Pituitrin likewise does its part to maintain our internal environment as near as possible to what was once the surrounding medium. A substance somewhat similar has been found in the skin glands of toads. The extraordinarily well protected position of the pituitary, its persistence throughout life, and its abundant blood supply, emphasize its vital importance.
For some days after the pituitrin was stopped its influence seemed to persist as the pressure kept high while the mental condition was low. One of her longest spells of continuous mental depression which lasted for twenty-seven days, occurred while her pressure was high under the influence of adrenalin.
But P.E. Smith has shown that the active material is soluble neither in boiling water nor in boiling alcohol, the typical fat solvent. A number of facts favor the idea of the anterior lobe cells as stimulants of growth of bone and connecting and supporting tissues generally. From the posterior lobe, pituitrin, believed its internal secretion, has been obtained in solution.
Still on therapeutical as well as on other grounds it appeared to us important to determine what, if any, influence the raising of her blood pressure by drugs or otherwise would have on her mental state. We did this by baths, by abdominal pressure by means of a large sand-bag laid over the abdomen, and by such drugs as adrenalin and pituitrin.
Pituitrin is a substance of many marvelous functions. In general, it controls the tone of the tissues, of involuntary or smooth muscle fibres of the blood vessels and the contractile organs of the body like the intestines, the bladder and uterus.
I asked, touching the empty ampule from which he had injected the contents into her. "Pituitrin the extract of the anterior lobe of the pituitary body. Some one who had an object in removing her temporarily probably counted on restoring her to her former blooming womanhood by pituitrin and by removing the cause of the trouble."
When it was raised to 140"HGs under the influence of pituitrin there was marked depression as is shown in the chart for July, 1912. Pituitrin given in m. v. hypodermically three times a day, and after some days in larger doses by the mouth, kept the pressure between 125" HGs and 130" HGs, but with no corresponding mental improvement.
The symptoms closely resemble those of aniline poisoning, but there is perhaps greater mental confusion. Fatal Dose. Eight to ten drops have caused death. Treatment. Emetics, stimulants, transfusion of saline or blood, pituitrin, strychnine, or digitalin hypodermically. Throbbing and pulsation of all the arteries in the body; flushing of the face and collapse may follow.