely and make your changes promptly. When the records all return to normal inject three or four 190 EXPERIMENTAL PHARMACOLOGY cubic centimeters and record the results. Do you get what you expected? Does the anesthesia remain regular? How are the respiratory movements affected? Does the rate of oxygen consumption correspond with the rapidity or slowness of the respiratory movements or with the height of the blood-pressure? Would you have expected these re- sults? Now take one or two normal oxygen records and then when the oxygen lever is getting pretty well up to the top of its course inject one-half cubic centimeter of ad- renaline. Watch carefully to reset your oxygen record at the exact moment. Be sure before the adrenaline is in- jected that the rise in the manometer writing point will not interfere (catch] ivith your oxygen lever. Watch your oxygen record closely and make the changes promptly. Take at least two or three minutes to record this after the adrenaline is injected. Do you observe any peculiar changes in your records? If not, wait a Avhile and repeat the adrenaline injection. How does morphine affect the heart? Can you detect any change in the rate? Give more morphine from time to time (two cubic centimeters per dose), and see if you can bring on a Cheyne-Stokes form of respiration. Does the anesthesia become any deeper? Examine the pupils carefully. Are they in the same condition as were those of the dog in Experiment XXV? Does this agree with the text-book descriptions? Inject as much morphine as you think (from the ap- pearance of the respiration, blood-pressure, etc.) the ani- mal can safely stand. You may not get a Cheyne-Stokes form of respiration, but many small repeated doses are very liable to bring it on. Variable but constantly repeated irregularities of the respiration often appear. Allow the animal to recover a little if it will and then inject codeine (two cubic centimeters 1 c.c. = = 5 nig.). Get a record of this and then increase the dose given. After a few injections (and within half an hour), marked symp- ACTION OF MORPHINE ON OXYGEN CONSUMPTION 191 -, JU P 3 . re GO a p ' en J_ o o S3 > O CL 3 r* -r sr B* p 3-S o 3 r?S, o v o" O I X TO (W _ n> a. 3 O o> o n o tn l ~^ 1 C I? II r7'm 3 n a < 3 n> CL n i 3 P ^ re o sro n x o O 3 o 3 o 0-0 6 3 - p o 3 "? 192 EXPERIMENTAL PHARMACOLOGY toms should appear. Test the urine for glucose. Is there any reduction? How do you account for this? Kill the animal with codeine. 2. If time permits carry out the following dissections. Fig. 181. Record showing the action of adrenaline on the rate of oxygen consump- tion, uterine contractions, blood-pressure and respiration. There is a slight slowing down of the rate of consumption of oxygen which is mainly concordant with the period occupied by the fall in blocd-pressure after the large initial rise. (See Journal of Lab- oratory and Clinical Medicine, 191t>, ii. 145.) Isolate both the internal and the external jugular veins on each side. (See Figs. 133 and 183.) Note carefully in just what portion of the neck tissues these vessels are PRACTICE DISSECT IOX I!).'! located. Could you pass a large needle in at the median incision in the neck and then push it out through the tis- sues in the side of the neck in such a manner as to in- clude both the jugulars on one side in a ligature threaded through the eye of the needle? If you should thus tit 1 a ligature loosely around a portion of the tissues in the side of the neck (including both veins), and then should lift up with a moderate degree of pressure on the ligature, what effect would this have on the back How of blood through the veins to the heart? How much pressure does it take to shut off the flow through a vein? Carry your Cervical nerves Diaphragm Vaqo symp. trunk Cervical vertebrae Fig. 182. Schematic representation of the origin, course and distribution of the right phrenic nerve in a dog. (The origin varies in different animals.) dissection well down on to the longus colli muscle in the right side of the neck (Fig. 184) and find the right verte- bral artery. Pass a large aneurism needle under the ves- sel, lift it up and slip a ligature around it. What is the distribution of this vessel? Could you inject a solution from a hypodermic syringe into this vessel toward the head? How long a space would you have to operate on the vessel? If you do not find it readily, pick up the right subclavian artery and find the vertebral from this. Could you make the dissection icitlwiit getting into the chest cav- 194 EXPERIMENTAL PHARMACOLOGY ity? Pick up the right phrenic nerve. AVhat is the origin of this nerve? If you do not find it readily open the chest and locate it on the pericardium at the side of the heart. Trace it from here back up into the neck. Could you cut both phrenics in the neck icitlwut opening the chest? This is sometimes done to stop movements of the diaphragm when these interfere Avith certain records that are being- made. EXPERIMENT XXIX. Morphine, Codeine, Pantopon, Heroine, Peronine, Dionine, Narcotine or Thebaine. (Spinal Dog: Bronchioles.) 1. This is a new field of experimentation for most med- ical schools. Many drugs act vigorously on the bronchioles and it is unfortunate for medical students not to have some opportunity to perform experiments to bring out these results, for the action of these drugs is often much more striking on the bronchioles (and perhaps frequently as important) than are the corresponding actions on the heart or other organs. Several methods will therefore be given in different experiments in order to give every lab- oratory a chance to carry out such experiments. The best (but perhaps the most complicated) method will be given in Experiment LXX. For peripherally acting drugs it is advisable to use spinal dogs. (Cats may also be used for this work but dogs are better.) Before starting the experiment be sure to arrange for a reliable source of artificial respiration. This should be from an artificial respiration machine, but a hand-bellows fixed to open only a given distance (to regulate the stroke) may answer. Etherize a dog and arrange it for a blood-pressure trac- ing. Place injecting burettes in connection with the fem- oral veins. One burette contains adrenaline (1:10,000), the other an opium alkaloid. Any one of those at the head Exf. jugular vein... Carotid artery - Inf. juqular v.~ Transverse scapular cervical ascending arteries Subclavian vein Fig. 183. Dissection of the lower part of the neck and upper part of the chest on the right side in a dog. (Modified from Schmiedebcrg. ) Ext. jugular vein ^^ Carotid artery Int. jugular vein-^. N Vaqo sympathetic x nerve x Vertebral artery % vein^ Deep cervical artery .\ Transverse scapular ascending cervical arteries^ Rt. subclavian artery* Rt. mammary artery Fig. 184. Dissection of the lower part of the neck and upper part of the chest and of the axillary region in a dog. (Modified from Schmiedeberg. ) BRONCHIAL ACTION OF OPIUM ALKALOIDS 195 of this section may be used, but either heroine, codeine or dionine will probably give the best results. Be sure the drug is fresh and of first-class quality. Codeine possesses some advantages in this respect. The strength of the solu- tion chosen should lie five milligrams to the cubic centi- meter. With great care to avoid opening tlie chest at the apex dissect down on the right side of the neck (see Experiment XXVIII, 2; also Figs. 183 and 184), and pick up the right vertebral artery. Place a ligature around the vessel and tie the ligature once loosely. The ends of this ligature are brought together and clamped with a hull -dog so it can be found readily. Now with a large (five or six inch) Fig. 185. Large needles for sewing with heavy twine. needle (Fig. 185) pass a ligature of heavy twine through the tissues in the side of the neck in such a manner that both jugular veins will be included. The carotid artery and vagus nerve must not be included. The ligature passes out through the skin at the side of the neck. The two ends of the ligature are brought together and tied once loosely and clamped with a hemostat. Another ligature is simi- larly placed on the opposite side so that in this way the chief venous return flow from the head can be quickly clamped off. Now fill a small syringe (two cubic centi- meters) of good quality with chloroform. The point of the syringe should be as small and as short as possible. A cheap syringe is very liable to leak chloroform. Get all apparatus properly adjusted and then lift up the vertebral artery on an aneurism needle and insert the syringe point 196 EXPERIMENTAL PHARMACOLOGY into the lumen of the artery pointing toward the animal's head. This should be done with great care and no chloro- form should be emptied out in the wall of the vessel. The assistant now takes hold of the ligatures (hemostats) that Fig. 186. Brass tube (//,. inches long and J4 inch in diameter) with (separable) spear point to be passed through the chest for recording lung volume changes. The holes cover a space about 2 I / 2 inches long. control the jugular veins and gets ready to close off (by pressure) these vessels. It is advisable for a second as- sistant to put a bull-dog clamp on the left carotid at this moment. The operator then injects the chloroform (one To recording tambour Requlatmq by pass I Perforated brass tube - 6t /n fere 05 fa/ space Fig. 187. Arrangement of animal for recording lung volume changes. (For descrip- tion see text.) or two cubic centimeters) into the vertebral artery. This chloroform quickly reaches the brain and destroys all parts with which it comes in contact. The blood-pressure falls CHLOROFORM INJECTION INTO VERTEBRAL ARTERY 197 rapidly and artificial respiration must be started at once. Close off the jugulars immediately and tie the ligatures firmly. Be sure the lungs are well inflated but do not burst them. Remove the ether quickly as no further anesthetic is needed. If your first injection does not succeed well, make a second one into the left carotid artery. Luckhardt -Cenfaqrade thermometer Fig. 188. Arrangement of apparatus for keeping the systematic blood-pressure at a constant level during the action of drugs which produce marked changes in the caliber of the arterioles. The cannulas in the femoral arteries are connected with a siphon tube which dips in a beaker containing warmed salt solution (or whipped or hirudinized blood). Hirudin is injected intravenously to prevent clotting of the blood. The alti- tude of the beaker above the animal regulates the pressure which can be maintained in the blood vessels. This is read off from the mercury manometer. If the vessels contract blood is forced over into the beaker but the arterial pressure does not rise. When the vessels (arterioles) dilate the blood siphons back into the femoral arteries. has succeeded well by making- injections into the carotid artery alone. (Some workers have obtained good results by injecting a three per cent suspension of starch gran- ules into the carotid artery.) This is easier than inject- ing the vertebral on account of the dissection, but the me- dulla may not be well reached through the carotid. In a 198 EXPERIMENTAL PHARMACOLOGY Fig. 189. This lung volume and blood-pressure record was taken from a dog by the use of the blood-pressure regulating device shown in Fig. 188. The lung record was taken by means of (positive) artificial respiration (using the tube shown in Fig. 186 and the method illustrated in Fig. 187). The purpose of the. tracing was to show that con- traction or dilatation of the bronchioles is practically entirely independent of the changes in systemic blood-pressure. The slight variations in the course of the carotid pressure tracing were due to the great suddenness of the extensive changes in caliber of the arterioles produced by the action of the drugs, i. e., the contraction of the arterioles occurred slightly quicker than the blood could siphon over through the small pointed cannulas into the beaker. But if no equalizing device had been used the carotid pressure would have risen above the top of the lung tracing. BRONCHIAL ACTION OF OPIUM ALKALOIDS 199 spinal dog the blood-pressure will be about one inch above the base line on the drum. Do not be alarmed so long as it remains this high and is not falling. If any of the chloro- form gets back to the heart, the dog may die quickly. If the animal is about to die inject one-half or one cubic Fig. 190. Blood-pressure and bronchiole tracings showing the action of morphine in a dog. These tracings were made by the method described in Experiment LXX, page 287. centimeter of adrenaline. When the blood-pressure is reg- ular, then pass a brass tube (Fig. 186) directly through the chest walls at the level of the ventral border of the sixth intercostal space (see Fig. 187). To do this make 200 EXPERIMENTAL PHARMACOLOGY an incision through the skin on each side in the proper place. Then push the spear point of the tube right through the muscular walls from side to side. Do this as the lungs are deflated. Be sure the tube passes inside the chest cav- ity and does not slip along under the parietal pleura just HH.'fi I I 11 /-I 0,000 Fig. 191. Blood-pressure and bronchiole tracings showing the action of pantopon. (Pantopon, or pantopium hydrochloricum, is the hydrochloric acid extract of the total alkaloids of opium very soluble in water, sold by IIoffmann-LaRoche Chemical Works, New York.) BRONCHIAL ACTIOX OF OPIUM ALKALOIDS 201 below the sternum. Eemove the spear point from the tube and place on this end a piece of rubber tubing carrying a screw clamp. This is to regulate the amount of air going into the tambour which is attached to the other end of the tube. Clamp the brass tube tightly in the chest walls Fig. 192. Blood-pressure and bronchiole tracings showing the action of peronine. "Epinine" failed to cause dilatation of the bronchioles and the animal died of asphyxia. It could easily have been saved by forcibly dilating the lungs mechanically to check the asphyxia. 202 EXPERIMENTAL PHARMACOLOGY by hemostats on each side. The tambour should have a large boAvl (three inches, see Fig. 14). Bring the writing- point of the tambour on to the drum above the blood-pres- sure and adjust the tambour to give a tracing about two or three inches high. The force of the respiration may have to be changed to give this. The rate of inflations Fig. 193. Blood-pressure and bronchiole tracings showing the action of dionine. Adrenaline caused a prompt dilatation. The method used is described in Experiment LXX, p. 287. should be about twenty or twenty-five times per minute. Start off the drum (slow speed) and take one or two inches of normal record. Then inject five cubic centimeters of the opium alkaloid solution. The blood-pressure falls at once but the heart should not stop. What does the lung BRONCHIAL ACTION" OF OPIUM ALKALOIDS I'D:; volume show? Did you get what you should get? "\Vhen the action of the drug has become very marked inject one cubic centimeter of adrenaline. How does this affect the blood-pressure and lung volume? Does the one depend Fig. 194. Blood-pressure and bronchiole tracings showing the action of narcotine. on the other! (They do not each is mainly independent of the other; see Figs. 188 and 189). When the records again become normal then inject six cubic centimeters more of the opium alkaloid. Do you get a second lung volume tracing? Inject some adrenaline to 204 EXPERIMENTAL PHARMACOLOGY revive the animal. Now stimulate each vagus nerve in the neck to see the effect on the heart and lungs. What is the innervation of the heart and bronchioles ? If the animal is still in a suitable condition, inject six cubic centi- meters, of a different opium alkaloid. Do you get lung records! Give some adrenaline to help revive the animal. The abdomen may now be opened by a three inch median Fig. 195. Respiratory and blood-pressure tracings from a dog showing the progres- sive actions of narcophine (Straub), narcotine and morphine. The peculiar irregularity of the respiration is developed early and leads to the Cheyne-Stokes type of respiration. What is the cause of Cheyne-Stokes respiration? Does the peripheral action of these drugs (note the size of the doses) have anything to do with the respiratory disturbances? The vagi were intact. longitudinal incision down near the pubic symphasis and the bladder lifted up as described in Experiment XXVIII, page 189. The animal will probably be dead by this time. Could you thus pick up the bladder and place a cannula in it in this manner in a spinal dog without letting the ani- ACTION OF CANNABIS INDK'A 205 mal die? How might you do such an experiment and avoid opening the abdomen after the brain of the animal was destroyed? "What are the main differences that you note between the reactions and vitality of a spinal dog as com- pared with a normal animal? Fig. 196. Method of administering capsules, pills or tablets to dogs. The tongue is pulled forward and the prepared dose is dropped far back in the mouth. The jaws are held closed and the animal is gently slapped under the throat, or a little water may be given. The method illustrated is frequently used in testing (standardizing) cannabis indica preparations. The U.S. P. doses are: fluidextract 0.03 cubic centimeter, extract 0.004 gram and tincture 0.3 cubic centimeter per kilogram of body weight, for small or medium-sized, smooth-haired (preferably fox terrier) dogs. Doses not larger than these should produce incoordinatioii (best observed when the animal is standing still) and slight ataxy in walking. The animal should be kept in a quiet room and the symp- toms may not become marked (or even perceptible) for one or two hours. In three or four hours the symptoms entirely disappear. The administration of 3/4 grain of "can- nabinole" in oil (in globules) to a dog weighing about 4 to 6 kilos, is recommended for demonstrating marked symptoms. (For the method of standardization of cannabis indica, see U.S. P., ix, page 60S.) One may destroy the cerebrum only in an animal and thus leave the medullary centers intact. This is easiest done in a cat. Normal respiration may go on (no further anesthetic is needed) and the blood-pressure remains high. 206 EXPERIMENTAL, PHARMACOLOGY EXPERIMENT XXX. Heroine or Codeine. (Spinal Dog: Blood-pressure, Lung Volume and Bladder Contractions.) 1. Examine carefully the apparatus shown in Figs. 197 and 198. Arrange a dog (ten or twelve kilos) for record- Fig. 197. Mercury bull). ing blood-pressure. The injecting burettes contain heroine (one cubic centimeter equals five milligrams) and adrena- line (1:10,000). Arrange for artificial respiration. Open the abdomen and pick up the bladder. Insert into it at the urachus a glass tube connected with a mercury PRELIMIjSTARY OPERATIONS 207 bulb. (See Figs. 198 and 199 for teelmic and apparatus; also see Experiment XXVIII, page 189.) Use a large bowled tambour to record the bladder contractions. If the bladder is full of urine do not allow more of this to escape than can be avoided. Arrange the mercury bulb as shown in Fig. 199 and fill the bulb about two-thirds full of warm salt solution. Insert the cork which carries a glass tube to connect with the tambour. It is best not to connect the tambour tube until the lung shield is inserted and the dog Air Mercury bulb zso c.c. Salt solution Larqe bowled recording tambour Class or metal tube orooved where tied into bladder wall. Abdominal wall Fig. 198. Arrangement of apparatus for recording bladder contractions. A catheter passed through the urethra may also be used sometimes to connect to the mercury bulb. is pithed, as the bladder tambour and tube would be in the way of the operation. Place a hemostat on the penis or vulva of the animal to prevent urination. By a median longitudinal incision open the thorax (start artificial respiration at once) and expose the right lung and the heart (do not open the pericardium). The anterior mediastinum should, if possible, be gently turned over to the left. Pick up both phrenic nerrc.s and cut iliem. 208 EXPERIMENTAL PHARMACOLOGY The lung shield (Fig. 200) should be dipped in warm water and inserted in the chest in such a manner that the large notch at the lower border of the shield will just pass over the pedicle and vessels of the right lung. The flanged portion w T hich turns outward at the right hand end of the shield rests on the anterior surface of the diaphragm. There is a groove in the shield between the large notch and the out-turned flange. This groove is for the passage (ine- Fig. 199. The forefinger is placed over the inguinal region just at the lower edge of the abdomen. The beating of the femoral artery should be felt just beneath. An in- cision should be made just over the area. Note the little fold of skin picked up by the forceps while the scissors are vised to cut away the skin and fascia. Do not use a scalpel here. The arrangement of the mercury bulb for recording bladder contractions is also shown. sially) of the inferior vena cava. This must not be closed off or the dog will die. Now cut a small hole in the skin of the right side about the position of the anterior border of the sixth intercostal space. Pass an aneurism needle through the muscular wall (through the skin incision) and into the chest. Be sure tlie parietal pleura does not peel ADJUSTMENT OF LUXG SHIELD I'D!) off and keep the aneurism needle from entering the chest cavity proper. Beside this aneurism needle insert another in the same opening and pull the sides of the opening thus made far enough apart to insert the bent end of the glass tube shown in Fig. 201. Be sure the pleura does not close the inner end of the tube. This is the most common source of failure in this experiment. The edge of the lung may also move up when inflated and close the tube. Watch this. With hemostats clamp the glass tube (catching the strings) air-tight in the chest wall. Now close the chest Fig. 200. Lung shield made of thin sheet brass with a wire rim soldered around the edge to add strength. A little more than one-half natural size. The large notch passes down over the pedicle of the right lung. To the right of the large notch is seen a grooved channel for the passage (mesially) of the inferior vena cava. (For method of use see text.) and fasten it air-tight either with hemostats or by sewing. Connect the glass tube to a large bowled recording tam- bour. This records the lung volume changes. The record should be about two to three inches high. The adjustable by-pass may be opened to allow excess air (which the tam- bour can't hold) to escape. (Air also will then enter the by-pass again when the lungs collapse. This exchange is approximately constant, however, with regular artificial respiration and will not interfere with the validity of the 210 EXPERIMENTAL PHARMACOLOGY record.) The animal should be firmly tied down to the operating board so the chest cannot move too much. Now pass ligatures through the sides of the neck as dp- scribed in Experiment XXIX, page 195 (see also Experi- ment XXVIII, 2, page 192 and Figs. 183 and 184). Isolate the left carotid artery and arrange to inject chloroform (one or two cubic centimeters) into it. Proceed as in Ex- periment XXIX to destroy the animal's brain, but try to Glass tube ;7b recording tambour Hemostat clamping string on corK to cftesr, Adjustable c/a/np (by-pass)' Fig. 201. Arrangement of apparatus for recording the volume changes of the right lung by use of the lung shield. The glass tube shown in the upper part of the illustra- tion has its bent end passed into the chest cavity. do this by injecting the chloroform into the left carotid artery alone. If you succeed well in this you can avoid dissecting out the right vertebral artery. The blood-pres- sure should come down at least to a height of one or one and one-half inches above the base line as seen on the drum. If the pressure does not fall, or even goes up higher, the injection has not succeeded. A very high pressure thus ACTION OF OPIUM ALKALOIDS 211 produced may last for some time and is very liable to cause the heart to stop (possibly from the extra strain). The re- spiratory movements of the dog should stop entirely. If they do not, wait a little while and make a second chloro- form injection. Sometimes the diaphragm will contract at every beat of the heart. This is due to an action cur- rent generated by the heart where the phrenics pass over it. These nerves should therefore be cut between the heart and the diaphragm (while the chest is open). The animal should now lie quietly and the blood-pressure should be about one inch or a little less above the base line on the drum. Just above the blood-pressure should be the lung volume record (about two or three inches in height), and above this about one-fourth inch should lie placed the tambour record for the bladder which is now connected up to the mercury bulb. Take about one inch of normal trac- ing. If everything is satisfactory then inject five cubic centimeters of heroine (or codeine) solution. Is there any change in the bladder? If not it may have been completely empty and contracted before the drug Avas injected. Do you get any lung volume change"? How do you account for this? What mechanical factors are involved? How does positive artificial respiration differ from natural res- piration? As soon as you get a well marked action from the drug injected, then run into the vein one cubic centi- meter of adrenaline. How does this affect your record? How do you account for this? Of what clinical use might this be? What effect does this have on the bladder? How do you explain this? Wait until the records return to normal and then inject eight cubic centimeters of the second alkaloid (codeine or heroine, or vice versa, depending on which drug was in- jected the first time). How does this drug affect the blad- der and lungs? The dose is larger than the first one given. How do these doses compare with those given to dogs to narcotize them before operations? Has the first injection 212 EXPERIMENTAL PHARMACOLOGY Fig. 202. Bladder contraction, lung volume change (bronchioles) and blood-pressure from a dog, showing the action of heroine and adrenaline. Both brain and cord were destroyed. The tracing was made by the method described in Experiment LXX. ACTIOX OF OPIUM ALKALOIDS 213 1111 Fig. 203. Tracing showing the action of codeine and "epinine" on the bladder, bronchioles and blood-pressure in a pithed dog. 214 EXPERIMENTAL PHARMACOLOGY i Hi !' ' ! Hi i ill A\vU\\H\n\nH\v Fig. 204. Tracing showing the action of muscarine (and "epinine") in a pithed dog alter the animal had become irresponsive to codeine injections. ACTION OF OPIUM ALKALOIDS 215 o 5". o S. 'i C.O SIS -o B o 3 ~. 3 I TO 3 3" y o mi 3- n trn n 3 ! o o' in P o ' i. w n n rrZ' n 2 I" B* (t 3 " 05 to cr oo Ht srt " c cr 1 O.C c -a 216 EXPERIMENTAL PHARMACOLOGY caused any permanent change in the lungs or bladder that yon can detect by the results of your second injection? Give more adrenaline to revive the animal. Do you see the reflected effects of the filling and emptying of the heart c |II-M - Flexible rubber catheter Class catheter Metal catheter Fig. 206. Three kinds of catheters. in your lung tracing? Stop the artificial respiration for a few seconds and watch for the heart action to affect the lung tracing. Fig. 207. Dissection showing the position and relation of the organs and struc- tures within the lower pelvis (dog). The pubes were sawed apart and the left side of the bone shows at L.S.P. A, probe passed into the urethra, Ur; B, probe passed in the vagina, V; R.S.P., right edge of the (divided) symphasis pubis; V, vulva; F.C., fossa clittoridis; Cl, clittoris; W. V ., vaginal wall; Bl, bladder; R.L '., right ureter entering the bladder; R, rectum; Ut, uterus. ACTIOX OF STRYCHNINE 21 < The animal will probably be very low by this time. If it is still alive and the pressure is high enough inject some other of the opium alkaloids, such as dionine, thebaine or peronine, and try to counteract this effect by injecting "epinine' : (1:1000 Burroughs, Wellcome and Company, New York). ' ' Epinine ' ;t is nearly related chemically and pharmacologically to adrenaline. 2. After the animal dies, if it is a female, try to pass a catheter (Fig. 206) through the urethra into the bladder. Consult Fig. 207 to do this. A catheter made of a very small glass tube slightly curved at the end is very satis- factory for this purpose. Could you thus pass a catheter in a living animal? Isolate the left kidney (or the spleen) and place it in an oncometer. Place a loop of intestine in an oncometer (see Fig. 157). EXPERIMENT XXXI. Strychnine. (Frog: Action on the Cord.) 1. Pith a frog and attach it to a frog board. Dissect loose the right tendo Achillis and gastrocnernius muscle but do not injure the tissues of the thigh. Cut the tendo Achillis long and drive a carpet tack through the knee joint region (avoid the artery and sciatic nerve) as shown in Fig. 208. The tack gives a firm point of attachment for the gastrocnemius muscle. Then place the frog board in a large clamp and arrange all apparatus as shown in the illustration. The drum should have a fairly rapid speed and the muscle lever should write near the bottom of the drum (leaving enough space below for the time record). With a hypodermic needle inject into the dorsal lymph sac of the frog one cubic centimeter of strychnine sulphate solution (one cubic centimeter equals one-half milligram). Wait about three minutes for the drug to be absorbed and then start the drum. The frog will soon show a marked 218 EXPERIMENTAL PHARMACOLOGY reaction and it is important to record the first manifesta- tions of this effect. The drum is kept running and pres- ently further results will be obtained. When the first round is completed lower the drum and take a second round. Blow against the frog and note the results. How do the contractions obtained on the first round compare with those of the second! After the two rounds are coin- Fig. 208. Arrangement of frog and apparatus for recording the contractions of the gastrocnemius muscle during convulsions. The animal's brain is destroyed. pleted dissect out the sciatic nerve on the back of the right thigh (see Fig. 47, page 54) and cut the nerve in two. Now stimulate the frog (blow against it) and note the re- sults on your records. What does this show? What can you say regarding the action of strychnine? Pass a soft copper wire down the spinal canal and destroy the cord. ACTION OF STRYCHNIN K 219 What effect lias this on the convulsions? Can you locate the seat of action of the drug from this experiment? In what other ways might you test out your conclusions ''. Fig. 209. Tracing showing th'e action of strychnine on the frog made liy the contrac- tions of the gastrocnemius muscle as arranged in Fig. 208. This is the usual method for obtaining graphic records to illustrate the action of convulsant poisons. This action can usually be shown quite well on frogs, and since frogs are cheaper and more easily managed than mammals, they are generally used for this purpose. The cerebrum is destroyed. 220 EXPERIMENTAL PHARMACOLOGY EXPERIMENT XXXII. Strychnine. (Frog: Heart and Vago- sympathetic Nerve.) 1. Pith a frog and destroy the spinal cord with a soft copper wire. Examine the beating of the lymph hearts (see Fig. 66) before and after the cord is destroyed. How is the beat of these affected? Fasten the frog down, ven- tral side upward, and dissect out the vagus nerve (Fig. 60). Arrange to record heart tracings on a moderately slo\v drum (Fig. 63). Take about one inch of normal tracing and then stimulate the vago-sympathetic nerve and record the inhibition and recovery. Take two inches more of the normal record and repeat the stimulation. Lower the drum and start a second round. Drop on to the heart a few drops of strychnine sulphate solution (one cubic centi- meter equals one-half milligram) and after a few seconds again stimulate the nerve. This stimulation record should be directly above the first inhibition record in the first / round on the drum. Apply more drug to the heart and stimulate again. Be sure the stimulating current is not too strong and do not continue its application to the nerve any longer than is absolutely necessary or the nerve (or its endings) may be affected. Apply more drug and then stimulate again. How is the beat of the heart affected? Is the muscle of the heart directly concerned in this? What are the later effects of strychnine on the heart when thus applied? How does strychnine affect the innervation of the frog's heart? EXPERIMENT XXXIII. Strychnine. (Turtle: Heart and Vagus Nerve.) 1. Pith a turtle and fully destroy the cord by pushing a soft copper or iron wire (No. 14 or 16) down the spinal ACTION OF STRYCHNINE 22J canal. Arrange for taking heart tracings. Dissect out the vagus nerve in the neck (Fig. 70) and record a nor- mal inhibition at two places in the lower round on the drum. Lower the drum and start a second round. Apply strychnine solution (one cubic centimeter equals one milli- frr gating fluid Requlatina screw clamp Fig. 210. Greene's method of irrigating the heart. gram) to the heart with a medicine dropper or according to Greene's method (Fig. 210) for irrigating the heart. Do you notice any immediate change in the appearance of the heart beat? Might this be due simply to the fluid moisten- ing the heart muscle (as normal salt solution would do) or 222 EXPERIMENTAL PHARMACOLOGY to temperature changes caused by applying the solution? How could you avoid these possible effects! Stimulate the vagus nerve again and record the results. What do you observe? Apply more drug (the record is made as in Experiment XXXII) and try stimulating the nerve from time to time. Are any changes observed? How do you Fig. 211.' Tracing from the heart of a turtle showing the action of strychnine. At the short bar the vagus trunk was stimulated and stopped the heart for a brief period. Subsequently a solution of strychnine was dropped on the heart (at X). The rate of beat was apparently slightly accelerated. Later (at R.l'.S.) the vagus trunk was again stimulated but could not slow or stop the heart. What structures were affected by the drug? account for this:' How does this compare with the re- sults obtained by other students? Did the turtle have any convulsions? How do you explain this? EXPERIMENT XXXIV. Strychnine. (Dog: Blood-pressure, Respiration, and Kidney, Spleen or Intestinal Loop.) 1. Arrange a dog for taking blood-pressure, respiration, and an oncometer tracing of either the spleen, left kidney ACTION OF STRYCHNINE 223 or a small loop of the intestine. For the latter record an instrument similar to the one shown in Fig. 212 may be used, or the ointment box kidney oncometer (Fig. 157) may be employed. It is necessary not to get too large a loop of intestine into the oncometer. Three inches of the small intestine bent into a small loop is sufficient. It is very desirable to fasten safety-pins through the ends of the loop as shown in Fig. 212 to prevent more of the in- testine from working into the oncometer after the experi- Pin to fasten hop of intestine Opening to receive loop of intestine Fig. 212. Glass oncometer for a small loop of the intestine. The safety pins should be passed through the edges of the wall of the intestine to prevent more of the intestine from working into the oncometer or any part of the loop from getting out. About three-fourths natural size. ment has started. This may also be accomplished by sew- ing a stitch through each end of the loop with a needle and thread and tying the thread in the small holes of the onco- meter. If the gut is allowed to keep crawling more and more into the instrument as the experiment goes on the records will soon be spoiled. When the oncometer is ad- justed then attach the tube for the recording tambour and close the abdomen securely with hemostats or stitches. 224 EXPERIMENTAL PHARMACOLOGY Why is this so import ant? The injecting burettes contain adrenaline and strychnine sulphate (one cubic centimeter equals one-half milligram). Adjust all writing points (so they will pass each other) on the drum. Keep the anesthesia moderately deep and as even as possible. The oncometer tracing should be the upper record, the blood-pressure next below, then the res- piration, and at the bottom of the drum should be the base line and time marker. The student (and the instructor) should make careful observations in each experiment to determine about what sized tambour bowls and what mag- nification should be used for each organ from which rec- ords are obtained. This will necessarily vary largely with different types of tambours and must be determined in each laboratory from experience. Take about one inch of satisfactory tracings and then inject one cubic centimeter of strychnine. What is the result? Note the time of day. After the pointers return to normal (which should be in a short time) inject one cubic centimeter of strychnine again. When the records are again back to normal inject one-half cubic centimeter of adrenaline. Do you get satisfactory records? What is the action of small (therapeutic) doses of strychnine on the heart and circulation? Slowly, from time to time, in- ject one cubic centimeter doses of strychnine and allow the animal to lie perfectly quietly. Is there any change in the blood-pressure as the action of the drug comes on slowly? After a time there will be a sudden reaction. Be sure the drum is going and that you record the result well. Do not give any more drug for a while then and wait for further developments. How is the oncometer record af- fected? How do you account for this? Be sure you are ready to give artificial respiration if it is needed. Observe carefully the actions of the face and mouth muscles when the animal shows most marked symptoms. What is meant by the expression "risus sardonicus"? Are there any spe- ACTION OF STRYCHNINE 225 cial pupillary changes ? Do you get any results resembling a Cheyne-Stokes respiration? Deepen the anesthesia a little and see if you can depress the action of the drug a little. Try touching the animal from time to time or jar the board a little and note the effect. What parts of the central nervous system are mainly affected? What is the difference between epileptiform, clonic and tonic convul- sions? How do you explain these? How long did it take for the action of the drug to come on? Do you get satis- factory oncometer tracings! What mechanical factors are concerned in the production of these? Your apparatus should be carefully arranged so you can hold the stands, etc., down firmly on the table to prevent them from being shaken out of place. Fig. 213. Glass ureteral canmila with rubber tube connection. About one-half natural size. Inject some adrenaline into the vein. How does this affect the animal? Secure records of as many typical convulsions as you can. Many of these will probably lie spoiled by movements of the apparatus. Crowd on enough ether to check the convulsions, then open the bladder and insert a cannula (or pass a catheter if you can) and close the abdomen firmly with hemostats. Draw off some urine and test it for reducing substances. What action will strychnine have on the glycogen stores of the body? How is this brought about? What mechanisms are concerned? How is strychnine excreted? Could you get a positive test for it in the urine? How long does the drug remain in the body before it is excreted? What bearing does this have on the treatment of strychnine poisoning? 226 EXPERIMENTAL PHARMACOLOGY Kill the animal by a large dose of the drug. AVliat is the immediate cause of death! If time permits open the abdomen and dissect out both ureters (Fig. 162) and trace their course to the bladder. Could you tie a cannula (Fig. 213) in each ureter and col- lect the urine from each kidney separately? What is the innervation of the ureters ? EXPERIMENT XXXV. Strychnine. (Ether, Morphine, Chloral Hydrate.) (Dog: Blood-pressure, Respiration, Oxygen Consumption, Air Embolism.) 1. Read over carefully the section on oxygen consump- tion given in Experiment XXVIII, page 177. The ap- paratus there used is of a very simple form and will be available in most laboratories. A better but somewhat more complicated form is shown in- Fig. 172. This figure shows in addition a special arrangement for measuring the oxygen each time it is run in. If only enough water be placed in the pressure bottle to allow 200 or 300 cubic centimeters (the bottom of the bottle must first be filled up to the level of the spout) to run down into the graduate* 1 cylinder at a time, then the measuring of this amount of oxygen before it is run into the pan becomes automatic and can quickly be done each time. If the oxygen tank be opened a little oxygen will be forced through the T-tube into the graduated cylinder. This oxygen is un- der pressure and will drive the water in the cylinder up into the pressure bottle. If it is especially desired for greater accuracy, the bottle can then be lowered to the level of the graduated cylinder to avoid compression of the oxygen while its volume is being measured, but this is not generally necessary, for the compression of the oxygen in the graduated cylinder by the column of water up to the pressure bottle will be the same each time and ACTION OF MORPHINE OX OXYGEX CONST MPTIOX 227 will thus not change separate readings on the drum. This automatic measuring of the oxygen saves time and should be done by the student who manages the apparatus on the drum. The measuring device can also be used on the simple apparatus shown for Experiment XXA 7 III if de- sired. Several very interesting and important actions of cer- tain drugs can be recorded either with the apparatus shown in Fig. 172 or with that illustrated in Fig. 175. Thus the short, rapid, up-and-down movements of the heart lever records the respiration of the animal even more ac- curately than does the stethograph around the body. In addition the actual relative amount of gases passing in and out of the lungs at any given period can be compared. And any general change in the volume of the lung con- tents (contraction or relaxation of the bronchioles) is well shown. For the latter purpose the short respiratory excursions of the heart lever on the drum should be mag- nified to write about one or one and one-half inches in amplitude. Arrange a medium sized dog for recording blood-pres- sure and respiration. The injecting burettes contain adrenaline and morphine (one cubic centimeter equals five milligrams). Attach the apparatus for recording oxygen consumption and take a normal record. This will involve at least one (and better two or three) complete notches on the oxygen record. Now deepen the ether anes- thesia a little (not too much) and see if this slows down the oxygen consumption. What would you expect the ether to do? Now r get the animal into a perfectly satis- factory condition and inject three cubic centimeters of mor- phine. How does this affect the oxygen record ? Can you determine whether the observed result is due to a central or to a peripheral action of the drug! Are there any evi- dences of bronchial changes! Explain. Inject one -cubic 228 EXPERIMENTAL PHARMACOLOGY Fig. 214. Tracing showing the action of morphine (and adrenaline) on the rate of oxygen consumption, on the bronchioles, respiration and blood-pressure in a dog. At the point marked "bronch. contract." in the upper record it will be seen that the curve actually turns downward for a short distance. This is due to the marked con- traction of the bronchioles forcing a part of the supplemental (or reserve) air out of the lungs. This is probably also reflected on the respiratory tracing by limiting the expan- sion of the chest. Adrenaline counteracts this broncho-constricting action of morphine and the three injections of adrenaline each causes a marked increase in the depth of respiration which lasts approximately during the period that the action of the adrenaline can be seen on the blood-pressure. Experimentally it has been shown by Guber at Zurich that animals poisoned by a minimal fatal dose of morphine recover if they be in- jected with adrenaline. How would you explain the prevention of death (from the morphine) in these cases by adrenaline? ACTION OF STRYCHNINE ON OXYGEN CONSUMPTION 229 centimeter of adrenaline. How does this affect the record? Now give a second dose (three cubic centimeters) of mor- phine and see what effect this has on the rate of oxygen consumption. Take three or four notches in the oxygen record to get the prolonged effects of the drug. Now arrange for all the drum space you can command and prepare to record the rate of oxygen consumption after strychnine. It is to be recalled that the C0 2 exhaled by the animal may vary quite as much as the rate of oxy- gen consumption for short periods of time. If a consider- able excess of C0 2 is excreted it can affect the record somewhat before it is absorbed. Will this mean a pro- longation or a shortening of the oxygen record! Will it add to or subtract from the relative length of time which a given injection of oxygen will last? Consider this point carefully in observing the manner in which strychnine acts on the metabolism. Arrange all writing points and inject one cubic centi- meter of strychnine (one cubic centimeter equals one-half milligram). Wait a little and then repeat the injection (one cubic centimeter). Continue this at brief intervals, recording carefully the rate of oxygen consumption all the time. Be sure the animal cannot shake down your apparatus when the convulsions come on. Continue giv- ing strychnine until convulsions are fully developed. How do these affect the rate of oxygen consumption ? What be- comes of the oxygen taken up by the animal ? What is the respiratory quotient? How is it determined? Examine the pupils during and after a convulsion. What do you observe? Crowd on ether and see if you can stop the convulsions. How does this now affect the oxygen con- sumption? Lighten the anesthesia and empty the strych- nine out of the burette. Fill the burette with chloral hy- drate solution (four per cent) and then just after a con- vulsion inject one cubic centimeter of the solution. How 230 EXPERIMENTAL PHARMACOLOGY does this affect the convulsions, blood-pressure, respiration and oxygen consumption! Inject more chloral from time to time and observe its general action as fully as you can. If the animal is still alive empty the chloral out of the burette, then take the burette out of the clamp and place the upper end of the empty burette in your mouth. Take the bull-dog off the femoral vein and blow some air into the vein. Replace the bull dog and watch the action of the air on the animal. What is meant by air embolism ? How may it be produced? How does it act inside the heart chambers'? In the vessels? Blow more air into the vein if necessary to kill the animal. What conclu- sions can you draw from this? Caution. The alimentary canal of the dog contains large numbers of tape worms and ilieir eggs. If these eggs are swallowed by other animals infection may occur. If time permits, dissect out the nerves to the bladder (and uterus if the animal is a female). EXPERIMENT XXXVI. Strychnine. (Student: Reaction Time.) 1. Test the acuteness of hearing of the student who is to act as the subject of the experiment. Do this by allow- ing the student to sit at a table (at complete rest) with his ear or the side of his head against a heavy stand (which must not be moved later). A watch is now moved away from the ear of the subject until the ticking can just be heard (note the position of the watch, i.e., which side is toward the subject). Mark this distance on the table or otherwise and then take the watch back to the point where the ticking just fails to be heard. Mark this point. 2. Xow refer to the arrangement of the apparatus shown in Figs. 134 and 137 (also see Experiment XIII, 1, STRYCHNINE AND PICROTOXIXK I*.')! page 144) and record the subject's normal reaction time for sight, touch and sound. 3. Take two tubes of oil (or water color) paint, one white, the other red (other colors may also be used), and with a brush on a white tile surface (pill tile) make a series of mixtures of white and red varying only the slightest degree in color. Also make several just alike. Number these and let the subject note all those between which he can just distinguish a difference. Record these results. 4. Now let the subject take a therapeutic dose of strychnine. Caul ion. Strychnine is very poisonous. The average dose is oue-sixtielh of a grain, but many physicians give doses as large as one-thirtieth of a grain. The drug i s probably best taken in the form of tablets (one-sixtieth grain) as mistakes are thus less liable to occur regarding the size of the dose. 5. AVait fifteen or twenty minutes (or longer) for the drug to be absorbed and then again test the acuteness of hearing, the reaction time for sight, touch and sound, and the acuteness of color sense with the painted spots on the tile (be sure these have not changed their color or appear- ance by drying the spots should be thoroughly dry be- fore the subject sees them the first time). Has the strych- nine affected any of these reactions! AYhere did the drug act to do this! Is the reaction in the nature of a stimula- tion or a depression? How does this compare with alco- hol! EXPERIMENT XXXVII. Picrotoxine. (Frog: Action on Medulla and Cord.) 1. Examine the arrangement of the apparatus shown in Fig. 208. Pith a frog (cerebrum only] and arrange it thus for recording contractions of the gastrociiemius mus- cle. Under the skin of the back inject one cubic centi- meter of picrotoxine solution (one cubic centimeter equals 232 EXPERIMENTAL PHARMACOLOGY i Fig. 2\>. Tracings from the gastrocnemius muscle of a frog injected with picrotoxine. one-half milligram). Wait about three to five minutes for the drug to be absorbed, then start the drum at a moderate rate of speed. After a short time the frog will begin to manifest certain symptoms. Record these (on the lower part of the drum the muscle contraction record should have an amplitude of about one and one-half or two inches) and when the first round of the drum is completed lower it and wait a short while. Then take a second round of contractions on the upper half of the drum. How do the last contractions compare with the first ones obtained'? Have you studied any other drug having a similar action? How do you explain the results'? Note. A method for destroying (cutting off) the cerebrum while leav- ing the medulla intact is described on page 238. ACTION OF PICROTOXIXE 233 Fig. 216. Tracings from the gastrocnemius muscle of a frog injected with brucine. EXPERIMENT XXXVIII. Picrotoxine,* Chloretone. (Dog: Blood-pressure, Respira- tion and Kidney, Spleen or Intestinal Loop Volume.) 1. Dissolve three grams of chloretone in about eight cubic centimeters of absolute alcohol. Then add water until a slight precipitate starts to form. Then add a few drops more of alcohol to dissolve the precipitate. Now observe carefully the method of giving drugs to dogs il- lustrated in Fig. 217. The dog for this dose of chloretone *Picrotoxine is not often used in medicine. 234 EXPERIMENTAL PHARMACOLOGY should weigh about eight or ten kilograms. Some dogs are considerably more susceptible to the drug than others. One student holds the animal between his knees and reaches forward to grasp the dog around the nose and mouth with both hands firmly. The assistant slips a gag (Fig. 218) into the dog's mouth just behind the eye teeth. Fig. 217. Method of administering medicine to a dog by means of a stomach tube. The mouth is now held closed and this prevents the dog from biting or dropping out the gag, A second assistant should hold the dog's feet to keep it from scratching. Sometimes the hind feet must be held also. An ordinary soft rubber stomach tube (or one-fourth inch rubber tube with a pointed end) is now passed through the hole in PRELIMINARY OPERATIONS the gag and back into the dog's mouth. Push the tube into the pharynx and wait a little. The animal will make swallowing movement and these help to direct the tube into the esophagus. When the tube is safely started it can be readily pushed down into the stomach. Cinttion. It not infrequently happens that the tub* 1 passes through the larynx and into the trachea. If the drug be injected into the lungs the animal will die in a few moments. This accident must be carefully avoided by using great caution in getting the tube started far back in the dog's mouth. Also when the drug is given pour a little of the solution into the funnel and wait to see what results this has. Breathing sounds may sometimes be heard by listening at the end of the inserted tube if it is in the lungs but these are un- trustworthy as similar sounds are often heard when the tube is in the stomach. fc in. Hole Rubber tubmq Fig. 218. Mouth gag for dogs, cats or rabbits. Made of wood. Allow about ten or fifteen minutes for the drug to act. If the stomach was filled with food the result will not be the same as if the stomach was empty. The animal often becomes very lively and playful at first, but soon gets weak and unsteady, especially in the hind limbs. After a time it lies down and becomes drowsy or even unconscious. If the dose was too small give a second small amount after fifteen minutes. If the first dose was large enough (and too marked depression should be carefully avoided) then give a little ether to bring on complete anesthesia and ar- ia nge the animal for blood-pressure, respiratory and on- cometer (kidney, spleen or intestinal loop) tracings. Iso- late both vagi and place loose ligatures around them. It may be necessary to give small amounts of ether to keep the anesthesia sufficiently deep at least in the beginning 236 EXPERIMENTAL PHARMACOLOGY of the experiment. The injecting burettes contain adrena- lin and picrotoxine (one cubic centimeter equals one-half milligram). When the operations are completed adjust the writing- points on the drum and take a normal record. Stimulate each vagus nerve and get records. How does this affect the respiration and circulation! Now inject one cubic centimeter of picrotoxine and get records of the results. Note the time of day. Inject more picrotoxine from time to time in small doses (one-half or one cubic centimeter) and keep a close watch on the heart action as shown by the amplitude of the manometer tracing and by the rate of heart beat. There should be a slowing of the heart and a fall of pressure. Both of these should be brought on very slowly and cautiously by small repeated doses. (Too large a dose of chloretone weakens the heart con- siderably and must be watched in this experiment. It also depresses the medulla somewhat.) The heart beat should become slow r enough after a time to give a pressure trac- ing with an amplitude of about ten or twelve millimeters (one-half inch) to each stroke of the manometer pointer. When this stage is reached lift up both vagi and tie the ligatures tightly. Does this affect the heart? If not quickly cut both vagi centrally to the ligatures. Does this affect the blood-pressure? Does the respiration remain normal? How do you account for any changes observed? Did you get satisfactory records of all these changes? If not why did you fail ? Can you do better next time ? Now stimulate the central end of one vagus nerve. How does this affect the animal ? What nervous paths are con- cerned in this? Stimulate the peripheral end of the nerve and note the effect. Inject more picrotoxine. How does the action here com- pare with that in the frog? Inject some adrenaline. Do you get normal effects from this dose? Is the heart ISOLATION OF THE SCIATIC NERVE 237 slowed! How is the respiration affected! Now give sev- eral doses of picrotoxine to kill the animal. What is the immediate cause of death so far as you can judge by this experiment ? Fig. 219. A dissection showing the position in which an incision should be made for finding the sciatic nerve and placing a ligature around it for stimulation. If time permits dissect out both sciatic nerves from the outer and posterior aspect of each hind limb (see Fig. 219). Ligate these nerves loosely and examine them carefully as 238 EXPERIMENTAL PHARMACOLOGY to size, relations, and the best way to dissect them out, quickly. It is sometimes of much help to dissect out one of these nerves and stimulate it to start up the respiration in an animal that has stopped breathing but in which the blood-pressure remains fairly high. EXPERIMENT XXXIX. Hydrastine. (Frog: Spinal Cord.) 1. With a pair of scissors cut off the front part of the head of a frog (including the cerebrum) as shown in Fig. 220. Arrange the animal for recording muscular contrac- tions as shown in Fig. 208. Cut on dotted line, just anterior to optic lobes Cerebrum rr.H. Fig. 220. Method for destroying (removing) the cerebrum but leaving the rest of the brain intact in a frog. Note the position of the section. Under the skin of the back inject one cubic centimeter of hydrastine (sulphate or hydrochloride) solution (one cubic centimeter equals two milligrams). Wait two or three minutes for absorption to occur and then start the drum at a fairly rapid speed. After a little while there should be a marked reaction. Try to record the firtt action manifested by the frog. Finish the first round on the drum, then lower the drum and take a second round. How do the reactions shown on the last round compare with those in ACTIOX OF HYDRASTIXE 239 OK! to to n> o o TO 240 EXPERIMENTAL PHARMACOLOGY the first round. How do you explain these effects! Cut the sciatic nerve to the muscle you are using. Is the action of the drug central or peripheral? Stimulate the muscle itself directly a few times with single shocks. AVhat does this show ? Left Ant Caval vein .Right Ant Caval vein Preodnq/ionic rreurdn Postgongl ionic neuron nemaAi Gang lion in walls ofs/nus. venosus sAuricu/dr sleptum _ from nl Sinus to auricle I Position of Hi Auriculo -ventricular Ho ok from 'Heart lever YonBezolds Canal/on m Auricular septum /.,, , _ | 'didders Ganglion in auriculo-ventricular junction InfVena cai/a .Stimulating electrodes in sino-auricular junction [Crescent] Sympathetic fibres- dotted lines Fig. 222. Diagram to show the innervation of the heart in the frog or turtle. EXPERIMENT XL. Hydrastine. (Frog: Heart and Vagus Nerve.) 1. Pith a frog and dissect out the vagus nerve (Fig. 60). Arrange to record heart tracings and take one inch of normal record. Stimulate the vagus nerve and get a normal inhibition. Then pour on the heart a few drops of hydrastine sulphate solution (one cubic centimeter equals five milligrams). How does this affect the beat"? Stimulate the vagus nerve again and record the result. HYDRASTINE AND CAFFK1NK 241 What do you observe ? How do you account for this ? Drop on some more of the drug and again stimulate the nerve. Is there any change? Now take up the electrodes and (while the drum is going) turn on a strong (tetaniz- ing) current. With the extreme tips of the electrodes just touch for a moment the tissues at the base of the heart just where the sinus venosus joins the right auricle. This is about the point where the inferior vena cava pass- ing forward would bend up toward the right auricle. The inferior (caudal) border of the tissue which forms the connecting tube between the sinus venosus and the right auricle is called the crescent. What result do you ob- serve following a brief stimulation of this area? (Examine Fig. 222.) EXPERIMENT XLI. Hydrastine. (Turtle: Heart and Vagus Nerve.) 1. Pith a turtle (brain and cord) and take a normal heart tracing showing vagus inhibition in two or three places. Lower the drum and start a second round of the tracing. Drop some hydrastine solution (one cubic centi- meter equals five milligrams) on the heart. Record the re- sults and then stimulate the vagus nerve again. What do you observe ? Apply more drug and stimulate again. Now stimulate the crescent and note the results. What do you observe? Can you explain this? EXPERIMENT XLIL Caffeine. (Frog: Central Nervous System, Muscles.) 1. Cut off the front part of the head of a frog (Fig. 220) and inject two cubic centimeters of caffeine solution (the free drug, not a salt, is preferable use a saturated solution in warm water) into the anterior lymph sac (Fig. 242 EXPERIMENTAL PHARMACOLOGY i Z - = ~ - S ACTION OF GAITE'INE 243 66). Place the frog in a battery jar and examine it from minute to minute. Do you note any immediate symptoms? Touch the muscles of the hind legs from time to time and note any changes. Does the animal have convulsions? If so, of what character are they? Keep the animal under observation until it dies, watching the muscles carefully. Do you observe any changes in these ? If so, what explana- tion can you offer? EXPERIMENT XLIII. Caffeine. (Frog: Muscle and Nerve.) 1. Pith a frog and isolate both gastrocnemius muscles and both sciatic nerves (attached to the muscles, i.e., nerve muscle preparations). Determine the normal minimal stimulation to cause contraction in nerve A and muscle B. Pour a small amount of caffeine solution into each of two watch glasses. Into watch glass A place the nerve of one of the muscle nerve preparations and into watch glass B place the muscle of the second preparation. From moment to moment stimulate the nerve of prepara- tion A and the muscle of preparation B with single shocks. What action has caffeine on the vitality of nerve trunks and of muscle? Which is affected first? Watcli the mus- cle closely and note any gross changes in appearance, color, length, solidity, etc. What do you observe? What ex- planation can you offer? Tease out some small fibers from muscle A and place them on a slide and examine with a compound microscope. Can you see the cross striatlons well? Cover the fibers with a cover glass and while watch- ing the fibrils closely run a few drops of caffeine solution under the edge of the cover glass in such a manner that the solution reaches the fibrils you are watching. What effect has this on the muscle fibers? How are the cross and longitudinal markings affected? How do you ex- plain this? 244 EXPERIMENTAL PHARMACOLOGY EXPERIMENT XLIV. Caffeine. (Frog: Heart and Vagus Nerve.) 1. Take a normal heart tracing from a pithed frog (showing vagus and crescent inhibition). Drop caffeine (saturated solution) on the heart and record the effects. Stimulate the vagus nerve and note the action of the drug on the inhibitory nervous mechanisms. Apply more drug and again stimulate. Stimulate the crescent also and see if it is affected. Take several rounds of the tracing on the drum to get a good insight into the action of the drug on the heart muscle. How does this compare with the action on the mammalian heart ? EXPERIMENT XLV. Caffeine. (Turtle: Heart and Vagus Nerve.) 1. Repeat the previous experiment on a pithed turtle. Can vou see anv changes in the tone of the heart muscle * V as indicated in your records .' EXPERIMENT XL VI. Caffeine. (Man: Reaction Time.) 1. As in Experiment XXXVI (and XIII) determine the normal reaction time of a student. Then allow the stu- dent to drink one or two cups of strong tea or coffee (or take three grains of caffeine powder in capsules) and at intervals of one-half, one hour and one and one-half hours later again take the student's reaction time. "\Vhat do you observe? How do you explain your results? On what parts of the central nervous system has the caffeine acted to produce the results observed? ACTIOX OF CAFFE1XK 245 EXPERIMENT XLVII. Caffeine. (Frog: Muscular Work.) 1. Pith a frog and ligate the right thigh tightly so as to shut off the circulation. Fasten the animal down on a Very fine copper wires, attached to tack and to tendo jchillis Fig. 224. Arrangement of a frog and apparatus for recording "fatigue tracings" from the gastrocnemius muscle. The drum should have a slow speed. (For descrip- tion see text.) board as shown in Fig. 224. Isolate the tendo Achillis of the right leg and arrange as illustrated for stimulating with single shocks. The primary current is best inter- rupted by a metronome as illustrated, but if this is not 246 EXPERIMENTAL PHARMACOLOGY available then a student can interrupt tlie primary cur- rent with a simple key by hand (once in one or two sec- onds). The drum must have a slow speed. The second- ary shocks are carried directly to the muscle by very fine copper wires one of which is attached to the carpet tack which is driven through the frog's right knee into the frog- board to hold the upper end of the gastrocnemms muscle firmly in place when the muscle contracts. The other wire is tied to the tendo Achillis. Now inject into the dorsal lymph sac one cubic centimeter of five -tenths per cent caf- Rubber tube - w/re I Cannula with points for cats* rabbits Point for doqs Fig. 225. A method for making cannulas with separable points. One end of the "T" of a glass (5/16 inch) T-tube is cut off short and short glass points are attached liy means of a piece of rubber tubing. It is vastly easier to make the small points than to blow a T-tube and to make a cannula entirely of glass. (The points illustrated are larger than they should be for rabbits and cats. ) feine solution (Greene) and allow this to be absorbed while the experiment is going on. When all adjustments are made start the drum and record a normal ''fatigue curve'! from the right gastroc- nemius. (For a description of fatigue curves see any manual on experimental physiology.) This curve should be taken on the lower half of the drum. c o V B o - t.- rt ^ o u c V o - CAFFEINE DIURKSIS '247 When the muscle is exhausted then ligate the left thigh tightly and drive a second carpet tack through the left knee to hold the left gastrocnemius firmly. Isolate the left tendo Achillis. Disconnect the stimulating wires, re- move the frog hoard from the large clamp and turn the frog board around on a perpendicular axis so that the frog will be on the side away from the apparatus. Also remove the large clamp, turn it over on a horizontal axis and re- attach it to the stand. Replace the frog board. The left leg of the frog will now occupy practically the same position that the right leg formerly had. Attach the stimulating wires and connect the tendon to the muscle lever. The load, magnification, tension, etc., of this muscle must be the same as that used with the right muscle. About twenty minutes should now have elapsed for absorption of the caffeine. Start at the beginning of the upper half of the drum and record a fatigue curve of this muscle, which will now show the effect which caffeine has on muscular work. The rate of stimulation should not vary (once in one or two seconds) for each curve. How does the normal fatigue curve compare with the caffeine curve? What conclusions can you draw? EXPERIMENT XL VIII. Caffeine. (Rabbit: Diuresis, Cervical Nerves, Depressor.) 1. Dissolve two grams of urethane in about twenty-five cubic centimeters of water. Select a full grown rabbit and with a catheter used as a stomach tube inject the urethane into the rabbit's stomach. [Pass the tube through the hole in a wood gag (Fig. 218) held in the animal's mouth.] Wait about ten or fifteen minutes for the drug to be absorbed and then give the animal a little ether to bring on complete anesthesia. Use great care in this for rabbits die very readily. Insert a tracheal can- 248 EXPERIMENTAL PHARMACOLOGY nula (one-fourth inch diameter) and connect up the ether bottle (or anesthetic device shown in Fig. 116). Use the great e*t care in giving the ether not to kill the animal. In- to the femoral vein tie a very small injecting cannula (Fig. 18) connected to a burette containing caffeine solution (.5/t)- Record the respiration on the drum. Open the abdomen over the bladder and insert a bladder cannula (Fig. 23). Arrange the cannula to empty into a graduated cylinder and when all preparations are made wait ten or twenty minutes to record the normal rate of urine secretion. Test this with Fehling's solution. Then cautiously inject one-half cubic centimeter of caffeine so- lution into the vein. "Watch the effects of this on the respiration closely. From time to time as the animal will rubber tube Washout Fig. 227. An easily made glass cannula showing a sliding rubber tube which may be used to open or close the small opening blown in the side of the tube and used as a "washout." tolerate it inject more caffeine in one-half cubic centimeter (or smaller) doses. Is there any change in the rate of urine flow? Collect the urine for each ten minute inter- val. Test for reducing bodies again. Is sugar present ! If so, how do you account for it! If you have time, consult Fig. 226 to learn the ar- rangement of the vagus, sympathetic and depressor nerves in the neck of the rabbit, and then carefully dissect out these nerves. Using a very small arterial cannula (Figs. 22.") and 227) connect the right carotid artery to the ma- nometer and take a blood-pressure tracing. Stimulate tlu- depressor nerve (peripherally) and note the effect. How do you explain this result? Inject more caffeine and see if CAFFEINE AND SODIUM SULPHATE 249 you can obtain any idea of the action of the drug on the heart and circulation. Kill the animal with a large dose of caffeine. After the animal is dead dissect out the vagus, sympathetic and depressor nerves in the other side of the neck. EXPERIMENT XLIX. Caffeine, Sodium Sulphate. (Dog 1 : Blood-pressure Diuresis, Respiration, Sciatic Nerve.) 1. Dissolve three or four grams of chloral hydrate in a little water and inject the solution into the rectum of a medium sized dog. See that the solution does not run out again immediately after injection. In ten minutes anesthetize the animal fully with ether (or etherize the animal at the start and omit the chloral or give it by stom- ach it is advisable to give the chloral, however). Ar- range to record blood-pressure, respiration and the rate of urine flow. Place caffeine (.5%) and adrenaline in the in- jecting burettes. Open the abdomen and lift up the bladder. At the pos- terior side of the base of the bladder you will find the ureters entering the bladder from each side (see Fig. 1(52). Pick up the ureters and place in each a ureteral cannula (Fig. 213) and arrange to record the rate of urine secre- tion by obtaining a record on the drum of the drops fall- ing from the cannulas. To do this arrange two tambours as shown in Fig. 228 in such a manner that each drop of urine falls on a small metal disc attached with wax (colo- phonium or ceiling wax) to the writing point of the first tambour. The second connected tambour records these drops on the drum. Consult Fig. 219 and dissect out the sciatic nerve in one hind limb. While recording blood-pressure and respira- tion stimulate the nerve with a medium strength Faradiz- ing current. What do you observe ? Can you think of a 250 EXPERIMENTAL PHARMACOLOGY condition in which this procedure might be of help in re- viving 1 an animal '? Try this on the next animal you have in which the respiration ceases, especially if the blood-pres- sure remains fairly high. Adjust all writing points, allow the animal to return to normal (keeping the anesthesia as regular as possible) and Drop Metal plate --Hatfeck - Fig. 228. Arrangement of two tambours to form a drop recorder. wait ten or twenty minutes to record the normal rate of urine flow. When this is obtained (not a drop of urim- may have been secreted during this period, in which case simply watch for the flow to start up) then proceed to give the caffeine. Watch for the effect on respiration and the circulation. Inject one cubic centimeter of caffeine.. What do you observe? Increase the dose if the animal will ACTION OF SODIUM SULPHATE 251 <*> (I n o -t CL O tu -o < n It O O 11 " a o_o -u^ O '/i M ^ 03" o pi C. O) O -W a t-. ?? c 252 EXPERIMENTAL PHARMACOLOGY stand it and continue giving the drug until several centi- meters are injected. Wait a while to observe the effect on urine flow. This often fails in dogs. Why? Will the chloral influence the result in any way! Wait for fifteen or twenty minutes for the caffeine to act. Be sure the dose given was large enough. Then al- low the animal to become as nearly normal as possible and get a new normal rate of urine flow. Test the urine for sugar. What do you observe! Explain. Now empty the caffeine out of the burette and fill it with four per cent sodium sulphate solution. Inject one cubic centimeter. Increase the dose rapidly (twenty cubic cen- timeters or more may be given at a time often without killing the animal) and watch the effect on blood-pres- sure, respiration and urine flow. What do you observe I How does this compare with the action of caffeine! If the animal is still in fair condition substitute a four per cent solution of sodium phosphate (or nitrate or chloride) for the sodium sulphate and inject a considerable quantity of this salt. How is the rate of urine flow affected! What theories of urine secretion do you know! On the basis of these explain the action of the drugs injected. Keep a record of the amount of solution injected in each ten min- ute interval and see if you can collect an equal volume of urine in a beaker in the same time. This can sometimes be done, especially with rabbits. Kill the animal by a large injection of one of the salts mentioned (watching the urine flow as the drug is acting), then dissect out the pan- creas and see if you can find its lower duct (Figs. 244 and L'45). Could you put a cannula in the duct while the ani- mal was alive ? Dissect out the gall bladder, the cystic duct, and the common duct. What are the relations of the pancreatic ducts and the bile ducts as they pass through the wall of the intestine .' DIURETINE AND AGUltlXr. EXPERIMENT L. Diuretine, (Sodium-theobromine-salicylate), Agurine, ( Sodium-theobromine-acetate ) . ( Rabbit : Diuresis and Respiration.) 1. Give by stomach two grams of urethane dissolved in twenty-five cubic centimeters of water to a good sized rab- bit. Wait ten minutes for the drug to be absorbed and then give the animal a little ether to complete the anes- thesia. Arrange to record (or collect or both) the drops of urine as they fall from a bladder cannula (or from two ureteral cannulas). Place a cannula in the femoral (or jugular) vein and connect up a burette. Fill this with diuretine one per cent (or agurine, one per cent). Arrange to record the respiration. Count the pulse rate per minute. When all preparations are made wait ten or twenty min- utes to obtain the normal rate of urine flow. Then inject one-half cubic centimeter of diuretine [(Knoll and Com- pany, 45 John St., New York) or agurine] and record the effect on the respiration. Count the pulse rate and see if it is affected. Now give more of the drug from time to time and try to bring on the effect gradually, watching carefully not to kill the animal by an overdose. What do you observe! How do you account for this? If your drop recorder does not work well then let a student operate the recording signal magnet by means of a simple hand key placed in series with a dry cell and the signal magnet. The student can make and break the current each time a drop falls. If you are skillful enough you can make a de- vice to record each drop by electrical contact. But do not spend too much time at this. When you have obtained as marked results as possible from the diuretine (or agurine or both) then if the rabbit is still in suitable condition fill the burette with one of the following solutions: 25-t EXPERIMENTAL PHARMACOLOGY 2% sodium nitrate, 2% sodium phosphate, 2% sodium chloride, 2% ammonium chloride, 2% ammonium acetate. Arrange to observe the full action on urine secretion and cautiously inject one-half cubic centimeter (or less) of the solution in the burette. With great care gradually inject more of the solution from time to time as rapidly as the animal can tolerate it. What effect has this on the urine floAv ? Continue the administration as long as satisfactory results can be obtained. EXPERIMENT LI. Urea, S. A. Matthews' Solution, or Saline Diuretics. (Rabbit or Cat: Diuresis.) 1. Repeat the above experiment with a rabbit or cat (us- ing two grams of urethane for an average sized animal, or 1.7 cubic centimeters per kilogram of paraldehyde for a rabbit Edmunds) but after securing the normal rate of urine flow begin to inject one of the following: A. Urea (5% solution). B. S. A, Mattheic's solution: NaCl, 3.67 grams. Na,S0 4 , 10.1 grams. Sodium Citrate, 3.36 grams. CaCL, 0.136 grams. Water, 1000 c.c. C. Three per cent solution of any of the following: Sodium sulphate. Sodium phosphate. Sodium nitrate. Ammonium nitrate. ACTION OF CURARA 1_ } .V) Sodium chloride. Sodium iodide. Use great care in making the injections. Begin with very small doses and inject more as the animal is able to tolerate it. What conclusions can von draw with reference to the */ diuretic action of these substances? How do they act? EXPERIMENT LIT. Curara. (Frog: General Action, Claud Bernard's Experiment.) 1. Pith a frog (cerebrum only) and make a small incision over the back of the right thigh (see Fig. 4-7). .Dissect up a short length of the sciatic nerve. Do not cut or injure the nerve. Pass a thread beneath the nerve and tie off the tis- sues of the thigh tightly so as to completely stop all circula- tion in the right (gastrocnemius) muscle and foot. With single shocks stimulate the exposed nerve once or twice to see how the muscles act in the isolated part of the leg. Also stimulate the tissues at the back of the head over the upper end of the cord once or twice to get the normal reactions. Put a drop of acetic acid on the left hind foot and see if the animal moves the limb. Brush off the acid. Count the rate of lymph heart beats. Into the ventral lymph sac inject one cubic centimeter of a saturated solution of curara. Wait three. minutes and then begin to retest the reflexes from time to time as the drug is absorbed. How is the rate of beat of the lymph hearts affected? Will the animal jump when stimulated? As the action of the drug becomes very marked stimulate again the exposed sciatic nerve. (Keep the nerve moist with salt solution where it is exposed.) Apply a drop of acetic acid to the skin of the back. Is there any response? If so, where ? Stimulate the upper end of the cord. What muscles 256 EXPERIMENTAL PHARMACOLOGY respond? Stimulate the left gastrocnemius (through the skin) directly. Does it contract? What conclusions can you draw ? Where does curara act? Does your experiment prove the nerve trunks are not paralyzed ? Are the sensory nerve endings paralyzed J ? Does your experiment give you a chance to test this point? Count the lymph heart rate Fig. 230. Tracing showing the action of a solution of curara dropped on the heart of a frog. Lower line normal, showing the inhibition caused by stimulation of the vagus trunk. Second line, curara was applied at "x" and the vagus was again stimulated as shown by the short line and legend. Third line, the application of the drug was con- tinued and the vagus trunk was again stimulated as indicated. No noticeable results fol- low the stimulation. Why not? Fourth and fifth lines, application of the drug was con- tinued and its action on the heart is shown. again. What conclusions can you draw from this ? What is the action of curara on the central nervous system? (See McGuigan : Journal of Pharmacology and Experimental Therapeutics, 1916, viii, p. 471.) Do you know of any other substances possessing an ac- tion on motor nerve endings in striated muscles like curara does ? How does this drug differ from atropine in its action on nerve endings ? Center cram' Facial nerve^N. Cerebellum^ GlossopharynqeaL nerve- ( N. IX) ^ '*- Medulla oblongata c ganglion tympani nerve " id duct (Benson's) , Jacobsons nerve Lingual nerve Chordo-lingual triangle tympani branches Superor cervical gang. 'Submaxillarv Electrodes (Small amount of thick saliva vaso-con3tric.tion Parotid gland Cord Thoracic nerves l duct(Wharton's) ublingual ducf (Bartholin's) Electrodes ( Large amount of thin saliva, vaso-dilatation Sublingual gland Vaso constrictor fibers sympathetic secretory fibers Outgoing sympathetic rami communicantes Post qanglionic fibers are dotted thus Fig. 231. Diagrammatic representation of the innervation of the salivary glands in the dog. ACTION OF CURARA 257 EXPERIMENT LIIL Curara. (Frog: Heart and Vago-sympathetic Nerve.) 1. Pith a frog and arrange to take a heart tracing. Stimulate the vagus nerve and get a normal inhibition. Drop on the heart a few drops of a saturated curara solu- tion. What do you observe? Now stimulate the nerve again and record the result. Has any change been pro- duced! If not apply more curara and stimulate again. Now stimulate the crescent and record the result. What do you observe ? How do you explain this f Apply more of the drug to bring out the later action on the heart. EXPERIMENT LIV. Curara. (Turtle: Heart and Vagus Nerve.) 1. Repeat the above experiment on a pithed turtle. How do the results obtained with this animal compare with those from the frog? What is the innervation of the tur- tle's heart? How does it differ from that of the frog? EXPERIMENT LV. Curara, Strychnine. (Dog or Cat: Blood-pressure, Respi- ration, Urine, Sciatic Nerve. Dog: Salivary Ducts and Nerves.) 1. Weigh a medium-sized dog and give it by stomach three hundred milligrams of chloretone per kilo of body weight. Dissolve the chloretone in ten cubic centimeters of alcohol (absolute) and dilute the solution as much as pos- sible with water. Add a little alcohol to redissolve any pre- cipitate formed. After ten minutes etherize the animal and attach it to the operating board. Arrange to record blood- pressure and respiration (stethograph). The injecting bu- 258 EXPERIMENTAL PHARMACOLOGY rettes contain strychnine (one cubic centimeter equals one- half milligram) and adrenaline. (If a cat must be used give it two grams of urethane in twenty-five cubic centimeters of water by stomach, or give 1.7 cubic centimeters of paral- dehyde per kilogram of animal Edmunds.) Insert a bladder cannula into the fundus of the dog's bladder, draw off a little urine and test it with Fehling's solution. Do you get a reduction ? If so how do you explain it? Now consult Fig. 219 and dissect out the sciatic nerve using great care not to disturb the vessels of the leg. (These are carefully avoided so the curara can be well distributed to the muscles innervated by the sciatic.) Stimulate the sciatic with a medium strength Faradizing current and note the effect on respiration and blood-pressure and on the muscles of the leg below the point of stimulation. Beneath the skin of the back or side inject with a hypo- dermic syringe twenty cubic centimeters of a saturated solu- tion of curara (Merck's). This dose is exceedingly large if the drug is pure, but it is usually impossible to get a first- class preparation of the substance in this country. Note the time of day and observe how long a time is required for the drug to act (slow or Aveaken or stop the respiration). How is the blood-pressure affected? (It may be necessary to give more of the drug later.) Be on the watch for the respiration to become shallow. How does this affect the blood-pressure? Be sure to keep the anesthesia going if the dose of chloretone was not sufficient to completely main- tain the narcosis. This drug is supposed not to prevent sensation, hence the animal must be kept anesthetized. As the respiration begins to fail give artificial respiration. This must be maintained during the remainder of the ex- periment. From time to time briefly stimulate the vagus nerve with a medium tetanizing current and note the effect on the heart. Do you observe any change after the action of the drug has become very marked? Is there any change in ACTION OF CURARA 259 the reaction of the pupil when the vago-synipathetic trunk is stimulated 1 ? Collect a few drops of urine and test with Fehling's solu- tion. Is there any reduction? How do you account for it? Pick up the sciatic and stimulate it again with the same strength of current as that used the first time. Do you get a response? What conclusions can you draw? How does electrical stimulation compare with the natural nervous im- pulse? Now get the animal in as good condition as possible and while recording the blood-pressure inject one cubic centi- meter of strychnine. Follow this up rapidly with more injections as fast as the animal can well tolerate the drug. Watch for convulsions. Do you get these? What muscles are affected by curara ? What ones are not affected ? Does the action of strychnine extend to any of those not affected by curara? If so what manifestations of this action would you expect? Are these present? Is there any change in blood-pressure? If so how long is this change present as compared with the action of strychnine in a noncurarized animal? Explain this. Stimulate the vagus and sciatic nerves again and note the results on the heart and leg mus- cles. Is there any change in blood-pressure when the sciatic is stimulated? If so how does this compare with your nor- mal record? What structures are involved and how are they affected (Bayliss: Journal of Physiology, Ixxx, 353)? Dog. Consult Figs. 237, 238, 239 and 240 and dissect out the submaxillary and sublingual ducts. Also dissect out the chorda tympani nerve. For the general distribution of nerves to the salivary glands see Fig. 231. If the ainmal is still in suitable condition try to insert a cannula (Fig. 102) into Wharton's duct as indicated in Figs. 238, 239, and 240. Stimulate the chorda tympani nerve and see if you can ob- serve any effects on the rate of salivary secretion. What action has curara on the salivary apparatus? Have you demonstrated this? Kill the animal with a large dose of 260 EXPERIMENTAL PHAEMACOLOGY strychnine. After death dissect out the ducts and chorda tympani nerve on the opposite side. Can you easily dif- ferentiate between the two ducts? Can you locate the chordo-lingual triangle? Cut out (label} both eyes and place them in thirty per cent alcohol. Save for dissection later. EXPEEIMENT LVI. Coniine. (Frog 1 : Heart and Vagus Nerve.) 1. Pith a frog, arrange for taking a heart tracing and stimulate both the vagus trunk and the crescent. Get rec- ords showing the inhibition from each of these. Drop two or three drops of a one per cent coniine solution on the heart. How does this affect the record? Now stimulate the vagus and crescent again and record the results. What do you observe ? How do you explain this 1 What other struc- tures are similarly affected by coniine ? Make a diagram of the innervation of the heart (Fig. 222) of the frog in your permanent note book and indicate on it the structures af- fected by coniine and state the nature of this action. Apply sufficient coniine to the heart to bring it to a standstill. Do you know of any other drugs that act like coniine 1 Watch for these later. EXPEEIMENT LVII. Coniine. (Turtle: Heart and Vagus Nerve, Lungs and Sympathetic Nerves.) 1. Repeat Experiment LVI on a turtle and secure rec- ords to show the action of the drug. After a record show- ing the specific action of the drug on the ganglia has been obtained (how would you prove this?) then unhook the heart lever and remove the turtle from the drum. (It is often advisable to use a fresh turtle for this part of the ex- periment. Large turtles are preferred.) Consult Fig. 232 To tambour Hook . bronchus Glass can n ula in trachea Liqature on nerves Leg bone (cut) Fllunq partially inflated Heart L lunq partially inflated Position occupied by hind limbs (removed) Fig. 232. A turtle with the brain and spinal cord destroyed and with the plastron and most of the viscera, limbs and skeletal muscles removed to expose freely the partially inflated lungs. A bull-dog is placed on the right bronchus to exclude the right lung from communication with the recording tambour which is connected with the left lung by means of the glass cannula tied in the trachea. The electrodes are shown placed under the left vagus trunk. The heart beats freely. Stimulation of the vagus nerve causes a marked contraction of the corresponding lung. (See Fig. 233 for arrangement of the recording apparatus.) 262 EXPERIMENTAL PHARMACOLOGY and note carefully what has been removed. Cut the plas- tron loose at each side and remove it. Lift up the intestines and liver and with great care dissect them loose from the lungs. To do this put a cannula (Fig. 233) into the trachea and attach a rubber tube. Then with the mouth blow the lungs up as indicated in the illustration and clamp off the rubber tube. This holds the lungs partially distended and Fig. 233. Arrangement of apparatus with a turtle held in a Higgin's turtle frame (of 3/8 inch iron rod with hooks at the corners to which the limbs are tied) for record- ing lung contractions. A very sensitive large-bowled tambour with a large magnification is used, and the lungs are partially inflated by forcing a little air (with the mouth) into the side outlet of the tubing. This puts the tambour and the lung both under moderate tension and in direct communication. When the lung contracts the tambour pointer rises but when the lung relaxes the pointer descends as the rubber membrane on the tambour forces the air back into the lung. Drugs are conveniently administered by in- jection into the heart with a fine pointed hypodermic syringe. greatly aids in the dissection. Use great care not to punc- ture the lungs. If you do this, find the hole, lift up the edges of the opening and tie a ligature around the puncture. TURTLE LUNG TRACING 263 When the entrails are removed then cut out all the skeletal muscles you can including the entire hind limbs and most of the muscles of the fore limbs. This exposes the lungs prac- tically free from skeletal muscles. Connect the tracheal cannula with a tambour (very sensi- tive, medium-sized bowl) and bring the writing point on to a slow drum. Observe the way the bull-dog is placed in the Fig. 234. Tracing showing the contraction of the left lung of a turtle when the left vagus nerve was stimulated electrically. figure. In a similar manner clamp off one bronchus and then pick up the main trunks of the vagus and sympathetic nerves on the opposite side well up in the neck. See that the lung is partially inflated and the tambour under a slight tension. Start the drum, and with a fairly strong tetaniz- ing current stimulate the vagus and sympathetic trunks 264 EXPERIMENTAL PHARMACOLOGY (see Fig. 234). What do you observe ? What are your con- clusions 1 Consult your text-book on physiology for further explanation regarding the innervation of the lungs. Now imiiimiiiiiiiiiiiiminiiiiiiiisiiiiiniiiifiiiimiiiiiiiiiiii Fig. 235. Lung and heart tracings from a turtle showing the effect of electrical stimulation of the right vagus nerve (first contraction and inhibition) and of mechanical stimulation (tearing) of the same nerve (second and third records). make a careful dissection of the nerves (and sympathetic branches) on the opposite side of the neck. Make a sketch of these nerves for future reference. It is exceedingly desirable in making the preliminary dis- section to remove as much as possible of the skeletal mus- culature. This prevents movements which may be confused with the lung contractions. ACTION OF CONIINE Lachrymal Maxillary nerve (Meckel's Spheno-yatatine ganglion Geniculat ganglion Internal carotid plexus Superior cervical! Spinal cord I -Thoracic Semilunar (Gasserian) ganglion Corpora Quadrigemina Trigeminal nerve (N.V) Facial nerve N.VII) Centers for lachrymal secretion Medulla oblongata Out-going sympathetic ram! communicantes Hutleck Fig. 236. Diagrammatic representation of the innervation of the lachrymal glands. EXPERIMENT LVIII. Coniine. (Dog: Blood-pressure, Respiration, Salivary Glands and Kidney, Spleen or Intestinal Loop.) 1. In the usual manner prepare a dog (ten or twelve kilos) for recording blood-pressure and respiration. The animal may be given morphine, twenty milligrams (one cubic centimeter of two per cent solution) per kilogram of body weight half an hour before the operation, or ether alone may be used. The injecting burettes contain coniine 266 EXPERIMENTAL PHARMACOLOGY (one per cent) and adrenaline. (Poor samples of coniine are frequently obtained.) Isolate and ligate loosely .both vago-sympathetic nerves. Consult Figs. 237, 238, 239, and 240, and dissect out Wliar- ton's duct. Place a cannula (very small) in the duct and fasten it with a ligature (thread). Dissect out the chorda tympani nerve and when you can see it clearly lying across the tip of the sublingual gland then place the ends of the Fig. 237. A dissection showing the position and extent of the first incision for ex- posing the chorda tympani nerve and the ducts from the submaxillary and sublingual glands. electrodes on the nerve and stimulate it. Do you get a nor- mal result? If not why did you fail? (Dissect out the op- posite duct and nerve if necessary.) Consult Fig. 231 for the general distribution of nerves to the gland. Are any other glands thus innervated? If so what ones? Open the abdomen and place an oncometer on a kidney (left), spleen or an intestinal loop. Close the abdomen with hemostats and arrange all writing points in the following Position of Ltnqual nerve under myiohyoid muscle Tear across fibres of my/o hyoid here Ant belly of digastric m. Posmon of Myiohyoid muscle hypoglossal nery under mvlobvoid 'o ether bottle Angle of jaw Trachea Fig. 238. Dissection showing the position and relation of the hypoglossal and lingual nerves (dotted and colored yellow) beneath the thin, band-like myiohyoid muscle which is to be torn across with a blunt probe (not with a scalpel) to expose the nerves (and ducts) beneath. Torn edqe of myiohyoid muscle Diqastric muscle Sublinqusl duct (Bartholin's) Submaxillary duct (Wharton's) Lingual nerve ylohyoid muscle displaced mesially Hypoqlossal nerve ein Vein, in fascia Fig. 239. The myiohyoid fibers have been torn across and the two ducts and the lingual and hypoglossal nerves are exposed. Insertion of cannula info Wharton's duct Mylo- hyo/d muscle Hvpoglossaf and ingual nerves displaced mesially Sub- Itnguai gland Chordo-lmgual horda i-ympan! nerve. ' loose liqature ( thread) Fig. 240. Exposure of the chorda tympani nerve, Wharton's duct and Bartholin's duct. Method of procedure for inserting a cannula into Wharton's duct. ACTION OF CONIHSTE 267 order from above down, oncometer, blood-pressure, respira- tion, base line and time signal. Take a normal record, in- cluding a vagus stimulation, and then inject one cubic centi- meter of coniine solution. Watch the pupils as the drug is injected. Do you obtain satisfactory results? How did the heart beats appear just after the drug was injected? How do you account for this? Stimulate the vagus nerve again and record the result. Has any more saliva been secreted 1 How do you account for any changes in the oncometer trac- ing. Inject a small dose of adrenaline to see if your appa- ratus, etc., is working satisfactorily. Inject a second dose of coniine. This may be larger or smaller than the first dose depending on the reactions brought about by previous injections. Do you get a fall in blood-pressure! If so how do you explain it? If you get a rise what is the cause of this? Stimulate the vagus again and explain its action on the heart. Observe the corre- sponding pupil while the nerve is stimulated. Stimulate the chorda and see if any change has been produced in it as shown by the salivary secretion. Explain any changes ob- served. From time to time give more coniine as the animal will tolerate it. Be ready to apply artificial respiration if necessary. At intervals stimulate the vagi and chorda and if a response fails to be obtained explain its cause. Then follow the course of the chorda tympani back under the jaw bone as far as you can (do not injure the duct) and finally push the electrodes far down into the hilus of the gland and stimulate. Can you cause any visible increase in the flow of saliva by this procedure ? What is the purpose of this part of the experiment? Give some adrenaline and see if the pupils respond normally. Open the abdomen, follow the right side of the stomach around posteriorly and pick up the duodenum. In the angle between this and the stomach ( inferiority) is located the pancreas. Eefer to Figs. 244 and 245 and find the lower end (tail) of the pancreas. Follow this to the place where 268 EXPERIMENTAL PHARMACOLOGY its attachment to the duodenum begins. The large duct (Fig. 245) opens into the intestine about one-half inch above this attachment. To find the duct take a probe and with great care gently dissect the anterior edge of the pan- creas away from the wall of the intestine. The duct will be found passing from the substance of the pancreas obliquely downward and inward through the intestinal wall. Pass a ligature beneath the duct as shown in Fig. 245 and then open the duct in the substance of the bowel wall. Insert a small cannula and tie it in with the ligature. Attach a short rubber tube to the cannula and bring it outside the abdomen which is now closed with hemo stats. Give another dose of coniine and see if you get any secre- tion from the pancreas. Stimulate the vagi nerves and note any effect on pancreatic secretion. Kill the animal with a big dose of coniine. Immediately after death quickly open the thorax, pick up the phrenic nerves and stimulate them with a weak tetanizing current. Does the diaphragm con- tract? What theories do vou know concerning the cause of V death under coniine (Cushny: Journal of Experimental Medicine, i, 202) ? Dissect out the small duct of the pan- creas. What is the innervation of the pancreas? How is its secretion controlled? EXPERIMENT LIX. Atropine. (Frog: Heart and Vagus Nerve.) 1. Pith a frog and take a normal heart tracing showing the effects of stimulating the vago-sympathetic nerve and the crescent. Then while the drum is going pour two drops of atropine sulphate solution (one cubic centimeter equals one milligram) on the heart. After a few seconds stimulate the vagus trunk again. What do you observe ? How do you explain it? Now stimulate the crescent. What do you ob- serve? How do you explain this? 2. Cut out both of the frog's eyes. Examine the size ACTION OF ATROPINE 269 of the pupils carefully. Place one eye in a watch glass full of normal salt solution and the other in atropine solution. Place both glasses aside for ten or twenty minutes. Then again compare the size of the pupils. Do you note any va- riations? Explain the results. EXPERIMENT LX. Atropine. (Frog: Muscle and Nerve.) 1. From the frog used in Experiment LIX prepare two muscle nerve preparations from the sciatic nerves and gas- trocnemius muscles. Fill a watch glass with atropine solution and place the nerve of preparation A and the muscle of preparation B in the solution. From time to time stimulate both nerves with single shocks and determine whether or not atropine affects either nerve trunks or stri- ated muscle. Compare this with the action of curara. Stimulate the muscles directly a few times. What con- clusions can you draw? EXPERIMENT LXI. Atropine. (Turtle: Heart and Vagus Nerve.) 1. Repeat the experiment on the heart and vagus inner- vation described in Experiment LIX, 1, on the turtle. What conclusions can you draw from your results? EXPERIMENT LXII. Atropine. (Cat, Guinea Pig, Rat, Dog, Pigeon, or Chicken: Pupil.) 1. Secure a dog, guinea pig or rat and a pigeon or chicken. Into the right eye of each animal pour several drops of a one per cent solution of atropine with a medicine dropper. Place the animals aside and examine from time 270 EXPERIMENTAL PHARMACOLOGY to time to see if any changes are produced in the eyes. If so what explanation can you offer. If no change is pro- duced what explanation can you give ? EXPERIMENT LXIIL* Atropine. (Dog, Cat or Rabbit: Blood-pressure, Respira- tion, Heart and Vagus Nerve, Dog, Salivary Secre- tion and Chorda Tympani, Sweat Nerves, Pancreatic Secretion.) 1. Anesthetize a dog, cat (two grains urethane by stom- ach) or rabbit (two grams urethane by stomach) and ar- range for recording blood-pressure and respiration. Iso- late and ligate loosely both vagus nerves. The injecting burettes contain atropine (one cubic centimeter equals one- half milligram) and adrenaline (1:10,000). // a dog is used dissect out AVharton's duct and place a cannula in it (Figs. 237, 238, 239, and 240). Also isolate the chorda tympani nerve and stimulate it once or twice to observe the normal rate of salivary secretion. Some opera- tors tie a ligature on the chorda and cut the nerve centrally to the ligature. In this manner the ligature can be used to lift the nerve as desired. Generally it will be sufficient to stimulate the nerve in position without ligating it. (The dissection mav be tried on a cat or rabbit if the instructor so advises.) Stimulate the vagi and obtain normal records of the ef- fects on the heart, blood-pressure and respiration. Observe the pupils (on the same side) as each vagus nerve is stimulated. If time permits, the student may dissect out the sciatic nerve (in dog) and stimulate it to observe the secretion of sweat on the sole of the foot. To do this take a piece of wet cotton and wash the pads of the foot off well, then dry *If more than one group performs this experiment, the second group may use scopo- lamine one cubic centimeter equals one milligram instead of atropine. ACTION OF ATROPINE them and place the foot in such a manner that a good light can fall at a slight angle on to the pads. A hand lens may be used to considerable advantage. Stimulate the corre- sponding sciatic nerve and watch for minute droplets of sweat to form on the pads. On that side of the animal it is advisable not to place a cannula in the femoral vein but in- sert the cannula in the external jugular vein instead. Do not injure the circulation in isolating the sciatic nerve. Arrange all writing points on the drum (medium speed) and while taking a normal (satisfactory) record begin to stimulate one vagus nerve with a weak or medium strength of current (tetanizing). The current should be of just great enough strength to slow the heart markedly but not to com- pletely stop it. Do not continue this any longer than neces- sary or the vagus endings may be worn out. While thus holding the heart down to a slow rate by a constant stimula- tion (increase the strength of the current if necessary) of the nerve inject two cubic centimeters of atropine solution (for a dog, if a cat or rabbit is used inject one-half or one cubic centimeter of atropine solution). Continue the stimulation. Do you observe any change after the drug has had time to be carried to the heart in the blood? (Remember the circulation is slow and sluggish when the heart beats but slowly and the pressure is low). How do you explain your findings? Now inject another dose of atropine as soon as the animal can tolerate it. Then stimulate the opposite vagus nerve and note the effect on the heart rate and blood-pressure. Stimulate the chorda tympani and note the effect on salivary secretion. How do you explain this? Examine the sole of the foot (dog) carefully for sweat droplets (remove these if any are present) and then stimu- late the sciatic again. What conclusions can you draw? Were you able to get a sweat secretion by stimulation of the sciatic before the drug was injected? If not what does this part of the experiment show? Again stimulate one vagus 272 EXPERIMENTAL PHARMACOLOGY and watch the effect on the (corresponding) pupil. What changes, if any, do you note ? How do you explain these f What effect has atropine in small doses on the blood- pressure and respiration? A poisonous drug suddenly in- jected into the circulation often gives a fall of pressure due, according to some authorities, to irritation of the heart. Do you believe this explanation is sufficient to account for such changes? The vasomotor centers and the vessels, etc., may also be specifically involved. What action has atropine on the vasomotor apparatus? If the experiment is performed on a cat or rabbit kill the animal with a large dose of the drug and secure a death record. If a dog is used inject a little adrenaline and ob- serve the action of this on the pupil (explain). Open the abdomen and insert a cannula (Figs. 244 and 245) into the pancreatic duct. Inject twenty cubic centimeters of A% hydrochloric acid into the duodenum with a large hypo- dermic syringe and wait ten or twenty minutes to see if there is any secretion of pancreatic juice. How is the secre- tion of the pancreas controlled? What action has atropine on this mechanism? What effect will stimulation of the vagus nerves now have on the pancreas? Try this (use slowly repeated single shocks). Inject some adrenaline and see if this affects the secretion. Kill the animal with a large dose of atropine, securing a death record of the blood-pressure and respiration. What is the immediate cause of death? 2. If time permits after the animal is dead, consult Fig. 281 and dissect out the optic nerve at the posterior side of the eye ball. Be careful not to injure the blood vessels. With scissors cut the skin and fascia outwards (backwards) from the outer canthus of the eye. Then seize the fascia over the back of the eye ball with forceps and roll the ball forward (inward). A mass of orbital fat and fascia will be seen behind the eye. Carefully dissect this away and watch for the optic nerve which is about three millimeters in di- SCOPOLAMINE, PILOCARPINE, ATROPINE 273 ameter as it enters tlie eye ball. Place the tips of the elec- trodes on the nerve and carefully work the points into the substance of the nerve trunk. "Watch the pupil closely and stimulate. Is there any action? Perhaps the animal has been dead too long. Do you think of any other reason? Master the technic of the operation for you will want to repeat it later. What is the innervation of the iris? How do these nerves get into the eye? Can you reach them in the way you have proceeded here? What are mydri- atics? Myotics? Cycloplegiacs ? EXPERIMENT LXIV. Scopolamine. (Frog: General Symptoms.) 1. Into the anterior lymph sac of a frog inject one cubic centimeter of scopolamine (one cubic centimeter equals five milligrams). Put the animal in a quiet place and observe the symptoms produced. "What conclusions can you draw? Examine the pupils from time to time and note the action on the lymph heart beats. Give a larger dose if necessary to bring on marked symptoms. EXPERIMENT LXV. Pilocarpine, Atropine. (Frog: Heart and Vagus Nerve.) 1. Pith a frog, take a normal heart tracing showing- vagus and crescent inhibition and then while the drum is running at a fairly slow speed begin to drop on to the heart pilocarpine (nitrate or hydrochlorate) solution (one cubic centimeter equals one milligram). Watch for a slowing of the beat. The heart may be entirely stopped. How do you account for this? When the slowing has become very marked pour about three or four drops of atropine solu- tion (one cubic centimeter equals one milligram) on to the 274 EXPERIMENTAL PHARMACOLOGY heart and note the effect on the heart rate. How do vou */ explain this? Stimulate the vagus and crescent again. 2. Cut out both eyes and place one in a normal salt solu- tion, the other in salt solution containing pilocarpine (one cubic centimeter equals five milligrams). Place the eyes aside for ten or twenty minutes and examine the pupils again. Can you detect any pupillary changes? What ex- planation can you offer? Fig. 241. Lung tracing from a turtle showing the action of pilocarpine. EXPERIMENT LXVL Pilocarpine or Arecoline and Atropine. (Frog: Circulation.) Retinal 1. Arrange a frog as shown in Fig. 164 and examine its retinal blood vessels with an ophthalmoscope. Find one or two very small vessels, preferably showing a branching so that the individual corpuscles can be seen moving into each division. Get a good notion of the rate of this movement for later comparison. Under the skin of the back inject two cubic centimeters of pilocarpine solution (one cubic centimeter equals two milligrams) or arecoline hydrobromide (one cubic centi- meter equals one milligram, Merck and Co.) solution. auricular nerve timpani ^superficial Temporal art. Chordo- 'ngual nerve Sub lingual 9/and ^Su/) maxillary gong ttiefic Descending sympathetic fibres in spinal cord Cervical sympathet Fig. 242. Schematic representation of the general plan of distribution of the nerves from the medullary centers to the salivary glands. This distribution is typical for a considerable number of other structures, glands, muscles, etc., located in the head. (1'artially adopted from Eycleshymcr and Schoemaker.) Facial artery Mylo-hyoid. branch of fifth nerve I /Sympathetic fibres accompanying Facial artery Chorda tytnpani Submaxillary gland iDuctof submaxillary Lingual nerve Hypoqlossal 'nerve \cut) ^~ Lingudl artery Ext d;V. jp. accessory nerve Hypoqlossal nerve Br. 1st. cervical nerve Sup.cervical ganglion Glosso-pharyn- geai nerve Ant. sympathetic fibres going to inter-carorid p/exus Vagus nerve Com. carotid artery Fig. 243. Dissection of the submaxillary and sublingual glands and their ducts, certain cranial nerves and arteries and of the cervical sympathetic trunk and the superior cervical ganglion. (Modified from Claud Bernard.) PILOCARPINE, ARECOLINE, ATROPINE 275 From moment to moment observe the eye ground and watch for any change in the rate of capillary movement. If yon succeed well in getting a change, then with a fine pointed hypodermic syringe inject into the pericardium one-half cubic centimeter of atropine solution (one cubic centimeter equals one milligram). What changes do you observe in the retinal circulation! How do you explain this? EXPERIMENT LXVII. Pilocarpine or Arecoline and Atropine. (Dog, Cat, Rabbit, and Pigeon or Chicken: Pupil.) 1. Into the right eye of as many of these animals as may be available inject about twenty drops of pilocarpine (one cubic centimeter equals five milligrams) or arecoline (one cubic centimeter equals three milligrams) solution. Open the lids and fill the conjunctional sac as completely as possible and keep the solution in as long as you can. Into the left eye of each animal drop atropine solution (one cubic centimeter equals four milligrams). Leave the ani- mals alone quietly and at intervals of a few minutes com- pare the two eyes. Do you note any pupillary changes? Explain these. EXPERIMENT LXVIIL Pilocarpine, Atropine. (Dog: Blood-pressure, Respiration, Salivary and Pancreatic Secretions.) 1. Anesthetize a ten kilo dog (ether only) and arrange to record blood-pressure and respiration. Insert a cannula in Wharton's duct (Figs. 237, 238, 239 and 240) and dis- sect out the chorda tympani. Stimulate it and get a nor- mal secretion. Open the abdomen and insert a cannula into the large 276 EXPERIMENTAL PHARMACOLOGY pancreatic duct (Figs. 244 and 245). Stimulate the vagus nerve with a series of single shocks repeated at frequent intervals (does this stop the heart!) and see if you can get a flow of pancreatic juice. Keep this up for five or ten minutes if necessary. Three injecting burettes should be used, one in each femoral vein and one in the left external jugular vein. Fig. 244. A dissection showing the position and relations of the pancreatic ducts in a dog. /, intestine; O, omentum; M, mesentery; S, stomach; P, pancreas (tail); BD, position of bile duct (dotted, beneath the pancreas) ; LD, large duct, and SD, small duct of the pancreas. The pancreas is partly cut away to show the position of the ducts. This latter one contains adrenaline, the other two contain atropine (one cubic centimeter equals one milligram) and pilocarpine (one cubic centimeter equals one milligram). Observe the size of the pupils carefully. Then adjust all writing points and take a short normal record. Inject one cubic centimeter of pilocarpine solution. What is the ac- ACTION OF PILOCARPINE AND ATROPINE 277 tion of this drug on the heart and circulation? Is there any action on the glands? Be sure no atropine gets into the vein until you are entirely ready for it. When the animal recovers inject more pilocarpine. Be sure you get in enough to bring out the action of the drug well. The animal is not likely to die early if small doses are used. Note the action on the pupils, salivary glands and pancreas. How do you explain this? Inject one-half cubic centimeter of adrenaline and see how this counter- acts the action of the pilocarpine. Examine the pads of the feet and see if any small sweat drops are forming. (Ke- member the circulatory disturbance you have caused in the hind limbs.) Inject more pilocarpine and try to get as marked action on the heart as possible. In a good typical case a long series of carotid tracings may be obtained in which separate heart beats may have an amplitude of from one-half up to three-fourths of an inch. When this stage is reached quickly observe the rate of salivary and pan- creatic secretion and then inject one cubic centimeter of atropine. This will not reach the heart for some time. Wait and see what happens. Explain all results observed. On what structures does each drug act? If necessary in- ject one cubic centimeter more of atropine. Now inject one-half cubic centimeter of adrenaline to restore the ani- mal. Stimulate the chorda tympani and the vagi. What effect has this on the salivary or pancreatic secretion? How does the vagus stimulation affect the heart, blood- pressure, and respiration? Observe carefully your record of respiration just after the pilocarpine was first injected. Is there a peculiar de- crease in amplitude with some difficulty in either expira- tion or inspiration? "What possible explanation can you offer for this? How did the atropine affect it? Inject one cubic centimeter more of pilocarpine. Is the heart slowed? On what structures does atropine antago- nize the action of pilocarpine? What is the action of pilo- 278 EXPERIMENTAL PHARMACOLOGY carpine on the adrenal glands? (Dale and Laidlaw: Jour- nal of Physiology, 1912.) Kill the animal with a large dose of pilocarpine and ob- tain a death record. Watch the pupils as the drug is in- jected. What do you observe? What is the immediate cause of death? If time permits open the chest and fit into it a piece of apparatus like that shown in Fig. 255 (or Fig. 256, if you happen to have this). Close the chest with hemostats as shown in Fig. 257. Could you do this in a living animal? Remove and wash all your apparatus. EXPERIMENT LXIX. Pilocarpine, Arecoline, Adrenaline, Atropine, and Barium. (Dog: Bladder, Intestine, Respiration, Blood-pressure.) 1. Etherize a dog and arrange to record blood-pressure and respiration. Open the abdomen and connect a mercury bulb to the bladder in the manner shown in Figs. 179 and 199 and arrange to record bladder contractions on the tipper part of the drum (the tambour pointer will rise when the bladder contracts allow space for this.) Observe the apparatus shown in Fig. 246 for recording intestinal contractions. Arrange a burette, catheter and finger cot (or rubber glove finger) as shown and make a small longitudinal incision in a loop of the small intestine. Slip the end of the catheter over which the finger cot is at- tached about four or five inches down the lumen of the in- testine from the incision. (The tip of the catheter reaches entirely to the end of the finger cot and thus forces the cot along.) Fill the burette half full of water and move the catheter in and out a little to be sure the finger cot is filled iritli water and that the air is expelled. Stitch together the incision in the intestine around the catheter and close abdomen with hemostats. The intestinal tambour should Fig. 245. Dissection showing the position and relations and the method of isolating the large duct of the pancreas in a dog. The method for inserting a cannula into the duct where it lies within the wall of the intestine is also shown. RECORDING INTESTINAL CONTRACTIONS 279 write just below the bladder (the pointers must be able to pass each other), below this are the blood-pressure, respi- ration and base line. The injecting burettes contain pilo- Elashc rubber band fo attach finqer cot' 'cdftte/er Fig. 246. Arrangement of apparatus for recording contractions of the intestine. (For discussion see text.) carpine (one cubic centimeter equals one milligram) and adrenaline. Take two inches (or less) of normal record and then in- ject one cubic centimeter of pilocarpine. A pronounced re- sult should be obtained in all the tracings. Do you get 280 EXPERIMENTAL PHARMACOLOGY this? Wait for the action of the drug to become well de- veloped. If you are sure the dose was too small then inject a second (but one cubic centimeter is usually sufficient for Fig. 247. Tracing showing the action of barium, adrenaline and atropine on the blood-pressure and intestinal contractions in a dog. The barium had been given just before this tracing begins. Its action on the intestine is quite evident but the contrac- tions are checked, first by adrenaline (which stimulates the inhibitory endings) and. second by atropine. How do you explain this latter action? BARIUM, ADRENALINE, PILOCARPINE 281 average sized dogs). When the effects are well marked inject one-half cubic centimeter of adrenaline. What pilo- carpine reactions does this counteract? Your records should show marked results. Fig. 248. Tracing showing the comparative extent of duration of the action of barium and of adrenaline on intestinal contractions and on the blood-pressure in a dog. Allow the animal to return to normal and then repeat the pilocarpine and adrenaline injections. Allow the animal to recover for a few minutes and mean- while empty the pilocarpine out of the burette and replace Fig. 249. Tracing showing the action of arecoline and of atropine on intrathoracic pressure, bladder contractions and blood-pressure in a dog. Intrathoracic pressure was recorded by means of a tambour with a moderate! v tightly stretched rubber membrane. The tambour was connected with a glass tube which was passed into the chest cavity (without letting air in:o the chest). Arecoline strongly contracts the bronchioles and thus shrinks the volume of the lungs. This drew air out of the tambour into the chest and caused the writing point to write at a lower level. The bladder and heart both show a marked reaction to the drug. These effects are partially counteracted by the atropine. Sympathetic chain Pudic nerve fibers (Motor, 3 bo vaso-constrictor^ Corpus cavernosum -5pinal cord nerves Pelvic ganglia Retractor penis muscle* 'Corpus spongiosum Urethra Pelvic(Erigens)nerve fibers (Inhibitory, also vdSO-dilator) (Erection) Fig. 250. Schematic representation of the innervation of the retractor jienis muscle. The vasomotor innervation for the region is also indicated. ARECOLINE AND ADRENALINE 283 it with arecoline solution (one cubic centimeter equals one- half milligram). Adjust all writing pointers and take a normal record. Inject one cubic centimeter of arecoline. This will give pro- Fig. 251. Tracing showing the action of pilocarpine on the rate of ovygen consumption, intestinal contractions, blood-pressure and respiration. found results. Wait for the drug to act and when the symptoms are very marked inject adrenaline (probably three-fourths cubic centimeter). Wait for the animal to 284 EXPERIMENTAL PHARMACOLOGY recover as much as possible. Give a second dose of adren- aline if necessary. Then empty out the adrenaline (be sure the bull-dog on the vein does not leak) and fill this burette with twenty cubic centimeters of atropine solution (one cubic centimeter equals one milligram.) Fig. 252. Tracing showing the action of a fatal dose of barium chloride on uterine con- tractions, blood-pressure and respiration. Get the animal into as good condition as possible and then inject one cubic centimeter (or one and one-half cubic centimeters) of arecoline. Wait for the action of the drug to become well developed and then inject one cubic centimeter of atropine. Wait for this to be carried to the heart. What ADRENALINE AND BARIUM 285 Fig. 253. Tracing showing the action of adrenaline and barium chloride (after atropine) on the heart (myocardiogram.) and blood-pressure. 286 EXPERIMENTAL PHARMACOLOGY Fig. 254. Tracing showing the action of a fatal dose of barium chloride on the heart (myocardiogram, right auricle and left ventricle) and blood-pressure in a dog. Note that the auricle continues to beat long after the ventricle has stopped. PILOCARPINE, ADRENALINE; ARECOLINE, ETC. 287 do you observe? How do you account for it? Pilocarpine acts very much like arecoline (as does also muscarine) but arecoline is much more powerful. Does atropine counteract all the actions of pilocarpine or arecoline? Do your records show this? Inject one-half cubic centimeter more of atropine. Then empty the atro- pine out of the burette and replace it with barium chloride solution (one-half per cent). Arrange all writing points and inject one cubic centimeter of arecoline to see if it acts as it previously did. Empty out the arecoline and replace it with adrenaline. If the dog weighs ten kilos or more then inject five cubic centimeters of the barium solution (a smaller dose for a smaller dog). It will take about one- half minute for the action of the drug to become well marked (if the animal was in fair condition when the drug was injected). The reaction should be very marked. When this occurs inject one and one-half cubic centimeters of adrenaline. Does this counteract any of the actions of barium? On what structures does barium act? Did the previous administration of atropine affect this in any way ? Kill the animal with a big dose of barium and just after the death record is made quickly open the chest (with large tinner's snips) and observe the heart action. What is delir- ium cordis? What is fibrillation? EXPEEIMENT LXX.* Pilocarpine, Adrenaline, Arecoline, Atropine, Barium. (Spinal Dog: Blood-pressure and Bronchioles.) 1. Etherize a dog (ten kilos) and arrange for blood- pressure records. Place injecting burettes in both femoral veins and one in the left external jugular. These burettes contain adrenaline (1:10,000), pilocarpine (one cubic cen- timeter equals one milligram) and arecoline (one cubic *Cats may be used for this experiment, but dogs are greatly to be preferred. 288 EXPERIMENTAL PHARMACOLOGY centimeter equals one-half milligram). (Muscarine one cubic centimeter equals one milligram may be substituted for one of the last two drugs or be used separately if it is available.) Observe carefully the apparatus shown in Fig. 255. Inlet Derail /o snow anqle of wire brace. ^ i ^- x A* jf .'^.'&*' '- -'Mi Fl3T1 ^ ~fJ -.j^ ^a wed ed^e ' ^y'^/ of sternum Diaphragmatic surface Fig. 255. A form of apparatus (approximately one-half natural size) made of sheet brass to place in the chest to hold the walls rigidly wide open and air tight while the records of changes in the caliber of the bronchioles are taken. A dotted circle in the center of the curved plate shows where a window may be placed to great advantage if sufficient shop facilities are available to do this. The window may be made of a sheet of celluloid (such as is used in automobile curtains) or of glass, and if the window is removable this also adds to its usefulness. The curved wire at the base is made of 3/16 inch brass rod. Any tinner should easily be able to make up at a very small cost such a piece of apparatus, which can be made of "tin" (tinned iron) or galvanized sheet iron. The instrument may be used for recording bronchial contractions by use of either posi- tive or negative artificial respiration, but the latter (aspiration of the chest) is greatly to be preferred. (For the method of use see text.) RECORDING BRONCHIAL CHANGES L'S<) This apparatus works best when the air is intermittently aspirated out of the chest (25 or 30 times per minute- 45 millimeters of mercury negative pressure with the by- pass or inlet adjusted to give proper strength of suction to fill the lungs well). In the absence of a machine capable of giving negative interrupted pressure (see Fig. 360) pos- itive artificial respiration may lie used in the ordinary manner by blowing air into the trachea. Even a hand bel- lows may be used for this, but a power driven machine is G/asi window 'jjjj; -Removable cap Tube for / aspiration Adjustable by-pass Diaphraqmotic Surface Notch, for ner/cardia/ sac Flanqe for sternum Costal surface ,:i Fig. 256. Another form of apparatus for insertion into the chest to record bronchial changes. About one-third natural size. The three wings at the bottom are placed inside the chest and are adjustable (by the thumb nuts) to fit various sized chests. When the can (with a glass or celluloid window) is removed, the hand may be passed into the chest to massage the heart, etc. The movements and changes in the lungs and heart can be seen through the window. (For the method of use see text.) greatly to be preferred. The apparatus shown in Fig. 256 may also be used for the lungs. The chest of the animal is now opened by a median lon- gitudinal incision, the apparatus is inserted as shown in Fig. 257 and the edges are clamped around air tight with liemostats. It is often advisable to sew one or two stitches of heavy twine from side to side through the skin of the upper end of the chest. The flange of the apparatus catches the sawed edges of the sternum on each side and 290 EXPERIMENTAL PHARMACOLOGY thus holds the chest open. As soon as the chest is opened artificial (positive) respiration is begun. Two forms of apparatus for thus giving ether to an animal are shown in Figs. 53 and 107. The artificial respiration thus begun is kept up throughout the experiment if only positive pres- sure is available. But if negative (interrupted) pressure is available this is substituted immediately after tlie ani- mal is pitlied. If positive pressure is used then the closed chest acts as ^-Adjustable by-pass Fig. 257. Adjustment of the apparatus shown in Fig. 255 in the chest of a dog. The sawed edge of the sternum catches against the flange of the apparatus and the skin and fascia are brought up and clamped tightly with hemostats to the edges of the plate. One or two stitches may be taken to draw the chest together at the front end of the ?nparatus. If '-nsi ; ve artificial respiration is used this apparatus simply converts the chest into a rigid-walled plethysmograph or oncometer for the lungs and heart. A glass (or celluloid) window aids greatly by allowing the operator to see when the lungs are being sufficiently inflated. an oncometer and the tube to the recording tambour (which should have a large bowl) is connected to the tube labeled "aspirate' 1 in Fig. 255. Thus when the lungs are blown full of air through the trachea and are thus expanded air will be forced out of the chest and into the tambour the pointer of which will rise. Conversely when the lungs col- PRELIMINARY OPERATIONS 291 lapse air will be drawn into the chest from the tambour and the pointer will descend. If the bronchial muscles contract or dilate the extent of this movement will be cor- respondingly decreased or increased. The extent of ex- pansion or contraction of the lungs can be controlled by the screw clamp on the tracheal cannula (if the volume of air delivered by the respiration machine at each inflation cannot be independently controlled). The extent of move- ment of the tambour pointer, i. e., of the amount of air en- tering or leaving the tambour bowl, can be controlled by the screw clamp on the ' ' inlet ' ' of Fig. 255. If negative pressure is used this is applied only after the dog is pithed (this being determined by the administration of the ether which is better done by positive artificial respi- ration). Figure 257 shows the way to arrange the tubes to the apparatus. In this case the tube to the recording tam- bour is attached to the side tube (or better the end) of the tracheal cannula (the ether bottle is removed, for it is no longer necessary as the animal will then be pithed). The other opening of the tracheal cannula carries a piece of rubber tubing and a screw clamp. This clamp is used to regulate the facility with A\ r liich air passes into and out of the trachea and lungs. This regulates the size of the tam- bour stroke on the drum. Closing the clamp down in- creases the amplitude of the tambour stroke; opening the clamp decreases the stroke. The attachment of the tam- bour here and the removal of the ether bottle can be done only after the animal is pithed. When the apparatus is adjusted pith the animal. To do this consult Figs. 258, 259, 260, 261, and 262. Unfasten the dog's head and turn it on the left side. The anesthetist watches carefully to see that the chest or trachea is not compressed and that the animal gets suf- ficient air while this part of the operation is performed. With a scalpel make a median incision over the skull and with large tin snips cut the skin away in a V-shaped area 292 EXPERIMENTAL PHARMACOLOGY (Fig. 258). With a scalpel cut close to the bone and dis- sect loose the right temporal muscle. Reflect this upward and hold it up with forceps. Take a trephine instrument Fig. 258. Method of making the first incision before trephining the skull. The longitudinal (mesial) edge of the opening is cut with a scalpel. The triangular piece of skin and fascia is then lifted with forceps and cut awajj with heavy (6 inch) tinner's snips. Fig. 259. The trephine opening is made about one-half to three-fourths of an inch outward from the median line to avoid the great longitudinal sinus. (Fig. 100) and make an opening in the skull (Fig. 259). Be careful to aroid the lout/it x.dinal xhtu* tlie opening should be one-It alf to three-fourths of an inch away from PITHING THE ANIMAL 293 the median line. Place a wad of cotton in the forceps and hold this in the left hand ready to cover the trephine open- Pass a long narrow scalpel blade into the opening ing. Fig. 60. Method of quickly cutting across the brain stem with a long narrow bladed scalpel while a wad of cotton is held in the forceps ready to crowd into the trephine opening to check all loss of blood Fig. 261. The cotton is held down firmly in the trephine opening while a probe is slipped in past the cotton and is moved quickly and thoroughly about in a circular manner to destroy every part of the brain. If the cord is also to be destroyed this is done_by passing a long fairly flexible wire (one-eighth inch soft brass rod) through the trephine opening and out through the foramen magnum into the spinal canal. The head and neck may be moved a little to assist in passing the rod down the spinal canal to destroy the cord. and cut quickly across the brain stem. Remove the scalpel and close the opening with the cotton. No blood should escape. Into the upper end of the opening beside the cot- 294 EXPERIMENTAL PHARMACOLOGY ton pass a probe (Fig. 261) and with a circular motion de- stroy every part of the brain. Keep the cotton plugged tightly in the opening. If it is desired to destroy the cord a one-eighth inch soft brass wire slightly curved at the end may l3e inserted past the cotton and forced through the foramen magnum and down the spinal canal. Bend the animal's neck and head a little to assist in getting the rod to enter the canal easily. Remove the rod, plug the opening tightly with cotton, and replace the animal's head into its original position. Remove the ether quickly, the animal will lie perfectly still and the blood-pressure will Fig. 262. After the brain (and cord, if desired) is destroyed the trephine opening is plugged tightly with a wad of cotton forced in by the hooked end of an aneurism needle. The animal's head is then quickly returned to the usual position. fall to a height of about three-fourths to one inch above the base line as seen on the drum. If negative pressure is used change to this now. If pos- itive pressure is used attach the tambour and adjust all writing points on a slow drum, lung tracing at the top, below this the blood-pressure, and then the base line and time signal. The lung tracing should have an amplitude of about three inches. Be sure the manometer pointer will pass up just to the right of the tambour pointer. Take one-half or one inch of normal record. Inject one cubic centimeter of pilocarpine. Wait a little for the ef- fect to develop ivell. Then inject one-half cubic centime- PILOCARPIXE, ATROPIXE, MUSCARIXE, ETC. 295 o cr. T3 n o q- --PJ s 2 %~Z- - 1 C- TO o o 2 S'o- s.S 3 3-15 w -- re u o re 3 ^ o o . "" C o a ='2 "2. " 296 EXPERIMENTAL PHARMACOLOGY ter of adrenaline. Wait the blood circulates slowly. What do yon observe ? How do yon explain it ? What mechanical factors are concerned? A second contraction Fig. 264. Tracing shewing the action of local (Burrough . V," llcome and Co.) on the blood-pressure and bronchioles in a spinal dog. The animal had received a dose of pilocarpine a little while before this tracing begins and the bronchioles were partially contracted (tonus) from the action of the pilocarpine which exercises a prolonged effect on the broncho-constrictor nerve endings. of the bronchioles will likely come on as the effect of the adrenaline passes off. Wait for this and give a second in- jection of adrenaline. (If the first dose of pilocarpine was ARECOLINE, ADRENALINE, ATROPINE, ETC. 297 too small this is seldom the case then a second may be given but this reduces the vitality of the animal markedly and is best avoided.) Get the animal into as good condition as possible and (take a normal) inject one cubic centimeter (less if tin* animal is small) of arecoline solution. The response will probably be profound. Wait for the heart to beat slowly again. When the bronchioles are greatly constricted in- ject one cubic centimeter of adrenaline. \> f 'aii lor the drug- to be carried around. The result should be striking. How do you explain this ? (If the first dose of arecoline was too small this is seldom the case then a second may be given but this is best avoided.) Empty out the pilocarpine (be sure the bull-dog on the rein does not leak) and fill the burette with atropine solu- tion (one cubic centimeter equals one milligram). Take a normal record and inject one cubic centimeter (or one and one-fourth cubic centimeters) of arecoline. When the action is marked inject one cubic centimeter of atropine. Wait for the drug to circulate. What do you observe? Explain all mechanical factors. Inject one-half cubic centimeter of arecoline. What conclusions can you draw? Empty out the areeoline and fill the burette with one- half per cent barium chloride solution. Barium acts pre- sumably directly on the smooth muscle fibers. Remember the animal has Itad atropine. Take a normal record (the animal will probably be greatly weakened by this time) and inject five cubic centimeters of barium solution (three cubic centimeters if the animal is small). What do you observe? It will take some time for the action to become marked. Is the heart irregular? Barium acts somewhat like digitalis and in some respects resembles adrenaline. Do the bronchioles contract? If so inject two cubic centi- meters of adrenaline. Do they respond to this? Kill the animal with a bie; dose of barium. How does barium act on 298 EXPERIMENTAL PHARMACOLOGY Fig. 265. Tracing showing the action of arecoline on the rate of oxygen consump- tion (and the broncho-constriction), intestinal contraction, blood-pressure and respira- tion in a spinal dog. ARECOLTKE A1STD ATROPINE 299 Fig. 266. Tracing showing the action of arecoline and atropine on the heart (myocardiographic record, right auricle and left ventricle) and blood-pressure in a dog. 300 EXPERIMENTAL PHARMACOLOGY the heart ? Discuss in full the action of pilocarpine, areco- line (muscarine), atropine, adrenaline and barium on the bronchioles. What part do the medullary centers play in this action? AYhat is the innervation of the bronchioles? (See Dixon and Ransom: Journal of Physiology, 1914.) EXPERIMENT LXXI. Nicotine. (Frog: General Symptoms.) 1. Into the anterior lymph sac of a frog inject one-half cubic centimeter of one-half per cent nicotine solution. Place the animal in a sink and watch its actions. Do you observe anything peculiar about its attitude I When the dose is too large the animal may die too quickly to show typical effects. Make a sketch of the position of the limbs after the action of the drug becomes marked. "\Vatch and see if this stage passes off. Save the frog and observe it as often as possible for several hours. Do you note any convulsions at any time! On what structures does nicotine act to produce these results! EXPERIMENT LXXIL Nicotine. (Frog: Heart and Vagus Nerve.) 1. Pith the frog and take a normal heart record show- ing both vagus (trunk) and crescent inhibition. Pour two drops of nicotine solution (one per cent) on to the heart. AVait a few seconds. Do you get an immediate effect? How do you explain this ? If there is a change in the heart rhythm does this continue or is there a return to normal! Stimulate the vagus and note the effect on the inhibition of the heart. How do you explain this ? Stimu- late the crescent. Explain your results. How does nico- tine cause these two results? Is the heart muscle directlv ACTION OF XICOTTXE 301 affected? Apply more of the drug and observe the later action on the heart. What is the innervation of the heart (Fi-. 222) 1 Fig. 267. Prop heart tracing showing the action of nicotine. The vagus trunk was stimulated as indicated. In the normal (lower) tracing inhibition occurs but after nicotine (second tracing) no inhibition follows. How do you explain this? Stimulation of the crescent in the next two lines still is followed by inhibition. The final effects of the drug are shown in the last two (upper) tracings. EXPERIMENT LXXIII. Nicotine. (Turtle: Heart and Vagus Nerve.) 1. Eepeat the above experiment on a turtle which is a more satisfactory animal for the experiment than is the frog. Why ? 302 EXPERIMENTAL PHARMACOLOGY EXPERIMENT LXXIV. Nicotine. (Turtle: Lungs.) 1. Pith a turtle, brain and cord. Remove the plastron as shown in Fig. 232. Consult also Fig. 233. Arrange a eannula in the wind pipe and a small (very sensitive) tambour to write on the drum. The magnification for the writing point should be large. Partially inflate the lungs (blow them up from the air vent in the tambour tube) and adjust the tambour on the drum. (A heart tracing may be taken also when the nerves are stimulated, but it is difficult to get a satisfactory heart tracing when drugs are injected into the heart. It is possible to inject drugs into the large vein running into the liver but this re- quires considerable care and when lung records only are w r anted the heart is best left alone.) Dissect out the vagus and sympathetic nerves on one side of the neck and stimulate them. Do you get a satisfac- tory record? Go far down in the tissues at the side of the neck and find the sympathetic branch which joins a gan- glion on the vago-sympathetic nerves. Stimulate this branch and see if you can get a lung tracing from it. (The opposite lung may be temporarily shut off by a bull-dog on the corresponding bronchus.) After one or two records of the lung contraction follow- ing nerve stimulation have been secured then remove the bull-dog from the bronchus, see that both lungs are mod- erately distended and that the tambour is properly ad- justed on the drum. Start the drum and with a fine-pointed hypodermic syringe inject into the ventricle one or two cubic centimeters of one-half per cent nicotine solution. The circulation is sluggish in the turtle and some time may elapse before the drug reaches the lungs. Wait for the effect to come on. Be sure the turtle is in a satisfactory condition (not diseased or weakened in any way) and that ACTION OF NICOTINE 303 CO o 00 o O. (I >< -n fj 304 EXPERIMENTAL PHARMACOLOGY the heart beats well. A marked effect should be produced. Explain the action of the drug in this case. It will be in- structive if you can compare the action of nicotine on the turtle lung with the corresponding action on a dog's lung. EXPERIMENT LXXV. Nicotine, Arecoline, Atropine. (Dog: Blood-pressure, Res- piration, Limb Volume, Intestinal Contraction.) 1. Etherize a dog and arrange for blood-pressure, res- piration and intestinal contraction (Fig. 24(i). Examine a plethysmograph for the hind limb of a dog (Fig. 269). Rub soapsuds around the left hind leg close up to the body of the animal. Take a razor and shave the hair all Fig. 269. Method of application of a plethysmograph to the hind leg of a dog. off ill band about one and one-half inches wide entirely around the leg. (A strong solution of sodium sulphide may be used to remove the hair by rubbing the solution over the selected area. The hair can then be readily scraped off. But this is a filthy method. A cheap safety razor is best.) The hair must be removed or the rubber band of the plethysmograph will leak air around the limb. Attach the plethysmograph as illustrated and connect it to a small howled very sensitive tambour. From above down, the records on the drum should be leg volume, intestine, blood-pressure, respiration, base line and time signal. In- jecting burettes should be placed in the right femoral and the left jugular veins. These contain nicotine (one-half per cent) and adrenaline. ACTION OF NICOTINE 305 Take a normal tracing (stimulate the vagi and get the cardiac effect) and then inject one cubic centimeter (less if the animal is small) of nicotine solution. Watch the pu- pil as the drug is injected. What do you observe? Wait Fig. 270. Tracing showing the action of a fatal dose of nicotine on the blood- pressure and respiration of a dog anesthetized with nitrous oxide. Can you see the evidence of a preliminary stimulation (followed by paralysis) of the cardie-inhibitory ganglia? for the effects to pass off. What do your records show for the intestine and leg? How can you explain these? Inject one-half cubic centimeter of adrenaline. How does this drug compare with nicotine in action? On what struc- 306 EXPERIMENTAL PHARMACOLOGY tares does nicotine act and what is the nature of this ac- tion? Do your records show this? Inject another dose of nicotine of such size as your animal will probably tolerate well. Stimulate the vagus nerve and see how this affects the heart. Do you get an inhibition! If so give another dose of nicotine and again stimulate the vagus. What are your conclusions! How could you prove this? Observe one pu- pil and stimulate the corresponding vago-sympathetic trunk. Does the pupil contract or dilate! How do you ex- plain this ! What is the action of nicotine on the pupil ? Empty the nicotine out of the burette and place arecoline solution (one cubic centimeter equals one-half milligram) therein. Inject one cubic centimeter of arecoline (less if the animal is small) and get a record. Observe the pupil as the drug is run in. Has the nicotine affected the action of this drug in any way? Wait for the drug to act. Inject one-half cubic centimeter of adrenaline to revive the ani- mal (give a second dose if necessary.) Empty out the adrenaline and fill the burette with atro- pine solution (one cubic centimeter equals one milligram). Take a normal record and then inject one cubic centimeter (or one and one-half cubic centimeters) of arecoline. When the action is very marked inject one cubic centimeter of atropine. Wait the circulation is slow. Do you get the proper response to the drug ? How do you explain this 1 Inject one-half cubic centimeter more of atropine. Empty out the arecoline and fill the burette with nicotine. Start the drum and inject one cubic centimeter of nico- tine. Does your record correspond with the theoretical action of the drug ? How do you explain this 1 What struc- tures are involved? Kill the animal with a large dose of nicotine. Discuss in full the counteraction of these drugs. Open the chest, dissect out the left pulmonary artery and place a ligature under it. (See Figs. 274, 275, 276, and 277.) Slip this ligature as far out on the artery as possible NICOTINE, ADRENALINE, PILOCARPINE 307 and tie. Lift the ends of the ligature up and draw the lung upward into view. Clamp the ends of the ligature to the chest wall. Could you put a cannula into the artery (as shown in the illustrations) while the heart was beating and disturbing your operations considerably? EXPERIMENT LXXVI. Nicotine, Adrenaline, Pilocarpine, Atropine. (Dog: Blood- pressure, Intraocular Pressure, Respiration and Kidney, Spleen or Intestinal Loop Volume.) 1. Give a dog a small dose of ehloretone and then ether- ize it. Arrange for blood-pressure, respiration and kidney, spleen or intestinal loop volume records. Observe the arrangement of the apparatus shown in Fig. 271. A medium sized syringe point is thrust into the an- terior chamber of the eye as shown in the upper right hand corner of the picture. The cornea is composed of tough, dense tissue and the syringe point Avill not leak around the outside if the needle is not moved from side to side after it is inserted (at an acute angle) through the cornea. The needle is attached to a rubber tube which connects with a water manometer (filled with normal salt solution). The needle and the end of the rubber tube are held in a hole in a cork which is clamped in a burette clamp which can be brought close to the eye. The manometer is filled with salt solution from the mercury bulb and the tubes (washout also) and needle are filled with the solution, a little of the solution being allowed to run out of the needle as it is in- serted through the cornea. It is advisable to use an extra stand to hold the needle (burette clamp) close up to the eye. The amount of pressure in the tube is regulated by raising or lowering the manometer. The recording tam- bour should be small. No fluid should be in the tube lead- ing from the manometer to the tambour. The injecting 308 EXPERIMENTAL PHARMACOLOGY burettes contain nicotine (one-half per cent) and adrena- line. Stimulate the vagus nerve on the side on which the eye record is being taken. What conclusions can you draw? Bring all writing points on to the drum and take a nor- mal record. Inject one cubic centimeter (twelve kilo dog. less if tire animal is smaller) of nicotine and record the Mercury bulb or funnel - -- Antechamber Syrinqe point Perforai-ed cork OpHc chiasma Perforated cork I Fig. 271. Arrangement of apparatus for recording intraocular pressure. result. Stimulate the vagus nerve again and see what happens. Explain. Inject one-half cubic centimeter of adrenaline. Wait a sufficient time for the results to wear off. What conclusions can you draw? What mechanical factors are involved! Inject one cubic centimeter more of ACTION OF NICOTINE 309 nicotine. How does this record compare with your first one? What is the action of nicotine on the heart muscle? Stimulate the vagi from time to time and note any change in reaction. When an inhibition of the heart can no longer Fig. 272. Tracing showing the action of nicotine on the spleen volume, blood-pres- and respiration in a dog (etherized). Compare this record with one made by ad- sure and respiration renaline (or confine). be obtained (inject more nicotine if necessary] then empty out the nicotine and fill the burette with pilocarpine solu- tion (one cubic centimeter equals one milligram). Inject one cubic centimeter of pilocarpine. Wait for the 310 EXPERIMENTAL PHARMACOLOGY drug to act. When the effects are well marked inject one- half cubic centimeter of adrenaline. What conclusions can you draw from your records! Inject one-fourth cubic centimeter more of adrenaline (if necessary) to get the animal into as good condition as pos- sible. Then empty out the adrenaline (save it) and fill the burette with atropine solution (one cubic centimeter equals one milligram). Inject another dose (estimate the size to get the results) of pilocarpine and Avhen the reaction comes on inject one cubic centimeter of atropine. Do you get what you should get? What conclusions can you draw? Stimulate the va- gus nerve and see if your eye record is affected. What is the relation between the cervical vagus nerve trunk and the eye in the dog? How does this compare with a man? If you get any eye records study and explain carefully the exact cause of these records. Are they due to local or remote actions of the drugs concerned? Empty out the pilocarpine and put barium chloride solu- tion in the burette. Inject five cubic centimeters (one-half per cent) of the solution. Obtain as good records as you can. Then inject sufficient barium to kill the animal. Dis- cuss the action of the drugs used in this experiment. Com- pare your results with those obtained by other members of the class. EXPERIMENT LXXVII. Nicotine, Adrenaline, Barium. (Dog: Pulmonary Blood- pressure, Carotid Pressure.) 1. Etherize a dog (twelve or fourteen kilos preferred). A small dose of chloretone may be given to some advan- tage. Arrange for a perfectly reliable artificial respira- tion (a power driven machine is greatly to be preferred). Isolate and ligate loosely both vagi. Arrange to record carotid blood-pressure. The injecting burettes contain nic- PULMONARY BLOOD-PRESSURE 311 otine (one-half per cent) and adrenaline (1:10,000). Place the pulmonary manometer in position on the drum. Its base line should be about one-half inch above the ca- rotid pressure and the carotid writing point should be able to pass up just to the left of both pulmonary pointers (see Fig. 273). To pulley Pressure bottleA , wire Pulmonary )ase lint, marker - Pulmonary manometer (mercury or salt sol.) - Cdrotid manometer (mercury) Into Cdrotid / ':-=f-: artery - : =L- Fig. 273. Arrangement of apparatus for recording pulmonary blood-pressure. 312 EXPERIMENTAL PHARMACOLOGY By a median longitudinal incision open the thorax. For the method of giving ether when the chest is open see Figs. Loose ligature -Sawed edqe of sternum Left pulmonary artery Left pulmonary veins Lunq, partially inflated Pericardium over heart .... ^phrenic nerve snowing over pericardium Fig. 274. Dissection showing the method of lifting up the left pulmonary artery with an aneurism needle and tying a ligature loosely around the artery far out next to the lung tissues. Hemostet First ligature tied and fastened on wall of chest Second loose ligature on pulmonary artery T.T.H. Fig. 275. The first ligature is tied tightly (at the edge of the lung) and with a hemostat the end of the ligature is clamped to the edge of the chest wall in such a manner as to lift up and support the. outer end of the artery (and the left lung). A second (loose) ligature is placed around the artery ready to tie in the cannula. 53 and 107. TVith four large ligatures tie the chest widely open as shown in Fig. 106. Consult the Figures and seek for the left pulmonary PRELIMINARY OPERATIONS 313 veins. The left pulmonary artery lies just posteriorly and cephalad to the vein which is nearest the apex of the chest. Keep to the left of the anterior mediastinum if possible. Cut close to outer ligature Bull-dog on pulmonary artery close to heart Fig. 276. A special bull-dog is placed on the vessel near the heart and a notch is cut in the artery close to the outer ligature with the scissors. Disconnected tube to manometer Cannula in position to be inserted into pulmonary artery rfrtery held open with forceps Fig. 277. Method of inserting the special cannula into the artery. (For discussion see text.) This keeps the heart on the right side. It is usually ad- visable to pick up the mediastinum and clamp it to the tis- sues at the right sawed edge of the sternum. This securely 314 EXPERIMENTAL PHARMACOLOGY holds the heart over in the right side of the thorax and thus gives a freer field for the operation. With a probe (blunt point] carefully dissect loose the pleural (fascia) covering over the area between the arch of the aorta and the adjacent pulmonary vein. Beneath this fascial cover- ing you will find the pulmonary artery. Consult Fig. 274 and carefullly pass a large aneurism needle beneath the artery. Free as long a space of the ar- tery as you can readily isolate. This will average about three-fourths of an inch. Pass a twine ligature around the vessel and tie it loosely (Fig. 274). Now with large for- ceps (using one finger to help hold the twine) slip the liga- ture outward into the edge of the left lung as far as you can and then tie tightly. Take hold of the ligature and lift up the lung as far as you can safely raise it, pass the ligature out over the chest wall and clamp it with a hemo- stat to the chest wall. With the aneurism needle still un- der the vessel pass a second ligature around the artery and tie it loosely. A iveak-springed, rounded-edged bull-dog clamp is now placed on the artery as near to the heart as possible. The loose ligature is placed just peripheral to the bull-dog. With the aneurism needle now lift the outer end of the vessel and cut it about one-half across (Fig. 276) with the scissors. With his right hand the operator now passes one of the points of the large sharp-pointed forceps into the lumen of the vessel and holds it open (the aneurism needle is held under the vessel with the operator's left hand) while the assistant inserts the short, wide tip of the cannula (Figs. 278 and 279) into the vessel. The operator and assistant (each using one hand) now tie the loose ligature around the vessel thus fastening the cannula in securely. It is advisable to leave the washout tube on the cannula while it is being placed in the vessel but the manometer tube is best left off until the cannula is securely fastened in the vessel. This is done on account of the dif- PRELIMINARY OPERATIONS 315 ficulty of manipulating so many pieces in the chest at one time. The beating of the heart greatly increases the dif- ficulties of the operation. The artery has thin walls and a sharp-edged or strong-springed bull-dog will sometimes quickly wear a hole in the vessel from the constant rubbing To manometer Fig. 278. -For washout Fig. 279. Fig. 278. Special form of separable pointed cannula for the pulmonary artery. Fig. 279. Special (all-glass) form of cannula for the pulmonary artery. The open- ing m the point should be about one-eighth inch in diameter (the pulmonary artery is large). 316 EXPERIMENTAL PHARMACOLOGY of the ventricle before the manometer can be connected up. The pulmonary manometer should have its own inde- pendent base line (which can be a wire fastened to the board of the manometer). It is most instructive to the stu- dent to use mercury in this manometer but sometimes wa- ter or salt solution is used instead. The comparison with the carotid pressure is seen at once if mercury is used. Sodium citrate solution is used to prevent coagulation. A T-tube placed in the tube going down from the pressure bottle permits each manometer to have its own supply of citrate solution. When the cannula and tubing are all ad- justed for the pulmonary pressure (the manometer should have been fully adjusted previously) then wash out the tubes and manometer with citrate solution and fill the tubes full but leave no positive pressure in the tubes. This is of great importance. To accomplish best results a slight neg- ative pressure in the tubes is advisable. To get this fill the tubes and close both pinch cocks. Then open only the one on the washout. The pressure falls to zero in the manom- eter. Now between the thumb and finger squeeze the tube from the artery to the manometer. A small amount of the citrate solution runs out. Now close the washout and let go the tube. A slight negative pressure shows in the ma- nometer but the tubes are full of solution and no air is left in them. Work rapidly now for the animal may die soon and a clot is very liable to form in the pulmonary cannula. Ad- just all writing points, remove the pulmonary bull-dog and take a short normal tracing. Inject one-half cubic centi- meter of adrenaline and get a record. What effect has this on pulmonary pressure ? Does the pressure rise higher in the right lung than it does in the left? Does your experiment demonstrate this? Explain. What nerv- ous structures are involved in this reaction? As soon as the normal is reached inject a dose of nico- tine (three-fourths cubic centimeter). Do you get a satis- PULMONARY BLOOD-PRESSURE 317 factory record! How does nicotine affect the pulmonary blood-pressure? AVhat structures are involved? What mechanical factors are concerned? If you get a pulmonary clot put on the bull-dog and wash Fig. 280. Tracing showing the action of adrenaline on the pulmonary pressure, kid- ney volume and blood-pressure (right carotid) in a dog. The straight line just beiow the pulmonary pressure tracing is the pulmonary base line. out the blood but be sure no positive citrate pressure is left in the tubes. This is necessary because strong (five to ten per cent) sodium citrate solution is very poisonous to the 318 EXPERIMENTAL PHARMACOLOGY heart and a small amount can easily pass back from the pulmonary artery into the right ventricle. This may kill the heart immediately. Could you use hirudin for this pur- pose? "What objections could you offer? The average group of students will not get more than tAvo good pulmonary pressure records from one dog. If the animal is still in suitable condition inject five cubic cen- timeters of barium chloride solution (one-half per cent). What conclusions can you draw? In how many ways may drugs affect the pulmonary blood-pressure? How many of these does your experiment illustrate? "\Vhat differ- ences are there betAveen the systemic and pulmonary cir- culation? Historically Avhich of the systems Avas first dis- coA T ered? By Avhom? Kill the dog Avith a dose of barium. EXPERIMENT LXXVIII. Nicotine, Pilocarpine, Atropine. (Dog: Intraocular Nerves, Salivary Glands, Oxygen Consumption, Blood- pressure and Respiration.) (For the anatomy of the eye, see Experiment CXVII, page 394.) 1. GiA^e a dog (10 kilos) a moderate or small dose of chloretone and folloAv this with ether. Arrange to record blood-pressure and respiration. Consult Fig. 281 and dis- sect out the optic nerve in the right eye. (Consult Experi- ment LXIII, 2). Study Fig. 281 carefully and dissect out the orbit until the eye ball can be rolled around forAA^ard (in- ward) enough to bring the trunk of the optic nerve into vieAv. The skin around the outer canthus should be cut aAYay and sometimes the bones of the orbit must also be chipped out a little Avith bone forceps. Try to aA T oid dis- turbing the blood A r essels entering the eye from behind. When the nerve is isolated place the platinum electrodes against the nerve sheath and, Avhile Avatching the pupil, INTRAOCULAR NERVES 319 stimulate the nerve. The pupil may dilate (sympathetic fibers), contract (oculomotor fibers) or remain stationary (both sets of fibers or none of either). The electrodes are moved a little and the points can be worked cautiously down into the nerve trunk. Stimulate (for a moment only) at each new position of the electrodes, the pupil being watched carefully all the time. At some point in the stimulation the pupil will show a marked contraction at once. This is striking when properly done and will be well worth the time necessary to do the dissection within the orbit with especial care. Let each member of the group see the con- Fig. 281. Method of dissecting out the orbital fat and fascia to expose the optic nerve. The position of the electrodes for stimulating the third nerve fibers is shown. The eye-ball is rolled forward (inward) somewhat to bring the optic sheath into view. traction and keep the observation in mind to check your later results. Now turn the dog's head back into the usual position and insert a cannula into Wharton's duct. Stimulate the chorda tympani nerve and obtain a normal secretion. Arrange the apparatus for recording oxygen consump- tion and if necessary put a small amount of ether into it (but avoid the ether if you can). Into the femoral veins place injecting cannulas, the burettes to which contain nico- tine ( l /2%) and adrenaline. Take some normal record (in- cluding at least one or two notches of the oxygen record). 320 EXPERIMENTAL PHARMACOLOGY A good nicotine solution can often be made by scraping out the contents of the bowls and stems of two or three tobacco pipes. The material is dissolved in salt solution and filtered before being placed in the burette for injec- tion. The results are often striking. Inject a dose of nicotine (perhaps three-fourths of a cubic centimeter. This will vary with the size of the ani- mal and also with the quality of the drug as usually ob- tained in -the open market). Watch the pupils (both) as the drug is injected. Do you get a typical blood-pressure record? If it seems necessary inject some adrenaline to help restore the animal (watch the pupils as the drug is Fig. 282. Bone cutting forceps. injected). What did your oxygen record show? On what does this depend? Inject another dose of nicotine (esti- mate the size to suit the tolerance of your animal). Stimu- late one vagus nerve and see if the heart is inhibited. If it is, give a little more nicotine cautiously. Stimulate the chorda tympani and see if secretion follows. When, on stimulation, the vagus no longer can inhibit the heart, empty out the nicotine and fill the burette with pilocarpine solution (one cubic centimeter equals one milligram). Substitute atropine for the adrenaline in the other burette. Inject one cubic centimeter of pilocarpine. What action has this on the salivary secretion and heart ? Have you injured the vessels going to the salivary glands? Wait a little and if the animal will tolerate it well inject another PILOCAEPHSTE AND ATROPINE O_!l dose of piloearpine. AVait for the action of the drug to become well developed. How is the heart affected I Stimu- late one vagus nerve and see if this slows or accelerates the heart. If it beats faster or if the pressure rises how do you explain the result? Is this a natural phenomenon or have the drugs caused it in some way? When the action of piloearpine is well marked (give more of the piloearpine if absolutely necessary) inject one cubic centimeter of atropine solution (one cubic centimeter equals one milli- gram). Do you get typical results on the heart and blood- pressure! Stimulate the chorda tympani and see if secre- tion follows. Another smaller dose of atropine may be given if the animal will probably tolerate it well. Now stimulate the oculomotor nerve again and see if you get a contraction of the pupil. Stimulate the vago- sympathetic in the neck and see if the pupil dilates. If time permits dissect out the oculomotor nerve on the left side and stimulate it to see if contraction of the pupil will occur. Kill the animal with a big dose of atropine. If you do not have enough solution to do this (how much does it take?) then inject nicotine in addition. Examine the respiratory tracing just after the piloearpine was injected. Do you note a decrease in the amplitude of the respiration with some difficulty in either expiration or inspiration? How do you account for this? Is it central or peripheral? How did the atropine affect this? Did the atropine act centrally or peripherally ! Could you obtain such phe- nomena as this in an animal whose head had been removed from the body? After the animal is dead pick up one vago-synipathetic nerve trunk in the neck and follow it up toward the base of the skull. Dissect out the superior cervical ganglion and determine its relations to the surrounding structures. From this ganglion sympathetic fibers pass to the various organs, glands, involuntary muscles, etc., of the head. (See Fig. 243.) 322 EXPERIMENTAL PHARMACOLOGY EXPERIMENT LXXIX. Lobeline. (Frog or Turtle: Heart and Inhibitory Nerves.) 1. Pith a frog or turtle and take a heart tracing includ- ing both vagus and crescent stimulation records. Make up a solution of lobeline sulphate containing approximately one milligram of the drug to one cubic centimeter of dis- tilled water. Lobeline sulphate is a dark, thick, viscid sub- stance and is difficult to weigh or measure but dissolves readily in water. While taking a record on the drum pour a few drops of the solution on the heart. Do vou note anv immediate . / action? Stimulate the vagus nerve and note the action on the heart. Now stimulate the crescent and see if you ob- tain the usual result. What conclusions can A^OU draw? ml Have you obtained similar results with any other drug? Could you prove your conclusions in any other way? Ap- ply more of the drug to the heart to see the later results. How does lobeline act? (See Edmunds: American Journal of Physiology, xi, p. 79.) EXPERIMENT LXXX. Lobeline, Pilocarpine. (Turtle: Lung Tracing.) 1. Arrange a turtle for taking lung tracings (consult Experiment LXXIV, 1). When all adjustments are made take one-half inch of the normal (quiescent) record and then inject into the ventricle with a very fine-pointed hypo- dermic syringe one or two cubic centimeters of lobeline solution (one cubic centimeter equals one-half milligram). Do not disturb the lung tracing by manipulating the heart carelessly. Do you get a satisfactory lung record? How do you explain this action of the drug? On what structures does lobeline act? Where are these structures located in LOBELINE, ARECOLHSTE, ATROPINE 323 p " p = Hh n % , ISNj 3; o _- fTs y C/q ^ w 3- o o a, > c S 2. ' -r 11 3 a. D- -l O o-'H O - a H) p S 2 p O 10 "2. - 3 3 cr - > o ^ 324 EXPERIMENTAL PHARMACOLOGY the turtle! Do you have any evidence that these structures exist in the turtle? As soon as the curve returns to normal prepare to in- Fig. 284. Turtle lung tracing showing the action of lobeline. Fig. 285. Turtle lung tracing showing the action of lobeline. ject piloearpine (one cubic centimeter equals one-half mil- ligram). The heart may not be beating very strongly and if this is the case it may be advisable to wait a few minutes for the heart to recover. A few drops of a dilute (1 :10,000) LOBELINE, PILOCARPINE, ADRENALINE 325 adrenaline solution may be poured on the heart to ad- vantage. Prepare to take a second record and then inject one or two cubic centimeters of pilocarpine solution into the heart. AVait for the drug to act as the heart may be slowed or stopped and the solution may not reach the lung tissues for some time. Do you get a satisfactory record! How do you explain this! On what structures does pilo- carpine act? Do you have any evidence that such struc- tures exist in the turtle's lungs? \Vliat general conclu- sions can you draw from the experiment! Fig. 286. Turtle lung tracing showing the action of pilocarpine. EXPERIMENT LXXXI. Lobeline, Adrenaline, Pilocarpine, Tetramethylammonium chloride. (Dog: Bladder Contraction, Blood-pressure, Respiration, Pupil.) 1. Arrange an eight kilo dog (the animal may be given a small dose of chloretone 1.50 milligrams per kilogram of weight) for recording blood-pressure, bladder contrac- 326 EXPERIMENTAL PHARMACOLOGY Fig. 287. Tracing showing the action of lobeline (three injections) and heroine on the bladder, bronchioles and blood-pressure in a spinal dog that had previously received 3 milligrams (intravenously) of atropine. ACTION OF LOBELHSTE 327 Fig. 288. Tracing showing the action of lobeline (two injections) on the bladder, bronchioles and blood-pressure in a spinal dog which had previously received a sufficient amount (135 mgs. ) of heroine to render the animal insusceptible to the specific action of the drug on the bladder and bronchioles. Evidently here the first dose of lobeline produced ganglionic paralysis as shown by failure of response to the second dose. 328 EXPERIMENTAL PHARMACOLOGY tions, and respiration. Isolate and ligate loosely both vagi nerves. Stimulate one and watch the corresponding pupil- lary response. Keep this in mind for later comparisons. The three injecting burettes contain lobeline (one cubic' centimeter equals one-half milligram), adrenaline (1:10,- 000) and pilocarpine (one cubic centimeter equals one mil- ligram). Take one inch of normal tracing. The bladder record (leave space for an upward contraction) should be on the upper part of the drum; below this are the blood-pressure, respiration and base line in succession. Be sure the blad- der tambour and manometer pointer will just pass each other on the drum (the tambour to the left). "When all is ready watch both pupils closely and inject one-half cubic centimeter of lobeline solution. There should be an im- mediate and profound response. Do the pupillary, blad- der and vascular responses all correspond! On what ana- tomical structures does the drug act to produce each of these reactions? Could you find these structures in a dis- section of the animal I Allow the animal to return to nor- mal. Inject one-fourth cubic centimeter of lobeline. Do you get a response corresponding to that produced by the first dose of the drug? How do you explain this? Could you prove the truth or falsity of your conclusions ? How would you do this? AYhen the records return to normal inject one cubic centimeter of pilocarpine solution. What is the action of pilocarpine after lobeline ? Do these drugs coun- teract each other in any respect! Do your records show this? Explain the results fully. Inject a second dose of pilocarpine if necessary to get satisfactory records. Injec-t one-half cubic centimeter of adrenaline and see if the lobeline and pilocarpine have changed the response of the animal to the adrenaline in any way. Watch the pupils closely as the adrenaline is injected. Xow stimulate each vagus nerve and see how the heart, blood-pressure TETRAMETHYLAMMOXIUM CHLORIDE 329 Fig. 289. Blood-pressure (and kidney volume) tracing showing the action of tetramethylammonium chloride before and after the injection of atropine. The first dose of tetramethylammonium chloride caused a great fall in pressure because the vagus endings in the heart were intact. The second dose, however, following paralysis of the vagus endings by atropine, caused a great rise in pressure. The kidney volume also actii'dv shrinks. To what is this action due? 330 EXPERIMENTAL PHARMACOLOGY and pupils are affected. Is the respiration changed by the stimulation ? Have any of these phenomena been influenced in any way by the drugs If so, what anatomical struc- tures were involved and how were they affected? Are these structures ever involved in pathological conditions Fig. 290. Tracing showing the action of tetramethylammonium chloride on the blood- pressure and bladder contractions in a dog which had previously received a dose of atropine. Animal anesthetized by nitrous oxide. such as typhoid fever or pneumonia? What symptoms would these reactions probably produce in a non-anesthe- tized animal? If the animal is still in suitable condition empty out the pilocarpine and fill the burette with a solution (one cubic PILOCARPHSTE, TETRAMETHYLAMMONIUM CHLORIDE 331 Fig. 291. Tracing showing the action of pilocarpine, tetramethylammonium chloride (two injections) and adrenaline on the bronchioles and blood-pressure in a spinal dog. Note the peculiar combination of cardio-inhibition and vaso-constriction produced by the tetramethylammonium chloride which also dilates the bronchioles, while pilocarpine, which likewise causes cardio-inhibition, produces contraction of the bronchioles. Adrenaline has still a different action. How do you explain these various phenomena? 332 EXPERIMENTAL PHARMACOLOGY centimeter equals one milligram) of tetramethylammo- niiim chloride. Inject one cubic centimeter and determine what action this drug has after lobeline. What structures are affected by the drug and how are they influenced ? Kill the animal with a big dose of the tetramethylammonium chloride. AVas the bladder contracted before the last drug- was injected? If so, you may miss part of the action of the drug. EXPERIMENT LXXXII. Lobeline, Nicotine, Pilocarpine. (Guinea Pig, Cat, Dog, or Rabbit: Uterus Strip.) (Consult also the following experiment. One animal may be used for both experiments.) 1. Examine carefully the apparatus shown in Fig. 292. (Consult also Fig. 316). This simple arrangement is suf- ficient for ordinary qualitative results but the more elab- orate apparatus should be used for especially important experiments such as drug assaying by the uterine strip method. The animal used in this experiment may often be ob- tained from another group of students who have already performed another experiment. It is important to save as many animals as possible. If a dog or cat is used it must first be etherized, then one horn of the uterus (including the ovary) is dissected out very carefully so as not to in- jure the tissues. From this a small uterine strip is pre- pared and with a bent pin hook one end of the uterine strip is attached to the loAver end of the bent glass tube as shown in the picture. By another pin hook and a small thread the upper end of the tissue is attached to the short arm of the heart lever. The lever is weighted on the long end by a (movable) bull-dog clamp. If a guinea pig is used (and these animals are very satisfactory) it may first be anes- UTERINE STRIP RECORDS ooo ooo thetized or its head may be instantly cut off with a hatchet or sharp hand ax. The animal may be anesthetized with nitrous oxide (see Experiment VII) if it can be killed in a few seconds after it is removed from the large bottle. Ethyl chloride may also be used instead of ether. As soon as the uterine strip is adjusted in the beaker, warm (38) normal salt solution (or Locke's solution, etc.) Q/ass tube- ormal salt sol. 37'c Uterus strip ^ Removable beaker Fig. 292. Arrangement of apparatus for recording contractions from a uterine strip, or from an arterial ring, ureter ring, intestinal strip, ring of frog's stomach, etc. is placed in the beaker. The writing point of the lever is brought on to the drum which is started at the slowest speed. Small rhythmic contractions should be recorded. When sufficient normal records have been taken (there are great variations in the normal contractions exhibited by different uteri) then with a pipette pour one or two (or more) cubic centimeters of a solution of lobeline (one cubic centimeter equals one milligram) into the beaker. 334 EXPERIMENTAL PHARMACOLOGY The oxygen should be bubbling slowly but constantly through the solution. This serves not only to oxygenate the solution but also stirs it. Do you get a response to the lobeline ? How do you explain the result 1 After a few minutes slip the lower beaker out and replace the upper one by another containing fresh warm salt solution. How does the uterine strip respond to this? Take some more normal tracings and then pour one or two (or more) cubic centimeters of nicotine solution (one per cent) into the beaker. Discuss your results fully. Change the beaker again replacing it with one containing fresh warm salt solution. Get some more records and then pour a small amount of pilocarpine solution (one cubic centimeter equals two milligrams) into the beaker. Discuss the results in full. Add some atropine solution to the beaker and see if this affects the uterine strip. (The size of the "dose" of the drugs used in this experiment may have to be varied a great deal in different experiments. The doses here given will often be too large but the student can test this out for himself.) EXPERIMENT LXXXIII. Adrenaline, Lobeline, Nicotine, Pilocarpine, Atropine. (Guinea Pig, Rabbit, Dog, Cat, Frog: Intestinal Segment.) (Consult the previous experiment to save animals.) 1. Repeat the above experiment using a small ring cut from the small intestine of one of the above mentioned ani- mals. Do not injure the intestine if it can be avoided in making your dissection. Be sure the intestinal ring is properly weighted (try different weights to select the right one) and then record some normal contractions. Add some adrenaline (1:10,000) to the beaker and record the results. How do you explain this? Change solutions and LOBELINE, ADRENALINE, NICOTINE, ETC. 335 when normal contractions again occur add some lobeline solution to the beaker. Explain the results. If a contrac- tion is produced counteract this by adding adrenaline to the beaker. Repeat this process with nicotine and pilo- carpine. (It may be necessary to use a fresh ring of in- Fig. 293. Tracing showing the action of muscarine on intestinal contractions, respiration and blood-pressure in a dog. 336 EXPERIMENTAL PHARMACOLOGY testine.) Again add pilocarpine to the beaker and if a contraction is produced then add atropine solution (one cubic centimeter equals five milligrams). Do you obtain satisfactory results ? State in full your conclusions. Add some barium chloride (one-half per cent solution) to the beaker and note the results. A part or all of the experiment may be repeated by us- ing a longitudinal strip of the small intestine. What effect does adrenaline have on longitudinal strips? What is the innervation of the small intestine ? (Fig. 318). The experiment may be repeated using a ring of the stomach of a frog. EXPERIMENT LXXXIV. Muscarine, Atropine. (Turtle: Lung- Tracings.) 1. Prepare a turtle for taking lung tracings. Inject into the heart one or two cubic centimeters of muscarine solu- tion (one cubic centimeter equals one-halt' milligram) and record the result. Do you get a contraction of the lungs? How do you explain your results? Is the heart beating well? Inject one or two cubic centimeters of atropine solu- tion (one cubic centimeter equals one-half milligram). Do you get a contraction or a relaxation of the lungs ? How do you explain the results ? Perhaps you may want to repeat the injection of atropine on a second turtle. How do your results compare with those obtained in a dog or cat ? If the lungs relax after a contraction can the relaxation be recorded if the weight of the liver and intestines is rest- ing on the pulmonary sacs? Could you modify the experi- ment to advantage in any way? It is usually advisable to dissect out the liver and intestines and most of the skeletal muscles before trying to record lung contractions. Do not injure the vessels going to the lungs. Serosa huscularis Circular Longirudindl fibers Submucosa Muscularis mucosd Villi and glands .^^^X ~ Blood vessels Auerbach's plexus (between muscle Idyers) eissner's plexus ( in submucosa ) 1 1 Preganglionic n " /" -Postganglionic fiber -Sympathetic fiber (inhibitory) I' IK. 294. Diagrammatic cross-section of the intestine (small) to show the manner of its innervation. See also Fig. 318. ACTION OF PHYSOSTIGMIjSTE 337 EXPERIMENT LXXXV. Physostigmine. (Frog 1 : Heart Tracing 1 .) 1. Pith a frog and obtain heart tracings showing the ac- tion of physostigmine (eserine). The salicylate of eserine is the best salt to use, the sulphate is deliquescent one cubic centimeter equals one milligram. The solutions should be freshly prepared for each experiment. Fig. 295. Turtle heart tracing showing the action of nicotine, arecoline and atro- pine. At the places marked R.l'.S.. the right vagus nerve was stimulated. Before nicotine inhibition is produced but this is absent after the drug is applied. Note the temporary slowing of the heart immediately following the application of the drug. How- do you explain this? The beat again becomes rapid but arecoline slows it while atropine causes a return of the normal rate. Explain the actions. Does the drug have any action on the inhibitory appa- ratus of the frog? Compare this with pilocarpine. EXPERIMENT LXXXYI. Physostigmine, Atropine, (Sodium Nitrite. (Frog: Stomach Ring.) 1. Prepare a ring of the stomach of a frog and arrange it in the manner shown in Fig. 292 for recording contrac- tions on the drum. Is the muscle ring already in a state of 338 EXPERIMENTAL PHARMACOLOGY strong tonic contraction! If it is, can it contract any further? Adjust the weight and pour into the beaker one or two cubic centimeters of eserine solution. (Add more drug if necessary.) What conclusions can you draw? Add some atropine to the beaker and note the results. The experiment may be repeated (a fresh stomach ring may be needed) and after the eserine action has been well developed sodium nitrite solution (one-half per cent a few cubic centimeters) can be added to the beaker. What do you observe? What conclusions can you draw? On what structures and in what manner does each drug act? Of what clinical significance is each of these actions? EXPERIMENT LXXXVII. Physostigmine. (Turtle: Heart Tracing.) 1. Repeat Experiment LXXX.V using a turtle instead of a frog. Does the drug act in any way on the crescent ganglia or the post ganglionic fibers? Compare this with nicotine and arecoline. EXPERIMENT LXXXVIII. Physostigmine, (Adrenaline, Atropine). (Turtle: Lung Tracing.) 1. Arrange a turtle for recording lung tracings and then inject into the heart one or two cubic centimeters of eserine solution (one cubic centimeter equals one-half milligram). What action has the drug in this case? Is this a ganglionic or nerve ending reaction? Could you prove your conclu- sion? Now make a second injection of eserine into the heart (if it has not already become too weak or stopped) and follow this with an injection of adrenaline (1:1000). Atropine may be used instead of adrenaline (or better a second experiment on a fresh animal may be performed). PHYSOST1GMINE, HYOSCINE, ADRENALIN K 339 What conclusions can you draw? Do atropine and adren- aline act on the lungs of the turtle in the same way that they do on the dog's lungs? Could you prove your conclu- sions? EXPERIMENT LXXXIX. Physostigmine, Hyoscine, Adrenaline, (Trimethylamine). (Dog: Respiration, Blood-pressure, Intestinal Contractions.) (See following experiment.) 1. Arrange a dog (a cat or rabbit may be used) for recording blood-pressure, respiration, and intestinal con- tractions. (For the latter purpose use the ringer cot, cathe- ter, burette, and tambour method.) The three injecting burettes contain physostigmine (one cubic centimeter equals one-half milligram), hyoscine (one cubic centimeter equals one milligram atropine or hyoscyamine may be substituted could you use homatropine?) and adrenaline (or trimethylamine hydrochloride one cubic centimeter equals one milligram). Take a normal record and then inject two cubic centi- meters (for a cat or rabbit one-half cubic centimeter) of physostigmine. How is the respiratory tracing affected ! Do you get normal results from the heart and intestine I Was the dose too large or too small? The instructor may be able to advise you on this point, because he can observe the action of the same drug solution you are using in the experiments performed by other members of the class. As soon as the action of the eserine becomes well marked in- ject a dose (one-half cubic centimeter for a dog) of adrenaline (or trimethylamine, one cubic centimeter). What action has this on the respiration? Does it counter- act the eserine? Explain the relations of these two drugs to the respiration both centrally and peripherally. How is 340 EXPERIMENTAL PHARMACOLOGY the eserine intestinal reaction affected by adrenaline? What structures are involved and how are they affected? What is the innervation of the intestine ? Would it be ad- visable for a physician to understand this innervation? How could he best learn the nervous control of the intes- tinal movements? Fig. 296. Tracing showing the action of trimethylamine on the bronchioles and blood-pressure of a spinal dog. The bronchioles were in a state of moderate contrac- tion from the effects of a dose of pilocarpine at the beginning of the tracing. Record made by aspiration of the chest. (See Experiment LXX.) Wait till the animal returns to normal. Take another starting record and inject a second dose of physostigmine. You can estimate the correct size of this dose from the re- sults of your first injection. When the action of the drug becomes marked on the animal quickly observe the mouth PILOCARPIXE AXD TRIMETHYLAMINE 341 for saliva, the pupils for change in size, and the respira- tory movements for difficulty in expiration or inspiration. At once inject one cubic centimeter of hyoscine (for a dog. Fig. 297. Tracing showing the action of pilocarpine and trimethylamine on the bronchioles and blood-pressure in a spinal dog. Record made according to the method described in Experiment XXIX. one-half cubic centimeter for a cat or rabbit) and observe the effects. What conclusions can you drawl Atropine or hvoscyamine mav be substituted for the hvoscine. How / / ' / does the action of eserine compare with that of pilocarpine 342 EXPERIMENTAL PHARMACOLOGY or muscarine or arecoline? What differences do YOU note? & Stimulate one vagus nerve to see if the heart can be in- hibited. If so give another dose of hyoscine (or atropine or hyoscyamine ) . If the animal is still in fair condition inject another dose of physostigmine to see if the respiration, intestine and circulation are affected in the same way as they were be- fore the atropine was given. Do you observe any fine mus- cular tremors over any parts of the animal? Were these present before the atropine was given? Has the atropine affected the tremors in any way! Explain. If you get a marked intestinal reaction then inject one cubic centimeter of adrenaline and see what occurs in the intestinal record. Explain fully. Kill the animal with a large dose of eserine. Which stops first, the heart or respiration? Save the animal for the following experiment. EXPERIMENT XC. Adrenaline, Sodium Nitrite, Barium Chloride. (Dog 1 , Cat or Rabbit: Perfusion of Kidney.) (See preceding experiment. Dog's kidneys are much to be preferred.) 1. Observe carefully the arrangement of the apparatus shown in Fig. 298. The water motor has a wire rod at- tached eccentrically bv a screw to the end of the shaft. i- This rod passes up to the shelf above and ends in a curved hook which moves rapidly up and down and thus inter- rupts the flow of normal salt solution (or diluted, defibrin- ated blood) from the pressure bottle (or bottles) above. This mechanical interruption fairly closely approximates the action of the heart in producing a pulsation in the arteries carrying blood to the various organs. The apparatus should all be set up and in full working PERFUSIOX APPARATUS 343 condition with the water bath heated to 38 or 39 degrees Centigrade before the animal is killed. Also a dish of warm salt solution, three small cannulas (for the kidney vessels and ureter), threads and a rubber bulb (1 or 2 oz.) carry- ing a small pointed cannula should be prepared. The bull) is used to flush out the vessels of the kidney immediately Cannula in -(.annula. in Vein annula in Ureter fV Openma for osnnulas Fig. 298. Arrangement of apparatus for perfusion of an excised organ. (For discus- sion see text.) after excision. This prevents clots from forming in the capillaries and smaller vessels of the organ. As soon as the animal dies the abdomen is opened and the left kidney is carefully excised, leaving the artery, vein and ureter as long as possible. The kidney is immediately transferred to the dish of warm salt solution, the rubber 344 EXPERIMENTAL PHARMACOLOGY bulb is drawn full of the solution and the point of the cannula is inserted into the cut end of the renal artery. The cannula can be held in temporarily while the bulb is squeezed with a moderate but firm pressure. The blood is soon flushed out of the kidney vessels. Cannula s are then quickly tied in the renal artery, vein and ureter. The kidney is transferred to the small chamber shown in the upper left hand corner of Fig. 298. This chamber is made of a large, deep metal pill box having a notch cut out of the upper side. Through this notch the three cannulas are passed and then the broad rubber band (which was al- ready around the box) is slipped over the notch while the three cannulas in order are passed through holes (air tight) made in the rubber band. The lid is then placed on the box and the rubber band is slipped over the seam be- tween the lid and the box proper thus making the cham- ber air tight. The box is then connected up as shown in the picture and the stock solution is started through the tubes (from which all air has been previously expelled). The motor is started and the pressure bottle is raised to a height just sufficient to give the maximum excursion to the tambour pointer at each pulsation of the fluid in the tubes. The solution passes through the kidney slowly and fresh (warm) solution should be run down into the tubes occasionally. When all adjustments are made take one-half inch of normal record and then with a hypodermic syringe inject some adrenaline solution in the tube above the artery as illustrated. A response should be obtained at once on the drum if the circulation through the kidney is good. Wait for the kidney to expand again. How do you explain these results! As soon as the contraction wears off (or a little before) inject one or two cubic centimeters of sodium nitrite solution (one-half per cent) into the rubber tube. Xote the effect when this reaches the kidney. Explain the results in full. PEKFUSIOX OF THE KIDNEY 345 When a satisfactory record has been obtained examine the temperature of the solution entering the kidney and if necessary change the pressure of the perfusion fluid. (It may be advisable to flush out the organ by temporarily increasing the pressure considerably.) When everything srerwsrvut. off- JjiAM^AjuL zz O 3- Elm a o o -. OQ 3 378 EXPERIMENTAL PHARMACOLOGY = = = r -,___- i, in X P o - 0, rt 7 rt ^ ^ O -4- = P C '5 C c. S JI n S = ~ 1 o i: c M = - . ^ in'O be 5 O CB : -- .C rt ^ rt -*- 1 ^ I T-^ "7 9 "I'^-.Is ^ O ^ x BRONCHIOLE TRACINGS 379 heart respond. AVhat conclusions can you draw from this .' Replace the ergamine into the burette (if it was emptied out before) and take a normal record. Inject a dose of er- gamine (gauge the size by your previous experience the dose should be a little larger than that which was previously just sufficient to produce a maximum effect, for the animal becomes a little less sensitive all the time to the drugs). Fig. 315. Tracing showing the action of arecoline, ergotoxine. (arecoline) and adrenaline on the bronchioles and blood-pressure in a pithed dog. 380 EXPERIMENTAL PHARMACOLOGY Do you get a satisfactory record? Has the atropine changed the influence of the drug on the bronchioles ? What does this prove! How does the action of hordenine com- pare with that of adrenaline? If the animal is still in a suitable condition (which is im- probable) you may try to get another contraction of the bronchioles from ergamine and then follow this with an in- jection of tyramine. This drug is described as acting in many respects like adrenaline. Will it dilate the bron- chioles ? Stop the artificial respiration and kill the animal. Disseet out both eyes and preserve them in fifty per cent alcohol (or ten per cent formalin) for dissection later. EXPERIMENT CVI. Ergotoxine, Ergamine. (Cat, Guinea Pig, Dog, Rabbit: Uterine Strip.) 1. From one of the animals mentioned prepare a uterine strip and arrange to record its contractions as illustrated in Fig. 292 (or as in Fig. 316 if you have the apparatus). The drum should have a very slow speed. When all is ready take a normal record and see if you can determine whether or not the muscle is in a strong tonus, and if it is properly weighted. A good deal of experience is required to get the best results from the strips. Add one or two cubic centimeters of ergotoxine solution (one cubic centimeter equals five milligrams) to the salt solution in which the strip is suspended. Do you get a contraction? If not add some more drug. Wait and see what happens. What conclusions can you draw ? After a time change the salt solution and allow the strip to record a normal contraction. Do you need to change the weight? Now add two cubic centimeters of ergamine (five cubic centimeters equal one milligram) to the salt solution. What do you observe ? Is it necessary to add more erga- UTERINE STRIP CONTRACTIONS 381 mine? What conclusions can yon draw? Change the salt solution and then see if you can get a contraction of the strip by adding barium chloride (in one- half per cent solu- tion) to the beaker. On what structures does each of these drugs act? Air. vent JfOCK solution water bath Bull dog (Adjustable weight] Metal waterbath 38c. Harvard muscle warmer with raduated scale in. metal heating rod soldered in wall of water bath Fig. 316. Arrangement of apparatus for recording contractions of a uterine strip, intestinal strip, or ring, etc. The metal water bath is made of a cheap metal water pail with a heating rod soldered through the side at the bottom. A short metal tube is soldered into a 1-mch opening in the bottom to receive a perforated cork for connecting with the Harvard muscle warmer inside. EXPERIMENT CVII. Ergot. (Cat: Action on Uterus.) 1. Secure a gravid cat as near full term as possible. Un- der the skin of the back inject with a hypodermic syringe two cubic centimeters of a good fluid extract of ergot. Put the animal in a quiet place and observe it carefully from time to time for several hours following. Discuss your con- clusions in detail. 382 EXPERIMENTAL PHARMACOLOGY EXPERIMENT CVIII. Pituitrin, Ergamine, Adrenaline. (Dog, Cat, or Rabbit: Uterine Contractions, Blood-pressure.) 1. Cats are preferred for the experiment. Observe care- fully the arrangement of the animal and the apparatus -Burette in extjuguldr vein Burette in femoral vein Bun sen i^ burner Tube to artificial respiration machine Fig. 317. Arrangement of apparatus for recording contractions of the uterus in situ. (The experiment is difficult and often yields unsatisfactory results.) A somewhat similar arrangement may be used for recording intestinal contractions. shown in Fig. 317. The animal is given .3 to .4 gram per kilogram of body weight of ehloretone (dissolved in alcohol) by stomach tube. Artificial respiration may be given throughout the experiment. Arrangements are made for recording the blood-pressure (omit this if sufficient appara- tus is not available), and injecting cannulas are connected with one femoral vein and one external jugular. These con- UTERINE CONTRACTIONS 383 tain ergamine (ten cubic centimeters equal one milligram) and pituitrin (one cubic centimeter to five cubic centimeters of water Parke, Davis & Company's preparation is usually satisfactory, but several other extracts are on the market). The metal box in which the animal is placed is now filled with 0.9 per cent salt solution which is thereafter kept at 39 C. by a bunsen burner. This prevents exposure of the viscera to the cold air and avoids drying of the tissues. The abdomen is now opened by a long median incision and the intestines and bladder are pulled gently to one side and fastened beneath the salt solution, thus exposing the uterine horns. One of these is followed up to the ovary which is gently dissected loose from its attachments (using great care not to disturb the blood-vessels) and the distal end of the uterine horn may also be freed a little from the body wall to permit freedom for its movements if contrac- tions occur. A myocardiograph (Cushny's, Wigger's, etc., or Fig. 141 ) is now placed down over the abdomen. A small round needle is used to pass two stitches of fine thread through the uterine horn about one inch apart. These stitches are used to attach the levers of the myocardiograph to the uterine horn. A very light recording lever (heart lever or light muscle lever) is attached to the myocardio- graph and arranged to write on the drum above (and slightly to the left of) the blood-pressure record. The lever is weighted as nearly as can be estimated to suit the strength and tone of each uterine horn. When all adjustments are made a normal record is taken and then one-half cubic centimeter (for a full grown cat) of the pituitary solution is injected. Do you get a rise in blood-pressure? You should do so and this rise lasts for a considerable time. Wait for the curve (blood-pressure) to come back to normal. (Inject a larger dose if necessary to get a good record.) Did you get a uterine contraction? What explanation can you offer? Does this have any clini- cal significance? 334 EXPERIMENTAL PHARMACOLOGY Now inject one-half cubic centimeter of ergamine (cat) and see what effect this has. Do you get a fall in blood- pressure? Will the animal be likely to die! (If so, give it a small dose of pituitrin.) Did the uterus contract? If so en what tissues did the drug act and how were they affected? Wait a while for the animal to recover and observe any later actions of the drug. After a time more ergamine may be injected to get another record. If the animal is still in suitable condition adrenaline solu- tion may be substituted for one of the solutions in the bu- rette and a dose of this drug injected. How does the action of adrenaline on the uterus compare with that of the other drugs given? What is the innervation of the uterus? (See Fig. 318.) Kill the animal by giving a large dose of one of the drugs you have. What can you say about changes in the innervation of the gravid uterus in the cat ? Does this hold also in the human uterus? Can you find this point in the literature? This method of recording uterine contractions is some- times used to standardize ergot preparations by comparing the strength of the unknown solution with that of a standard preparation. (For literature, see Edmunds and Hale: loc. cit.; Dale, Dixon, Laidlaw, Barger: loc. eit., p. 363; Pitten- ger, P. S. : Biochemic Drug Assay Methods, P. Blakiston's Son & Co.; also Dale: Biochemical Journal, iv, p. 427.) EXPERIMENT CIX. Pituitrin, Ergamine, Levulose, Adrenaline. (Dog: Thoracic Duct, Blood-pressure, Bladder Contractions, Respiration.) (Give the dog one-half pint of cream to drink three hours before the experiment.) 1. Arrange a dog for recording blood-pressure, respira- tion and bladder contractions. Do not disturb the viscera \P//o motor muscle Lachryma/q/and Nasalmucosa Sublingual gland Submaxillary gland Submaxilldry(5ublingual) ganglion Call bladder and ducts Cranial and Sacral nerves motor ^ red inhibitory = blue Thoracico-lumbar nerves inhibitory Careen 'Postganglionic fibers are dotted, thus N.XI Sup. cervical ganglion Thyroid gland N.K Chordo-tymp.n. / Small intest. Pancreas Iliocecal sphincter B/aBde Vesical sphin Urethra I sphincter, Pelvi subclavia SteJIate (i s J- Thoracic) ganglion Sweat gland motor fibers Pilo motor muscle p- Celiac (Semilunar) ganqlion(Solarplex) Splanchnic nerves _- Sympathetic chain [ Lumbar splanchnics Sup. Mesenteric ganglion Inf. Mesenteric ganglion hypogastric nerves 7? P haileck. ^, Tl ^,,ypoga5tric,iiwsriliac) ( sphincter , v plexus. (Yesicals, rectal portions) Pelvic nerves (Nervus erigens) Fig. 318. Schematic representation of the involuntary nervous system. ext jugular vein subclavian vein Thoracic duct Sterno-mastoid muscle Sterno masfoid muscle . int. jugular vein Vagi nerves Carotid arteries To ether bottle To manometer Fig. 319. Dissection showing the method of isolating the thoracic duct at the root of the neck. Care should be taken not to perforate the parietal pleura at the apex of the chest if it can be avoided in making the dissection. KATE OF LYMPH FLOW I" IS.") any more than can be helped in putting in the bladder can- nula. Clamp the penis or vulva with a hemostat to prevent urination. Consult Figs. 319 and 302 and dissect out the thoracic duct. Place a cannula in it and collect the lymph as it drops from the small rubber tube placed on the cannula. The cannula must be very small, the opening in the end should be about the size of a very small thread and the outside of the tip of the cannula should not exceed %2 or %4 of an inch in diameter. Try to avoid penetrating the chest cavity at the apex in dissecting out the duct. If the chest is opened it may be necessary to give artificial respiration during the rest of the experiment. If the cream has reached the in- testine and is being absorbed well (two to three hours after meal) the thoracic duct in the neck should be of a whitish or yellowish-white color and in an average sized dog will be about y 1(! or % 2 of an inch in diameter. The duct is com- posed of exceedingly thin and delicate tissue and can be easily torn off and, lost in the dissection, the student per- haps not seeing it at all at any time. A little pressure will compress the duct and check all out-flow from it. (Those students who have sufficient technical skill may also insert a cannula in the lymphatic duct coming from the head and collect lymph from both ducts at the same time. There is a very marked difference and the experiment is well worth doing.) The injecting burettes contain pituitrin (1 to 5 Parke, Davis & Co.), ergamine (ten cubic centimeters equal one milligram) and adrenaline (1:10,000). When all adjustments are made take a normal tracing, watch the pupils and inject one cubic centimeter of pituitrin solution (dog, eight kilos or more). Do you get a rise in pressure, contraction of the bladder and a change 'in the rate and depth of respiration? If the dose was sufficient, as it probably was, alloAv the animal to return to normal and wait until the normal rate of lymph flow is determined 386 EXPERIMENTAL PHARMACOLOGY (number of drops per minute). The rubber tube or cannula may become clogged. If so pass a stiff twine string down the cannula and try to remove the clot. The pituitrin is now emptied out and the burette is filled -Superficial lymphatics from head Submaxillary lymph glands Laryngeal glands Trachea! trunks Cervical glands ^ lymphatics from limb External jugular vein Precava Axillary glared Bronchial glands receiving lymph lungs Lymphatic vessels from liver Small intestine from ^-Junction of thoracic duct with trachea! trunk Sabdavidn vein Lymphatic trunk ee/> lymphatic vessels from limb Lymphatics from thoracic wall Vessel from diaphragm Thoracic duct Pancreas Aselli Lymph trunk from pancreas Aselli to thoracic duct Receptaculum chyli Lacteal vessels and glands of mesentery Lumbar glands Iliac glands vessel from ^hjl ft ^V^yesse/s from limb abdominal ^//<^/7U^v Inguinal glanas / "" ^Lymphatics from skin of leg Ha I leek Large intestine Fig. 320. Diagrammatic representation of the lymphatic system in a cat. (Partially adopted from DavisonJ LYMPH FLOW PITUITEIN 387 with levnlose solution (five or ten per cent). In small re- peated doses (one-half or one cubic centimeter) several cubic centimeters of the levulose solution are injected. Wait then and see how the rate of lymph flow is affected. (How is the lymph flow from the head affected? Is this rate of flow maintained or does it decrease after a time!) After some time note the rate of lymph flow and adjust all writing points. Observe the pupils and inject one cubic centimeter of ergamine. Do you get satisfactory records? If the dose was too small wait a while and inject a larger one to get good results. How did the bladder respond? How does this compare with pituitrin? Inject adrenaline and see how this affects the lymph flow, bladder, pupil and respiration. With what other lymphogogues are you acquainted ? You may try some of these on the animal if it is still in suitable condition. Kill the animal with an injection of some of the drugs you have. Always get a death record in such cases and see which stops first, the heart or the respiration. How may drugs affect the rate of secretion or of flow of lymph? How is the formation of lymph controlled? What can you say about the innervation of the lymphatics ? HOAV does atropine affect lymph secretion? EXPERIMENT CX. Pituitrin. (Frog: Capillary Circulation.) 1. As in Experiment C, page 361, arrange a frog for ob- serving the capillary circulation in the web of the foot (Fig. 305). Observe carefully (for comparison) the normal rate of capillary flow and then inject one-half cubic centimeter (or more) of pituitrin under the skin of the frog's back. From moment to moment again observe the circulation in the web and see if any change occurs. If you note a change keep a careful watch on the animal from time to time for 388 EXPERIMENTAL PHARMACOLOGY two or three hours and see if there is a return to normal. Keep the animal covered with a thin layer of wet cotton. EXPERIMENT CXI. Pituitrin. (Frog or Turtle: Heart Tracing.) 1. Pith a frog or turtle and take a normal heart tracing- showing vagus inhibition. Irrigate the heart with some pituitrin solution (1 to 5) and determine the action of the substance on the heart. Is the inhibitory apparatus in- volved in any way ? How is the musculature of the heart af- fected? EXPERIMENT CXII. Pituitrin. (Turtle: Lung Tracing.) 1. Arrange a turtle for recording lung tracings. Stimu- late one vagus nerve and see if you get a contraction of the Fig. 321. Turtle lung tracing showing the action of pituitrin. lung. The magnification of the tambour tracing should be large. Take a normal and inject into the heart one cubic centimeter of pituitrin solution (1 to 5). AVhat conclusions can vou draw from vour results? ACTION OF PITUITRIN 389 Fig. 322. Tracing showing the action of pituitrin on the uterine contractions and blood- pressure in a dog. Made by Barbotir's method. 390 EXPERIMENTAL PHARMACOLOGY EXPERIMENT CXIII. Pituitrin. (Guinea Pig, Cat, Dog, Rabbit: Uterine Strip.) 1. Cats or guinea pigs are preferred. Prepare a uterine strip and record its contractions. (See Experiment CV1, also Figs. 292 and 316.) After the strip is properly weighted and a short record has been taken add to the solu- tion surrounding the strip one cubic centimeter of pituitrin (1 to 20). Do you get a satisfactory contraction! Wait a while, the drum runs at a very slow speed. If after some minutes no change has been produced replace the salt solu- tion with a fresh supply and inject a larger dose of pituitrin. Could you standardize the size of the dose by the size of the contraction the uterine strip gives :' If you had a standard preparation of pituitary extract could you coin- pare with this the strength of an unknown sample? If one- half as large a dose of the unknown sample were required to give a tracing three inches high, as was required of the standard preparation, what could you say of the relative strengths of the two samples? How much would you dilute the unknown preparation to bring it to the same strength as the standard? This is essentially the method commonly used to standardize (assay) pituitary preparations for the market. (For literature, see Dale and Laidlaw: Journal of Physiology, 1910-11, xli, p. 318; Dale and Dixon: ibid, 1909, xxxix, p. 25; Dale and Laidlaw: Journal of Pharma- cology and Experimental Therapeutics, 1912, iv. p. 75: Hamilton, H. C. : Journal American Pharmaceutical Asso- ciation, 1912 ; Roth, G. "\V. : Bulletin Hygiene Laboratory, No. 100; also Journal Pharmacology and Experimental Therapeutics, 1914, v. p. 557; Fenger: Journal Biologic Chemistry, 1916, xxv, p. 417; Frankl-Hochwart und Froh- lich: Archiv fur experimentelle Pathologie und Pharma- kologie, 1910, Ixiii, p. 347 ; Hamilton and Rowe : Journal of Laboratory and Clinical Medicine, 1916, ii, p. 120.) PITUITRIX, ADREXALIXE, ATROPIXE 391 EXPERIMENT CXIV. Pituitary Extract, Adrenaline, Atropine, Barium. (Dog: Bronchial Contraction.) 1. By one of the methods previously used arrange a dog for recording bronchial contractions. When all adjust- ments are made stimulate the vagus nerves and see how the Fig. 323. Tracing showing the action of pituitrin on the bronchioles and blood-pressure in a spinal dog. bronchioles react, then inject two cubic centimeters (dog- eight to ten kilos) of pituitrin solution (1 to 5). Do you get a satisfactory record"? What is the action of pituitary extract on the bronchioles? Is this a muscular or nervous affair? "What action has pituitrin on the sympathetic nervous system? How does this compare with adrenaline and tvramine? 392 EXPERIMENTAL PHARMACOLOGY This dose was probably large enough (for some animals too large the instructor may advise you about this) but if you think advisable try another dose to see if you can get more satisfactory results. When the animal recovers give one cubic centimeter of atropine, then stimulate the vagi and see if the heart is inhibited (how are the bronchi affected?). Give a little adrenaline to revive the animal and inject another dose (estimate the size) of pituitrin. How are the bronchioles affected now after the atropine? Would you advise the use of pituitrin in bronchial asthma ! How do your results in this experiment compare with those obtained on the turtle lung ? Kill the animal with a large dose of barium chloride solution (one-half per cent). How does this affect the bronchi ? EXPERIMENT CXV. Pituitrin, Adrenaline, Aconitine. (Dog: Urine Secretion, Intestinal Contractions, Blood-pressure, and Respiration.) 1. Arrange a dog for recording the blood-pressure, res- piration and intestinal contractions (by the fingercot-bu- rette method). The injecting burettes contain pituitrin (1 to 5) and adrenaline (1:10,000). Carefully isolate both ureters (Fig. 162) and place a ureteral cannula (Fig. 213) in each. Arrange the cannulas to collect the urine Mow in a beaker. Record on the drum the rate of drop Mow with a signal magnet (worked by a simple key in circuit with a dry cell). Close the abdomen with hemostats and wait ten or twenty minutes to get the normal rate of urine Mow. (The drum should have a very slow speed.) When the normal rate of urine Mow has been determined (if no urine is excreted after twenty minutes go on with the experiment and watch for the Mow to begin), take a nor- mal record and then inject one cubic centimeter (for eight PITUITEIN AND ACOXIT1NE 393 to ten kilo dog) of pituitrin solution. How does this affect the blood-pressure? What happens to the respiration 1 ? Is this a central or a peripheral action? After the records return to normal (see that all pointers are recording properly) inject a second dose of one cubic centimeter and compare the results produced by this with those obtained from the first injection. As soon as the records again reach the normal (keep the anesthesia regular) inject a third dose of one cubic centimeter. Does the animal become more or less sensitive to the drug! Is the rate of urine flow affected in any way ! If so how do you explain it ? Is the change as great as you expected? How does it compare with caf- feine or sodium sulphate ? Conthme giving pituitrin until five or six (or more) cubic centimeters have been given, watching for changes in the rate of urine flow in the mean- time. Do the intestines show any signs of increased ac- tivity! If so is this a nervous or muscular affair? Inject some adrenaline and see how this affects the urine flow and intestinal records. Do you see any signs of a tolerance being developed for the pituitrin? If so to what is it due . ; Does this occur with any other drugs '! Could you stand- ardize an unknown pituitary extract by comparing the ac- tion of various sized doses of the unknown with a standard dose of a standard pituitary extract on the blood-pressure ? This method is sometimes used to assay pituitary extracts. In that case small sized doses are given and a considerable period of time (fifteen minutes or more) is allowed to elapse between each two injections. If the animal is still in fair condition place a solution of aconitine "potent' 1 (ten cubic centimeters equal one iniUi- f/r(U)i) in the burette and determine what is the very least amount of the substance required to kill the animal. The injections must be made cautiously. Watch for postmortem intestinal contractions. Open the chest and see if the heart is fibrillating. 394 EXPERIMENTAL PHARMACOLOGY EXPERIMENT CXVI. Pituitrin, Adrenaline, Vanadium. (Dog: Pulmonary Blood-pressure.) 1. In the manner described in Experiment CIV, p. 369 (also in Experiment LXXVII, p. 310) arrange a dog for recording pulmonary blood-pressure. The injecting bu- rettes contain pituitrin (1 to 5) and adrenaline (1:10,000). When all adjustments are made take a normal record and then inject one cubic centimeter pituitrin solution. Do you get a change in pulmonary pressure? Would you advise the use of pituitary extract in a pulmonary hemorrhage from a tuberculous lesion ? What structures are affected by the drug in the lungs! Would the drug be advisable in bronchial asthma? After a rec-ord showing the action of pituitrin on the pul- monary pressure has been obtained get the animal into as good condition as possible and fill one burette with a solu- tion of sodium orthovanadate (two per cent when the drug is dissolved in the water the solution is slightly alkaline). Add a very small amount of hydrochloric acid to neutralize the alkalinity. A bright, clear, orange-yellow solution will be produced. Take a normal record and inject two cubic centimeters of the vanadium solution. Was the dose large enough? If not, possibly you can still get another record with a larger dose. Kill the animal with the vanadium solution. What conclusions can you draw from the experi- ment? On what structures does the vanadium act? EXPERIMENT CXVII* Dissection of the Eye. Its Anatomy and Pharmacology. Consult Figs. 324 and 325. It is advisable to read the ction on anatomy. section on the anatomy of the eye in some good text-book on *It is expected that this experiment may be performed on a day when no other experi- mental material is available. iridis Pupil Radial (dilator) muscle of iris To ciliary muscle ciliary muscle Dilatation of pupil Contraction of pupil Hill Ciliary muscle (accommodation) N.Ill (Contraction of pupil) ''/j-Efecfroc/es (Dilatation or constriction of pupil; contraction of ciliary muscle) Electrodes (Dilatation of pupil, opening wider of eyelids, or bulging forward of eyeball) Out-going sympathetic rami communicants/ Sensory ganglion cell (Sensory nervesfrom eye region) mm ' * Nucleus of- origin M nerve Corpora ' o.uadrigemina Position^) of pupillo-dilator center N.VII N.VIII N.V1 Medulla oblongata Descending symp- athetic fibres in the -Spinal cord (sp.-medulla) Cat, dog, rabbit I Thoracic n W Long ciliary '/' nerves ,,, 'Paths ofN.I Short ciliary nerves Jemilunar (Gasserian) ganglion Opthalmic division v lint, carotid art's plex. Radix longus Sup. cervical ganglion Fig. 324. Schematic representation of" the innervation of the eye. Postganglionic fibers are shown as broken lines. Endings of N.V (Sensory) in Endings of N. Ill in sphincter pupillae muscle Sinus venosus sclerae ' (CandlofSchlemm) 5patia anguli iridis (Spaces of Fontana) Sneafh of optic nerve Arteria centra I is retinae Sensory fiber from N.V to the eye regions Postganglionic fibers are dotted thus 7^o tissues of the eye Cornea Anterior chamber (Aqueous humor) Posterior chamber Ending of sympathetic fiber in dilator pupillae muscle Ending of N. Ill in ciliary muscle Suspensory ligament of the lens -Tendon of rectus muscle Retina Choroid clera Fovea cenfralis Cilidry ganglion Fiber to ciliary muscle (Accommodation) Fiber to sphincter pupillae muscle Sup. cervical ganglion /a Cerv. symp. B cord Post gang. symp. fiber to dilator pupillae muscle Fig. 325. Diagrammatic representation of the structure and innervation of the eye. ANATOMY AND PHARMACOLOGY OF EYE 395 The eyes saved previously from dogs may be used for dissection, or eyes from hogs or cattle may be secured (in weak formalin solution) from the slaughter house. Dissect away the fascia from the outside of the eye-ball and isolate and identify the extrinsic muscles. Are there any variations in these in different species of animals! What is the innervation of these muscles"? Isolate the optic nerve and follow it to the sclera. Dis- sect off the extrinsic muscles and free the eye from fascia. Do you have a right or a left eye? Locate on the eye-ball a point directly outside the area which should be occupied by the fovea centralis. Do the lower animals possess this structure? What is its function? Over this area cut a win- dow about one-eighth inch square in the sclerotic down to the choroid. Hunt for the fibers of the ciliary nerves which pass forward in the interspace between the sclera and the choroid. In the normal animal what reactions would fol- low electrical stimulation of these fibers? With care en- large the opening in the sclerotic a little and then dissect away the choroid which forms the floor of the opening. Use great care not to penetrate the retina which will be exposed when the choroid is removed. If the eye has not been long in the formaldehyde or alcohol the cornea and lens may still be transparent enough to allow an image to be formed on the retina (this is best shown in fresh eyes). Take a sheet of brown wrapping paper a foot square and roll it into a tube with an opening just large enough to hold the eye at one end. Place two rubber bands around the tube to prevent unrolling. The eye is placed in the end of the tube with the opening in the sclerotic and choroid coats turned outward, i.e., the cornea and lens are directed to look through the tube. Point the open end of the tube to- ward an incandescent light or bright window and watch carefully in the exposed area at the back of the eye for an image of the light or window. If you detect any image state fully its characteristics and peculiarities. 396 EXPERIMENTAL PHARMACOLOGY Examine the cornea and pupil. Place the eye in a pan of water and make an incision around it in the line of the equator so as to separate the front half from the rear half. The incision may go through all three coats, but the vitre- ous humor should not be disturbed. Lift off the rear half of the coats and look into the cup thus formed. What color is the retina? Of what is it composed ? What drugs act on the structural elements of the retina ? AVliat particular parts of the retina are involved in this action ? Define the optic disc and the central artery of the retina. AVliat is meant by the optic cup? AVliat relation does it bear to the macula lutea ? Separate the sclerotic from the choroid and define the lamina fusca. Hunt for the ciliary nerves (and vessels) between the sclera and choroid. How do these nerves get into the eye-ball ? Define the lamina cribrosa sclerse. Now take up the anterior half of the eye to which the vitreous humor probably remains attached. Look for the hyaloid membrane. "What are its functions ? To what is it attached? Gently separate the vitreous humor from the lens and ciliary processes and let it float in the water. De- scribe its color, consistency and functions. Have you seen anything of the ora serrata ? NOAV examine the ciliary processes and discuss their relations to the choroid and to the lens. Where are the ciliary muscle fibers? What is the innervation of this muscle ? What are its points of origin and of insertion? What are its functions ? What drugs act on it and how do they act ? With care dissect away a small sector of the suspensory ligament of the lens. What is the canal of Petit ? Where are the spaces of Fontana located and what is their func- tion? What drugs may influence this function and how? What is the canal of Sclennn? Remove the entire lens. If it is sufficiently transparent lay it over some small print and see if the letters can be seen through the lens. How many forms of lenses do vou know? To which of these does the THE EYE AMYL XITRITE 397 crystalline lens belong? How is the eye focused for vary- ing distances? What part does the lens play in this proc- ess? Make two diagrams to show these actions. AYhat drugs may influence these processes and how do the drugs act? Examine the iris. Locate the anterior and posterior chambers. AYith what is each filled ? May drugs influence these chambers in any way ! If so how ? Can you find any evidence of the existence of dilator muscle fibers for the pupil? Where would you look for these? What is the in- nervation of this set of fillers? What drugs act on the dilator mechanism and where and how do these drugs act ? How is the intraocular pressure controlled ? How may drugs influence this? Can you find the sphincter muscle of the iris ? How is this muscle innervated ? What part does it play in accommodation? AVhat drugs may affect this muscle and how and where do they act ? Compare the iris of a bird with that of a mammal as regards the action of atropine, pilocarpine and cocaine. Make a diagram show- ing the structure and innervation of the eye and indicate thereon with ledger lines the points where all drugs which affect the eye and with which you are familiar act. Indi- cate the nature of these actions with a plus ( + ) sign for stimulation and a minus (--) sign for depression and paral- ysis. Describe all nervous paths and elements involved in the pupillary light reflex. AVhat is an Argyll-Robertson pupil ? EXPERIMENT CXVIII. Amyl Nitrite. (Student: Plethysmographic Record, General Action.) 1. Arrange your apparatus for taking a volume record of the arm as shown in Fig. 326. AVhen all adjustments are made fold a handkerchief over a three (or five) minim amyi nitrite pearl and prepare to break the pearl by squeezing 398 EXPERIMENTAL PHARMACOLOGY it with a pair of pliers. (Pearls, or ampoules, are now pre- pared by several firms already covered by cloth so that glass particles can not fly off from the ampoule when it is broken.) Bring the pearl (or ampoule) up close to the sub- ject's nose and allow the vapors of the drug to be breathed in at once as the glass container is snapped by the pliers. Be sure you already have a normal plethysmographic record started (on a slow drum) before the pearl is broken. Fig. 326. Plethysmograph for recording volume changes in the hand and forearm. The rubber