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Hygienic Physiology : With Special Reference to the Use of Alcoholic Drinks and Narcotics · Joel Dorman Steele — chapter 29 of 64 · ~3,047 words · public domain

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THE CEREBELLUM lies below the cerebrum, and in the back part of the head (Fig. 50). It is about the size of a small fist. Its structure is similar to that of the brain proper, but instead of convolutions it has parallel ridges, which, letting the gray matter down deeply into the white matter within, give it a peculiar appearance, called the arbor vitæ, or tree of life (Fig. 55). This part of the brain is the center for the control of the voluntary muscles, [Footnote: The exact nature of the functions of the cerebellum is one of those problems concerning which there is no unanimity of opinion amongst physiologists. It may be premised, however, that the knowledge we at present possess does enable us to come to one very important conclusion with respect to the functions of the cerebellum,--it enables us to say that this organ has no independent function either in the province of mind or in the province of motility. And we may perhaps safely affirm still further, that the cerebellum is much more intimately concerned with the production of bodily movements than with the evolution of mental phenomena. The anatomical distinctness of the cerebellum from the larger brain and other parts of the nervous system is more apparent than real....That there is an habitual community of action between the cerebellum and the spinal cord is, I believe, doubted by none, and the fact that an intimate functional relationship exists between the cerebrum and the cerebellum is shown by the circumstance that atrophy of one cerebral hemisphere entails a corresponding atrophy of the opposite half of the cerebellum. The subordinate or supplementary nature of the cerebellar function, however, in this latter relation seems equally well shown by the fact that atrophy of one side of the cerebellum (when it occurs as the primary event) does not entail any appreciable wasting in the opposite half of the cerebrum. What other conclusion can be drawn? If the cutting off of certain cerebral stimuli leads to a wasting of the opposite half of the cerebellum, this would seem to show that each half of the cerebellum is naturally called into activity in response to, or conjointly with, the opposite cerebral hemisphere. Whilst conversely, if atrophy of one half of the cerebellum does not entail a relative diminution in the opposite cerebral hemisphere, this would go to show that the cerebral hemispheres do not act in response to cerebellar stimuli, since their nutrition does not suffer when such stimuli are certainly absent. The action of the cerebrum is therefore shown to be primary, whilst that of the cerebellum is secondary or subordinate in the performance of those functions in which they are both concerned.--H. CHARLTON BASTIAN, Paralysis from Brain Disease.] particularly those of locomotion. Persons in whom it is injured or diseased walk with tottering and uncertain movements as if intoxicated, and can not perform any orderly work.

THE SPINAL CORD occupies the cavity of the backbone. It is protected by the same membranes as the brain, but, unlike it, the white matter is on the outside, and the gray matter is within. Deep fissures separate it into halves (Fig. 50), which are, however, joined by a bridge of the same substance. Just as it starts from the brain, there is an expansion called the medulla oblongata (Fig. 55).

THE NERVES are glistening, silvery threads, composed, like the spinal cord, of white matter without and gray within. They ramify to all parts of the body. Often they are very near each other, yet are perfectly distinct, each conveying its own impression. [Footnote: Press two fingers together, and, closing the eyes, let some one pass the point of a pin lightly from one to the other; you will be able to tell which is touched, yet if the nerves came in contact with each other anywhere in their long route to the brain, you could not thus distinguish.] Those which carry the orders of the mind to the different organs are called the motory nerves; while those which bring back impressions which they receive are styled sensory nerves. If the sensory nerve leading to any part be cut, all sensation in that spot will be lost, while motion will remain; if the motory nerve be cut, all motion will be destroyed, while sensation will exist as before.

TRANSFER OF PAIN.--Strictly speaking, pain is not in any organ, but in the mind, since only that can feel. When any nerve brings news to the brain of an injury, the mind refers the pain to the end of the nerve. A familiar illustration is seen in the "funny bone" behind the elbow. Here the nerve (ulnar) gives sensation to the third and fourth fingers, in which, if this bone be struck, the pain will seem to be. Long after a limb has been amputated, pain will be felt in it, as if it still formed a part of the body--any injury in the stump being referred to the point to which the nerve formerly led. [Footnote: Only about five per cent. of those who suffer amputation lose the feeling of the part taken away. There is something tragical, almost ghastly, in the idea of a spirit limb haunting a man through his life, and betraying him in unguarded moments into some effort, the failure of which suddenly reminds him of his loss. A gallant fellow, who had left an arm at Shiloh, once, when riding, attempted to use his lost hand to grasp the reins while with the other he struck his horse. A terrible fall was the result of his mistake. When the current of a battery is applied to the nerves of an arm stump, the irritation is carried to the brain, and referred to all the regions of the lost limb. On one occasion a man's shoulder was thus electrized three inches above the point where the limb was cut off. For two years he had ceased to be conscious of his limb. As the electric current passed through, the man, who had been profoundly ignorant of its possible effects, started up, crying, "Oh, the hand! the hand!" and tried to seize it with the living grasp of the sound fingers. No resurrection of the dead could have been more startling.--DR. MITCHELL on "Phantom Limbs" in Lippincott's Magazine.]

The nerves are divided into three general classes--the spinal, the cranial, and the sympathetic.

FIG. 54.

THE SPINAL NERVES, of which there are thirty-one pairs, issue from the spinal cord through apertures provided for them in the backbone. Each nerve arises by two roots; the anterior is the motory, and the posterior the sensory one. The posterior alone connects directly with the gray matter of the cord, and has a small ganglion of gray matter of its own at a little distance from its origin. These roots soon unite, i. e., are bound up in one sheath, though they preserve their special functions. When the posterior root of a nerve is cut, the animal loses the power of feeling, and when the anterior root is cut, that of motion.

THE CRANIAL NERVES, twelve pairs in number, spring from the lower part of the brain and the medulla oblongata.

1. The olfactory, or first pair of nerves, ramify through the nostrils, and are the nerves of smell.

2. The optic, or second pair of nerves, pass to the eyeballs, and are the nerves of vision.

3, 4, 6. The motores oculi (eye movers) are three pairs of nerves used to move the eyes.

5. The trifacial, or fifth pair of nerves, divide each into three branches--hence the name--the first to the upper part of the face, eyes, and nose; the second to the upper jaw and teeth; the third to the lower jaw and the mouth, where it forms the nerve of taste. These nerves are implicated when we have the toothache or neuralgia.

7. The facial, or seventh pair of nerves, are distributed over the face, and give it expression. [Footnote: If it is palsied, on one side there will be a blank, while the other side will laugh or cry, and the whole face will look funny indeed. There were some cruel people in the middle ages who used to cut the nerve and deform children's faces in this way, for the purpose of making money of them at shows. When this nerve was wrongly supposed to be the seat of neuralgia, or tic douloureux, it was often cut by surgeons. The patient suffered many dangers, and no relief of pain was gained.--MAPOTHER.]

FIG. 55.

8. The auditory, or eighth pair of nerves, go to the ears, and are the nerves of hearing.

9. The glos-so-pha-ryn'-ge-al, or ninth pair of nerves, are distributed over the mucous membrane of the pharynx, tonsils, etc.

10. The pneu-mo-gas'-tric, or tenth pair of nerves, preside over the larynx, lungs, liver, stomach, and one branch extends to the heart. This is the only nerve which goes so far from the head.

11. The accessory, or eleventh pair of nerves, rise from the spinal cord, run up to the medulla oblongata, and thence leave the skull at the same opening with the ninth and tenth pairs. They regulate the vocal movements of the larynx.

12. The hyp-o-glos'-sal, or twelfth pair of nerves, give motion to the tongue.

FIG. 56.

THE SYMPATHETIC SYSTEM contains the nerves of organic life. It consists of a double chain of ganglia on either side of the backbone, extending into the chest and abdomen. From, these, delicate nerves, generally soft and of a grayish color, run to the organs on which life depends--the heart, lungs, stomach, etc.--to the blood vessels, and to the spinal and cranial nerves over the body. Thus the entire system is bound together with cords of sympathy, so that, "if one member suffers, all the members suffer with it."

Here lies the secret of the control exercised by the brain over all the vital operations. Every organ responds to its changing moods, especially those of respiration, circulation, digestion, and secretion,--processes intimately linked with this system, and controlled by it. (See p. 330.)

CROSSING OF CORDS.--Each half of the body is presided over, not by its own half of the brain, but that of the opposite side. The motory nerves, as they descend from the brain, in the medulla oblongata, cross each other to the opposite side of the spinal cord. So the motor nerves of the right side of the body are connected with the left side of the brain, and vice versa. Thus a derangement in one half of the brain may paralyze the opposite half of the body. The nerves going to the face do not thus cross, and therefore the face may be motionless on one side, and the limbs on the other. Each of the sensory fibers of the spinal nerves crosses over to the opposite side of the spinal cord, and so ascends to the brain; an injury to the spinal cord may, therefore, cause a loss of motion in one leg and of feeling in the other.

REFLEX ACTION.--Since the gray matter generates the nervous force, a ganglion is capable of receiving an impression, and of sending back or reflecting it so as to excite the muscles to action. This is done without the consciousness of the mind. [Footnote: Instances of an unconscious working of the mind are abundant. An illustration, often quoted, is given, as follows, by Dr. Abercrombie, in his Intellectual Powers:

"A lawyer had been excessively perplexed about a very complicated question. An opinion was required from him, but the question was one of such difficulty that he felt very uncertain how he should render it. The decision had to be given at a certain time, and he awoke in the morning of that day with a feeling of great distress. He said to his wife, 'I had a dream, and the whole thing was clearly arranged before my mind, and I would give anything to recover the train of thought.' His wife said to him, 'Go and look on your table.' She had seen him get up in the night and go to his table and sit down and write. He did so, and found there the opinion which he had been most earnestly endeavoring to recover, lying in his own handwriting. There was no doubt about it whatever."

In this case the action of the brain was clearly automatic, i. e., reflex. The lawyer had worried his brain by his anxiety, and thus prevented his mind from doing its best. But it had received an impulse in a certain direction, and when left to itself, worked out the result. (See Appendix for other illustrations.)] Thus we wink involuntarily at a flash of light or a threatened blow. [Footnote: A very eminent chemist a few years ago was making an experiment upon some extremely explosive compound which he had discovered. He had a small quantity of this compound in a bottle, and was holding it up to the light, looking at it intently; and whether it was a shake of the bottle or the warmth of his hand, I do not know, but it exploded in his hand, and the bottle was shivered into a million of minute fragments, which were driven in every direction. His first impression was that they had penetrated his eyes, but to his intense relief he found presently that they had only struck the outside of his eyelids. You may conceive how infinitesimally short the interval was between the explosion of the bottle and the particles reaching his eyes; and yet in that interval the impression had been made upon his sight, the mandate of the reflex action, so to speak, had gone forth, the muscles of his eyelids had been called into action, and he had closed his eyelids before the particles had reached them, and in this manner his eyes were saved. You see what a wonderful proof this is of the way in which the automatic action of our nervous apparatus enters into the sustenance of our lives, and the protection of our most important organs from injury.-- DR. CARPENTER.] We start at a sudden sound. We jump back from a precipice before the mind has time to reason upon the danger. The spinal cord conducts certain impressions to the brain, but responds to others without troubling that organ. [Footnote: There is a story told of a man, who, having injured his spinal cord, had lost feeling and motion in his lower extremities. Dr. John Hunter experimented upon him. Tickling his feet, he asked him if he felt it; the man, pointing to his limbs, which were kicking vigorously about, answered, "No, but you see my legs do." Illustrations of this independent action of the spinal cord are common in animals. A headless wasp will ply its sting energetically. A fowl, after its head is cut off, will flap its wings and jump about as if in pain, although, of course, all sensation has ceased. "A water beetle, having had its head removed, remained motionless as long as it rested on a dry surface, but when cast into water, it executed the usual swimming motions with great energy and rapidity, striking all its comrades to one side by its violence, and persisting in these for more than half an hour."] The medulla oblongata carries on the process of respiration. The great sympathetic system binds together all the organs of the body.

USES OF REFLEX ACTION.--We breathe eighteen times every minute; we stand erect without a consciousness of effort; [Footnote: In this way we account for the perilous feats performed by the somnambulist. He is not conscious, as his operations are not directed by the cerebrum, but by the other nervous centers. Were he to attempt their repetition when awake, the emotion of fear might render it impossible.] we walk, eat, digest, and at the same time carry on a train of thought. Our brain is thus emancipated from the petty detail of life. If we were obliged to attend to every breath, every pulsation of the heart, every wink of the eye, our time would be wasted in keeping alive. Mere standing would require our entire attention. Besides, an act which at first demands all our thought soon requires less, and at last becomes mechanical, [Footnote: "As every one knows," says Huxley, "it takes a soldier a long time to learn his drill-- for instance, to put himself into the attitude of 'attention' at the instant the word of command is heard. But, after a time, the sound of the word gives rise to the act, whether the soldier be thinking of it or not. There is a story, which is credible enough, though it may not be true, of a practical joker, who, seeing a discharged veteran carrying home his dinner, suddenly called out 'Attention!' whereupon the man instantly brought his hands down and lost his mutton and potatoes in the gutter. The drill had been thorough, and its effects had become embodied in the man's nervous structure."] as we say, i. e., reflex. Thus we play a familiar tune upon an instrument and carry on a conversation at the same time. All the possibilities of an education and the power of forming habits are based upon this principle. No act we perform ends with itself. It leaves behind it in the nervous centers a tendency to do the same thing again. Our physical being thus conspires to fix upon us the habits of a good or an evil life. Our very thoughts are written in our muscles, so that the expression of our face and even our features grow into harmony with the life we live.

BRAIN EXERCISE.--The nervous system demands its life and activity. The mind grows by what it feeds on. One who reads mainly light literature, who lolls on the sofa or worries through the platitudes of an idle or fashionable life, decays mentally; his system loses tone, and physical weakness follows mental poverty. On the other hand, an excessive use of the mind withdraws force from the body, whose weakness, reacting on the brain, produces gradual decay and serious diseases. (See p. 331.)

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