Medical Essays

第29章

Nowwhathavewecometoinourownday?Inthefirstplace,theminutestructureofalltheorganshasbeenmadeoutinthemostsatisfactoryway。Thespecialarrangementsofthevesselsandtheductsofalltheglands,oftheair-tubesandvesiclesofthelungs,ofthepartswhichmakeuptheskinandothermembranes,allthedetailsofthosecomplexparenchymatousorganswhichhadconfoundedinvestigationsolong,havebeenliftedoutoftheinvisibleintothesightofallobservers。Itisfairtomentionhere,thatweoweagreatdealtotheartofminuteinjection,bywhichweareenabledtotracethesmallestvesselsinthemidstofthetissueswheretheyaredistributed。Thisisanoldartificeofanatomists。ThefamousRuysch,whodiedahundredandthirtyyearsago,showedthateachoftheviscerahasitsterminalvesselsarrangedinitsownpeculiarway;thesamefactwhichyoumayseeillustratedinGerber’sfiguresaftertheminuteinjectionsofBerres。Ihopetoshowyoumanyspecimensofthiskindinthemicroscope,theworkofEnglishandAmericanhands。ProfessorAgassizallowsmealsotomakeuseofaveryrichcollectionofinjectedpreparationssenthimbyProfessorHyrtl,formerlyofPrague,nowofVienna,fortheproperexhibitionofwhichIhadanumberofmicroscopesmadeexpressly,byMr。Grunow,duringthepastseason。Allthisillustrateswhathasbeendonefortheelucidationoftheintimatedetailsofformationoftheorgans。

Butthegreattriumphofthemicroscopeasappliedtoanatomyhasbeenintheresolutionoftheorgansandthetissuesintotheirsimpleconstituentanatomicalelements。IthastakenupgeneralanatomywhereBichatleftit。Hehadsucceededinreducingthestructurallanguageofnaturetosyllables,ifyouwillpermitmetousesoboldanimage。Themicroscopicobserverswhohavecomeafterhimhaveanalyzedtheseintoletters,aswemaycallthem,——thesimpleelementsbythecombinationofwhichNaturespellsoutsuccessivelytissues,whicharehersyllables,organswhichareherwords,systemswhichareherchapters,andsogoesonfromthesimpletothecomplex,untilshebindsupinonelivingwholethatwondrousvolumeofpowerandwisdomwhichwecallthehumanbody。

Thealphabetoftheorganizationissoshortandsimple,thatIwillriskfatiguingyourattentionbyrepeatingit,accordingtotheplanIhavelongadopted。

A。Cells,eitherfloating,asintheblood,orfixed,likethoseinthecancellatedstructureofbone,alreadyreferredto。Verycommonlytheyhaveundergoneachangeoffigure,mostfrequentlyaflatteningwhichreducesthemtoscales,asintheepidermisandtheepithelium。

B。Simple,translucent,homogeneoussolid,suchasisfoundatthebackofthecornea,orformingtheintercellularsubstanceofcartilage。

C。Thewhitefibrouselement,consistingofverydelicate,tenaciousthreads。Thisisthelongstapletextilesubstanceofthebody。ItistotheorganismwhatcottonispretendedtobetoourSouthernStates。Itpervadesthewholeanimalfabricasareolartissue,whichistheuniversalpackingandwrappingmaterial。Itformstheligamentswhichbindthewholeframe-worktogether。Itfurnishesthesinews,whicharethechannelsofpower。Itenfoldseverymuscle。

Itwrapsthebraininitshard,insensiblefolds,andtheheartitselfbeatsinapursethatismadeofit。

D。Theyellowelastic,fibrouselement,thecaoutchoucoftheanimalmechanism,whichpullsthingsbackintoplace,astheIndia-rubberbandshutsthedoorwehaveopened。

E。Thestripedmuscularfibre,——theredflesh,whichshortensitselfinobediencetothewill,andthusproducesallvoluntaryactivemotion。

F。Theunstripedmuscularfibre,moreproperlythefusiform-cellfibre,whichcarriesontheinvoluntaryinternalmovements。

G。Thenerve-cylinder,aglassytube,withapithofsomefirmness,whichconveyssensationtothebrainandtheprinciplewhichinducesmotionfromit。

H。Thenerve-corpuscle,thecentreofnervouspower。

I。Themucoustissue,asVirchowcallsit,commoninembryonicstructures,seeninthevitreoushumoroftheadult。

TotheseaddX,granules,ofindeterminateshapeandsize,Y,forinorganicmatters,suchasthesaltsofboneandteeth,andZ,tostandasasymbolofthefluids,andyouhavethelettersofwhatI

haveventuredtocallthealphabetofthebody。

Butjustasinlanguagecertaindiphthongsandsyllablesarefrequentlyrecurring,sowehaveinthebodycertainsecondaryandtertiarycombinations,whichwemeetmorefrequentlythanthesolitaryelem

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