Lapas attēli
PDF
ePub

waste in coal mining" and as the whole subject of the conservation of all our resources developed and was studied, it has always been the engineers of the country, qualified by training, expert knowledge, and intelligence, who have led and must now lead in the study and broad consideration of our best national policy in conservation. It is the duty of engineers to keep in the forefront of the study and teaching of this matter, and to do their expert share towards shaping the policy of the nation to a course based on reason, economic principles and technical knowledge, rather than on sentimental or political diatribe. A greater danger is threatened to the public interests by the untrained, spasmodic, semi-political, and careless presentation and handling of these matters before the public, by men on whom their importance has suddenly dawned, than by a continuance of erroneous methods of the past. The trouble with most of the plans for railroad and business regulation, and for mineral and water-power conservation, proposed by men untrained and inexperienced in engineering and in business and financial methods and problems, is that their plans are apt to be ideal rather than real, their dicta negative and destructive rather than affirmative, positive and constructive, and their remedies untried and theoretical experiments, rather than of practical and efficient effect.

We should recognize, and this great war's awakening and upturn of all preconceived and preexisting conditions has emphasized, the importance of business-like rather than political management of our national transportation and industrial interests, and of all other national affairs involving expert scientific or business knowledge and training. Our country owes an incalculable debt of gratitude and appreciation to the great interests that have led in and made possible the wonderful transportation and industrial development of our land, and we may find that on a large scale we will be killing the goose that lays the golden egg of national prosperity, if we suffer our railroads and our great industries to be nagged and oppressed to the point of possible insolvency by blind unreasoning prejudice largely born of

ignorance, and largely based on political considerations that should not control. The present agitation of the whole subject has a high educational value for our people, and we may be certain that we can in the end trust the horse-sense, the intelligence that in the long run is characteristic of our people, not to be finally led away by 'isms or wild theories, but to use in the final determination of these questions that independence of judgment and sound common sense so characteristic of and inherent in the American people, and for which our politicians so often make the mistake of not giving the people credit.

What better summary of the existing conditions following the war has or can be given than the following from the St. Louis Star, comprehensive in its scope, yet wonderfully succinct in its statement?

A GREATER HUMANITY RISES FROM WAR

During the process of readjustment we shall profit from the lessons the war has taught. In that, aside from freedom for all the peoples of the world, will lie the greatest achievement of the war. When the balance is struck the profit will outweigh the loss. The human lives sacrificed will yield a better and a greater humanity. The cost in dollars will be absorbed quickly in passing years. The material gains will live and produce.

We, in America, have learned something of our strength. We have learned the possibilities of our united effort. We have learned economy. We have learned concentration. These things will mold themselves into our national character. We shall act with a new inspiration. We shall feel a new confidence. We shall have a new consciousness of the invincibleness of righteous purpose. HENRY STURGIS DRINKER

LEHIGH UNIVERSITY

CHEMISTRY AND MEDICINE: A TRIBUTE TO THE MEMORY OF JOHN HARPER LONG1

DR. LONG's life and work, so ably portrayed by Professor Dains, are an eminent instance of

1 An address given November 22, 1918, before a joint meeting of the Institute of Medicine of Chicago and the Chicago Section of the American Chemical Society.

the value of the work which lies in the great field of effort resulting from the relations of chemistry to medicine. For many years the main subjects of his investigations were enzymic action and problems of nutrition, researches of equal interest and importance to the progress of medicine and to the advancement of chemical knowledge. No less close and vital were these relations in the important spheres of influence which Dr. Long had created about himself outside of his laboratory, as instanced by his service of twenty years on the Illinois State Board of Health and by his connection with the Council of Pharmacy and Chemistry of the American Medical Association from its inception in 1905 to the end of his life. The same breadth of interest, supported by his great ability and fearless honesty, led to his selection as a member of Dr. Remsen's famous referee board, and in the last year of his life also to his election to the presidency of the Institute of Medicine of Chicago, which was founded in large measure to further the cause of medicine through the stimulation of research in all fields contributing to the advancement of medical knowledge.

Dr. Dains has discussed in an admirable fashion the details of Professor Long's valuable contributions to science and to the cause of humanity, and I have felt that I could pay no truer tribute to the high aims and achievements of my life-long colleague and friend than by attempting to outline to-night some of the important features of the relations between chemistry and medicine and thus help to have the cause "carried on" which Dr. Long so nobly served and had so greatly at heart.

From its earliest beginnings chemistry has found in medicine one of its greatest sources of inspiration-indeed, the very name of our science refers to the dawn of chemical knowledge in the temples of Egypt, the "land of Chêmi," where priests prepared simple remedies and studied their chemical nature. This close connection persisted through the centuries and found perhaps its crowning culmination in the persons of two modern giants

of the medical world-the greater one, Louis Pasteur, the chemist who turning to medicine and using his chemical knowledge and its exact criteria in its service, founded the knowledge of disease through microscopic organisms, the very foundation stone of modern medicine, and the second, Paul Ehrlich, who inaugurated the present most promising era of combatting these dread causes of disease by the development of specific remedies, produced artificially in the chemical laboratory in the form of pure chemical compounds. Between these two extremes, the cause of disease and its cure, chemistry has found such an infinite variety of lines of effort contributing to medical knowledge that I must necessarily limit my subject and I shall do so by confining myself in large measure to those phases of it with which I am personally most familiar. How necessary such a limitation must be is no better shown than by the fact that at the present moment medical science seems to be turning to chemistry more and more as an essential factor in every one of its fundamental branches. That chemistry was essential in bio-chemistry and in physiology has long been well understood, but of recent years pathology also has turned to chemistry for the solution of its most important problems; the best preparation for a bacteriologist, I am told, is long and advanced training in chemistry; and even the great science of zoology, so long held in thrall by the obvious fact of form, has now turned to chemistry. How vital these applications of our science are, has been impressed most insistently perhaps on me by the the fact that some biologists seem at length to have reached the conclusion that those most important of all factors in human life, in the very evolution of our race, the factors included in the collective name of heredity, must owe their wonderful power of transmission of characters and character in final instance to the chemical nature, the specific chemical character, of chemical molecules.

With this glimpse into the vast vistas of present and future developments in the domain of the relations of chemistry to medicine, I must turn from these most alluring questions

and ask what my own chosen field of chemistry, which for the lack of a better name we still call pure chemistry, can contribute to the cause of medicine. Let me say at once that I speak almost on the defensive, I have been asked so often by eminent physicians, by physiologists and biologists of every kind, why chemistry is so intolerably slow and backward in solving what are quite obviously chemical problems-problems striking at the very root of our health and happiness. The answer very simply is this: Pure chemistry aims to be and is an exact science; indefinite mixtures of substances, such as our tissues and secretions represent, interest us, it is true, most deeply, but we can handle them altogether successfully only to the extent that we can isolate from them pure principles for exhaustive, complete investigation, so complete that we do not rest until we have dissected the molecule of the pure compound, have put it together again, and thus have acquired first hand knowledge of the exact function of each of its members. In the same way, systems that contain more variables than we can control rigorously, as rigorously as the mathematicians, the physicists and astronomers control their material, pure chemistry puts aside until such a time when our knowledge has advanced far enough to give us exact knowledge of each component in the system, to make possible a rigorous analysis of the whole system. Every physician knows what medicine would be without dissection, without an exact knowledge of the structure and location of the organs and members of the body-every physician knows too how the functioning of the parts in the whole can be understood only by an accurate study first of the functioning of each organ and each member. Now, the scientific dissection and reconstruction of the molecules of important isolated principles is as a rule an extraordinarily difficult problem. Thus it took Baeyer, perhaps the greatest organic chemist of his generation, some fourteen years to determine what we call the structure of indigo, containing only some thirty atoms. But, his success opened the way with the inevitableness of fate to one of man's triumphs over nature: for

with the knowledge of its structure, the key was gained for the successful synthesis of indigo and its artificial preparation on a large scale, releasing many acres of land for the growth of other important products for human use. It took altogether some thirty-four years to complete the campaign for the successful production of indigo, and at that the campaign was planned and conducted by some of the keenest minds in our science and sustained by the prospects of rich rewards in gold for the successful issue! Similar vital work was carried out with other important dyes, such as alizarin or turkey red, methylene blue, magenta. I am emphasizing these facts, not only to illustrate the method of pure chemistry, but primarily to show what the successful issue of its efforts means. These and other dyes had been used commercially with an empirical knowledge during the many years that great investigators studied them from the point of view of chemistry as an exact science -but with the successful issue of their efforts in the profound analysis of the molecular structure of fundamental dyes, chemistry has gained for man supreme and practically unlimited power over the whole problem of color! It has made it possible for us to make at will a dye of any properties we may desirefast dyes for any fabric, unstable, sensitive dyes for photography, dyes of any conceivable shade, fluorescing, if you please, with any desired hue! This instance of the power gained by chemistry has already proved to be of great value in medicine, by the development of stains to differentiate cells, microorganisms, tissues of every variety.

The lesson of this conquest of the world of color by man would be wholly lost, if you did not carry from here the conviction that the methods which have scored so brilliant a success in one field are absolutely certain to be equally successful in conquering the greater world of bio-chemistry. The methods evidently are painfully slow. It took two generations to complete the conquest of colorwould ten or twelve generations be too long for the supreme conquest of the chemistry of life? The campaign has already long been

started and many a great victory is a promise of the complete triumph that must ultimately come. I shall attempt to outline for you three of the greatest problems which chemistry is facing in a titanic effort to invade and explore to its minutest parts nature's most precious domain-life: the problem of the synthetic remedy, the problem of the specific remedy, and greatest of all, the problem of living matter.

A brief survey of the development of our power to produce and control local anesthesia may serve to illustrate the kind of service chemistry is trying to render medicine in the domain of the synthetic remedy. The discovery of the effect of cocaine in removing by a simple local application all sense of pain where it has been applied, is, I believe, considered one of the great blessings of modern medicine, an aid to the surgeon, no less than a godsend to the patient. When cocaine was first exploited, there were two serious drawbacks to its use; one, its great cost-it was said to be worth its weight in gold-which necessarily limited its employment; the other, its poisonous character, by reason of which there were occasional fatalities connected with its employment. The story of the exploration of the structure of the molecule of cocaine, like that of indigo, is for the chemist a most thrilling and romantic tale great chemists made advances, only to meet with ultimate defeat-exactly as great explorers did in the investment of the secrets of the domain of the North Pole or of the heart of Africa-until finally the penetrating genius of Richard Willstaetter succeeded in reaching the great goal. The results of these investigations are found not only in the fact that medicine has now a host of valuable substitutes for cocaine, which have powerful anesthetic properties without dangerous secondary effects but even

than the gain in materia medica is this: in the conquest of the world of color it was found that color is primarily due to certain specific groups of atoms in the molecules of dyes, or rather, vice versa, that specific combinations of a few atoms in the molecules of compounds give specific properties and functions to these

compounds. This is, of course, really a fundamental law of chemistry revealed again in so complex a field as dyes. Now, exactly the same kind of specificity should be found in medicaments-that is, each specific function should be found to be the result of the presence of perfectly specific groups of atoms in the molecules of the medicaments. It is this application of the principles of pure chemistry which we can follow in the planned production of new and better local anesthetics and it is this application which points the way to one of the greatest lines of research for chemistry in the service of medicine to determine by exhaustive investigation the peculiarities of an atomic group which will give the clean physiological effects which every physician would like to have at hand in the treatment of disease. The path would thus be eventually opened to a truly scientific materia medica. In the dyes we have been able to control secondary effects, such as stability or fluorescence, and we have every reason to believe that chemistry can accomplish the same results and avoid untoward secondary effects in the problem of obtaining specific physiological effects.

The tremendous development of the production of so-called synthetic remedies is the visible manifestation of the application of chemistry to the kind of research I have outlined. A large part of this manufacture of synthetic drugs is, no doubt, of no permanent value, a far too large a portion is unquestionably even detrimental to the best interests of medicine as the result of claims that are, to say the least, too sanguine and often without an adequate basis of fact. Again the lure of gold is marring while stimulating this great effort in behalf of mankind. But that real progress has been made has been amply demonstrated by the situation in this country in the matter of synthetic drugs, resulting from our war with Germany: this has separated the wheat from the chaff and shown that there indeed are a number of drugs, invented by chemistry, which may be considered vital in the treatment of disease.

The second line of research in the application of these methods of chemistry to the prob

lems of medicine, which should be emphasized, is that which has found its most convincing expression in Ehrlich's great work on salvarsan and neo-salvarsan, now known to us by their American official names as arsphenamine and neo-arsphenamine. This is the most convincing instance of the wonderful opportunities in developing the specific agent that will kill a specific invading germ without permanent injury to its host. Quinine was, I believe, the first specific of this kind, and it would seem that it would have been only a single self-understood step from the use of a natural chemical compound to the development of synthetic chemicals for similar purposes-but it took an Ehrlich to take the first great and successful step in that direction. Ehrlich, like Pasteur, was a chemist before he became interested in medicine and it is important to know that in developing arsphenamine he used all the resources of pure organic chemistry, his special field, changing the structure of the molecule he was developing, here a little, there a little, putting an apparently slight but essential finishing touch here and there, just as a sculptor would handle his clay and his marble. Finally after six hundred and five preliminary studies the product needed to produce the desired effect was perfected! In arsphenamine the ordinary path of synthesis was abandoned, that is, the ordinary path of taking a natural product like indigo, cocaine, or atropine and finding out the secret of the constellation nature had constructed. Ehrlich struck out to build his own cunning molecular contrivance to kill the invading germ without harm to the host and he succeeded brilliantly! For many other diseases due to bacterial invasion medicine is now using specific antitoxins and vaccines, manufactured in some host or medium by the germs themselves. With the curative agency we find inevitably substances poured into our systems which are not needed for the effect desired and which may indeed be harmful. For instance, a child unfortunate enough to have received a prophylactic dose of diphtheria antitoxin is exposed to the dangers of anaphylactic shock if later an actual attack of diphtheria develops

and the treatment with antitoxin is indicated in an effort to save its life. Surely, physicians would prefer to use some pure specific if chemistry could prepare one, equally efficient, equally potent. The effort to prepare such chemical specifics has been blazed by the discovery of arsphenamine and invites untiring research efforts on the part of chemists. Some of the other synthetic drugs which have already been prepared are specifics, if not in the sense of completely curative agents, at least as alleviating remedies of the highest value. The demands for luminal for the relief of epileptics, which have come in since its importation was stopped by the war have been pathetic in the extreme, and the gouty sufferer on the other hand has been grateful that almost without any delay American chemists were able to produce phenyl cinchoninic acid or atophan, which clears the system of the ache-producing uric acid!

We now come to the third and last field of effort of pure chemical research in the service of medicine which I should like to include in this short sketch-the study of the chemistry of life itself, of protoplasmic agencies and activities. Such a study is clearly so fundamental that it must ultimately give the world the rational basis both for preventive and for curative medicine. The problem obviously is a tremendous one that must be attacked by many workers from many sides and it will take generations of toilers to complete the great undertaking. That complete knowledge will come no one can doubt who has followed the brilliant advances made in the last sixty years. At this time I can refer only to a very few phases of this slow but triumphant march of our science to the knowledge of the chemistry of life-a few phases which illustrate different lines of attack and which at the present moment hold out the greatest promise of success.

First, let me recall the fact that Pasteur's first great contribution to science, as a young chemist of twenty-six, was the discovery in a study of the crystalline character of tartaric acid, that matter may be arranged in molecules in space in an unsymmetric fashion, yielding

« iepriekšējāTurpināt »