THE experimental production of acute adrenal insufficiency by removal of both glands is attended, as Gradinescu(5) first showed, by a steady rise in the number of red corpuscles per c.mm. of blood. Donath(3) subsequently observed that the weight of the dry residue of the blood increases after bilateral extirpation. Dale(l) also observed this concentration of the blood after removal of both adrenals and found associated with it a greatly increased susceptibility to histamine.Our investigations have been primarily directed to determining the parts played by defect of cortex and medulla respectively in causing this concentration of the blood and increased susceptibility to histamine. In the course of our work we have noted certain other features of adrenal instifficiency, and investigated the concentration of the blood caused by injecting intravenously small doses of histamine.
METHODS.The experiments were made on adult cats1. In order to destroy the medulla, radium emanation, in dose generally varying from *26 to 1.5 mg., was embedded in it. The emanation was enclosed in a sealed glass capillary tube 4 to 6 mm. in length, and just under 1 mm. in diameter. The adrenal was exposed through the flank, slung up by a ligature tied to the divided lumbo-adrenal vein, and a small incision made into one pole. The tube containing the emanation was placed in the end of a glass tube bent nearly to a right angle and just large enough to contain it. The containing tube was thrust into the medulla, and the emanation tube was extruded by a piece of flexible piano wire, prevented from going too far by a glass bead. Since the emanation has a rather rapid rate of decay it was left in the gland, except in a few cases in which larger doses (15 to 21 mg.) were implanted, for four or more hours and removed at a subsequent 1 All survival operations were carried out by Kellaway under ether anesthesia with full aseptic precautions.