The Body at Work: A Treatise on the Principles of PhysiologyHill, Alex
Science
The Body at Work: A Treatise on the Principles of Physiology
Hill, Alex
Physiology
cause shall be omitted. This digression into the philosophy of science
may seem to be somewhat remote from our line of march, but it may
perhaps hasten our progress in the comprehension of the story of
physiology. There is no other science in which the control experiment
plays an equally important part. Unless this is realized, the whole
trend of experimental work will be misunderstood. Scudamore explained
coagulation as due to contact with air. Based on the observations we
have cited, no hypothesis could have seemed more reasonable. With
a view to checking this hypothesis, blood was received into a tube
of mercury. It coagulated in the Torricellian vacuum. Scudamore’s
hypothesis, like many earlier and later, when confronted with a control
experiment, was turned away, ashamed.
Clotting is a property of plasma. Red corpuscles play no part in
the process. Coagulation does not occur in a living healthy vessel.
It occurs when the vessel, and especially when its inner coat, is
injured. It is hastened by contact with wounded tissues, especially
with wounded skin. Contact with a foreign body also starts coagulation.
If a silk thread is drawn through a bloodvessel, from side to side,
fibrin filaments shoot out from the thread, as well as from the wound
inflicted on the vessel by the needle which was used to draw it through.
Plasma contains a substance which sets into fibrin. It has been
termed “fibrinogen.” It is present in lymph, and in almost all forms
of exuded lymph. If sodium chloride (common salt) is added to plasma
until it is half saturated—until it has dissolved half as much as
the maximum quantity which it can dissolve—fibrinogen is thrown down
as a flocculent precipitate. It can be redissolved and reprecipitated
until it is pure. When fibrinogen was separated from plasma a step was
taken towards the explanation of coagulation. Under certain conditions
fibrinogen sets into fibrin. The question which then presented itself
for solution was as follows: What is the substance which, by acting
upon or combining with fibrinogen, converts it into fibrin? The clue
to the solution of this question was obtained from the consideration
of certain observations made by Andrew Buchanan in 1830, but long
neglected, because their significance was not understood. Buchanan had
observed that some specimens of lymph exuded into a lymph-space—the
peritoneal cavity, for example—will clot; others will not. He noticed
that they clot when, owing to puncture of a small bloodvessel during
the process of drawing them off, they are tinged with blood. Determined
to ascertain which of the constituents of blood is effective in
rendering non-coagulable effusions capable of clotting, he added to
them in turn red blood-corpuscles, serum, and the washings of blood
clot. Either of the two latter was found to contain the clot-provoking
substance. Thirty years later a German physiologist prepared fibrinogen
from effused lymph by precipitating it with salt. He also treated
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