A S MANY of you are aware, digitalis consists of an extract of the leaves of the plant Digitalis purpurea. In this respect it is a comparatively simple biological preparation. Chemically, however, it is exceedingly complex and its exact nature is not yet elucidated. It is known, however, that there are present more than 25 glycosides, some of which, like digitoxin, have been prepared in a pure chemical form, others of which are of incompletely proven constitution. Moreover, two samples of leaf may contain widely different proportions of these 25 or more glycosides and in some samples a few of them may be altogether absent. It is also known that there are often large variations in the potency ratio of two samples of digitalis when the test animal is changed, or when the conditions of the assay in any one species of test animal are changed. In the first case this can be attributed to a varying sensitivity of the animal species to different glycosides which are present in the two samples in different proportions and, in the second place, to quote one example, the different potency ratios obtained in the past between frog assays read at 2 hours and at 24 hours could be attributed to different proportions of a slowly-acting glycoside which produced its effects only after the end of the 2-hour period. In addition to these facts, neither the cat nor the frog is human, and neither the guinea-pig nor the pigeon suffers as far as I am aware from auricular fibrillation. These, then, are the major difficulties and they are indeed formidable. In fact, the assay of such heterogeneous material must always be regarded as a makeshift-as a practical necessity in lieu of something better-and we must always beware of attaching too great a degree of precision or of definition to the final estimate of potency. When it became necessary to establish a Third International Digitalis Standard some time ago an attempt was made to minimise *The full report of the results and analysis of the collaborative assay, a summary of which was circulated to members of the Conference, wvill be published elsewhere. more...