The American Therapist. Vol. II. No. 7. Jan. 15th, 1894: A Monthly Record of Modern Therapeutics, with Practical Suggestions Relating to the Clinical Applications of Drugs.Various
Science
The American Therapist. Vol. II. No. 7. Jan. 15th, 1894: A Monthly Record of Modern Therapeutics, with Practical Suggestions Relating to the Clinical Applications of Drugs.
Various
Drug utilization -- Periodicals; Drugs -- Periodicals
In attempting to explain the cause of this increase in the number of
leucocytes in the circulating blood, after the ingestion of proteid
food, we are at once confronted with the possibility of this apparent
increase being relative rather than absolute; as possibly due to a loss
of water from the blood, incidental to the marked outpouring of
digestive juices accompanying digestive proteolosis. For this view,
however, there is very little support. In the first place, the blood
would need to become very much thickened by loss of water to account for
the increased number of leucocytes observed in the experiments.
Furthermore, we know that the outpouring of watery secretions into the
intestine during digestion is accompanied by an absorptive current in
the opposite direction, which would tend to counteract any tendency
towards concentration of the blood, and, indeed, might lead in many
cases to a direct dilution of this fluid. Again, if the increase in the
number of white corpuscles is to be explained in this manner, there
should be a corresponding increase in the number of red blood
corpuscles. As a matter of fact, Pohl’s results show that those
conditions of diet tending to increase the number of white blood
corpuscles are without any noticeable effect on the red corpuscles.
Abstraction of water can not, therefore, be the cause of the large
number of leucocytes contained in the blood after a proteid diet. Much
more plausible is the view that the increase is due to a more rapid
transference of the corpuscles from their point of origin, _viz._: from
the intestine and from the lymph glands of the mesentery, to the blood.
In other words, it seems probable that digestive proteolysis in the
stomach and intestine is followed or accompanied by a rapid production
of new cells in the lymph spaces surrounding the intestine. If this view
is correct, there should be a much larger number of leucocytes in the
blood and lymph flowing from the intestine, in an animal in full
digestion, than in the arterial blood coming to the intestinal tract.
That such is the case is shown by the following experiment taken from
the many reported by Pohl:
DOG WEIGHING 3,330 GRAMS, IN GOOD DIGESTION.
A.M.
8.50. Blood from skin contained 8,330 white corpuscles in cubic mm.
9.10. Blood from skin contained 9,618 white corpuscles in cubic mm.
120 grams meat and 20 c. c. water fed.
10.40. Blood from the skin contained 15,092 white corpuscles in cubic
mm.
10.55. Body opened, several loops made with the small intestine, and
blood withdrawn from vein and artery without any great loss of
blood.
WHITE CORPUSCLES IN CUBIC MM. BLOOD.
1. Intestinal loop. 11.35 A. M., venous blood contained 17,077.
11.39 A. M., arterial blood contained 7,649.
2. Intestinal loop. 11.40 A. M., venous blood contained 15,033.
11.40 A. M., arterial blood contained 7,061.
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