It is usual to take the blood from the tip of the finger, and only in
exceptional cases, _e.g._ in oedema of the finger, are other places
chosen, such as the lobule of the ear, or (in the case of children) the
big toe. For the puncture pointed needles or specially constructed
instruments, open or shielded lancets, are unnecessary: we recommend a
fine steel pen, of which one nib has been broken off. It is easily
disinfected by heating to redness, and produces not a puncture but what
is more useful, a cut, from which blood freely flows without any great
pressure.
The literature dealing with the numbers of the red corpuscles in health,
is so large as to be quite unsurveyable. According to the new and
complete compilation of Reinert and v. Limbeck, the following figures
(calculated roundly for mm.^{3}) may be taken as physiological:
_Men._
Maximum Minimum Average
7,000,000 4,000,000 5,000,000
_Women._
Maximum Minimum Average
5,250,000 4,500,000 4,500,000
This difference between the sexes first makes its appearance at the time
of puberty of the female. Up to the commencement of menstruation the
number of corpuscles in the female is in fact slightly higher than in
the male (Stierlin). Apart from this, the time of life seems to cause a
difference in the number of red corpuscles only in so far that in the
newly-born, polycythaemia (up to 8-1/2 millions during the first days of
life) is observed (E. Schiff). After the first occasion on which food is
taken a decrease can be observed, and gradually (though by stages) the
normal figure is reached in from 10-14 days. On the other hand the
oligocythaemia here and there observed in old age, according to Schmaltz,
is not constant, and therefore cannot be regarded as a peculiarity of
senility, but must be caused by subsidiary processes of various kinds
which come into play at this stage of life.
The influence which the taking of food exercises on the number of the
red blood corpuscles is to be ascribed to the taking in of water, and is
so insignificant, that the variations, in part at least, fall within the
errors of the methods of enumeration.
Other physiological factors: =menstruation= (that is, the single
occurrence), =pregnancy=, =lactation=, do not alter the number of blood
corpuscles to any appreciable extent. The numbers do not differ in
arterial and venous blood.
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