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T, WR.V - . - (P.: Camphor
T, WR.V - . - (P.: Camphor
++ + --
w. E. GROVE, M.D.
came to the conclusion that pure atropine and hyoscyamine act in the
same way and with equal potency on the central nervous system of
mammals, and on the heart and motor nerve terminations of the frog.
Atropine stimulates more powerfully than hyoscyamine the reflexes
of the spinal cord in the frog. Hyoscyamine has almost twice as
powerful an action on the nerve endings in the salivary glands, heart
and pupil. The fact that atropine acts as a much more powerful
stimulant than laevo-hyoscyamine on the spinal cord of the frog would
indicate that the dextro-hyoscyamine has a specific strychnine like
action not I)OsseSSed by the laevo-hyoscyamine. Experiments with
pure dextro-hyoscyamine prove that this inference is in accord with the
facts. Cushney concludes that some organs have the property of
differentiating between optical isomers, while other organs are devoid
of this power. Cushney and Peebles4 showed also that the two hyos-
cines bear the same relation to each other as was found in the case
of the two hyoscya mines with regard to their action on the salivary
secretion and on the inhibitory fibers in the heart, laevo-hyoscine
being twice as powerful as dextro-hyoscine. The two alkaloids have
similar general effects upon frogs differing in this respect from atro-
pine and hyoscyaniine. The toxicity of the two niodifications of the
alkaloid for mammals appears to be about the same.
Similar differences in the action of optical isomers is also exhibited
by the two adrenalins. Cushney,5 using the natural laevo-adrenalin
obtained from the gland and the inactive synthetic adrenalin prepared
by Meister, Lucius and Brilning, showed that the racemic adrenalin
was only one-half as powerful in raising the blood pressure of dogs as
the natural laevo-adrenalin. Abderhalben and Miller,0 working with
laevo- and dextro-adrenalin prepared by Fl#{228}cher7 from synthetic
adrenalin, and also with the natural laevo-adrenalin obtained from the
gland, were able to demonstrate that laevo-adrenalin, both natural
and artificial, was fifteen times as powerful as the dextro-forni in
raising the blood pressure of dogs and rabbits. It was further shown
:1
after laevo-camphor had called forth its greatest activity the rate of
the heart could be still further increased by using dextro- or racemic-
camphor. The chloral stoppage of the heart could in no case be inter-
rupted by laevo-eamphor. The only statement that the writer has
been able to find as to the toxicity of camphor is that made by Soll-
mann’3 for the ordinary dextro-camphor. He states that 2 grams in
oil subcutaneously or by stomach will cause convulsions in a rabbit
and that 4 grams in oil by stomach convulsions in a dog and that 0.1
grain subcutaneously is fatal to frogs, death being preceded by
paralysis.
In my work dextro-, laevo- and racemic camphor were employed.
The dextro-camphor used was the ordinary camphor of commerce
which was purified by dissolving in absolute alcohol, filtering and
evaporating off the alcohol. This product melted sharply at 176#{176}
C.
The laevo- and racemic camphors, prepared by E. Schering, Berlin,
both melted very sharply at 176#{176}
C. Each of these three camphors
was dissolved in absolute alcohol, one part camphor to five parts alco-
hol by weight, and its specific rotation determined. The dextro-
camphor gave a specific rotation of + 43.83#{176}. The specific rotation
of the laevo-camphor was - 43.44#{176},while the synthetic camphor
was practically inactive [(a) d = - 0.63#{176}]. The room temperature dur-
ing these observations was 31.5#{176}C. Beckniann’4 found that both
dextro- and laevo-camphor melt at C. and
175#{176} when dissolved in
absolute alcohol in a one to five solution give a specific angle of rota-
tion of ± 44.22.#{176}
In niy own experiments both frogs and white rats were employed.
The camphor was in each case introduced under the skin of the back
in the form of a 10 per cent solution in pure olive oil. After a few
preliminary experiments to determine the approximate toxicity of
dextro-camphor 1 found it convenient to calculate my doses of camphor
in milligrams per gram of body weight of the animal.
In frogs I found that the minimal lethal dose of dextro-camphor was
between 3.1 ng. and 3.2 rug, per gram of body weight (table 1), while
that of laevo-camphor was 2.3 rug. per gram of body weight (table 2);
2.2 mg. per gram of body weight killed in 25 per cent of the cases. The
13 Sollmann: Text book of Pharmacology, p. 949, 1906.
‘ Beckmann: Annalen, 250, 352, 1889.
‘r- + ‘ N” + + . -
TABLE 1
All these frogs were injected under the skin of the back with a 10 per cent solution of
dextro-camphor dissolved in pure olive oil.
0
0
H
‘4
OR
;.. ; N
DATE1909 0 ORE
TABLE 2
All these frogs were injected under the skin of the back with a 10 per cent solution of
laevo-camphor in pure olive oil
S + ‘Z’O
0
O RD
H .3,
S
OR
DATE 1909 ;&.z s.
0 OHH
550
0
H
TABLE 3
All these frogs were injected under the skin of the back with a 10 per cent solution of
dextro-laevo-camphor in pure olive oil
0
0
H
lIE
DATE-1909
HO
‘4-
Experiment 1
* Nom-By the foreleg reflex is meant the convulsive adduction of the forelegs
of the frog when the under side of the jaw is stroked.
Experiment 2
A
452 w. E. GROVE
I 1 :48 a.m . Respiration and heart beat are too feeble to be seen or counted . Frog
absolutely paralyzed. Hind leg reflexes gone. Foreleg reflex present but sluggish.
12:03 p.m. Heart 22 per minute. Reflexes gone.
1 :30 p.m . Heart 23 per minute. Reflexes gone.
.1:0() p.m. Heart 14 per minute. Reflexes gone.
4:15 p.m. Frog dead, 6 hours after injection.
Experiment 3
4:15 p.m. Heart 28 beats per minute. Very slight abdominal and foreleg
reflexes present. Hind leg reflexes gone.
9:00 pin. Reflexes reappearing and increasing. Frog makes a few voluntary
movements.
Experiment 4
10:28 am. Frog weighing 35 grams received 0.9 cc. of pure olive oil under the
skin of the back. This frog was observed for 2 hours during which time he
remained practically normal.
7:00 p.m. Frog quite normal.
-.4
..
454 W. E. GROVE
TABLE 4
All of those rats were injected under the skin of the back with a 10 per cent solution of
dextro-camphor in pure olive oil
z 0 OElI ZZ,
- ‘4 ‘4O I 5E’
<H’4
! DH’ 0
zt;
‘4 ‘4 ZR. ER,,l>,
-, E
DATE
00 lI
1909 #{231} Zz - ZZ
-0 O “‘4’4 ‘4R
‘45H5
‘411 ,‘4
5.CEi. .(‘E HE
H:
TABLE 5
All these rats were injected under the skin of the back with a 10 per cent solution of
laevo-camphor in pure olive oil
HI
‘ON
DATE lIE
0
1909
0
SR
5-
It will be Iloted from these tables that mammals are more sus-
ceptible to camphor of both modifications than frogs, the minimal
lethal dose iii both cases being only one-third ofthat for frogs. Whether
this is due to a greater susceptibility of mammals, or to better
absorption or to a less rapid excretion of the drug cannot at present
be stated. Although for rats no great difference in the minimal
lethal dose of the two modifications could be shown, nevertheless, the
laevo-modification acts much more quickly and powerfully than the
dextro-camphor in the same dose. The convulsions come on much
more rapidly, are very much more severe and death ensues more
rapidly. The differences in pharmacological action between the two
modifications is merely one of degree. No qualitative differences were
made out.
The pharmacological action of all the camphors is principally
upon the central nervous system. The action is one of stimulation
from the beginning. At a variable time after the injection, depend-
ing upon the size of the animal and the amount of camphor injected,
the animal experiences convulsions. At first these are very slight
shaking movements which involve the entire body. Very early a
trisinus sets in as is evidenced by the grinding of the teeth. As the
convulsions become more and more severe they take on more and more
the characteristics of an opisthotonus. The animal lies on its belly
with legs stretched out, head stretched back and tail arched over its
back. The convulsions are entirely clonic in character. At times
there appear alternate contractions of the two sides of the body,
throwing the rat from side to side. This type of convulsion is pro-
duced alike by both modifications of camphor. During the convul-
sions the breathing is very rapid. Later, as the number of convul-
sions decreases, the breathing becomes slower and slower and death is
finally caused by failure of the respiration. The heart may continue
to beat for a time after cessation of the respiration. As in the case of
frogs it was noted in the rats which lived a considerable time that the
bladder was distended with urine, pointing probably to a tonic spasm
of the sphincter of the bladder.
Microscopic examination of the tissues of rats poisoned with dextro-
and laevo-camphor showed nothing beyond a considerable degree of
hemorrhage into the tissues and a condition of parenchynmatous degen-
eration in the viscera.
456 W. E. GROVE
CONCLUSIONS