A LABORATORY GUIDE IN URINALYSIS AND TOXICOLOGY R. A. M.D. BY PROFESSOR OF CHEMISTRY AND PHYSICS IN THE MED. DEPT. UNIVERSITY OF THE CITY OF NEW YORK ; PROFESSOR OF CHEMISTRY AND TOXICOLOGY IN THE MED. DEPT. UNIVERSITY OF VERMONT ; PROFESSOR OF CHEMISTRY AND TOXICOL- OGY IN THE MED. DEPT. UNIVERSITY OF BUFFALO ; PROFESSOR OF PHAR- MACEUTICAL CHEMISTRY IN THE DEPT. OF PHARMACY, UNIVERSITY OF BUFFALO ; CHEMIST TO THE CITY OF BUFFALO ; CHEMIST TO THE N. Y. STATE DAIRY COMMISSIONER ; MEMBER OF THE AMERICAN CHEMICAL SOCIETY, AND OF THE CHEMICAL SOCIETIES OF PARIS AND BERLIN, ETC., ETC. WILLIAM WOOD & COMPANY 57 & 58 Lafayette Place NEW YORK 1886 Copyright by WILLIAM WOOD & COMPANY. 1886. PRESS OF STETTINER, LAMBERT & CO., 129 & 131 CROSBY ST., NEW YORK. CONTENTS. General Rules 1 Qualitative Analysis of Urine 8 Physical Characters 8 Quantity 3 Color 3 Odor 3 Reaction .... 4 Specific gravity 4 Chemical Characters. Composition 5 Mineral and organic substances 6 Chlorides 7 Phosphates 7 Sulphates 7 Urea 8 Uric Acid 8 Proteids 8 Filtration 9 Albumin 11 Paraglobulin , 13 Mucin 14 Peptone 14 Glucose 15 Blood 18 Bile 19 Quantitative Analysis of Urine 22 Reaction 22 Chlorides 25 Phosphates 26 Sulphates 28 Urea 29 Uric acid 30 Albumin 32 Glucose 33 CONTENTS. IV Urinary Deposits 34 Unorganized deposits 35 Organized deposits 38 Analysis of Calculi 41 Detection of Poisons 48 Volatile Poisons 43 Phosphorus 44 Hydrocyanic acid 45 Alcohol 46 Chloroform 46 Chloral 47 Carbolic acid 48 Mineral Acids and Alkalies. 49 Sulphuric acid 49 Hydrochloric acid. 50 Nitric acid 50 Potash 51 Soda. . 51 Ammonia 53 Metallic Poisons. 53 Arsenic 55 Antimony 60 Bismuth 61 Copper •• • 63 Lead 63 Mercury 64 Barium 66 Zinc 66 Vegetable Poisons 67 General reactions 69 Morphine 69 Meconic acid TO Strychnine T1 Atropine T3 Oxalic acid T3 URINALYSIS AND TOXICOLOGY. 1. There is a place for everything;, into which it must he put immediately after use. GENERAL RULES FOR WORKING. 2. The reagent bottles must be kept upon the shelves in the order of their numbers, and with the labels out- ward. 3. In replenishing reagent bottles from stock, fill them only half full. 4. If the reagent in any bottle become cloudy, filter it. 5. Do not lay the stopper of the bottle upon the table. Remove it from the bottle by grasping it between the little and ring fingers of the left hand, and hold it there, point- ing outward from the back of the hand, until replaced in the bottle. (i. In liquid tests, use about two cent, of the liquid to be tested in a test-tube; not more unless so directed. 7. Add the reagent in small quantity at first, and stop when the desired end is attained. 8. Prevent the last drop adhering to the lip of the bot- tle from flowing down its side, by catching it upon the stopper or upon the clean lip of the test-tube. 9. A separate portion of the original substance or liquid is to be used for each test, except when otherwise directed. 10. Before trying a reaction, read the description through, and then follow the directions literally. Should the result not be that described, ash for an explanation. 2 Abbreviations, 11. Let each piece of apparatus he clean before being put into its place, and let everything be in its place before you leave. ABBREVIATIONS. The following abbreviations are used in the text, and will be found convenient by the student in taking notes; ppt. = precipitate pt.—pts. = part—parts pptn. = precipitation dil. = dilute sol. = soluble cent. = centimetres insol. = insoluble gtt. = drops soln. = solution sp. gr. = specific gravity cc. = cubic centimetre con. = concentrated L. = litre gm. = gram. The formula of the reagent always applies to its solu- tion, except where otherwise specified. Metric weights and measures, and the centigrade ther- mometric scale are used throughout. One decimetre. QUALITATIVE ANALYSIS OF URINE. PHYSICAL CHARACTERS. Quantity. 1. Collect all urine passed by the patient during twenty- four hours, and measure in a cylindrical graduate (Fig, 1), divided into cubic centi- metres. Normal = 1,000 to 1,500 cc. All examinations of urine should he made with samples of the mixed urine of twenty- four hours, unless otherwise directed. Color. 2. Put 100 cc. urine (filtered if cloudy) into a beaker of 0 to 7 centimetres diameter; look through it at the light from a window, and compare the color observed with the color plate. Record this, by using the num- bers of the colored squares, as free color. Add 5 cc. HCI to the urine; stir, let stand four hours, compare color as before, and re- cord as total color. Odor. 3. FFote whether the odor is natural or “urinous,” or “ ammoniacal,” “'like vio- lets,” or otherwise peculiar. Fig. 1. QUALITATIVE ANALYSIS OF UEINE. 4. Put some of the urine into a porcelain capsule,' dip into it a piece of red and a piece of blue litmus paper. If the blue paper turn red, the reaction is acid. If the red paper turn blue, the reaction is alkaline. If the colors remain unchanged, the reaction is neutral. Reaction. 5. If the reaction be found to be alkaline, it remains to determine whether the alkalinity is due to fixed or volatile alkali, to carbonates or phosphates. These determina- tions must he made with the urine so soon as possible after it has been voided, and, preferably, with the morning urine. 6. Moisten one-half of a piece of red litmus paper with the urine, and hang it up to dry. If, after drying, the paper retain its blue color, the alkalinity is due to fixed alkali; but if the paper return to its original red, to volatile alkali (ammonia). 7. To a portion of the urine in a test tube add a slight excess of HCI, and warm, if necessary; if effervescence ensue, the alkalinity is due to carbonates; if not, to phos- phates. Specific Gravity. 8. Test the urinometer (which should not be smaller than 12 centimetres in length, and divided into single degrees) with the solutions of known specific gravity furnished in the laboratory for that purpose, making the readings as directed in § 9, and note the error in different parts of the scale. The differences from the true readings are to be noted on the box, and added or subtracted, as the error is minus or plus, in all subsequent readings. 9. To use the urinometer ; The cylinder should be of the shape shown in Fig. 2, without pouring-lip, of such depth that the urinometer may he completely immersed, CHEMICAL CHARACTERS. 5 and of a diameter double that of the wide part of the mano- meter. Hold the cylinder in an inclined position, and pour into it urine to within 2 centimetres of the top. Set it upright, float the urino- meter in the urine, and add more urine until the level “ heaps ” above the rim of the cylinder. How bring the eye to about the level of the top of the cylinder, and, seeing that the uri- nometer does not touch the wall of the cylinder, read off the specific gravity at the highest point where the liquid, drawn up by capillary attrac- tion, cuts the graduation of theuriuo- meter (A, Fig. 2). 10. The temperature at which the gravity should he determined is 60° F. (= 15°.4 Cent,). If the urine he of a different temperature, cool it by immersing the vessel in cold water, or warm it until 60° is reached. Corrections for variations of tem- perature cannot be accurately made in the case of a liquid of such com- plex and varying composition as the urine. Fig. 3. CHEMICAL CHARACTERS—COMPOSITION. Normal Constituents. IST. B.—Obviously a qualitative examination of the urine for its normal constituents is never practised by the phy- sician. The student is required to test for the more im- portant of these substances, partly that he may be able to MINERAL AND ORGANIC SUBSTANCES. 6 recognize them elsewhere, but principally to afford practice in the methods of manipulation and observation. Mineral and Organic Substances. 11. Heat a slip of clean platinum foil in the flame until it ceases to color the latter yellow. Place upon the foil a fragment of chalk, and heat in the flame. The chalk does not blacken or volatilize. Chalk is a fixed mineral sub- stance. 12. Place a fragment of NH401 in the bottom of a dry test-tube and heat it cautiously. It does not blacken, but volatilizes, and is deposited in its original form upon the cool part of the tube. Ammonium chloride is a volatile mineral substance. 13. Heat a fragment of starch upon a slip of clean plati- num foil; it blackens (after burning), and on continuing the heat the coal gradually disappears, and nothing is left. Starch is a fixed organic substance. 14. Place a fragment of benzoic acid in the bottom of a dry test tube and heat it cautiously. It does not blacken, but volatilizes, and is deposited in its original form upon the cool part of the tube. Benzoic acid is a volatile organic substance. 15. Heat a piece of dry albumin upon the slip of plati- num foil; it burns, blackens, and also gives off an odor of burnt horn. Albumin is a nitrogenized, colloid organic substance. 16. Heat a fragment of urea upon the clean platinum foil; it neither burns nor does it give an odor of burnt horn, but fuses, gives off an odor of ammonia, and finally disappears. Urea is a crystalloid, nitroge7iized or- ganic substance. IST. B.—lt will be seen from the above that organic and mineral substances which are not capable of volatilizing CHLORIDES PHOSPHATES SULPHATES. unchanged may be distinguished from each other by the blackening and burning of the former when heated. Vo- latile organic and mineral substances cannot, however, be distinguished in this way. The albuminoid substances may be further recognized by the odor which they emit on burning, while many other nitrogenized organic substances give off ammonia when heated, and behave precisely as do certain ammoniacal salts. Chlorides. 17. Put some of the liquid to be tested into two test- tubes,* add to each gtt. 5 AgN03—a white ppt.f is pro- duced. To one of the test tubes add VH4HO and agitate —the ppt. redissolves completely. To the other test-tube add HV03 and agitate—the ppt. does not redissolve. 18. Add AgN03 to the liquid in two test-tubes—a yellow ppt. is produced. Add hTH4HO to the liquid in one test- tube and N03H to that in the other, and agitate—the ppt. in each redissolves. Phosphates. 19. Add magnesia mixture J—a white, crystalline ppt. is formed. Add IT Cl—the ppt. redissolves. Sulphates. 20. Add BaCl2—a white ppt. is formed. Add HCI to strongly acid reaction—the ppt. does not redissolve. * The student is referred to the General Rules, p. 1, which he should hold in mind, f See abbreviations, p. 3. X Made by dissolving 11 pts. MgCl2 and 38 pts. NH4CI in 130 pts. NH4HO, adding 70 pts. dil. NH4HO and filtering after two days. ABNORMAL CONSTITUENTS. 8 Urea. 21. To a moderately concentrated cold soln. of urea in a watch glass add colorless HH03 in equal volume—im- mediately, or after a few moments, crystals of nitrate of urea (Fig, 3) separate. 22. To a few drops of a soln. of urea upon a watch glass add a few gtt. of Millon’s reagent,* and heat—a yellow color, changing to red is produced. A somewhat similar appearance is produced with albumins. 23. Heat a fragment of urea in a dry test-tube until, after having fused, it is con- verted into an opaque, white solid; let cool; add about 1 cent. KHO and gtt. 2 of a very dilute soln. CuS04—a pale rose- red color. This test, known as the “hiuret reaction,” pro- duces a similar appearance with peptones. See § 39. Fig. 3. Uric Acid. 24. Moisten the solid in a porcelain capsule with a few gtt. HH03; heat on the water bath until dry; cool; add NH4HO— a brilliant red color appears, which fades after a few moments. This is known as the “ murexid test.” Abnormal Constituents. Before testing for albuminoids, the urine must be sep- arated from all solid particles, must be rendered perfectly PROTEIDS—ALBUMINOIDS. * Made by dissolving 1 pt. Hg. in 2 pts. strong HN03 over the water bath, dilating with 2 pts. H2O and decanting after four hours. FILTRATION. 9 clear and transparent; this is accompli shed by the process of Filtration. The apparatus required for this purpose consists of a funnel and support for the same, a vessel to receive the filtrate (i. e., the liquid which passes through the filter), a wash bottle, stirring-rod, and filters. The funnel (Fig, 4) should be selected by testing with a piece of card-board cut with an angle of 60° (a Fig. 4), which should exactly fit it, and should have the point of the stem ground off at an angle. Fig. 4. Fig. 5. Fig. 6. The filters are discs of porous paper manufactured for the purpose (filter paper). The radius of the disc selected should be somewhat less than the length of the sloping side of the funnel from rim to shoulder (b-c Fig, 4), The filter must not project above the rim of the funnel. 25. Take a filter (a, Fig. 5) of suitable size and fold it across a diameter (h, Fig. 5), fold it again over a radius at right angles to the first diameter [c, Fig. 5), open the paper out into a conical bag by separating one thickness of the paper from the other three [cl, Fig. 5). The filter is then adjusted in the funnel and pressed against its side with the dry finger until it fits closely. Now, holding the. FILTRATION. 10 filter and funnel so that the nail of the fore-finger is pressed against the upper end of one of the folds (-Fig. 6), moisten the paper by directing upon it a jet of water from the orifice a of the wash bottle (Fig. 7), produced by blowing gently into the tube h. 26. Support the funnel containing the wetted filter over Fig. 7. the vessel destined to receive the filtrate (if a flask or test- tube be used for this purpose, no other support is needed), and pour the liquid to be filtered into the filter, allowing it to flow along the stirring-rod, held as shown in Fig 8, in successive portions until it has passed through; never, however, adding liquid in greater quantity than to within two to three millimetres of the edge of the filter. ALBUMIN. 11 27. It frequently happens that urine does not yield a clear filtrate by simple filtration. When this is the case, Fig. 8. add to the turbid filtrate enough KUO to communicate a distinctly alkaline reaction, and a fewgtt. of magnesia mixture, warm slightly and filter again through a fresh filter. Albumin. 28. Heller’s test.—Pat about 2 cent, HK03 into a test-tube. Pill a pipette with the filtered urine. Hold the test-tube at a small angle to the horizontal, and allow the Fig. 9. ALBUMIN. 12 urine to flow sloivly from the pipette (whose upper end has been roughened by the file) upon the surface of the nitric acid (Fig 9). Remove the pipette, turn the test-tube cautiously into the vertical position, and examine the point of junction of the two liquids. In the presence of al- bumin a milky zone, whose upper and lower borders are both sharply defined, is seen at the point of junction of the acid and urine (Fig. 10 a). If no reaction be observed, set the tube aside and exajnine it again in half an hour. 29. Repeat the testing, as in § 28, with a non-albuminous urine. A band of deeper coloration is ob- served at the point of junction of the two liquids; this is not to be confounded with the milky zone observed with albuminous urine. 30. Repeat the testing, as in § 28, using a urine containing an ex- cess of urates, but no albumin. A white zone is observed above the point of junction of the liquids, whose lower border may be sharply defined, but whose upper border fades olf gradually into the layer of urine, the whole of which may become turbid (Fig. 10 b). Fig. 10. 31. Heat and Nitric Acid test.—Determine the reaction of the urine. If it be alkaline, add acetic acid cautiously un- til it shows a faintly acid reaction with blue litmus jiaper. Fill a test-tube to within 2-3 cent, of the top with the acidulated urine, and, holding the test-tube by the bottom, heat the upper portion of the liquid nearly to boiling. An opalescence, cloudiness, or coagulum is formed, according PAEAGLOBULIN. 13 to the amount of albumin present. Now add slowly 15 to 30 gtt. of concentrated HN03; the ppt. does not dimin- ish (it may increase) in amount. 32. Apply heat, as in § 31, to a sample of the alkaline albuminous urine, without acidulating. No reaction is observed. 33. Apply heat, as in § 31, to another sample of the urine, to which an excess of acetic acid has been added. No reaction is observed. 31. Apply the test, as directed in § 31, to a sample of urine containing no albumin, but containing an excess of earthy phosphates. An appearance similar to that ob- served in the case of the albuminous urine is obtained; but on addition of HN03, the ppt. redissolves and the liquid becomes transparent. 31a. Picric Acid test.—Float some of the clear urine on acetic acid as in Heller’s test. If any cloudiness be ob- served at the junction of the two liquids, treat a larger quantity of the urine with acetic acid to acid reaction, and filter. Pour about 7 cent, of the clear filtrate, or of the clear urine, which gives no cloudiness when floated on acetic acid, into a test-tube; float upon its surface about 2 cent, of a saturated solution of picric acid and warm the point where the two liquids come together. A cloudiness at this point, which does not disappear when heat is ap- plied, is evidence of the presence of albumin. A cloudiness which does disappear on the application of heat may be produced by alkaloids, urates, etc. Para globulin. 35. Dilute the filtered urine, slightly acidulated with acetic acid if necessary, with water to sp. gr. 1.002, and pass through it a current of carbon dioxide. A cloudiness. MUCIN PEPTONE. either on dilution or after treatment with C02, indicates the presence of paraglohulin. Mucin. 36. Pour about 2 cent, of acetic acid into a test-tube, and float the clear urine upon its surface. A cloud, which usually appears only after standing a time, just above the line of contact of the liquids, shows the presence of mucin, provided it does not disappear on the application of heat. Peptone. 37. Add soln. of neutral lead acetate to 500 cc. urine, until the ppt. no longer increases; filter. To the filtrate add acetic acid and a few gtt, of ferrocyanide of potassium soln.; if any cloudiness be produced, continue the ad- dition of ferrocyanide soln. until the precipitate no longer increases, and filter. 38. To a portion of the last filtrate obtained as in § 37, add one-fifth its bulk of acetic acid and then an acid soln. of sodium phosphotungstate.* A cloudiness immediately, or after a few moments, indicates the presence of peptone. 39. To the remainder of the filtrate, § 37, add half its volume of strong HOI, and then phosphotungstate soln. to complete precipitation. Collect the ppt. on a filter as rapidly as possible, wash with 5$ H2S04 until the filtrate is colorless. Transfer the ppt. to a capsule and mix it thor- oughly with powdered barium hydrate; add a little H2O; warm fifteen minutes on the water bath, and filter. Add to a portion of the filtrate in a test-tube KHO soln. to strongly * The phosphotungstate soln. is made by adding phosphoric acid to a boiling soln. of sodium-tungstate to acid reaction, cooling, adding acetic acid to strongly acid reaction, and filtering after twenty-four hours. GLUCOSE. 15 alkaline reaction, and then 1 gtt. of a dil. soln. of CuS04 A reddish-violet color indicates the presence of peptone. See § 23. Glucose—Diabetic Sugar.* 40. If the urine contain albumin, this must be re- moved before testing for sugar. If the urine he not al- ready acid, acidulate it with acetic acid. Heat the acid urine in a flask or beaker, and when it begins to boil, add 2 gtt. acetic acid and boil for half an hour, or until the albumin, which was at first disseminated throughout the liquid, has separated in flocks. Filter, and apply the fol- lowing tests to the filtrate: 41. Urine containing sugar is usually of high sp. gr., pale in color, abundant in quantity, and sometimes has a sweetish odor. 42. Moore’s test.—To the urine in two test-tubes add one-half bulk of KHO. Boil the contents of one tube for about a minute, and then compare its color with that of the other tube. A darkening of the boiled sample indi- cates the presence of sugar. H. B.—-In boiling a liquid in a test-tube, hold the tube by its upper end, between the thumb and forefinger, the mouth pointing over the forefinger and away from the person. Hold the bottom of the tube in the flame until small bubbles begin to rise through the liquid, then, and so long as the heating continues, prevent “bumping” of the contents by an oscillation of the tube, produced by rapidly alternating slight motions of pronation and supi- nation of the hand. * Glucose is considered as an abnormal constituent of the urine for clinical convenience. Strictly speaking, it is a normal constit- uent. It is constantly present, but in such minute quantity, that the tests, as usually applied, fail to reveal its presence so long as the quantity remains within the normal limits. GLUCOSE. 16 In cases where prolonged boiling is necessary, the tube may be beld in a wooden clamp, or by passing around its upper part a folded strip of strong paper, whose ends are then grasped between the thumb and forefinger. 43. Trammer’s test.—To the urine in a test-tube add 3 gtt. of a saturated soln. of CuS04 and a volume of KHO soln. equal to half that of the urine. Observe that the liquid is blue and transparent. Heat until the liquid begins to boil. The formation of a yellow or red ppt. in- dicates the presence of glucose. 44. Apply the test as described in § 43, using a urine containing a large amount of sugar. The liquid changes in color from blue to yellow, but no ppt. is produced. 45. Repeat the testing of the highly saccharine urine, adding gtt. 6 in place of gtt. 3 CuS04 soln., and allow the liquid to stand after boiliug. The yellow or red ppt. is produced. 46. Repeat the test with the urine used in § 43, adding gtt. 6 CuS04 soln., and boiling for a longer time. A black or dark colored ppt. is produced. N. B.—Trommer’s test only shows that sugar is present when a distinct yellow or red ppt. is formed. A mere change of color, or the formation of a ppt, different from that described is not sufficient evidence of the presence of sugar. Therefore, in applying this test in practice, use only a small quantity of CuS04 soln. at first, and if in a first testing a change of color be observed, but no ppt., make a second testing, using an increased amount of CuS04. 47. Boettger’s test.—Render the urine strongly alka- line by dissolving in it powdered ]STa2C03. Put into two test-tubes about 3 cent, of the alkaline urine. To one test-tube add a very minute quantity of powdered subni- trate of bismuth, to the other as much powdered litharge. Boil the contents of the two tubes. If sugar be present, GLUCOSE. 17 the bismuth powder becomes first gray and then black. The litharge is not blackened. 48. Repeat the test as in § 47 with a urine containing a sulphide or an organic compound containing sulphur, but no sugar. Both subnitrate and litharge are blackened. 49. Mulder-Neubauer test.—Dissolve in 2 cent, of the saccharine urine in a test-tube enough powdered Ua2003 to give it a strongly alkaline reaction, and then enough solution of indigo-carmine to communicate a dis- tinctly blue color. Heat the liquid to boiling with as little agitation as possible. The color changes from blue to green, to wine-red, to yellow. Allow the contents of the tube to cool, close the opening of the tube with the thumb, and agitate; the color changes back through wine-red and green to blue. 50. Fermentation test.—Take three beakers of about 70 cc. capacity, and label them A, B, and C. Till A with the urine to be tested; B with a solution of glucose, and 0 with water. Put into each beaker some brewers' yeast, or some compressed yeast, and stir well. Fill a test-tube completely full from A. Close the opening of the tube with a cork of suitable size fastened on the short limb of a wire bent at right angles, in such a way that no air bub- bles are inclosed. Immerse the end of the tube with the cork into the liquid in A, and remove the cork by means of the wire, taking care that no air enters the tube. Re- verse test-tubes similarly filled from B and C in each of those beakers. Set the three beakers and tubes in a place whose temperature is about 25°, and after six hours ob- serve whether gas have collected in any of the tubes. If the test-tubes A and B contain gas above the liquid, and C do not, the urine contains sugar. If A and C do not contain gas, and B do, the urine does not contain sugar. Under any other circumstances the yeast is unfit for use. BLOOD. 18 The purpose of A is to test the urine; that of B and C to guard against sources of error from the yeast itself. 51. Fettling’s test.—Put about 2 cent, of Fehling’s solution (see § 88) into a test-tube, and heat it to boiling. Examine the liquid carefully—standing with your back to the light, and, if possible, holding the tube in the direct rays of the sun—for any red specks or reddish reflections, which appear usually at the lower, curved part of the tube. If any red color be observed, the test solution has deterio- rated and must be replaced by some which has been freshly mixed. 52. If the test solution have been found to be in proper condition, add to it 2 to 3 gtt. of the urine to be tested, and boil again. If no red color be now observed, add a further quantity of urine, and boil again. Continue this alternate addition of urine and boiling until a red or yellow ppt. is formed—in which case sugar is present—or until a bulk of urine equal to that of the test solution used has been added, without the appearance of a red ppt.— in which case-sugar is absent. N. B.—Fehling’s solution is recommended as affording the most manageable and reliable test for sugar, provided the precautions mentioned in §§ 51 and 40 are observed. When the amount of sugar present is very small, the liquid retains its blue color; but when it is poured out of the tube, a red film is seen attached to the glass. If the quan- tity of sugar be great, the copper is completely precipi- tated, and the liquid decolorized. Test-tubes which have been used for Fehling’s and Trommer’s tests may be cleaned with a little HJST03. Blood. 53. If the urine be alkaline, render it family acid with acetic acid. Heat to near boiling. The urine becomes lighter in color, and a dark colored coagulum is formed. EILE. 19 54. Add KHO to distinct alkaline reaction; heat nearly to boiling (do not boil). A red ppt. is produced. 55. To a few drops of the urine in a test-tube add a drop of freshly prepared tincture of guaiacum and a little ozonic ether (ether to which oxygenated water has been added) and agitate. The ether, which rises to the sur- face, is blue. Or, shake together oil of turpentine and tincture of guai- ac, add the urine in volume equal to that of the emulsion, shake gently, and allow to separate: a blue or greenish-blue color in the upper layer. Bile. Biliary Salts. 56. Petten’kofer*s test.—Add to the urine in a test-tube 1 gtt. of a solution of cane-sugar (1 : 3); hold the tube in an inclined position, and add H2S04 in such a way that it forms a layer below the urine. In the presence of biliary acids, the urine becomes turbid, and immediately, or after a time, a purple-red band is formed at the junction of the two liquids, which gradually diffuse into one another, forming, after four to five hours, a homogeneous dark- purple liquid. The acid and urine must not be mixed. 57. Repeat the test, as in § 56, with urine containing al- bumin, but no biliary salts. The same reaction is pro- duced. 58. Repeat the test, as in § 56, with urine containing morphia, but no biliary salts. The same reaction is pro- duced. 50. As albumin, morphia, and a number of other sub- stances produce the same appearances with Pettenkofer’s test as do the biliary salts, it becomes necessary to apply the test in such a way as to exclude these sources of error. For this purpose the urine, about 50 cc., is evaporated to BILE. 20 dryness oyer the water bath. The residue is extracted with strong alcohol, 5 cc.; the alcoholic solution is filtered and mixed with 50 cc. anhydrous ether. The ppt. formed is collected on a small filter, and, after having been washed with ether, is dissolved in Ito 2 cc. H,O. To the aqueous so- lution so obtained, PettenkofePs test is applied as directed in § 56. 60. Oliver’s Peptone test.—The reagent required is made by dissolving 2 gm, of pulverized peptone (Savory & Moore) and 0.27 gm, salicylic acid in 248 cc. of HaO, and adding 2 cc. acetic acid. Filter till perfectly clear. Dilute the urine to sp. gr. 1.008; pour some into a test- tube, and float upon its surface some of the reagent. An immediate cloudiness at the line of junction of the liquids indicates the presence of biliary salts. Biliary Pigments. 61. Urine containing biliary pigments is always dark in color. 62. Gmelin’s test.—Pour 3 cent. HN03 into a test- tube, add a piece of wood (1 cent, of the butt end of a match) and heat until the acid assumes a yellow color. Pour off the acid into another test-tube and cool it by im- mersing the tube in cold I120. When the acid is cold, float about 3 cent, of the urine to be tested upon its surface from a pipette. If biliary pigments be present, a green band is formed at the junction of the two liquids, which gradually rises higher and higher, and is succeeded from below by blue, reddish-violet, and yellow. The green color is much more distinctly marked than the others. 63. Shake the urine with ether. On standing, the ether separates as a yellow layer over the urine. Pour off the ether and float it on the surface of dilute bromine water in an- BILE. 21 other test-tube. The ether gradually changes in color from yellow to blue. 61. Paul’s test.—Add a few gtt. of a solution of methyl- violet to the urine. A ring of intense carmine color is formed on the surface. With normal urine a blue ring is formed. The reaction is only produced with icteric urine, not with normal urine to which bile has been added. QUANTITATIVE ANALYSIS OF UEINE. Reaction. Alkalimetry and Acidimetry. 65. To determine the degree of acidity or alkalinity of the urine, solutions containing known quantities of oxalic acid and of caustic soda are required. 66. Weigh out 6.3 gms. of pure, crystallized oxalic acid (C204H2 + 2Aq = 126). Transfer it without loss to the measuring cylinder (Fig. 1, p. 3.); add H2O to the 1,000 cc. mark, and agitate until solution is complete. The liquid so obtained is a “ Decinormal solution of oxalic acid,” each cc. of which contains 0.0063 gm. of oxalic acid, equivalent to 0.004 gm. NaHO. 67. Weigh out 4.5 gm. of caustic soda. Dissolve in 60 cc. H2O; add a lump of quicklime; boil about fifteen minutes; filter into the measuring cylinder; dilute to 900 cc, with H2O, and mix. Measure oft 10 cc. of the decinormal oxalic acid solu- tion with a pipette (Fig. 11); transfer it to a small beaker, and add to it 2 gtt. of an alcoholic solution of phenol- phthalein (1 gm. in 100 cc.). Fill a burette (Fig. 12) with the soda solution to the 0 mark. Add the alkaline solution to the liquid in the beaker until the latter remains faintly red after stirring. Bead the number of cc. of alkaline so- lution used from the graduation of the burette. This, multiplied by 100, gives the number of cc. of the solution containing 4.0 gms. of NaHO, Remove soda solution from the mixing cylinder until there remain exactly the number QUANTITATIVE REACTION, 23 of cc. containing 4.0 gms. NaHO; add H2O to the 1,000 cc. mark, and mix. The solution so obtained is a “ Decinormol solution of caustic soda; ” eachcc. of which contains 0.004 gm. hJaHO, Fig. 11. Fig. 13. equivalent to 0.0063 C2O ,H2 + 2 Aq. The acid and alkaline solutions, therefore, neutralize each other, volume for volume. The alkaline solution must be kept in glass-stoppered QUANTITATIVE REACTION. bottles, the stoppers and necks of which have been coated with paraffin, and must be exposed to the air as little as possible. 68. To determine the degree of acidity in the urine, place two portions of 50 cc. each in two beakers, and add to each 4 gtt. phenolphthalein solution. Fill a burette to the 0 mark with the decinormal soda solution. Add por- tions of the alkaline solution to the contents of one of the beakers until a red color is produced, which persists on stirring. Fill the burette again to the 0 mark, and from it add 1 cc. less soda solution to the second beaker than was added to the first. The liquid in the second beaker should be yellow, without any tinge of red, Now continue the addition of soda solution to the second beaker, drop by drop, until a faint red tinge persists on stirring. The number of cc. of decinormal soda solution used (the last burette reading), multiplied by 0.0063, gives the acidity of 50 cc. in grams of oxalic acid; from which the total acidity is determined by multiplying by the quantity of urine in twenty-four hours and dividing by 50. Example. Quantity of urine in 24hours = cc. Decinormal soda solution used 14.6 cc. 14.6 x 0.0063 = 0.09198 = acidity of 50 cc. urine. 0.09198x1350 „,Q . Q/l , . . — =2.48 = acidity of 24 hours in grams of oxalic acid. 69. To determine the degree of alkalinity, proceed as in § 68, using the decinormal oxalic acid solution in place of the soda solution in the burette; and adding the acid solu- tion to the contents of the second beaker until the red color just disappears. The number of cc. of acid solution used, multiplied by 0.004, gives the alkalinity of 50 cc.; from which the total alkalinity is calculated as in § 68. Example. Quantity of urine in 24 hours = 1,350 cc, QUANTITATIVE—CHOKIDES. Decinormal oxalic acid solution used = 7.4 cc. 7.4x0.004 = 0.0296 = alkalinity of 50 cc. urine. 50 0.80 = alkalinity of 24 hours in grams of caustic soda. 70. The normal acidity of twenty-four hours of the urine is equal to two to four grams of oxalic acid. 71. The solutions required are: 1. A standard solution of silver nitrate, made by dissolving 29.075 gms. of pure, fused, and recrystallized AgN03 in 1,000 cc. H2O. This solution must he kept in bottles of amber glass. 2. A so- lution of neutral potassium chromate ; 10 gms. to 100 cc. H.20. Chlorides. 73. To conduct the determination, 5 cc. of urine are placed in a platinum basin, 2 gms. of UaN03 (free from chloride) are added. The whole is evaporated to dryness over the w'ater bath, and the residue gradually heated un- til a colorless fused mass remains. This residue, after cool- ing, is dissolved in H.,0, the soln. transferred to a small beaker, treated with pure, dil. HN03 to faintly acid reac- tion, and neutralized with powdered CaC03; 2 gtt. of the chromate soln. are now added, and finally the silver soln. from a burette (previously filled with AgU03 soln. to the 0 mark), during constant stirring of the contents of the beaker, until a faint reddish tinge remains permanent. Each cc. of the AgN03 soln. used represents 0.01 gm. UaCl (or 0,0607 gms. Cl) in 5 cc. urine; from which the UaCl in twenty-four hours is calculated. Example. Urine in 24 hours = 1,260 cc. Silver soln. used =6.7 cc. X1,260 = 16.88 gms. NaCl in 24 hours. o QUANTITATIVE—PHOSFH ATES. N. B.—This process cannot be used during administra- tion of bromides or iodides. 73. The amount of Cl voided by a normal male adult, upon normal diet, is about 10 grams in twenty-four hours, equivalent to 16.5 gms. NaCl. Phosphates. -74. The solutions required are: 1. A standard solution of disodic phosphate, made by dissolving 10.085 gms. of crystallized, non-effloresced disodic phosphate (Na2HPO4 + 12 Aq.) in H„0, and diluting the solution to 1 litre. Fifty cc. of this soln. contain 0.1 gm. phosphoric anhydride P205. 2. An acid solution of sodium acetate, made by dis- solving 100 gms. Na02H302 + 3 Aq. in 100 cc. H2O, adding 100 cc. glacial H02H302, and diluting with II20 to 1,( 00 cc. 3. A solution of potassium ferrocyanide ; 10 gms. in 100 cc. H2O. 4. A standard solution of uranic acetate. To obtain this soln,, a soln. of approximate strength is first made by dissolving 33 gms. of yellow uranic oxide in glacial acetic acid, and diluting with H„0 to 900 cc. in the mixing cyl- inder. Solution JSTo. 1 serves to determine the true strength of this soln., as follows: 50 cc. of soln. 1 are placed in a beaker, and 5 cc, of soln. 2 are added. The mixture is heated on the water bath, and the uranium soln. gradually added from a burette until a drop of the liquid, taken from the beaker on a stirring-rod, produces a brown color when brought in contact with a drop of soln. 3. At this point, the reading of the burette, which indicates the number of cc. of the uranium soln., corresponding to 0,1 gm. P205, is taken. This reading, multiplied by 50, gives the number of cc. uranium soln. equivalent to 5 gms. P205. Remove uranium soln. from the mixing cylinder until there remain the number of cc. which have been found to be equivalent to 5 gm. P206; add H2O to the 1,000 cc. QUANTITATIVE PHOSPHATES. 27 mark, and mix. The uranium solution so standardized is of such strength that each cc. is equivalent to 0.005 gm. PA- 75. To determine the total phosphoric anhydride in the urine: 50 cc. are placed in a beaker, 5 cc. sodium acetate soln. are added, and the mixture heated on the water bath. When warm, the standard uranium soln. is added from a burette until a drop, removed from the beaker with a stir- ring-rod, produces a faint brown tinge when brought in contact with a drop of ferrocyanide soln. The burette reading taken at this point and multiplied by 0.005 gives the amount of P205 in 50 cc. urine; and this, multiplied by the amount of urine eliminated in twenty-four hours, gives the daily elimination in grams of P205. Example. Urine in 24 hours = 1,180 cc. Uranium solution used = 24.3 cc. 24.3 X.005 = 0.1215. 1.180x0.1215 0Q„ n . 0/( , = 2.87 = grams P205 in 24 lionrs. 76. To determine the phosphoric anhydride correspond- ing to earthy phosphates, 100 cc. of the urine are rendered alkaline with J7H4HO.and set aside for twelve hours. Col- lect the put. on a filter, wash it with dilute ammonium hydrate soln. (1 ; 3). Perforate the point of the filter, and wash the ppt. into a small beaker; dissolve in as lit- tle acetic acid as possible; make up the solution to about 50 cc. with H2O, add 5 cc. sodium acetate soln., and titrate as in § 75. hi. B.—ln standardizing (§ 74) the uranium soln., and in using it (§75, § 76), time will be saved by taking two quantities of 50 cc. each of the phosphate soln. or urine. Make an approximate determination with one beaker, by adding to it 15 cc. of the uranium soln., and then further quantities of 2 cc. each until the red color is obtained QUANTITATIVE SULPHATES. 28 with ferrocyanide. Then add to the second beaker an amount of uranium soln. equal to that which last failed to respond to the ferrocyanide soln. in the first sample, and continue the addition of uranium soln., drop by drop, un- til the final reaction is obtained. 77. The normal amount of phosphoric anhydride in twenty-four hours is 2.5 to 3.5 grams, of which 0.8 to 1.2 grams are in combination as earthy phosphates, and 1.7 to 2.3 as alkaline phosphates. Sulphates. 78. To 100 cc, of the urine add 5 cc. HCI; heat to near boiling; add BaCl2 soln. in slight excess; let the beaker containing the mixture stand on the water bath until the ppt. has subsided; decant the clear liquid through a small filter without disturbing the ppt.; add hot water to the beaker; let the ppt. settle again, decant as before, and continue this washing by decantation until a portion of the filtrate no longer becomes cloudy on addition of dil. H2S04. Transfer the ppt. to the filter by the aid of the wash bottle (Fig. 7, p. 10), and dry in the water oven. Burn the filter in a weighed platinum crucible until white. Weigh the crucible, ash, and BaS04, and from this weight subtract that of the crucible and filter ash. The difference, multi- plied by 0.421, is the weight of sulphuric acid, H2S04 in 100 cc. urine; and this, multiplied by TJ-¥ of the quantity in twenty-four hours, is the amount of H2S04 eliminated in twenty-four hours. Example. Quantity of urine in 24 hours = 1,320 cc. Weight of platinum crucible, filter-ash, and BaS04=17.8932 “ “ “ “ and filter-ash =17.4863 Weight of BaS04 = 0.4069 0.4069 X 0.421 = 0.1713 = grams HaS04 in 100 cc. QUANTITATIVE UEEA. 0.1713 X 13.20 = 2.36 = grams H2S04 in 24 hours. 79. The normal daily elimination of H2S04 is from 2 to 2.5 grams. Urea. 80. Urine containing an excess of urea has a high speci- fic gravity, while that which is deficient in urea is of lower specific gravity than normal. 81. Take two watch glasses. Into one put 5 gtt. of the urine, into the other 10 gtt. Evaporate the latter over the water bath until it has been reduced to the volume of the former. Cool the contents of both watch glasses to about 15° and add to each 3 gtt. of cold, colorless, concentrated HN03. If, after a few mo- ments, crystals of urea nitrate appear in both watch glasses, the urine contains an excess of urea; if crystals do not form in either watch glass, the proportion of urea is deficient; while if crystals appear in one and not in the other, the amount of urea is about normal. Fig. 13. This method is only capable of showing roughly an in- crease or a diminution in the proportion of urea. Two precautions are to be observed in its use: 1. The amor- phous deposit produced in albuminous urine is not to be mistaken for the crystalline urea nitrate. 2. The process can be applied as described above only when the quantity of urine in twenty-four hours is about normal. If it be greater or less than normal, a modification is necessary. If, for instance, the quantity of urine in twenty-four hours be half the normal, two samples of 5 gtt. each are to be QUANTITATIVE—UEIO ACID, taken, one of which is to be dilated with 5 gtt. HaO. If the quantity in twenty-four hours be double the normal, two samples are to be taken, one of 10 gtt., the other of 20 gtt., and both reduced to 5 gtt. by evaporation. 82. Foivler’s method.—Determine the sp. gr. of the urine and the sp. gr. of some liq. sodas chlorinates (Squibb) at the same temperature. Mix one volume of the urine with seven volumes of the liq. sod. chlor. After the vio- lence of the reaction has subsided, shake the mixture from time to time during an hour. Determine the sp. gr. of the mixture at the same temperature at which the former observations were made. Add once the sp. gr. of the urine to seven times the sp. gr. of the liq. sod. chlor., and divide the sum by eight. From the quotient so obtained subtract the sp. gr. of the mixture after decomposition, and multiply the difference by 0.7791. The product is the amount of urea in grams in 100 cc.; from which the elimination in twenty-four hours is obtained by multiply- ing by T-J¥ of the quantity in twenty-four hours. Example. Quantity of urine in 24 hours = 1,240 cc. Specific gravity of liq. sod. chlor. = 1,042 “ “ “ urine = 1,020 “ “ “ mixture = 1,036.2 1,042 X 7 + 1,020 _ x Q39 25. 1,039.3 - 1,036.2 = 3.1 8 ' 0.7791 X 3.1 X 12.40 = 29.95 = grams of urea in 24 hours. 83. For accurate determinations of the quantity of urea, one of the modifications of the Knop-Hiifner process is recommended (see “Manual,” p. 193, and Charles’ “Physiological Chem.,” pp. 350 et seq.). Uric Acid. 84. Acidulate 200 cc. of the filtered urine with 10 cc. HOI, and set it aside in a cool place for forty-eight hours. QUANTITATIVE URIC ACID. 31 Wash a small filter with dil. HCI, dry it, inclose it between two watch-glasses, held together by a brass clamp, and de- termine the weight of the whole. Collect the crystals which have formed in the acidulated urine upon the weighed filter, detaching such crystals as adhere to the wall of the vessel by rubbing with a small section of rubber tubing, slipped over the end of a glass rod, and washing the deposit on to the filter with portions of the filtrate, AYhen the ppt, is all on the filter wash it by the successive addition of small portions of H2O, until the filtrate is no longer acid. The filter and contents are now dried, in- closed between the watch-glasses, and weighed. This last weight, minus that first determined, is the weight of uric acid in 200 cc. urine; and this, multiplied by -g^¥ the amount of urine in twenty-four hours, is the amount in twenty-four hours. The amount of wash water used should not exceed 35 cc. If more should be used, add 0,043 mgm. to the weight of uric acid in 200 cc. urine for every extra cc. of wash water. Example. Urine in 24 hours = 1,230 cc. Weight of watch-glasses, clamp, filter, and uric acid 36.3275 Weight of watch-glasses, clamp, and filter 36.1948 Uric acid in 200 cc. 0.1327 Correction for wash water 0.0004 45 cc. wash water used .*, .043 XlO == 0.43 mgm. Uric acid in 200 cc. corrected 0,1331 0.1331 X 1,230 n QIQK • •i • qii — = 0,8185 = grams uric acid in 24 hours 200 8 85. The normal elimination of uric acid in twenty-four hours is from 0.5 to 1.0 gram. QUANTITATIVE ALBUMIN. 32 Albumin. 86. Esbach’s method.—For this method a tube 1.5 cent, in diameter and 15 cent, long, graduated into grams, and haying two marks, one near the middle, the other near the top, is required; also a reagent made by adding 50 cc. acetic acid to 950 cc. of a solution of picric acid containing 10 gms. to the L. If the urine be alkaline, render it acid with acetic acid. If the urine he of less sp. gr. than 1.008, fill the tube to the lower mark with it; add the reagent to the upper mark; close the opening of the tube with the finger and turn it upside down several times. The tube is now allowed to remain at rest twelve hours, after which time the amount of albumin is read oif on the graduation. If the sp. gr. of the urine be above 1.008, it is to be diluted with water, the degree of dilution being considered in the final result. Results roughly approximate. 87. Gravimetric method.—Place 100 cc. of the clear urine in a beaker of 200 cc. capacity; if alkaline, acidulate with acetic acid. Heat the beaker over the water-bath, m . . add 1-2 gtt. acetic acid, and heat to boiling; continue boil- ing gently until the diffuse ppt. has collected in lumps. Have ready a small filter whose weight, with that of watch- glasses and clamp (see § 84), has been determined; collect the coagulated albumin upon the filter, wash with II20 containing a little ]STH4HO, then with boiling II20 until the filtrate no longer forms a ppt. with AgIST03, then with alco- hol, and finally with ether. Dry the filter and contents in the air oven, and weigh between the watch-glasses. The difference between this last weight and the one first deter- mined is the weight of dry albumin in 100 cc. urine, which, multiplied by the quantity in twenty-four hours, gives the elimination of albumin in twenty-four hours. QUANTITATIVE—GLUCOSE. 33 If the urine be highly albuminous, it is best to oper- ate upon 20 or 50 cc., diluted with 80 or 50 cc. H2O, and multiply to obtain the final result by -gV or fa the amount of urine in twenty-four hours. 88. Fehling’s method.—The solution is made as follows: Glucose. I. Dissolve cupric sulphate 51.98 grams, in water to 500.00 cc. 11. Dissolve Rochelle salt 259.9 grams, in sodium hydrate soln. sp. gr. 1.12 to 1,000 cc. When required for use, one volume of I. is to be mixed with two volumes of 11. The copper contained in 10 cc. of this mixture is precipitated completely, as cuprous oxide, by 0.05 gram of glucose. 89. To determine the quantity of sugar, place 10 cc. of the mixed soln. in a flask of about 250 cc. capacity; dilute with II20 to about 30 cc. and heat to boiling. On the other hand, the urine to he tested is diluted, and thor- oughly mixed with four volumes of 1I20 if it be poor in sugar, or with nine volumes of H2O if highly saccharine, and a burette filled with the mixture. When the Fehling soln. boils, add a few gtt. NH4HO and then 5 cc. of the urine from the burette, boil again, and continue the alter- nate addition of diluted urine and boiling of the mixture until the blue color is quite faint. Now add the diluted urine in quantities of 1 cc. at a time, boiling after each addition until the blue color just disappears. Have ready a small filter and, having filtered through it a few gtt. of the hot mixture, accidulate the filtrate with acetic acid, and add to it 1 gtt. soln. of potassium ferrocyanide. If a brownish tinge be produced, add another cc. of dil, urine to the flask, boil and test with ferrocyanide as before. Continue tmiNAEY DEPOSITS. 34 this proceeding until no brown tinge is produced. The burette reading, taken at this point, gives the number of cc. of dilute urine containing 0.05 gm. glucose, and this, divided by 5 or 10, according as the urine was diluted with 4or 9 volumes of H.20, gives the number of cc. of urine containg 0.05 gm. sugar. The number of cc. urine passed in twenty-four hours, divided by 20 times the num- ber of cc. containing 0.05 gm. glucose, gives the elimina- tion of glucose in twenty-four hours in grams. Example. Urine in 24 hours = 2,436 cc. Uehling’s soln. used = 1U cc. Urine diluted with 4 vols. H2O Burette reading =18.5 cc. 18.5 3.7 = cc. urine containing 0.05 gm. glucose. 3 = 32.92 = grams glucose eliminated in 24 hours. URINARY DEPOSITS. 1)0. Shake the urine to be examined, fill a conical glass (Fig. 14) with it, cover the glass with a watch-glass or glass plate, and set it aside until any solid particles have subsided to the bottom. Crystalline deposits settle in a few hours, but if the urine have been found to contain albumin, and casts are consequently to be looked for, twelve hours must be allowed to elapse to insure complete deposition. After the deposit has collected at the point of the glass, some of the sediment is removed with a pipette. Hold the pipette in such a manner that its upper opening is closed by the forefinger, and bring the point down into the layer of sediment, free the upper opening for an instant, close it again, and withdraw the pipette. Transfer a small Fig. 14. UNORGANIZED DEPOSITS. quantity of urine and sediment from the pipette to a glass slide, upon which a ring of cement has been made and allowed to dry, put on a clean cover glass, remove the ex- cess of liquid from the slide with bibulous paper and exam- ine with the microscope. Unorganized Deposits. 91. Uric Acid,—Deposits of uric acid occur in acid urines; are always crystalline, of the forms shown in Fig. 15, of which h are exceptional forms, and a of common Fig. 15. Fig. 16. occurrence; almost invariably of a color varying from light yellow to dark red or brown. Frequently they are of suf- ficient size to be visible to the unaided eye. Deposits of uric acid respond to the murexid test, § 24, and dissolve when warmed with NaHO soln. 92. Amorphous, acid urates consist principally of acid sodium urate, accompanied sometimes with much smaller quantities of the potassium, calcium, and ammo- nium salts. The deposit is amorphous, composed of minute granular particles, sometimes colorless, but fre- quently yellow or red (“brick dust” or “ lateritious ” sedi- UNORGANIZED DEPOSITS. 36 fnent), produced in acid urine. Urine cloudy from the presence of amorphous urates becomes clear when heated. 93. Crystalline urates. —Acid sodium urate some- times crystallizes from the urine undergoing acid or in- cipient alkaline fermentation, in the form of prisms arranged in stellate bundles (Fig. 16, a). Later in the fermentative process, when ammonia is produced, the highly colored spherical crystals, with or without spines (Fig. 16, h), of acid ammonium urate are produced. 9-t. Calcium oxalate is observed sometimes in acid urine, accompanying crystals of uric acid, sometimes in Fig. 17. Fig. 18. alkaline or neutral urine, along with crystals of triple phosphate. These crystals are usually very minute octa- hedra (Fig. 17, a), and occasionally in “dumb-bell ” forms (Fig. 17, h). 95. Ammonio-magnesian phosphate triple phos- phate—occurs in slightly acid or alkaline urine, particu- larly of the shapes shown in Fig. 18, sufficiently large to be visible as shining specks when the vessel containing the urine is rotated in sunlight. Occasionally it forms stars shaped groups of feathery crystals. 96. Calcium phosphate is deposited under the same 37 UNORGANIZED DEPOSITS. conditions as amnionic-magnesian phosphate. The de- posit is usually amorphous, and increases on the applica- tion of heat, but disappears on the addition of a mineral acid. Occasionally calcium phosphate crystallizes from the urine, either in wedge-shaped crystals, arranged in rosettes, their points uniting (Fig. 19), or in spherical crystals, or, more rarely, in dumb-bells. Fig. 19. Fig. 21. Fig. 20. 97. Leucin and tyeosin always occur together, and are found only in urines containing biliary pigments. The former substance forms yellow, highly refracting spheres of varying size, marked with radiating and concen- tric striations (Fig. 20, a). Tyrosin crystallizes in bundles of delicate hair-like crystals, arranged in brush-like groups (Fig. 20, h). 98. Cystin is of rare occurrence. It appears as a yel- ORGANIZED DEPOSITS. 38 lowisli deposit in pale, acid, or alkaline urine; which, when examined microscopically, is found to consist of hexagonal plates, either colorless or pigmented (Fig. 21). It dissolves in NHJIO and crystallizes out again an evapo- ration of the solution. Organized Deposits 99. Mucus or pus corpuscles are rounded, granular cells, larger than blood-corpuscles, containing one or more nuclei (Fig. 22). Water causes them to swell up and lose Fig- 23. Fig. 24. their granular marking; the nuclei become more distinct, and the body of the cell gradually becomes invisible. Dilute acetic acid (20$) produces the same changes more rapidly. Fig. 23, 100. Epithelium.—The epithelial cells met with in urine are: 1. Round epithelial celU, from the convoluted tubes, the pelvis of the kidney, the bladder, and the male urethra; are rounded granular bodies, larger than pus- corpuscles, containing a single nucleus (Fig. 23, a). 2. Columnar or conical epithelial cells, from the pelvis of the kidney, the ureters and urethra, are elongated, conical bodies, granular, and containing a single nucleus near the ORGANIZED DEPOSITS. 39 middle (Fig. 23, b). 3. Flat epithelial cells, from the bladder and vagina, are large, irregular, scale-like bodies, faintly granular, and containing a single nucleus (Fig. 23, c). 100. Blood-corpuscles appear in urine as rounded bodies, whose centres and peripheries alternate in light and shadow as the objective is moved toward or away from the slide (Fig. 24, a). If the urine be dilute, the blood-discs lose their concavity, swrell up, and no longer show alterna- tions of light and shadow (Fig. 24, b); finally they become invisible. If the urine be concentrated, their concavity becomes greater, they shrink, and finally assume a crenated form (Fig. 24, c). Fig. 25. 101. Casts are moulds of the uriniferous tubules, of which the following varieties occur: 1. Epithelial casts are clear, cylindrical bodies, in whose surfaces epithelium ORGANIZED DEPOSITS. 40 from the tubules is imbedded (Fig. 25, «). 2. Blood casts are casts marked with granules and having blood-corpuscles imbedded in them (Fig. 25, h). 3. Hyaline casts are per- fectly clear, transparent cylinders, wuthout any markings (Fig. 25, c) which, being of about the same index of refrac- sion as the urine, may be readily overlooked if the exam- ination be not very carefully made. Their detection is facilitated by adding a drop of a solution of fuchsin to the deposit before putting on the cover glass. 4. Granular casts are marked by granules resulting from the disinte- gration of epithelium and blood-corpuscles. They are either Fig. 26. Jiighly granular (Fig. 25, d), moderately granular, or faintly granular, as they contain more or less granular matter. 5, Fatty casts, or oil casts, contain oil globules (Fig. 25, g). 6. Waxy casts are somewhat similar to hyaline casts in appearance, but more dense and somewhat resem- bling wax (Fig. 25, e). 7. Mucous casts are very long, frequently branching, transparent bodies (Fig. 25, f). 102. Spermatozoa are minute, tadpole-like bodies (Fig. 26), which, when present in urine, do not exhibit the vibrating motion with which they are endowed during life. QUALITATIVE ANALYSIS OF URI- NARY OALOULT. 103. If the calculus be large, and if it is to be preserved, saw it in two with a hack-saw and use the saw-dust for analysis, keeping that portion of the dust which is pro- duced while sawing through the centre of the stone sep- arate from the other. If the calculus be small, break it; separate the nucleus, if there be one, powder the nucleus and a portion of the body of the stone separately, and make an independent analysis of each. 104. In using the following scheme, take a separate por- tion of the powder for each operation unless otherwise di- rected. SCHEME OF ANALYSIS. 1. Heat on platinum foil until colorless: a. It is entirely volatile 2 b. A residue remains 5 2. Moisten with HN03; evaporate to dryness over the water bath; add NH4HO: a. A red color is produced 3 b. No red color is produced 4 3, Treat with KHO, without heating: a. An ammoniacal odor is produced. Ammonium urate. b. No ammoniacal odor is produced.,. Uric acid. 4. a. The HNOs soln. becomes yellow when evapo- rated; the yellow residue becomes reddish-yellow on ad- dition of KHO, and on heating with KHO, violet red, Xanthin. UEINAEY CALCULI. 42 b. The HN03 soln. becomes dark brown on evapo- ration Cystin. 5. Moisten with HNOs, evaporate to dryness over the water bath; add NH4HO: a. A red color is produced 6 b. No red color is produced .. 9 6, Heat before the blow-pipe on platinum foil: a. Fuses 7 b. Does not fuse 8 7. Bring into blue flame on clean platinum wire: a. Flame colored yellow Sodium urate. b. Flame violet when observed through blue glass. Potassium urate. 8. The residue from 6: a. Dissolves in dil. HCI with effervescence; the soln. forms a white ppt. with ammonium oxalate. Calcium urate. b. Dissolves with slight effervescence in dil. H2S04; the soln. neutralized with NH4HO gives a white ppt. with Na2HP04 Magnesium urate. 9. Heat on platinum foil: a. It fuses: Ammonio-magnesianphosphate. b. It does not fuse 10 10. The residue from 9, moistened with H2O, and tested with red litmus paper, is: a. Alkaline 11 b. Not alkaline Tricalcic phosphate. 11. The original substance dissolves in HCI: a. With effervescence Calcium carbonate. b. Without effervescence Calcium oxalate. DETECTION* OF POISONS. 105. The identification of any of the accessible poisons when unmixed with other substances does not present any serious difficulty. When, however, the poison is mixed with a large proportion of foreign substances, as in an ar- ticle of food, in the contents of the stomach or in the vis- cera, the reactions upon which we depend are masked or modified to such a degree that no reliance is to be placed upon them. Consequently, in searching for a poison in organic mixtures the first step, preliminary to the actual testing, is the separation of the poison from other sub- stances in a condition as pure as possible, and with as little loss as may be. 106. Analytically, poisons are divided into three classes, according to the methods used in their separation from or- ganic mixtures: 1. Volatile Poisons. 2. Mineral Poisons. 3. Organic Poisons. VOLATILE POISONS. 107. Those poisons which may be separated from the materials under examination by the process of distillation are included in this class. The most important are: Phos- phorus, Hydrocyanic Acid, Alcohol, Ether, Chloroform, Chloral, Benzol and its derivatives, including Carbolic Acid. 108. To separate poisons of this class, the contents of the stomach (or other substance to be examined), diluted with H2O if necessary, are slightly acidulated with dilute HBS04 and placed in a flask, which should be only half PHOSPHORUS. 44 filled; the flask is then connected with a conden- ser and heated over a sand hath. The distillation is con- tinued until two-thirds of the liquid have distilled over, and the distillate is collected in three separate portions. The distillates are then to be tested for individual poisons by suitable reagents. Phosphorus. P. 109. The material gives ofi an odor of garlic, and (al- cohol, ether, and oil of turpentine being absent) is lumin- ous when shaken in the dark. no. it is advisable in cases of suspected phosphorus poisoning to spread the suspected material out on a clean plate, and examine it in a dark room for any luminous points. It must not be forgotten, however, that muscular and other animal tissues may be phosphores- cent in absence of phosphorus. 111. If the presence of phos- phorus be suspected, the process, § 108, is to be somewhat modified. It is to be conducted in a dark room with a screen interposed be- tween the condenser and the source of heat. If no luminous ring (§ 112) be observed when one-third Fig. 37. of the liquid has distilled over, remove the condenser and substitute for it the apparatus shown in Fig. 27, charged with AglSTOg soln., and continue the distillation while a current of CO, is passed through the entire apparatus. If phosphorus be present, the AgN03 soln. blackens. If this occur, collect the black deposit formed and introduce HYDROCYANIC ACID. 45 it into an apparatus in which hydrogen is generated, and ignite the escaping gas at a platinum jet. In the presence of phosphorus, a bright green core appears in the flame. 113. During the distillation, § 111, a luminous band is observed at the point of greatest condensation in the con- denser. If, however, the liquid in the flask contains al- cohol or ether, this luminous hand does not appear until after one-third of the liquid has been distilled. If oil of turpentine be present, the luminous hand does not appear at all. 113. Examine the distillate for globules of P, which are recognized by their yellow, waxy appearance, their odor, their luminosity in the dark, and the bluing of paper moistened with iodide of potassium and starch when exposed to the vapors which they give off. 114. Antidotes.—No chemical antidote known. Re- move unabsorbed poison with stomach-pump, ZnS04 or apomorphia. Old French oil of turpentine. Prohibit fats and oils, which favor absorption. Hydrocyanic Acid—Prussic Acid (HCN). 115. Note the odor of bitter almonds, or peach blossoms 1 l(j. Add AgN03 to the soln.; a dense white ppt. Col- lect the ppt. on a filter, and warm a part with HN03; the ppt. dissolves. Treat remainder of ppt. with KCN soln.; it dissolves. 117. Add NH4HS to soln. and evaporate to dryness on water-bath; add Fe2Cl6 to residue; a deep red color. 118. Add KHO, and then an old soln. of EeS04; a greenish ppt. Add HCI; the ppt. dissolves partly, form- ing a deep blue soln. 119. Add dil. soln. of picric acid, heat, and allow to cool; a deep red color. 120. Moisten a piece of filter paper with a freshly pre- ALCOHOL CHLOEOFOEM. 46 pared alcoholic soln. of guaiacum; dip the paper into a very dilute soln. CuS04, and hold it over a vessel from which vapor of HON is given off; the paper turns bright blue. 121. Antidotes.—A mixture of ferrous and ferric sul- phates dissolved in H2O and alkalinized with KHO is a chemical antidote. The action of the poison is usually so rapid, however, that it is of little service. Stomach pump, cold affusion, artificial respiration, galvanism, inhalation of ammonia, of chlorine (?). Atropine hypodermically (?). Alcohol. C2H6HO 122. Heat with a small quantity of a cooled mixture of H2S04 and aqueous soln, of potassium dichromate; the liquid turns green, and the peculiar odor of aldehyde is given off. 123. Dissolve in the liquid a small quantity of iodine, add KHO soln. guttatim until the liquid is just decolorized, and warm; a yellowish crystalline ppt. immediately or after a time, and the odor of iodoform. 124. Add HNOg and warm; odor of nitrous ether. Add soln. mercurous nitrate with excess HK03 and heat; a yel- low-gray ppt. Collect ppt., wash, and dry; explodes when struck with hammer. 125. Mix slowly with an equal volume H2S04; add some powdered sodium acetate, and heat; odor of acetic ether. Chloroform. CHCI3. 126. Add a few gtt. aniline to 3 cc. alcoholic soln. of KHO, and then 2 cc. of the liquid to be tested, and heat. In the presence of chloroform, an intense, disagreeable, and characteristic odor, due to the formation of isobenzonitril, is produced. CHLORAL. 127. Dissolve about 0.01 gm, of /? naphthol in a small quantity of KHO soln., warm, and add the suspected liquid: a blue color is produced. 128. Place the liquid to be examined, which should be faintly acidulated with II2S04 if not already acid, in a flask. Fit the flask with a cork through which pass two right- angled tubes, one of which dips to near the bottom of the flask. Connect this longer tube with a bellows or gasome- ter, from which a slow current of air is made to pass through the apparatus during the process. The shorter tube is connected with about a foot of Bohemian tubing, whose other end communicates with a right-angled tube dipping into a solution of AgHOb, or with a bulb apparatus filled with AgH03 soln. Heat the flask over a water-bath, and heat about six inches of the Bohemian tube to bright redness. In the presence of CHC13 a white ppt. of AgCl, soluble in HH4HO, insoluble in lIH03, is formed in the AgH03 soln. 129. Antidotes,—Ho chemical antidote is known. Cold douche, galvanism, fresh air, artificial respiration, inhalation of ammonia. Chloral—Trichloraldehyde. C2HCI3O. 130. The substance to be examined is first treated as in § 128. If no ppt. be produced in the AgH03 soln., the liquid in the flask is rendered alkaline with KHO soln., and the process continued. If now a ppt. be formed in the AgH03 soln., the flask is connected with a condenser and more strongly heated. Portions of the distillate are then tested according to §§ 126, 127 for chloroform, resulting from the decomposition of the chloral by the alkali. 131, Antidotes.—Ho chemical antidote. Stomach- pump, tea, coffee, galvanism, artificial respiration, cold douche, ammonia by inhalation. PHENOL. 48 132. Odor of carbolic acid. Phenol—Carbolic Acid. C6HsHO. 133. Mix with one-quarter volume NH4HO; add 1-2 gtt. sodium hypochlorite soln. and warm: a blue or green color. Add HCi to acid reaction: turns red. 134. Add 1-2 gtt, of the liquid to a little HOI, mix; add 1 gtt. HN03: a purple-red color. 135. Boil with HN03 as long as red fumes are given off. Neutralize with KHO: a yellow, crystalline ppt. 136. Add a few gtt. FeS04 soln.: a lilac color. 137. Float liquid to be tested on H2S04; add powdered KN03; violet color. 138. Add excess of bromine water: a yellowish-white ppt. 139. Antidotes.—Emetics, white of egg, stimulants. MINERAL POISONS. MINERAL ACIDS AND ALKALIES. 140. These substances are corrosives rather than true poisons, as their deleterious effects are produced by de- struction of or injury to important viscera with which they come into immediate contact, while the true poisons act only after absorption into the circulation. 141. The presence of strong acids or alkalies in the stomach is indicated by corrosion or even perforation of the viscus, and by a strongly acid or alkaline reaction of the contents. It must not be forgotten that the contents of the stomach may have been rendered alkaline after the ingestion of acids, or acid after alkalies have been taken, by the administration of antidotes. 142. In all cases of corrosion by mineral acids or alka- lies (except nitric acid) a quantitative analysis should be made, and the amount found compared with that normally present, as sulphates, chlorides, and salts of sodium and potassium are normal constituents of body. Sulphuric Acid. H2SO4. 143. With BaCh a copious, white ppt., insoluble in HCI. This reaction does not prove the presence of free sulphuric acid, as it is also observed with soluble sul- phates. 144. Add powdered lead chromate, boil, filter; add KI and carbon bisulphide, and agitate. The CS2 is colored MINERAL ACIDS. violet. Agitate another portion of the liquid with CS2 after addition of Kl: no violet color should be produced. 145. Dissolve 3 per cent of cane-sugar in the liquid, moisten a piece of filter paper with it and dry: the paper turns brown or black. 146. Moisten a little veratria with the liquid, and evap- orate over the water-bath to dryness: a crimson color. Hydrochloric Acid. HCI. 147. Add AgN03: a white ppt soluble in NH4HO, insoluble in HNO,,. Observed also with chlorides. 148. Add mercurous nitrate: a white ppt., which turns black on addition of NHMO. Observed also with chlo- rides. 149. Heat the liquid with powdered black oxide of manganese (Mno2): chlorine is given off; recognizable by its odor, its yellow color, and by its power of turning paper containing starch and potassium iodide blue. Nitric Acid. HNOs. 150. Float upon the liquid a soln. of ferrous sulphate: a brown band appears at the junction of the liquids. A nitrate only responds to this test after addition of H2S04. 151. Moisten a crystal of brucine with the liquid: a bright carmine-red color. Nitrates respond to this test after addition of H2S04. 153. Dissolve 353 pts. of cyanide of mercury and 366 pts. KI in H2O, evaporate to crystallization; separate, and dry the crystals. A crystal introduced into nitric acid turns black. 153. Acidulate the (colorless) liquid with HCI, and add 1-3 gtt. indigo-carmine soln.: the blue color is discharged. 154. Antidotes foh Minekal Acids.—Magnesia usta, suspended in water, or, failing this, soap. Neither the MLNEEAL ALKALIES. 51 carbonates of the alkalies, chalk, or carbonate of magnesia should be used, as the gas liberated from them may cause serious distention of the weakened walls of the stomach. The stomach-pump should never be used. It will fre- quently be necessary to sustain life by nutritive enemata. Opium to allay pain. Caustic Potassa—Potassium Hydrate. KEO. 155. Add HCI and then PtCl4501n.: a yellow crystal- line ppt. A similar ppt. is obtained with ammonium chloride. 156. Concentrate the soln., render it neutral with Na2C03 if acid, and add concentrated soln. of tartaric acid: a white ppt. A similar ppt. with ammonium salts. 157. Add soln. of hydrofluosilicic acid : a white, gelati- nous ppt., insoluble in HCI. A similar ppt. with sodium salts. 158. Add perchloric acid: a white crystalline ppt. 159. Introduce a platinum wire, to which a portion of the substance adheres, into the colorless flame of a Bunsen burner, and observe the flame through a bit of blue glass: the flame is colored violet. IST. B.—The above reactions show the presence of potas- sium, which may be present as the hydrate, or as one of the salts of the metal. In cases of fatal corrosion by KHO, or of poisoning by the K salts, a quantitative determina- tion is necessary. Caustic Soda—Sodium Hydrate. NaHO, In testing for the sodium compounds, the solutions must be concentrated. 160. Add hydrofluosilicic acid: a white gelatinous ppt. 161. Dissolve some potassium pyroantimoniate in boil- ing water, and filter. Add a portion of the filtrate to the METALLIC POISONS. 52 liquid under examination (which must not contain metals other than K and Li): a white ppt., which becomes crys- talline. 162. Colors the Bunsen flame yellow. Owing to its great delicacy, this test is of little value in ordinary work, as all substances examined contain sufficient Na to color the flame. N. B. —The above reactions merely indicate the presence of Na without determining the form of combination. In cases of fatal corrosion by NaHO, a quantitative analysis is called for. . Aqua Ammonise—Ammonium Hydrate. NH4HO, 163. The characteristic odor of ammonia is given off by the hydrate and carbonate, but not by other ammonia- cal salts. 164. Heat the liquid. Hold over it a strip of moistened red litmus paper; it turns blue. Now hold over the heated liquid a glass rod moistened with HCI; white fumes are given off. These appearances are produced with ammonia- cal salts other than the carbonate only if the liquids have been previously rendered alkaline with KHO. 165. With 1101 and PtCl4: a yellow crystalline ppt. A similar ppt. with K salts. 166. Dissolve chloride of lime and carbolic acid in water, filter; add the liquid to be tested to the filtrate: a green color. 167. Antidotes to the Alkalies.—Dilute vinegar or lemon juice, milk. Under no circumstances should the stomach-pump be used. Opium to allay pain. Nutritive enemata if necessary. METALLIC POISONS. 168. Preliminary to the separation of mineral poisons from the tissues or contents of the stomach, the organic METALLIC POISONS. 53 matter must be destroyed by oxidation, as completely as is possible, without risk of loss of the substances sought for. This is best effected by the method of Frezenius and Yon Babo. The substances under examination, hashed if solid, are diluted with water. About 50 cc. HCl* and a small quantity of powered potassium chlorate are added, and the whole heated over the water-bath. Small portions of KCI03, and more HCI, if necessary, are added from time to time, until the mass is reduced to a yellow liquid on whose surface floats a layer of oil. The decomposition is accelerated by stirring and crushing any solid particles with the flattened end of a glass rod. When decomposi- tion is complete, the liquid is allowed to cool, and filtered, If the filtrate smell of Cl, it is heated over the water-bath and treated with CO2 until free of Cl. The liquid is now treated with II2S for periods of an hour at a time, at intervals of twelve hours during two or three days; the flask contain- ing it being kept corked during the intervals. A ppt. is always formed if a portion of the body has been operated on. This ppt. is collected on a filter and the filtrate (0) preserved. The ppt. is slightly washed and treated on the filter with yellow NH4HS, concentrated at first, afterward dilute, so long as anything is dissolved. Any solid matter remaining undissolved on the filter is subsequently exam- ined (B). The filtrate is evaporated to dryness in a porce- lain capsule. To the residue 25 cc. H2O, 2 cc. HOI, and a little KCI03 are added, and the whole heated over the water-bath. The liquid is stirred until hot, small quanti- ties of KClOg are added from time to time, and the mix- ture stirred until all is dissolved, except a little sulphur. The liquid is then treated with CO2 over the water-bath till * Hydrochloric acid cannot be bought sufficiently pure for this purpose. It must be made in the laboratory from pure NaCl and arsenic free H2SO4. METALLIC POISONS. free of Cl, filtered, cooled, and treated with H2S as be- fore, The ppt. is collected on a filter and washed with H2O, containing a little H2S, until the washings, after boiling with HN03, fail to give any cloudiness with AgN03. The ppt. is now dissolved off the filter with NH4HS, the solution evaporated in a porcelain capsule, the residue moistened with fuming HN03, dried over the water-bath, moistened with H2O and dried two or three times, and finally fused with a mixture of NalS[03 and Na3C03 until it is colorless, or only contains a black powder. After cooling, the fused mass is dissolved in H2O, treated with CO2, and the solution filtered; the ppt., if any, on the filter (A) is examined as below. The filtrate is treated with excess of H2S04 and heated, first over the water-bath, and afterwards at a higher temperature, until copious white fumes are given off; after cooling, the residue is examined for ARSENIC. The ppt. A contains any Sb, Sn, or On (part) that may have been present. It is first, if black, treated with hot dil. HN03. The soln. so obtained is examined for copper. If the solu. from which it was filtered was turbid from the presence of a white material, the filter with adherent mat- ter, insoluble in dil. HlSr03, after having been washed, is dried and burnt in a porcelain crucible, a srmdl quantity of KCH is added to the ash, and the mixture fused for about ten minutes. After cooling, the contents of the crucible are treated with H2O, and washed with ILO by decanta- tion, so long as anything is dissolved. The remaining me- tallic particles are treated with dil. HOI, the liquid sep- arated, after warming on the water-bath, and tested for tin. If any undissolved metallic particles remain, they are dissolved in hot concentrated HCI, and the soln. is tested for antimony. If the portion B, insoluble in NH4HS, be white, it ARSENIC 55 contains no poisonous metal. If it be colored, it is heated with HlSr03 so long as red fumes are given off, more HH03 being added if necessary, evaporated nearly to dryness, a little dil. H2S04 added, allowed to stand for a time, and fil- tered. The filtrate is tested for bismuth and copper. The residue, if any, is treated with tartaric acid, and then with excess of ISIH4HO, boiled, and filtered. The filtrate is tested for lead. The residue, if any, is dissolved in aqua regia, the soln. evaporated, the residue dissolved in H2O, acidulated with HCI, and tested for mercury. The liquid 0 contains any barium, chromium, or zinc that may have been present in the substances examined. Arsenic. As. 169. Heat a small quantity As203 in a reduction tube.* Minute octahedral crystals of As.2Os, which present bril- liant reflections when the tube is rotated in sunlight, are deposited above the heated portion of the tube (Tig. 28, p. 58). 170. Heat a small quantity of Paris green in a reduc- tion tube: crystals of As203 are formed, as in § 169. 171. Heat a small portion of elementary As in a long reduction tube: a brilliant steel-gray, brown, or black metallic-looking band is formed. 172. Cut off the bottom of the tube used in § 171; heat the band, holding the tube in an inclined position: the metallic band disappears, and above the point which it occupied, a crystalline sublimate of As203 is deposited. 173. Put a small quantity of As203 into a long reduction tube, and above it a splinter of charcoal. Heat the char- coal first, then the As203: a metallic band as in § 171 is * A glass tube, 3-4 mm. in internal diameter and 8 cent, long, closed at one end, AESENIO. 56 formed. Out off the bottom of the tube, and heat as in § 172: crystals of As203 are formed. 174. Acidulate soln. H3As03 with 2 gtt. HCI and pass HaS through the soln.: a yellow ppt. of AsaSa is formed. Warm the contents of the tube, agitate, collect the ppt. on a filter, and wash. Divide the ppt. into four parts on four watch-glasses. 175. Add JSTH4HS to one watch-glass: the ppt. dis solves. 176. Another portion of ppt. § 175 is treated with NH4HO: it dissolves. 177. Another portion of ppt. § 175 is treated with HCI: it does not dissolve. 178. Mix the remaining portion, after drying, with po- tassium ferrocyanide, and heat a portion in a long reduc- tion tube : a metallic band is formed. Cut off end of tube; heat as in § 172: crystals of As203. 179. To soln. H3As03 in a test-tube add KHO to alkaline reaction, and treat with HS: no ppt. is formed. Add HCI: a yellow ppt. is formed as in § 175. 180. Acidulate soln. H3As04 with HCI, and treat with PUS: the liquid first turns yellow and cloudy, but the yel- low ppt. of As2S3 only begins to form after a time. 181. Put 5 cc.li2o into a porcelain capsule, add 1 gtt. NH4HO, and then CuS04 until the ppt. formed no longer redissolves. To the liquid so obtained add about 1 cc. of the liquid under examination: a green ppt. Stir the mix- ture and transfer it in about equal portions to two test- tubes. To one tube add HNO„: the ppt. dissolves, and the liquid becomes colorless. To the other test-tube add fSTH4HO: the ppt. dissolves, forming a blue soln. 182. Put 5 cc. H2O into a porcelain capsule; add 1 gtt. NH4HO, and then AgN03 soln. until a permanent ppt. re- mains. Add 1 cc. H3As03 soln: a canary-yellow ppt. If AKSENIO. the ppt. do not appear, test the reaction of the contents of the capsule, and render neutral by the cautious addition of very dil. HHOs or HH4HO. Transfer to two test-tubes, and add HHOg to one, NH4HO to the other: both clear to colorless solutions. 183. Repeat the test as in § 182, using a soln. of H3As04 in place of H3AsOa: a brick-red ppt., which also dissolves in HHOgand in NH4HO, I*4. Reinsch’s test.—To 5 cc. in a test-tube add 0.5 cc. HCI and a slip of sheet Cu 2 mm. wide and 2 cent, long ; boil about five minutes, adding H2O to supply loss by evapora- tion. If the Cu remain perfectly bright, the materials are pure; if the Cu become even faintly dimmed, the ma- terials (Cu or HCI) are impure, and others must he substi- tuted. Having proven the purity of the reagents, put about 5 cc. of the liquid under examination into a test-tube, add 0.5 cc. HCI and a slip of Cu, and boil. The Cu becomes gray, then black. Remove the Cu, wash it in H2O, dry between filter paper, taking care not to detach the black deposit. Place the Cu strip in and about 3 cent, from one end of a glass tube about 3 mm. in internal dia- meter and 15 cent. long. Warm the tube cautiously, holding it at an angle of 45° to the horizontal, until all moisture is driven off, then hold the tube at the same an- gle in the flame, so that the Cu is heated to bright redness. A white band is formed above the point at which the Cu was heated. Rotate the tube in the sunlight; brilliant, diamond-like reflections are seen. Examine the white band with a magnifier; it is found to consist of octahedral crystals of As2Og (Fig. 28) (see §§ 192, 207, 237). 185. Marsh’s test.—Place some granulated zinc in a flask of 100 cc. capacity; fit the cork carrying a funnel tube and right-angled tube (a. Fig. 29). Connect the right- AESEJSTIO. 58 angle tube with the drying tube b, filled with fragments of CaCb or CaO between loose pings of cotton, and connect this in turn with the Bohemian tube c. Pour dil. HaS04 through the funnel tube in small quantities at a time, so that a moderate evolution of Ha results. After twenty minutes, light the burner d, and the gas escaping at e, and, after another half-hour, examine the tube at c. If the tube be perfectly clean, the Zn and H.SO, are free from *2 4 arsenic; but if any deposit have formed at c, the reagents contain As and must be discarded. Fig. 28. Having thus proved the purity of the chemicals, intro- duce the liquid to be tested, strongly acidulated with H2S04, through the funnel tube in small portions at a time, and at such a rate that two hours would be consumed in Fig. 29. ARSENIC. 59 adding 25 cc. If As be present, a black or brown, single or double, metallic “mirror ”is produced at c. After the mirror has become quite distinct, the tube c may be dis- connected from b, another tube fitted, and a second mirror collected. Now extinguish the burner, and hold a short section (about two cent.), cut from the bottom of a test- tube, over the flame at e, and, after a few moments, re- move and examine it. If As be present in sufficient quan- tity, the brilliant octahedral crystals of As203 will be found deposited on the glass. Next hold the cover of a porcelain crucible in the flame at e for a short time; a brown stain is formed on the porcelain. Collect several similar stains on porcelain, and examine them as follows: 1. Moisten one with sodium hypochlorite soln.; it dissolves instantly. 2. Moisten with NH4HS soln. and warm; it dissolves slowly. 3. Evaporate the soln. 2to dryness; a yellow residue remains. 4. Obtain three residues as in 3. Moisten one with NH4HO, the other with HCI; the former dissolves, the latter does not. 5. Moisten the third resi- due 4 with HNOs; it dissolves. Evaporate to dryness; a white residue remains. Moisten with AgNOa soln.; it turns brick-red. Lastly, take one of the tubes c in which a mirror has been formed, cut oft the bent portion, and, holding the tube at an angle of 45° to the horizontal, cautiously heat the mirror: it disappears, and above it a white ring is depos- ited, consisting of the brilliant octahedral crystals of As203. Marsh's test is the most delicate and reliable of the tests for arsenic. Great caution is, however, required that the chemicals used do not themselves contain arsenic. 186. Antidotes.—Emetics, stomach-pump, dialyzed iron, ferric hydrate. The last-named is made by adding excess of aqua ammonias to liq. ferri tersulphatis, collecting ANTIMONY, 60 the ppt. in a piece of muslin, and washing at the tap until the washings do not smell of ammonia. It is to be given moist, and in quantities at least twenty times as great as the amount of As203 to be neutralized. 187. To 5 cc. of the soln. to be tested add 2 gtt. HCI: a white ppt. of Sb203, if the soln, be not too dilute. Con- tinue the addition of HCI: the ppt. redissolves. Antimony. Sb. 188. Treat the soln. from § 187 with HaS: an orange- red ppt. Collect the ppt. on a filter; wash with H2O and place portions in three test-tubes. 189. Add UH4HS to a portion of the ppt, from § 188: it dissolves. 190. Add UH4HO to a portion of the ppt. from § 188: it does not dissolve. 191. Add HCI to a portion of the ppt. from § 188, and warm: it dissolves. 192. Apply Reinsch’s test as directed in § 184; a stain, like that produced by arsenic, is formed upon the Cu. Upon heating the Cu in the glass tube, a white band is produced as in the case of As, but this band coiisists of amorphous material (Sb2Os). not of crystals. 193. Apply Marsh’s test as directed in § 185. A metal- lic mirror, closely resembling that consisting of As, is formed in the tube c, fig. 29; it differs, however, from the arsenical mirror in being situated nearer to the heated por- tion of the tube, in disappearing less rapidly when heated in the tube through which a current of air is passing, and in yielding an amorphous, in place of a crystalline subli- mate when so heated. The stains produced on porcelain differ from those consisting of As, in that: 1. They are insoluble in sodium hypochlorite soln. 2, They dissolve quickly in UH4HS. 3. The residue of evaporation of the BISMUTH. 61 soln. from 2 is orange-red in color, is soluble in warm HOI, and insoluble in HH4HO. 4. The residue of evaporation of the soln. from 2, when dissolved in warm IiUST03 and evaporated, leaves a white residue which does not become colored on addition of AgH03. IST. B.—lf the method described in § 168 have been fol- lowed, As and Sb will have been separated, the latter hav- ing been precipitated from the soln. before the liquid is introduced into the Marsh apparatus, and, consequently, the two elements cannot be mistaken for one another. 194. Antidotes.—Warm water to produce emesis if it have not occurred, stomach-pump, tannin (decoction of oak bark, cinchona, nutgalls, tea). 195. Dissolve Bi in HH03, and dissolve the white, crys- talline residue in dil. HOI. Divide the soln. into two parts. Bismuth. Bi. 196. Treat half the soln. obtained in § 195 with II2S, a brownish-black ppt. is formed. Divide the liquid and sus- pended ppt. into three portions in three test-tubes. 197. To one test-tube, § 196, add ]STH4HS: the ppt. does not dissolve. 198. To another test-tube, § 196, add KHO; the ppt, does not dissolve. 199. To another test-tube, § 196, add, after decanting as much as possible, HH03: the ppt. dissolves. 200. Add ]STH4HS to a portion of the second half of the soln., § 195: a brownish-black ppt., having the same prop- erties as that formed in § 196, is formed. 201. Adda small portion of the soln., § 195, to a large quantity of H2O; a milkiness is produced (if the amount of HCI in the soln. be not too great), which clears on addi- tion of HOI and application of heat. COPPER. 62 202. Add KHO, NaHO, or KH4HO to a portion of soln., §195: a white ppt. 203. Add strong sodium acetate soln. to part of soln., § 195, and then"potassium chromate soln.: a yellow, floc- culent ppt. Divide the ppt. into two parts in two test- tubes. 204. To one test-tube, § 203, add KHO: the ppt. does not dissolve. 205. To the other test-tube, § 203, add HK03 in excess: the ppt. dissolves. 206. Add potassium ferrocyan de soln. to part of soln., § 195: a yellowish ppt., insoluble in HCI, 207. When Reinsch’s test is applied to a soln. contain- ing Bi, the Cu becomes stained as with As and Sb, but no sublimate is formed when it is heated in the glass tube. Copper. Cu. 208. Treat with H2S: brownish-black ppt. Collect the ppt. on a filter, and wash with H2O containing H2S, keeping the funnel covered with a glass plate. Place some of the ppt. in four test-tubes. Add KHO to a portion of ppt.: it does not dissolve. Add NH4HS to a part of ppt.: it does not dissolve. Boil part of ppt. with dil. H2S04: it does not dissolve. Boil part of ppt. with dil. HNOs: it dissolves. 209. Add KHO: a pale blue ppt. Boil the liquid: the ppt. contracts and turns black. 210. Add 2 gtt. dil. KH4HO: a greenish-blue ppt. Add a further quantity of KH4HO: the ppt. dissolves, forming a dark-blue soln. 211. Add potassium ferrocyanide soln: a brown ppt. Add acetic acid: the ppt. does not dissolve. 212. Add a few gtt. H2S04, and immerse in the soln. a LEAD. 63 piece of bright Fe wire: the wire is coated after a time with a non-adherent film of Cm 213. Moisten a loop of Pt wire with the soln., and hold it in the lower portion of the Bunsen flame, which is then colored green. 214. Antidotes.—Stomach-pump, albumen. Lead. Pb. 215. Treat with H..S: a black ppt. Wash the ppt. with H2O, containing H2S, and place portions of it in four test- tubes. Add KHO to one test-tube: the ppt. does not dissolve. Add NH4HS to another test-tube; the ppt. does not dis- solve. Add dil. HK03 to another test-tube, and boil: the ppt. dissolves. Add strong HK03 to another test-tube, and boil; the black color of the ppt. is discharged, and a white insoluble material remains. The PbS has been oxidized to PbS04. 216. Add HCI: a white ppt., if the soln. be not too di- lute. Heat the liquid : the ppt. dissolves. Allow the liquid to cool; the PbCl2 separates in crystals. 217. Add NH4HO: a white ppt., insoluble in excess. 218. Add KHO; a white ppt. Add excess KHO and heat: the ppt. dissolves. 219. Add dil. H2S04: a white ppt. 220. Add KI: a yellow ppt. Wash the ppt., suspend portion in H2O; boil, and filter hot: on cooling, the soln. deposits brilliant yellow crjvstals. 221. Add potassium chromate: a yellow ppt. Collect the ppt., wash, and place portions in two test-tubes. To one test-tube add KHO: the ppt. dissolves. To the other test-tube add acetic acid: the ppt. does not dissolve. MERCURY. 64 222. Suspend apiece of Zn. in the soln.: crystals of metallic lead separate after a time. 223. Antidotes.—Magnesium or sodium sulphate ; stomach-pump; emetics. Mercury. Hg. MERCUROUS (Hg2) 224. Heat a small quantity of calomel in a reduction tube: it does not fuse, hut turns yellow and sublimes. 225. Add HCI to soln. Hg2(N03)2: a white ppt. Add KH4HO: the ppt. does not dissolve, but turns black. 226. Add KH4HO to soln. Hg2(lSr03)2: a black ppt., insol. in excess. 227. Add KHO to soln, Hg2(lSr03)2: a black ppt., insol. in excess. 228. Add KI to soln. Hg2(N03)2, without excess of HJSTO,: a greenish ppt. MERCURIC. Hg. » 229. Heat a small portion of corrosive sublimate in a reduction tube: it turns yellowish, fuses, and sublimes. 230. Add HCI to soln. HgCl2: no ppt. is formed. 231. Add HH4HO: a white ppt., sol. in solns. of NH4 salts. 232. Add KHO: a yellow ppt., insol. in excess. 233. Add 2 gtt. KI to soln. Hgo1t: a salmon colored ppt., which turns red rapidly. Add excess KI: the ppt, dissolves, forming a colorless soln. MERCUROUS AND MERCURIC. 234. Treat with H2S: a ppt., which is first white, then orange, then brown, and finally black. Collect the ppt. MEECUEY. 65 on a filter, wash until the washings are free from Cl, and place portions of the ppt. in three test-tubes. Add strong HCI to one test-tube, and boil: the ppt. does not dissolve. Add strong HHOa to another test-tube, and boil: the ppt. does not dissolve. Mix the contents of the two tubes, and heat: the ppt. dissolves. Add hTH4HS to the remaining tube, and warm: the ppt. does not dissolve. 235. Dissolve a fragment of Sn in HCI with the aid of heat. Add a few gtt. of this soln, to 1 cc. soln. HgCl2: a white ppt. Add more SnCl2 soln.: the ppt. turns gray. Boil the liquid, decant as much of the liquid from the ppt. as possible, add HCI to the ppt., and boil: the ppt. unites into globules of metallic Hg. 236. Pour dil. Hh[03 on a copper cent. When the Ou has become bright, pour off the acid, wash the coin with water, and immerse it in soln. HgCl2, acidulated with HCI: after a time the Cu is covered with a gray film. Rub the surface of the coin with the finger: it assumes a silvery lustre. 237. Apply Reinsch’s test to a soln. of HgCl2: the Cu is stained as with As, Sb, and Bi, but when heated in the glass tube it yields a sublimate consisting of minute globules of Hg. 238. Immerse a bar of Zn, around which a strip of den- tists gold foil has been wound, so as to leave exposed alter- nate surfaces of Zn and An, in dil. soln. HgCl2, acidulated with HCI. The An is covered with a silvery film and, when heated in a glass tube, yields a sublimate consisting of globules of Hg. 239. Antidotes.—White of egg, followed in a few mO' ments by an emetic, or stomach-pump. BAEIUM ZINC. 66 Barium. Ba. 240. With (NH4).2C03, a white ppt., sol. in acids. 241. With dil, H2S04, or CaS04 soln., a white ppt., insol. in acids. 242. With HC2H302 and K2Cr04, a yellow ppt., sol. in warm HC2H302. 243. On Pt wire, colors Bunsen flame yellowish-green. 244. Antidotes.—Magnesium or sodium sulphate. Zinc. Zn. 245. Add JSTH4CI and NH4HO to alkaline reaction, and treat with H2S: a white ppt. , Transfer the liquid and sus- pended ppt. to three test-tubes. To one tube add N114HS: the ppt. does not dissolve. To another tube add H02H302: the ppt. does not dis- solve. To the third add HCI: the ppt. dissolves. 246. Add KHO in small quantity: a white ppt. Add excess of KHO: the ppt. dissolves. Add H2O and boil; a white ppt. again separates. 247. Add potassium ferrocyanide: awhile ppt., insol. in HCI. 245. Antidotes,—Milk, white of egg, tea, tannin. VEGETABLE POISONS. 249. In this class are included the alkaloids, glucosides, and vegetable acids. Their separation from organic mix- tures, contents of stomach, organs, etc., is best effected by a combination of the Stas-Otto and Dragendorff methods. The substances to be examined, hashed if solid, are placed in a flask and covered with twice their weight of alcohol,* alcoholic solution of tartaric acid is then added, during agitation, until the contents of the flask are dis- tinctly acid. The mouth of the flask is closed with a cork, through which passes a glass-tube of 8 mm. internal diameter and about a meter long, open at both ends, and the flask warmed over the water-bath about two hours. The contents of the flask are allowed to cool, filtered through a filter moistened with alcohol, and the insol. por- tion washed with alcohol. The alcoholic filtrate and wash- ings are evaporated in a porcelain capsule at a temperature of 35° 0., until the alcohol is removed. The aqueous liquid remaining is cooled, filtered, and the filtrate evaporated to the consistence of syrup. To the syrupy residue a few gtt. absolute alcohol are added and the mix- ture thoroughly stirred. The addition of absolute alcohol in small portions, during constant stirring, is continued so long as any precipitate is formed. The alcoholic liquid is filtered off and the residue washed with alcohol. The fil- trate and washings are evaporated to the consistence of * Alcohol for this purpose must be purified by dissolving in it tartaric acid to strongly acid reaction, and distilling over the water-bath. VEGETABLE POISONS. 68 syrup, and the residue dissolved in ILO. The distinctly acid aqueous soln. is transferred to a bulb funnel (Fig. 30) in which it is agitated with different solvents as follows: The acid, aqueous liquid is agitated with petroleum ether, the ethereal layer separated, aud evaporated. This treatment, like all of the subsequent agitations, is repeated so long as the solvent dissolves anything. The petroleum ether leaves a residue, Residue 1., which contains principally fatty, resinous, and pigmentary sub- stances. The acid, aqueous liquid is next agitated with benzol, which is evaporated in several watch glasses. This, Residue 11., may contain colchicin, digita- lin, and small quantities of veratrine and physos- tigmine. The acid, aqueous liquid is then agitated with chloroform, which is evaporated on watch glasses, yielding Residue 111., which may contain picro- toxin and digitalein and traces of brucine, narco- tine, physostigmine, and veratrine. The acid, aqueous liquid is again agitated with petroleum ether to remove CHCla, the ether separ- ated, and the aqueous liquid rendered alkaline with NH4HO. The alkaline, aqueous liquid is agitated with petroleum ether, which, on separation and eva- poration in watch glasses, leaves Residue IV., which may contain coniine and nicotine, and traces of brucine, strychnine, and veratrine. Fig. 30. The alkaline, aqueous liquid is next agitated with ben- zol, which is evaporated, yielding Residue V., in which atropine, hyoscyamine, narcotine, strychnine, aconitine, brucine, physostigmine, and veratrine may be found. The alkaline, aqueous liquid is then agitated with chloro- GENERAL REACTIONS OF ALKALOIDS MORPHINE. 69 form, which, or evaporation, leaves Residue VI., which may contain the opium alkaloids in small quantity. The alkaline, aqueous liquid is lastly agitated with amylic alcohol, from which Residue VII., in which mor- phine will be found if present in the substances examined, is obtained by evaporation. Finally, curarine, if present, will remain in the aqueous liquid, which may also contain oxalic acid. General Reactions of Alkaloids. 250. Add to an acidulated soln. of an alkaloid a soln. of potassium iodhydrargyrate, made by dissolving 13.546 gms. HgCla and 49.8 gms. KI in IL. H2O; a white or yel- low ppt. FT. B.—This reaction, like the subsequent ones, is best performed by placing a drop of the liquid under examina- tion and one of the reagent near each other on a slip of black glass and bringing the two together with a pointed glass rod. 251. Add to an acidulated soln. of an alkaloid, a soln. of phosphomolybdic acid: a white or yellow ppt. 252. Add to an acidulated soln. of an alkaloid, soln. of phosphotungstic acid: a white, flocculent ppt. 258. The following reagents also produce ppts. in faintly acidulated solns. of alkaloids: lodine in potassium iodide, brown; tannin, white or yellow; platinic chloride, yellow- ish, usually becoming crystalline; auric chloride, yellowish; phosphoantimonic acid, white; iodide of potassium and iodide of cadmium, white or yellow; picric acid, yellow. Morphine. 254. Moisten a crystal withHN03: a red color, chang- ing to yellow. 255. Moisten with H2S04: the alkaloid dissolves, form- MORPHINE—MECONIC ACID. ing a colorless soln. Let stand twenty-four hours, and add a trace of HK03: the liquid turns pink. Warm, cool, dilute with H2O and add a small crystal of potassium dichromate: a mahogany color. 256. Dissolve a few crystals of iodic acid in II20, and shake a part of the soln. with CHC13, the latter should not he colored. Add to a soln. of a morphine salt a few gtt. of the iodic acid soln, and agitate: the liquid assumes a yellow color. Add a few gtt. CIICl3, and agitate: the CIIC13 which separates at the bottom is colored violet. Float some dil. NiLHO on the surface of the liquid: the test-tube will contain different colored layers; violet below, then yellow, dark yellow or brown, and faintly yellowish. 257. Moisten a crystal of morphine, or add to a neu- tral soln. of one of its salts, a neutral soln. of Fe2Cl6: a blue color. 258. To a crystal of morphine add a soln. of molybdic acid in li2S04 (Frohde’s reagent): a violet color, changing to blue, dirty green, and faint pink. Water discharges the color. 259. Add KH4HO to AgK03 soln. until the ppt. begins to remain undissolved, filter, add soln. of a morphine salt and warm: a gray ppt. Filter off the liquid and add to it HK03: a red or pink color. 260. Antidotes.—Stomach-pump, wash out stomach with H2O, holding powdered charcoal in suspension, or with infusion of tea, ZnS04. Keep patient awake. Atro- pine ? Meconie Acid- 261. To portions of the acid in three watch glasses add Fe2016 soln: a red color is produced. To one watch glass add dil. HCI: the color is not discharged. To the second watch glass add HgCl2 soln.: the color is not discharged. STRYCHNINE. 71 To the third watch glass add sodium hypochlorite soln.: the color is discharged. 262. Add Fe2Cl0 soln. to a sulphocyanate in a watch glass: a red color, similar to that with meconic acid, is produced. Add HgCl2 soln.; the color is discharged. Strychnine. 263. Place a minute drop of a soln. of a strychnine salt on the tongue: a persistent, intensely bitter taste. 264. Add H2B04: the alkaloid (or its salts) dissolves, forming a colorless soln. Draw through the soln. a frag- ment of a crystal of potassium dichromate: it is followed by a streak of color; at first blue (very transitory and fre- quently not observed), then a brilliant violet, which slowly changes to rose pink, and finally to yellow. 265. Evaporate a drop of soln. of a strychnine salt on a slip of Pt. foil, moisten the residue with concentrated H2S04, connect the foil with the 4- pole of a Grove cell, and bring a Pt. wire, connected with the pole in con- tact with the surface of the acid: a violet color on the sur- face of the foil. 266. Moisten a fragment of strychnine with a soln. of iodic acid in H2S04; a yellow color, changing to brick-red and then to violet-red. 267. Let an assistant hold a small frog by the hind legs. Raise the skin of the back at the root of the legs with a forceps, make a small incision with a scissors and allow a few gtt. of a very dilute soln, of a salt of strychnine to flow into the lymph pouch. Place the frog under a glass shade: within ten minutes the animal has violent tetanic spasms, with opisthotonos or emprosthotonos, increasing in frequency, and provoked on the slightest touch, or by blowing upon the surface. 268. Add a few gtt. of a dil. soln. of potassium dichro- ATROPINE—OXALIC ACID. mate to a soln. of a strychnine salt: a yellow, crystalline ppt. Collect the ppt. and moisten it with cone. H2S04: a play of colors as in § 264. 269. Antidotes.—Stomach-pump, wash out stomach with infusion of tea. Chloroform, chloral. Atropine. 270. Dissolve a fragment of potassium dichromate in a few gtt. H2S04, warm, add a fragment of atropine and two gtt. H2O, and stir: an odor resembling that of orange blossoms. 271. Drop a few gtt. of a dil. soln. of a salt of atropine into the inner canthus of the eye of a cat, after a few mo- ments hold the animal so that the light falls equally upon both eyes: the pupil of the eye operated upon is widely dilated. 272. Add a five-per-cent solution of HgCl2 in fifty per cent C„II00, and warm gently; a brick-red ppt. 273. Dissolve the substance to be tested in alcohol. Heat some mercuric cyanide in a short test-tube, fitted with a cork and bent glass tube. Pass the gas evolved from the Hg(CH)2 into the alcoholic soln.: it assumes a blood- red color. 274. Moisten the solid alkaloid with cone. HN03, dry on the water-bath, cool, add a drop of an alcoholic soln. of KHO: a violet color passing to a brilliant red. 275. Antidotes.—Emetics, stomach-pump, wash out stomach with infusion of tea. Morphine ? Oxalic Acid. 276. Add HH4HO to neutral or faintly alkaline reac- tion, then a soln. of (JaCl2: a white ppt. Add HCI: the ppt. dissolves. 277. Add AgH03: a white ppt. Boil the liquid: the OXALIC ACID. 73 ppt* does not darken. Divide the ppt. and liquid into two portions; to one add HN03, to the other NH4HO: the ppt. in each dissolves. 278. Add Pb(OaH3Os)a: a white ppt. if the soln. be not too dilute. Divide the liquid and ppt. into two parts, to one add HND3 : the ppt. dissolves; to the other add HC2H302: the ppt. does not dissolve. 279. Antidotes.—Slacked lime, magnesia usta, sus- pended in a small quantity of water. Give as little liquid as possible, and do not use stomach-pump if symptoms of corrosion are observed. INDEX. Abbreviations, 2 Acidimetry, 22 Albumin, 11, 82 Albuminoids, 8 Alcohol, 46 Alkalimetry, 22 Alkaloids, 69 Ammonia, 52 Ammonio - magnesian phos- phate, 36 Antimony, 60 Arsenic, 55 Atropine, 72 Barium, 66 Bile, 19 Bdiary pigments, 20 salts, 19 Bismuth, 61 Blood, 18, 89 Burette, 23 Calcium oxalate, 36 phosphate, 36 Calculi, 41 Carbolic acid, 48 Casts, 39 Chloral, 47 Chlorides, 7, 25, 50 Chloroform, 46 Color, 8 Copper, 62 Cystin, 37 Decimeter, 2 Diabetic sugar, 15, 33 Epithelium, 38 Filtration, 9 Funnels, 9 Glucose, 15, 33 Hydrochloric acid, 50 Hydrocyanic acid, 45 Lead, 63 Leucin, 37 Meconic acid, 70 Mercury, 64 Mineral substances, 6 Morphine, 69 Mucin, 14 Mucus, 38 Nitric acid, 50 Odor, 8 Organic substances, 6 Organized deposits, 38 Oxalic acid, 73 Paraglobulin, 13 Peptone, 14 Phenol, 48 75 INDEX. I'hosphates, 7, 26 Phosphorus, 44 Pipette, 28 Poisons, 43 metallic, 52 mineral, 49 vegetable, 67 volatile, 43 Potash, 51 Proteids, 8 Prussic acid, 45 Pus, 38 Quantity, 3 Reaction, 4, 22 Rules, 1 Soda, 51 Spermatozoa, 40 Strychnine, 71 Sugar, 15, 33 Sulphates, 7, 28 Sulphuric acid, 49 Test, biuret, 8 Boettger’s, 16 Esbach’s, 32 Fehling’s, 18, 33 fermentation, 18 Fowler’s, 30 Gmelin’s, 20 Test, Heller’s, 11 Marsh’s, 57 Moore's, 15 Mulder’s, 17 murexid, 8 Neubauer’s, 17 Oliver’s, 20 Paul’s, 21 Pettenkofer’s, 19 Reinsch’s, 57 Trocnmer’s, 16 Triple phosphate, 36 Tyrosin, 37 Unorganized deposits, 35 Urates, 35 Urea, 8, 29 Uric acid, 8, 30, 35 Urinary deposits, 34 Urine, color of, 3 composition of, 5 odor of, 3 quantity of, 3 reaction of, 4 specific gravity of, 4 Urinometer, 4 Vegetable poisons, 67 Wash bottle, 10 Zinc, 66