[ Reprinted from The Medical News, May ar, 1892.] ANALYTIC NOTES ON COMMERCIAL COD-LIVER OIL EMULSIONS. HENRY LEFFMANN, M.D., AND WILLIAM BEAM, M.D., OF PHILADELfftlA. The excellence of an emulsion of cod-liver oil depends, of course, upon the proportion of oil present and upon the perfection of the emulsifica- tion. The latter condition may be roughly esti- mated by the facility with which the oil separates on standing, but the proportion present can only be determined by analytic methods. Since these preparations are extensively employed by physicians, it seemed to be of interest to determine the strength of commercial varieties, some of which make defi- nite claims as to quality. The analytic investiga- tions here noted were carried out by the most approved methods for fat-extraction, as applied in milk-analysis. The samples were obtained from a wholesale house and in the original packages. Care was taken to mix each sample thoroughly before making the analysis. 2 Brand. Per cent, of oil claimed. Per cent, of oil found (bv volume). Remarks. " Williams's emulsion of cod-liver oil with hypo- phosphite of lime." 50 49-9 " Phillips's palatable emul- sion of cod-liver oil." 50 49 5 Pancreatized. " Scott's emulsion of pure cod-liver oil." 50 49 5 " Hydroleine." 66.6 44-2 Pancreatized: contains sali- cylic acid. "Maltine with cod-liver oil." 30 35-9 Much maltose. " Baker's emulsion of cod- liver oil with hypophos- phites." " (second sample) 50 10.7 50 18.0 "Baker's pure cod-liver oil with extract of malt." 8.4 Much maltose. " Wilbor's pure cod-liver oil and phosphates." ... 37-3 "Wampole's perfected and " the cura- None. 14 per cent. tasteless preparation of cod-liver oil." tive agents from 25 per cent, pure Norwegian cod-liver oil." alcohol. The sample (Wampole's) last named is accom- panied by a circular stating that "the oil in this prep- aration is in positive solution, " and also a certificate from a professional chemist to the following effect: " I have examined the sample which you sent me, marked Wampole's perfected and tasteless solution containing the essential curative agents of cod-liver oil, and I find that it contains combined phosphorus in several forms, and the peculiar principles of wild 3 •cherry bark, and it also carries an amount of com- bined iodine, such as is found in a volume of cod- liver oil equal to 25 per cent, of the solution ; that is, one tablespoonful of the mixture carries the amount of combined iodine found in a teaspoonful of cod-liver oil." The sample analyzed by us con- tains 14 per cent, of alcohol and no appreciable amount of iodine. It is not inopportune to discuss briefly some of the chemical questions relating to the therapeu- tic value of cod liver oil. It is probable that the modern knowledge of causation and nature of phthisis, recognizing it as definitely due to a specific germ, will modify materially the therapeutic im- portance of such a substance as cod-liver oil, but incidental to the supposed especial nourishing function of the fatty matter, it has often been sug- gested that some accessory ingredients may be of value. For instance, iodine has often received credit, but it has been known for a long time that the proportion of this element is extremely minute, ranging from 0.001 to 0.004 per cent. It is evi- dently impossible to attribute the med'cinal value of the oil to the traces of iodine present, unless we are willing to accept the absurd doctrine of infini- tesimals. The proportion of iodine in dried cod- fish and in herring is considerably greater than in the oil. Theoretic considerations would lead to the view that the best emulsions are those made with pan- creatin, in association with the least possible quan- tity of gum, glycerol, or sugar. The piesence of 4 any considerable amount of the more easily fer- mentable sugars, such as maltose or glucose, must be regarded as objectionable. The presence of sali- cylic acid and of notable proportions ®f alcohol will be still more serious, for, as we have elsewhere shown, the former interferes decidedly with the action of the pancreatic ferment, and the latter should certainly not be employed except under specific and regulated conditions of dosage. Thus " hydroleine,'r an otherwise satisfactory emulsion, (although not found to contain the amount of oil indicated in the published formula)1, is objection- able from the presence of salicylic acid, and in the Wampole preparation we have, in addition to the fact that it contains no appreciable amount of oil,, the presence of 14 per cent, of alcohol as a most serious drawback to its use.