7bl V Al EAV.liOCKWOOD.Ml GIFT OF G XJ A LABORATORY MANUAL OF Physiological Chemistry BY ELBERT W. ROCKWOOD, M.D., Ph.D. PROFESSOR OF CHEMISTRY AND TOXICOLOGY AND HEAD OF THE DEPARTMENT OF CHEMISTRY IN THE UNIVERSITY OF IOWA; AUTHOR OF AN INTRODUCTION TO CHEMICAL ANALYSIS FOR STUDENTS OF MEDICINE, PHARMACY AND DENTISTRY SECOND EDITION, REVISED AND ENLARGED TKHttb ne Colored plate anfc Ubree plates of Microscopic preparations PHILADELPHIA F. A. DAVIS COMPANY, PUBLISHERS 1907 COPYRIGHT, 1899 BY THE F. A. DAVIS COMPANY COPYRIGHT, 1906 BY F. A. DAVIS COMPANY [Registered at Stationers' Hall, London, Eng. -..... " %: Philadelphia, Pa., U. S. A. The Medical Bulletin Printing House 1914-16 Cherry Street PEEFACE TO THE SECOND EDITION. IN no department of biology have the advances of recent years been more marked than in that which is studied under the name of physiological or biological chem- istry. While the subject has always been regarded as im- portant in the study of the vital processes, its value is being more than ever emphasized as fundamental in a biological or medical education. A revision of this man- ual, with the addition of new material, has therefore seemed advisable. No change has been made in the original plan, but suggestions arising from its use in this university or from the experience of the author's colleagues have been adopted wherever they promise to add to the success of the work. For such suggestions particular thanks are due, among others, to Dr. D. W. Fetterolf, of the University of Pennsylvania, and Dr. Paul Bartsch, of Howard Univer- sity. ELBERT W. KOCKWOOD. THE UNIVERSITY OF IOWA, 1906. (iii) PEBFACE. IN view of the results attained from the course given in physiological chemistry in this University, as well as the experience of others, the author is firmly convinced of the superiority of the laboratory method of instruction over the didactic, believing that it is only by practical work that the student can become familiar with the physio- logical changes in progress in the animal body and their products. This book has been prepared with the aim of imparting accurate knowledge through the student's own observation. It has seemed advisable to include with the directions for experimental work a brief explanation of the facts observed, so as to call attention to their meaning; or, at times, to state others which are important, but which could not well be demonstrated in such a course as this. Some acquaintance with general chemistry and with chemical manipulation is presupposed." For the purpose of making the course flexible, the less important experiments, or those which are not of general interest, have been printed in smaller type. A few blank pages have been inserted for additional notes by the student. It has been found that the time usually assigned to chemistry in one year of a medical course is sufficient for the performance of most of the experi- mental work. As far as possible, the work has been so arranged as to require but a small stock of apparatus and reagents (v) VI PREFACE. and such as are readily obtainable. By this means a large class can carry on the work together. Complicated ex- periments have been omitted or put in small type for the use of advanced students or those who choose to spend more time upon the subject. The animal substances which are required albumin, blood, bile, and others can be found in the market or obtained from the slaughter-house. If no hospital is near, gastric juice, urine, etc., corresponding to patho- logical specimens can be prepared artificially for testing by the student. The expense of the course is very small. ELBERT W. KOCKWOOD. UNIVERSITY OF IOWA, JULY 31, 1899. TABLE OF CONTENTS. PAGE INTRODUCTION 1 THE CARBOHYDRATES 1 Starch 4 Dextrin 8 Glycogen 8 Cellulose 11 Glucose 12 Lactose 10 Sucrose 20 Maltose 21 Pentoses 21 THE FATS 23 The Lecithins 30 THE PROTEINS 32 Albuminous Substances 34 Albumins 39 Globulins 44 The Albuminates 46 Proteoses and Peptones 48 Fibrin 51 Coagulated Albumin 51 Compound Proteins 51 THE MUCINS 52 The Nucleoalbumins 53 The Nucleins 56 Haematogen 58 The Albuminoids 58 Collagen 58 Gelatin 59 Elastin 61 Keratin 61 FERMENTATION 62 THE SALIVA 66 THE GASTRIC JUICE 71 Gastric Digestion 75 Methods of Testing Gastric Juice 81 (vii) Vlll CONTENTS. PAGE THE PANCREATIC JUICE 93 The Pancreatic Digestion 96 Leucin and Tyrosin 99 THE BLOOD 101 Composition 101 The Corpuscles 101 The Serum 106 The Coloring Matters '. 107 Haemoglobin 107 Oxyhsemoglobin Ill Methaemoglobin 113 Hsematin and Hsemin 114 Carbonic Oxid Haemoglobin 114 Hsemochromogen 115 Hsematoporphyrin 115 Methods of Testing Stains 121 THE BILE 122 Biliary Acids 125 Cholesterin 128 Biliary Pigments 129 CONNECTIVE TISSUE 131 White Fibrous Tissue 131 Collagen 131 Cartilage 132 BONE 132 MUSCULAR TISSUE 134 The Plasma 138 The Extractives 139 THE BRAIN 141 MILK 142 THE URINE 146 Secretion and Physical Properties 140 Reaction and Fermentation 150 Urea 152 Uric Acids and Urates 161 Hippuric Acid 165 Creatinin 167 Chlorids 167 Phosphates 169 CONTENTS. IX PAGE Sulphates, Inorganic and Organic 172 Albuminuria 178 Globulinuria 182 Albumosuria 182 Peptonuria 182 Fibrinuria 184 Glycosuria 184 Acetonuria 186 Diaceturia 187 Laetosuria 188 Clioluria - 189 Haemoglobinuria and Hsematuria 193 Mucinuria 195 Lipuria, or Chyluria 196 URINABY SEDIMENTS 197 Classification . . ' 199 Pus 200 Mucus 200 Epithelium 201 Blood 202 Casts 202 Bacteria 205 Spermatozoa 206 Uric Acid and Urates 207 Calcium Oxalate 208 Phosphates 209 Calcium Sulphate 211 Calcium Carbonate 211 Tyrosin 211 Fat 212 SYSTEMATIC TESTING OF UKINE 212 UBINABY CALCULI , . 215 THE METKIC SYSTEM 218 COMPOSITION OF REAGENTS 220 INDEX . . 223 PLATE I. 1. tf, Wheat-starch granules. 1), Potato-starch granules. 2. a, Corn-starch granules. b, Buckwheat-starch granules. 3. Hsemin crystals, color brown. 4. Cholesterin, colorless, transparent. 5. Phenyl-glucosazone, yellow. 6. a, Urea, colorless. 6, Urea nitrate, colorless. PLATE I. PLATE II. 7. Calcium phosphate, crystallized and amorphous forms, both colorless. 8. Triple phosphate, "coffin-lid" crystals, colorless. Sodium urate, brown spherical masses with spicules. Bacteria. 9. Ammonium urate, "thorn-apple" forms, color brown. Calcium carbonate, spherules and dumb-bell forms, colorless. 10. Calcium oxalate, "dumb-bell" and "envelope- shape" crystals, colorless. 11. Uric acid crystals, yellow to dark brown. Amorphous urates, brownish. 12. o, Calcium sulphate crystals, colorless. 6, Impure leucin, nearly colorless. c, Tyrosin, colorless when pure. PLATE H. PLATE III. 13. o, Normal pus-corpuscles or mucus-corpuscles, gran- ular. b, Pus-corpuscles swollen with acetic acid, showing nuclei. c, Pus-corpuscles showing amoeboid movement. . All colorless. d, Blood-corpuscles, nearly colorless. 14. Different forms of epithelial cells, colorless. 15. Granular casts, colorless. 16. Epithelial casts, colorless. 17. Hyaline casts. a, Broad or waxy, colorless. 6, Narrow, colorless, and extremely transparent. 18. a, Fat-casts. 6, Yeast-fungi in urine. c, Spermatozoa. PLATE TIT. PLATE IV. ABSORPTION-SPECTRA . 1. Oxyhsemoglobin. 2. Haemoglobin. 3. CO-hsBmoglobin and CO-hsemochromogen 4. Methsemoglobin, alkaline. 5. Hoematoporphyrin, acid. 6. Hsematoporphyrin, alkaline. 7. Hsemochromogen, alkaline. 8. Hsematin, acid. 9. Hsematin, alkaline. 10. Sulphur metheemoglobin. 11. Methsemoglobin, neutral or faintly acid. 12. Pettenkofer's test for biliary acids. INTRODUCTION. THE principal materials which enter into the com- position of the animal body, as well as of the food neces- sary for its support, may be divided into several general classes: fl. Water. I. Inorganic n , r . , , . j 2. Mineral substances. ^ 1. Non-nitrogenous 1 (a) Carbohydrates. II Organic J compounds, such as j (5) Fats. " I 2. Nitrogenous compounds, such as the Proteins. There are a number of nitrogenous compounds in the animal body which cannot be classed under the proteins, and others which contain no nitrogen, but which do not belong to the carbohydrates or fats; nevertheless, these three classes include, by far, the largest part of the organic constituents. THE CARBOHYDRATES. The carbohydrates are composed of three elements: carbon, hydrogen, and oxygen. The latter two are always present in proportion to form water, and in this the carbo- hydrates differ from the fats, which contain less oxygen. The name of the group is derived from their composition, THE CAEBOHYDKATES. ^ although "tiiey "cannot be made directly from carbon and water. Most of them contain in a molecule six atoms of carbon or some multiple of six. Many organic compounds of carbon, hydrogen, and oxygen, however, have the two latter in the proportion to form water, but do not belong to the carbohydrates. Carbohydrates are found in both the animal and vege- table kingdoms, but are most abundant in the latter. The different members of the group differ greatly in their properties, such as the power of crystallization, fer- mentation, reducing effect, action on polarized light, taste, etc. They may be divided according to their molecular composition into three classes: I. Glucoses, or monosaccharids, C 6 H 12 6 , including: 1. Glucose, or grape-sugar; also called dextrose. 2. Fructose, or fruit-sugar; also called laevulose. 3. Less important are galactose, mannose, and sev- eral others. II. Saccharoses, or disaccharids, C 12 H 22 11 , includ- ing: 1. Sucrose, or cane-sugar. 2. Lactose, or milk-sugar. 3. Maltose, or malt-sugar, and some others. III. Amyloses, or polysaccharids, (C 6 H 10 5 ) X , includ- ing: 1. Starch. 2. Dextrin. 3. Glycogen. 4. Cellulose; also a number of gums and others of less importance. THE CARBOHYDRATES. 3 In addition to the above classes there are a number of compounds containing three, four, five, seven, eight, or nine atoms of carbon in a molecule. Their chemical names are compounded from a prefix which indicates the number of carbon atoms with the suffix ose, thus, triose, tetrose, pentose, etc. As yet they are not known to be of any great importance in physiological chemistry. The first class, the monosaccharids, is so named be- cause they contain one of the groups of six carbon atoms. They are mostly crystalline, easily soluble in water, and have a sweet taste. Chemically they are aldehyde or ketone compounds of the hexatomic alcohols. The former are in- dicated by the prefix aldo-, the latter by keto-; thus aldo- pentose, keto-hexose, etc. They have the power of reduc- ing the oxygen compounds of the metals and of forming compounds with phenyl-hydrazin. They will also undergo! fermentation with yeast. The disaccharids contain in a molecule twelve atoms of carbon. They may be conceived of as composed of two molecules of a monosaccharid minus one molecule of water: C 6 H 12 6 + C G H 12 6 = C 12 H 22 1 + H 2 0. By the action of acids or ferments they take up a molecule of water and form two molecules of a mono- saccharid. This formation of one or more simple sugars from a molecule of a disaccharid is called inversion, and the resulting sugar is known as invert-sugar. The di- saccharids do not undergo fermentation with yeast until they have been inverted. They are all soluble in water and have a sweet taste. The polysaccharids contain more than two groups of six carbon atoms, though the number is, in most cases, not 4 THE CARBOHYDRATES. positively known, and therefore is represented by x. They have probably a much higher molecular weight than the other classes. Their constitution is not known. They are mostly amorphous, insoluble in water, and, consequently, tasteless. Ferments and acids convert them into the mono- saccharids. They do not have reducing power. STARCH. Starch occurs in the cells of the plant. It is in the form of grains or granules, which vary in size in different plants from about 0.002 of a millimeter to ten times that. The granules are composed of two parts: an inner, soluble one, called granulose, and an outer one, called cellulose. This latter is insoluble in water and protects the starch from the action of many of the weaker ferments. When boiled or acted upon by alkalies it is broken, allowing the granulose to escape and forming starch-paste, or soluble starch. The shape and size of the granules differ so much in the different plants that the source can often be deter- mined by its microscopic appearance. Those of the potato have a shape somewhat similar to that of a clam-shell, those of wheat are round and smaller, and those of buckwheat more irregular. (Plate I, 1 and 2.) Starch can be obtained from the parts of the plant where it is stored up, like the tuber of the potato or the kernel of grain, by macerating it, then washing out the starch with cold water. Starch is a colloid. A colloid is a substance which when dissolved will not pass through an animal membrane or parchment. They are the opposite of crystalloids, which are usually crystalline and which will diffuse through such membranes. This process of diffusion or separation of colloid from crystalloid substances is called dialysis. As STAECH. 5 starch cannot pass through an animal membrane, it must be changed to a diffusible form before it can be absorbed. This is effected by ferments in the saliva and pancreatic fluid. By heating to 160 to 200 starch is converted into dextrin. 1 By boiling a solution with a dilute acid it is changed first into dextrin, then into glucose. Ptyalin changes it first into dextrin, finally to maltose. The dias- tase of malt gives the same products. Starch gives an intense-blue color with a solution of iodin. This color disappears on heating the liquid; but if it is not heated too long it becomes blue or purple again when it cools. The color will also be destroyed by the ad- dition of anything which will form a compound with the iodin, such as sodium thiosulphate, silver salts, or the alka- line hydrates. 1. Starch may be prepared from a potato by grating it upon a tin grater, stirring it up with a little water, and squeezing the water, which contains a large part of the starch, through a piece of unbleached muslin. After repeating this with several portions collect the water in one vessel and allow the starch to settle to the bottom. Pour off the water, add more, and allow to settle again, repeating till the starch appears clean and white. Take what is needed for the experiments and" let the rest dry. Enough starch for the microscope examination can be obtained from the scrap- ings from a potato without washing. The cellulose- fibers will then be seen also. 2. Examine the starch under the microscope. No- -Y tice the shape of the granules. 3. Place a drop of very dilute iodin solution upon the slide so that it runs under the cover-glass and notice 1 Unless otherwise stated, all degrees of temperature will be understood as referring to the centigrade scale. 6 THE CARBOHYDRATES. the markings which are thus brought out upon the gran- ules which are least colored. 4. Examine in the same way starch from other sources: corn, wheat, buckwheat, etc. Observe the differ- ence in the size and shape of the granules. Sketch these and hand in the results. 5. Prove that starch does not dissolve in cold water by filtering after shaking powdered starch in a test-tube of water. lodin gives no color to the filtrate. 6. Add about a gramme of starch to 100 cubic centi- meters of cold water, mix it thoroughly, and boil. The starch has dissolved, as is shown by filtering and, after cooling, testing a portion of the filtrate with iodin solution. A deep-blue color is produced. It is destroyed by heating, but reappears as purple or blue again upon cooling. V 7. Use a piece of parchment dialyzing tube to test diffusibility. First see that this does not leak. It should hold water when suspended by the two ends. Place inside some of the starch solution made in the preceding experi- ment and hang the whole in a small beaker of water, so that the liquids inside and outside are at the same level. ir Instead of the tube a piece of parchment can be placed in a funnel from which the stem has been broken, as if the liquid were to be filtered. Pour the starch solution into this and suspend the whole in a beaker of water. Allow it to stand several hours, then test the water outside with iodin for starch. It does not pass through because it is a colloid. Then put a little glucose in the dialyzer. It dif- fuses out and can be found by Trommer's reaction. 8. Examine under the microscope the starch-paste which has been made by heating starch in water. The granules have been burst open and destroyed. STAECH. 7 9. Prove that starch can be decomposed by acids or ferments by means of the following: In about 100 cubic centimeters of water in a porce- lain dish boil enough starch, previously moistened with cold water, to make a thin paste. Add about 10 cubic cen- timeters of dilute sulphuric acid and boil, stirring at first until the liquid becomes thinner. Keep the solution up to its original volume by the addition of water. If this is not done the strong acid will turn the liquid brown or black. From time to time remove a portion, cool, and test with iodin. When the iodin gives a red color the starch has been converted into dextrin. When no color appears on the addition of iodin it has been changed to glucose. Test a portion for glucose by adding an equal volume of sodium hydrate solution, then, drop by drop, cupric sulphate solu- tion till a deep-blue color is produced. Heating this will give a yellow or red precipitate, showing the presence of /? glucose. This is known as Trommels test for glucose. 10. To a clear solution of starch add a solution of tannic acid. A yellowish precipitate forms which dissolves on heating. 11. Try Trommer's test with the starch solution. It does not respond. * 12. Add gradually to the remainder of the solution which has been boiled with the acid, while it is still hot, powdered calcium or barium carbonate until it is neutral. Filter and evaporate the nitrate to dryness on the steam- bath. 1 Glucose remains: examine its properties and pre- serve it for subsequent tests. 1 To evaporate a liquid on a steam- or water-bath the evaporating dish in which it is contained can be heated by stand- ing it on a beaker of boiling water. This removes all danger of burning the residue. THE CARBOHYDRATES. DEXTRIN. Dextrin is the intermediate product in the change from starch to glucose or maltose. There have been several varieties described: erythrodextrin, which is colored red by iodin; achroodextrin, which is not so colored, etc. It is formed from starch by the action of heat, acids, or ferments. It is soluble in water, making a sticky liquid, often used for a mucilage. It is produced when bread is toasted, and is also found in the crust. Toast or bread- crust, then, has its starch partially changed into a more diffusible substance. 13. Prepare dextrin from starch by heating in a porcelain dish on a sand-bath half a spoonful of powdered starch previously dampened with a few drops of dilute nitric acid (made by adding a few drops of nitric acid to a test-tubef ul of water) . The starch must be stirred with a glass rod until it has turned yellowish or brown, when it has been changed to dextrin. 14. Dissolve some dextrin in water and test with a drop of iodin solution. A red or brown color is produced, not a blue, if the change has been complete. If commer- cial dextrin is tested it will probably be found to contain undecomposed starch. GrLYCOGEN. yit Glycogen is found in a few of the lower plants, in some shell-fish, and in many fluids and tissues of the bodies of mammals. It is most abundant in the liver, and next in the muscles. It is also called liver-sugar or liver-starch. In the animal body it is most plentiful when the animal is well nourished, especially after a full meal. At such times it may be in as large an amount as 10 or 12 per cent, of GLYCOGEN. 9 the liver, but it is usually not more than 3 or 4 per cent. It disappears completely from the liver after long starva- tion, or more quickly through severe work or great fright. It is best obtained from the liver. After boiling to kill the ferments which are always present, dissolving in water, and removing the nitrogenous substances, it can be pre- cipitated by alcohol. Glycogen is an amorphous, white, tasteless powder. In water it dissolves to an opalescent solution. With iodin it gives a red color, which disappears on heating. It does not have a reducing action upon cupric hydrate. Boiling with acids converts it into dextrin, then maltose, then glu- cose. The salivary and pancreatic ferments produce the same change. The glycogen of the liver seems to be formed mostly from the carbohydrates of the food, but partly, at least, from the nitrogenous compounds. It is deposited in the liver as a reserve material, just as the starch is stored for a reserve material in the plants. When it is needed by the body it is converted by a ferment into grape-sugar, and this passes into the circulation. It is probable that it is used to furnish energy for the body. After death the glycogen quickly disappears from the tis- sues of the body, being decomposed by the ferments which are present. If these are destroyed by boiling the tissue for a short time the glycogen is not destroyed, but can be extracted. 15. PREPARATION OF GLYCOGEN. In a mortar grind with sand or glass about 25 grammes of the adductor muscle of the scallop (pecten irradiens), extract several times with 50 cubic centi- meters of cold water, repeating the operation with hot water. Boil the liquid to coagulate the proteins, filter and concentrate the nitrate to about 50 cubic centimeters, then add alcohol to 70 per cent, in strength. This precipitates the glycogen. Filter this off. 10 THE CARBOHYDRATES. If the dry powder is desired, wash with alcohol, then with ether, and dry in a desiccator. Prepare glycogen from the liver of a freshly-killed, well-nour- ished animal. The animal is best killed while digestion is in progress. If a rabbit, this may be an hour after introducing 10 to 15 grammes of sugar into the stomach through a tube. Remove the liver as soon as posssible, cut it into lumps, and immediately put it into about four times its weight of boiling water. Let it boil half an hour, then rub up the lumps as much as possible in a large mortar, add water, and boil again. Filter through muslin, concentrate upon the water-bath to about one-fourth its volume, and allow the solution to cool. Then precipitate the gelatin and other protein compounds by adding alternately small quantities of hydrochloric acid and potassio-mercuric iodid 1 as long as anything is thrown down. Filter and add to the filtrate twice its volume of alcohol to precipitate the glycogen. Wash with alcohol. To purify the substance it should be dissolved in a little water and precipi- tated again with alcohol. If the anhydrous powder is desired, the water must be removed as far as possible before drying. To accom- plish this wash the precipitate next with absolute alcohol, then with ether to remove the alcohol. Dry in a vacuum-desiccator over sulphuric acid. If the pure substance is not desired, the tests may be made on the solution after the removal of the protein com- pounds. 1.6. If the dry substance has been obtained, try its taste and its solubility in water. Test the solution with iodin. It gives a red color. 17. Try Trommer's test (Experiment 9). There is no red color if the glycogen has been purified. If it has not been it contains glucose, which responds to the test. 18. Convert one portion of the solution into glucose by heating with hydrochloic acid and another by the action of saliva. Test each for the glucose by Trommer's test. 19. Prove that the glycogen is destroyed (changed Prepare by precipitating mercuric chlorid with potassium iodid, washing the precipitate and then adding it to a hot solu- tion of potassium iodid as long as it dissolves. CELLULOSE. 11 to a reducing sugar) in the liver after death by the action of a ferment, making the test upon some liver from the market. (Instead of this a part of the liver from Experi- ment 14 can be used. This should be after it has stood several hours in a warm place.) Chop it finely and extract with boiling water. Acidify the solution slightly with acetic acid, add a little sodium chlorid, and boil to pre- cipitate the protein compounds. After filtering, test the filtrate for glycogen by means of iodin and also for sugar by Trommer's test. 20. Add a little blood to a test-tube of the glycogen solution and after it has stood ten minutes in a beaker of water at body-temperature slightly acidify with acetic acid, boil, and filter to remove the albumin, and test the filtrate for glucose and glycogen. The latter has been converted into glucose by a ferment which is found in the blood. CELLULOSE. Cellulose forms the membrane of the plant-cells, and is not found as a constituent of the animal body, except in a few of the lower forms. Cotton and filter-paper are two of the most common examples. It is distinguished from the other polysaccharids by its insolubility. It is insoluble in the ordinary solvents, but can be dissolved in the strong mineral acids, being converted into dextrin. It also dis- solves in a solution of cupric hydrate in ammonia. (Schweitzer's reagent), and in a solution of zinc chlorid (Schultze's reagent). Sulphuric acid changes paper into a parchment-like substance by covering the surface with a coating of its decomposition-products and so sticking the fibers together. Iodin does not stain the unaltered cellu- lose, but does so after it has been acted upon by the acid. 12 THE CARBOHYDRATES. Cellulose is only slightly attacked by the digestive ferments of man, though the herbivorous animals digest it to a greater extent. By the continued action of acids it is con- verted into glucose. 21. Show that cellulose is not stained by iodin. Use absorbent cotton or starch-free filter paper. _22.-=Try the solubility of cotton or filter-paper in solution of zinc chlorid (Schultze's reagent) and also in a solution of cupric hydrate in ammonium hydrate (Schweitzer^s reagent). It can be precipitated from these solutions by dilution with water. 23. To one volume of water in a beaker add slowly two volumes of concentrated sulphuric acid, stirring mean- while. Cool the mixture; then immerse in it for a few seconds a piece of heavy filter-paper, plunging it into a large beaker of cold water as soon as it is removed. If the time of immersion has been correct it will be semi-trans- parent after washing, and as tough as an animal mem- brane. It is called vegetable parchment. It can be stained blue by iodin. 24. Let another piece of paper remain in a small amount of the warm acid until it has entirely disappeared. Then dilute a little of the acid with water and test it for glucose by Trommer's test (Experiment 9), being sure that enough alkali has been added to give it an alkaline reac- tion. GLUCOSE (C 6 H 12 6 ). Glucose is also called dextrose and grape-sugar. It is found in the vegetable kingdom as well as in the animal. It is normally present in the blood and lymph and in other fluids of the body. Pathologically it is found in consider- able quantities in the urine, sometimes in as large amounts as 10 per cent, or more. The urine may also temporarily GLUCOSE. 13 contain grape-sugar after a diet rich in carbohydrates. Whether it may normally occur in very small amounts in the urine is a question which is often discussed, but upon which there is no general agreement. Glucose is made commercially by boiling starch with a dilute acid. It can be produced from any of the poly- saccharids or disaccharids in the same manner. They unite with one or more molecules of water, forming glucose: (C 6 H 10 5 ) x +x H 2 = x C 6 H 12 6 . C 12 H 2 Ai + H 2 2C 6 H 12 6 . Pure glucose can be made from pure cane-sugar by dissolving it in alcohol and adding hydrochloric acid. The glucose crystallizes out on standing. Glucose is a crystalline substance, but crystallizes with difficulty from water. It can better be crystallized from methyl alcohol or ethyl alcohol. Its taste is sweet, but less so than that of cane-sugar. It is easily soluble in water or hot alcohol. With yeast, glucose ferments best at about 25 C., forming alcohol and carbon dioxid: C 6 H 12 6 = 2C 2 H 5 OH + 2C0 2 . In the presence of milk or cheese it ferments to lactic acid. Calcium carbonate or oxid of zinc must be added to keep the solution neutral if it is desired that the action go on for a long time, as the presence of the acid kills the ferment: C 6 H 12 6 = 2C 3 H 6 3 . By the action of another ferment the lactic acid is changed into butjrric acid: 2C 3 H 6 3 = C 4 H 8 2 + 2C0 2 + 4H. 14 THE CARBOHYDRATES. 25. Prepare pure glucose from cane-sugar by the following method: Acidify 100 cubic centimeters of 90-per-cent. alcohol with 4 cubic centimeters of concentrated hydrochloric acid, warm the liquid upon the water-bath to 45, and add gradually 30 grammes of finely-powdered cane-sugar, stirring until it has dissolved. The temperature should not rise above 50. After two hours at 50 the sucrose has been inverted. Then let it stand in a cool place. The glucose commences to crystallize out in about a week, but crystallization may be hastened by adding to the cold solution a few crystals of glucose and by frequent stirring. After the glucose has crystallized from the solution filter, best with the aid of a filter-pump; wash free from the acid by 90-per-cent. alcohol, then by absolute alcohol; finally dry the crystals. It may be purified by dissolving in pure methyl alcohol by the aid of heat and allowing it to again crystallize out. 26. Prove that cupric hydrate (made by the addi- tion of a few drops of copper sulphate to a sodium hydrate solution) is soluble in a solution of glucose, giving a deep- blue liquid. Also show that this blue solution of copper and sugar is decomposed by heating, and yellow or red precipitate of cuprous oxid is produced. This is Trom- mels test for grape-sugar. To perform the test, mix about equal volumes of sodium hydrate or potassium hydrate and the glucose solution, then drop in copper sulphate solution until a permanent precipitate begins to form or until the mixture is deep blue ; finally, heat the solution. 27. Show that cupric hydrate is also soluble in a solution of Rochelle salt or glycerin in water if an alkaline hydrate is present, but that these solutions are not decom- posed by boiling. Add to each of them a little grape-sugar and heat. Cuprous oxid is formed in both cases. The former is called Fehling's test, the latter Haines's test for glucose. GLUCOSE TESTS. 15 28. Show that a glucose solution will reduce copper acetate acidified with acetic acid 1 when heated for some time in a water-bath. This is Barfoed's test. Observe the difference between glucose and lactose with this test. 29. Prove that when heated alone in water cupric hydrate gives the black cupric oxid and not the red cuprous oxid; also that with an excess of the copper solution the black may hide the red oxid if only a small amount of sugar is present. 30. Show that glucose will also reduce the sub- nitrate, or basic nitrate, of bismuth if its solution is made alkaline by sodium hydrate or carbonate and boiled with the bismuth compound. The bismuth oxid which is formed' is a black powder, but if mixed with much of the unre- duced bismuth subnitrate it may appear gray. This is Boettger's test. The bismuth subnitrate, like cupric hy- drate, is soluble in an alkaline solution of Eochelle salt, and this solution when heated with glucose gives the black oxid as a precipitate (Nylander's test). Heat a little of the bismuth subnitrate in a solution of albumin which has been made strongly alkaline with sodium hydrate, and notice that the sulphid of bismuth, which is formed, has the same appearance as the black oxid which is produced by the glucose; that is, albumin gives a similar result to that obtained with grape-sugar. 31. Dissolve in a small amount of water as much phenyl-hydrazin hydrochlorid as can be taken up on the point of a knife-blade and twice as much sodium acetate, filtering if it is not clear. Add it to half a test-tubeful of the sugar solution, place the tube in a beaker of boiling x The mixture of solution and sugar solution should contain 1.0 per cent, of cupric acetate and 1.0 to 1.25 per cent, of acetic acid. 16 THE CABBOHYDRATES. water, and heat it for an hour. Then cool it and examine the precipitate with the microscope. It is phenyl-gluco- sazon : bright-yellow, needle-shaped crystals. They may be single, but are more often in clusters (Plate I, 5). They can be distinguished, if necessary, from similar compounds of the other sugars by their melting-point, which is 204 C. If they separate in the amorphous state, they may be crys- tallized, after filtering, by dissolving in a little hot alcohol, then evaporating the alcohol to a small volume, and letting it stand. Make sketches of these : hand them in. 32. Crush a piece of condensed yeast as large as a pea in a test-tube of water, and wash it two or three times by decantation to remove any fermentable substances which may be present. Fill the tube completely full of a glu- cose solution. Mix and place it, still full of the liquid, with the mouth downward in a beaker which contains a little water, or, better, some of the grape-sugar solution. Let it stand for twenty-four hours in a warm place. The carbon dioxid, which is formed., is found in the test-tube and the alcohol in the liquid. The gas may be proved to be carbon dioxid by shaking it with lime-water, which it turns white. The presence of the alcohol is shown by warming the liquid after the addition of sodium hydrate and a little iodin. lodoform separates out in yellow scales, or, if the amount of alcohol is very small, the odor alone may be perceived. A convenient piece of apparatus for carrying on this fermentation is the saccharimeter. This is essentially a graduated tube with bulb to hold the liquid which is forced out by the gas. From its reading the amount of glucose can be learned. GLUCOSE. 17 QUANTITATIVE TEST FOR GLUCOSE. Fehling's Method. The solutions used are: (A) 34.64 grammes of cupric sulphate (CuS0 4 , 5H 2 0), dissolved in enough water to make the volume 500 cubic centimeters. The crystals used must be dark blue and not effloresced; (B) 187 grammes of pure Eochelle salt and 68 grammes of sodium hydrate in water enough to make the volume 500 cubic centimeters. These solutions must be kept separate. 33. For each determination mix 5 cubic centimeters of A with 5 cubic centimeters of B, measuring carefully with a pipette. Add about 40 cubic centimeters of water, and heat to boiling in a beaker or porcelain dish. If the solution is good there will be no red precipitate. The best results are obtained when the solution con- tains from 0.5 per cent, to 1.0 per cent, of sugar; that is, when from 5 to 10 cubic centimeters are necessary to destroy the blue color of the Fehling solution. If it con- tains more than this, it must be diluted with water to 5 or 10 times its volume, measuring accurately the water added and mixing thoroughly. The Fehling solution after dilution is heated to boil- ing, and the sugar solution run in from a burette until the blue color has been destroyed, leaving the liquid colorless above the red precipitate. If too much sugar has been added it begins to turn yellowish. The amount of sugar is ascertained most quickly by making two determinations: first, a rough one, then one which is made more carefully. Make the first by running in the sugar solution, 2 or 3 cubic centimeters at a time, as long as the blue color is well marked, then 1 cubic centimeter at a time, heating to boiling after each addition. It can be learned by this first test within 1 or 2 cubic centimeters how much will be re- 18 THE CARBOHYDRATES. quired. Then rinse out the beaker, take again 10 cubic centimeters of the Fehling solution, diluted as before; heat to boiling and run in at once within 1 cubic centimeter of the necessary amount of the sugar solution. Bring it to a boil. Then add the sugar solution a few drops at a time, heating after each addition, until the blue color has just been decolorized. Since 10 cubic centimeters of the Fehling solution is decolorized by 0.05 gramme of glucose, the amount of the sugar solution or urine which has been used from the burette must have contained 0.05 gramme of glucose. Eead the volume which has been poured from the burette, and calculate the percentage of sugar in the original solution. If this has been diluted with water the amount in the dilute solution must be multiplied by the number of times it was diluted. Eemember that however much of the sugar solu- tion may have been used to destroy the blue color, it con- tained 0.05 gramme of sugar. For example, if the amount used was 10 cubic centimeters, there would be 0.005 gramme of glucose in 1 cubic centimeter; that is, in 1 gramme of solution. In 100 grammes there would be 0.5 gramme of glucose, or 0.5 per cent. The floating red precipitate of cuprous oxid obscures the encl reaction and makes the titration slow if time is allowed for this to settle. Purdy's modification of Fehling's reagent consists in the addition of a large excess of ammonium hydrate which pre- vents the precipitation of the cuprous oxid. The reagent con- tains: Cupric sulphate 4.742 grm. Glycerin, pure 38 cc. Dissolve in about 200 cc. of water. Potassium hydrate 23.5 grm. Dissolve in about 200 cc. of water. LACTOSE. 19 When these solutions have cooled mix them, add 450 cubic centimeters of concentrated ammonia (sp. gr. 0.9) and dilute to 1000 cubic centimeters. For the titration use 35 cubic centimeters copper solution diluted with about twice its volume of water. Heat this to boil- ing, then drop in slowly from a burette the urine or glucose solu- tion until the blue has been destroyed. Three to five seconds should elapse between the drops. When this has occurred 0.02 gramme of glucose has been added. The solution should then be colorless. If it is yellow an excess of sugar has been added. From the volume of solution used calculate the per cent, of glucose by weight. LACTOSE (MILK-SUGAR: C 12 H 22 1;l + H 2 0). Lactose is found in the milk of all mammals and occa- sionally during pregnancy in the urine. It can be obtained from the milk by crystallization after the removal of the nitrogenous constituents. It is a crystalline substance, soluble in water, with a faint sweetish taste. With pure yeast it does not ferment. By the action of certain other ferments, however, it under- goes alcoholic fermentation, with the production at the same time of lactic acid, forming the drinks known as ,,1J.J !! Proteins Compound proteins I Albuminoids - Coagulated albumin. Mucin. Hemoglobin. Nucleoalbumin. Nuclein. f Keratin. Elastin. Collagen. Gelatin. I Etc. ALBUMINOUS SUBSTANCES. These are sometimes called proteins, though it is more convenient to reserve this name for the whole class, including also the albuminoids. They form the principal part of the protoplasm which is found in animal and plant cells. The constitution of the molecule and even the exact formula of the different members of the group is uncertain. They are known to be very complex, those which have been most studied having several hundred atoms' in a molecule. They differ somewhat from each other in composition, but their constituents usually lie within the following limits; substance. ALBUMINOUS SUBSTANCES. 35 Average of Most Analyses. Approximation. C 50.0 to 55.0 per cent. 52 per cent. H 6.5 to 7.3 per cent. 7 per cent. 20.0 to 23.5 per cent. 23 per cent. S 0.3 to 2.2 per cent. 2 per cent. N 15.0 to 18.0 per cent. 16 per cent. Phosphorus is sometimes found in less amounts than 1 per cent. A few of the albuminous substances have been ob- tained in a crystalline form, but most of them are amor- phous. They differ in their solubilities and are classified largely upon this basis. The peptones will diffuse through an animal membrane, but they do not pass through rapidly. The albuminous substances, like some other organic compounds which do not belong to this class, are thrown out of solution when to the solution certain neutral salts are added until it is saturated. Ammonium sulphate will precipitate all but the peptones and perhaps a few of the albumoses. Magnesium sulphate and sodium chlorid will precipitate many of them. When the albuminous substances are heated with water, many of them are coagulated, passing into an in- soluble modification. The temperature at which this takes place is called the coagulation-point. This is a different one for most of the different substances, and may be used in their identification and separation. It may vary, how- ever, from the presence of other substances. It may be raised, prevented, or the coagulation made incomplete by alkalies or by some organic acids, like acetic acid. Coagu- lation is favored and the coagulation-point is lowered in the presence of neutral salts or small amounts of a mineral 36 THE PROTEINS. acid. The concentration of the solution also may make it vary. Through coagulation the nature of albuminous substances is altered and they acquire other properties. By the action of alcohol albuminous compounds are precipi- tated, at first in an unaltered form; but if the alcohol is strong and acts for some time they are coagulated, and are then insoluble in water. Coagulation, when spoken of with respect to the protein compounds, must be distinguished from precipita- tion, which it resembles. When albumin is coagulated e.g., by boiling, by mineral acids, or by the continued action of strong alcohol it becomes insoluble in water. It may be precipitated by ammonium sulphate without be- ing coagulated or by not too large an amount of alcohol and still retain its original properties, being soluble again upon the addition of water. Some of the albuminous compounds are coagulated by the action of ferments; for example, the fibrin, which is so formed from the blood or lymph. Albuminous substances are easily decomposed by the action of the putrefactive bacteria, the nitrogen and sul- phur uniting with hydrogen to form hydrogen sulphid, and ammonia, or, these two together, ammonium sulphid. Other nitrogen compounds are also formed, like the amido acids which contain the amido group, KH 2 , such as leucin and tyrosin. Indol is also one of the nitrogenous putre- factive products. Many of the albuminous substances are precipitated by the mineral acids, but upon standing with an excess of the acid, or more quickly by heating, they are dissolved, going into acid albumins. Many will also form insoluble compounds with salts of the heavy metals, such as mercury, copper, and lead. With copper in an alkaline solution they REACTIONS OF ALBUMINOUS SUBSTANCES. 37 give a blue or purple color and upon boiling with an excess of nitric acid a yellow, which becomes more reddish upon being rendered alkaline. Millon's reagent, which gives a red with all compounds containing a benzene nucleus united with an hydroxyl group, produces the same color with albuminous compounds, whence it is believed that the above complex is contained in albumins. The xan- thoproteic reaction is attributed to the same or the indol group. Similarly each of the other tests appears to be produced by some definite constituent of the protein mole- cule. GENERAL REACTIONS OF THE ALBUMINOUS SUBSTANCES. The tests may be made upon any albuminous com- pound ; for. example, egg-albumin. 76. Make the solution alkaline with sodium hydrate and add a few drops of a dilute cupric sulphate solution. A blue or purple color results. An excess of the copper solution must be carefully avoided, as it may produce a blue color when no protein compound is present. (Biuret test.) 77. Add a small quantity of concentrated nitric acid to the albumin solution and heat to boiling. A yellow color is produced which becomes orange red when the liquid is made alkaline with sodium hydrate or ammonia. (Xantho- proteic reaction.) 78. Make the solution of albumin acid with acetic acid, then add at least an equal volume of a saturated solu- tion of ammonium sulphate, and heat to boiling. Most albuminous compounds are thrown down as a white pre- cipitate. 38 THE PROTEINS. 1 3 tS i 1 1 + 4- o o VP 33 EH s 1 * < ;p ^ 53 s H ^00 "13 M ^ ^ c* ^ ffl 1 + + 1 'S a 01 H PH CO C3 i 3 * 73 >rH 3 a g 3 | 1 I 1 I c w 'S H 1^ 1 ft o fcH 93 D 5 s PS 1? + + + + + _0 g X o u o co !2 g ^ rS ^ 1 CO & a 1 o W H tw -4- 4- if 1 ! O ,0 03 (D 5 CM g O 0) 1 oq bO T* CH (8) (3)N C- N (4) (9) They are formed by the addition to, or substitution in this of oxygen or organic radicals, the position being in- dicated by the figures. Thus guanin is 2-amino-6-oxy- purin. Hypoxanthin is 6-oxypurin; xanthin, 2-6-dioxy- purin and uric acid, 2-6-8-trioxypurin. They occur partly free in the muscular tissue and partly united with phos- phoric acid and albuminous substances in the form of nucleins. All these soluble compounds are found, natur- ally, in the various meat-extracts, which are used in foods. They are probably formed in the body by the decompo- sition of the albuminous materials. When taken as a food, PREPARATION OF UREA. 137 their value is rather in the stimulation of digestion through their agreeable taste than in their absolute nutritive worth. This may be merely because of their increasing the secre- tion of the digestive fluids. 303. Pith a frog (see Experiment 305) : cut out the gastrocnemius muscles. Let one remain in water at a tem- perature of 50 until rigor caloris has appeared. Put the other into boiling water. Test the reaction of both with litmus paper. The former is acid: the latter is alkaline. 304. Kill a rabbit or a frog; at once lay bare the muscle and test it with red and blue litmus paper and with lacmoid paper. To the latter it is neutral; the red litmus turns blue and the blue litmus, red that is, the reaction toward litmus is amphoteric. Both free acids and acid salts turn litmus red ; lacmoid becomes red from the action of free acids, not from that of the acid salts. Let the muscle stand and test it as before. It remains neutral to lacmoid, but is acid to litmus. Lactic has been produced, but instead of remaining in the free state it forms lac- tates. The bases are thus removed in part from other salts, leaving them as acid salts (for example, acid phosphates), which latter produce the acid reaction. 305. Inject a solution of acid fuchsin into the subcutaneous lymph-space of a frog. After it has been absorbed pith the ani- mal; that is, destroy the brain by pushing forward a stout wire inserted through the occipito-atlantoid membrane. This lies in the middle of a line drawn across the back of the head through the posterior margin of the tympanic membranes. Strip the skin from both hind legs and separate the muscles of one thigh until the sciatic nerve is exposed. Hang the frog by a hook through the jaws and repeatedly stimulate the sciatic nerve by electrodes passing under it. The stimulated leg contracts vigor- ously while the other remains passive. In the working muscle lactic acid is formed and this decomposes the colorless, alkaline 138 MUSCULAR TISSUE. salt of fuchsin, producing a pink or red color. In the resting leg there is no such acid formation and the color remains pale. 306. Chop finely 20 to 25 grammes of lean meat and extract it for an hour with three times as much cold water, stirring frequently. Filter through muslin and test the filtrate for myogen, an albumin, sometimes called myo- sinogen. It is coagulable and gives the general reactions for albuminous substances (page 37). It is soluble in distilled water and does not precipitate from this solution on dialysis. 307. Soak the residue from the last experiment in 50 to 75 cubic centimeters of 10 per cent, ammonium chlorid solution, filter through muslin and test the filtrate for myosin, a globulin, sometimes called paramyosinogen or musculin. It responds to the globulin tests (page 45) as well as the general reactions for albuminous substances (page 37) and is coagulated by heat. 308. Mince finely 10 to 15 grammes of fresh muscular tissue and extract it by stirring with water for a few minutes. Warm the filtered solution in a double beaker (Experiment 91). When coagulation occurs filter and keep the temperature constant until no further change is observed, then increase it. Note the tempera- tures at which the different proteins coagulate and report them. This is the method of separation by fractional coagulation. 309. PREPARATION OF MUSCLE-PLASMA. Kill a frog and immediately wash the blood from the body by passing in through a cannula inserted in the aorta a cold 0.5-per-cent. sodium chlorid solution. The necessary force can be gained by placing the solu- tion in a doubly-tubulated bottle, which can be raised and lowered, and connecting the lower tubulure with the cannula by a small rubber tube. Cut the muscle up as quickly as possible with a cold knife or pair of scissors and freeze it by stirring in a beaker, pre- viously surrounded by a freezing mixture of ice (3 parts) and salt (1 part). It freezes at about 7 C. Then rub it to as fine a CONSTITUENTS OF MUSCLE. 139 powder as possible in a mortar, whir>h, as well as the pestle, has been cooled below this temperature by standing in a freezing mixture. Subject the mass to a strong pressure, which gives a yellowish liquid. Filter this through muslin at a temperature below freezing. The nitrate is the muscle-plasma. Through the whole process care must be taken to preserve a low temperature to prevent coagulation. 310. Pour a few drops of the plasma into a dish of the ordinary temperature. It coagulates immediately. 311. Test the reaction of the plasma to litmus-paper. It is alkaline. 312. Allow the temperature of the rest of the plasma to rise slowly, and notice that it coagulates at a little above freezing. On standing, a yellowish liquid is pressed out of the clot, as in the case of the coagulum of blood-plasma,. This is muscle-serum. 313. Try the reaction of the muscle-serum to litmus-paper. It is alkaline. 314. Prove that the coagulated mass is a globulin (Experi- ments, 98, 99, 100, and 101). 315. Take about 500 grammes of lean beef, and, after re- moving, as completely as possible, the fat and connective tissue, chop it finely. Add an equal weight of water and heat half an hour on a water-bath to 55 or 60. Filter through muslin, press- ing out the water with the hands. Repeat the extraction with half as much water. Unite the nitrates, and boil to precipitate the albuminous compounds. (Instead of the meat a jar of beef- extract can be used after dissolving in water.) Filter and add lead acetate as long as a precipitate forms, avoiding a great excess. Filter and remove the lead by passing hydrogen sulphid gas into the solution. Filter out the lead sulphid and evaporate the nitrate on the water-bath to 5 or 10 cubic centimeters. Allow the yellow- ish syrupy liquid to stand two or three days in a cool place, when the creatin crystals will separate. Filter, and wash with 88-per- cent, alcohol. Unite the nitrate and the washings and remove the alcohol by evaporation on a water-bath. After cooling make alka- line with ammonia and add an ammoniacal solution of silver chlorid. Filter. The precipitate contains the silver compounds of hypoxanthin, xantMn, and guanln. (The nitrate contains lactic acid. Preserve for testing.) Wash with ammonia and dissolve 140 MUSCULAR TISSUE. in boiling HNO 8 , sp. gr., 1.1., to which a little pure urea has been added to prevent the decomposition of the bases. While hot, filter from a small amount of AgCl, which may remain, then allow to stand twelve hours. Hypoxanthin-silv&r nitrate separates in small needle-shaped crystals. Filter and wash with water. From the filtrate, by the addition of an excess of ammonia, is obtained a slight precipitate of wantMn-silver oxid. The free xanthin and hypoxanthin may be obtained by suspending their silver com- pounds in water and, after heating and making slightly alkaline with ammonia, adding ammonium sulphid drop by drop until the silver is precipitated, avoiding an excess. On evaporating the filtrate the xanthin and hypoxanthin will be left as microscopic crystals. Most of the guanin is left in the precipitate made by the am- monium sulphid. It can be dissolved by boiling with a little very dilute hydrochloric acid. Filter and precipitate it from the filtrate by making it alkaline with ammonia. To obtain the lactic acid from the filtrate from the precipitated hypoxanthin, etc., first precipitate the silver by HjjS and filter. Concentrate the filtrate on the water-bath until most of the am- monia has been expelled. Then cool and acidify strongly with dilute sulphuric acid. The lactic acid is thus set free and can now be separated by shaking gently with about one-fifth of its volume of ether, which dissolves the lactic acid, but not the sulphuric. After shaking in a glass-stoppered funnel, allow it to stand until the ether has all risen to the top of the liquid. Then draw off the water and the ether into separate flasks. Repeat the operation a few times with fresh portions of ether. Mix the differ- ent portions of ether and distill or evaporate it. The residue con- tains the lactic acid mixed with a little sulphuric. Dilute with water and boil a minute with zinc carbonate until it has lost its acid reaction. Filter, and evaporate the filtrate on the water-bath to a small volume. Then let it stand, and the zinc lactate will crystallize in four-sided prisms: (C 8 HA) 2 Zn + 2H 2 O. Filter these from the remaining liquid, and dry on filter-paper. To obtain the free acid dissolve some of the crystals in water and precipitate the zinc with hydrogen sulphid gas. Filter, and evaporate the filtrate. The acid will be left as a syrupy liquid. Test it for its acid reaction and sour taste. It differs from fer- THE BRAIN. 141 mentation lactic acid in that it rotates the plane of polarized light toward the right. Fermentation lactic acid does not do this. 316. Convert a part of the creatin into creatinin by boiling fifteen minutes with very dilute sulphuric acid. Neutralize the acid by adding powdered barium, carbonate as long as it effer- vesces. Evaporate to dryness on a water-bath and extract the creatinin from the residue with strong alcohol. Upon evaporat- ing, the creatinin is left in the form of crystals. 317. Dissolve a little of the creatinin in a small amount of water, add a solution of zinc chlorid, and allow to stand. Charac- teristic crystals in clusters or rosettes appear. They are a double salt of creatinin and zinc chlorid. 318. To a creatinin solution add a few drops of a freshly- prepared solution of sodium nitroprussid, then, drop by drop, dilute sodium hydrate. The liquid becomes ruby red, soon chang- ing to straw color. If it is now strongly acidified with acetic acid and boiled, it becomes green, then blue. This is WeyPs test. 319. To a solution of creatinin add a few drops of sodium hydrate, then of picric-acid solution. A red color is obtained. This is Jaffe's test. 320. With a needle tease out some shreds of muscle from a recently killed frog. Place them on a microscope slide and expose for a few minutes to ammonia gas from a strong solution of the hydrate. When covered with a cover- glass and examined they are seen to contain stellate crys- stals of ammonium magnesium phosphate,, NH 4 MgP0 4 . Explain its production. THE BEAIN. 321. Clean the brain of a sheep, pig or calf, pulp in a mortar, extract several hours with 88-per-cent. alcohol and filter. The lecithin, cholesterin and the substance known as protagon pass into the filtrate. Cool this to 5, when they solidify, then re- move them by filtration. Dissolve the lecithin and cholesterin in cold ether (danger from fire!). The so-called protagon remains. After this has been dried fuse a portion with potassium nitrate 142 MILK. in a nickel dish or crucible. Dissolve the residue in water and test for phosphoric acid with magnesia mixture; or test for the same substance after acidifying by nitric acid with ammonium molyb- date. Mix another portion of the dry protagon in a glass tube with soda-lime, hold horizontally by a clamp and heat. Show that it contains nitrogen from the evolution of ammonia as is demon- strated by the action of the gas on red litmus paper. 322. Pulp another brain and warm it with barium hydrate solution (saponification). Filter. The mass on the filter contains cerebrin, cholesterin, barium soap, and connective tissue. Heat this with alcohol and filter while hot, thus dissolving out the cholesterin and cerebrin. When the liquid cools they separate and are recognizable by their crystalline forms. The cholesterin is in flat thin plates, the cerebrin in clusters of needle-shaped crystals. Extract the cholesterin by ether, and recrystallize. Test a part of the cerebrin by heating with soda-lime for nitrogen as in Experiment 72. Boil a part for an hour with dilute sulphuric acid to hydrolize it; then show its reducing power with Trommer's reagent. Observe that before hydrolysis it does not reduce. MILK. The solids of milk are partly dissolved and partly in suspension in the liquid. Of the dissolved -constituents the most important are milk-sugar, an albumin, a globulin, and some mineral salts. Among the suspended compounds are casein, fat, and calcium phosphate. The average amount of solids in normal cows' or human milk is 12 or 13 per cent, by weight. The reaction of fresh cows' or human milk is nearly neutral, or may be amphoteric to litmus; that is, it turns red paper blue and blue paper red. The specific gravity should be between 1.029 and 1.033 at 15, and of milk which has been skimmed after standing twenty-four hours it should be between 1.0325 and 1.0365. Thus the removal of fat raises the specific MILK. 143 gravity and the addition of water lowers it. The average percentage composition of milk is given by Konig as fol- lows : Cows', water, 87.17; proteins, 3.55; fats, 3.69; lac- tose, 4.88; mineral matter, 0.71. Human, water, 87.41; proteins, 2.29; fats, 3.78; lac- tose, 6.21; mineral matter, 0.31. Casein, which is a nucleoalbumin, is not in true solu- tion in milk, since it can be filtered out by unglazed por- celain, though not by filter-paper. It is precipitated by weak acids, as is seen when the milk becomes sour, but is not coagulated by boiling. Eennin breaks up the casein into two compounds: an albumose and an insoluble cal- cium compound (paracasein calcium, or cheese). Coagu- lated human casein is not as hard as that of cows. The difference is partly due to its chemical composition, but largely to the fact that cows' milk contains more casein and calcium than human milk. It can be made to form a soft and spongy coagulum similar to the human by dilu- tion or by the removal of the calcium compounds. The fats of milk are a mixture of stearin, palmitin, and olein, with a small amount of the glycerids of some lower members of the fatty-acid series, butyric, caproic, caprylic, capric, etc. The fat exists as an emulsion, a coat- ing of albumin keeping the globules separate. They may be made to collect by dissolving this coating by a chemical agent, like sulphuric acid. Babcock's method for deter- mining the percentage of fat in milk is based upon this principle. Here the volume of the fat is measured and this gives the relative amount in the milk. If the fat rises for twenty-four hours without such decomposition it should form a layer 10 or 15 per cent, of the depth of the milk, if the latter is normal. 144 MILK. The method of obtaining the milk-sugar has been given. (Experiment 34.) 323. Test the reaction of fresh milk to red and blue litmus-paper. 324. Determine the specific gravity with an accurate urinometer. 325. Eemove the fat from milk by a centrifuge, or after standing, and determine the specific gravity again. 326. Try the same test after adding from 10 to 25 per cent, of water to the milk. 327. In a weighed porcelain or platinum crucible evaporate 10 cubic centimeters of milk to dryness on a water-bath and weigh quickly to find the amount of the total solid matter. The drying will take place much more rapidly if a weighed quantity (about 20 grammes) of dried sand is added, but the residue cannot be used for the next experiment. 328. Heat the dried substance in the crucible, at first gently, then until no black remains. The residue is the mineral matter, or ash. There should not be over 1 per cent, of the weight of the milk. 329. Compare the action of rennin upon cows' and human milk. Try the rennin in cows' milk to which 50 per cent, of water and a few drops of ammonium oxalate have been added to remove the calcium salts. 330. To separate the nitrogenous constituents of milk first precipitate the casein by saturating the milk (skimmed milk can be used) with sodium chlorid. Filter and to filtrate add powdered magnesium sulphate as long as it dissolves, stirring meanwhile. This precipitate is para- globulin, the same compound that is found in the blood. Filter and apply the globulin tests (Experiments 98 to 101). Acidify the filtrate with a few drops of dilute acetic acid and boil. The albumin of milk lactalbumin is co- MILK. 145 agulated. To determine the quantity of protein subtract the sum of fats, sugar, and ash from the total solids. 331. Examine with the microscope a drop of milk under a cover-glass. 332. Destroy the emulsion by adding 10 cubic centi- meters of concentrated sulphuric acid to an equal volume of milk. Let it stand, and the fat rises to the top in large globules. The separation is complete in a few minutes if a centrifuge is used. The volume of the fat can be better seen by using a narrow-necked flask and, after mixing with the acid, nearly filling with warm water. 333. Fill a 100-cubic-centimeter graduated cylinder to the upper mark with milk and let it stand twenty-four hours. There should be 10 or 15 cubic centimeters of cream. 334. To DETERMINE THE PERCENTAGE OF LACTOSE IN MILK. Dilute 20 cubic centimeters of milk to 400 cubic centimeters with water. Drop in acetic acid slowly until it coagulates; then pass carbon dioxid gas into the liquid fifteen minutes and let it stand until it settles clear. Filter and wash; coagulate the albumin and globulin in the filtrate by boiling. Filter, wash, and use the filtrate or a part of it for the sugar-determination by Fehling's solu- tion as in the determination of glucose (Experiment 33). For every 10 cubic centimeters of the solution which is decolorized 0.067 gramme of lactose is present. 335. BABCOCK'S METHOD FOB THE DETERMINATION OF FAT IN MILK OK CREAM. When sufficient milk is available, 17.6 cubic centimeters may be taken for each determination. The bottles in which it is treated have a special scale etched upon the rather long neck. Mix the milk thoroughly by pouring it several times from one vessel to another. With a pipette graduated at 17.6 cubic 146 THE URINE. centimeters measure the milk and pour it into the graduated flask, adding as much as 90-per-cent. sulphuric acid (sp. gr., 1.82). Mix by gently shaking until the curd has completely dissolved, then revolve in the centrifuge at 600 to 800 revolutions per minute for six or seven minutes. Always make duplicate tests, placing the two bottles opposite each other in the machine. Now carefully fill the bottles about to the highest graduation with hot water, which should have been previously made ready, and whirl again for one or two minutes. Holding the bottle in a perpendicular position, read on the scale the differences between the upper and lower margins of the fat which gives the percentage present in the milk. If the test is successful the fat layer is clear or but slightly cloudy. With breast-milk where the available amount is frequently limited smaller flasks and less milk may be employed. Cream must be diluted 5 to 10 times with water. THE UEINE. The urine is a solution which contains the final prod- ucts from the chemical changes in progress in the animal body. A part of these are excreted in the expired air and from the skin, and a still smaller part through the mucous membrane of the intestine, but, if we omit the carbon di- oxid from the lungs, by far the greater proportion of these final products is found in the urine. A study of its com- position and variation, therefore, is often of great value in judging of changes which are going on in the body. Among the most common inorganic constituents normally found are the chlorids, sulphates, and phosphates of sodium, potassium, calcium, and magnesium. Of the normal organic compounds there are urea, uric acid and its salts, creatinin, etc. The following, when found in more than minute amounts, may be regarded as patho- logical: Glucose, albuminous substances, blood, bile, pus, fat, mucin, leucin, and tyrosin. Others which are more THE URINE. 147 rare will be spoken of later. All of these either are taken as such into the body with the food or are formed in the body by chemical action. The significance of each may depend upon the amount which is present, as well as upon its mere presence or absence. In interpreting the mean- ing of each of the constituents of the urine its method of formation must be considered, as well as the factors which may cause this to vary. Considerable variations are found in the composition of urine which has been collected at different times of the day. That which is passed immediately after rising may differ from that excreted an hour or two after the first meal both in the kind and amount of the dissolved solids. Sugar and albumin are more commonly excreted after a meal, and may be found then, yet not be present in the night's urine. In order to obtain a fair sample for testing, the urine should be collected for twenty-four hours and, after mixing, a part taken for analysis. In all quantitative determinations the volume for twenty-four hours must be measured, and when it has been determined how much of the substance is present in the portion tested, the amount contained in the whole day's urine should be calculated. A statement of the percentage alone has little value if the quantity of the urine is not taken into account. To avoid fermentation the vessels should be clean and the tests should be made as soon as possible. The average volume of the urine in twenty-four hours is, for an adult, between 900 cubic centimeters and 1200 cubic centimeters (30 and 40 ounces). This, however, is subject to great variations. It is increased by diuretics, by diseases, like diabetes and others; it is diminished in febrile diseases, in acute nephritis, in some other diseases of the kidneys, and usually before the fatal termination of a dis- 148 THE URINE. ease. Its variation gives indications of the progress of the disease. The volume will be also affected by the amount of drink or liquid food and, in general, varies inversely with the perspiration. From the presence of ferments, the urine begins to undergo a change after it has stood a few hours. The re- action becomes alkaline, owing to the production of am- monium carbonate from the urea, and this precipitates some of the solids, so that the liquid loses its transparency. This and other decompositions produce disagreeable odors. The odor of normal urine is characteristic. Certain foods and medicines change this; e.g., oil of turpentine gives an odor of violets. When it putrefies the odor is ammoniacal and offensive. In cystitis it is ammoniacal when passed. In suppurative diseases the odor may be putrid. Fresh, normal urine is clear, but after standing a short time a cloud of mucus appears. Pathologically it may be cloudy with matters which settle as a sediment. They will be discussed under that subject. The color of urine is normally some shade of yellow, varying from nearly colorless to reddish yellow. The former is true of urines containing much water, and the latter where the urine is concentrated and of high specific gravity. The latter is constant in febrile conditions and their severity can here often be judged from the color. Pathologically the urine assumes many other shades. Presence of blood gives a red or, when methaBmoglobin is present, a brown. Jaundice gives a greenish cast or brownish green; melanotic cancer, almost black; typhus or cholera, sometimes blue, from indigo formed by decom- position. Some medicinal or poisonous substances change the color; thus senna or rhubarb gives a reddish or brown- SPECIFIC GRAVITY. 149 ish color, which changes to blood-red on adding an alkali. Santonin gives a yellow; carbolic acid and salol a dark green to black; antipyrin and quinine often darken it. The specific gravity of urine varies with the amount of water and dissolved solids. With an increase of the water it approaches 1.000, and becomes greater as the solids increase. Hence it is easy to ascertain the amount of the solids which are present. If the second and third decimal figures of the specific gravity are multiplied by 2.33 it will give very nearly the weight of dissolved sub- stances in one thousand parts of urine (grammes per liter). Thus, urine of sp. gr. of 1.021 contains about 49 grammes in a liter. The specific gravity varies under normal conditions from 1.002 to 1.030. It is usually between 1.015 and 1.025. If sugar is not present the variation in specific gravity is due almost entirely to that of the urea. Clin- ically the specific gravity of urine is determined by an hydrometer, called a urinometer, which consists of a spin- dle weighted so as to float in pure water at the line marked 1.000. The specific gravity is indicated by the figures on the spindle at the surface of the liquid. Urinometers should always be tested in pure water and if they are not correct the reading in the urine must be changed to corre- spond with the error. Since the specific gravity varies with the temperature some standard temperature must be adopted. Most instruments are graduated at 60 F. (15.6 C.). The urine must be brought to this temperature be- fore testing or, if accuracy is desired, the reading corrected by adding 1 in the fourth decimal place for every degree Fahrenheit above 60 or subtracting 1 for each degree below 60. In order to obtain accurate results the degrees should not be too close together on the spindle. 150 THE URINE. The importance of a knowledge of the specific gravity is rather to detect marked changes in the urine from a series of observations than to be able to infer the presence of some abnormal constituent, like glucose, which would certainly be found by the subsequent tests. Thus, in nephritis a decrease in specific gravity without change in the volume indicates that the urea is not being excreted and that uremia may be feared. 336. Test the accuracy of the urinometer in water, then take the specific gravity of urine. The cylinder must be wide enough for the urinometer to float in it without touching. Foam on the liquid should be removed by a piece of filter-paper. 337. Test with an accurate urinometer the difference in specific gravities of freshly-passed urine when at a tem- perature of from 95 to 98 F. and that at 60 F. or below. The reaction of normal mixed human urine passed during twenty-four hours is acid. Quantitative determina- tions of the salts in the urine show that the bases (kations) are not present in large enough amounts to replace all the hydrogen of the acids. This fact is commonly expressed in the statement that the acid reaction is due to acid salts, principally acid phosphates of sodium and potassium. However, since these as well as the other inorganic com- pounds are more or less dissociated, it is preferable to say that the hydrogen ions (hydrions) cause the acidity. The administration of alkaline drugs is followed by the urine's becoming less acid or even alkaline. The same effect is produced by vegetable foods. These contain the potas- sium salts of organic acids citric, malic, tartaric, and others which are oxidized to potassium carbonate in the system. A similar result is brought about a short time after a hearty meal, when hydrochloric acid is being set REACTION. 151 free from its salts in the mucous cells of the stomach. The bases which are freed at the same time remain to in- crease the alkalinity of the blood. Part of them pass into the urine, producing the "alkaline tide," or alkaline reac- tion, which is often noticed at this time. The urine of herbivorous animals is normally alkaline from this cause. On the other hand, an acid food or one from which acids are produced during its decomposition in the body will increase the acidity. Such a one is lean meat, which con- tains acid potassium phosphate, and also sulphur and phos- phorus compounds, which form sulphuric and phosphoric acids by oxidation. Hence the reaction of the urine may be to a considerable extent regulated by the selection of foods. Upon standing all urine becomes alkaline by fermenta- tion. This is produced by the action of a number of micro- organisms upon the urea, resulting in the formation of ammonium carbonate: CO(NH 2 ) 2 + 2H 2 = (NH 4 ) 2 C0 3 . If these ferments are introduced into the bladder by an unclean catheter the same action is often produced there. In chronic inflammation of the urinary tract am- monium carbonate is usually present. The latter alka- linity from ammonium carbonate can be distinguished from that produced by sodium and potassium salts by the litmus-paper's resuming its red color after drying, if am- monia were the alkali, but not otherwise. In determining the degree of acidity of the urine by the use of a standard alkaline solution, litmus cannot be used to indicate when the neutralization is complete, on account of the interference of the phosphates. 152 THE URINE. Excessive acidity 1 of the urine causes, in time, an irri- tation of the urinary passages, and is favorable to the formation of uric acid concretions. Continued alkalinity makes a sediment in the urine, and tends to produce phos- phatic calculi. It also produces irritation or inflammation of the mucous membrane. 338. Test the reaction of urine with sensitive litmus- paper, and if alkaline determine whether it is caused by ammonium carbonate by the paper's turning red again after drying, or whether a sodium or potassium compound is the alkali by the paper's remaining blue on drying. 339. To DETERMINE THE ACIDITY OF URINE. To 50 cubic centimeters in a flask add 25 cubic centimeters of l / 10 normal sodium hydrate, and heat to boiling, then remove the flame. Thereupon add 25 cubic centimeters of barium chlorid solution of about 5 or 10 per cent. Filter through a dry filter, and take 50 cubic centimeters of the filtrate, corresponding to 25 cubic centimeters of the urine, for testing. Dilute it to about 250 cubic centimeters with water, add a few drops of phenolphthalein for an indicator, then from a burette, Vio normal sulphuric acid until the red color is just destroyed. Subtracting the number of cubic centimeters of acid used from 12.5, the number of cubic centimeters of standard sodium hydrate in the half of the liquid used, gives the number of cubic centimeters of sodium hydrate neutralized by the acid in 25 cubic centimeters of urine. 340. Collect the urine of the day in periods of three hours each and determine the variations in its acidity. 341. Take internally sodium acetate in 2 to 3 gramme doses, and note its effect upon the reaction of the urine. UKEA. About 86 per cent, of the nitrogen in the urine of a healthy man has been found to be in the urea, CO(NH 2 ).,. Under pathological conditions, however, it may vary greatly UREA. 153 from this. The absolute weight varies between 20 and 40 grammes daily, being somewhat less for a woman than for a man. In round numbers, we can say that it is about one ounce in twenty-four hours for the adult male. Urea crystallizes in long, colorless, rhombic prisms. It is easily soluble in alcohol and in water; hence it never forms a sediment. It forms double compounds with acids, some .of which, like the. nitric and oxalic acid compounds are not easily soluble, and are used in separating the urea from urine. It forms similar insoluble compounds with many salts of the heavy metals, mercury, copper, etc. When urea is brought into contact with a hypobro- mite or a hypochlorite, it is decomposed into carbon dioxid, nitrogen, and water: CO(NH) 2 + 3NaOBr = 3NaBr + C0 2 + N 2 + 2H 2 0. This decomposition is made use of to determine the amount of urea in urine by measuring the volume of the nitrogen set free. There are a great number of modifica- tions in form of the apparatus employed, Hiifner's, Doremus's, Squibb's, and many others, all based upon the same principle. They do not give absolutely accurate re- sults, but are sufficiently exact for clinical tests, and have the advantage of requiring but a short time for their exe- cution. Where it is desirable to learn accurately the amount of nitrogenous compounds excreted, it is best to find the total nitrogen by KjeldahPs method. The solu- tion of sodium hypobromite should be freshly prepared from bromin and sodium hydrate, as it decomposes on standing. Doremus's ureometer for determining the percentage of urea in urine consists of a short graduated tube closed at the upper end. Below it is bent upward and expands 154 THE URINE. to a bulb. The graduations represent for each division 0.001 gramme of urea. That is, 0.001 gramme of urea evolves enough nitrogen to fill one division. Since one cubic centimeter of urine is used, weighing very nearly a gramme, nitrogen to fill one division corresponds very nearly to 0.1 per cent, of urea in the urine. With the tube is furnished a 1-cubic-centimeter dropping pipette. D Apparatus for Determining Urea in Urine. An apparatus can be simply and cheaply made, after the principle of SquibFs, from two 4-ounce wide-mouth bottles (see figure). One of these (A) contains a vial (C), which serves to hold the urine. Outside (7, in A, is placed the solution of sodium hy- pobromite. B contains water and is connected with A by a rubber tube. When the rubber stoppers are tightly in- serted the urine is brought into contact with the hypo- bromite by tipping A, the nitrogen of the urea being liberated. This forces from B an equal volume of water. The water is collected from the tube D, and when meas- SOURCE OF UREA. 155 ured gives the volume of nitrogen set free. The glass tubes (D, etc.) should be of small diameter. If there is no leak in the apparatus, pressing the stopper into the bottle A will force water from B into the tube D, and it should remain full, without running out, as long as the apparatus is not disturbed. Urea is probably formed in the liver. Its source is the nitrogenous compounds of the food and the tissues, including the blood, most of the nitrogen of such com- pounds being excreted from the body in the urea. Hence any increase in the destruction of these substances is ac- companied by an increased formation of urea and vice versa. For this reason the urea is considered as a measure of the decomposition of the proteins in the body. Some things which bring about an increased decom- position of proteins are: a large amount of nitrogenous food, like meat; excessive exercise, which causes a de- struction of tissue, though here the urea is not propor- tional to the exertion; fevers and inflammations up to the crisis, owing to the rapid loss of muscular tissue. After the crisis it is diminished. In phosphorus poisoning and diabetes mellitus the urea is excessive for the same reason. A greater excretion of water, either from excessive drink- ing or diuretics, carries with it a larger amount of urea, which seems to be thus washed out of the system. On the .other hand, less urea is excreted during hunger and sleep, when the metabolism of the body is lessened. Interference with the excretory power of the kidneys like- wise diminishes the urea. This is seen in acute nephritis and other diseases of the kidneys. In such cases the pro- duction of urea is not stopped, but it accumulates in the system, often being accompanied by urasmic poisoning. Since the urea is formed, at least in part, in the liver, we 156 THE URINE. find that less is excreted in carcinoma and cirrhosis of this organ. The fermentation of urea to ammonium carbonate, caused by the action of micro-organisms, has been already referred to. PREPARATION OF UREA. 342. PROM URINE. (a) If only a small amount is desired, evaporate half a test-tubeful of urine to dryness on the water-bath. Dissolve the urea from the residue with 95-per-cent. alcohol. Allow a drop of the alcoholic filtrate to evaporate on a microscope-slide without the aid of heat. Examine the crystals under the microscope. If the form is not distinct, dissolve in a drop of water and again observe the crystals after this has evaporated. Add a drop of dilute nitric acid to the slide, let it stand a few minutes, then examine the crystals of urea nitrate. (Plate 1,6.) (b) A larger quantity can best be obtained by evapo- rating half a liter to a liter of urine to a thin syrup upon the water-bath, then cooling it in ice-water, and adding about three times its volume of nitric acid of a specific gravity of 1.3 which has been boiled to expel the oxids of nitrogen and cooled with ice-water. Filter off the urea nitrate through an asbestos or glass-wool filter, wash- ing with a small quantity of ice-cold concentrated nitric acid. Dissolve the crystals in hot water and decolorize by chlorin-water or a small quantity of potassium chlorate. Add, then, small portions of pure barium carbonate as long as it dissolves and until the liquid is neutral. Evaporate the whole upon the water-bath to dryness. Pulverize the residue and dissolve the urea in absolute alcohol, which does not dissolve the barium nitrate. If the alcoholic solu- SYNTHESIS OF UREA. 157 tion is colored it can be decolorized by filtering it through bone-black. Distill off the alcohol or allow it to evaporate to obtain the urea. 343. SYNTHETICALLY. Coarsely powder 50 grammes of potassium ferrocyanid and heat in an iron dish over a Bunsen flame, stirring continually, until it has become a white powder and the lumps show no yellow color when they are broken. If it turns brown the heat is too high. Pulverize the mass as finely as possible in a mortar., mix it thoroughly with half its weight of finely-powdered man- ganese dioxid, and heat in an iron dish under the hood, stirring meanwhile, until the mass glows and becomes thick and sticky. Heat until a small test dissolved in hydro- chloric acid gives no blue color with ferric chlorid. Then allow it to cool ; dissolve the potassium cyanate, which has thus been formed with cold water. Convert this into am- monium cyanate by the addition of 38 grammes of dry ammonium sulphate. Filter and evaporate upon the water- bath at about 60 to 70, at which temperature ammonium cyanate is converted into urea. The potassium sulphate crystallizes out first, and should be removed from time to time. At last evaporate to dryness and dissolve out the urea with absolute alcohol as before. 344. Mix a few of the . dry crystals with soda-lime and heat in a dry test-tube. The presence of nitrogen is shown by the evolution of ammonia. 345. Warm some crystals of pure urea in a dry test- tube. It melts, then decomposes, yielding ammonia, which can be identified by litmus-paper. When the substance has solidified, cool it, dissolve in water, make alkaline with sodium hydrate, and add a few drops of copper sulphate solution. The color is due to the presence of biuret, IS[II 2 - CONHCONH 2 . Write the equation for its formation. 158 THE URINE. 346. To 5 cubic centimeters NaOH add a drop of bromin, and after this has dissolved a few crystals of urea. Explain the result. 347. PREPARATION OF SODIUM HYPOBROMITE. In a thin glass flask or beaker containing 20 cubic centimeters of water dissolve 8 grammes of sodium hydrate. Cool, and from a dropping pipette or funnel add slowly 2 cubic centimeters of bromin, stirring or shaking meanwhile. Handle the bromin under a hood or in a draft of air to avoid the vapors, which are especially irritating to the eyes and lungs. As the bromin-gas is heavy, it should be held below the level of the face while pouring, rather than above. 348. Determine the percentage of urea in urine by the use of Doremus's ureometer. First fill the tube with the hypobromite solution and invert it, having no more of the liquid in the bulb than is necessary to keep the tube full. Fill the pipette exactly to the mark with urine, in- sert the lower end into the ureometer, and slowly and steadily force the urine out by compressing the rubber bulb. The urine, being the lighter liquid, rises in the ureo- meter and the urea is immediately decomposed. The car- bon dioxid is dissolved in the solution and only the nitro- gen is collected. No gas-bubbles should be allowed to escape into the ureometer-bulb or back into the pipette, thereby causing a loss. When the foam has disappeared, read off the quantity of gas and calculate the percentage of urea. Duplicate tests should not differ more than 0.1 per cent. If the volume of urine in twenty-four hours is known, calculate the weight of urea excreted in that time. 349. Determine the amount of urea in urine by ap- paratus, page 154. Fill B nearly full of water. Into C by a pipette put exactly 2 cubic centimeters of urine. Out- DETERMINATION OF UREA AND NITROGEN. 159 side of C in A put 20 or 25 cubic centimeters of the hypo- bromite. Insert the stopper (E) tightly, thus filling the tube D with water. If it remains full, showing that the apparatus is tight, place an empty beaker under D and gently mix the urine and hypobromite. Avoid as much as possible raising the temperature by holding the bottle in the hand, as the expansion of the gas causes a consid- erable error. Allow it to stand until no more water passes from D, which must remain full of water during the whole test; then measure the expelled water in a graduated cy- linder. One gramme of urea contains 371 cubic centimeters of nitrogen; but, when it is decomposed in this manner, only about 354 cubic centimeters are obtained. For ordi- nary clinical purposes the percentage of urea in urine can be calculated from the following formula: 100 x number of c. c. of N percentage of urea = " 350. DETERMINATION OF THE TOTAL NITROGEN IN URINE (KJELDAHL'S METHOD* 1 ). I. Prepare the following solutions: 1. Standard sulphuric acid containing about 25 grammes per liter, of which the strength has been accurately determined. 2. Standard ammonia, of which about five volumes are neces- sary to neutralize one of the acid. Determine this accurately and calculate the amount of ammonia by weight in 1 cubic centimeter. 3. Sodium hydrate free from ammonia, and nitric acid, about 270 grammes per liter. 4. Congo-red, of which the solution contains 0.2 gramme in 100 cubic centimeters. This is turned red by alkalies and blue by acids the opposite of litmus. 1 This method can be used for finding the amount of N in most animal and vegetable compounds. 160 THE URINE. Have also at hand: 1. Sulphuric acid, sp. gr. 1.84, free from compounds of nitro- gen. 2. Yellow mercuric oxid. 3. Powdered potassium permanganate. 4. Crystallized sodium thio-sulphate. II. Operation. With a pipette measure accurately 5 cubic centimeters of urine. Place it in a flask holding about 250 cubic centimeters, best of hard (Bohemian) glass. Add 0.4 gramme of mercuric oxid and 10 cubic centimeters of the concentrated sul- phuric acid. Lay the flask in a slanting position on a wire gauze over a flame small enough to just bring it to boiling. Perform this operation under a hood or where there is a good draft to carry away the fumes of the acid. Continue the heating until the liquid is colorless or straw-colored, which may require from thirty minutes to an hour. Then remove the flask from the flame and very slowly add to it a small amount of the powdered permanganate until it is colored reddish or greenish. Allow it to cool and pour it into an 800-cubic-centimeter flask which contains from 200 to 300 cubic centimeters of distilled water, rinsing the small flask into the large one. The organic matter has been oxidized in this process, the nitrogen being converted into ammonia, which is con- tained in solution as ammonium sulphate. The ammonia is now to be set free by sodium hydrate, then distilled into a known amount of standard acid, and its amount found by ascertaining the loss of strength of the acid through its neutralization by the ammonia. For this purpose a Liebig con- denser is to be arranged so that the flask can be connected with the upper end by means of a bent tube; this should be at least Y 4 inch in diameter inside and a foot long, to prevent small drops of the boiling liquid's being carried over. The insertion of a bulb between the flask and condenser, also having the lower end of the bent tube, in the flask, cut off obliquely, will aid in preventing this. Add, now, to the liquid in the flask a few fragments of granulated zinc to make it boil more quietly, about a gramme of sodium thio- sulphate to precipitate the mercury, and 80 cubic centimeters of the sodium hydrate, or enough to make it alkaline. Connect immediately with the condenser through which a stream of cold water is flowing and distill into a 400 or 500 cubic centimeter URIC ACID. 161 conical flask (Erlenmeyer) which contains exactly 10 cubic centi- meters of the standard acid (not the concentrated!). Continue the distillation until at least half has been distilled over and the distillate coming from the condenser no longer turns red litmus- paper blue. Then find how much ammonia has been taken up by the standard acid. To do this add a few drops of Congo-red solution to the distillate. It will be colored red, because of the acid reaction. From a burette add the standard ammonia, stirring meanwhile, until the red just changes to a blue, when the liquid is neutral. Subtract the number of cubic centimeters of ammonia used from the number which are required to neutralize 10 cubic centimeters of the standard acid. The difference represents the volume of standard ammonia equal to that which was distilled from the oxidized urine. Calculate the weight of NH 3 in this. Fourteen- seventeenth of the NH 3 is the weight of the nitrogen in 5 cubic centimeters of urine. Calculate the percentage. URIC ACID ("LITHIC ACID"). Uric acid is normally present in solution in the urine of mammals. With birds and snakes it is the principal nitrogenous excretory product. Its formula is C 5 H 4 N 4 3 and the constitution of the molecule is probably CO It is consequently 2-6-8-trioxypurin. The daily amount varies much, but averages from 0.2 to 0.8 gramme. Except that it must be formed from the nitrogenous compounds in the body, we know little of its production or of the cause and significance of its variations. 162 THE URINE. Uric acid is comparatively insoluble in water or acids, but dissolves readily in the fixed alkalies, forming salts of uric acid, or urates. In the urine the acid exists in the form of these salts or united with some organic base. It is a dibasic acid like sulphuric acid, having two atoms of hydrogen which can be replaced by metals. It can thus have two series of salts, the acid and the normal, corre- sponding to HKS0 4 and K 2 S0 4 . Of these classes the nor- mal salts are quite soluble in water, but the acid salts do not dissolve so easily. The acid can be set free from its salts by the use of a stronger acid. The solubility of the acid salts is much less in cold water than in warm. Con- sequently they frequently separate from urine which was clear when passed but has stood in a cold room, and they can then be redissolved by warming. When it is pure, uric acid exists in the form of color- less crystals. As it is found in the urine, it, as well as its salts, is always colored yellow to brown by the coloring matter which has been carried down from the urine. The simplest form of crystals is tabular with curved sides and pointed ends. These are frequently united at right angles, making a star-shaped form, two of the rays often being smaller than the other two. In urinary sediments many crystals may be united, making a rosette-like form. In strongly-acid urine the crystals sometimes have jagged edges like the teeth of a broken comb. Many different forms may be obtained by precipitating with various strengths of acid. (Plate II, 11.) Uric acid and its salts have, in some degree, the power of reducing copper compounds in an alkaline solution and thus give with Fehling's or Trommer's test results which are similar to those obtained with glucose. When the dry substance is warmed with nitric acid it is oxidized, and URIC ACID. 163 then gives with ammonia a reddish-purple salt, which serves to detect and identify the acid. The urates as found in the urine are either in solu- tion or form a sediment. The latter is generally amor- phous and is always colored yellow to brown. Acid sodium urate may occur in spherical aggregations of microscopic acicular crystals. Ammonium urate, formed when urine becomes alkaline by fermentation, may be found as brownish spherules covered with irregular spicules, the so-called "thorn-apple" crystals. (Plate II, 9 and 11.) The amount of uric acid in urine is sometimes found by precipitating from a measured volume of urine by hydro- chloric acid, the albumin having first been removed if it is present. After washing the crystals they are weighed. The results thus obtained are too low, because of the slight solubility of the crystals in water. Volumetric methods may also be employed. These are as accurate and no more difficult. 351. Prepare uric acid from urine by quite strongly acidifying a beakerful with hydrochloric acid. In twenty- four hours the uric acid will have separated. Examine the crystals under the microscope. It can be purified and gradually freed from the color which it derives from the urine by repeatedly dissolving in concentrated sulphuric acid and reprecipitating by diluting with water. 352. Precipitate from urine the uric acid with acids of varying concentration, acting for different times. Sketch the principal forms obtained. 353. Dissolve a few of the crystals of the acid in sodium hydrate and add a few drops of Fehling's solution. Boil and the red cuprous oxid will be formed, best seen by the use of a dark background. 164 THE URINE. 354. To a small quantity of uric acid in a porcelain dish add a few drops of dilute nitric acid and evaporate to dryness, holding the dish over a small flame with the hand in order to avoid heating too highly. A reddish-yel- low residue is left. Pour into the dish a drop of ammonia without at first letting it come directly into contact with the residue. In a short time the residue becomes colored reddish purple. The ammonia may be added directly to the residue if an excess is not used. An excess destroys the color. The addition of a drop of' sodium hydrate changes the color to a bluish purple, which is destroyed on warming. The test is called the murexid test. 355. PREPARATION OF AMORPHOUS ACID URATES. Dissolve uric acid in a slight excess of sodium hydrate, and then pass carbon dioxid into the cold solution until it is saturated. Acid sodium urate separates in amorphous masses. 356. Test the solubility of the acid sodium urate by warming with a small quantity of water. It will dissolve, and, if not too much water has been used, will separate out again when it cools. 357. Prepare crystallized acid urates by dissolving a little uric acid in a warm solution of sodium phosphate. Filter, if necessary, and allow the filtrate to stand and evaporate. The sodium urate will crystallize as masses of acicular crystals. 358. FOMN'S METHOD FOR THE QUANTITATIVE DETERMINA- TION OF URIC Acnx Prepare a solution in water, one liter of which shall contain 500 grammes of ammonium sulphate, 5 grammes of uranium acetate and 6 cubic centimeters of glacial acetic acid. Of this add 75 cubic centimeters to 300 cubic centi- meters of urine in a 500 cubic centimeter flask, mix, and after five minutes filter through a plaited filter. Take two portions of the HIPPURIC ACID. 165 filtrate, 125 cubic centimeters each, pour them into beakers, add 5 cubic centimeters of concentrated ammonia and let the precipi- tated urates stand until the next day. Filter and wash the urates, using a 10-per-cent. ammonium sulphate solution for this as well as for transferring to the filter. Then spread out the paper and wash off the precipitates into beakers, using about 100 cubic centi- meters of water for each. Add 15 cubic centimeters of concen- trated sulphuric acid and titrate immediately with one-twentieth normal potassium permanganate, containing 1.57 grammes per liter, stopping when the solution is first pink throughout. For each cubic centimeter of permanganate 0.00375 gramme of uric acid has been oxidized. Calculate the amount in the urine, adding a correction of 0.003 gramme for every 100 cubic centimeters of urine employed because of the solubility of the urates. Heintz's Method for the quantitative determination of uric acid is less accurate. It consists in adding to 200 cc. of urine which contains no albumin or sugar 20 cc. of concentrated hydro- chloric acid; the precipitated crystals are collected on a weighed filter, washed with water until the drop of the filtrate shows no chlorin reaction with a drop of silver nitrate and nitric acid, then washed with alcohol. After drying three hours at 110 the uric acid is to be rapidly weighed on the paper. It is customary to add to the weight 0.00038 grm. for each 10 cc. of filtrate and wash water as a correction for the acid which is dissolved. HIPPURIC ACID (C 6 H 5 COHNCH 2 C0 2 H). This occurs normally in the urine, but in that of human beings only in very small quantities. It is found here in larger amounts after the internal use of benzoic acid. It increases with a vegetable diet and is abundant in the urine of herbivorous animals. It forms translucent, four-sided prisms, somewhat soluble in water. The acid can be made synthetically by heating benzoic anhydrid, (C 6 H B CO) 2 0, with glycocoll, NH 2 CH 2 C0 2 H: (C 6 H 5 CO) 2 + 2NH 2 CH 2 C0 2 H = 2C 6 H 5 CONHCH 2 CO 2 H +H 2 O . 166 THE URINE. When hippuric acid is heated with mineral acids or alka- lies it decomposes again into glycocoll and benzoic acid. 359. PREPARATION OF HIPPURIC ACID. Take inter- nally 2 grammes of pure sodium benzoate and collect the urine for the next twenty-four hours. Make it strongly alkaline with milk of lime. Warm, filter, and evaporate the filtrate to a syrup on the water-bath. After it has cooled acidify strongly with concentrated hydrochloric acid. Stir and filter, washing with a little very cold water. Dis- solve the crystals in the smallest possible amount of boiling water. To destroy the coloring matter pass chlorin gas into the hot solution until it is light yellow. Then cool it, filter, and wash the crystals with a very little cold water. If they are still colored they can be still further purified by dissolving in water and boiling with a little animal charcoal. Filter, and let the acid crystallize from the filtrate. Sketch the crystals and hand in sketches. 360. Heat a few of the dry crystals in a glass tube. They melt and turn red, then give, at first, a hay-like odor, afterward the odor of bitter almonds, from the hydrocyanic acid formed. On the cooler part of the tube is a sublimate of benzoic acid. 361. On a few crystals in a test-tube pour about a cubic centimeter of concentrated nitric acid, and bring to a boil. Evaporate to dryness in a porcelain dish on a water-bath. The residue, when heated in a dry glass tube, gives the odor of bitter almonds. This test can be used to detect small quantities of hippuric acid. 362. SEPARATION OF GLYCOCOLL, FROM HIPPURIC ACID. Boil in a flask 1 part of the acid for ten to twelve hours with 4 parts of dilute sulphuric acid. Use an inverted condenser to pre- vent evaporation. Let the liquid cool and filter out the benzoic acid. Concentrate the nitrate and mix it in a separatory funnel CREATININ. CHLORIDS. 167 with ether, which removes the last traces of benzoic acid. Sepa- rate the aqueous solution of glycocoll from the ether, add to it barium carbonate until the sulphuric acid has been neutralized, filter, wash and evaporate the nitrate until the glycocoll com- mences to crystallize. It has a sweet taste, whence its name. CREATININ. 363. To separate the creatinin from urine add to 100 cubic centimeters of the latter 5 to 6 cubic centimeters of saturated solu- tion of sodium acetate, then 20 to 25 cubic centimeters of a saturated solution of mercuric chlorid. The precipitated sul- phates, phosphates and urates are now to be filtered out and the filtrate allowed to stand for twenty-four hours. There is a separation of the creatinin combined with mercury as transparent globules. Make sketches of its appearance under the microscope. CHLORIDS. In the urine the excreted chlorin, of which there is normally in a day 6 to 10 grammes, is united principally with sodium. There is a small part with potassium as potassium chlorid. The excretion of chlorids in health is increased with salt food and with large quantities of drink. Chlorids are necessary in the fluids of the body' for the proper performance of their functions. When more chlorin is required by the body the chlorids are held back by the kidneys from the urine. When there is a less demand in the body the kidneys excrete the chlorids. Thus, in pneu- monia and other diseases, where there are serous exuda- tions, the chlorids are withdrawn from the circulation to form the constituents of these fluids, as is shown by their decrease in the urine. When the pathological exudations are absorbed the amount of urinary chlorids increases. In fevers there is a decrease in the chlorids of the urine until 168 THE URINE. the crisis, then an increase. In chronic diseases the amount of chlorin gives some indication of the digestive power, 6 to 10 grammes per day being normal, and less than 5 grammes daily showing weakness of digestion, providing that an excessive amount has not been removed by other means, like serous exudations or diarrhoeic discharges. An excessive excretion of chlorin (15 to 20 grammes daily) is found in diabetes insipidus. In dropsical conditions it is a favorable sign, showing the absorption of the fluid. The quantity of chlorin can be determined by ascer- taining how much silver nitrate is required to precipitate it. NaCl + AgN0 3 = AgCl + NaN0 3 . 58.4 parts 170 parts To ascertain when the chlorin has all united with the silver a little yellow potassium chromate is added. The silver forms first a white silver chlorid, and when the chlo- rin has been precipitated it forms the red silver chromate. 364. Acidify a portion of urine in a test-tube with nitric acid and add a little silver nitrate. A white precipi- tate which turns dark in the sunlight indicates the pres- ence of chlorids. 365. DETERMINATION OF QUANTITY or CHLORIN IN URINE. For clinical purposes the following method is suf- ficiently accurate : Measure with a pipette 10 cubic centi- meters of urine and dilute with about 100 cubic centi- meters of water. Add a few drops of yellow potassium chromate solution ; then allow to flow into it from a burette a solution which contains 17.000 grammes of fused silver nitrate in a liter. As soon as the color of the precipitate changes from white to reddish, read off the volume of silver solution which has been used. Each cubic centimeter of PHOSPHATES. 169 this will precipitate 0.00354 gramme of chlorin, equal to 0.00584 gramme of sodium chlorid. Calculate the per- centage of chlorin by weight in the urine. The change of color from white to red can be more plainly seen by yellow light (gaslight) than by daylight. There are present in the urine some other substances which are precipitated by silver nitrate like the chlorin. To make approximate cor- rection for these, 1 cubic centimeter may be subtracted from the number used. 366. A more accurate result can be obtained if the organic matter is first destroyed. To 10 cubic centimeters of urine in a thin porcelain or platinum dish add about 1 gramme of sodium nitrate and 2 grammes of potassium nitrate, both free from chlorids. Evaporate to dryness and carefully heat to fusion. Cool, dissolve in water, slightly acidify with nitric acid, then make exactly neutral with sodium carbonate and titrate with silver nitrate, calculating the amount of chlorin as in the preceding experiment. PHOSPHATES. The phosphoric acid of the urine is united with two classes of bases: the alkalies, sodium and potassium, and the alkaline earths, calcium and magnesium. The compounds are called, respectively, "alkaline" and "earthy" phosphates. The alkaline phosphates are soluble in water. The earthy phosphates are insoluble in water or alkalies, but are dissolved by acids. They consequently appear in the urine in the insoluble form whenever it becomes alka- line, either by fermentation or by the addition of reagents. They may also be precipitated by boiling. The amorphous white precipitate thus obtained is often mistaken for albu- min. It can be distinguished by being easily soluble in acids, which is not the cr.se with albumin. "When ammonia is present, as in fermentation, the magnesium forms an 170 THE URINE. insoluble salt with two bases, NH 4 MgP0 4 . In urinary analysis it is referred to as triple phosphate. It is crystal- line, sometimes in the form of snow-flakes, but more com- monly in prismatic crystals often spoken of as "coffin-lid crystals," from their supposed resemblance to the lid of a coffin. (Plate II, 8.) The phosphoric acid of the urine is mainly that taken in the food, but a part conies from the oxidized phos- phorus compounds of the tissues, such as lecithin and the nuclein compounds. The presence of a sediment of the earthy phosphates shows simply that the urine is alkaline, and is no indication that an excessive amount is being ex- creted. Animal foods are richer in phosphoric acid com- pounds than vegetable; hence with these we find more in the urine. Experience has shown that there is a diminution of the excreted phosphoric acid in many pathological condi- tions. This is true in most acute infectious diseases, in nephritis, gout, and rheumatism. In diabetes mellitus there is an increase. Still, with the exception of the bones, the tissues of the body contain but comparatively small amounts of phosphorus compounds, and with our present knowledge it is difficult to draw definite conclusions re- garding the decomposition of such tissues from the varia- tions in the eliminated phosphoric acid. 367. Make a specimen of urine alkaline with sodium hydrate. The earthy phosphates are precipitated in an amorphous form. Examine under the microscope. See that they are dissolved again by acidifying with even a weak acid, like acetic. 3G8. Filter out the earthy phosphates and test the filtrate for the phosphoric acid of the alkaline phosphates PHOSPHATES. 171 by adding magnesia mixture. (This is magnesium sul- phate made alkaline with ammonia and enough ammonium chlorid to dissolve the precipitate first formed.) With phosphoric acid or its salts it gives a white crystalline precipitate. 369. Form triple phosphate by making urine faintly alkaline with ammonia and allowing it to stand until the precipitate settles. Examine under the microscope for the "coffin-lid" crystals. They can be more abundantly formed for microscopic examination by adding to the urine a little of a solution of magnesium sulphate before making it alka- line with ammonia. 370. DETERMINATION OF AMOUNT OF PHOSPHORIC ACID. Prepare the following solutions: 1. Uranium acetate: Dissolve about 34 grammes of crystal- lized uranium acetate in water and dilute to one liter. This solu- tion will be a little too strong. Its exact strength must be found by the method to be described later. 2. A solution of Na 2 HP0 4 , 12H 2 (crystallized disodium phos- phate), one liter of which shall contain 10.085 grammes of the pure crystallized salt. This salt gives up its water of crystallization when exposed to the air, and cannot then be used. The crystals must be perfectly bright. Fifty cubic centimeters of the solution contain 0.1 gramme of P 2 O B (phosphoric anhydrid). 3. Solution of sodium acetate of which one liter contains 100 cubic centimeters of 30-per-cent. acetic acid and 100 grammes of sodium acetate. 4. Solution of cochineal made by digesting for some time 1 gramme of powdered cochineal in a mixture of 20 volumes of alcohol \vith 60 volumes of water. Filter or decant the liquid. Operation. First ascertain the strength of the uranium solu- tion. To accomplish this, measure with a pipette 50 cubic centi- meters of the sodium phosphate solution into a beaker; add 5 cubic centimeters of the sodium acetate solution and a few drops of cochineal. Heat to boiling, and then from a burette run in the 172 THE UEINE. uranium solution, drop by drop, until a greenish color is produced. The phosphoric acid has then been precipitated. Since 1 cubic centimeter of the uranium solution ought to precipitate 0.005 gramme of P 2 6 , exactly 20 cubic centimeters should have been used for the 50 cubic centimeters of sodium phosphate. If this is not the quantity which has been used, first ascertain accu- rately how much is needed and then dilute the uranium solution so that 1 cubic centimeter precipitates 0.005 gramme of P 2 O 6 . If, for instance, 17.5 cubic centimeters have been used instead of 20 cubic centimeters there must be added 2.5 cubic centimeters of water for every 17.5 cubic centimeters of the uranium solution. The amount of P 2 O 6 in urine can now be determined in the same manner, using urine instead of the sodium phosphate solu- tion. Calculate the percentage of P 2 O 6 present, knowing that there is 0.005 gramme for each cubic centimeter of uranium solution which has been used. If it desired to determine the amount of phosphoric acid combined with the alkaline earths (calcium and magnesium), as distinguished from the phosphates of sodium and potassium, the former class can be precipitated from 200 cubic centimeters of urine by ammonium hydrate and, after settling, can be removed by nitration. Wash the precipitate well with ammonium hydrate, then pierce the filter and rinse the precipitate by a jet of water into a beaker. Dissolve it in as small a quantity of acetic acid as possible, add 5 cubic centimeters of the sodium acetate solution, dilute to 50 cubic centimeters and titrate as in the preceding operation. This gives the P 2 O 6 which was united with the calcium and magnesium. If the total has been determined, the difference represents the phosphoric acid originally combined with sodium and potassium. SULPHATES. The sulphates of the urine are of two classes: (1) those of which the base is a metal, like K 2 S0 4 and Na^SO^ and (2) those in which a part or the whole of the base has been replaced by an organic radical, like KC 6 H 5 S0 4 . SULPHATES. 173 Those of the first class are called the inorganic, and the second the organic, or ethereal, sulphates. The latter dif- fer from the inorganic in not forming an insoluble precipi- tate upon the addition of a barium salt as the inorganic do. The two classes can be separated by this means. After the removal of the inorganic sulphuric acid by barium chlorid the organic sulphates can be decomposed by means of boiling hydrochloric acid: KC 6 H 5 S0 4 +.H 2 == C 6 H B OH + KHS0 4 . The acid will then give the white precipitate of barium sulphate if barium chlorid be added. The total amount of combined sulphuric acid excreted by an adult in twenty-four hours is 2 to 3 grammes. It is derived partly from that already formed in the food, which passes without change into the urine, but, for the most part, from the oxidation of sulphur compounds, like albumin, in the body. Variations in the total sulphuric acid in general indicate the rate of oxidation of sulphur compounds. It is increased by taking* such compounds, e.g., by a meat diet. It is decreased by a vegetable diet. The organic sulphates normally make up about one-tenth of the total sulphates. The organic bases of these are such compounds as phenol (C 6 H 5 OH), cresol (C 6 H 4 CH 3 OH), indoxyl (C 8 H 6 NOH), etc. These bases are formed by the putrefaction of albuminous substances; con- sequently, when such putrefaction is in progress in the body the organic sulphates increase in the urine. They may be formed in the intestine or absorbed from some other source. ' In the former case they are increased when- ever there is a serious stoppage of the food, as in ileus or in peritonitis with atony of the intestine. In ordinary con- stipation there is no marked increase. In diseases which 174 THE URINE. are accompanied by an internal formation of pus there is an increased amount of organic sulphates in the urine, and this fact may be used to judge whether the pus-forming stage has been reached. This is the case in foetid bronchitis, carcinoma of the stomach or intestine, diphtheria, pyaemia, etc. If the formation is from putrefaction in the intestine it will be diminished by taking antiseptic remedies, like calomel, or those which, by their purgative action, remove the contents of the intestine before, this putrefaction has occurred. The compound of indol which is found in the urine goes by the name of indican. The indol, C 6 H 4 CH CH formed by the putrefaction of albuminous substances, is oxidized after it has been absorbed from the intestine or elsewhere in the body and becomes indoxyl: C 6 H 4 COH I II HN CH This unites with potassium and sulphuric acid to form indican: C 6 H 4 C S0 4 K CH Indican may be easily oxidized by chlorin or other oxidiz- ing agents, and then forms indigo blue: C 6 H 4 CO CO C 6 H 4 I I I I C = C NH ORGANIC SULPHATES. 175 Putrefaction of nitrogenous compounds in the small in- testine seems to be more productive of indican than when it goes on in the large intestine. Sometimes the indican is decomposed in the urine, the indigo being set free in the form of blue or red microscopic crystals. It is usually dis- solved as a sulphate, however, until the indigo is formed by an oxidizing agent. It is normally present in large quantities in the urine of the horse, where, because of the long intestine, the residue from the food requires a con- siderable time to pass from the body. 371. PREPARATION OF POTASSIUM PHENOL SULPHATE (KC 6 H 5 SO 4 ). First prepare, if it is not at hand, potassium pyro- sulphate by mixing 25 grammes of finely-powdered potassium sulphate with 15 grammes of concentrated sulphuric acid, then heating (best in platinum dish). The heating should be done under a hood, to avoid the acid fumes. The heat should be gently applied at first, stirring until all the crystals have dissolved. When it ceases to bubble increase the heat to low redness. Allow it to cool, but before it solidifies it is best to carefully pour it upon a piece of clean sheet iron. Powder finely the potassium pyro- sulphate (K2S 2 O 7 ) thus obtained. In a, thin glass flask holding about a liter dissolve 15 grammes of potassium hydrate in 20 or 25 cubic centimeters of water, then add 25 grammes of crystallized phenol (carbolic acid, C fi H 5 OH). When it has dissolved let it cool to 60 or 70 C., and, while stir- ring well, add gradually in small quantities 30 grammes of potas- sium pyrosulphate powdered as finely as possible. Keep it at a temperature of "from 60 to 70 for from eight to ten hours, shak- ing often. Then add about 125 cubic centimeters of boiling 95- per-cent. alcohol, and filter while it is hot. This filtration is best performed in a hot-water funnel that is, one which is surrounded with a hot-water jacket. Otherwise the salt will crystallize out before the liquid has passed through the filter. As soon as the filtrate cools, the potassium phenyl sulphate crystallizes in pearly plates. It should be filtered out and recrystallized from a small quantity of boiling alcohol. 176 THE URINE. 372. Test a solution of this organic sulphate with barium chlorid. There is no precipitate. Compare the result with that obtained from an inorganic sulphate, like magnesium sulphate, with barium chlorid. 373. Acidify a solution of an organic sulphate with hydrochloric acid, boil, and add barium chlorid. The acid has decomposed the sulphate; so that a precipitate of ba- rium sulphate is now obtained. 374. Show that a mixture of the two classes of sul- phates, as in urine, can be detected in this way. First acidify by acetic acid, then, after adding barium chlorid, let the test-tube stand at least half an hour in a beaker of boiling water. The inorganic sulphates are thus precipi- tated as barium sulphate, but not the organic. Filter, and test the nitrate with a drop of barium chlorid. If enough was added at first there will be no precipitate. If there is, more barium chlorid must be used, and the heating re- peated. When the filtrate remains clear, acidify with hy- drochloric acid and boil. The precipitate is from the de- composed organic sulphates united with the barium chlorid previously added. 375. Insert into a rabbit's stomach a wide, flexible catheter or rubber tubing, passing it through a short piece of glass tubing held between the animal's teeth. Intro- duce by this tube a gramme of ortho-nitro-phenyl-propiolic acid and collect the urine for twenty-four hours. It will contain a large quantity of indican. Eead the literature on the relationship of the above acid to indigo, and explain the formation of indican. 376. Test urine for indican by adding to half a test- tubeful an equal volume of concentrated HC1. Then add a minute fragment of calcium hypochlorite ("chlorinated lime") and a few drops of chloroform and shake gently. INDICAN. 177 Let the chloroform settle to the bottom. If indican is pres- ent in the urine it will be thus oxidized to indigo blue, and this colors the chloroform. A second piece of the hypo- chlorite may be added and the shaking repeated. An ex- cess will destroy the blue color. Instead of calcium hypo- chlorite, a few drops of chlorin water, bromin water, or hydrogen dioxid can be used. This is Jaffe's test. . 377. Obermayer's reagent for indican contains 2 to 4 grammes of ferric chlorid in a liter of concentrated hy- drochloric acid. An excess does not destroy the indigo. Mix equal volumes of the reagent and urine and shake. Indican is oxidized to indigo-blue. This can be taken up by a drop of chloroform, as in the preceding test. After the internal use of iodin compounds the iodin is ex- creted largely through the urine. The reagents of either Jaffe's or Obermayer's tests will set it free and it will dissolve in the chloroform with a color which simulates or conceals the indican reaction. A few drops of sodium thio-sulphate solution will, how- ever, destroy the iodin color, but not that of indican. 378. Add to 10 cubic centimeters of urine a few drops of a solution of potassium iodid and make Jaffa's or Obermayer's test, following this with sodium thio-sulphate. 379. THE QUANTITATIVE DETERMINATION OP URINARY INDICAN: WANG'S METHOD. This depends upon the conversion of indican to indigo by Obermayer's reagent and, after extracting it with chloroform, determining its amount by titration with standard potassium permanganate. The quantity of urine em- ployed for each test should be modified according to the amount of indican as revealed by a preliminary test, 50 cubic centimeters being enough when much is present and 250 or more when very little is found. If the urine is alkaline acidify with acetic acid and precipi- tate with a 20-per-cent. solution of basic lead acetate, avoiding an excess. Find the volume of this mixture, filter, measure off most of the filtrate and to it add as much of Obermayer's reagent. Shake this with renewed portions of chloroform until the latter is 12 178 THE URINE. not colored, separating the two liquids by means of a glass-stop- pered funnel. Distill the chloroform from its solution, dry the residue on a water-bath and wash it with hot water, passing this through a small filter to avoid the loss of indigo. Dry the paper, extract it with warm chloroform, add this to the washed residue and distill off the chloroform. Warm the indigo on a water-bath for five to ten minutes with concentrated sulphuric acid and pour it into .about 100 cubic centimeters of water, rinsing the vessel with a little more water. Filter and titrate with a standard solution of potassium permanganate until the color is colorless or yellowish. The permanganate contains about 0.1 gram to the liter. It must be frequently standardized against a solution of oxalic of known strength. The indigo blue corresponding to each cubic centimeter is 1.04 times the weight of the oxalic acid used. From this the weight of indican can be calculated. ALBUMINOUS COMPOUNDS OF THE URINE. The principal albuminous substance occurring in the urine is serum-albumin. Besides this there may be found there serum-globulin, albumose, fibrin, and possibly pep- tones. The nucleoalbumins also are not uncommon, being often mistaken for mucin. ALBUMINURIA. Serum-albumin may find its way into the urine either from the kidneys (renal albuminuria) or from serous liquids,- like blood, pus, or lymph, mixing with it at some point in the urinary tract below the kidneys. When it is due to degenerative changes in the kidney it is usually accompanied by epithelium from the tubules, often in the form of cylinders or casts. Changes in the composition of the blood or in the blood-pressure may allow albumin to pass through the kidney. This is seen in anaemic con- ALBUMINURIA. 179 ditions, after some poisons, and in some infectious dis- eases, the kidneys in any of these cases not being neces- sarily in a pathological state. Severe muscular labor may cause the temporary appearance of albumin. The quantity present varies greatly under different conditions, and is not necessarily a measure of the severity of the disease. Still comparative tests in the same case will indicate some- thing of its progress. The amount of albumin in the urine can be deter- mined accurately by precipitating, drying, and weighing, but the process is a long one for clinical purposes. For a practical test, sufficient to show the variation in amount, Esbach's method can be used. This depends upon precipi- tating the albumin with a solution containing 1-per-cent. picric acid and 2-per-cent. citric acid. The operation is performed in a graduated test-tube, called an albuminom- eter, the height of the precipitate indicating its amount. Variations in temperature greatly affect the height of the precipitate; consequently in comparative determinations the conditions of temperature must be always the same. The results are most accurate when not more than 4 grammes of albumin are contained in a liter. A more accurate method for the determination of the amount of albumin in urine is to weigh it after coagula- tion. Filter it if it is not clear, then drop in two or three drops of very dilute acetic acid and heat to boiling. Filter on a filter which has been weighed after drying at 100, and wash with warm water first, then with alcohol. Dry at 120 until its weight is constant. For exact results the precipitate and filter must be burned, and the weight of the ash subtracted to get the true weight of the coagulated protein. If globulin is present it will also be found in the precipitate with the albumin. 180 THE URINE. TESTS FOR ALBUMIN IN THE URINE. If the urine is not clear it must be filtered before testing. 380. THE HEAT, OR BOILING, TEST. Heat the urine to boiling in a test-tube, then acidify with a few drops of concentrated nitric acid. If albumin is present, a white precipitate remains. The earthy phosphates precipitate on boiling, but are soluble in acids. 381. HELLER'S TEST. Pour half an inch of concen- trated nitric acid into a small test-tube. From a pipette, the end of which is held just above the surface of the acid, drop the urine slowly or hold the tube in a slanting posi- tion and slowly pour upon the acid an equal volume of urine. If albumin is present a white cloud forms at the point of contact of the two liquids. If the amount is ex- ceedingly small, it may not appear for half an hour. (If biliary pigments are present the ring may be colored. See test for these, Experiment 285.) 382. Acidify 2 or 3 cubic centimeters of potassium ferrocyanid solution with about 1 cubic centimeter of acetic acid, and fill the test-tube half full of urine. Albumin gives a white, cloudy precipitate. An excess of ferrocyanid interferes with the accuracy of the test. 383. Add to the urine in a test-tube about one-sixth of its volume of a saturated solution of sodium chlorid, acidify with acetic acid, and boil the upper part of the liquid, holding the tube by the bottom. Albumin gives a white precipitate, which shows plainly above the clear liquid in the lower part of the tube. Each of these tests has some objections to it which must be recognized in interpreting the results. By the action of heat and nitric acid some of the albumin is decomposed; hence the first test ALBUMIN TESTS. 181 is not as sensitive as some others. This decomposition is greatly increased if the urine is boiled after adding the acid. Besides albumin, there may be precipitated by this test uric acid from the urates in very concentrated normal urine, and also resinous matters after the administration of turpentine or the balsams. The resin- ous compounds are soluble in alcohol, which does not dissolve albu- min. The uric-acid compounds are colored instead of being white, like albumin, and can be filtered out and tested. The ring-test with nitric acid is very sensitive. It precipitates other substances than albumin, such as the urates, mucin, and resinous substances. The urates do not form a ring at the plane of contact of the two liquids, but above it; and if the urine is previously diluted with two or three times its volume of water they do not appear. The resinous matters dissolve in alcohol. The mucin precipitate forms a cloud in the upper part of the liquid where the acid is dilute. It dissolves in strong nitric acid. Potassium ferrocyanid and acetic acid will detect very small quantities of albumin. Albumose is also precipitated if present. If the acid alone produces a cloudiness it is mucin or resinous com- pounds. These must be removed by filtration before adding the ferrocyanid. In the sodium chlorid and acetic acid test the precipitate formed on boiling is acid albumin, which is insoluble in the salt solution. Resinous matters may be precipitated, but not mucin. 384. DETERMINATION OF AMOUNT OF ALBUMIN IN URINE BY ESBACH'S METHOD. The urine must not have a specific gravity above 1.008, otherwise it must be diluted. If it is not distinctly acid in reaction it must be made so by acetic acid. Fill the albuminometer with urine to the mark U. Add the reagent to the mark R. Close with a cork and mix gently, avoiding hard shaking, which intro- duces air bubbles into the precipitate and thereby prevents its settling. Let it stand at the temperature of the room (60 to 70 F.) for twenty-four hours. The height of the precipitate indicates the number of grammes of albu- min per liter, or parts in a thousand. 182 THE URINE. GLOBULIN, ALBUMOSE, AND PEPTONES. Globulin is found in the urine only with albumin. It passes into the urine in much the same manner, and has no especial diagnostic value. 385. To 10 cubic centimeters of the clear urine (fil- tered if necessary) add an equal volume of a saturated solution of ammonium sulphate. The serum globulin will be precipitated, but not the albumin. 386. Saturate the clear urine with finely powdered magnesium sulphate without warming. Serum globulin is precipitated. This can be removed by filtration and confirmed by the usual tests for globulins. Albumose may be formed in urine by bacterial action from albumin. It may easily escape discovery, since it is not coagulated by heat. It is often the precursor of albu- min, and, as such, a knowledge of its presence is impor- tant. Before testing for its presence the other albuminous substances must be removed. After removing albumin by boiling the liquid slightly acidified by acetic acid, albumose can be detected by its giving a precipitate upon saturation with sodium chlorid, which dissolves on heating and re- appears on cooling. The results of the latest research have shown that much of what has been regarded as peptone in urine is one of the albumoses which closely resembles it, and it is an open question whether peptones are ever found in this ex- cretion. Nevertheless we may temporarily retain the name peptonuria for the condition, with the understanding that, as our knowledge becomes greater, it may have to be aban- doned. The peptones or albumoses are not normally found in the blood, being converted in the intestinal mucous PEPTONES. 183 membrane into another form, probably into an -albumin. When anything interferes with this conversion, or when they are otherwise introduced into the blood, they pass into the urine. Diseases of the intestine, like carcinoma or ulceration, may prevent conversion to albumin, giving rise to enterogenic peptonuria. Peptone and albumose are formed by the decomposition of albuminous substances by other means than by digestion; as, for example, by putre- faction. Diseases which are characterized by a formation of peptones are often accompanied by peptonuria. This is the so-called "pyogenic peptonuria/' It is found when there is much formation of pus in a body-cavity, as in croupous pneumonia and with deep-seated abscesses. The following tests can be used with urine containing a considerable peptone : 387. Heat 50 cubic centimeters of urine to boiling; acidify if necessary with a few drops of acetic acid, filter- ing if it precipitates, and, while hot, add powdered am- monium sulphate to the filtrate as long as it dissolves and until there are some crystals in the bottom. Filter after cooling. This leaves the peptone in solution. To insure complete precipitation of the other proteins the saturation with ammonium sulphate may have to be repeated. When this has been done and no further precipitate results, test portions of the filtrate with (1) tannic acid with twice its volume of water; (2) potassio-mercuric iodid. Each should give a yellowish-white precipitate. The biuret test can be tried, but is not as sensitive as the others. With peptones, if no excess of copper sulphate is used, it should give a pink with no shade of blue. A large amount of sodium hydrate must be present. 184 ' THE URINE. FIBRINURIA. Through haemorrhage or exudation of serous fluids into the urinary passages the urine sometimes becomes mixed with fibrinogen, and this may form clots or semi- gelatinous masses. It may cover the bottom of the vessel or occasionally cause the whole mass to gelatinize. The fibrin can be filtered from the liquid through muslin and, after washing, can be tested (Experiments 77 and 80) . It is very similar to the deposit of pus from fermenting urine. The pus, however, can be thinned with water. The fibrin is insoluble. GLYCOSURIA. Glucose is not normally found in large amounts in the urine, although traces are frequently and perhaps always present. More than a slight trace may be re- garded as pathological if it continues for any length of time. A transitory form of glycosuria (alimentary gly- cosuria) is often caused by excessive quantities of carbo- hydrates, especially of sugar in the food. It may be pro- duced by puncture of the fourth ventricle of the brain, by injuries of the pancreas, by a number of medicinal sub- stances which act upon the vasomotor nerves of the liver, such as phloridzin, etc. The urine is generally, though not always, of a high specific gravity (1.030 to 1.050), having a light color and a whey-like odor. The daily volume may be increased to ten times the normal, the solids being likewise increased. When poured or shaken it retains the foam for a consid- erable time. GLUCOSE TESTS. 185 388. Test diabetic urine with 1. Trommels test (26). 2. Fehling's test (27). 3. Bismuth subnitrate test or Nylandar's test (30). 4. Phenyl-hydrazin test (31). 5. Fermentation test (32). Notice that the other urinary constituents may mod- ify the results obtained with the solution of pure glucose. For the detection of glucose in urine the tests above given may be employed. No one of these, however, is an absolute proof of the presence of glucose. Other constituents of urine have a slight reducing power, and may respond to the tests with alkaline solutions of copper or bismuth, where the action is that of re- duction, for example, uric acid and its salts; creatinin, mucin, and others occurring in smaller amounts have this power of reduction and will reduce Trommer's and Fehling's reagents. The same is true of many medicines which pass into the urine. Trommer's and Fehling's tests are very sensitive under ordinary conditions, but they may fail in some decomposing urines, the ammonia which is present keeping the cuprous oxid in solution. Long boiling will expel the ammonia, and the test may then succeed. Large amounts of uric acid, creatinin, or albumin may act in the same manner, keeping the red oxid from precipitating. It must be borne in mind that the earthy phosphates will always be precipitated when the urine is made alkaline, and consequently, appear in many of the glucose tests. They are always colorless, as can be shown by washing them on a filter, whereas the oxid of copper or bismuth reduced by the sugar are colored. In the test with the subnitrate of bismuth the salt is not so easily reduced by other compounds than glucose. Consequently there is not so much danger of mistaking these for sugar. With a very large excess of the alkali this reduction may occur. This is said not to be the case with Nylander's modification of the test (Experiment 30). Albumin is, however, decomposed under such circumstances, giving a black precipitate. It must, therefore, be removed from the solution before the test is made. With this test 186 THE URINE. very small quantities of sugar can be detected. Many medicinal substances pass into the urine and react with this test also. The phenyl-hydrazin test is not affected by the reducing matters of the urine, but it gives a similar precipitate with milk- sugar. Pure phenyl-hydrazin must be used. If it is the hydro- chlorid, the crystals should be white, not brown. The fermentation test is not very sensitive. It may be inter- fered with by the presence of some drugs which stop the action of the yeast. If the urine is not acid, it should be made faintly so with tartaric acid. It can be used to distinguish between glu- cose and lactose. Barfoed's test (Experiment 28) may be employed for the same purpose. 389. Determine the quantity of sugar in diabetic urine,, using Fehling's solution (Experiment 33). Dilute the urine with a measured volume of water if necessary, and use in the burette^ as was done in the case of the pure glucose solution. ACETONE, (CH 3 ) 2 CO. Normally acetone is present in the urine only in traces. Pathologically it occurs there in severe diabetes, in fevers, in inanition, and cachectic conditions, as well as in psychoses. In diabetes it often is a precursor of the more dangerous diacetic acid. It appears to be formed by the decomposition of albuminous compounds, and it can be produced in the urine by the use of a diet of such substances. It is a colorless liquid of a fruity odor, which boils at 56.5 C. and which can consequently be readily distilled from the urine. The examination of the urine should be made while it is fresh. If a large quantity of acetone is present in urine the latter may be tested directly. For small amounts it is best to distill from about a liter one-fourth of its volume after slightly acidifying with sulphuric acid. Place the distillate ACETONURIA. DIACETURIA. 187 in a retort and distill from it about 30 cubic centimeters. This latter portion contains most of the acetone. 390. LIEBEN'S TEST. To a solution of acetone add a little sodium hydrate, then a solution of iodin in potas- sium iodid and warm. lodoform is produced as a yellow- ish powder having a characteristic odor. After a time it may form six-sided plates, which can be seen with a micro- scope. Notice also the odor. Alcohol gives the same result. 391. Prepare mercuric oxid by precipitating a little mercuric chlorid with sodium hydrate. Wash by decanta- tion and filter and wash. Add this to some of the acetone solution, shake, and filter. The presence of acetone is shown by its dissolving the oxid. This can be proved by pouring a layer of ammonium sulphid solution on top of the filtrate in a narrow test-tube, when the mercury will be precipitated as a black ring between the two liquids. 392. LEGAI/S TEST. To the liquid containing ace- tone add a drop of a freshly-prepared solution of sodium nitro-prussid and make alkaline with sodium hydrate. A ruby-red color is produced. In a few minutes it changes to yellow. If it is acidified with acetic acid a carmin or purplish-red color appears when much acetone is present. On long standing (forty-eight hours) this changes to blue. (Compare with the results from WeyPs test for creatinin [Experiment 318], which normally appears in the urine.) In cases of doubt the urine may be distilled and the ace- lone sought in the distillate. Creatinin is non-volatile. DIACETURIA. Diacetic or aceto-acetic acid (CH 3 COCH 2 C0 2 H) never appears normally in the urine, but is found under the same pathological conditions as acetone. In the fevers 188 THE URINE. of childhood it is not so dangerous, but with adults it signals the approach of coma, of which it is, perhaps, the cause, through lowering the alkalinity of the blood. Di- acetic acid is a colorless, strongly-acid liquid, soluble in water and ether. On heating it decomposes below 100 to acetone and carbon dioxid: CH 3 COCH 2 C0 2 H == CH 3 COCH 3 + C0 2 . With ferric chlorid it gives a violet-red solution, which disappears on standing twenty-four hours and more quickly upon boiling. This reaction can be used to detect diacetic acid in the urine. A number of other substances like salicylic and carbolic acids, antipyrin, and the acetates give a somewhat similar reddish color. These are stable at ordinary temperatures, and only that from the acetates is decomposed by boiling. The test should be made upon urine which has been comparatively freshly passed. 393. Test fresh urine for diacetic acid by adding, drop by drop, a solution of ferric chlorid as long as a precipitate forms. This is ferric phosphate, formed from the phosphates of the urine. Filter, and to the filtrate add a few drops more of ferric chlorid. The diacetic acid gives a violet-red color. Allow it to stand several hours, and notice that it fades and disappears. 394. If this violet-red color was obtained, boil an- other portion of urine for five to ten minutes, and after cooling repeat the test. If the red color was caused by diacetic acid none will be obtained in this second test, since the acid will have been decomposed by boiling. LACTOSURIA. Milk-sugar may be found in the urine of women toward the end of pregnancy and a short time after child- LACTOSURIA. CHOLURIA. 189 birth. Its presence indicates the absorption of the sugar from the fluid in the mammary gland. It may appear with the interruption of nursing or from stagnation of the milk in the gland. When the gland is well developed and lactose is found in the urine during the period of nursing it shows merely that the secretion of milk is abundant. The chemical reactions of lactose are very similar to those of glucose. The principal differences are that lactose ferments with yeast with difficulty or not at all, and that its power of reduction is less than that of glucose. Still, the distinction between the two as they occur in urine is a matter of some difficulty. 395. Try the fermentation test with compressed yeast, as in Experiment 32, upon urine containing glucose and that containing lactose, and notice that the former ferments, with the evolution of carbon dioxid, and the latter does not. 396. Try Barfoed's test (Experiment 28) upon the two kinds of urine, and notice that it responds to glucose, but not to lactose. In this test it must be borne in mind that the other reducing substances of normal urine urates, creatinin., etc. may cause a reduction of the copper salt. CHOLURIA. In examining the urine for bile two classes of com- pounds are sought for: the biliary acids and the biliary pigments. The biliary acids do not normally occur in urine, except in small amounts. The pigments are more commonly found. In the freshly-passed urine usually only bilirubin is present, but by oxidation it may be changed to biliverdin, etc. Urine which contains bile is generally of a yellowish- to greenish- brown color, and the 190 THE URINE. sediment, if it contains epithelial cells, is often colored brown. Upon shaking the urine the foam is yellow or greenish. A common cause for the appearance of the biliary constituents in the urine is the obstruction of the bile- duct. This may be either from some abnormal growth or merely from inflammation in the passages. The bile is then absorbed by the lymphatics and excreted through the kidneys. The same result may be produced by any abnormal condition of the liver which interferes with the free passage of the bile. A part of the bile may pass from the blood into the tissues, manifesting itself there by its characteristic color (icterus). The biliary coloring matters may be formed in the liver, but they can also be produced by the decomposition of the haemo- globin in the blood and the other tissues of the body, and may pass from here directly into the urine. In this case the urine would contain none of the biliary acids, since they do not appear to be formed outside the liver. A large amount of these acids with the pigments in the urine indicates that the bile comes from the liver (hepatogenous icterus). Some authors have described as a distinct form of icterus that in which the biliary pigments ure de rived from the blood-coloring matters (haematogenous icterus). It seems, however, to be certain that the biliary acids may be absent from the urine even when it contains bile from the liver or gall- bladder. 397. THE PRODUCTION OF ARTIFICIAL JAUNDICE. Insert a small cannula into the common bile duct of an anaesthetized albino rabbit. Allow a dilute solution of indigo carmine to flow into this from a burette. The conditions are similar to those where the bile is reabsorbed in consequence of some obstruction in the common duct. In a few minutes the mucous membranes show the blue color and it soon is seen under the skin in all parts of the body. Make an autopsy, examining the internal organs to learn how extensive is the diffusion of the color through the tissues. BILE TESTS. 191 398. Test biliary urine for the pigments by slowly adding urine from a pipette, to yellow, 1 concentrated nitric acid in a test-tube. The acid remains in the bottom, and between the liquids are seen the colored rings, as in Experiment 285. 399. To 2 to 3 cubic centimeters of Hammarsten's reagent add a few drops of urine and shake: a green or bluish-green color results if bilirubin is present. With minute amounts of bilirubin or when the urine is dark colored, first precipitate the pigments with a little barium chlorid, allow it to settle, pour off the liquid, and stir the precipitate with 1 cubic centimeter of the reagent. The supernatant liquid is green, converted by increasing amounts of the acid mixture or by yellow nitric acid through blue and violet to red and yellow. 400. If the urine contains much bilirubin, shake a large test-tubeful or more of urine with half an inch of chloroform; pour off the urine and let the chloroform evaporate on a watch-glass. The bilirubin is left in small, red prisms. It may be purified by dissolving in chloroform, filtering, and again evaporating. These crystals give the play of colors when moistened with nitric acid. They also dissolve in alkalies, and the solution becomes green on standing (biliverdin). 401. If the urine is dark colored from much urobilin or blood-coloring matters so that the colored rings do not show, test it with Huppert's test. Shake a test-tubeful of the urine with a small amount of milk of lime, then immediately pass into the liquid a stream of carbon dioxid to remove excess of lime. When it is neutral, filter and wash the precipitate, which contains the biliary pigments. Moisten the precipitate on the paper with a drop of moderately-strong, yellow nitric acid and observe the play of colors, from red to green. 1 The yellow acid can be made by allowing the colorless acid to stand for some time in a strong light. 192 THE URINE. 402. In urine which is highly colored with other substances the bilirtibin may be identified by Stokvis's test. To 20 or 30 cubic centimeters of urine in a test-tube add 5 or 10 cubic centi- meters of a 20-per-cent. solution of zinc acetate. Wash the pre- cipitated bilirubin upon a small filter; then dissolve it by the addition of a few drops of ammonia. The liquid which passes through the filter becomes, after standing, brownish green, and shows the spectrum of bilicyanin: an absorption-band between G and D and one between D and E. If much bile is present the liquid becomes blue upon slightly acidifying. 403. To the urine add a few drops of very dilute tincture of iodin. A green color results. If the iodin is flowed on to the top of the urine by slanting the tube or by dropping from a pipette a green ring is formed. 404. Test the biliary urine for biliary acids by dis- solving in it a few crystals of cane-sugar, then dipping in it a strip of filter-paper. Dry the paper and place on it a drop of concentrated sulphuric acid. In a few seconds it becomes violet, best seen by holding it before a window. Too much sugar gives a brown color. 405. Instead of using concentrated acid make the test with dilute H 2 S0 47 as in Experiment 268. It is not advisable to depend upon Pettenkofer's test alone in the urine, as other substances may be present and give reactions similar to those of the bile-acids, although their spectra are differ- ent. The pure bile-acids may, in cases of doubt, be extracted by the following method: 406. If the urine is highly colored or only a slight amount of bile-acids are present, it may be necessary to extract the latter before testing. Add to the urine lead acetate solution and a few drops of ammonia to make it slightly alkaline. Wash with water the precipitate, which contains the acids, then dry it. Ex- tract it several times with warm alcohol, filtering hot. Make the filtrate alkaline with sodium carbonate, and evaporate to dryness on a water -bath. Dissolve the sodium salts of the bile-acids from the residue with hot, strong alcohol and filter. The bile-salts can H^IMOGLOBINURIA AND H^MATURIA. 193 be precipitated by adding ether to the cooled alcohol. They become crystalline on standing, or they can be tested for im- mediately in the alcoholic filtrate with Pettenkofer's or other tests. ILEMOGLOBINURIA AND H^MATURIA. The haemoglobin is found in the urine in two forms: first, dissolved, no corpuscles being present (haemoglobi- nuria), and, second, in the corpuscles (haematuria). The color of urine which contains blood is usually some shade of red, but may be dark brown or even greenish brown when the hemoglobin has been changed to met- hgemoglobin. Very small quantities may not be detected by the eye. The liquid is often more or less cloudy from corpuscles and casts. There may be enough blood present to cause coagulation either in the urinary passages or after the urine is passed. The free haemoglobin is produced by the destruction of the corpuscles. This may be due to an injection of substances which dissolve the corpuscles, to the trans- fusion of blood, to the action of some poisons and in cer- tain infectious diseases, like typhus, also after severe burns. In this case the urine should be tested for haemoglobin. If there is a sediment the microscope reveals no corpus- cles. Haematuria, where corpuscles are present, is more common. It is due to haemorrhage in some part of the urinary tract. The corpuscles appear as a sediment and are usually not in rolls. They may be shriveled or swollen from standing in the urine. If the hasmorrhage is from the kidney, the blood is usually well mixed with the urine and of a reddish-brown color, the reaction being acid. Blood-casts may be present, and if they are it is a proof 194 THE URINE. of a renal haemorrhage. This may occur in Bright's dis- ease, also with malignant renal growths or renal calculi. If the haemorrhage is from the bladder the urine is often alkaline, and clots of blood are common. It may be caused by vesical calculi, by cystitis or villous growths, and by carcinoma. 407. Add a very little blood to highly-colored nor- mal urine, and notice that the bands of oxyhgemoglobin are visible through the spectroscope, although to the eye there may be no indication of its presence. If the urine is too turbid to examine with the spectroscope, it should be filtered, and if the residue is reddish on the paper this should be washed with 5 cubic centimeters of water and the washings examined. 408. Convert the oxyhasmoglobin into haemoglobin as in Experiment 246, and notice that the two bands change to one. 409. To urine containing a small amount of blood add enough sodium hydrate to make alkaline, and heat to boiling. The phosphates of the alkaline earths will be precipitated, and the precipitate will be colored reddish by the haematin from the decomposed haemoglobin. If no blood were present the precipitated phosphates would be white. This test will detect very small amounts of blood in urine. If the liquid is very dark colored, it may be necessary to filter and wash the precipitate before its color can be determined. 410. Examine microscopically the sediment from a urine after recent haemorrhage. Observe the presence of red corpuscles and also the change in their form which takes place after standing. The guaiacum-hydrogen peroxid test (249) can also be em- ployed, but its fallacies should not be lost sight of. MUCINURIA. 195 MUCINUBIA. Both normal and pathological urine often contain a substance which, although similar to true mucin, yet dif- fers from it in many respects. On account of this re- semblance it is often called urinary mucin. The latest in- vestigations indicate that it is a nucleoalbumin. In nor- mal urine it appears after standing as a light, fleecy cloud in the middle of the liquid. Its origin is the mucous mem- brane, principally that of the bladder, ureter, and vagina. In small amounts it has no special significance. In catar- rhal inflammation of the bladder it is abundant. In cys- titis and pyelitis it may give the urine a gelatinous appear- ance. Mucin is also increased in febrile conditions, as well as in nephritis. Urinary mucin is precipitated from its solution by alcohol or dilute acetic acid without heating. It may be precipitated by very dilute mineral acids, but dissolves in excess. After precipitation by acids it is soluble in alka- lies. Since nucleoalbumins, like the mucin of urine, are composed of an albuminous substance with a nuclein, they give most of the reactions of the albumins, such as those with potassium ferrocyanid, picric acid, the biuret test, etc. Care is necessary, therefore, to avoid confounding urinary mucin with small quantites of albumin. They can be differentiated by the fact that the mucin is precipi- tated in the cold by acetic acid even after the urine has been diluted with water, while albumin is not. 411. Dilute normal urine with its own volume of water, acidify a small beakerful with acetic acid and allow to stand until the mucin has separated. Filter and wash with water. 196 THE URINE. 412. Show that the nmcin dissolves by adding a few drops of an alkali,, like sodium hydrate, and that it is re- precipitated from this solution by acidifying again with acetic acid. 413. If urine containing much mucin can be ob- tained, apply the general tests for protein and albumin, and notice that it responds to many of them. LIPURIA,, OR CHYLURIA. An abnormal condition of the urine not uncommon among the inhabitants of the tropics, but more rare among those of cooler climates is the presence of fat. Lipuria, or the appearance of fat in the urine, may be due to an abscess or fatty degeneration of the kidney; to an excessive amount of fat in the blood, as in preg- nancy; or to conditions which produce fatty degeneration of other organs, as the liver, and in phosphorus poisoning, whereby the amount of fat in the blood is abnormally increased. The chyluria of the tropics is due to the action of a parasite, which causes a rupture of the lymph-vessels and allows the lymph to pass into the urinary passages. The urine is often milky, and, on standing, a creamy layer forms. It contains also the other constituents of the lymph, albuminous substances, etc. In cases of lipuria where only a small amount of fat is present it may appear in the form of drops upon the surface, or it may be present in microscopic globules, either free or in the casts or epithelial cells of the sedi- ment. The globules can be perceived with the microscope and separated by ether. 414. Examine microscopically urine containing fat. 415. To half a test-tubeful of urine containing fat add one- fifth its volume of ether away from the vicinity of a flame. Mix by shaking carefully. Allow to stand until the ethereal solution of fat rises to the top. Notice that the urine loses its milky ap- pearance. Pour off the ether into an evaporating dish and let it evaporate without heating. Dip a strip of white paper in the residue, and notice that a greasy stain remains after drying. URINARY SEDIMENTS. 197 UKINAKY SEDIMENTS. Besides the soluble constituents of the urine, there are others which appear as an insoluble deposit upon the bottom of the containing vessel or floating in the liquid. They may be present in the freshly-passed urine or may appear after a time. The former are the more important to the physician, although some conclusions as to the con- dition of the system may be drawn from the latter. For the collection of these sediments the best method is by the centrifugal machine, or centrifuge, this requir- ing so little time that the examination can be made before changes have occurred in any of the constituents. The centrifugal machine is essentially an apparatus where tubes or other vessels can be set in rapid rotation. These tubes swing from their upper end, and as the speed is increased assume a horizontal position. The solid con- stituents, being heavier than the liquid, are carried by the centrifugal force to the bottom of the tube. The tubes should contain from 15 to 20 cubic centimeters, and be rotated three to five minutes at a speed of at least 1500 revolutions per minute. If a centrifugal apparatus is not at hand, the sedi- ment is best collected by allowing the urine to stand in a conical glass vessel, containing 4 to 6 fluidounces, until it has settled. Then decant the supernatant liquid or take, by means of a pipette, a sample of the sediment for testing. Urinary sediments can be divided into two groups: the organized or anatomical and the unorganized or chemical sediments. Those of the first group are formed by vital processes, and of the latter by chemical force. 198 URINARY SEDIMENTS. Of the unorganized sediments some are soluble in acid and some in alkaline fluids. Their presence depends, therefore, upon the reaction of the urine. They fall naturally into two classes in accordance with their solu- bility, and may be farther subdivided according to their microscopic appearance. The table on the opposite page gives the most common varieties. Before examining the sediment, test with litmus-paper the reaction of the urine in which it is found. Then place a drop of urine containing the sediment on a glass slide, cover with a cover-glass, and examine microscopically with a 1 / 2 - or 2 /3-rnch objective. The microscopic ex- amination should be made before the liquid evaporates and leaves on the slide the soluble compounds. A higher power may be used afterward if necessary, but generally the low power is preferable. Chemical reagents may be applied on the slide after removing the excess of urine by a piece of porous paper. Place one drop of the reagent on the slide by the side of the cover-glass. It will flow under the cover-glass, and its action can be observed with the microscope as it comes in contact with the different sedi- ments. Care should be taken not to allow the reagents to touch the microscope-stage. If a low power is used without a cover-glass these tests may be made in a flat watch-crystal. Where large quantities of a reagent are em- ployed, as in testing pus with an alkali, the ordinary chem- ical vessels are to be used. Urine containing pus is turbid when freshly passed, and gives the albumin reactions. When much pus is pres- ent it soon falls to the bottom as a thick sediment. Small quantities may remain suspended for a long time. In urine of an acid reaction the pus-corpuscles can be seen. They are circular and colorless, about twice the diameter of the CLASSIFICATION. 199 /I * Pi 3 ; S M g illl! H ^1 II O O . 1 i Jl "*) 9 / !? || I w t* i 5 'ft 'o S3 N \ OJ 3 1 1 1 1 1 11 ll 9 M 5 *C "S "^ 1 g s ^J O PH H p i Q 3 "d -2 DO/ 11 h \ \ * ^ -t- 3 r* "el .S o3 ^3 ^ -^ te ^ " r ?^ {> x ^^ C2 P-l J3 Vfl B M P O fS c8 ft B.3r.B fl p! -2 ^ ?*"a i -< C3 OQ lillj 1 PH . & 53 o d o 200 URINARY SEDIMENTS. red blood-corpuscles. They appear granular, but when brought in contact with acetic acid the granulation dis- appears and the nuclei, of which there are two or three, become visible. (Plate III, 13.) When the urine becomes alkaline, either by fermentation or by the addition of a fixed alkali, the corpuscles disappear and the mass be- comes very sticky and gelatinous, so that it can be drawn out by a glass rod into long threads. The turbidity of urine which contains pus resembles that from urates or from the earthy phosphates. It does not disappear, how- ever, like the former, by warming, nor, like the latter, upon the addition of acids. The source of the pus in the urine may be anywhere in the urinary tract. When it is from the kidney the urine is apt to be acid in reaction, and round-celled epithelium or casts may be present. When it is from the bladder the urine is usually alkaline. It may be due to simple inflam- mation or to some deep-seated affection of the tissues. 416. Examine microscopically urine containing pus. Remove the excess of liquid around the cover-glass by means of a piece of filter-paper. Put a drop of acetic acid on the slide and let it run under the cover-glass. Notice the change in the appearance of the corpuscles. 417. Show that the turbidity does not disappear upon warming or upon acidifying. 418. Make Donne's test for pus by allowing it to settle, then, after decanting off the urine, making it alka- line with sodium hydrate. The mass becomes extremely viscid, as is shown by stirring or pouring. 419. Show that the pus responds to the albumin re- actions. Mucus as a sediment is in the form of a slimy, viscid liquid, sometimes showing the mucous corpuscles. Its sig- EPITHELIUM. 201 nificance lias been explained before. It can be made more visible by adding a little tincture of iodin, which colors it brownish. The addition of acetic acid to the urine precipi- tates nrncin as a fibrous mass. The epithelial cells, being continually thrown off from mucous surfaces, are normally present in small num- bers in the urine. In such cases they are usually from the bladder and urethra, and, in women, from the vagina. A large increase, however, is indicative of a diseased condi- tion of some part of the urinary system. The cells from different parts of the system are not all of the same shape. (Plate III, 14.) They may be considered as belonging to three classes: the squamous,, or pavement-epithelium; the round celled; and the long, or spindle-celled, epithelium. The squamous epithelium is composed of large, flat, some- what irregular cells with a distinct nucleus. They may be found singly or united, like the stones of a pavement. They occur chiefly in the outer layers of the mucous mem- brane of the vagina and bladder. The round-celled epi- thelium has smaller cells with a nucleus and nucleolus and are found especially in the tubules of the kidneys. They are also found in the deeper layers of the mucous membrane of other tissues, such as the bladder, urethra, and pelvis of the kidney. They are somewhat larger than the pus-corpuscles, and the nucleus can be seen without clearing by acetic acid. The long-celled epithelium is nar- row and somewhat irregular, with a nucleus visible with- out staining. They are found in the outer layer of the membrane of the renal pelvis or in the deep layers of the bladder, ureters, and urethra. Although the presence of a single kind of epithelial cells in the urine may give an indication of their origin, still their occurrence in different tissues often renders this 202 URINARY SEDIMENTS. a matter of doubt. The condition of the cells, however, may furnish information of the pathological changes which have taken place. If they appear disintegrated or contain fat-globules, their origin is from the locality of some de- generative process, often of a chronic nature. Blood-corpuscles are not normal in urine. In freshly- voided urine they may retain their normal shape, that of a biconcave disk. (Plate III, 13, d.) In acid urine, espe- cially where the specific gravity is high, they shrivel after a time, the margins becoming irregular. In dilute urine and where the reaction is alkaline the corpuscles swell, and become biconvex or spherical. If there is much blood the liquid is reddish, but a slight amount may escape de- tection by the unaided eye. When it is present the albu- min reactions can always be obtained. By urinary cast is meant an irregularly-cylindrical mass, composed of various materials, which have been formed in the tubules of the kidney, and hence are of about the same size as the tubules. Opinions vary as to the cause of their formation, but most casts appear to be due to the coagulation of the serum which passes into the renal vessels owing to some pathological condition. The presence of anatomical elements such as epithelium, pus, blood, and fat or their decomposition products in the coagulated mass gives the different varieties of casts. Epithelial casts are not very common. They consist of cylindrical-shaped masses of round epithelial cells which are thrown off from the tubules by some pathological proc- ess. The cells may appear normal or they may be more or less decomposed and of a granular appearance, or they may contain minute fat-globules. The cells sometimes seem to compose the whole cast and sometimes to be scat- tered over its surface. (Plate III, 16.) When present, CASTS. 203 they indicate inflammation of the kidney. When the cells are degenerated, the indications are that the condition is chronic or has existed for some time. Blood-casts consist of coagulated blood often contain- ing so many red corpuscles that they are dark and non- transparent. They may be formed whenever haemorrhage occurs in the urinary tubules, and are the best evidence of this. They are quite rare, and may be obscured under the microscope by the free blood-corpuscles. Casts of pus are also very rare, but pus-corpuscles are not infrequently seen in other varieties of casts. By the decomposition and metamorphosis of epithe- lium, blood- or pus- cells in casts, the so-called granular casts have their origin. They vary greatly in size, shape, color, and in fineness of granulation. (Plate III, 15.) The finely granular cannot be easily seen except with a high power of the microscope, although the coarsely granu- lar may be observed with a low degree of magnification. They often contain unaltered epithelium, leucocytes, and fat-globules. Granular casts indicate degeneration or a long-continued pathological condition of the kidney. Occasionally casts of fat-globules are observed. They result from farther metamorphosis of the granular casts. (Plate III, 18, a.) In diseases of the kidney, like interstitial suppurative nephritis, where bacteria are abundant, casts composed of these organisms are often seen. They resemble granular casts, but are not destroyed by mineral acids and caustic alkalies, as are the granular casts. High powers of the microscope should be used in their examination. Hyaline casts are almost transparent or at most show only a very fine granulation. On account of their great transparency they are extremely difficult to perceive. 204 URINARY SEDIMENTS. They may be colored yellow by adding a solution of iodin. In shape they are usually long and narrow. Besides these narrow hyaline casts, which probably are formed in the smaller tubules, there is sometimes found a broader vari- ety. (Plate III, 17.) These have an indented edge and, in consequence of being more highly refractive, can be seen more easily than the narrow ones. They are called waxy . casts. They often give the amyloid reaction, a brown color with iodin, turning blue to violet upon acidifying with sulphuric acid. They are doubtless formed in the renal pyramids. The narrow casts dissolve readily in acetic acid, but the waxy casts remain in it for some time. Hyaline casts not infrequently have anatomical ele- ments blood- and pus- corpuscles, epithelium, etc. clinging to the surface or included within the mass. The origin of the hyaline casts seems to be due to the coagulable elements of the blood. It is doubtful if they are ever present in urine which has not been albu- minous. Their presence, consequently, is indicative of the existence of albuminuria. They may be the best evi- dence of such a condition as interstitial nephritis, where the amount of albumin is small. Whatever variety of cast may be present in urine, it shows, without any doubt, that there is a pathological con- dition of the kidney and that the accompanying albumin is of renal origin. Besides these cylindrical casts there sometimes appear in the urine the so-called cylindroids. These are flat or ribbon-shaped, rather than cylindrical. They are usually about the diameter of casts, but longer, and resemble in their transparency and solubility the hyaline casts, their composition being probably the same. They are found in nephritis and congestion of the kidneys, also in cystitis. BACTERIA. 205 They do not seem to be characteristic of any pathological condition of the kidneys, but rather of some irritation of the lower urinary tract which has extended to the kidneys. All casts are decomposed by bacterial action. The examination should, therefore, be made as soon as possible after the urine is passed and the casts have settled. This time may be shortened to five minutes by the use of the centrifuge. Without this it will be necessary to let the urine stand several hours or over night. 420. To examine urine for casts a few drops from the sediment obtained from standing in a conical glass or from the centrifuge is placed upon the microscope- slide; one with a shallow cell on top is best. Cover it with a cover-glass and remove liquid outside by filter- paper. Focus on the sediment, using a l / 5 -ijich objective, then cut off nearly all light from below. When trans- parent or hyaline casts are sought for swing the mirror to one side and upward and throw the illumination upon the slide obliquely or use a small diaphragm. They will be more plainly visible by this means than with a strong illu- mination. After the casts have been detected their cylin- drical shape can be shown by inclining the stage of the microscope so that they roll in the liquid. BACTERIA. The freshly-voided normal urine contains no bacteria. They may be present, however, under abnormal condi- tions, and will soon appear in normal urine .upon its stand- ing exposed to the air. On account of the large amounts of organic matter dissolved in the urine, it furnishes a medium in which micro-organisms readily grow. This occurs even in the bladder if they are introduced from 206 URINARY SEDIMENTS. the outside, as, for example, by means of an unclean cath- eter. Urine containing bacteria is cloudy and is not cleared by filtration. The non-pathogenic organisms are found in putrefy- ing or decomposing urine. This is usually not acid and often is strongly ammoniacal. They may be found thus in the urine of cystitis where ammoniacal fermentation is excessive. Some of these are of large size and can be ob- served with a Y 5 -inch objective without staining. (Plate II, 8.) The pathogenic organisms are such as the pus- organisms, the diplococcus of gonorrhoea, and also the bacillus of tuberculosis and the organisms of infectious diseases. They can be examined and isolated by the com- mon bacteriological methods. SPERMATOZOA. These may be found in the urine of males after coitus or pollution. They may be present in some diseases, like typhoid, and are constantly found in spermatorrhoea. By straining during defecation there may be a slight emis- sion of semen, and consequently the spermatozoa be mixed with the urine. They are readily recognized by their characteristic shape under the microscope, a flattened oval head united with a long thread-like body and tail. (Plate III, 18, c.) They are most abundant in the first and last portions of the urine. In freshly voided urine they may have some motion, but this soon ceases. Acids and alkalies, as well as pure water, stop it immediately. Spermatozoa resist putrefac- tion and the action of chemical reagents, even that of strong acids or alkalies. URIC ACID AND URATES. 207 URIC ACID AND URATES. The properties of these compounds have been given before. As a sediment, the free acid and its salts differ from all others in being colored yellow to brown. They are not abnormal in urine unless they are present as solids when the urine is passed, or are deposited within a few hours, since normal urine throws down uric acid on fer- mentation. The precipitation of these compounds is largely effected by a concentration or an increase in the acidity of the urine. The normal or dibasic urates are readily soluble in water, and do not occur in sediments. When the acidity of the liquid is increased, either by fermentation or by the addition of an acid, half the base is taken from these salts, leaving the monobasic or acid urates, which are soluble with much more difficulty. If the acidity becomes still greater, all the base is removed, leaving the free acid, which is only very slightly soluble in water. Of course, a decrease in the volume of water would be ac- companied by a corresponding increase in precipitated uric acid and its compounds. Hence a sediment of these may appear in the urine without signifying that an in- creased quantity has been formed in the body. Thus, they are common in fevers, when the urine is of small volume and concentrated. Less uric acid is formed in the body with a vegetable diet than with one of meat. Uric acid and urates as sediments occur mostly in acid urine and can be usually identified microscopically. (Plate II, 11.) The color is characteristic. The acid is always crystallized, commonly oval or diamond shaped, sometimes visible to the naked eye, often in clusters or rosettes. The urates are commonly salts of sodium, potas- sium, or ammonium. They may be amorphous when ex- 208 URINARY SEDIMENTS. amined with high powers. The so-called "brick-dust" sediment is a mixture of the sodium and potassium urates. Sodium urate is also found in fan-shaped clusters or irregu- lar groups of fine crystals, and sometimes in granules. (Plate II, 8.) Ammonium urate makes up the " thorn- apple" crystals: brown, spherical masses covered with curved spicules. (Plate II, 9.) The urates can be differ- entiated from other sediments by being soluble on gently warming the liquid, as well as in alkalies. The urates, as well as the free acid, give the murexid test (Experiment 354). Uric acid is especially important when found as a sediment, from its tendency to form calculi. The same is true, to a less extent, of the urates. CALCIUM OXALATE. This salt is most frequent in acid urine. It may exist in two forms: the crystalline, or "envelope shaped/' and the "dumb-bell shaped." Its appearance under the micro- scope affords the best method of identification. (Plate II, 10.) The crystalline form consists of octahedral crystals. They are never large, often being smaller than a red blood- corpuscle. When sufficiently magnified, they have some- what the appearance of the back of a square envelope, the crossed lines being formed by the angles of the crystal. In the shape of the crystals they resemble some forms of triple phosphate, from which they can be distinguished by their insolubility in acetic acid and by their smaller size. The amorphous form of calcium oxalate is disk shaped, with a contraction on opposite sides, so that it somewhat resembles a dumb-bell. Calcium carbonate has much the same form, but dissolves in acids with effervescence. Calcium oxalate is insoluble in acetic, but soluble in hydro- PHOSPHATES. 209 chloric acid. The dumb-bell form gives rise to calculi of the bladder. Oxalic acid and its salts are found in many fruits and vegetables, like tomatoes, celery, rhubarb, etc., and when these are eaten it appears as the calcium salt in the urine. It is also produced in the body from certain foods, as from large quantities of nitrogenous foods or from the carbohydrates, where the oxidation is not com- plete. A small amount, then, may be normal, and if it is transitory is of no great consequence. If the excretion is continual it is due probably to some constitutional weak- ness. PHOSPHATES. The phosphates of the alkalies, being readily soluble in water, do not appear as urinary sediments. The phos- phates of calcium and magnesium are insoluble in water or alkalies, although they dissolve in acids. They, conse- quently, appear as sediments whenever the urine becomes alkaline, but are not found in acid urine unless the acid reaction is very faint. They can be distinguished from other urinary sediments by dissolving in acetic acid with- out effervescence. Triple phosphate, NH 4 MgP0 4 , is a salt of phosphoric acid having two bases, ammonium and magnesium. When it is made by precipitating a phosphate by ammonia and magnesium sulphate the crystals are usually stellate or snow-flake formed. As it is made in the urine, however, they are more commonly in the form of rhombic prisms. The terminations of the prisms are commonly truncated; so that the crystals have a shape which approaches that of the end of a coffin, and this gives rise to the common appellation: "coffin-lid crystals." (Plate II, 8.) The 14 210 URINARY SEDIMENTS. angles may not be so truncated and the long axis of the crystal may be so much shortened that it assumes the form of an octahedron, like the calcium oxalate. Unlike the latter, it is soluble in acetic acid. Calcium phosphate in the urine is usually amorphous, and always colorless. It is formed when the urine becomes alkaline in the absence of ammonia. To the unaided eye it resembles pus, but differs from it in its solubility in acids. In acid urine the acid phosphate, CaHP0 4 , may crystallize in long prisms, usually in clusters. Tribasic calcium phosphate, Ca 3 - (P0 4 ) 2 , is colorless and amorphous. (Plate II, 7.) The presence of phosphates may be due1;o an excessive formation in the body, and they are then usually accom- panied by systemic disturbances. Alkalinity of the urine causes their appearance when there is no excess. This may be from the food or medicine, from an increase in the alka- linity of the blood, or from fermentation. Excessive men- tal work is often accompanied by phosphatic sediments. Their long-continued presence may excite fear of the formation of calculi. Their temporary appearance is a matter of no grave significance. In urine which has stood for a time after its passage they are the most common of the sediments. 421. Drop ammonia into normal urine until it is slightly turbid, and after it has settled examine the sedi- ment with the microscope. It is a mixture of the amor- phous calcium phosphate and crystalline triple phosphate. To obtain a larger amount of the latter add to the urine a little magnesium sulphate before it is made alkaline. 422. Precipitate sodium phosphate with magnesium sulphate after making alkaline by ammonia. Notice the difference in the shape of these stellate crystals under the microscope and those usually formed in the urine. Try the solubility of both forms in acetic acid. CALCIUM SALTS. TYROSEN. 211 423. Make normal urine alkaline with sodium hy- drate and examine the precipitated calcium and magne- sium phosphates with the microscope. Try their solubility. CALCIUM SULPHATE. This does not often occur as a sediment. It may be found in acid urines as long prisms united in clusters. (Plate II, 12, a.) 424. Prepare crystals of calcium sulphate by pre- cipitating a rather dilute solution of calcium chlorid with a few drops of sulphuric acid. Dissolve the precipitate in boiling water, filtering hot if all does not dissolve. It will reprecipitate upon cooling. Examine with the microscope. CALCIUM CARBONATE. This compound is often found in alkaline urine with calcium phosphate. It appears as a sandy powder which, when examined microscopically, is seen to consist of spherical bodies formed of concentric layers or to have the dumb-bell shape of calcium oxalate. (Plate II, 9.) It dissolves readily in acetic or other acids, with the evolu- tion of carbon dioxid gas. TYROSIN. Tyrosin is not often found as a sediment because of its solubility in water, but it sometimes appears as such, though never in a normal condition of the system. It crystallizes in minute needle-shaped crystals, which are usually aggregated into clusters or sheaves. (Plate II, 12, c.) Its microscopic appearance is the best means of identifying it. The chemical tests have been given. 212 SYSTEMATIC TESTING OF URINE. Tyrosin in the urine has the same source as in diges- tion the decomposition of protein compounds. It is im- probable that it comes from the intestine, but from other parts of the system. It is indicative of retrograde met- amorphosis of the nitrogenous tissues. Thus, it is present in acute atrophy of the liver, in suppurative processes, and in phosphorus poisoning, which is accompanied by degen- eration of the liver. Leucin is often found at the same time. (Plate II, 12, ft.) FAT. The appearance and significance of fat in the urine (lipuria) has already been discussed. * SYSTEMATIC TESTING OF TJKINE. In the systematic testing of urine the course is often varied, as the symptoms may point to the likelihood of the presence or absence of certain substances. The quan- titative tests may be made use of or not according to circumstances. The following are the determinations which are most important, with the tests which may be employed : 1. Amount passed in twenty-four hours. 2. Color ^ XT . f Normal or abnormal. QCy (If the latter, what is the cause? 4. Odor J 5. Chemical reaction. If alkaline, is it from NH 3 or fixed alkalies? (Experiment 338). 6. Specific gravity at 60 F. (15.5 C.). 7. Urea: percentage and amount in twenty-four hours (Experiment 348 or 349). SYSTEMATIC TESTING OF URINE. 213 8. Glucose. General test, Trommels or Fehling's (Experi- ments 26 and 27). Confirmatory tests (Experiments 29, 30, and 31). Quantitative test, Fehling's (Experiment 33). 9. Acetone. Experiments 390, 391, and 392. 10. Diacetic acid. Experiments 393 and 394. 11. Albumin. General test, heat and HN0 8 (Experiment 380). Confirmatory tests (Experiments 381, 382, and 383). Quantitative test, Esbach's (Experiment 384), or weighing. 12. Blood. General tests, spectroscope (Experiments 245, 246, and 247) ; also corpuscles in sediment. Confirmatory test, guaiacum test (Experi- ment 249; also Experiment 409). 13. Bile-pigments. General test, colors with yellow HN0 3 (Experi- ment 398). Confirmatory tests (Experiments 401, 402, and 403). 14. Bile-acids. Experiments 404, 405, and 406. 15. Peptone. Experiment 387. 16. Organic sulphates. Experiment 374. 17. Indican. Experiments 376 and 377. 214 SYSTEMATIC TESTING OF URINE. 18. Uric acid: amount. Experiment 358. 19. Total nitrogen : percentage and amount in twenty- four hours. Experiment 350. 20. Chlorin: amount. Experiments 365 or 366. 21. Phosphoric acid: amount. Experiment 370. 22. Identification of sediments if present. (Page 199.) I. UNORGANIZED. (A) Crystalline. Uric acid. Calcium oxalate. Calcium phosphate. Triple phosphate. Other rarer compounds. (B) Amorphous. Urates. Phosphates,, etc. II. ORGANIZED. Pus. Mucus. Blood-corpuscles. Bacteria. Spermatozoa. Epithelium: kind and probable source. Casts: kind and probable source. The proof of the presence of any abnormal constit- uent should not be allowed to rest upon one test, but sev- eral should be tried. VARIATIONS WITH FOOD. CALCULI. 215 425. THE EFFECT OF FOOD ON THE COMPOSITION OF THE URINE. Let a number of subjects each select food of a different class and eat only this for twenty-four hours, collecting all the urine for the period. The following dietaries will give a variety: 1. Largely animal. 2. Vegetable. 3. Rich in purins, sweetbreads, etc. 4. Purin free milk, eggs, wheat bread, butter, cheese. 5. Low in nitrogen. 6. No food. Determine volume, specific gravity, color, reaction; amounts of nitrogen, iiric acid, phosphoric acid, urea. Report results. URINARY CALCULI. The constituents of calculi are the same as those of the chemical sediments, and the causes which give rise to the formation of the latter will also favor the production of calculi in the bladder. To these various names are applied, according to their size: sand, gravel, stone, and calculi, or concretions. They vary from the microscopic to aggregations as large as an orange. They are generally not composed of a single material, but have at the centre a nucleus, and this is surrounded by layers, often of two or more compounds in alternation. The nucleus may be a mass of foreign matter, or it may be a clot of blood or a particle of one of the sediments around which material, perhaps of a different kind, can be deposited. Uric acid concretions are the most common. They are brown in color, rough of surface, and brittle. The form of the crystals cannot be seen, but they give the murexid test. They dissolve in sodium or potassium hydrate, from which solutions the uric acid may be precipitated in the crystal- line form by the addition of a mineral acid. Uric acid calculi are formed only in an acid urine. 216 URINARY CALCULI. The urates are often found mixed with the uric acid deposits or with those of calcium oxalate. The ammonium salt is the most abundant. They are generally small, grayish, and rather soft. They give the murexid test. They are deposited from acid urine, except the am- monium urate, which is formed in an alkaline solution. Calcium oxalate concretions are commonly of large size and are very hard. The surface is rough and warty. They are called "mulberry calculi" from the resemblance of the surface to that of the fruit. The urine is generally acid, unless where the presence of the stone has produced cystitis. They are often dark in color from the blood which has been incorporated with them. The phosphates can only be present in calculi when the urine is alkaline. They are generally rather soft and easily broken. Calcium phosphate has a chalky appear- ance. Triple phosphate, NH 4 MgP0 4 , is found with other substances. It is more commonly on the outside of the stone, being precipitated by the alkaline reaction produced by the presence of the concretion in the bladder. A mix- ture of the triple phosphate and calcium phosphate is fusi- ble with the blow-pipe and is known as the "fusible cal- culus/' Calcium carbonate is not common, although found occasionally. The analysis of calculi is made by the use of chemical methods. The stone should be broken or, better, if it is large enough, sawed through the middle. This shows the layers of which it is composed and the nucleus. If there appears to be any difference in the layers, they should be tested separately. Heat a piece upon platinum foil and notice whether it fuses and whether it is combustible or not. If it fuses it is an indication of a phosphate of cal- ANALYSIS. 217 cium and triple phosphate. If it is combustible it consists of organic compounds. Blackening when ignited is evidence of organic mat- ter, but if slight it may be merely mucus arising from irritation of the bladder, and not an essential part of the calculus. Ignition on the foil will divide the constituents into two classes, although both may be present. COMBUSTIBLE, OK INCOMBUSTIBLE, OR ORGANIC. INORGANIC. 1. Uric acid. 1. Calcium phosphate. 2. Ammonium urate. 2. Calcium oxalate. 3. Calcium carbonate. 4. Triple phosphate. 5. Urates of K, Na, and Ca. If it is composed largely or entirely of organic matter try the murexid test (Experiment 354) for uric acid and urates. If inorganic compounds are present, powder a piece and treat in a test-tube with 2 or 3 cubic centimeters of dilute hydrochloric acid. Carbonates dissolve with effer- vescence of carbon dioxid gas, the others without. Warm, if necessary. Filter, if it does not give a clear solution. To one-fourth of the filtrate in a test-tube add sodium hydrate until it is alkaline, and test for ammonia by hang- ing in the tube a strip of moist red litmus-paper, being careful that it does not touch the side of the tube which is wet with the sodium hydrate. The tube can be allowed to stand corked over night or the ammonia-gas can be ex- pelled from the liquid by boiling. If present it will turn the paper blue. To the remainder of the solution in hydrochloric acid add ammonia until it is alkaline, acidify with acetic acid, and boil. If there is a precipitate, filter. 218 ANALYSIS OF CALCULI. Precipitate is cal- cium oxalate. Test after washing and drying by heating to a bright-red heat on platinum foil. After cooling it should turn moist red litmus - paper blue. To the filtrate add ammonium oxalate, boil, and, if there is a precipitate, filter Avhile hot. A white precipi- tate shows cal- cium, probably originally present as phosphate or carbonate. The filtrate is to be tested for magnesium and plwsphoric acid. For Mg make one-half alka- line with ammonia and if the liquid remains clear, add sodium phos- phate. A fine, white crystalline precipitate with either reagent in- dicates Mg. For phos- phoric acid make re- mainder acid with strong HNO 3 and add ammo- nium molybdate. A yel- low precipitate appears. Urates of K, Na, and Ca can be found by boiling the powdered calculus in water, filtering, and testing the fil- trate by the murexid test. Or if it is evaporated to dryness and the residue is ignited on platinum the sodium and potassium will remain as carbonates, giving an alkaline re- action to litmus-paper. THE METEIC SYSTEM. In all work in modern chemistry the metric system of weights and measures is employed. The unit of length is the meter (39.37 inches); of weight is the gramme (or gram), which is the weight of 1 cubic centimeter of water at 4; and, of capacity, the liter, which has the volume of 1 cubic decimeter. METRIC SYSTEM. 219 MEASURES OP LENGTH. 10 millimeters = 1 centimeter. 10 centimeters = 1 decimeter. 10 decimeters = 1 meter. 10 meters = 1 decameter. 10 decameters = 1 hectometer. 10 hectometers = 1 kilometer. MEASURES OP WEIGHT. 10 milligrammes = 1 centigramme. 10 centigrammes = 1 decigramme. 10 decigrammes = 1 gramme. 10 grammes = 1 decagramme. 10 decagrammes = 1 hectogramme. 10 hectogrammes = 1 kilogramme. MEASURES OF VOLUME. 10 milliliters = 1 centiliter. 10 centiliters = 1 deciliter. 10 deciliters = 1 liter. 10 liters = 1 decaliter. 10 decaliters = 1 hectoliter. 10 hectoliters = 1 kiloliter. The following are especially to be remembered: One gramme is the weight of 1 cubic centimeter of water measured at 4 C. A liter contains 1000 cubic centimeters and a liter of water weighs, therefore, 1000 grammes. 220 WEIGHTS AND MEASURES. The following are convenient in the conversion of the weights and measures of one system into another: 1 meter =39.37 inches. 1 foot =0.304 meter. 1 liter = 61.03 cubic inches = 1.06 U. S. qts. 1 liter =33.81 U. S. fluidounces. 1 gramme = 15.43 grains. 1 grain = 0.0648 gramme. 1 ounce (apoth.) =31.1 grammes. 1 ounce (avoirdupois) =28.35 grammes. 1 pound (apoth.) =373.2 grammes. 1 pound (avoirdupois) = 453.6 grammes. EEAGENTS. FEHLING'S SOLUTION. Make up and preserve in two parts: A and B. (A) Dissolve 34.64 grammes of crystallized, non- effloresced copper sulphate (CuS0 4 , 5H 2 0) in water and make up the volume to 500 cubic centimeters. (B) Dissolve 173 grammes of pure, crystallized Eo- chelle salt (sodium and potassium tartrate) and 50 grammes of sodium hydrate in water, and bring the volume to 500 cubic centimeters. Before using mix equal volumes of A and B. NYLANDER'S EE AGENT. Dissolve in 100 cubic centi- meters of water 2 grammes of subnitrate of bismuth, 4 grammes of Eochelle salt, and 10 grammes of NaOH. ESBACH'S REAGENT contains, in a liter, 10 grammes of picric acid and 20 grammes of citric acid. REAGENTS. 221 OBERMAYER'S REAGENT FOR INDICAN contains 2 to 4 grammes of ferric chlorid in a liter of concentrated hydro- chloric acid. MILLON'S EEAGENT. Dissolve 1 part of mercury in 2 parts of nitric acid (sp. gr., 1.42), first at ordinary tem- perature, then with the aid of heat. When it has dis- solved add twice its volume of water, and after several hours decant the reagent from any sediment that may be present. HAMMERSTEN'S REAGENT FOR BILE PIGMENTS consists of 1 volume of nitric acid and 19 volumes of hydrochloric acid, each 25 per cent. When it has become yellow by standing, dilute with four times its volume of alcohol. BARFOED'S REAGENT contains acetic acid and cupric acetate of such a strength that there shall be about 1 per cent, of each when mixed with the sugar solution to be tested. GUNZBURG'S EEAGENT FOR HC1. Dissolve 2 grammes of phloroglucin and 1 gramme of vanillin in 100 cubic centimeters of alcohol. BOAS'S EEAGENT FOR HC1. Dissolve 5 grammes of resorcin and 3 grammes of cane-sugar in 100 cubic centi- meters of dilute alcohol. Methyl-violet ^ A solution in water containing about 1 Trorjseolin 00 per cent, of the coloring matter. Alizarin sodium sulphonate t Phenolphthalein, a 1-per-cent. alcoholic solution. Dimethyl-amido-azobenzene, a 0.5 per cent, alcoholic solution. 222 REAGENTS. lodin, a 1-per-cent. solution of potassium iodid in water with a few crystals of iodin. Of the common reagents, the following strengths may be conveniently used: Barium chlorid ^j Ammonium hydrate A . y, . , > 10 per cent, in water. Ammonium chlorid { Tannic acid J Ammonium oxalate Ammonium molybdate Potassium ferrocyanid Potassium ferricyanid Lead acetate Sodium phosphate Ferric chlorid Cupric sulphate Mercuric chlorid Sodium hydrate Silver nitrate 5 per cent, in water. Picric acid A saturated solution in Lime-water, or calcium hydrate J water. Sulphuric acid, 10 per cent.; pour 1 volume into 18 volumes of water. Nitric acid, 10 per cent.; 1 volume of acid and 6 of water. Hydrochloric acid, 5 per cent.; 1 volume of acid and 6 of water. Acetic acid, 6 per cent. INDEX. Absorption from stomach, test, 91. Acetic acid in stomach, 73. Aceto-acetic acid, 187. Acetone in urine, 186. Acid albumin, 46. from digestion, 78 Acid phosphates in gastric juice, 73, 82. tests for, 83, 87. in urine, 170. Acidity of gastric juice, deter- mination, 85. urine, determination, 152. Acrolein, 28. Albuminates, 46. Albuminoids, 58. Albuminous substances, 34. classification, 38. in urine, 178. Albumins, 39. in urine, 178. limitations of tests, 94 Albuminuria, 178. Albumose from digestion, 78, 99. in urine, 182. Alcohol, production, 13, 16. Alkali albumin, 47. Alkaline phosphates, 169. Alloxuric bases, 136. Ammonium urate, 163. Amphoteric reaction, 142. Amylopsin, 99. Amyloses, 2. Animal body, composition, 1. charcoal, 132. | Anti compounds, 49. Babcock's test for fat in milk, 145. Bacteria as ferments, 62. in urine, 205. Bacterial casts, 203. | Barfoed's test, 15. Bile, 122. -acids, 123. in urine, 189, 192. preparation, 127. salts, preparation, 125. tests for, 130, 191. -pigments, 124. in urine, 191. preparation, 129. tests for, 130, 191 Biliary calculi, 128. mucin, 122. Bilifuscin, 125. Biliprasin, 125. Bilirubin, 124. Biliverdin, 124. Biuret test, 37. Blood, 101. -casts, 203. coagulation, 102, 105. -corpuscles, 101. determination of num- ber, 102. isolation, 104. (223) 224 INDEX. Blood-fibrin, 106. in urine, 193, 202. -plasma, 101. -reaction, 101. -serum, 101, 106. specific gravity of, 101. determination, 104. -stains, tests for, 121. Boettger's test, 15. Bone, 132. Bone-black, 132. Brain, 141. Butter-fats, 143. Butyric acid, 90. in stomach, 73. preparation, 65. tests, 90. Calcium carbonate in urine, 211. oxalate in urine, 208. sulphate in urine, 211. Calculi of bladder, 215. analysis, 216. Cane-sugar, 20. Carbohydrates, 1. classification, 2. reactions, 22. Carbonic oxid haemoglobin, 114, 117, 118. Carnin, 135. Cartilage, 132. Casein, 55, 143. preparation, 54. Casts in urine, 202. bacterial, 203. blood, 203. epithelial, 202. fatty, 203. granular, 203. Casts in urine, hyaline, 203. pus, 203. waxy, 204. Cellulose, 11. Cerebrin, 142. Cheese, 55, 143. Chlorin in urine, 167. Cholalic acid, 123, 127. Cholesterin, 123. preparation, 128, 142. Choluria, 189. Chyluria, 196. Chyme, 75. Coagulated albumin, 51. Coagulation, 36, 43. Coffin-lid crystals, 171. Collagen, 58, 131. Colloid, 4. Connective tissues, 131. digestion of, 75. Creatin, 135, 141. Creatinin, 135, 141. separation from urine, 167. Crystalloid, 4. Cylindroids in urine, 204. Cystin, 47. Dextrin, 8. Dextrose, 12. Diacetic acid, 187. Diaceturia, 187. Dialysis, 4. Digestion, gastric, 75. pancreatic, 94, 96. salivary, 67. Disaccharids, 2. Earthy phosphates, 169. in urinary sediments, 209. INDEX. 225 Egg-albumin, crystallization, 42. purification, 41. Elastin, 61. Emulsion, 23. Enterogenic peptonuria, 182. Enzymes, 62. Epithelial casts in urine, 202. cells in urine, 201. Essential oils, 25. Extractives, 135, 139. Fat in urine, 196. in milk, determination, 143, 145. Fats, 23. digestion of, 97. Fatty acids, 24. casts, 203. Fehling's test, 14, 17. Fermentation, 62. in stomach, 72. in urine, 148, 151. of glucose, 16. Fibrin, 51, 89. in urine, 184. preparation, 102. Fibrinuria, 184. Foods, composition of, 1. Gall-stones, 125. Gastric digestion, 75, 77. juice, 71. collection, 81. preparation of artifi- cial, 77. testing, 81. tests, interpretation, 92. limitations of, 92. Gelatin, 59. Globulins, 44. Globulins in urine, 182. Glucose, 12. in urine, 184. preparation of pure, 14. tests, 14, 15, 16. in urine, 185. limitations, 185. Glycerin, formation, 23. Glycocholic acid, 123. Glycocoll, 123, 166. Glycogen, 8 . Glycosuria, 184. Glycuronic acid, 22. Gmelin's test, 130. Granular casts, 203. Granulose, 4. Grape-sugar, 12. Guaiacum test for haemoglobin. 117. Guanin, 135, 136. Hsematin, 107, 114. Hsematogen, 56, 58. Hsematogenous icterus, 190. Haematoporphyrin, 107, 115. preparation, 120. Hsematuria, 193, 202. Haemin, 107, 114, 118. Haemochromogen, 107, 115. preparation, 121. Haemoglobin, 107. derivatives, 107. quantitative determination, 109. spectrum, 102, 108, 116. Haemoglobinuria, 193. Haines's test, 14. Heart-burn, 73. Hemi compounds, 49. 226 INDEX. Hepatogenous icterus, 190. Hippuric acid, 165. Huppert's test, 130. Hyalin casts, 203. Hydrochloric acid of gastric juice, 72. tests, 84, 85. Hypoxanthin, 135, 136. Icterus, 190. Indican, 174, 176. Indigo, 174. Indol, 174. Indoxyl, 174. Inorganic sulphates, 173. Inversion, 3. Invertin, 63. Invert-sugar, 20. Iron of animal body, source, 57. Isotonic solution, 102. Kephyr, 19. preparation, 66. Keratin, 61. KjehldahPs determination of nitrogen, 159. Koumiss, 19. Lactalbumin, 144. Lactic acid, fermentation, prep- aration, 65. in stomach, 72. tests, 88. sarco-lactic, 137. Lactose, 19. in urine, 188. preparation, 19. quantitative test, 145. tests, 20. 189. Lacosturia, 188. Laking, 101. Lanolin, 124. Lead plaster, 24, 28. Lecithin, 30. Leucin, from digestion. 95, 97. in urine, 212. preparation, 99. tests, 100. Lipuria, 196. Lithic acid, 161. Liver-starch, 8. Liver-sugar, 8. Maltose, 21. Malt-sugar, 21. Methsemoglobin, 107, 113. preparation, 120. Metric system of weights and measures, 218. Milk, 142. Milk-sugar, 19. in urine, 188. Millon's test, 39. Monosaccharids, 2. Mucin, 52. in urine, 195, 200. Mucinuria, 195. Mucoids, 52. Murexid test, 164. Muscular -tissues, 134. Muscle plasma, 135. preparation, 138. -serum, 139. Myelin, 30. Myogen, 138. Myosin, 45, 138. Nitrogen, quantitative determi- nation, 159. INDEX. 227 Nuclein bases, 56, 136. Nucleins, 56. Nucleoalbumins, 53. Nylander's test, 15. Oils, 25. Olein, 25. Olive-oil, 30. Organic sulphates, 173. preparation, 175. Organized ferments, 62. Ossein, 59. Oxyhaemoglobin, 107, 111. preparation, 119. spectrum, 112, 116. Palmitic acid, preparation, 28. Palmitin, 25. Pancreatic, digestion, 94, 96. juice, 93. Paranucleins, 56. Pentoses, 21. Peptone, 48. in urine, 181. Pepsin, 73, 77. preparation, 64, 75. test, 90. valuation, 80. Pettenkofei-'s test, 126. Phenyl-hydrazin test, 15. Phosphates in calculi, 216. gastric juice, 73, 83. urine, 169, 209. Phosphoric acid, determination, 171. source, 170. Phosphorized fats, 30. Plasma, blood-, 101. muscle-, 135. Polysaccharids, 2. Protagon, 141. Proteins, 32. classification, 34. compound, 51. crystallization, 42. Proteoses, 48. Ptyalin, 69. preparation, 69. Purdy's test, 18. Purin, 136. bases, 136. Pus-casts, 203. in urine, 198. Pyogenic peptonuria, 183. Reagents, 220. Rennin, 74. preparation, 78. test, 79. Rigor mortis, 135, 137. Saliva, 66. pathological, 68. Saponification, 23. in digestion, 97. Sarcin, 135. Sediments in urine, 197. Sjoqvist's quantitative test for HC1, 86. Soaps, 24, 27. Sodium hypobromite, prepara- tion, 158. urate, 163, 208. Spermatozoa, 206. Starch, 4. tests, 5, 6. Steapsin, 97. Stearin, 25. Sucrose, 20. Sulphates in urine, 172. 228 INDEX. Sulphocyanates, in saliva, 67. Syntonin, 45. Tanning, 59. Taurin, 123. preparation, 128. Taurocholic acid, 123. preparation, 127. Test-meal, 81. Tests, Arnold's for lactic acid, 89. Babcock's for fats in milk, 145. Barfoed's for sugar, 15, 19. Biuret for albumins, etc., 37. Boettger's for sugar, 15. Esbach's for albumin, 179, 181. Fehling*s for sugar, 14, 17. Gmelin's for bilirubin, 130. Guaiacum for blood, 117. Haines's for glucose, 14. Heller's for albumin, 181. Huppert's for bilirubin, 130. Jaffa's for indican, 177. KjehldahTs for nitrogen, 159. Legal's for acetone, 187. Lieben's for acetone, 187. Millon's for albumins, 39. Murexid for uric acid, 164. Nylander's for sugar, 15. Obermayer's for indican, 177. Pettenkofer's for bile acids, 126. Phenyl-hydrazin for sugar, 15. Purdy*s for sugar, 18. Tests, Sjoqvist's for acidity of gastric juice, 86. Toepfer's for acidity of gas- tric juice, 85. Trommer's for sugar, 14. Xanthroproteic for albumi- nous substances, 37. Toepfer's test, 85. Triple phosphate, 171. in sediments, 209. Trommers' test, 14. Trypsin, 94, 95. Tryptophan, 94, 96. Tyrosin, from digestion, 95, 97. in urine, 211. preparation, 99. tests, 100. Unorganized ferments, 62. urinary sediments, 199. Urates, 163. in calculi, 216. in sediments, 207. Urea, 152. preparation, from urine, 156. synthetic, 157. quantitative determination, 153, 158. Uric acid, 136, 161. in calculi, 215. in sediments, 207. quantitative determination, 164. Urinary calculi, 215. analysis, 216. casts, 202. mucin, 195, 200. sediments, 197. INDEX. 229 Urine, amount, 147. color, 148. constituents, 146. daily variations, 147. fermentation, 151. odor, 148. reaction, 150. specific gravity, 149. systematic testing, 212. Vegetable parchment, 12. Waxy casts, 204. White fibrous tissue, 131. Xanthin, 135, 136. Xanthin bases, 136. Xanthoproteic reaction, 37. Zymase, 63. Zymogens, 62, 76. DAY AND 1 OVERDUE. _ -r- "^ LD 2l-50m-8,'33 UNIVERSITY OF CALIFORNIA LIBRARY