ELEMENTS OF PHYSIOLOGY. IN TWO VOLUMES.  Elements of Physiology; BY JO. FRED. BLUMENBACH, M.D. PROFESSOR OF MEDICINE IN ORDINARY AT GOETTINGBN, MEMBER OF THE ROYAL SOCIETY OF SCIENCES AT GOETTINGEN, AND OF SEVERAL OTHER SOCIETIES IN DIFFERENT PARTS OF EUROPE. Translated from the Original Latin, AND INTERSPERSED WITH OCCASIONAL NOTES. By CHARLES CALDWELL. TO WHICH IS SUBJOINED, BY THE TRANSLATOR, An APPENDIX, EXHIBITING A BRIEF AND COMPENDIOUS VIEW OF THE EXISTING DISCOVERIES Relative to the Subject of ANIMAL ELECTRICITY. VOLUME I. PHILADELPHIA, PRINTED BY THOMAS DOBSON, AT THE STONE-HOUSE, No 41, SOUTH SECOND-STREET. M.DCC.XCV.  TO THE PROFESSORS OF THE VARIOUS BRANCHES OF MEDICAL SCIENCE IN THE UNIVERSITY OF PENNSYLVANIA. GENTLEMEN, LONG have you been my fathers and long my attentive pre- ceptors, in the interesting science of medicine. You justly hold on me, therefore, a twofold claim for the twofold duty of a pupil and a son. In respectful acknowledge- ment of this undeniable claim, I now step forward and thus publicly solicit your acceptance of the first fruits of that medical education, which you yourselves were pleased to vi. DEDICATION. to patronize and direct with such ability and care. Avowedly to solicit an extension of your immediate patronage and protection to the following trans- lation, would be to offer you an indignity little short of actual in- sult. Such a solicitation would falsely represent you as men un- willing to become the spontaneous guardians and friends of silent, unassuming truth and merit, but standing with open arms for the reception even of intrusive error itself, when ushered to your notice by a brazen front and a blanditious tongue. The original work of Professor Blumenbach has been already sanc- tioned DEDICATION. vii. tioned by the applauding voice of the learned and the ingenious in almost every part of the globe to which physical science has hitherto found its way. On the solitary basis of its own intrinsic merit let my translation also stand; or if, indeed, it be destitute of such basis, with disgrace let it sink into that sea of oblivion which so justly awaits its final reception. From you, Gentlemen, it is se- cure of at least, a patient, and, I flatter myself, an impartial exami- nation. Should the execution of the work fortunately meet with your approbation and applause, you will be its auspicious announ- cers to the medical public: but should it appear to you faulty and even viii. DEDICATION. even wholly unworthy of further attention or regard, you will not, I am sure, lose sight of that fa- vourite maxim of the humane and generous bosom, " primum pecca- tum veniandum est" Impressed with the most pro- found sentiments of esteem and gratitude for your favours of a public nature, as well as for your attentive acts of private friendship, I have the honour to be, Your sincere Friend, And Pupil, The TRANSLATOR. Philadelphia, } February 11, 1795. } Preface by the Translator. WHAT a fashionable letter of in- troduction is to its bearer, a fashionable pre- face is to the literary performance which it openly announces to the world. The former procures, for the most part, admission, and, at least, a dinner ; the latter most commonly an attentive perusal. For their future conti- nuance, however, in favour and esteem, both the visitant and the volume must depend on something more substantial, and of more un- equivocal utility, than either the light eti- quette of a letter, or the specious proposals of a recommendatory preface. The x PREFACE. The reader is requested to view the pre- sent presatory address as a mere peace-offering, made by the translator to ancient and invete- rate custom, and not as a solemn appeal to the public designed to enhance either the merit of the following performance, or the uprightness of the motives which led to its execution. For with regard to the merit of the work, I flatter myself that no character of literature and ta- lents will ever resign his right of judging for himself; and as to the motives by which I was induced to engage in its translation, they are indeed at present nothing better than ab- solute non-entities, and will in no way effect its utility to man. The want of a new and complete system of physiology has been long and very sensi- bly experienced and regretted by all medical students on this side the Atlantic. As to myself, I am sure I was led most devoutly to regret PREFACE. xi regret such a want, throughout every stage of my medical studies. In order to acquire a knowledge of the improvements which had lately taken place in this important branch of physical science, I was obliged to range with an infinitude of labour and attention, through daily accumulating volumes, which it was sometimes extremely difficult to pro- cure. This difficulty was augmented even to impossibility itself with those unfor- tunately living out of the sphere of public libraries. The mutilated abridgment of Haller's physiology, published in the English lan- guage, is (to life a common mode of expres- sion) certainly nothing more than a bare apo- logy for a system. It is imperfect, erro- neous, and, in many places, to me wholly unintelligible. In some parts, therefore, it no doubt inculcates truth, in others implants the xii PREFACE. the seeds of error, and in other places again leaves the young mind at liberty to indulge itself in all the wildness and revelry of con- jecture. For these deficiencies and faults, I am sure that at least some compensation is made, and some degree of remedy provided in the fol- lowing sheets, which I am about to usher forth to the world. But on this subject let decision be awarded, and judgment pro- nounced, by the candid and intelligent rea- der, and not by His obedient humble Servant, The TRANSLATOR. CONTENTS. VOLUME I. SECTION. I. Of the living Human Body in general 1 Sect. II. Of the Fluids of the Human Body in general, and of the Blood in particular - 3 Sect. III. Of the Solids of the Human Body in general, but particularly of the Cellular Mem- brane . 18 Sect. IV. Of the Vital Energies in general, but par- ticularly of Contractility . 31 Sect. V. Of Sound Health, and of the Nature of Man . 39 Sect. VI. Of the Motion of the Blood in general 48 Sect. VII. Of the Arteries . 54 Sect. VIII. Of the Veins which carry Blood. 62 Sect. IX. Of the Heart . 66 Sect. X. Of the Powers by which the Blood is kept in Motion . 83 Sect. XI. Of Respiration and its Primary Use 97 Sect. xiv CONTENTS. Sect. XII. Of Voice and Speech . 110 Sect. XIII. Of Animal Heat. . 119 Sect. XIV. Of Cutaneous Perspiration. . 126 Sect. XV. Of the Sensorium and Nerves . 142 Sect. XVI. Of the Functions of the Nervous System in general . 154 Sect. XVII. Of the External Senses in general, but particularly of the Touch . 162 Sect. XVIII. Of the Taste . 166 Sect. XIX. Of Smelling . 169 Sect XX. Of Hearing . 173 Sect. XXI. Of Vision . 178 Sect. XXII. Of the Internal Senses and other Facul- ties of the Mind . 195 Sect. XXIII. Of those Actions of the Body which are subject to the power of the Will . 201 Sect. XXIV. Of Muscular Motion. . 207 Sect. XXV. Of Sleep. . 223 Sect. XXV. Of Sleep. . 223 VOLUME CONTENTS. xv VOLUME II. Sect. XXVI. Of Food, and the Appetite for it 1 Sect. XXVII. Of Mastication and Deglutition 8 Sect. XXVIII. Of Digestion . 16 Sect. XXX. Of the Bile . 28 Sect. XXXI. Of the Function of the Spleen . 45 Sect. XXXII. Of the Function of the Omentum 50 Sect. XXXIII. Of the Function of the Intestines 55 Sect. XXXIV. Of the Functions of the Absorbent System. . 65 Sect. XXXV. Of Sanguification . 78 Sect. XXXVI. Of Nutrition . 83 Sect. XXXVII. Of Secretion . 90 Sect. XXXVIII. Of the Urine . 102 Sect. XXXIX. Of the Discrimination of the Sexes in general . 110 Sect. XL. Of the Genital Function of the Male Sex. 114 Sect. XLI. Of the Genital Function of the Female Sex in general . 133 Sect. XLII. Of Menstruation . 141 Sect. XLIII. Of the Milk . 146 Sect. XLIV. Of Conception and Pregnancy . 154 2 Sect. xvi CONTENTS. Sect. XLV. Of the Nisus Formativus, or Formative Effort. 174 Sect. XLVI. Of Parturition, and its Consequences 184 Sect. XLVII. Of the Differences by which the Human Subject is characterised before and after Birth . 191 Sect. XLVIII. Of the Increase, Maturity, and Decline of Man . 200 APPENDIX . 213 3 ELEMENTS. ELEMENTS OF PHYSIOLOGY. SECTION I. OF THE LIVING HUMAN BODY IN GENERAL. § 1. IN the living human body, the healthy functions of which constitute the exclusive object of the science of Physiology, there occur three things worthy of our immediate attention and regard*; namely, The Solids, or parts containing; * In an ancient volume commonly ranked among the wri- tings of Hippocrates, Epidemic. VI. Sect. 8. § 19, we find the following remarkable clause: " Quæ continent corpora, aut " intus continentur, aut in nobis cum impetu moventur " contemplanda sunt." This celebrated clause furnished Abr. Kaau Boerhaave with the first hints and suggestions Vol. I. A on 2 OF THE LIVING HUMAN BODY. The Fluids, or parts contained within the solids ; And lastly, the Vital Energies, which in the consideration of the science of physiology, consti- tute the most interesting and important object of our regard. It is in consequence of these energies that the solids are rendered alive to the impulse of the fluids, endued with a power to propel the same, and also to perform a variety of other motions. It must however be observed, that these energies are not incommunicably excluded even from some of the fluids themselves: on the whole, they ap- pear to constitute the essence or supreme charac- teristic of an organised body. § 2. But although these three objects have been with propriety considered as distinct from each other, and may therefore be separately enumerated on the present occasion, they are notwithstanding in the living body, which is alone the exclusive sub- ject of physiology, so intimately connected toge- ther, that it is scarcely possible to form even a conception of one without at the same time em- bracing the others. on the subject of his inestimable work entitled, " Impetum " faciens dictum Hippocrati per corpus consentiens." L. B. 1745-8. The OF THE FLUIDS. 3 The most pure and limpid fluids of our body abound with animal earth: on the other hand, though our solids may appear to us completely destitute of liquid matter, yet, besides the circum- stance of their originating from the fluids as their matrix or primary source, they contain in their compostion an evident quantity of moisture: lastly, if we be not deceived, it is certainly true that there exists scarcely a fibril in the living body which does not possess, in a higher or lower degree, a vital energy inherent in itself. § 3. We now proceed to treat of each of those three objects separately and in order : and first of the fluids; as constituting by far the greatest, and what may be emphatically called the first-born part of our bodies. SECT. II. OF THE FLUIDS OF THE HUMAN BODY IN GENERAL, AND OF THE BLOOD IN PARTICULAR. § 4. ALL the different fluids of our body, may with propriety be thrown into three leading classes. A 2 These 4 OF THE BLOOD. These are, I. The Crude or unassimilised fluid, consisting chiefly of the chyle contained in the primæ viæ, and destined for conversion into blood; to which may also be added, that fluid received by absorption from the external superficies of the body, and conveyed to the same receptacle with the former. II. The blood itself; And Lastly, the secreted fluid, or that formed from the volume of blood by the animal process, called secretion : the fluids prepared by this pro- cess are destined, some of them, to be retained in our body, to serve further purposes in the animal economy; and others, to be eliminated from our system, as wholly excrementitious. § 5. Of the first and third of those classes we will speak on a future occasion, when we come to treat of chylification, and of secretion, together with the other functions to which those fluids are respec- tively related. Let us now proceed to the consi- deration of the blood, that most important, that primary, and truly vital liquid, which may with the greatest propriety be called, the living fountain of all the other fluids; as being that into which the crude fluid is converted ; and from which all the OF THE BLOOD. 5 the secreted fluids derive their origin ; and which (a few parts of the body excepted, such as the epidermis, the tunica arachnoidea, the amnion, the vitreous substance, or enamel, of the teeth, &c.) flows uniformly through every even the most minute and fine spun parts of the inexplicable texture of our system. § 6. The blood is a liquid sui generis, of a well known colour, more or less intense : it is glutin- ous and warm to the touch : the formation of this liquid has hitherto been ranked among the arcana of nature, as it has never been successfully imi- tated by any process of art. § 7. This vital liquid when recently drawn from a living subject, and received into a vessel, exhibits in a very obvious manner the following remark- able phenomena: In the first place, while it is yet warm, a subtle halitus ascends from it, which being collected in a receiver, forms small pellucid globules, similar in appearance to drops of dew ; it is of an aqueous nature, resembling not a little common fountain water, except that it emits a peculiar nidorous smell, (still more considerable in the blood of car- A 3 nivorous 6 OF THE BLOOD. nivorous animals) and which may be aptly called the animal odour; such, for example, as arises from fresh urine, or from the thoracic and abdo- minal cavities of a dead subject recently opened. Of this aqueous liquor a considerable quantity re- mains in a state of mixture with the other consti- tuent parts of the blood, which shall be hereafter mentioned. § 8. In the mean while, as the blood contained in the vessel suffers a gradual reduction of tempera- ture, it begins to separate into two parts. A coagulum is first formed, from the superficies and sides of which, there presently exsudes a liquor of an intermediate shade between pale yellow, and evanescent red, which they call the serum of the blood ; in proportion as this liquor accumu- lates by exsudation, a corresponding diminution is observable in the volume of the coagulum itself; the coagulum thus reduced in size has been dis- tinguished by the name of crassamentum, as also by those of the liver, and placenta of the blood, from a resemblance, in point of colour and fran- gibility of texture, supposed to exist between it and these two bodies ; it has been likewise called the island, from the circumstance of its being held in a natant or floating state in the surrounding serum. § 9. OF THE BLOOD. 7 § 9. This crassamentum itself, by a delicate treatment, such as gentle agitation or frequent ablutions in water, may be again separated into two constituent parts, viz. the cruor, which imparts the red co- lour to the whole mass of blood, and which by ablution is carried off from the lymph, the other and more substantial part, and which, therefore, is called the basis of the crassamentum ; that the cruor retains for this basis a much stronger af- finity than the serum possesses, is sufficiently ob- vious from this circumstance, that the cruor and basis cannot be disparted unless by the interpo- sition of a certain degree of force. The lymph itself being robbed of the cruor, becomes more and more pale until it finally assumes the appearance of a white and considerably tenaceous coagulum. § 10. Such then appears to be the four principal con- stituent parts of the blood,—viz. the watery halitus; the serum; the cruor, or red globules ; and the coagulable lymph; which several parts, as long as they retain their native degree of vital temperature, continue in a state of the most equable mixture, constituting an uniform and homogeneous fluid. A 4 It 8 OF THE BLOOD. It will now be proper to enter into a more mi- nute consideration of those three portions of the blood which stand last in the above enumeration : As to the aqueous exhalation which we have men- tioned, it does not appear of sufficient importance to claim any further attention ; indeed as it is also discovered in other parts of the body, it cannot be considered as proper to the blood alone, any more than the air which this vital fluid contains, and on which we will state a few observations in a subsequent part of this section. § 11. The serum is a liquid of such a gelatinous nature as to impart to the whole mass of the blood the chief part of its viscosity or gluey consistence : it very much resembles, in all its properties, the al- bumen or white of eggs ; when subjected to the action of a temperature equal to the 150th degree on the scale of Fahrenheit's thermometer, it pas- ses into a coagulum, white and easily broken down, analogous to the white of eggs in a boiled state; it also suffers a similar change, according to the experiments of the celebrated Moscati, if it be mixed with a quantity of quick lime, though in this case the coagulation proceeds much more slowly, and is not completed till after the twen- tieth hour. But if the serum be dried with a gentle heat, and left wholly undisturbed, it is converted OF THE BLOOD. 9 converted into a firm pellucid mass, similar in its external appearance to gum arabic, which in a gradual manner, like the dried white of eggs, cracks and forms over its surface numerous sulci or fissures running in a somewhat spiral direction, and exhibiting a very singular appearance. § 12. Besides those other properties of the serum already mentioned, there is one highly worthy our consideration, to which my attention was first called by the experiments of the illustrious Priestley * ; but my belief of which has since been fully confirmed by repeated observations of my own, viz. the facility with which the air, sur- rounding a vessel filled with blood, is able to act through the medium of the serrum or the crassa- mentum, though deeply covered by the former, in such a manner as to produce a very remarkable change in the colour of the latter, whereas, on the other hand, the same action of the air would be very much impeded, if not entirely prevented, if instead of the serum, the crassamentum were covered with any foreign liquid, such as water, or oil, &c. or even with any other fluid of the human body itself, as the saliva or urine. * Philos. Transact. vol. LXVI. P. I. pag. 244, seq. § 13. 10 OF THE BLOOD. § 13. The cruor constitutes another very striking and important part of the blood, and is a source of many singularities, whether we consider the colour and figure of its particles, or the elemen- tary parts into which it is resolved when subjected to the action of an intense heat. It appears to deserve a place among the most elaborate juices of the body, as it seldom appears in the tender fœtus previously to the fourth week after concep- tion, nor in the nascent young of gallinaceous fowls till the fortieth hour of incubation. After profuse hemorrhages it likewise appears to be re- placed by the powers of the system, with much more difficulty than the other condiment portions of the blood. § 14. It consists of globules, first observed by Leeu- wenhoek. In blood recently drawn they are al- ways present, of a constant, uniform figure, and of an equable magnitude ; which circumstances, added to the further consideration, that in no other fluid (milk alone excepted, the particles of which are somewhat analogous), are similar bodies to be met with, leave not a shadow of doubt, but that those globules form a part very obviously and essentially different from the other constituent portions of the blood, though at the same OF THE BLOOD. 11 same time the formation of those globular bodies themselves appears in reality to be much more simple than some celebrated characters would in- duce us to believe. For to pass over in silence the complexity of the sixfold form fictitiously be- llowed on them by Leeuwenhoek, neither the an- nular figure attributed to them by the illustrious de la Torre, nor the form of vesicles enclosing an opaque nucleous, such as Hewson apprehended he discovered in them, have appeared to me to be well founded*. In my observations, indeed, I have been able to detect nothing more than bodies of a simple spherical appearance, and, if I am not deceived, of a solid gelatinous consistence. I have not, indeed, absolutely denied the lenticular figure bellowed on them by some observers : I dare not, however, venture to assert, that I have been so fortunate as to observe it. It has been a subject of controversy whether or not they can alter their figure when it becomes necessary for them to pass through a vessel of a very narrow diameter. I am inclined to believe, in conformity to the opinion of that accurate observer Reichel that under the above circum- stances, they do actually change their spherical for an oval figure, and again resume their former * Philos. Trans. Vol. LXIII. P. II. p. 303. seq. tab. XII. globular 12 OF THE BLOOD. globular Shape, when they advance into vessels sufficiently capacious; though I must confess, I never had the happiness to be a spectator of this interesting phenomenon. This spherical figure of the globules is never perceived unless in the blood circulating in the vessels of a living animal, or in that which is re- cently drawn ; they lose all regularity of form in process of time, and appear to dissolve, as it were, and again unite with each other into one uniform shapeless mass. § 15. Physiologists differ in determining the size of the globules of the blood. Hales reckons them equal in diameter to the 1/324th part of an inch. Senac estimates their diameter at about the 1/3000th part of the same measure, while others again en- tertain different opinions. § 16. Their colour is red, and therefore the beautiful crimson call of the whole mass of blood appears to be evidently derived from them. The intensity of this colour changes with a multiplicity of vary- ing circumstances ; it is more pale in animals which are too sparingly nourished, or in such as have suffered profuse hemorrhages. The blood con- contained OF THE BLOOD. 13 tained in the arteries is more florid, together with that which has been subjected to the action of atmospheric, but more especially, that which has been exposed to dephlogisticated air ; while venous blood is more obscure, as well as that which has been acted on by fixed or inflammable air. § 17 Upon the whole, the causes, which augment the quantity of the red globules in general, and also heighten the intensity of their colour, are sufficiently evident: but to discover from what Secret Source their disposition to this crimson dye is originally derived, is a matter of Herculean difficulty indeed. Haller ascribed it to the pre- sence of crocus martis, because the blood abounds more with iron than the bones, or other parts of the body, although the quantity contained, even in the blood itself, is very small; and although authors differ astonishingly in their attempts to ascertain it. Thus, for instance, Menghinus esti- mated its relative proportion to the whole mass of the blood, to be as 1 to 110; whereas, the illus- trious Rhades calculated it to be only as 1 to 427 ; and again, in some suture experiments, to be no more than as 1 to 503, &c. On the present subject it seems proper to make the following observation; viz. that no iron can be 14 OF THE BLOOD. be discovered in the cruor of the blood unless it be previously calcined; whereas, on the other hand, when it was dried with a gentle heat, and reduced to the most impalpable powder, I could not observe a single particle of it attracted by the magnet, whether the experiment was made in water, or in that most fluid of all vehicles, quick- silver. § 18. We now come to the consideration of that con- stituent part of the mass of blood, which stands last in our order of enumeration, viz. the Lymph; which is by some called the basis of the crassamen- tum, by others, the mucous or glutinous part, and by others, the fibrous portion of the blood. This, in former times, was very erroneously confounded with the serum, from which it is not- withstanding very widely different, in all its essen- tial properties. When the lymph is exposed to the action of air, especially of such as is of a low tem- perature, it is immediately coagulated ; but by the admixture of quicklime, (which has been already said (§ 11.) to have the power of coagulating serum), it is preserved in a fluid state; or, even though it be already coagulated, yet, by the addition of this substance, it is again immediately resolved. § 19. OF THE BLOOD. 15 § 19. We have already touched on the methods, by which this part of the blood may be separated from the cruor (§ 9.). It is also by other artifi- cial methods, Such as whipping or agitating the blood with small twigs, induced to assume the appearance of a membrane, which has been named after Ruysch its celebrated discoverer. The similitude which prevails between the mem- brane thus formed by art, and certain remarkable phenomena in diseases, especially in those of an inflammatory nature, reduces it to a certainty, that such phenomena are to be entirely referred to the coagulation of the lymph, of which we are now treating. It may be proper on the present occasion to mention a few of those numerous phenomena al- luded to, which evidently derive their origin from this property of the lymph ; thus we may instance in particular, the pleuritic crust, which is formed on the surface of the crassamentum of blood re- ceived into a vessel and suffered to remain some- time at rest ; the membrane-like appearances which usually transude from, and completely invest the surfaces of the several viscera when in a state of inflammation ; and also the membrana caduca of 16 OF THE BLOOD. of Hunter, which exsudes from the cavity of the uterus, when impregnated, and still under the gentle glow of the venereal orgasm. From the same source originates likewise, that production of cellular membrane by which we see frequently the lungs connected to the pleura in cases of peripneu- mony; as also the preternatural portions of the same substance often found in the cavity of the abdomen after profuse hemorrhages ; and finally, to no other source can we rationally refer those membrane- like productions, which, in that singular species of disease, vulgarly denominated Lithopœdion, firmly attach to the contiguous viscera such parts as are irritated to inflamation by the too long re- tention of the calculus or stone in the abdominal cavity. It seems to be also an opinion founded at least on probability, that polypi, and such like preternatural coagulated excrescences, owe their existence to the same cause. § 20. Those phenomena just enumerated, together with a variety of others which every where occur, demonstrate, in a most striking manner, the Superior importance of this lymphatic portion, in which the vital principle of the blood appears immedi- ately to reside, if indeed the blood possess any such principle, an opinion which I think both ingeni- ous and highly probable. 2 Besides OF THE BLOOD. 17 § 21. Besides those general portions of the blood al- ready enumerated, we have on a former occasion observed that this fluid contains also, in a state of mixture, other elementary principles. (§ 10.) What I principally advert to at present is air, Which is commonly believed to constitute 1/33 part of the whole mass of blood, but which in the blood of a living and healthy subject does not exist in a free and perfectly elastic state, but is so intimately united and involved, and so permanent- ly fixed, as to be with difficulty extricated and restored to its native æriform state. Indeed I have learned from actual experiments, that even a very small quantity of the most pure air injected through an artificial opening into the jugular vein of a dog, has excited symptoms of a very formida- ble nature, such as palpitations of the heart, drowsi- ness, convulsions, and, when the quantity was slight- ly increased, even death itself quickly succeeded. § 22. The elementary parts of the blood thus concise- ly treated of, differ very widely in the proportion they bear to each other in different subjects, ac- cording to the complex ratio of age, nourishment, and other circumstances of importance, which re- gard the sound health of each individual. VOL. I. B § 23. 18 OF THE SOLIDS. § 23. Neither has any thing more certain or decisive been advanced with respect to the proportion which the whole volume of blood bears to the entire bulk of the body. Haller was of opinion, that in an adult it amounts to 30 or 36 pounds by weight; while the calculations of others have been widely different. SECT. III. OF THE SOLIDS OF THE HUMAN BODY IN GENERAL, BUT PARTICULARLY OF THE CELLULAR MEM- BRANE. § 24. THE solids of the body are originally derived from the fluids themselves; thus in the first rudiments of the embryo, while yet in a gela- tinous state, the solids, each in its own appropriate situation, begin in a very gradual manner to as- sume their proper form and texture, infinitely dif- ferent from each other in point of cohesion, from the most tender and almost pultaceous consistence, such as the medullary substance of the brain, to the most firm and durable, as the vitreous cortex, or enamel of the teeth. § 25. OF THE SOLIDS. 19 § 25. In all the solids of the body an earthy basis of a calcareous nature abounds more or less, not in- deed in a simple state, but united to the phos- phoric and saccharine acids, the former of which exists in by far the largest proportion. Their co- hesion depends not only on the peculiarity of their texture, but is also much promoted, as well by the quantity of air contained in them in a fixed state *, (which is ascertained by the experiments of the illustrious Hales to be more abundant as the parts are more solid); as also by the substance called animal glue, which is procured in large quantities from the solid parts of animal bodies, and is in general use in some of the mechanical arts. The origin of this tenacious substance may be very easily explained and comprehended from what has been already said respecting the viscosity or gluey nature of the blood. * " The properties and powers of air have not yet been ultimately developed. It is, however, in the mean time certain, that this substance constitutes, at least, a part of the gluten or cement by which all the more compact bodies in nature are consolidated and bound together. Thus the dissolution of metals, bones, stones, shells, and salts, is uni- formly attended with an extrication of air." See Haller de corp. hum. functionib. Vol. III. pag. 271. B 2 The 20 OF THE SOLIDS. The elementary substance of iron, to which has been attributed the important office of increasing the powers of cohesion in the different parts of the human body, scarcely deserves to be taken into consideration at all, as I have found its quan- tity to be so very minute as not to exist in a greater proportion than one fifth part of a grain to two pounds even of the bones, the hardest and most coherent parts of the animal system. § 26. A great portion of the solids of our body very evidently exhibits a fibrous texture, composed of small filaments running more or less parallel to each other. These filaments or fibres may be evidently enough perceived in the bones, espe- cially the bones of a fœtus, in the muscular flesh, in tendons, ligaments, aponeuroses, and some mem- branes, as the dura mater, &c. § 27. In various other parts of the animal body, the texture is so widely different from that of which we have just spoken, that in them it is scarcely possible to trace the appearance of a single fibre ; their structure is indeed of a very singular and spe- cific nature, distinguished in Greek by the name parenchyma. This parenchymatous substance is almost exclusively confined to some of the secreting viscera OF THE SOLIDS. 21 viscera of the system ; thus it exists in the kidneys, in the liver, &c. though assuming a somewhat dif- ferent and peculiar appearance in each. § 28. Through all those varieties of composition and texture, whether of a fibrous or parenchymatous appearance, there is interwoven, in common, more or less of a certain web-like substance, which is called cellular membrane, and which deserves a place among the primary, the most important and essential, constituent parts of our system. § 29. For, in the first place, there are several of the solid parts of the human body, which appear to consist of little else than cellular membrane, in a constipated or compacted state; of this description are most of the membranes and cartilages ; which, by long maceration, may be again resolved into a cellular web, of more or less laxity. It is, again, so intimately and minutely interwoven in the com- position of other parts, as to serve the important purposes of a receptacle and basis to the other portions of substance which assist in their formation. Thus, for instance, the hardest bones made their first appearance in the tenderer state of cartilage, which, as already observed, is nothing more than condensed cellular membrane: this cellular mem- brane, yet in a lax condition, became afterwards B 3 distended, 22 OF THE SOLIDS. distended, and at length completely Saturated, as it were, by the constant accession of osseous matter, till it finally assumed the nature and appearance of perfect bone. Indeed it would appear, that none of the solids of our body exist, without containing more or less of this web-like substance in their composition, if we except the enamel of the teeth, in which I was not able to discover the smallest por- tion of cellular substance, even when the enamel was subjected to the action of one of the stronger acids. § 30. This cellular substance, which serves the great purpose of a boundary, or partition-wall, to adja- cent parts, is especially interwoven in, as well as spread between, muscles and membranes. To other parts, again, particularly to vessels and nerves, it answers as a bed or basis of support. Finally, it constitutes one common and general bond of union, which connects the neighbouring individual parts to each other, and establishes between the whole an extensive medium of communication, § 31. From what has been already said, two conclu- sions naturally present themselves. First, in as much as it appears, that the cel- lular membrane certainly constitutes the ground- work OF THE SOLIDS. 23 work of the structure of the whole body, if we figure to ourselves the entire removal of every other substance which enters into, and assists in completing, the composition of the system, the cellular membrane, still remaining in its proper situation, unmolested and alone, will nevertheless preserve and exhibit the complete figure of the whole and every part of the body. Secondly, as by means of this cellular founda- tion, a certain connection and medium of commu- nication are formed, between all the parts of the body, however widely different from each other they may be, in nature, or remote, in situation the knowledge of this fact serves an important end, not only in deciding controversies which respect the continuation of membranes, but also in explain- ing many phenomena of diseases which daily pre- sent themselves. § 32. As the cellular membrane appears thus to afford origin and foundation to most of the solid parts of the body, so it appears itself to owe its own exis- tence to the lymphatic part of the blood, of which we have already spoken. I am induced to enter- tain this opinion from having seen the lymph, after transuding from the lungs of pleuritic patients, converted by the powers of the animal economy B 4 into 24 OF THE SOLIDS. into real cellular substance, which afterwards assuming the appearance of more compacted mem- branes, oftentimes attaches those viscera to the surrounding pleura. § 33. What has been already advanced on the subject, may be sufficient to show the general nature, and establish the importance, of the cellular membrane. We will now proceed to consider some of its varieties. And, in the first place, its firmness is not always uniform. For, in general, other circumstances being alike, the cellular membrane of the human body is very tender indeed, when compared with that of other animals. If I am not deceived, this very softness and pliancy of the cellular substance in the human system, deserves to be ranked among the leading prerogatives of man ; because, in consequence of it, his susceptibility of impressions from the more refined and subtle stimuli is greatly increased, as well as his capacity to perform motions and vari- ous functions, with facility and perfection. But with regard to the more lax or firm texture of the cellular membrane, even among mankind themselves, OF THE SOLIDS. 25 themselves, a very great variety occurs, depend- ing on age, sex, mode of life, climate, &c. Finally, the condition of this membrane as to density and firmness, is various, as it is found existing in different parts of the same body : thus, it is more lax on the eye-lids and prepuce, more compact and firm about the ears, &c. § 34. We now proceed to consider another use or office of the cellular membrane, besides that which we have already said it performs to the body in general, (§ 29, 30) ; namely, that by means of its numerous small cells, it affords con- venient temporary receptacles for fluids of different kinds. That fluid, which those minute cells are more particularly destined to receive, is a fine halitus of a serous nature, or a very subtle water, by which almost all parts of the body are moistened, and lubricated, and which this cellular web appears to absorb, after the manner of a sponge*. If it be admissible to designate by the name of vessels, those minute interstices of the cellular membrane, by which it absorbs fluids after the manner of a sponge, I readily acquiesce in the opinion of William Hunter, (see Medic. Obs. 26 OF THE SOLIDS. § 35. But, besides this, the cellular membrane, in certain parts of the body, serves as a reservoir to humours of a different and somewhat specific na- ture. Thus, that portion of it which constitutes the vitreous substance of the eye, is charged with a fluid of the same name; That which forms the meddullary membrane of the bones (commonly, though improperly, cal- led the internal periosteum) contains the medulla: and, Finally, A large portion interwoven through the soft parts of the body, furnishes a convenient receptacle for the other portions of oily substance. Obs. and Inquiries, vol, ii. p. 27. seq.) that this web-like expansion, now under immediate consideration, is composed of a congeries of vessels, in like manner with the other parts of the body. But if he entertained a belief, that this mem- brane consists of small cylindrical veins, which anatomists commonly mean to represent by the term vessels, I must acknowledge, that microscopical observations, conducted with the utmost degree of minuteness, and the most cautious circumspection, have not been sufficient to furnish me with any unequivocal testimony that such vessels actually exist, but have rather induced me to embrace a contrary opinion. § 36, OF THE SOLIDS. 27 § 36. And here indeed a threefold variety presents itself to our consideration : There are, in the first place, certain parts of the body, the cellular substance of which, though of a very soft and extremely flaccid nature, is notwithstanding, never filled with fat in a healthy subject; such, for instance is that which lines the eyelids, and that spread on the genital organs of the male, &c. But further, in numerous parts throughout the body, there are not unfrequently found irregular and transient collections of fat, which appear to reside in the same kind of cells, which at other times act as reservoirs to the atte- nuated serous fluid already mentioned. But finally, in certain parts of the body, and, unless I am deceived, in cells of a peculiar nature, and given description, fat is found constantly en- closed, designed to subserve stated, uniform, and specific uses in the animal economy, such, for ex- ample, is that which, in the female system, forms the mons veneris, which appears to me to consti- tute a very peculiar and completely circumscribed protuberance *. * This circumstance I had an opportunity of ascertaining in a much more satisfactory manner in the dead body of a female ape. After having for some time subjected the corpse to the action of cold, I was able, by removing the skin, to expose 28 OE THE SOLIDS. § 37. On the subject of the fat itself we will now pro- ceed to make a few observations, this being so very proper a place for entering on the considera- tion of it. It is an oil, not unlike the unctuous oils of ve- getables ; bland, inodorous, and lighter than water, consisting of phlogiston, united to phlegm by means of an acid of a peculiar nature. § 38. It is formed at so late a period in the fœtus, that scarcely an indubitable vestage of it can be discovered earlier than the fifth month after con- ception. Its consistence is various in different parts of the body. That for instance which lines the in- side of the orbit of the eye, is more fluid, whilst that on the contrary which surrounds the kidneys approaches to the firmness and appearance of suet, § 39. A controversy has existed with respect to the secretion pf this substance, namely, whether it is performed by a peculiar set of glandular bodies, expose entire the circumscribed globe of fat situated beneath the pubes. agreeably OF THE SOLIDS. 29 agreeably to the opinion of William Hunter, or whether it merely transudes, by simple diapedesis, through the patulous mouths of arteries ? The latter of these opinions, besides other arguments which might be advanced in its favour, appears the most probable from hence, that not unfre- quently preternatural collections of fat have been discovered in other parts than those commonly oc- cupied by this substance: this circumstance can be much more aptly and rationally explained by at- tributing such unusual collections of fat to an error- loci, arising from a morbid state or disposition of the vessels, than by referring it to an unnatural and recently formed system of glands: thus for example, in the very ball of the eye itself, fat has been sometimes found ; and a substance of a na- ture like suet, usually fills up the cavity from which a testicle has been extracted; indeed there scarcely exists a cavity in the body in which stea- tomatous collections have not made their appear- ance. But to conclude; those small glands to which certain celebrated characters have been solicitous to attribute the secretion of fat, appear as yet to be in reality nothing more than mere creatures of analogy. But 30 OF THE SOLIDS. But however this may be determined, it is in the mean time very certain, that both the secre- tion and absorption of this substance can be per- formed with the utmost dispatch. § 40. The uses of the fat are numerous. It lubri- cates the solids, and thus facilitates motion. It obviates and prevents a morbid excess of sensibi- lity. It acts as a defence against cold: and, finally, by its uniform distention of the skin, con- tributes to comeliness and beauty. Not to men- tion the peculiar uses of the fatty matter con- stantly bestowed on certain parts of the body, as the medulla of the bones, &c. This substance appears, however, to contribute scarcely any thing to the nourishment of the hu- man species*, when in the enjoyment of entire health. * That bloodless insects, however, derive a principal part of their nourishment from the fatty substance with which their bodies are plentifully supplied, is a conjecture of natu- ralists founded at least on probability. SECT. OF THE VITAL ENERGIES. 31 SECT. IV. OF THE VITAL ENERGIES IN GENERAL, BUT PARTICULARLY OF CONTRACTILITY. § 41. We enter now on the consideration of a difficult subject, namely, the living solid, and shall attempt a full account of the vital energies, by which the different parts of our body appear to be animated and fitted, as well to receive the impulse of stimuli, as to perform the various mo- tions which are necessary in the economy of the living system. § 42. But with respect to the living solid, it will first be necessary to ascertain its exact limits, and to define it with precision and accuracy; whence it will evidently appear, that it is not our intention, on the present occasion, to treat either of those properties, which the human body possesses in common with numerous other bodies in nature, such as elasticity (the powers of which, however, are notwithstanding exhibited in various motions and functions of the animal economy), nor yet of those which reside exclusively in the mind; tho' we flatter ourselves no one will deny the powerful influence of these latter over the energies possess- ed 32 OF THE VITAL ENERGIES. ed by the living solid itself, considered as a mate- rial body. We will confine ourselves solely to the consideration of those energies which reside in our body as a system of organised matter, and which appear to be related to each other in the following order. § 43. The first and most universal species of those vi- tal energies, and which may indeed be regarded as an inferior degree of the others, or rather as the threshold leading to them, is simple contractility, i. e. a propensity in a part to contract itself. As this property appears in reality to reside in every part of the cellular membrane, it must be equally exten- sive with that membrane itself, and therefore may be said to pervade almost the whole body. Hence this may be called, with perhaps sufficient propri- ety, the vis cellulosa. § 44. Another of the vital energies is, the irritability of Haller, which resides in muscular fibres only, and may therefore be called the vis muscularis. It manifests itself by a very singular, oscillatory and tremulous motion, easily distinguished from simple contraction, by its being more readily ex- cited to action on the application of any acrid sti- mulus. 4 § 45. OF THE VITAL ENERGIES. 33 § 45. The third is sensibility, which resides solely in the nervous medulla, communicating with the sen- sorium, called therefore vis nervea; when any part endowed with this property is acted on by irritating stimuli, an impression is immediately made on the sensorium. § 46. The three foregoing may be, with propriety, considered as common or general vital energies ; because they exist, more or less, in almost all, or at least in a great many, parts of the body, which the ancients called therefore similares, i. e. parts of a similar nature. § 47. But besides the foregoing, there exists also a fourth energy worthy of our consideration, namely, the vita propria, or specific life; under which deno- mination I mean to arrange such powers as belong to certain particular parts of the body, destined for the performance of peculiar functions, and which cannot with any propriety be referred to either of the classes of common energies, formerly mentioned. Inferring synthetically, or a priori, as it is termed, it is not repugnant to sound induction to conclude, that parts differing from all others in VOL. I. C texture, 34 OF THE VITAL ENERGIES. texture, in arrangement, and in peculiarity of function, must also be furnished by nature with peculiar properties and powers, adapted to the performance of such specific action. But reasoning analytically, or a posteriori, we are likewise taught by accurate observations made on nature herself, that there are certain parts of the body, particularly some of the viscera, which perform motions so very singular, as cannot by any means be supposed to arise from either one or other of the common energies, of which we have already spoken, but must be referred to a vita propria, or specific energies of their own. Instances of such sigularity of action we have in the motions of the iris ; the erection of the papilla in the breasts of females ; the motions of the fim- briæ of the fallopian tubes ; the action of the placenta ; the action of the uterus in parturition ; the descent of the testes in the male fœtus ; and, if I am not deceived, in a great part, if not in the whole of the process of secretion. § 48. The fifth and last energy which claims our at- tention is, the nisus formativus, or formative pro- pensity, which should be considered as the efficient cause of the whole process of generation (taken in so OF THE VITAL ENERGIES. 35 so extensive a latitude as to include both nutrition and re-production as modifications of itself). In consequence of this propensity, the matter of the animal system, whether appropriated to generation or nutrition, being lodged in the places destined for its reception, and having acquired sufficient as- similation and maturity, assumes forthwith its due arrangement and figure, and enters into the com- position of those parts which are afterwards fur- nished and enlivened either with the whole or part of the energies we have already enumerated, viz. contractility, irritability, sensibility, or finally specific life. § 49. Of this nisus formativus, or formative propen- sity, more will be said when we come to treat of the process of generation. Irritability will be more fully considered when on the subject of muscular motion. The subject of sensibility will be again resumed when we come to consider the action of the ner- vous system. Of the vita propria, or specific life, we will every where treat, when the subject under consi- deration may render it proper. C2 But 36 OF THE VITAL ENERGIES. But with respect to contractility, the present is a very suitable place to offer on it a few addi- tional and particular observations. § 50. I have already said that this energy pervades almost the whole body, at least, that its extent is commensurate with the extent of the cellular membrane. In the first place, therefore, it resides in all such parts as consist of compacted cellular sub- stance, of which the different membranes of the body serve as examples. That these possess con- tractility will not be denied by any one who re- flects on the constriction of the dartos tunic, or who calls to mind the spasms of the skin, or of the peritoneum, which alone appears sometimes to incarcerate and strangle the intestines in cases of hernia. Further, It also exists in such viscera as are composed chiefly of this kind of membrane ; of this description are the lungs, the external super- ficies of which is highly contractile, as I have lately learned from frequently puncturing and irri- tating them in a living state ; but I have not found them possessed of any real irritability, as has been lately asserted by Varnier. Even OF THE VITAL ENERGIES. 37 Even the bones themselves do not appear to be entirely destitute of contractility, as we learn, not only from the alveoli, which are well known to become narrower after the extraction or loss of the teeth, but also from the morbid affection term- ed necrosis (i. e. mortification), from which it ap- pears, that after a lifeless part of bone is quite re- moved, the new production of bone, by which the vitiated part was before surrounded, contracts itself very gradually, almost to the natural thick- ness and former figure of the part. But as we observed on a former occasion, that the vitreous substance of the teeth was quite destitute of cellular membrane, so it appears to me probable, that it is entirely destitute of con- tractility also, because when a part of it is either consumed by a caries, or broken off by accident, the remaining portions or sides are not approxi- mated to each other, as we have already said takes place in the alveoli, but an irreparable hiatus or chasm continues without a shadow of diminution. § 51. This very power of contraction, possessed by the cellular membrane, should be ranked among the primary and leading securities or supports of firm- ness and health ; and to it should be referred that tone of parts, so highly and favourably spoken of C3 by 38 OF THE VITAL ENERGIES. by the acute and ingenious Stahl. To advance one argument in favour of the foregoing position, from many which might be adduced, it is the cel- lular substance which, in a healthy subject, ab- sorbs, after the manner of a sponge the aqueous liquid, of which we have already spoken, and by means of its contractility propels it forward into the lymphatic vessels: on the contrary, in a dis- eased state, being deprived of its proper tone, and reduced to an atonic condition, it becomes op- pressed and distended with a load of water, and thus gives rise to œdema and other cachectic symptoms. § 52. Finally, from the universal prevalence of con- tractility throughout the whole body, we may plainly infer its influence and contagious effect, as it were, on the other vital energies ; and also from its infinitude of modifications and degrees in dif- ferent men, we learn its highly influential part in the constitution of both the proper health and pe- culiar temperament of each individual. SECT. OF SOUND HEALTH. 39 SECT. V. OF SOUND HEALTH, AND OF THE NATURE OF MAX. § 53. THOSE three subjects (§ 1.) in the consideration of which we have been hitherto en- gaged, perpetually act and re-act on each other in the living human body. The fluids, for example, act by their stimulus on the solids; while these again, in consequence of their vital energy, are fitted and prepared both to receive the action of the stimulating fluids, and to re-act on them in turn. In a sound and healthy subject, this whole routine of action and re-action, corresponds with such exactness and definitude, as to constitute a perfect and harmonious equilibrium. § 54. There further exists in the living system a won- derful consent of parts, even the most remote; this consent is derived not from one, but seems to owe its origin to different sources. One of those sources resides in the nerves, de- pending as well on the astonishing net-like anasto- moses, formed by their numerous branches, as on the intricate nature of their plexus and ganglia ; C 4 by 40 OF SOUND HEALTH. by the medium of which, the impulse of stimuli being communicated to the sensorium, may from thence re-act on parts more remote. Another source of this wonderful consent must be referred to the different vessels of the system, as well the sanguiferous as the lymphatic. Another, again, arises from a certain similitude of structure, giving origin to what may be called a native sympathy. The cellular membrane, which, as has been al- ready observed, appears to constitute a common bond of union to the whole body, may be readily conceived to possess a very striking and powerful influence in promoting the consent of distant parts, § 55. Finally, to this head belongs what is justly es- teemed one of the greatest mysteries of nature, namely, the connection of the mind with the body, and the diversified and astonishing power of the one over the other. As this subject will be again resumed, and treated more fully in another place, it will be sufficient on the present occasion briefly to observe, that besides the obvious power of the will over most of the muscles, there are also other faculties which exert their influence on the OF SOUND HEALTH. 41 the body, even without the concurrence or aid of the will. Of this description are those blind and purely animal instincts of our nature ; such, for example, as that which excites to the gratification of vene- real enjoyments. Further, the body is greatly under the influence of the internal senses, more especially of the ima- gination, and those passions of the mind which it contributes to excite. Finally, it is by the interposition, and through the medium of these, that a communication and reciprocal influence are preserved between the powers of the body, and the more exalted facul- ties of the mind. § 56. By this diversified consent of the solids, of the fluids, and of the vital energies (§ 53.), by this sympathy of parts (§ 54.), and by this intimate connection between the mind and the body, (§ 55.), life and health are preserved in vigour ; yet not always existing in the same, but in widely different degrees of perfection and energy. § 57. 42 OF SOUND HEALTH. § 57. Between the two extremes of life there exist different grades, of which one is called vita max- ima, or perfect life; the other vita minima, or im- perfect life. Life is said to be perfect in the flower of age, when the functions of the body have reached that pinnacle of perfection, called by the Greeks acme; this might also be denominated the athletic state. Life, on the other hand, is said to be imperfect when the functions are performed with less vi- gour ; although their perfection may be the most consummate, when the situation of the subject, and its mode of existence, are taken into considera- tion : thus life is imperfect in a fœtus in utero, and that in proportion as the fœtus is tender and young. Finally, life is less perfect in the sleeping than in the waking state ; less perfect also in a subject advanced in years, than in one basking in the meridian blaze of manhood. § 58. The varieties in point of health are no less nu- merous and considerable : there is indeed a cer- tain state of health which may be said to be pecu- liar to each individual. Such persons as we sup- pose OF SOUND HEALTH. 43 pose to be in the enjoyment of the most complete health, differ, notwithstanding surprisingly from each other, as well in consequence of a difference in the constitution of the blood, as of a diversity of tone, and of the other vital energies; hence different individuals are so differently affected by the same stimuli acting on their bodies. Perhaps each individual may possess peculiar idiosyncra- sies, though so very inconsiderable as to be scarce- ly observable : the influence of custom is so pow- erful, as to create, in different subjects, an intole- rance of different impressions, though in them- selves quite innocent; it also produces a facility of bearing, and finally creates a desire for, such things as appeared at first both unnatural and dis- agreeable. § 59. This appears to be the very hinge on which re- volves the nature and variety of temperaments. so frequently the subjects of physiological discusion. The constitution of the temperaments depends, not only on the proportion and mixture of the consti- tuent parts of the blood (§ 22.), but also on the peculiar vigour of the vital energies already treat- ed of; and likewise en the consequent variety in the mode of the reciprocal action and re-action of the body and mind on each other. From this combination and concurrence arises that peculia- rity 44 OF SOUND HEALTH. rity of sensation to the impressions of stimuli ; and also that singular power of performing motions with greater or less facility. § 60. Hence the varieties of temperaments are lite- rally infinite, and can never be reduced to any certain and definite classes. But as it has been the pleasure of physiologists to arrange them un- der certain heads, for the sake of regularity, we may with sufficient propriety give our assent to the common mode of arrangement, by which they have been reduced to four orders, namely, the phlegmatic, the sanguineous, the choleric, and the melancholic. § 61. For although Galen erected this division on an absurd foundation, falsely supposed to be derived from the nature and constituent parts of the blood, yet if this erroneous foundation be kept entirely out of view, the division appears in other respects so consonant to nature, that the different temperaments of all men generally, and of every individual in the different periods of life, may be with propriety referred to one or other of these four leading classes. Thus, in the tender age of infancy the phlegmatic temperament chiefly pre- vails. This in youth is exchanged for the san- guineous. OF SOUND HEALTH. 45 guineous. The choleric marks the period of man- hood. And the melancholic is the temperament of old age. But, as has been already observed, the variety in the existing degrees of the same, and in the mixtures of different temperaments, is so un- bounded, as to afford an open and a very exten- five field of speculation to such as would wish to amuse themselves with tracing out, and establish- ing, on this subject, more minute combinations, or divisions and orders. § 62. This whole collective assemblage of all the fa- culties and laws hitherto mentioned, by which the functions of the human body are performed and regulated from the opening, to the closing pulse of life, are called human nature, or the nature of man; from whence arose the name of physiology, the science now under our immediate consideration. § 63. Those functions of the body may be themselves properly enough divided into four classes ; which division, although not entirely free from exception, nor perfectly conformable to nature, may never- theless be aptly enough retained as a useful assist- ant to the memory. I. The 46 OF SOUND HEALTH. I. The first class of this division embraces the vital functions, So called because their incessant and unmolested action, is more especially and es- sentially necessary to the continuance of life. To this class belong the circulation of the blood, and after birth the process of respiration. II. The second class embraces the animal func- tions; these serve to distinguish animals from or- ganised bodies belonging to the vegetable king- dom *. This class in man includes the connection * I lament it as a serious misfortune to the science of na- tural history, that his final object did not call on the very learned and ingenious professor to be more explicit and mi- nute on that class of functions denominated the animal. He has told us in terms very general and definite, that they are such as serve to constitute the great barrier of distinction be- tween animal and vegetable bodies. I am sorry that neither the object nor extent of an elementary work permitted him to descend to a more minute specification of those characteristics, in which the difference between animals and vegetables more immediately consists. Few points of investigation can be proposed which have given rise to a greater diversity of opi- nion, than that which respects the difference between these two classes of natural bodies ; and fewer still perhaps can be advanced, with regard to which philosophers, even in the pre- sent imperfect state of physical science, should more unani- mously agree. Be this later position, however, true or false, I have always been led to consider the strangely diversified, and even contradictory opinions, entertained by naturalists respecting the difference between animals and vegetables, as so OF SOUND HEALTH. 47 of the mind with the body, but it regards more especially sensation, and muscular motion. so many unanswerable testimonies of the equivocality of the whole. The discovery therefore of an exclusive line of dis- tinction between the animal and vegetable kingdoms, (if in- deed the supreme author and arbiter of nature permits such a line to exist) must still be considered as a peculiar desideratum in the science of natural history. From all my speculations on this interesting subject (and it is with me a favourite object of pursuit) I am firmly of opinion, that there exists no incommunicable characteristic, and I will venture to add, no congregation of characteristics, which serve to constitute a complete partition-veil between the animal and vegetable kingdoms. The numerous and highly diversified subjects of these two important kingdoms of life, appear to be nothing else than different individuals of one extensive family, descended from a common parent, and exhibiting the most unequivocal testimonies of their kindred nature. Like the delicate tints of light and shade in a well fin- ished picture, they so gradually intermingle, and run into each other so insensibly, that it is literally impossible to say with definitude, where the one terminates and the other begins All researches therefore after an exclusively distinctive cha- racteristic between vegetables and animals, appear to me equal- ly irrational and visionary with the late enthusiastic pursuits of the deluded alchemists, after the philosopher's stone, or their more chimerical researches after their flattering panacea. Why then should man, presumptuous man ! attempt the es- tablishment of an essential distinction between physical bodies, where wiser nature acknowledges none ! 2 III. 48 MOTION OF THE BLOOD. III. The natural functions constitute the third class. These are subservient to the nourishment of the body. IV. The fourth and last class consists of the ge- nital functions, which are destined for, and employ- ed in the propagation of the species. Let us now consider each class of functions in order, beginning with the vital. SECT. VI. OF THE MOTION OF THE BLOOD IN GENERAL. § 64. THE blood as we have already seen, af- fords the primary origin to the principal parts of the body, and continues afterwards to convey to them uniform and perpetual supplies of nourish- ment, and ought therefore, with a very few ex- ceptions (§ 5.) to be distributed far and wide, through even the most subtle and distant recesses of the whole body. That such a minute distribu- tion actually takes place, we learn not only from a fine injection of the vessels, but also from every day's experience, from which it appears that very I few MOTION OF THE BLOOD. 4 few parts of the body can be punctured with the point of the smallest pin without the occurrence of a greater or less hemorrhagy. This vital liquid does not, as was the opinion of the ancients, flow and ebb like the waves of Euripus*, through channels of the same nature and order, but is so moved onward in an orbit, or circulates, as they express it, in such a manner, as to be carried from the heart, by means of the arteries, to every part of the body ; and being there taken up by the veins, conveyed back again by them to the same original fountain, the heart. § 66. After a few, and those very indefinite, expres- sions † of his predecessors, William Harvey esta- * A narrow arm of the sea, extending between Bœotia and Eubœa, said to ebb and flow seven times during each diurnal revolution of the earth, or each term of 24 hours. In this extraordinary portion of sea, Aristotle, that celebrated anci- ent philosopher, is falsely reported to have drowned himself, because he was not able to develope the cause of the constant flux and reflux of its waters. C. C. † The unfortunate Servetus, and that truly illustrious cha- racter Andr. Cœsalpinus, appear to have advanced nearer to a true knowledge of the genuine circulation of the blood, than any of the other physiological writers who are commonly enumerated in the same class. VOL I. D It 50 MOTION OF THE BLOOD. blished, in a manner tolerably conclusive, the cir- culation of the blood, in a small but immortal work published in the year 1628. In process of time, however, every shadow of doubt on this subject was removed. This was ejected chiefly by frequent recourse to actual and simple observations with the microscope ; but in part also by injections of wax and other substances into the arteries, which were seen pairing again to the heart by the route of the veins ; and, fur- ther, by the elegant and sublime experiment of It may not be improper on the present occasion to advert to a remarkable clause in the writings of Servetus, contained in a physiological dissertation, which he included in his cele- brated and very scarce work, that occasioned the death of its illustrious author. The work is entitled " Restitutio Christi- anismi," &c. (Viennæ Allobrog.) 1553-8. The dissertation particularly alluded to, is contained in the fifth book of the abovementioned work, " de trinitate divina, in quo agitur de spiritu sancto" in which we are presented with the following words, " Vitalis est spiritus qui per anastomoses ab arteriis com- municatur venis, in quibus dicitur naturalis." But from the memorable problem of Cœsalpinus, " de ve- nis ultra vinculum tumescentibus, non citra," it appears obvious as the blaze of day, that that truly illustrious physiologist trod on the very confines of a complete knowledge of the circulation of the blood. See his " Quæstionum medica- rum," L. II. quæst. 17. page 234. transfusing MOTION OF THE BLOOD. 51 transfusing the blood of one living animal into another, or into a human subject; as also by vari- ous other experiments which may be performed on animals in a living state. § 67. What should be esteemed the definite standard of the celerity of this motion, in a healthy human subject, we are not well able to determine. In this respect there is not only a difference between one subject and another, but there also occurs a great variety relating to this point, arising from the difference of ages : there indeed exists a dif- ference in the celerity of the blood's motion, even in the different parts of the same body. Finally, the venous blood appears to glide on more slowly than the arterial; and when flowing through the trunks of vessels, its motion is more rapid than when passing their smaller ramifica- tions. Former physiologists, however, have not- withstanding exaggerated these several diversities, in the celerity of the blood's motion, beyond their natural magnitude. The common conclusion, however, on this sub- ject is, that the blood, flowing through the aorta with its mean velocity, passes over a distance of about eight inches during the space of one pulsa- D 2 tion ; 52 MOTION OF THE BLOOD. tion ; at which rate it would travel about fifty feet in the first minute of time. § 68. The globules of the cruor appear to revolve on their axes or centres of motion ; and it is said that the same are propelled forward with greater velo- city than the other constituent parts of the blood. I know not whether this conclusion be drawn from actual experiment, or whether it be only an inference from an absurd application of the com- mon laws of hydraulics to the circulation of the blood : I call the application absurd, because it is certainly the very summit of folly, to attempt to recount for that motion of a vital fluid, by which it is carried through the living canals of an ani- mated system, on the purely mechanical principles by which water is forced through hydraulic ma- chines.— As to myself, I must acknowledge I have never been so fortunate as to be favoured with a view of this prerogaitve or precession of the globules. § 69. I am fully persuaded, that those globules only glide forward, suspended or swimming in the fluid formed by the other constituent parts of the blood, but that they do not at the same time rotate on their own axes at all. To conclude, it is not fully MOTION OF THE BLOOD. 53 fully and clearly ascertained, that the blood, be- sides its progressive motion, of which we are now speaking, is also subjected to one of a different kind, called an intestine motion ; although there can be no doubt, but that the elementary parts of the blood may be occasionally affected in their arrangement and combination, when they are tumultuously agitated in consequence of the im- mensely varied directions, the minute divisions and numerous anastomoses of the vessels through which they pass. § 70. Thus much we thought proper to advance on the motion of the blood in general. Previously to our entering on a more close and minute con- sideration of this subject, we think it best to treat of the vessels in which the blood is contained, and also to consider with attention the energies, by which these vessels are animated, and fitted both to receive and again propel the blood. D3 SECT. 54 OF THE ARTERIES. SECT. VII. OF THE ARTERIES. § 71. THE vessels which receive the blood immediately from the heart, and convey it to all the different and minute parts of the body, are called arteries. In their collective or aggregate dimensions, they are less capacious than the veins; but their texture is far more solid, more compact, very elastic, and, as appears, from the experiments of Wintringham, remarkably strong. § 72. They are composed of three membranous strata, or coats. I. Of an external, which Haller called a true cellular coat, Albinus a nervous, Vesalius a carti- laginous, others a tendinous, &c. It consists of condensed cellular membrane, externally more lax, but becoming by degrees more compact, as you advance nearer to its internal surface, where it is overspread with numerous small blood vessels. To OF THE ARTERIES. 55 To this coat the artery appears to be chiefly in- debted for its tone and elasticity. II. The second or middle stratum, is composed of transverse fibres, assuming a lunated or falciform figure and direction ; its substance has a fleshy ap- pearance, from whence it has been, called the muscular coat, and in it the vital energy of the arteries appears in a very particular manner, to reside. III. The last and most internal coat, is a mem- brane of an extremely smooth and polished surface, which serves as a lining to the cavity of the artery. In the trunks and larger branches of the arte- ries, these coats may be distinctly observed ; but they are less evident in the more minute ramifica- tions. § 73. All the arterial branches in the human body take their origin from either one or the other of two leading trunks. The first of these trunks is the pulmonary artery, which, rising from the anterior ventricle of the heart, passes into the lungs. D4 The 56 OF THE ARTERIES. The second is the aorta, which rises from the posterior ventricle of the heart, and shoots its ramifications into every part of the system. These trunks are divided into branches, which again undergo farther and more minute subdi- visions, § 74. An opinion has been conceived and propa- gated as an established truth, that, throughout the whole sanguiferous system, the aggregate capa- city of all the branches, taken together, is superior to that of the trunk from which such branches directly originate. I fear, however, that the au- thors of this opinion have expressed themselves on this subject in terms by far too general, and have sometimes even confounded the measure of the diameter of vessels, with that of their area. In my investigations and inquiries on this subject, I did not trust to the result of a single experiment, nor did I confine my experiments to vessels filled with wax, which, however improper, were the only kind used by some celebrated physiologists, in their attempts to ascertain the matter now under consideration ; but, as the nature and importance of the subject evidently demanded, I made my experiments and observations on the sound and unaltered vessels of subjects recently dead. I took, for OF THE ARTERIES. 57 for example, that nameless trunk from which the right carotid an subclavian arteries diverge as branches, and also the brachial trunk, together with its branches, the radial and cubital arteries, and having formed a rectangular triangle, from the diameter of the trunk and the diameters of its appended ramifications, I found, from the well known theorem of Pythagoras, that the Square of the hypothenuse was equal to the sum of the squares of the base and perpendicular. Indeed, in arteries of the smallest orders, Haller himself acknowledged that the capacity of the trunks is greater than that of their ramifications ; so that, at least, the common calculation does not apply universally, but, (if it be indeed ever admis- sible), must be restricted to a very few orders of vessels. § 75. Each trunk and ramification, separately consi- dered, have been commonly believed to possess a conical figure, the base, or that part next to the heart, being supposed mere capacious than the opposite extremity. This opinion appears however to be hypothetical : for, whoever will take the trouble of examining the arteries with accuracy and attention, will find their figure to be perfectly cylindrical:, indeed, on the other hand, there 58 OF THE ARTERIES. there are not wanting instances of some arteries which in their progress rather widen and expand, such, for example, are the mammariæ internæ, or internal mammaries, and even the arch of the aorta itself is more contracted at its base than at its apex or top. All arteries, especially those of the larger orders, appear to be a little dilated and enlarged, just before their division into branches, § 76. The number of orders, formed by the divisions of the main arterial trunk into the progressive series of uniformly decreasing ramifications, from its first origin at the heart, to its final termination in the extreme capillaries, cannot possibly be uni- versally ascertained and established as a general and unvarying result. The truth of this position will be obvious to any one who considers, that in the different parts of the body, especially in the viscera, the arteries are subject to great variety with respect to their divisions ; and that, on this account, they sometimes form more, sometimes fewer orders of vessels, previously to their sepa- ration into evanescent capillaries. Hence the disagreement of authors who have attempted to amuse themselves with calculations of this kind. Thus, for example, Keil estimated the number of the orders of arteries at fifty, while Haller OF THE ARTERIES. 59 Haller contended that they amount to no more than twenty. § 77. After numerous divisions of this kind, and va- rious anastomoses, by which the neighbouring branches of arteries communicate with each other, they at length arrive at their final terminations, which are completely continuous with, or which fairly open into, the origins of veins ; fo that, their route being uninterrupted, they are reflected from extremities that can scarcely be discerned, and thus converted into those returning vessels, by which the blood, lately arterial, but now become venous, is conveyed back again to the heart. § 78. But although this complete continuity of the arteries and veins be so extremely evident in nu- merous parts of the body, as to be obvious even to the naked eye, yet it still remains a matter of doubt, whether this be the only and exclusive mode, in which arteries communicate with veins, or whether there may not be, at least in certain parts of the system, an intermediate and parenchy- matous substance, which receives the blood from the terminations of the arteries, and again depo- sits it in the incipient mouths of the veins ? There 60 OF THE ARTERIES. There occur certain phenomena, such for ex- ample, as erections of the penis, and the common phenomenon of blushing, which render the ex- istence of such a connecting medium between those two kinds of vessels, at least not improbable. § 79. There are, again, vessels of a nature evidently different from those already spoken of, which ap- pear to arise every where from the smaller arte- rial branches; these vessels consist chiefly of two kinds, namely, the serous, which are so narrow as not to be able in a healthy subject to admit the globules of the cruor, but only to receive the thinner fluid or vehicle in which those globules swim (§ 69.) ; and the secretory, which do not appear to attract any thing from the mass of arte- rial blood, but such specific fluids as are destined for secretion (§ 4.) § 80. With regard to the former kind of vessels, which we denominated serous, it is necessary to observe, that we do not mean by them the imagi- nary orders of yellow and of white vessels, spoken of by Boerhaave, which appear to have been fan- cifully conceived, in conformity to the account given by Leeuwenhoek of his equally imaginary sixfold conformation of the globules of the blood: neither OF THE ARTERIES. 61 neither do we mean the neuro-lymphatic vessels of Vieussen and Ferrein, of which those gentle- men supposed the viscera to be in a great measure composed ; but which do not indeed appear to be any better founded than the preceding conjectures of Boerhaave and Leeuwenhoek. By the serous we mean those colourless vessels which are never visible, unless in certain cases of violent inflammation, where the impetus of the blood is very powerful; and indeed in some parts of the body, even this energetic process of nature is not of itself sufficiently powerful to bring them into view, unless they be still farther dilated by means of an anatomical syphon or injector : of this latter description are, for example, the vessels of the cornea, which can scarcely ever be filled with wax, unless in the dead bodies of such subjects as have died while labouring under a violent inflam- mation of the eyes. § 81. The secretory vessels, on the other hand, appear to be different from those, and belong chiefly to the secreting viscera and conglomerate glands; they can also be traced by means of a very subtle injection, which, for instance, when thrown with force into the artery of the parotid gland, flows out and escapes through the duct of Stenonius. But 62 OF THE VEINS. But on these vessels we will have a stated oppor- tunity of being more pointed and particular in a subsequent section. SECT. VIII. OF THE VEINS WHICH CARRY BLOOD. § 82. THAT blood, which, by means of the arteries has been distributed throughout every part of the system, must be conveyed back again to the heart through the medium of the veins. These vessels differ very widely from, the arte- ries, both in their functions and structure : to this, however, veins of the smallest orders form an ex- ception, as their structure does not differ from that of arteries of the same magnitude in so wide and obvious a degree. §83. The veins (if we except the pulmonary system) are more capacious in their collective or aggregate dimensions than the arteries ; their ramifications are also more numerous ; they are much more ir- regular in their courses and modes of ramifying ; their OF THE VEINS. 63 their texture is also much softer than that of the arteries ; they are far less elastic, but nevertheless extremely tenacious, and capable of wonderful ex- pansion. § 85. Their coats are considerably thinner than those of the arteries; whence the blood which they contain appears in some measure through them ; they are also less numerous, being no more than a certain cellular covering, somewhat resembling what has been called the nervous coat of the ar- teries, and an internal membrane of a very exqui- site polish, similar to that with which the arteries are lined. No part of the venous system is furnished with muscular fibres, except the larger trunks near the heart. §86. In by far the greater number of the larger veins, such, for example, as exceed in their dia- meter the twelfth part of an inch, this internal membrane forms, by its foldings, an immense num- ber of valves of the most beautiful structure, ex- ceedingly pliant or moveable, and exhibiting the appearance of small sacks : they are, for the most part, simple and alone, frequently however, ar- I ranged 64 OF THE VEINS. ranged in pairs, and sometimes in triplets ; and are so situated and disposed, that the bottom of the little sack points to the origin of the vein, while its mouth or orifice opens, and is directed towards the heart. Those small valves are, nevertheless, wanting in the veins of certain parts, as in those of the ence- phalon, the lungs, &c. and in the whole system of the vena potarum. § 87. The small ramifications of the veins (which would, indeed, with more propriety be called their radicles or little roots) form, by their junctions, larger branches, and these unite finally into six leading trunks; viz. the two venæ cavæ, one cal- led the superior, the other the inferior, and the four trunks of the pulmonary vein. The vena portarum alone exhibits one pheno- menon peculiar to itself. The trunk of that vein, on entering the liver is, after the manner of an artery, immediately divided into branches, the extreme ramifications of which become, at length, radicles to the inferior cava, and finally lose them- selves in the bosom of that trunk. I § 88. OF THE VEINS. 65 § 88. We need not, on the present occasion, again advert to the common, and by far too general, opinion, that the areas of the branches are more capacious than the area of the trunk from which they rise, nor yet to that respecting the conical figure of single vessels, as what was said on those subjects, when treating of the arteries (§ 74, 75.), will apply with sufficient precision to the veins. There are also among the veins, a few examples of vessels being more capacious at a more remote distance from the heart; such, for instance, is the vena poplitea, where it passes between the condyls of the of femoris. * What has been already said, with regard to the final terminations oSthe arteries (§ 77, 78, 80.), may, by making such obvious and necessary changes, as are adapted to the different nature and circumstances of our subject, be fitly applied to the origins of the veins. VOL. I. E SECT. 66 OF THE HEART. SECT. IX. OF THE HEART. § 89. THERE exists, as we have already had occasion to observe (§ 65), a two-fold communi- cation between the arteries and veins: one, for instance, at the minute extremities of each kind of vessels (§ 77) ; and the other at the heart, their common fountain, in which the leading trunks of the whole sanguiferous system meet. § 90. The heart is, as it were, the first active organ and moving spring of the whole human machine, as it is by the perpetual and truly astonishing energy of this body, that the most important vital function, namely, the circulation of the blood, is performed, from so early a date of our existence, as the fourth week after conception, down to the closing period of transient life. § 91. This active organ, by its alternate dilatation and contraction, first receives and again ejects the blood in the following manner. Into the anterior venous sinus, and its appendage, the anterior auri- cle OF THE HEART 67 cle of the heart, the blood is conveyed from the! whole body, by means of the two venæ cavæ, viz. the superior and inferior, and likewise from the substance of the heart itself, by means of the coro- nary veins, the common orifice of which is fur- nished with a valve of a peculiar structure; and from this auricle, it is again conducted into the corresponding ventricle of the same side. § 92. From this anterior ventricle (formerly called the right ventricle, in conformity to the situation of the heart in brutes) the blood is thrown into the lungs through the pulmonary artery, which was called by the ancients vena arteriosa; from thence, by the four pulmonary veins, called in former times arteriæ venosæ, it is conducted into a common sinus, formed by their conflux, and thence again into the corresponding auricle; these were once called the left, but are now more pro- perly named the posterior, sinus and auricle. § 93. From the posterior auricle it passes on to the ventricle of the same side, from whence it is distri- buted, by means of the aorta, through the whole arterial system appropriated to the other parts of the body, and by the coronary arteries, through the substance of the heart itself. E 2 § 94. 68 OF THE HEART. § 94. The blood having passed from the extreme and ultimate branches of the arterial, into the incipient radicles of the venous system, re-enters the two venæ cavæ, (while that from the coronary arteries is also returned by veins of the same name), and thus the whole collective volume resumes again, and incessantly continues, the same circuitous route already described. § 95. This circular and regularly progressive motion of the blood through the cavities of the heart, is powerfully directed, and the regurgitations of that fluid are completely prevented, by means of small valves, which surround and serve as portals to the principal avenues which lead to the heart. These valves are situated on the margins, or extreme lips, of the ventricles which are adjacent to, and look towards, their corresponding sinuses, and also at the mouths of the two great arterial canals leading out of those ventricles. § 96. Thus a small venous ring or tendon, which forms a partition between the anterior sinus and ventricle, descending into the cavity of the latter, separates into three small valves of a tendinous appearance, each one of which was formerly be- lieved to divide again into three apices or points, from OF THE HEART. 69 from whence they received the name of valvulæ triglochines or tricuspides. These valves are con- nected at their points to fleshy columns, common- ly called musculi papillares. § 97. In like manner another small ring of the same kind, which constitutes a partition between the posterior sinus and ventricle, is also divided into two small valves, which, from a certain supposed resemblance to a sacerdotal mitre, have been called valvulæ mitrales, §98. At the entrance into the pulmonary artery, as also at the mouth of the aorta, are situated, in an annular or circular position, three valves much smaller indeed than those already described, but of a very elegant and beautiful figure and appear- ance, and furnished with fleshy fibres; these have been called valvulæ semilunares or sigmoides. § 99. Now it evidently appears, that by means of these different kinds of small valves, sufficient pro- vision is made against the irregular, confused and retrograde movement of the blood. They easily yield, and afford a passage to the blood when ad- vancing regularly forward in the established course E 3 of 70 OF THE HEART. of its circulation. But they prevent the regurgi- tation of this fluid, by becoming, in consequence of its refluent effort, fully expanded like the swell- ing of a well-filled sail, and thus completely closing the orifices round which they are arranged. § 100. The valve of Eustachius which, in the fœtal state, is stretched like a curtain across the mouth of the ascending cava, becomes after birth (sooner or later in different Subjects) so gradually oblite- rated for the most part, as to be rendered wholly unfit for the execution of its former functions ; neither indeed does the system stand any longer in need of it, as a passage is now opened and prepa- red for the blood through the lungs, and its re- turn from those viscera prevented by the semilu- nar valves already spoken of, and as each subse- quent column of blood, pressing from behind, must pursue the same route with that immediately pre- ceding it. But as it does sometimes notwithstand- ing happen, that the passage of the blood from the right side of the heart into the lungs is by some means obstructed, we then learn from the preternatural pulsation observable in the superior cava, that the blood is repelled in a retrograde di- rection from the right sinus into the two adjoining great venous trunks. § 100 OF THE HEART. 71 § 101. It is a point of controversy, whether or not the semilunar valves suffer the ventricles to be perfect- ly and completely evacuated, or whether they do not rather by means of their expansion intercept a part of the blood in its escape from those cavi- ties, and thus force it to take in some measure a re- trograde course. Observations made on frogs, and even on the minute heart of the nascent chick, prove that in those animals the heart is indeed completely eva- cuated ; but whether or not the same thing takes place in man himself, when in a sound state of health, is not yet clearly ascertained ; if, however, it be admissible, in physiological discussions to spe- culate and draw conclusions from the structure and mechanism of those valves themselves, as they ap- pear on the dissection of the heart, the contrary opinion appears the most probable. § 102. The texture of the heart is altogether singular, and peculiar to that organ. It is indeed fleshy, but remarkably close and compact, and widely dif- ferent from the common constitution and appear- ance of muscles. E 4 It 72 OF THE HEART. It is composed of small bundles of fibres, more or less oblique, frequently ramifying in a singular manner, contorted and wound spirally in diversi- fied and truly strange directions; these fibres lie over, and rest on, each other in certain orders of strata, they are intermingled and closely knit to- gether in the septum which separates the two ven- tricles, and are fattened and firmly connected at the basis of those ventricles by four cartalaginous rings or bands, which (according to the accurate unravelling and developement of the whole fibrous texture of the heart, lately executed by the inde- fatigable and illustrious Wolff), appear to serve as a stay and support to the fleshy structure of the ventricles, and also to separate and distinguish it from the fibres of the sinuses. § 103. Those fleshy fibres are every where overspread with an infinitude of small nervous ramifications of extreme softness, but they are more particularly supplied with such an immense apparatus of blood vessels, arising from, and belonging to, the coro- nary arteries and veins, that Ruysch has declared in his writings, that the whole fabric of the heart appears to be composed solely of sanguiferous tubes. § 104. OF THE HEART. 73 § 104. By means of the foregoing structure (§ 90. seq.) and texture (§ 101. seq.) the heart is fitted for the performance of those perpetual and uni- formly equable movements, which return in such general order, that the preliminary appendices and ventricles themselves, are alternately contrac- ted and relaxed, or perform, in alternate times, those motions, called in physiological language, systole and diastole. § 105. With such definitude do they preserve this har- monious order in their routine of contraction and dilatation, that as soon as the appendices contract themselves, to propel the blood, returning from the lungs and venæ cavæ, into the ventricles, these latter are at the same instant relaxed and fitted to receive the same advancing wave of blood ; but in the subsequent and next moment, when it is the point of time for the ventricles, new recently filled, to contract and force the blood into the two arterial trunks, the appendices are again relaxed, and their mouths rendered patulous for the purpose of drinking in a fresh tide of ve- nous blood as it roils on in its usual course. § 106. 74 OF THE HEART. §106. This systole of the ventricles, which is supposed to consume about one third part of the whole time of the heart's pulsation, is performed in such a manner, that the exterior sides of those cavities are approximated and contracted towards the in- termediate septum which separates the right ven- tricle from the left; which contraction, especially if we attend to the conical figure of those cavities, appears fully sufficient to evacuate them of their contents. But besides this approximation of the lateral parts of the heart towards each other, the apex of that organ is, during its systolic motion, con- tracted towards, and brought nearer to its basis; as has been frequently observed not only in the inferior animals both of cold*, and warm blood, but even in man himself, while in a living state†. * I have not in the live-dissection of any animal discover- ed the heart more evidently shortened, during its systolic motion, than in that of coluber natrix or water serpent. Throughout the forests in the neighbourhood of our city, this species of serpent may be sometimes found four feet in length. Having taken one of these animals and subjected it in a living state to the anatomic knife, I observed that the length of its heart during the diastolic, exceeded its length during the systolic motion, at least the space of two lines. † It does not, however, appear that this diminution of the longitude of the heart during its systolic motion is an ab- 4 solute OF THE HEART. 75 An argument seemingly in favour of a contrary opinion has been derived from, and founded in, vulgar experience, from which it appears that the apex of the heart strikes, during its systolic mo- tion, against the left mamma or breast, and seems therefore to be rather elongated than contracted and shortened; this apparently conclusive argu- ment will however have no weight with one who considers, that those sensible percussions or strokes of the heart are to be attributed as well to the im- petus of the venous blood rushing into the appen- dices of that organ, as to that of the arterial blood forcibly ejected from its ventricles ; by both which sources of propulsion the whole heart is carried towards and impinged against that region of the ribs. § 107. The impetus, which is by this systolic contrac- tion of the heart imparted to the blood, is com- solute condition of life. I am led to the adoption of this opinion from a variety of observations made on the heart of a duck, in a great portion of which a complete ossification had taken place. This heart was deposited in my anatomi- cal collection by my very liberal and worthy friend C. F. Mi- chaelis, and is marked by completely ossified striæ running from its base to its apex. On its sides, however, it was still furnished with fleshy substance sufficient to continue the late- ral motion of its ventricles., and thus preserve the circulation of the blood. municated 76 OF THE HEART. municated to the arterial system, receiving the blood, in such a manner, that every systole of the heart may be plainly perceived in such arteries of the other parts of the body as can be felt by the touch, (of which description are all those that ex- ceed in their diameters the sixth part of a line), and likewise in such other arteries as can by any means whatever have their pulsations rendered obvious to the senses : this can be easily effected, for example, in the internal ear or eye, in either of which a singular kind of motion can be excited and rendered sensible, which (as well as the same kind of throbbing or pulsatory motion fo percep- tible in the other parts of the arterial system) is called the diastole of the arteries : of this diastolic motion we shall have an opportunity to speak on a future occasion, at which time we will take up the inquiry, whether or not it is to be attributed solely to the action of the arteries themselves, or derives its existence from some other source. § 108. In whatever manner this point may be deter- mined, one thing we learn from experience, the surest guide to truth, viz. that in a healthy sub- ject, what is called the pulse of the arteries, is precisely synchronous with, and perfectly corres- pondent to, the motions of the heart ; and like- wise in a morbid intermission of the pulse, the heart OF THE HEART. 77 heart and arteries still harmonize in their action, by ceasing from, and again commencing, motion at precisely the same moments. § 109. The frequency of the pulsations of the human heart in a healthy state, is extremely different in different subjects. This diversity arises principally from diversity in point of age, but partially also from other conditions of the system, which at any and every period of life constitute the health pro- per to each individual ; so that it is not possible to ascertain and establish, on this subject, any cer- tain and definite rule. It may nevertheless be pro- per to mention the general result of my observa- tions (made in our own climate) on the frequency of the pulse in the different periods of human life. In the first days after birth I have generally found the pulsations of the heart of the tender in- fant, while sound asleep, amount to about 140 in the space of a minute. At the expiration of the first year, they amount to 124 in a minute. At the end of the second year to about 110. At the end of the third year to about 96, &c. At 78 OF THE HEART. At that period in which the first set of teeth, usually called the milk-teeth, drop out, the pulsa- tions of the heart amount to 86 in a minute. At the age of puberty to about 80. In the prime of life, or at the period of man- hood, to about 75. And to about 60 at the sixtieth year of human life. In subjects still farther advanced in years, I have scarcely found two in whom the number of pulsa- tions were the same, at the same period of old age. § 110. All other circumstances being alike, the pulsa- tions of the heart are more frequent in females than in males. If proper and necessary allowance be made for the habit of body, they are less frequent in men uncommonly tall, than in such as are rather low. This circumstance I have ascertained to be a truth by comparative observations made on the pulses of dwarfs, and giants or men remarkably large. § 111. OF THE HEART. 79 § 111. On the subject of those varieties in the pulse, occasioned by extraneous circumstances, vulgarly called non-naturals, it is necessary to observe, that a cold climate produces a slow pulse; thus, for instance, the heart of a Greenlander when in perfect health, does not pulsate oftner than from thirty to forty times in a minute. But it is an observation as common as it is true, that the pulse becomes more frequent after the taking in of aliment, and after an emission of semen. The same effect is also produced on the pulse by a want of sleep, by bodily exercise, or by passions of the mind. § 112. The foregoing observations relate to the na- tural or healthy pulse, in the consideration of which it seems more consistent, and agreeable to nature, to direct our views to the heart, as its ex- clusive source, than to the arteries, on which physiologists have usually fixed their attention when engaged in the investigation of this subject. In this incessant routine, the heart continues its pulsations, down to the extreme glimmerings of life's perishable flame ; and even then, all its parts do not cease from action at the same moment, but 80 OF THE HEART. but it is the prerogative of the right ventricle with its appendices, the right auricle and sinous, survive the left ventricle, and its appendices. This may be sufficiently illustrated in the fol- lowing manner : After the last act of expiration, the lungs now in a collapsed state, can no longer admit the blood to flow through them in its cus- tomary channel, while at the same time that wave of blood which they have just returned to the lest side of the heart, is from thence forceably expel- led through the aorta, and thus urges forward by a vis a tergo the advancing column of venous blood : from this combination and concurrence of circumstances, the blood returning with preci- pitation and impetuosity, rushes violently into the appendices and ventricle on the right side of the heart, in consequence of which the parietes of those cavities are thrown into convulsive efforts, and thus continue to be agitated, for some time, after the left side of that organ is completely de- prived of all vital motion. § 113. From a knowledge of this fact, viz. that during the last vital efforts of declining nature, the blood is propelled into the cavities on the right side of the heart, we deduce, with the ut- most ease, the cause of that state of depletion in I which OF THE HEART. 81 which the larger arteries are found after death. To the same cause also Weiss, and after him the illustrious Sabatier, were desirous of attributing the superior size of the cavities on the right, to that of those on the left, side of the heart, espe- cially in the corpse of an adult subject. § 114. The whole of this motion of the heart, which has been the subject of the preceding observa- tions, is to a very considerable degree limited and directed by the pericardium, in which the heart loosely hangs, and by which it is completely en- closed as in the walls of a prison. The pericardium is a membranous sac, consid- erably capacious, and accommodated to the figure of the heart which it encloses. It takes its origin from the membranes constituting the mediastinum, and although, from its fineness, it may appear some- what tender, yet we learn from the experiments of Wintringham, that it is so very tenacious and firm, as far to exceed in strength all other mem- branes of a similar nature in the human body, That the pericardium is a part of the first importance in the animal economy, we safely infer from this single circumstance, namely, that throughout all classes of animals possessing red VOL. I. F blood, 82 OF THE HEART. blood, it is found as constantly and uniformly ex- isting as the heart itself; and records do not fur- nish more than one or two examples of the human heart having been found completely destitute of a pericardium. These singular examples of such an unnatural state of the heart are recorded in the writings of Dinkier. § 115. The internal surface of the pericardium is kept constantly humid by a dew-like serous effusion, which appears to exhale from the small arteries of the heart itself. In like manner a fluid, of a similar nature, ap- pears to transude into the very cavities of the heart, and to moisten and lubricate their surround- ing parietes or walls. In either case the effusion during the healthy state of the part is of a serous nature, and not ac- companied by any real lymph, unless the heart be labouring under inflammation ; but when this or- gan becomes the seat of an inflammatory affection, then genuine lymph transudes, giving rise, on the external superficies of the heart, to fine filaments of a hair-like appearance, together with those preternatural portions of cellular membrane, which in such cases connect the heart to the pericardium, POWERS, &c. 83 pericardium, but on the interior surfaces of the cavities themselves producing excrescences of a truly polypous nature. (§ 19.) SECT. X. OF THE POWERS BY WHICH THE BLOOD IS KEPT IN MOTION. § 116. HAVING thus completed the consid- eration of the organs in which the blood is con- tained, we now pass on to take a view of the powers, by which those organs are qualified and fully prepared to keep that vital fluid in motion. Let us, in the first place, take an attentive and accurate survey of those powers which reside in the heart itself, and which ought, without doubt, to be considered as by far the most active and es- sential in the great business of circulation: we will then proceed to consider what may be called the secondary and assistant powers, which we will also find of high importance in the animal econo- my, from the concurrent and effective aid which they afford to the action of the heart. F2 § 117. 84 POWERS WHICH KEEP § 117. It will at first view appear obvious to even the most superficial observer, that it is a matter of Herculean difficulty indeed, either to ascertain by accurate calculation the force of action exerted by the heart, or to determine with precision the quantity of blood thrown into the aorta by that organ at each pulsation ; neither will the specula- tive physiologist find himself beset with difficulties of less moment, when he attempts to ascertain and establish with definitude, either the distance to which each projected wave of blood is carried by the impetus it receives from the heart alone, or yet the celerity with which such wave rolls for- ward ; but he will be surrounded with difficulties, still encreasing at each advancing step, in his at- tempts to render a just statement and accurate ac- count of all such obstacles as oppose, and thus greatly diminish the effects of the force exerted by the heart, in its action on the circulating mass of fluids. § 118. A certain estimation may nevertheless be formed of the power of the heart, by collecting and com- paring the most probable conjectures which have appeared on the above points of physiological spe- culation. Thus for instance, if we suppose the whole mass of blood to amount at a mean rate to 33 85 THE BLOOD IN MOTION. 33 pounds, i. e. 396 ounces (§ 23), and estimate the number of pulsations at 75 in a minute, i. e. 4500 every hour (§ 109); and further, if we adopt the opinion that at each systole the left ven- tricle ejects two ounces of blood, it will then fol- low, that during the course of every hour the weight of the whole volume of blood makes 22 3/4 complete transitions through the heart. We may also form a tolerable conception and estimation of the impetus with which the circulating blood is propelled from the left ventricle of the heart, by observing with what astonishing violence, and to what a considerable height, the blood spouts from one of the larger arteries when wounded in the neighbourhood of the heart. Thus, from the wounded carotid of an adult subject, I have seen the blood, during a few of the first contrac- tions of the heart after the accident, mount in jets to the height of at least five feet. § 119. But when we institute an enquiry for the dis- covery of those unfailing fountains or springs, which supply the heart with a force so powerful, and at the same time so uninterrupted and lasting, that which first attracts our attention, as being foremost both in point of time and importance is its irritability, (§ 44). This vital energy, as has been already evinced (§ 90), is much longer pos- F3 sessed 86 POWERS WHICH KEEP sessed by the heart, than by any other muscular part in the whole human body. That the parietes, or walls themseves of the cavities, are irritated and excited to contract by reiterated impressions from the circulating waves of blood, is manifest from a well known experiment of the illustrious Haller. From this celebrated experiment, of that indefatigable physiologist and acute philosopher, it appears, that he could at pleasure grant, either to the right or left side of the heart, the prerogative of a more protracted vital motion, (i. e. of longer life) accordingly as he first deprived the one side or the other of its peculiar stimulus, the blood*. § 120. When the proportional quantity of the blood is well adjusted to the size of the containing vessels, and its quality uncontaminated by any morbid change, its action on the heart, and the re-action of that organ again on the blood, proceed with such an equable, regular and happy facility, that, when in a state of rest, we are scarcely sensible of the circulation of this vital fluid, which is the kind and constant dispenser of life and vigour to every part of our bodies. * See Haller " De motu cordis a stimulo nato," in Commentar. Soc. Scient. Goettingens, tom. i. But 87 THE BLOOD IN MOTION. But is the circulating volume of blood be either too abundant, or preternaturally scanty, but espe- cially if this vital fluid be contaminated by the admixture of any foreign substance, as noxious miasmata, air in an elastic state, or poisons in- jected into the veins, &c. the heart, either roused immediately into excessive action, or depressed to the opposite extreme of prostration and debility, continues no longer fit for the salutary discharge of its important function, but falls into motions convulsive, irregular, and very widely different from the equable tenor of its healthy action. Fo- reign substances of the same kind, as air blown into the veins, &c. are also sometimes able to rouse again, and excite to motion, the heart of an animal recently dead. § 121. It has been a point of controversy, even in very modern times, whether this extreme irritability of the heart be essentially inherent in its own sub- stance, or if it be not rather adventitious, and de- rived, as some celebrated characters would induce the world to believe, from the mysterious influence of the nerves? We will hereafter have a fit oppor- tunity of declaring our sentiments respecting the whole of this controversy, when we come to con- sider the doctrine of muscular irritability, under which head, this subject of inquiry most naturally F4 falls. 88 POWERS WHICH KEEP falls. On the present occasion it may suffice to observe, that I am daily more and more convinced, that irritability is a species of vital energy altoge- ther peculiar in its nature, belonging exclusively to muscular fibres, and completely distinct from the vis nervea (§ 34, 45.) But, on the other hand, it is no less evident and incontrovertible, that the nerves do also possess a very powerful in- fluence and command over the action of the heart: this we learn, as well from the peculiar habit and appearance of the cardiac nerves, from their soft- ness, their defect of covering, and their singular disposition and arrangement, as from the astonish- ing consent of the heart with by far the greater number of the functions of the human body, even with those of the most opposite nature. In testi- mony of the reality of this consent, it may be sufficient barely to mention, the sudden and tran- sient sympathy which, even in a healthy subject, exists between all the passions of the mind and the heart, together with that, which, in a great many species of disease, manifests itself between this organ and the primæ viæ. § 122. Bur, besides those vital energies of the heart, it possesses also another power, arising out of its mechanical structure, which appears to contribute not a little towards carrying on the circulation of the 89 THE BLOOD IN MOTION. the blood. The cavities of this organ being closely contracted, in the time of its systole, and the blood by this means completely expelled, a vacuum is thus produced, into which, on the prin- ciples of the well known law of derivation, the neighbouring blood must of necessity flow; for, as the valves prevent the regurgitation of the wave just ejected, it follows of course, that the cavities of the heart must then drink in, and swallow down, with rapidity, the blood advancing in the trunks of the veins. § 123. We proceed now to enquire, whether or not, any of the other organs through which the blood passes, besides the heart itself, are furnished with powers contributary to the continuance of the circulation of that fluid. Judging from first prin- ciples, or a priori, as it is termed, we are led to suspect that such powers do exist; for it appears hardly probable, that the wisdom of nature has entrusted so important a function, on which the life of sanguiferous animals immediately depends, to one organ only, the faults and defects of which might, in such case, with too much facility, be attended with fatal consequences. But, reasoning a posteriori, as they term it, i. e. from actual ob- servations, made on the animal economy, we are furnished with numerous facts sufficient to establish, beyond 90 POWERS WHICH KEEP beyond a doubt, the existence of such powers, which we may therefore term secondary powers, and which are able, not only to aid the action of the heart, but, in some cases, to compensate for almost the complete absence of the influence of that important organ. A striking instance of this nature, is the continued motion of the blood, in certain parts of the body, on which the power of the heart can have but very little effect, if indeed it can extend to them at all: this phenomenon is observable, as well in the venous system of the liver, as in the placenta of the uterus; not to mention numerous instances of fœtuses having been born, without the smallest vestige of a heart. § 124. Of these secondary powers, the first to be men- tioned is, the functions of the arteries, the influ- ence of which, in promoting and continuing the circulation of the blood, appears to be, indeed, very considerable; although the true principles and mode of their action, on this fluid, have not yet been fully developed and established. Speaking in general terms, there exists a very considerable resemblance between the arteries and the heart itself: that the arteries, for example, have a muscular coat, is a fact of the utmost pub- licity (§ 72.) That 91 THE BLOOD IN MOTION. That they also possess irritability, has been very generally known, since the famous experiments of the illustrious Verschuir. And, further, as the aspect or disposition of the cardiac nerves on the heart itself is truly singular, thus also the larger branches of the arteries are, here and there, surrounded with astonishing reti- cular intertextures of soft nerves. § 125. Finally, It is well known to every one that the arteries pulsate, and that indeed with such vehe- mence and force, that if we suffer one of our legs to lie over the other knee, the pulsations of the popliteal artery are sufficient to elevate in a sub- fultory manner, the superincumbent leg not only alone, but even with a very considerable weight appended to it. Indeed for a long time past, both a systolic contraction and diastolic relaxation have been attributed to the arteries, which motions have been said to correspond and harmonize with the alternate contractions and dilatations of the ventircles of the heart. Though the truth of this last proposition is generally believed to be established and confirmed by the simple testimony of the senses themselves, the subject is nevertheless still embarrassed with various 92 POWERS WHICH KEEP various doubts and difficulties: these difficulties immediately rise to view, when it is asked, whether this vibrating or pulsatory motion, which is felt on examination by the finger, is to be attributed to the inherent energy of the ar- teries, or to the impulse of the heart; and whether the whole motion of the arteries does not depend solely on the impetus with which the blood is projected into the aorta, and thus im- pinges against the sides of that tube, and its rami- fications? Dissections of living animals have not been suf- ficient to decide this controversy. For it some- times happens that during the live-dissections of warm blooded animals you may discover the lar- ger arteries pulsating, while at other times again they appear in a state of complete rest. In man himself, while in the enjoyment of vitality, I had once an occasional opportunity of observing the neighbouring trunks of the aorta and pulmonary artery, to be perfectly destitute of all motion; but it should not be forgotten, that this phenome- non appeared in a case of monstrous or preterna- tural formation of the parts. There are also ar- teries which we sometimes feel in a state of violent pulsation, and which we nevertheless know, from anatomy, are, in consequence of their situation, almost immoveable; of this we have an example in 93 THE BLOOD IN MOTION. in the cerebral carotid, where it passes through the canal of the os petrosum. § 126. When all circumstances relative to this subject are impartially weighed and dispassionately consi- dered, this appears to be the result, viz. that the diastole of the larger arteries takes place in conse- quence of their peculiar nature, and is to be attri- buted to the impetus of the blood rushing for- cibly into them, and expanding their coats or tu- nics, which, by means of their elasticity, imme- diately return again to their natural dimensions. To the same impulse also should be attributed that lateral or curving motion of their axes, which may frequently be observed in the larger arteries when they run in a serpentine direction, and lie embedded in soft cellular membrane. But in a found state of the system, we contend that the arteries scarcely exhibit any unequivocal proofs of a true systole, i. e. they do not by a ge- nuine contraction recede from their natural, to smaller dimensions, as long as the heart is adequate to the due performance of its momentous func- tion; but although it be certain, that the arteries do not always, yet we acknowledge that they do sometimes, exhibit and exercise a power of real contraction: thus for instance, when the heart is deficient 94 POWERS WHICH KEEP deficient in its action in consequence of labouring under either a morbid ossification, or some other species of disease, it is probable that then the duties of this important organ devolve on, and are discharged by, the arteries, and that the blood is thus kept in motion by the vital energy of those animated tubes. § 127. As it has been the decided opinion of several celebrated physiologists, especially the famous Whytt, that the powers of the heart cannot pos- sibly extend their influence to blood-vessels of the smallest order, as, for example, to the extreme terminations of the arteries, and to the incipient radicles of the veins; they have therefore attri- buted the motion of the blood, in that part of the system, to a certain oscillatory action of those mi- nute vessels themselves, by the help of which their contents are propelled forward: and this same vi- bratory motion they have also applied, with a great deal of ingenuity, to explain and demon- strate the nature of inflammation, &c. There are indeed a variety of phenomena, as well physiological, which shall be mentioned when on the subject of animal heat, as pathological, par- ticularly observable in spasmodic affections, ac- companied with fever, which seem to favour the existence 95 THE BLOOD IN MOTION. existence of such a power of oscillatory motion, although no such motion has ever been actually observed, even with the assistance of glasses, in the dissections of living animals. § 128. It yet remains to enquire also after those assist- ant powers, by which the other parts of the veins, besides their radicles or incipient roots, are fitted to complete finally the return of the blood to the heart. It appears, indeed, at the first view of the subject, that the veins possess and exert a much smaller portion of the active vital energies than the other parts of the sanguiferous system, because the return of the vital fluid, contained in those vessels, towards the heart, seems to be owing to the impetus of the arterial blood urging it on by a vis a tergo, as well as to the valvular structure of the veins themselves, which effectually prevents the blood from regurgitating. That these minute valves are of the utmost importance in promoting and continuing the regular and free circulation of the blood, is satisfactorily demonstrated by the fre- quent congestions and infarctions, which happen in those veins that originate in the inferior parts of the abdominal cavity, and which are entirely de- stitute of such valves. But 96 POWERS WHICH KEEP But there are nevertheless a variety of argu- ments which render it probable, that the trunks of the veins do possess, and actually exert, certain degrees of the vital energies; as is well exempli- fied in the veins of the liver, and of the uterine placenta (§ 123.), &c. It is also well known to every one, that the ex- periments first instituted by the illustrious Ver- schuir, are highly in favour of the existence of a vital energy in the veins. And, that the two leading and extreme venous trunks have a stratum of a true muscular nature, we have briefly hinted on a former occasion (§ 84). § 129. These are indeed the leading powers which are active in promoting the circulation of the blood, and which derive their origin from the very structure of the vessels in which this fluid is con- tained. I say nothing of the manner or degree in which the motion of this vital liquid is influenced by weight, attraction, or such other properties as are possessed by all bodies in common. I also pass over in silence the more remote and inconsiderable aids, which, in a human subject after birth 97 OF RESPIRATION. birth, are afforded to the circulation of the blood, by the exercise of the other functions of the system, such as respiration, muscular motion, &c. SECT. XI. OF RESPIRATION, AND ITS PRIMARY USE. § 130. THE lungs, which are very intimately connected with the heart, as well from the vicinity of their situation, as from their uniform intercourse in the performance of their important function, are two viscera, large in the human subject after birth, but of such specific lightness, as to float on the surface of water. They consist of a paren- chymatous substance, of a spungy texture, and even exhibiting somewhat the appearance of foam, yet still considerably tenacious and strong. § 131. The lungs fill up the two cavities of the thorax, and thus lie in perfect contact with the sacs of the pleura, to which, as well as to the other parts contained in the thorax, they apply and accom- modate themselves with the utmost definitude and exactness. VOL. I. G § 132. 98 OF RESPIRATION. § 132. These viscera are appended to an air tube com- monly called the aspera arteria, which, (besides an internal membrane, lined with mucus, under which is expanded a nervous intertexture of ex- treme sensibility), consists also of a muscular coat, which surrounds the nervous expansion, and on the posterior side is easily distinguished at the ter- minations of certain cartilaginous arches, which assist in the formation of the tube, but are not uni- form in their number. § 133. After the aspera arteria has entered the thorax it first forms, by bifurcation, the two trunks of the bronchiæ, which as they shoot still deeper and deeper into the lobes and lobules of the lungs, pass again, by reiterated divisions and subdivisions, into branches and ramifications, uniformly decreasing in size. During these progressive and multiplex divisions into inferior orders, both the small carti- laginous rings, and their muscular coat gradually disappear, till the evanescent extremities of the tubes finally terminate in those minute cells, which constitute by far the greater and more im- portant part of the substance of the lungs, as their office is to receive, and again discharge the vivify- ing aerial element, in the process of respiration. § 134. 99 OF RESPIRATION. § 134. Those small air cells do not appear to possess uniformly, either the same figure or dimensions. With respect to the former of these, (viz. their figure), it is in general that of a polyhedron. The latter, (i. e. their dimensions), as far as their super- ficial extent is embraced in the consideration, can- not without the utmost difficulty, be ascertained; but, if we consider only their aggregate capacity, this, in the lungs of an adult subject, whose inspi- rations are full and strong, is sufficient to admit and contain about 60 cubic inches of air. We do not here speak of the immense size, to which the lungs may be expanded by inflation, after the tho- rax is opened, but only of the quantity and volume of air which they do actually admit in the living subject, when the process of respiration is per- formed with ease and vigour. § 135. These vesicles or cells, destined for the reception of air, are every where surrounded and bound together by that common, but extremely tender, cellular membrane, which, as we have already learned, constitutes a general vinculum or bond of union to the whole body. But it is necessary to distinguish clearly and accurately between the two kinds of cells which exist in the pulmonic system. I have seen the air cells so separate and distinct, G2 in 100 OF RESPIRATION. in the lungs of a healthy human subject, that a per- son's breath, gently and cautiously blown through a very minute and tender ramification of the bron- chiæ, would elevate only a single circumscribed cluster of vessels or cells, and would neither pass into the neighbouring cells of the same kind, nor yet into the common cellular membrane, which is every where interposed between those cells in- tended for the reception of air. But, if the breath be urged with considerable force, the air cells will be lacerated, and such a communication form- ed with the surrounding cellular membrane, as to give free passage to the subtle elastic fluid, and thus the whole and every part, of the pulmonary lobe, will appear to be inflated. § 136. This exceedingly tender cellular membrane, which encloses and lies between the air vesicles of the lungs, is every where interspersed with innu- merable small ramifications of both kinds of pul- monary vessels, viz. of the pulmonary artery, and of the four pulmonary veins, the branches of which accompany the branches of the bronchiæ, and afterwards, form in their course, by an im- mense number of divisions and subsequent anasto- moses, reticular intertextures, and expansions of ex- treme fineness and subtilty. This truly astonishing reticular tissue, running in all directions through the 101 OF RESPIRATION. the cellular membrane, so completely surrounds, and closely embraces, the cells destined for the reception of air, that the whole volume of blood, which passes in an incessant round through the pulmonic system, is separated from the air taken in at each inspiration, by nothing else than mem- branes so amazingly fine and subtle, as scarcely to be equal in thickness, (according to the observa- tions and calculations of Hales), to the one thou- sandth part of an inch. § 137. As we have already observed, that each indivi- dual ramification of the bronchiæ has appended to it its own peculiar cluster of air vesicles (§ 135), so likewise it appears, that to every individual vesicle of each cluster is peculiarly appropriated its own system of small blood vessels, the minute rami- fications of which communicate very frequently with one another, forming those surprising reticu- lar tissues aleady spoken of, but scarcely appear to anastomose, in any degree, with the small blood- vessels of the adjacent clusters. That this is a truth we are taught, if I am not deceived, as well from microscopical observations made on the lungs of living frogs and serpents, as from more minute and successful injections of the lungs of human subjects: the same thing is also further evidenced by certain pathological phenomena which may be G3 observed 102 OF RESPIRATION. observed in vomicæ, and other similar topical affec- tions of the pulmonic system. § 138. It is necessary to mention also, in the last place, that singular and striking apparatus of lymphatic vessels, which spreads and appears, in a more parti- cular manner, on the external membrane by which the lungs are invested. To this apparatus of ves- sels belongs that numerous assemblage of lympha- tic or conglobate glands, which, though of a quite different and distinct order, are nevertheless com- monly confounded, through mistake, with those glands in their neighbourhood, which are called bronchiales. § 139. The thorax, in which the lungs are securely enclosed, has for its foundation or skeleton, bones and cartilages, arranged and disposed somewhat like the walls or sides of a cave. Though this bony cavity, taken together as an entire whole, be to a considerable degree firm and steady, yet most of its parts are so pliant and moveable, as to be well adapted for the performance of those mo- tions which the business of respiration requires. This pliability, or facility of motion is particu- larly observable in six pairs of the true ribs, which being 103 OF RESPIRATION. being placed beneath the superior and first pair, are more moveable in proportion as their situation is lower; or their aptitude for motion is com- mensurate with the superior length of their bodies, and cartilaginous appendices, which connect them to the margins on each side of the sternum, by a species of articulation called amphiarthrosis. § 140. Between the edges of those ribs lie two strata of intercostal muscles, the fibres of which assume indeed and pursue different directions, but which, nevertheless, co-operate in their action in pro- ducing the same motion in the parts to which they are attached. Across the basis or inferior part of the whole of this cavity the diaphragm is stretched, somewhat in the form and direction of an arch. This is a muscle worthy of particular attention, and, to use the words of Haller, next in importance to the heart itself; its parts appear to depend chiefly on the phrenic nerve for their fitness to co-operate in the function of respiration, as was long since de- monstrated by the celebrated live-dissections of the immortal Galen. The 104 OF RESPIRATION. The diaphragm alternates for the most part, by an antagonizing motion, with the muscles of the abdomen, especially with the external and internal oblique, and the transverse muscles. § 141. The thorax thus formed and finished is, in the living human subject after birth, alternately dilat- ed at the time of each inspiration, and contracted again to its former dimensions in every subsequent act of expiration. In inspiration, the enlargement of the tho- racic cavity extends, in a more especial manner, laterally and downwards, so that the bodies of those ribs of which we have particularly spoken (§ 139) are elevated, and their inferior margins or edges turned in some degree outwards; while, at the same time, the arch of the diaphragm is somewhat depressed, and brought nearer to the position of a plain, or level surface. But as to what is boldly asserted of the sternum, viz. that its inferior end is at the same time pro- truded forward, this is a phenomenon which I must confess, I have never been able to observe in the tranquil and unmolested respiration of a healthy person. § 142. 105 OF RESPIRATION. § 142. This alternate motion of the thorax, which in a healthy subject is indeed performed spontane- ously and without effort, is uniformly continued from the moment of birth to the extinction of life, for the following necessary and important pur- poses, namely, that the lungs themselves may, by a similar vicissitude of motion, be expanded for the free admission and convenient reception of the air we inspire, and again contracted in order that the same may be forthwith expelled. § 143. For man, together with all other warm blooded animals, is prevented, by absolute necessity, from a lengthy retention of the air which he inspires; he is obliged, after a very short period to discharge it again, and exchange it for a fresh supply of this vital pabulum or food, as the air has been termed, even from the most remote ages. It appears in- deed from the most common observation, that the air which is inspired and retained any time in the lungs, however great may have been its original purity, suffers, in a very short time, such remark- able changes as affect it with the most obvious contamination, and, unless it be speedily renewed, render it wholly unfit to be any farther employed in the important process of respiration. § 144. 106 OF RESPIRATION. § 144. Enquiries have been instituted for the purpose of ascertaining the nature of those changes which the air we inspire undergoes in our lungs. Such changes certainly do not arise, as was formerly believed, from the loss of any mysterious principle of elasticity, which resides in the air, but are evi- dently produced by a decomposition of its elemen- tary parts. For the atmospheric air which we breathe is truly an astonishing mixture of elemen- tary substances, very widely different from each other in their natures. Not to mention the va- rious heterogenous matters which this necessary fluid contains; such, for example, as the aerial seeds of the smallest and most simple plants, the odorous effluvia arising from numerous bodies, volumes of dust, and a thousand other similar sub- stances, which for the most part float in the at- mosphere. Not to mention, I say, these hetero- genous bodies at all, the air which we breathe always contains aqueous exhalations in larger or smaller quantities, and is also more or less charged with the matters of electricity and magnetism. But finally, though the whole of the foregoing substances be left entirely out of view, yet even then the air of our atmosphere docs not consist of one simple aeriform fluid, but is composed of de- phlogisticated, phlogisticated, and fixed airs. The 107 OF RESPIRATION. The proportion of those elementary matters, especially of such as are organic, is varied ex- tremely from diversity of places, and by the nature of the bodies which exist in these places. It is in the mean time, however, the common estimation, that the air of our atmosphere consists of about 1/4th part of dephlogisticated, 11/10ths of phlogisti- cated, and 1/6th of fixed air. § 145. It appears, that at each inspiration, (in which an adult subject, breathing in a quiet and tranquil manner, draws in about 30 cubic inches of air,) a fourth part of the dephlogisticated air is decom- posed, and, in a great measure, exchanged for phlogisticated and fixed airs; so that the expired fluid, being received into a proper vessel, extin- guishes flame or coals when immersed into it, pre- cipitates lime from the water which suspends it, and far exceeds atmospheric air in its specific gra- vity, &c. § 146. It is probable that the igneous parts of the de- phlogisticated air, i. e. those parts suited to favour the process of combustion, being set at liberty by the decomposition which takes place in the lungs, enters the arterial blood, and is thus distributed throughout the whole body; while, on the other hand, 108 OF RESPIRATION. hand, the basis of fixed air is carried back, along with the phlogisticated and venous blood, to the right side of the heart, and thence (as the an- cients were pleased to express themselves) ex- creted through the lungs like foot. The more florid dye of the arterial blood, the more obscure colour of the venous, and the simili- tude of colours imparted to both kinds of blood, when exposed to the action of those species of air now under our consideration (§ 16), are circum- stances very much in favour of the preceding opinions. § 147. In a fœtus which has never yet received vital air into its own pulmonic system, there is in general less difference between the arterial and venous blood, than in an adult subject, in whom the pro- cess of respiration has already taken place. After the infant is born, the new sensation, ex- cited by the contact of an unusual element, in an animal which had hitherto led an aquatic life, and the application of various other stimuli altogether new, appear to afford us a happy clue for explain- ing the new motions which at that period take place in the body, more especially the dilatation of the thorax and the first act of inspiration. When 109 OF RESPIRATION. When the lungs are dilated by this first complete act of inspiration, a new passage is thus opened through them for the blood, so that this fluid is ever after diverted from the umbilical vessels to the thorax. But when this inspired air is, by that decompo- sition of its elementary parts, of which we have already spoken, rendered both noxious and trou- blesome to the lungs, I ascribe to the most simple preservative efforts of nature, the immediately sub- sequent motion, by which this poisonous mephitis is exspired, and profitably exchanged for a fresh supply of the fostering pabulum of life. From all the foregoing circumstances, taken collectively, (especially if we attend to the great influence of respiration on the circulation of the blood, as demonstrated by the well known experi- ment of Hooke), we are furnished with a much better explanation of the celebrated problem of Harvey, than has yet been given by most of the other reiterated labours of physiologists, who have attempted to solve that difficulty. SECT. 110 OF VOICE AND SPEECH. SECT. XII. OF VOICE AND SPEECH. § 148. THE leading function of respiration has been already the subject of our consideration. We will speak, in another place, of the part which this sublime process acts, in blending and intimately uniting the chyle with the blood, and also of the services which it renders, in a variety of ways, to almost the whole class of natural functions, (§ 63. 112.) We now proceed to consider its other uses in the animal economy. The first object or phenomenon which attracts our attention, in this investigation, is the Voice, which belongs to the human subject after birth, and evidently proceeds from the lungs, as was long since very justly observed by Aristotle, who said, that no animals are vocal, i. e. possess the power of emitting sound, but such as breathe through lungs. For, by the denomination of voice, we properly designate that sound formed, by means of the exspired air, in the larynx, which is a small apparatus or machine of the most exquisite struc- ture, placed on the top of the wind-pipe or aspera arteria, 111 OF VOICE AND SPEECH. arteria, somewhat like a capital on the summit of a column. § 149. This small machine is composed of various car- tilages joined together somewhat after the form of a capsula or casket. These cartilages are furnished with a great and truly admirable apparatus of mus- cles, in consequence of which, not only the whole are rendered fit for motion collectively, but some of them are also enabled to move individually and alone, according to the different variations about to be produced in the voice. § 150. That part which is more particularly engaged in the immediate generation of the voice is the glottis, a very narrow passage leading into the wind-pipe from above, to which is prefixed, or applied as a lid, a minute cartilage called the epiglottis. That found is produced by the air expelled from the lungs, striking, in a proper direction and with due force, against the edges of this strait passage, is a matter too plain to admit of a doubt. § 151. Controversies have existed on the subject of those changes that take place in the glottis, by which the modulations of the voice are produced, namely, 112 OF VOICE AND SPEECH. namely, Whether this cartilaginous part be alter- nately expanded and contracted, as was the opi- nion of Galen, and afterwards of Dodart? or, Whether the variations of the voice do not rather depend on the tension and relaxation of its liga- ments, as was held by Ferrein? The latter of those, therefore, compared the primary organ of the voice to a violin, the former to a flute—i. e. the one set of disputants conceived it to emit found on the principles of a corded, the other on those of a wind, instrument of music. From a faithful collection, and impartial consi- deration, of all the arguments which have been advanced on this contested point, we are of opi- nion, that both kinds of changes do actually take place in the glottis when employed in the emission of found; but we, nevertheless, believe, that the principal and most important of those changes de- pend on and arise from the tension of the liga- ments, more especially of the thyreo-arytonoidei inferiores (which appear to have been the vocal cords of Ferrein. § 152. That all this mobility of the glottis, of whatever kind it may be, is influenced and wholly directed by the numerous muscles which belong, and are attached, 113 OF VOICE AND SPEECH. attached, to the larynx, may be fully established by the following beautiful experiment, viz. If the recurrent or wandering nerves (as they are termed) be either secured in light ligatures, or completely cut asunder, the voice of the animals subjected to such experiments, will be in the former case, ren- dered extremely weak and low, and in the latter, entirely destroyed. § 153. The faculty of whistling belongs in common both to the human species, and to small birds of note. To qualify them for this, singing birds are furnished with a bifurcated larynx at each extre- mity of the aspera arteria. But though human subjects be supplied with only one plain and simple larynx, yet they learn to imitate those small ani- mals, as appears to me, by a co-arction or pucker- ing up of their lips. § 154. But song, which is composed of speech and a harmonious modulation of the voice, I would con- sider as peculiar to man alone, and as constituting the leading prerogative of his vocal organs. The faculty of whistling is, as already observed, a part of the birth-right of birds: a numerous train of the feathered race, and sometimes even dogs them- selves, have also been taught to pronounce a va- VOL. I. H riety 114 OF VOICE AND SPEECH. riety of words. But I doubt extremely indeed, whether any brute animals have ever yet possessed a faculty of true and genuine song; whereas, on the other hand, I believe there scarcely exists a a nation so barbarous, where song does not very generally prevail. § 155. Speech itself is a peculiar modification of the voice, chiefly by the aid of the tongue, but par- tially also by that of the lips, the teeth, the palate, and by the further assistance of the nose, combined into the formation of words. Hence the difference between voice and speech appears very obvious and plain: the first is evi- dently formed in the larynx itself; whereas the latter is effected by the singular mechanism of the other organs already mentioned. It is but just and proper, however, to observe, that this last position is not capable of universal application, as there are a few nations (of which the Sinensians may serve as an example), among whom their al- most homonymous* words are distinguished only by a varied modulation of the voice itself. * A word is said to be homonymous, when it is highly equivocal, or used indiscriminately to represent a discordant variety of objects or things. But 115 OF VOICE AND SPEECH. But further, voice belongs in common to brutes as well as to man; it is possessed also by the new- born babe, nor is it wholly denied to such unhap- py infants as have passed their lives amidst the haunts, and in the gloomy society, of wild beasts, nor even to those that have been born without the sense of hearing. But speech is not acquired till after the cultivation and exercise of reason; it constitutes, therefore, no less than that operation of the mind itself, a characteristic privilege, and distinctive prerogative between man and the rest of the animal kingdom. To serve all the pur- poses, and answer all the demands of brutes, that instinct with which nature has beneficently supplied them, is completely adequate; of this instinct, however, man is destitute, as also of such other aids and individual powers as might enable him to preserve and sustain life by his own solitary exer- tions; he is therefore kindly furnished with the prerogatives of reason and speech, by means of which, embracing the advantages, and discharg- ing the duties, annexed to a social state, he is able both to disclose his own wants, and relieve those of his fellow creatures. § 156. That truly admirable mechanism, by means of which speech and the pronunciation of letters are H2 effected, 116 OF VOICE AND SPEECH. effected, has, since the celebrated researches of that paradoxical character, Franc. Mercur. Hel- mont, been very much illustrated and explained by further and later enquiries, especially those of Jo. Wallis and Conr. Ammanus. That division of the letters by Ammanus into I. Vowels, II. Semivowels, and III. Consonants, is, of all others, by far the most simple and na- tural. I. Vowels he again divides into simple, as a, e, i, y, o, u, and mixed, as, ä, ö, ü. II. Semivowels are themselves either nasals, such as m, n, ng, (i. e. n placed before g in the German language); or Orals (otherwise called Linguals) such as, r, l. III. Finally, Consonants he divides, 1st, into the Sibilantes or hissing (i. e. into those consonants the pronunciation of which can be continued for an indefinite length of time). These are h, g, ch, s, sch, s, v, ph. 2dly, Explosive, as, k, q, d, t, b, p, and 3dly, Double (or Compound), such as, x, z. § 157. 117 OF VOICE AND SPEECH. § 157. Finally, It yet remains to mention certain other modifications of the human voice, which usually occur as symptoms, or signs of either particular passions of the mind, or more violent affections of the organs of respiration. The greater part of these modifications of the voice, such for example, as laughing and crying, appear to belong exclu- sively to the human race. § 158. Most of the modifications which immediately follow, are connected together by such a powerful kindred alliance, that one of them is not unfre- quently observed to pass into another. It must be also further observed, that the greater part of them do not always assume and exhibit the same uniform appearance, &c. To speak, however, in general terms, in the act of laughing, exspirations short, interrupted, and in some measure broken, follow each other in quick succession. Crying produces deep inspirations, which sud- denly alternate with lengthy exspirations fre- quently interrupted and broken. H3 Sighing 118 OF VOICE AND SPEECH. Sighing consists in a lengthy, full, and strong in- spiration, and a subsequent flow exspiration, which is not unfrequently accompanied with somewhat of a groan. Coughing is produced by quick and sonorous exspirations succeeding a deep inspiration. Sneezing is a more violent and somewhat con- vulsive exspiration, which had been preceeded by a short and forcible inspiration. The Hickup on the other hand consists entirely of a single inspiration, sonorous, extremely sudden, and at the same time of a convulsive nature. The present seems a very suitable occasion to speak of the phenomenon of yawning, which con- sists in a full, slow, and lengthy inspiration, suc- ceeded again by a similar exspiration, while, at the same time, the jaws are drawn so very widely asunder, that the air which is received into the expanded fauces can enter with ease the Eusta- chean tubes. One thing peculiar to this pheno- menon is, its being extremely contagious, i. e. it very readily excites to imitation: the cause of this is, without doubt, to be sought for in the remem- brance of the agreeable sensatious produced at a former time, by the languid operation of yawning. SECT. 119 OF ANIMAL HEAT. SECT. XIII. OF ANIMAL HEAT. § 159. IT is worthy of observation, that man in a living state, together with the other subjects be- longing to the class Mammalia, as well as the whole feathered race, are distinguished from the rest of the animal kingdom by this peculiarity, that the native heat of their bodies far exceeds, in degrees of temperature, the usual heat of the medium or element in which they live. With respect to man himself, it is however to be remembered, that he appears to be inferior, in the heat of his system, to those other kinds of animals we have just men- tioned. Thus, in our climate, the heat of the human body generally stands at about the 96th degree of Fahrenheit's scale, whereas, in other animals belonging to the class Mammalia, the vital temperature very considerably exceeds this point, while it ascends still higher in individuals of the feathered tribes. § 160. Indeed, the degree of native heat possessed by a healthy person is so constant and uniform, that in H4 general, 120 OF ANIMAL HEAT. general, (provided we make allowance for the state of health peculiar to each individual), its range will include but a very few degrees of the thermometer, whether the subject be exposed to the inclemencies of the most rigorous climate, or placed beneath the fervors of a tropical sky. For the opinion formerly delivered by Boerhaave, that man has not a power of existing in a medium of such a nature as exceeds in temperature the native heat of his own body, has, since the famous ob- servations of that illustrious traveller and former governor of Georgia, H. Ellis, been refuted by a great number of characters learned in the science of physiology, and the reverse completely demon- strated and established by experiments well adapted to the nature of the subject. In this particular, indeed, appears to consist one of the great prero- gatives of man, that imprisoned and confined to no one climate or zone of the earth, he is able to pass his life in any section of the immense globe we inhabit, and is free to fix his habitation either beneath the rigors of Hudson's stormy channel, where the quicksilver passes spontaneously to a state of complete congelation, amidst the tempests of Nova Zembla, or in the bosom of those glaring solar fires, which scorch the glowing shores of the Senegal. § 161. 121 OF ANIMAL HEAT. § 161. We proceed now to enquire into the origin and source of that astonishing fire, which minutely pervades our bodies, and uniformly supplies them with their necessary degrees of warmth. To pass in silence over the visionary conjectures of the ancients on this subject, some of the moderns have attempted to derive animal heat, with all its phe- nomena, from the matter of electricity and the nerves, others from the attrition generated by the circulation of the blood, others from the recipro- cal friction between the solid elementary parts of living animals, while others, again, have embraced and defended different opinions. § 162. But all those hypotheses are embarrassed with insurmountable difficulties, whereas, on the other hand, the utmost simplicity, and an entire cor- respondence to the phenomena of nature, combine in recommending and confirming that doctrine, in which the lungs are considered as the focus or fire- place where animal heat is generated, and the de- phlogisticated part of the air which we breathe, as the fuel that supports the vital flame. That justly celebrated character, Jo. Mayow, sketched out, formerly, the leading traces and first great outlines of this doctrine, which, in our times, has been greatly improved, extended, and farther elucidated, 122 OF ANIMAL HEAT. elucidated, by the labours of the illustrious Craw- ford. § 163. The whole drift and tenor of Crawford's theory obviously results in this, that respiration, no less than combustion, belongs to such processes as are called phlogistic; in which the phlogiston residing in, and constituting a part of, our bodies, is ex- pelled by the accession of free or sensible heat, (which ought to be carefully distinguished from heat existing in a fixed or latent state.) For phlogiston and the matter of heat are ele- ments of such contrary and opposite natures, that the greater quantity of the one our bodies at any time contain, the less, at the same time, is their proportion of the other; thus, fixed air, for ex- ample, is not supposed to contain more than 1/67th part of the quantity of the matter of heat, which belongs to an equal weight of atmospheric air, &c. But it appears, from experiments, that atmo- spheric air has a stronger affinity to phlogiston than to the matter of heat, so that it unites itself with the greatest readiness to the former, while, at the same time, it sets at liberty the latter, which had been hitherto held in a fixed and latent state. § 164. 123 OF ANIMAL HEAT. § 164. When we come to apply the foregoing posi- tions and principles to the phenomena of respira- tion, it appears highly probable, that animal heat is generated by a process of a similar nature. For, as we have already had occasion to ob- serve, the air which we exspire differs, in a very remarkable degree, from what we had immediately before inspired; being deprived of its igneous portion, or of that part fit for contributing to the support of flame, it is returned highly impreg- nated, on the contrary, with phlogiston and the base of fixed air. (§ 146.) § 165. It appears, therefore, extremely probable, that the igneous portion of the air we breathe enters those minute blood-vessels, which are every where dispersed throughout the substance of the lungs, and separated from the air-vesicles themselves by nothing more than subtle partitions of the most filmy texture (§ 136); that from the lungs it is conveyed through the pulmonary veins to the aorta, from whence it is again, by means of the arterial system, distributed throughout every part of the body. During 124 OF ANIMAL HEAT. During the whole course of this minute distri- bution, more especially while in the extreme ra- mifications of the vessels, it appears to be ex- changed for phlogiston, which it every where meets with in considerable quantities. This phlo- gistic principle, being thus mixed with the blood, and occupying the place just evacuated by the matter of heat, is conveyed back, by means of the venous system to the right side of the heart, and from thence by the pulmonary artery, into the lungs, where, agreeably to those laws of affinity which we just now hinted at, it is immediately received and taken up by the volume of air recently inspired. In consequence of the accession of this quantity of phlogiston, and its union with the air contained in the lungs, a fresh portion of the element of fire or heat is set at liberty, which instantly enters the blood and is thus incessantly distributed throughout the system in the manner already described. § 166. The truth of this theory is evidenced by those diversities between arterial and venous blood, to which we have every where adverted. It is also farther evidenced by the difference between the specific heat of arterial, and that of venous blood; thus the specific heat of the blood con- tained in the arteries is to that of the blood con- tained 125 OF ANIMAL HEAT. tained in the veins, as 11 1/2 to 10. Finally, as an additional evidence of the same thing, we might mention, in the last place, that oscillatory action exerted by the smallest order of blood vessels, which was the subject of our attention on a former occasion. § l67. For it seems altogether probable, that those extremely minute ramifications of the sanguiferous system, are parts of such utility and importance, that in proportion as their action is stronger or weaker, a correspondent increase or diminution takes place in that exchange of the element of fire for the matter of phlogiston, which goes constantly forward in the body, and also in the heat of the animal uniformly generated by such exchange. Those memorable and striking phenomena, from which it appears, that animal heat (if indeed the matter be determined by a thermometer, and not trusted to the fallacious test of sensation), remains in general at very nearly the same precise point of temperature, little augmented by the summer's blaze, little diminished by the winter's blast; and further, that on certain occasions the heat of our bodies is even increased in consequence of an im- mersion in cold water—Those phenomena, I say, seem to demonstrate, and reduce it to a certainty, that 126 OF PERSPIRATION. that according to the variations that take place in the temperature of the medium in which we live, corresponding diversities immediately follow in the action of the smallest vascular ramifications of our bodies. From this singularly accommodating power, resident in the minute extremities of our vascular system, it follows, that on being exposed to cold (which appears to act by increasing their tone), they are immediately enabled to exchange a larger quantity of the principle of phlogiston for the igneous pabulum, and thus generate a higher degree of heat; whereas, on the other hand, they are obliged to exchange a much smaller quan- tity, as often as they are rendered inactive by be- ing subjected to the influence of a relaxing and debilitating medium. SECT. XIV. OF CUTANEOUS PERSPIRATION. § 168. So various, and extremely diversified, are the functions of the cutis, with which the hu- man body is invested, that an enumeration and complete account of the whole of them can scarcely be comprehended with propriety under one 127 OF PERSPIRATION. one and the same head; they would appear to be more fitly arranged for consideration, each one under that class of actions to which, from its nature it belongs. For, in the first place, the cutis is the organ of touch, of which we will speak when treating of the animal functions. It is again the medium or instrument of inhala- tion, by which office it makes a part of the absorbing system of lymphatics; this shall be a subject of further consideration, when we come to take a view of the natural functions. Finally, It is the laboratory or organ of perspi- ration also. This function agrees in a great variety of respects with the process of respiration, and appears therefore to be introduced with sufficient propriety as the subject of the present section. § 169. The cutis is said to consist of a threefold mem- brane, or of a membrane composed of three laminæ. These laminæ or layers are the corium or true skin, lying on the interior side, the cuticula or cuticle making the exterior covering, and the reticulum (i. e. the rete mucosum), which is spread between 128 OF ANIMAL HEAT. between the two laminæ just mentioned. Of each of these we will treat severally and in order. § 170. The cuticle, or epidermis, forms, as just ob- served, the external covering to the whole body: It is thus, from its situation, exposed to a free ac- cession of the air, the immediate contact of which element, scarcely any other part of the body can bear with impunity, even in a sound state, except the enamel of the teeth, the tubes of respiration, and the alimentary canal. § 171. The texture of the epidermis is simple to the utmost degree, being entirely destitute of vessels, of nerves and of pores. This texture, though on the whole scarcely organic, is nevertheless highly singular and striking; notwithstanding its semipel- lucid and tender appearance, its tenacity is yet so very considerable as to resist effectually, for a great length of time, not only maceration, but various other modes of generating putrefaction. § 172. The origin of this filmy expansion is as yet in- volved in doubts and difficulties. It is in the mean time, however, probable that it springs, along with the small bulbs surrounding the roots 4 of 129 OF PERSPIRATION. of the hairs, from the corium or true skin expanded beneath it: that this is the case, we are led to in- fer, from the myriads of minute and extremely tender fibrils, by which it and the skin are con- nected together. When by any means destroyed, it is re-pro- duced again with greater facility, than any of the other solid parts of the human body. § 173. That this membranous lamina is of the utmost importance in the economy of organized bodies, is incontestibly evinced by its universal prevalence throughout both the animal and vegetable king- doms. It may be observed already formed even in the tender embryo itself, at so early a period as the third month after the time of conception. § 174. Underneath the cuticle is expanded a thin mu- cous membrane, which, from an opinion entertained respecting it, by its celebrated discoverer, is called reticulum Malpighianum. This reticulum or subtle net-like expansion, ex- hibits the habit and appearance of mucus, ex- tremely easy of solution: it can scarcely in any part, except in the scrotum of Æthiopians, be sepa- VOL. I. I rated 130 OF PERSPIRATION. rated entire from both the cuticle and true skin, and thus be procured in the form of a genuine and complete membrane. § 175. The part now under consideration, constitutes the primary and principal feat of colour in the human race. In all men the true skin is fair and shining; the cuticle also is semipellucid and whitish in all nations, except the inhabitants of Æthiopia, in whom it is more duskish and obscure. But in the human subject after birth, the colour of the reticulum mucosum is varied, in correspondence to the diversities of age, mode of life, climate, and also in proportion as the constitution is more or less found. Thus, for example, of the five varieties, into which the human race appears to me, to be with much propriety divided, the first has the reticu- lum more or less whitish. This description in- cludes, besides Europeans, those who inhabit the west of Asia, and the north of Africa, together with the natives of Greenland and Esquimaux. 2dly, In the second variety, which includes the inhabitants of all the other parts of Asia, the reti- culum somewhat tawny, inclining to an olive cast. 3dly, 131 OF PERSPIRATION. 3dly, In the third, which embraces the inhabi- tants of Æthiopia, it is blackish. 4thly, In the fourth, which consists of the ab- origines of America, it is to a certain degree cop- per-coloured. 5thly, Finally, in the fifth, which comprehends the inhabitants of all the South Sea islands, it is more or less tawny or brown. But all, and each one of those varieties of co- lour, as well as all other varieties, by which man differs from man, and nation from nation, appear to be so intimately blended together, and are dis- posed to run into each other with so much facility, that it seems scarcely possible to establish any divi- sions or classes of them, but such as are plainly arbitrary. § 176. The Corium or true skin itself, to which the reticulum and epidermis serve as a covering, is a membrane of a peculiar nature; it is porous, te- nacious, capable of vast dilatation, varied in its de- grees of thickness, consisting chiefly of condensed cellular membrane, and extremely close and com- pact on its external superficies; it is more lax on the internal surface, which, (if you except a few I2 regions 132 OF PERSPIRATION. regions or parts of the body)(§ 36.) contains, for the most part, a certain quantity of common fat. § 177. Besides nerves and absorbents, of which we will speak particularly on a future occasion, the corium or true skin is also plentifully supplied with innu- merable small blood-vessels, which run on its exte- rior surface, and, as we learn from a successful injection, invest the same with reticular expansions of the most close and subtile texture. § 178. Over the same exterior surface is also inter- spersed an immense assemblage of small sebaceous follicles, which thoroughly anoint the whole cutis with a very subtle and limpid oil, of such a nature as not to be easily evaporated and dried up. This fine fluid should neither be confounded with the common sweat, nor yet with that fetid substance which infests only some particular parts of the body. § l79. Finally, almost the whole of the true skin is planted with hairs of various kinds. The most numerous and abundant of these are very short and tender, inclining more or less to the nature of down; of hairs which fall under this description, scarcely 133 OF PERSPIRATION. scarcely any part of the body is destitute, except the eye-lids, the male penis, the palms of the hands, and the soles of the feet. But, on certain parts of the body, the hairs, being destined for particular uses, grow to much greater lengths; examples of this we have in the hair of the head, in the eye-brows, in the eye-lashes, the hairs in the nostrils, the whiskers, the beard, together with such hairs as grow in the arm-pits, and about the anus and parts of generation. § 180. In general, man is indeed less hairy than most other animals belonging to the class mammalia, A difference exists, however, in this respect, be- tween the inhabitants of different countries. For, to pass in silence over those nations who are in the daily practice of plucking out, as well the beard, as the hairs which appear on other parts of the body, there are not wanting certain tribes, who are naturally destitute of hair; of this descrip- tion appear to be the Tungusæ and the Buratæ. On the other hand, we are informed by travellers of the highest reputation in point of veracity, that the inhabitants of Nadigsda, one of the northern Kurilikian islands, are remarkable for the unusual quantities of hair with which their bodies are pro- tected, I3 § 181. 134 OF PERSPIRATION. § 181. Neither are the varieties fewer, which are ex- hibited by the hair, in regard to length, flexility, curliness, and, more especially, in point of colour: this last property depends, in general, on the power of climate, on age, and other causes, which exert their influence in perfect conformity to the esta- blished laws of nature; but it sometimes also de- pends on a morbid and misplaced temperament, as appears to be the case in the white natives of Æthiopia. The colour of the hair corresponds, for the most part, to that of the eyes. § 182. There is also a further peculiarity in the direct- tion of the hairs, on certain parts of the body; thus, for example, on the vertex or crown of the head, they pursue a spiral direction; on the pubes, they diverge and point upwards; on the posterior side of the arm, they look, (as on the ape, and contrary to their direction on the satyr), towards the elbow, (that is, they point from the shoulder downwards, and from the wrist upwards): of the directions pursued by the eye-brows and eye-lashes, it seems unnecessary to say any thing on the pre- sent occasion. § 183. 135 OF PERSPIRATION. § 183. The hairs originate from the interior surface of the true skin, which contains a quantity of fat: they are fixed with considerable firmness in each of the small bulbs, which are composed of two in- volucra; the external involucrum is vascular, and oval; the internal is cylindrical, appears continu- ous with the epidermis, and serves as an immedi- ate covering to those elastic filaments of which each individual hair is itself composed, and which are from five to ten in number. § 184. The hairs are always completely besmeared with an oily halitus, and are almost incorruptible. They appear to possess more of the nature of original electrics (or of electra per se, as they are called), than any of the other parts of the body. Their nutrition is extremely simple and easy, as is also their re-production after having fallen off, unless the cutis itself be labouring under some morbid affection. § 185. Besides other important purposes which these common integuments of the body serve, they are, in a particular manner, to be reckoned among the number of the excretory organs of the system; by I4 their 136 OF PERSPIRATION. their assistance, in this point of view, certain foreign matters, which would from retention prove highly noxious, are hourly eliminated and totally removed from the general volume of our fluids. The truth of the above position is fully demon- strated and established, by the well-known circum- stance of miasmata being completely removed from the system, under the appearance of exanthemata or eruptions; it is also proved by the odours of garlic, musk, and other substances taken into the body, passing by the skin; it is still further demon- strated and confirmed by the process of sweating, and by other phenomena of a similar nature. § 186. But above all, those excretory passages convey off a certain fluid, which is called the perspirable matter of Sanctorius, in honour of that most acute and ingenious philosopher, who instituted the first series of rational inquiries for the express purpose of ascertaining its utility and importance. It is necessary, however, to observe, that under this appellation, physiologists commonly designate excrementitious matters, which, if not opposite, are at least exceedingly different, in their natures, and which ought, therefore, to be distinguished from each other with the utmost accuracy and care; as the 137 OF PERSPIRATION. the excretion of sweat, for instance, from the genuine matter of perspiration. The former (i. e. the sweaty excretion) is a liquid of an aqueous nature, saltish to the taste, and which scarcely ever issues spontaneously from the healthy body when in a state of tranquility and rest. But the latter, (viz. the genuine matter of per- spiration), of which alone we intend to treat on the present occasion, is an aeriform fluid, perman- ently elastic, and bearing a very striking resem- blance to that which we exspire by the lungs. § 187. Like that elastic fluid, it is highly charged with the principle of phlogiston, like that, it precipitates quick-lime from the water in which it was sus- pended, and, like that, it is also unfit both for contributing to the nourishment of flame, and also for supporting the process of respiration, &c. § 188. The quantity of this fluid that exhales from the whole superficies of the body (which, in an adult human subject of the middle size, amounts by measurement to about fifteen square feet) can scarcely be reduced to accurate calculation. For, 138 OF PERSPIRATION. For, that the scales, which from the time of Sanctorius have been made use of for ascertain- ing the exact weight of the body, are not well cal- culated for determining the precise quantity of this elastic fluid, may be easily understood from what we have just now said respecting the different sub- stances which are eliminated from the system by the skin, besides the true matter of perspiration. It was long since discovered, that the nature and quantity of perspiration vary extremely, not only in different persons, but even in the same persons, at different times. It seems at present, however, to be a point too well ascertained to admit of a doubt, that there does really exist, with respect to the matter perspired, a national variety and peculiarity; the truth of this we con- fidently rest on what has been said, by authors of the highest veracity, with regard to the singular and specific odours which are transpired through the skins of the Caribeans, of the Greenlanders, of the Æthiopians, and also of the individuals be- longing to other barbarous tribes. § 189. On considering what has been said with respect to the vascularity observable in the texture of the skin (§ 177), and also with respect to the analogy that exists between the matter of perspiration and the 139 OF PERSPIRATION. the air we expire (§ 187); and further, on consider- ing what has been advanced respecting the power and influence of the smallest vascular ramifications, in the generation of animal heat—to him, I say, who carefully weighs and attentively considers all these circumstances, it will appear extremely pro- bable, that there exists a striking similitude indeed between the action of the lungs in respiration, and that of the skin in the process of perspiration. It will appear that there exists between the cutis and lungs a reciprocal consent; so that the one may be supposed capable of assisting and some- what relieving the other, and even of supplying its place, at least to a certain degree, in case of any accident or derangement. § 190. In support of this opinion we can adduce the concurrent testimonies of a variety of phenomena, observable not only in a sound, but also in a diseased, state of the system. Some of these phenomena are, for example, those leading points, in which the human fœtus, as well as that of the other animals belonging to the class mammalia, differ from the incubated chick, or the young of the feathered tribes, while yet enclosed in the parietes of the egg. A further 140 OF PERSPIRATION. A further evidence in favour of the same opinion, is that singular coldness of certain parts of the body, even in warm blooded animals, (as in the noses of dogs, &c.) which appears to be referred with sufficient propriety, to a less phlo- gistic action of the small vessels, with which those parts abound. On the contrary, from an encreased action of the minute vessels in certain parts of the body, we explain, with the utmost fairness and facility, a variety of morbid symptoms, such, for instance, as that singular heat and flushing in the palms of the hands, which occur so frequently, and are so strikingly observable in patients labouring under a hectic fever. With regard to that vicarious action of which we formerly spoke, and by which we said it ap- peared probable, that the functions of the lungs and cutis lend mutual aid and assistance to each other; that such an action does unequivocally exist, we derive some force of testimony from those phenomena in pathology, where human subjects, after birth, and even after advancing to an adult age, having their lungs almost totally destroyed by a consumption, or highly vitiated by some other contamination, have nevertheless survived such melancholy misfortune, for a long time, and in some 141 OF PERSPIRATION. some cases have even passed several years, during the whole of which period they appeared to be almost entirely deprived of the use and advantages of respiration. Finally, It does not appear improbable, but that the interior surface of the alimentary canal, may also, besides its other primary functions, be perpetually engaged in the performance of a phlo- gistic process, not unlike that conducted by the skin and pulmonary system. This canal or tube appears, indeed, to be the only interior part of the body, except the lungs themselves, to which the atmospheric air has free access; but that the air has really free access to the primæ viæ, or first passages, as they are called, and that we swallow that elastic fluid in con- siderable quantities, are matters, much too plain, to stand in need of any proof. Further, That the air which we swallow undergoes a change very similar to the change suffered by that taken by inspiration into the lungs, is satisfactorily demonstrated by the nature of the air contained in the whole alimentary canal. Finally, 142 OF THE SENSORIUM Finally, To all those concurring circumstances we may further add, that truly astonishing con- geries of small blood vessels, spread in profusion over the interior surface of the intestines, which is commonly believed to be equal in extent to the external superficies of the whole body. SECT. XV. OF THE SENSORIUM AND NERVES. § 192. WE come now to treat of another class of the functions of the human body, which embraces what we denominated the animal func- tions (§ 63): by means of these, an uninterrupted commerce and intercourse are kept up between the body and the various faculties of the mind. They belong therefore exclusively, (as indeed the name itself plainly imports,) to organised and ani- mated bodies; but as they pervade the whole animal kingdom more universally than the vital functions, they appear to have an exceedingly just and well founded claim to the epithet, animal. § 193. 143 AND NERVES. § 193. The organs which are principally subservient to the exercise of these functions are, the cerebrum, the cerebellum, and their appendage the medulla spinalis, together with the nerves that originate from these three sources. The whole of these organs may, with sufficient propriety, be ar- ranged under two leading classes, namely, the Sen- sorium and Nerves. The former of these em- braces (if we except the nerves themselves, and those parts which constitute their more immediate origins) all the remainder of that whole system, which forms, more particularly, the vinculum or medium of connection, that exists between the offices or functions of the nerves and our nobler part, the faculties of the mind. § 194. On this division is founded that beautiful obser- vation of the illustrious Sommering, in which he alledges, that the relative magnitude which the two preceding classes of organs bear to one another, corresponds so accurately with the fa- culties of the mind, that the smaller and less bulky the nerves of animals are, when compared to the size of the other organs or parts which we have comprehended under the denomination of Sen- sorium, the more vigorous and active are the fa- culties or their minds. In this respect he observes, that 144 OF THE SENSORIUM that man may be said to possess the largest cere- brum or brain, if its bulk be compared to the small size of the nerves that originate and proceed from it, but not if its weight be compared with the relative weight of the whole body. § 195. Besides the bony cranium or skull, in which the cerebrum itself is enclosed, it is still farther invested with three involucra or coverings; these are the dura and pia matres, between which is expanded the third, viz. the tunica arachnoidea. § 196. The dura mater, which lines, as a periosteum, the cavity of the encephalon, is lengthened out into a variety of partitions or processes. By its falciform process, which is the most prominent and remarkable, it separates from each other, the two hemispheres of the brain; while, by means of that process called the tentorium, it forms a partition between the cerebellum and the parts situated above it, and thus, by giving support to the posterior lobes of the brain, prevents them from making an undue pressure on the subjacent cerebellum. Further, the dura mater, by various duplicatures or doublings of its own membrane, forms what are called the venous sinuses, while it gives them at 4 the 145 AND NERVES. the same time firmness and support, and prevents them from being unduly compressed. Through these sinuses the blood of the encephalon, or parts contained within the cranium, glides back towards the heart: this blood is said, by physiologists, to possess properties peculiar to itself, and appears, from actual calculation, to be so considerable in quantity as to amount, at least, to one tenth part of the whole mass of blood contained in the human body. § 197. Next to the dura mater lies the tunica arachnoi- dea, so called from its extreme tenderness and filmy texture. It is destitute of blood-vessels, (§ 5.), and does not, any more than the dura mater, enter the various sulci or furrows, and receive the dif- ferent eminences or ridges, which mark the sur- face of the cerebrum, but only expands, with uni- formity, over the whole volume of that important viscus. § 198. Very different from this is the state and situa- tion of the internal involucrum or covering of the brain, on which the ancients bestowed the name of pia mater. This membrane every where ac- companies the cortical part of the cerebrum so closely, that the innumerable small blood-vessels, VOL. I K with 145 OF THE SENSORIUM with which it is profusely supplied, enter, and even perforate the cortex itself, with their infini- tude of minute ramifications; hence, when the pia mater is separated by force from the cerebrum, its external surface presents a smooth and exquisitely beautiful polish, while its internal surface, on the contrary, is considerably villous, and resembles, not a little, those delicate radicles by which the mosses adhere to their native soil, or places of growth. § 199. Both the cerebrum and cerebellum are compos- ed of a variety of parts, different from each other both in texture and figure, the uses of which have been hitherto generally unknown: these parts are particularly distinguished by the four ventricles, as they are called, the communication between which has been of late traced and developed, with the utmost accuracy, by the illustrious Monro: of these ventricles, the two anterior and the fourth contain what are denominated the plexus choroidei, the uses and functions of which are also involved, as yet, in intricacy and doubt. § 200. In all parts, of both the cerebrum and cerebel- lum, there exist two kinds of substance, one of a cineritious or ash-colour, which is called the corti- cal part, although it does not always form the exterior 147 AND NERVES. exterior stratum, the other white and shining, and therefore called the medullary portion. Agree- ably to the observations of the illustrious Som- mering, there is interposed between the two fore- going substances, still a third, of a colour border- ing on white; this body is most conspicuously ob- servable in the arbor vitæ of the cerebellum, and in the posterior lobes of the cerebrum. § 201. The proportion, which the cineritious substance bears to the medullary, decreases as life advances; thus, in infants it is greater, in adults less. Almost the whole of this cineritious substance, is com- posed of an immense assemblage and contexture of the smallest sized blood-vessels, together with vessels of an order still inferior, even so minute as to be incapable of admitting any thing except a white or colourless fluid of the most exquisite tenuity, (§ 79.): a small number of these vessels passes into the medullary portion, which appears to con- tain in its own composition, (besides these minute vessels and a quantity of very tender cellular mem- brane), a soft pultaceous parenchyma, in which physiologists, even when armed and aided by the most powerful glasses, have not yet been able to discover any uniform and definite texture. K2 § 202. 148 OF THE SENSORIUM § 202. In the cerebrum is observable a perpetual but very gentle motion, bearing such a relation and exact correspondence to the process of respiration, that while the lungs are collapsed, and their volume diminished in the act of exspiration, the cerebrum is slightly elevated, but immediately subsides again, when the thorax is dilated by means of a subsequent act of inspiration. § 203. What has been called by physiologists the me- dulla oblongata, terminates in the medulla spinalis, which is contained in that flexible tube, formed by the vertebræ of the spine or back, and is still clothed in the same membranes which we have already seen investing the cerebrum or brain itself: further, as the brain, so likewise the spinal marrow, is found to consist of two kinds of substance, with this striking circumstantial difference, however, that, in the latter, the cineritious or ash-coloured substance forms the internal, whilst the shining or medullary composes the external, part. § 204. From each of the foregoing sources, namely, the cerebrum and cerebellum, together with the medulla spinalis, the nerves primarily derive their origins. These are small ropes or cords, of a colour 149 AND NERVES. colour more or less whitish, differing likewise in their degree of firmness), which are minutely distributed throughout almost all the other soft parts of the human body. This opinion of the minute, and universal, distribution of the nerves through every part of the human system, though admissible as a general rule, is, however, subject to certain well founded exceptions. § 204. For it appears from an infinitude of experiments made by the illustrious Haller, and other able observers, that there are several of the partes similares (or similar parts § 46) of our bodies, in which, the knife, and powerfully armed eye of the anatomist, have not been able to detect the smallest vestige of nerves, and where neither sur- gical observations nor live dissections, often re- peated by the most dextrous hand, have succeeded in discovering even the faintest phenomena of sensibility. In an enumeration of such parts, as appear to be destitute of sensation and nerves, we must em- brace, besides the naked cellular membrane, the epidermis, the reticulum mucosum, the hairs, and the nails. K3 We 150 OF THE SENSORIUM We include further, the cartilages, and bones, with their periostia and marrow. To these must be added, the tendons, the aponeu- roses, and ligaments; as also most of the broader and more extensive membranes, such, for example, as the dura mater and tunica arachnoidea; the pleura, with the mediastinæ and pericardium; the peritoneum; the cornea, &c. Under the same head we arrange most parts of the absorbent system, but more especially the thoracic duct. Finally, This catalogue of such parts as neither possess nerves, nor are endued with sensibility, shall be closed, by the addition of the secundines, and umbilical cord. § 206. The primary or nascent origins of the nerves, emerging from the sensorium itself, have, as yet, eluded the most zealous researches of the subtle knife and prying eye of the anatomist: it there- fore still remains a matter of controversy and doubt, whether the nerves on each side of the body derive their origins from the corresponding, or from the opposite side of the sensorium? Cer- tain pathological phenomena appear indeed to fa- vour 151 AND NERVES. vour the latter of these opinions. It has been also lately established by the illustrious Sommering that a true decussation or crossing of the optic nerves does actually exist. § 207. A certain continuation of the pia mater accom- panies the medullary part of the nerves in their course, in such a manner, as to form for them a vascular cortex, or covering, of extreme tender- ness. No sooner, however, do these cords emerge from the cerebrum, or the spinal marrow, than they assume a very singular habit and appearance, by which they may be readily distinguished from almost all the other similar parts of the body. This peculiarity of appearance is produced by small plicæ or folds, which they exhibit, running in angular directions, more or less oblique. These folds were formerly described by P. P. Molinel, who compared them, nor inconsistently with pro- priety and fitness, to the rugæ of the lumbricus, or round worm, or to the small rings of the aspera arteria. § 208. The nerves, especially those of the single or unpaired orders, such, for instance, as the inter- costal and vagantes or wandering nerves, are every where furnished with ganglia, i. e. small K4 bulbs, 152 OF THE SENSORIUM bulbs, of a texture considerably compact, and of a cineritious colour, somewhat inclining to a pale red: the functions and uses of these bodies in the animal economy have not yet been satisfactorily ascertained and demonstrated. We are, however, in the mean time, most inclined to adopt the opinion formerly entertained respecting these sub- stances by the ingenious Zinn. That acute phy- siologist believed the ganglia to consist entirely of mazy complications and intertextures of minute nervous filaments originating from different sources. In consequence of this intricate and uninvestigated texture of these bodies, he conjectured, that each nervous filament, or thread proceeding from them, participates, or contains in its composition, a part of every filament that enters into their structure, however numerous those filaments may be, or however different the sources from which they originate. § 209. Neither does there appear to exist any very material difference between the nature of ganglia, as just described, and of what are called plexus nervosi. These latter are also indebted, for their existence and form, to a similar concurrence and anastomosing intertexture of nerves that originate from different sources. The composition of such nervous filaments as ramify and proceed from these plexus 153 AND NERVES. plexus nervosi, appears to be also perfectly analo- gous to the composition of those, that originate from the ganglia, of which we have already spoken. § 210. But as the nascent origins of the nerves, so like- wise (with a few exceptions), the final termina- tions of their extreme ramuli, or remote filamentary branches, are as yet involved in the depth of ob- scurity. For if we except those few nerves that terminate in a kind of medullary expansion, as the optic nerve in the retina, and the soft portion of the seventh pair, in that pulpy zone, contained be- tween the spiral laminæ of the cochlea of the ear —If, I say, we except these two nerves, the eva- nescent filaments of such of the others as enter the viscera, the muscles, the skin, &c. become so mi- nutely blended with the real parenchyma of the parts on which they are distributed, and gradually assume such a pulpy consistence, that the eye of the anatomist can no longer trace them through their mazy courses. SECT. 154 OF THE NERVOUS SYSTEM. SECT. XVI. OF THE FUNCTIONS OF THE NERVOUS SYSTEM IN GENERAL. § 211. WE have thus seen, that of the sen- sorium, and nerves so generally and minutely distributed throughout most parts of the body, a complete system is beautifully constituted, which, during the continuance of life, serves as a medium of communication and mutual intercourse between the body and the mind. § 212. Various circumstances and phenomena combine in rendering it probable, that the mind is indeed attached and closely connected to the brain itself. That the brain is thus honoured and dignified in its alliance is very powerfully and strikingly evidenced, by most of the instruments of sensation being situated in the very vicinity of that organ; by the astonishing conformation of its various parts, considered with regard to their figure and structure; but more especially by the phenomena attendant on its morbid affections. § 213. 155 OF THE NERVOUS SYSTEM. § 213. With respect to that connection of which we have just hinted, I would further observe, that certain physiologists, wantonly sporting in the de- lusive fields of imagination, have suffered them- selves to be so far influenced by the form and situation of particular parts of the encephalon, that they have considered, and even endeavoured to prove, sometimes one, sometimes another of these parts, to be indeed the very feat, and royal court, (as it were) of the mind. This honorary and sublime privilege, of affording a sacred feat to our nobler and immortal part, some meta- physical physiologists have been solicitous to bellow on the pineal gland *, others on the cerebellum, others on the corpus callosum †, and * In favour of the Cartesian hypothesis, some degree of testimony appeared to be derived from the dissections of certain maniacs, in whom the pineal gland was found in- vested with calculous concretions. On more accurate ob- servation, however, it was discovered, that not only in maniacs, but also in numerous other subjects possessing the most complete degree of mental sanity, this same glandular body was surrounded, from about the 12th year of life, by minute sandy concretions of a pearl-like appearance.—Cl. Sommering de lapillis vel prope vel intra glandulam pinea- lem sitis, s. de acernulo cerebri Mogunt. 1785. 8. † Those fictitious prerogatives both of the cerebellum and corpus callosum are refuted in a very masterly manner by Zinn 256 OF THE NERVOUS SYSTEM. others, again, on that part which has been deno- minated pons Varolii. § 214. We are not by any means to suppose, that the whole energy of the nervous system depends on the encephalon alone; it is also derived in part from the spinal marrow, and even the nerves themselves possess such a degree of inherent or native energy, as is sufficient of itself to throw the muscles into a state of convulsion. This native or exclusive energy of the nerves, appears to be principally supported and preserved by that vas- cular cortex or covering of those organs, of which we briefly spoke on a former occasion (§ 205). It is, however, a truth which ought not to be for- gotten, that this inherent power of the nerves themselves is less, and that energy, on the con- trary, which is derived immediately from the encephalon, greater, in man, than in other animals, especially such as are supplied with cold blood. § 215. The office of the nervous system appears, in a particular manner, to be two-fold. First, by means Zinn in his " Experim. circa corpus callosum, cerebellum, duram meningem, in vivis animalibus institut. Goetting. 1749. 4. of 157 OF THE NERVOUS SYSTEM. of this system, other parts of the body, especially such muscles as are subjected to the influence of the will, are excited to motion; of this function, however, we will treat more fully in another place. But, secondly, the nerves are peculiarly subservient to sensation; whatever sensible impres- sions are made on the body, they, like active he- ralds, convey and announce immediately to the sensorium, and there give rise to perception. § 216. Finally, the sensorium is evidently possessed of the following very singular faculty or power, viz. that, having received sensible impressions through the medium and agency of certain nerves, it is able to re-act again in its turn, not only on the same nerves, but also on such as are completely different. In testimony of the truth and authen- ticity of this position, it will be sufficient to men- tion the action of the retina, when affected by light, on the sensorium, and the re-action of this latter, again, in either constricting or dilating the iris. § 217. It is principally from this last source, that we are to derive and explain most of the effects of the imagination, and passions of the mind, on the human body: of these effects we will speak more 158 OF THE NERVOUS SYSTEM. more fully on a future occasion. To the same source, also, must we refer that extensive and diversified consent of the nervous system, which prevails throughout almost the whole body (§ 14.), and the astonishing power and influence of the same, over most of the other functions of the animal economy. § 2l8. That the phenomena which we have just men- tioned, proceed from certain properties essential to the nervous system, is a position, that appears, from observation and experiment, to be founded on the most indubitable evidence. But, to eluci- date and explain the manner in which this system acts, in the production of such phenomena, is, indeed, a difficulty oS the utmost magnitude. § 219. When we view the subject in a general light, the various opinions, which have at different times been advanced on this contested point, may be all referred to two leading classes: one of these alleges the action of the nervous system, to de- pend on a certain oscillatory motion; while the other supposes it to be produced by the motion of a peculiar fluid, respecting the nature of which physiologists, again, hold different opinions. Thus, while some believe this fluid to be animal spirits, contained 159 OF THE NERVOUS SYSTEM. contained in, and passing through, vessels, others contend, that it is a certain modification of matter, similar to fire, electricity, or the magnetic effluvia. § 220. Although I am disposed to adopt neither of the above opinions as my own, yet it is proper to observe, that most of the arguments, by which the advocates of either hypothesis have endeavoured to invalidate the other, appear to me to be as crude and inconclusive, as they ought to be subtle, inge- nious and forcible. This observation applies, as well to the arguments made use of to prove the oscillations of the nerves, as to those advanced for the purpose of establishing the existence of a ner- vous fluid. § 221. If, indeed, our views of the subject be not erro- neous, the two foregoing opinions may, without impropriety, be united, and thus a third one formed, more plausible, at least, than either of the originals, namely, that a certain nervous fluid does actually exist, and that this fluid is also capa- ble of motion, and of being thrown into oscillatory vibrations, when subjected to the action and influ- ence of stimuli. § 222. 160 OF THE NERVOUS SYSTEM. § 222. Not to mention various other evidences, which might be obviously deduced, from the different phenomena of the nervous system, the structure of the brain itself, which bears a striking resemblance to that of certain secreting viscera, appears indeed to be highly in favour of the existence of a nervous fluid. It is surely a matter too obvious to admit of controversy, that there is no more need of any direct tubes and canals, for the distribution of such a fluid through the nerves, than there is, for the conveyance of a liquid through brown paper, or any other filtre. The nugatory calculations, respecting the asto- nishing rapidity, with which the animal spirits have been supposed to hurry through their nervous canals, in all parts of the system, are subjects too hypothetical and visionary to merit our time, or command our attention. § 223. That an oscillation of the nerves does indeed exist, is a position, powerfully supported by a great variety of very striking and pointed physiological phenomena. This oscillation must not, however, be supposed to bear any resemblance to the rude vibrations of tense chords, but is such a subtle, tremulous motion, as may be readily conceived to 2 take 161 OF THE NERVOUS SYSTEM. take place in the tender, pulpy substance of the brain. That hearing is excited by an oscillation of a liquid, has been reduced to satisfactory de- monstration. That an oscillatory motion somewhat similar takes place also, in the act of vision, is (though we should not be willing to repose impli- cit confidence in the opinions of Leon. Euler) a position founded, at least, on strong probabilities. That the action of the other senses depends also on an oscillatory motion of a similar nature, is an opinion, which was not only embraced by the illustrious Newton *, but has been since ably and successfully defended in the writings of the saga- cious Hartley. It is on the principle of the exis- tence of such a motion, that this last mentioned author, has first happily accounted for the associ- ation of ideas, and then, by the aid of this, pro- ceeded to explain, with the utmost ingenuity, most of the functions performed by the different facul- ties of the mind †. * Vide ejus Quæstiones ad calcem optices. Qu. 23. p. 355. edit. Lond. 1719-8. † David Hartley's Observations on man, his frame, his duty, and his expectations. Lond. 1749, vol. ii. 8. VOL. I. L SECT. 162 OF THE TOUCH. SECT. XVII. OF THE EXTERNAL SENSES IN GENERAL, BUT PARTICULARLY OF THE TOUCH. § 224. ONE office of the nerves, as we have already had occasion to observe, consists in com- municating to the sensorium, impressions made by external objects. This they do through the me- dium of the external senses, which officiate as watchful centinels to the body, and diligent in- structors to the mind. These, therefore, shall constitute, at present, the sole object of our consideration. For to arrange among the senses, the stimulus or propensity which animals feel to evacuate their fæces, the sensation of hunger to which they are subjected, or other internal calls of nature of a similar kind, would be, as Haller formerly observed, an unnecessary species of subtility and refinement. 225. It ought to be remembered, that no other class of functions belonging to the animal economy, is subjected to such an astonishing variety in different individuals, as that of the external senses, which constitutes 163 OF THE TOUCH. constitutes the subject of our present consideration. This infinite diversity, which exists between these senses in different individuals, is either natural or acquired, and relates to their greater or less acu- men or sharpness, their subtlety, or to the manner in which they are affected by similar applications of the same stimuli. § 226. In giving an entire and complete account of the external senses, it appears most proper to begin with the touch, this being the one which manifests itself at the earliest period in the human subject after birth. The organ of the sense of touch is expanded over the whole superficies of the body, and is so constituted and formed as to be affected by much the greatest number of the properties of external objects. § 227. For we are not only made sensible of certain. qualities of substances by means of the touch alone, as of heat, hardness, weight, &c. but there also exist other qualities, such, for instance, as figure, distance, &c. of which we acquire, a much more certain and accurate knowledge by the aid of the touch, though it must be acknowledged that these qualities are at the same time subject to the cognizance of some of the rest of our senses. L2 § 228. 164 OF THE TOUCH. § 228. The touch is less liable to deception than the other senses; and is capable of becoming, by cul- tivation and attention, so exquisitely perfect and refined, as to be able to compensate, in a certain degree, for any deficiency in its sifter senses, more especially in that of vision. § 229. The organ of this sense is indeed the skin in general, concerning the fabric and texture of which we spoke formerly; but those parts that are more immediately subservient to the touch, are the papillæ of the corium or cutis vera; these papillæ exhibit various figures in different parts of the body; they are indeed, for the most part, ver- rucose, in other places they are fungous, in others filamentous or thread-like, &c. under all which ap- pearances, the extremities of the cutaneous nerves terminate after the manner of small pulpy pencils. § 230. But by far the most important and distinguished instruments of the touch are, in particular, the hands, the skin of which is impressed with a great number of striking peculiarities. Thus, for ex- ample, the skin on the palms of the hands, and on each side of the joints of the fingers, is sulcated and completely destitute of hair, for the purpose of facilitating 165 OF THE TOUCH. facilitating the folding or doubling up of those parts. The extremities of the fingers, on their internal, and of the toes, on their inferior, sur- faces, are furrowed with slight and very elegant grooves running in directions more or less spiral: but the former, on the exterior, and the latter on the superior, sides, of their terminations, are pro- tected from injury by nails. § 231. These scutiform nails are possessed only by man, and a few other animals, (belonging to the class mammalia), which are also furnished with hands, and excel in the acuteness of their sense of touch. These nails appear to be designed for the purpose of making a gentle resistance to the pressure of the fingers when examining substances, and thus aiding their action. The nails, though of a horny nature, must nevertheless be considered, on the whole, as pro- ductions or continuations of the epidermis: for immediately under them lies the reticulum muco- sum, which in Æthiopians is black; and finally, beneath this again is expanded the corium or true skin, which is firmly attached to the periostium of the extreme phalanx of the fingers. Also these constituent parts of the nails are striated in a lon- gitudinal direction. At their posterior margins L3 (which 166 OF THE TASTE. (which are distinguished by small semilunar seg- ments, of a shining or somewhat brilliant ap- pearance) they are securely fixed in a groove formed by a reflection of the cutis, from whence by a daily, but very moderate, increase, they are gradually protruded forward, in such a manner, as to be completely renovated in every term of about six months. SECT. XVIII. OF THE TASTE. § 232. TASTES are certain impressions made on, and perceived by, the tongue, and also, in some measure, by the adjoining cutaneous parts of the os internum (i.e. the inside of the mouth); these parts are, in particular, the medium palati, the fauces, the cheeks, and even the lips themselves; with respect, however, to the whole of these auxiliary parts, it is proper to observe, that they have no perception of any tastes except such as are acrid or intensely bitter. § 233. 167 OF THE TASTE. § 233. The principal instrument of taste is the tongue, an organ capable of the utmost agility in motion, very pliable, and exceedingly changeable in point of form: it consists of a fleshy texture, which ex- hibits a striking appearance, somewhat resembling the texture of the heart. § 234. It is invested with involucra or coverings, which bear a similitude to the different strata of the cutis: these are, the epithelion, which corresponds to the cuticle, the reticulum Malpighianum, and lastly, a papillary membrane, that differs but little in its structure from the cerium or true skin. § 235. The principal difference consists in this, that the epithelion, instead of a fine cutaneous oil, is lubricated and moistened by mucus, which exsudes from that imperceptible orifice, named after Mei- bomius, and also from the rest of that glandular expansion, discovered by Morgagni: another point of difference is, the conformation of the papillæ, which are divided into the petiolated, the obtuse, and the conical; of these, the former, being very few in number, are placed in a lunated arrange- ment, at the root of the tongue, while the others, being of various size, are crouded promiscuously L4 and 168 OF THE TASTE. and without order, on the back of the tongue, but more especially on its edges and tip, where the sense of taste is most acute and exquisite. § 236. To these papillæ pass the extreme filaments of the lingual branch of the fifth pair of nerves, by the offices and aid of which it appears probable, that the sense of taste is proximately generated and preserved. For the ninth pair of nerves, and also that branch of the eighth, which is distributed through- out the tongue, appear to be subservient to the various motions performed by that organ in chew- ing, swallowing, speaking, &c. rather than to its function as the immediate instrument of taste. § 237. That the tongue may exercise the sense of taste in perfection, it is necessary for it to be kept in a state of complete humidity; the substance to be tasted should also be a liquid, and ought to abound with salts in a state of solution: for if either the tongue itself, or the substances applied to it be dry, it may then indeed examine them by the touch, which it generally possesses in an exquisite degree, but cannot with strictness and propriety be said to taste them. When 169 OF SMELLING. When the tongue discharges the office of tasting with most perfection and acuteness, the papillæ, situated on its apex and edges, appear to be brought into a state of genuine, though slight, erection. SECT. XIX. OF SMELLING. § 238. BY means of the sense of smelling we perceive impressions made by the odorous effluvia of substances, which being inhaled in inspiration, come in contact with that part, in particular, of the Schneiderian membrane, which invests each side of the septum narium, and lines the convex surfaces of the concha. § 239. For although the whole of the internal nares, together with the adjoining sinuses, which open into them, be lined with a humid membrane, similar in appearance to the Schneiderian, it nevertheless appears to be diversied in its nature in different places. That part of the membrane, which is situated near the opening of the external nares themselves, bearing 170 OF SMELLING. bearing a stronger resemblance to the other parts of the real cutis, is overspread with sebaceous fol- licles, which are completely mantled in clusters of hair. But that part which lines the septum narium, and conchæ, is of a fungous nature, and abounds with small muciferous cryptæ or cells. Finally, Those portions which invest the parietes of the frontal, the sphenoidal, the eth- moidal, and the maxillary sinuses, are by far the most tender and delicate of all, and are completely overspread with an infinitude of minute blood- vessels, which constantly exhale from their ex- tremities a subtle dew-like fluid of an aqueous nature. § 240. The principal, if not, indeed, the only use of those sinuses appears, therefore, to be, to furnish a watery liquid, of such a nature, as has been just described, which being first conveyed into the three passages or avenues of the nares, may be from thence communicated to those adjacent parts, which, we have already said, constitute the imme- diate instruments of the sense of smelling. By thus supplying, with a due degree of humidity, the parts which proximately form the olfactory organs, 171 OF SMELLING. organs, those sinuses contribute, not a little, to preserve the acuteness and perfection of this in- teresting sense. For the attainment of this end, such a wise pro- vision is made by the very situation of those several sinuses, that in whatever position the head be suffered to rest, one or other of them may still discharge and deposit a quantity of this subtle dew, on the immediate feat of the sense of smelling. § 241. The fungous part of the nasal membrane, of which we have already spoken, and which con- stitutes the proximate organ of smelling, besides, the immense number of minute blood-vessels with which it is overspread (and which are rendered in a particular manner remarkable, by this circum- stance, that there are no other vessels in the whole body equally liable to spontaneous hemorrhages); besides these small blood-vessels, I say, this part of the membrane is also furnished with nerves, especially from the first pair, and also from both branches of the fifth pair: of these, the first pair appears to be of itself solely subservient to the sense of smelling; while the others supply the parts, to which they are distributed, with branches for the purposes of common sensation, such, for example, as that which gives rise to sneezing, &c. § 242. 172 OF SMELLING. § 242. The extreme filaments of this first pair of nerves are not, (as is the case in the organs of touch and taste), lengthened out and rounded into papillary elongations, but appear to deliquate, or melt down, as it were, into the spongy and uniform paren- chyma of the membrane in which they terminate. § 243. In new-born infants, the chamber destined for the immediate reception of odours is narrow, and as yet extremely imperfect. The sinuses, of which we have already spoken, have at this time scarcely made their appearance: hence, infants do not ac- quire the sense of smelling till a late period, as the expansion and complete formation of their internal nares are but gradually and very slowly accom- plished. The larger those instruments become, and the more accurately they are formed and finished, the more exquisite will be the acuteness and perfection of this sense. § 244. Finally, it is a truth well worthy of being re- membered, that there is scarcely another external sense, which possesses such a powerful connection with, and influence over, both the sensorium itself, and the internal senses, as that of smelling. There 173 OF HEARING. There is none subject to such striking diosyn- crasies; none better calculated either to produce, to prevent, or to remove, paroxysms of fainting. Neither is there any one susceptible of more delicate and pleasing impressions; the smell is, therefore, happily termed by Rousseau the sense of the imagination. Nor are there, lastly, any other species of sen- sations that appear to excite so clear and vivid a remembrance, as that which specific odours recal to the memory. SECT. XX. OF HEARING. § 244. SOUND, which is excited by a tremu- lous collision of elastic substances, and propagated from sonorous bodies, through the medium of the air, is at length perceived by the sense of hearing, after having proceeded onward in the following order: viz. it is first received by a shell-formed cartilage denominated the external ear, over which a few 174 OF HEARING. a few of the human species possess a power of voluntary motion: being collected and concen- trated, as it were, by means of this concha or shell, it passes immediately into the meatus auditorius, which is thoroughly anointed and defended by a very bitter and somewhat yellowish cerumen, or wax-like substance: at the internal extremity of this meatus auditorius it strikes against the mem- brana tympani, which is situated in an oblique position, is firmly attached to an annular groove in the os temporis, and forms a complete partition between this meatus auditorius, or passage for found, and the middle portion of the ear. § 246. Behind this membrane, the middle portion of the ear, denominated the cavity of the tympanum, is so situated as to have its fundus or bottom pointing upwards and inwards. It contains three small bones, belonging to the organ of hearing, the external of which, called the malleus, is connected by its handle to the mem- brane of the tympanum; from its spinous process, which runs in a forward direction, a bulb or globe is formed, (especially in an adult subject), with an annular groove surrounding its base; this small globular head rests on the body of the incus. The 175 OF HEARING. The incus itself is attached to the minute knob or head of the stapes, by its longer process, which extends nearly to the middle of the cavity of the tympanum. Finally, the stapes, resting its basis on the fenes- tra ovalis, looks towards the vestibulum of the labyrinth, into which, found, having percussated against the membrane of the tympanum, is propa- gated by means of the connections of those three osiccula or small bones. § 247. The Eustachean tube, running from the interior parts of the fauces, opens also into the cavity of the tympanum; the inferior winding passage of the cochlea enters likewise into the same cavity; over the mouth or orifice of this passage, called the fenestra rotunda, a fine membrane of a peculiar nature is expanded. Physiologists have not yet ascertained and demonstrated, in a clear and satis- factory manner, the uses of either of those two last mentioned parts. § 248. Lastly, in the deep and hidden recesses of the os petrosum lies the labyrinth, or internal portion of the ear, which embraces again three several parts. These 176 OF HEARING. These are the vestibulum, which is situated in the middle between the other two, and into which open, besides the fenestra ovalis, both the five mouths of the semicircular canals that run in a backward direction, and also the superior winding passage of the cochlea, which extends and lies anteriorly. § 249. The labyrinth itself contains a very subtle, lim- pid water, which has been named after the illus- trious Cotunnius, and which that celebrated phy- siologist discovered to be absorbed by two very minute canals: these small canals, called by Co- tunnius, aqueducts, (and by Meckel diverticula), arise, the one from the vestibulum itself, the other from the inferior winding passage of the cochlea. § 250. The soft portion of the seventh pair of nerves, together with the hard, (which afterwards passes through the aqueduct of Fallopius), having en- tered the internal chamber of hearing, transmits its medullary filaments through the perforated bottom of that cavity. These filaments pass, in part, to the vestibulum and semicircular canals, but are distributed more especially over the base of the cochlea, where their extremities are ar- ranged in such a manner as to run between the 2 laminæ 177 OF HEARING. laminæ or plates of the septum of the cochlea, exhibiting the appearance of a fine medullary zone, beautifully ornamented with plexiform striæ or streaks. § 251. The oscillatory tremor which we formerly traced and followed up, even to the fenestra ovalis, (§ 246.), is from thence propagated to the vesti- bulum, where, finally, through the medium of the subtle aqueous liquid already described (§ 249.), it strikes and impresses the auditory nerves them- selves, which are distributed with infinite art and ingenuity throughout the mazy circumvolutions of the labyrinth. § 252. The impetus of found, striking against the mem- brane, and being propagated through the cavity of the tympanum, is thought to be modified and regulated, not only by the muscles of the malleus and stapes, which appear, in their contraction and relaxation to be subject to the influence of the will, but also by the chorda tympani, which is situated in the middle, between the handle of the malleus and the longer leg of the incus. VOL. I. M SECT. 178 OF VISION. SECT. XXI. OF VISION. § 253. THOSE rolling or versatile globes, denominated eyes, are to be considered as the im- mediate instruments of the sublime sense of vision. They are fixed as if on footstalks, by their optic nerves (respecting the decussation of which we have already spoken, § 205.), in such a manner, that their insertions are not directly opposite to the centres of the cornea and iris, but are placed behind the imaginary axes of the eyes, in situa- tions somewhat nearer to the nose. § 254. Each orb is composed of various tunics or coats, which inclose humours of different densities, and so extremely pellucid, that the rays of light, having entered the pupil or window in the ante- rior segment of the orb, can pass through, with- out the least interruption, to its bottom or opposite side. § 255. The external involucrum of the globe of the eye is called sclerotica, the anterior hiatus or chasm of which 179 OF VISION. which is closed up by the transparent cornea, which is a lamellated membrane, more or less convex, and projects in a slight degree forward, like a segment of a smaller globe protruding out of a larger. § 256. Next to the sclerotica lies the tunica choroidea, which abounds in blood-vessels, more especially in verticose or circuitous veins: this coat is stained on each side by a black pigment, which loosely adheres to its concave surface after the manner, and with the appearance, of mucus. § 257. The choroides encloses, finally, the retina, which is the most internal of the common tunics embracing the visual orb. This coat consists en- tirely of the medullary substance of the optic nerve, which having perforated the sclerotica and and choroidea, is expanded on the concave sur- face of this last involucrum, and there arranged with the utmost beauty and elegance of structure. § 258. The anterior border of the tunica choroidea terminates in a cellular ring, which is denominated orbiculus ciliaris, and by means of which the cho- roides is more firmly attached to a corresponding M2 groove 180 OF VISION. groove or depression in the sclerotica. From this cellular girdle or attachment, two other membranes of different kinds, (namely, the iris and ciliary processes), originate and diverge from each other, like two expanded circles. § 259. The iris (the posterior surface of which, being overspread with a dark pigment, is denominated uvea) is situated anteriorly, is gently convex on the surface next the cornea, and is surrounded on all sides by a humour of an aqueous nature. That segment of the iris, which lies next the nose is narrower, while that which looks towards the temples is possessed of greater expansion. Its tex- ture consists entirely of condensed cellular mem- brane, without the smallest vestige of muscular fibres; upon the whole, it appears to be in reality a membrane sui generis, as was formerly well observed by Zinn, and not by any means an ap- pendage to the choroides. On its anterior surface it is differently coloured in different individuals, and while distended and animated with a plenitude of life, it exhibits somewhat of a floccose ap- pearance. § 260. The blood-vessels of the iris run principally on its anterior surface, and, in the fœtus, are con- tinued 181 OF VISION. tinued into what is called the membrana pupillaris: respecting the nature and use of this membrane, I have spoken more fully in another place *. It appears to be intended for the purpose of pre- serving the iris, (during the rapid growth of the ball of the eye), in a state of expansion, and thus rendering it more fit for future motion. About the seventh or eighth month of preg- nancy, when the ball of the eye has now acquired a considerable magnitude, this membrane begins to open and give way in its centre; the elliptical arches of its vessels are retracted in a very gradual manner, and thus form, in my opinion, the small interior ring of the iris; it is, at least, certain, that not a single trait of this ring can be discovered in the eyes of a fœtus previously to the above-men- tioned period. § 261. The posterior of those two orbicular membranes, of which we have already spoken, (§ 258) is called the ciliary body or band; it runs in a back- ward direction, and therefore, in its progress, diverges still farther from the iris; by its external border, which is gross and firm, it is attached to the orbiculis ciliaris (§ 258), but by its internal, * Commentat. societ. scient. Goettingens. T. VII. M3 which 182 OF VISION. which is more fine and delicate, it embraces the margin of the capsule of the lens: it is also shaded with that same dusky pigment, of which we have twice already spoken. Its anterior surface, lying opposed to the uvea, is somewhat striated. Its posterior surface, resting on the vitreous substance, is distinguished by about seventy plicæ or folds, which exhibit an extremely elegant floccose appearance; these are called ciliary pro- cesses, and are remarkable for a vascular apparatus of inexpressible subtlety and beauty. § 262. In the eye-ball itself, the membranes of which we have been hitherto describing, there are en- closed, in particular, three different humours. The vitreous humour occupies and fills the posterior, and by far, the greatest, portion of the visual orb. It is distributed, in a countless number of minute drops, throughout as many minute cells of the membrana hyaloidea, in such a manner, that the whole mass, consisting, in part, of membrane, and in part, of lymph, exhibits the appearance of a peculiar, tremulous jelly. § 263. 183 OF VISION. § 263. The anterior part of this vitreous substance, has appended to itself, and embraces, in the ciliary girdle, a capsule, in which is contained the chrys- taline lens, surrounded on all sides by a very subtle water, first discovered and described by Morgagni. This lens itself, is also composed of extremely pellucid cellular membrane; it is by far more dense than the vitreous substance, and is furnished with so minute a quantity of genuine humour, that, when pressed between the fingers, it resembles glue of the most tenacious consistence, but at the same time of astonishing transparency. § 264. The remaining portion of the internal cavity of the eye, is filled up by an exceedingly limpid aqueous humour, and, by the expanded orbicular curtain of the iris, is divided into two chambers: these are, the anterior, or more capacious cham- ber, which separates the cornea from the iris, and the posterior one, of smaller dimensions, extending from the uvea to the corpus ciliare. § 265. These most precious and inestimable parts of the body, as Pliny, the elder, has emphatically M4 called l84 OF VISION. called the eyes, are securely protected from ex- ternal injuries, as well by their recluse situations in their orbits, as by their valviform coverings, the palpebræ. Between the folds of the palpebræ are planted, in immense profusion, the crouded sebaceous fol- licles of Meibomius; their extreme or lower edges, fringed with three or four phalanges of cilia or lashes, are kept in an expanded state by certain cartilages called tarsi, which are also of further service in facilitating the motion of the palpebræ on the eye-balls. But (to adopt the language of the eloquent Cicero) the parts situated immediately above the palbebræ, being closely mantled in the supercilia or eye-brows intercept and turn aside the sweat flowing down in streamlets from the head and face, and also serve to moderate, in a certain degree, the excessive effulgence of light. § 266. For the purposes of lubricating the eyes, of preserving their splendor, and of washing out he- terogeneous substances, the tears are provided: the principal source of this fluid is a small conglo- merate gland, deeply situated in a depression to- wards the external part of the circumference of the 185 OF VISION. the orbit. The excretory ducts belonging to this gland are numerous, but extremely tender; they are supposed to convey, from both eyes, in the course of twenty-four hours, about two ounces of tears; After having been excreted, the tears are again absorbed by the puncta lacrymalia, from whence they are conducted through what are called the cornua limacum, or snail's horns, to the lachrymal sac, and from thence finally discharged into the lowermost passage of the nares. § 267. Thus much it was necessary to premise respect- ing the admirable structure of the visual organ. We come now to treat of the functions of this organ, or, in other words, to consider the doctrine of vision. All the rays of light which fall on the convex surface of the cornea pass through it, provided their angle of incidence be less than that of 48 degrees. In consequence, not only of the den- sity, but also the figure of the aqueous humour, the rays are refracted in that medium, and turned a little nearer to the real axis. As many of the rays as, having passed through the pupil, enter the crystalline lens, must neces- sarily, 186 OF VISION. sarily, in this more dense medium, be subjected to a still higher degree of refraction. But by means of the more attenuated and less refractive vitreous medium, wise provision is made to prevent these rays from uniting in a focal point at too short a distance: this point, being thus farther removed from the convex surface of the cornea, falls on the retina, and there exhibits, in an inverted position, the images of all objects presented, and that in perfect correspondence to the nature of surrounding and attendant circum- stances. § 268. This difference in the density of the refracting media of the eye, exhibits a very striking instance of the exquisite and inimitable workmanship of the divine creator. By means of this diversity, such a complete remedy is provided against the two- fold separation or divergency of the rays of light, (the one arising from the different refrangibility of the different coloured rays, the other from the very figure of the lenses), that they are all finally collected and united in the same focal point. § 269. The celebrated problem, in which the cause is demanded, wherefore we see those objects erect, the 187 OF VISION. the images of which are nevertheless exhibited in an inverted position on the retina? appears to admit of an easy solution, when we consider, that objects are said to be inverted, only from the relation they bear to others, which are exhibited in an erect position. In as much then as the images, not of a few, but of all objects, even of our own bodies, are received by the retina in the same relative position, the situations and relations of the whole of them harmonize and correspond to one another, equally as well, as they could possibly have done, had their positions been truly erect: in consequence of this, the mind, (which does not attend to the image itself, but to the sensation excited by its impression), is sufficiently guarded against embar- rassment and mistake. § 270. In as much as the conditions, essentially neces- sary for the purposes of acute and distinct vision, are extremely numerous and varied, the creator of man has made the wisest provision for these, by endowing the part, subservient to this sublime sense, with a great variety of functions. As a certain adequate, but yet definite, quantity, and not too potent a glare, of light, is essential to 188 OF VISION. to the existence of clear and perfect vision, a two- fold caution is thus taken; first, to admit, (ac- cording as the light is stronger or weaker), a greater or less column of rays to fall on the lens; and secondly, that all superfluous rays which enter the eye, and tend only to dazzle by the intensity of their splendour, be absorbed and rendered inactive. The former of these purposes is effectually ac- complished by the motion of the iris; the latter, by means of the black pigment. § 271. The iris possesses an atonishing mobility, by which it accommodates itself so perfectly to the quantity of light acting on it, that when exposed to a more intense glare, it is immediately expanded, and thus diminishes the size of the pupil, but when subjected to the action of a weaker light, it is again retracted, and the pupil consequently en- larged. Physiologists have attempted a satisfactory ex- planation of this motion, in a variety of modes, sounded on different principles; by some it has been derived from diversified impulses of the blood on the tender vessels of the moving part, while others have figured to themselves the existence of certain 189 OF VISION. certain imaginary muscles in the iris, and have committed to them the whole of the phenomenon in question, &c. But I have lately made it appear in a separate paper, that neither of these modes of explanation is well founded, but that it is much more agreeable to evidence, and correspondent to the phenomena of nature, to derive the immediate cause of the motion of the iris from its vita pro- pria, or specific life. (§ 47.) The more remote cause of this motion, as we observed on a former occasion (§ 256), cannot be referred to any other source, than the re-action of the sensorium itself. § 272. The function of this dusky pigment, of which we have already so repeatedly spoken (§ 256, 259, 261,) to wit, that it is destined to absorb the superfluous rays of light, and is hence of the utmost importance in the business of perfect vision, may, besides other arguments, be safely inferred from dissections of the eyes of various animals; but is more completely demonstrated and estab- lished, by the morbid constitution of the white Æthiopians, or Albinos, as they are called, in whom, from a deficiency of this pigment, the organs of vision are painfully tender, and the im- pulse of light consequently too powerful to be borne. § 273. 190 OF VISION. § 273. It is further requisite, that the focus of re- fracted rays be perfectly formed on the retina, so that it may strike the very point of vision, and be neither so far extended as to fall behind it, nor so much contracted as to terminate before it, in the vitreous substance. The latter of these deviations from perfect vision is what takes place in those individuals called myopes, in whom the lucid cornea is rather too convex and gibbous. But the former deviation is that under which the presbytæ labour, as the conformation of the anterior parts of the eyes is directly the reverse. § 274. But as an eye perfectly found is able to discern, with equal distinctness, bodies, whether at a greater or less distance, it must, without doubt, be furnished with peculiar faculties or powers of accommodating itself to the various distances of objects. That these internal and accommodating changes of the eye, are in a great measure pro- duced by the pressure of the recti muscles on the ball which they embrace, is a position so clear, and apparently well founded, as scarcely to admit of a doubt. Besides other arguments which might be 191 OF VISION. be advanced in favour of this opinion, I am induced to adopt it in consideration of the very singular structure, and extreme flexility, of the sclerotica, in the eye of the Greenland phoca, or sea-calf. By this peculiarity of fabrication and arrangement, nature has made the most exquisite provision to enable this amphibious animal to enjoy at all times, the advantages of vision, though passing its life alternately in media of very different densities. § 275. By means of these same muscles, our eyes, whilst we are awake, are perpetually agitated, although with an almost insensible motion, and so directed as to have their visual axes arranged in right lines with the objects viewed. For although the whole of the retina be possessed of sensibility, yet it is not in every part equally well adapted to receive the images of objects. For at the genuine axis of the eye-ball, in the place, for example, where the optic nerve enters, it appears, from the well-known and celebrated experiment of Mariotte, that the human eye is destitute of the power of vision. But the principal focus of the retina, and that which ought to be considered as the leading and 4 immediate 192 OF VISION. immediate instrument of distinct vision, is, situated in an imaginary axis of the eye-ball, which is sup- posed to pass through the centre of the cornea, and to be thus continued through the centre of the whole orb. It is not, however, (as was lately observed by the celebrated Kæstner in his com- ments on certain works of Boerhaave), to be from hence understood, that we are unable to see clearly and distinctly, more than one single point of an object while the eye remains perfectly at rest, and that we are obliged to shift or alter its axis in order to distinguish any other point. The case is quite otherwise, because the sensation pro- duced by one entire object, is also itself, like its original, or exciting cause, one and entire. § 276. The habit of directing the axis of the eye with dispatch and facility towards the object of vision, is finally acquired only by use and daily exercise. That this is a position founded in truth, is demon- strated not only by the example of such individuals as, having been born blind, acquired afterwards the power of vision in adult age, but also by that of tender infants, who seldom attain to this happy facility of moving their eyes previously to the third month after birth. 2 § 277. 193 OF VISION. § 277. To the same power of custom and habit, must we also attribute the remarkable circumstance of our seeing objects only single, though our eyes be two in number. New-born infants appear to see objects double, and double vision, which fre- quently continues sometime after certain diseases of the eyes, may be at length overcome and re- moved by use and exercise. § 278. The joint power of both eyes, with regard to the acumen and strength of vision, does not, according to the calculation of Jurin, exceed that of one eye, more than a thirteenth part. And, agreeably to an observation, long since made by that celebrated painter Leon. da Vinci, it is much best in judging of the distances of objects to make use of one eye only. § 279. Finally, In treating of the strength and per- fection of the eye, our former illustrious country- man, Tob. Mayer, demonstrated, by a series of very elegant and ingenious experiments, that the angle of vision ought to exceed, in dimensions, at least 34 seconds of a degree. From hence he at the same time illustrated and proved the extreme VOL. I. N perfection 194 OF VISION. perfection of the human eye, because this extent of the angle of vision may continue nearly the same, under any light whatever, whether that of the meridian sun, or that of a weak lamp, so that though the window or pupil of the eye be greatly contracted and diminished, yet the clearness of vision can, from that source, be scarcely in any degree affected. § 280. From hence we may infer, the inconceivable smallness of the images of objects which are thrown and delineated on the retina, and which are never- theless impressed with so much force, that, under certain circumstances, vestiges of them remain a considerable time, even after the objects them- selves have been entirely removed from the eye. SECT. 195 OF THE INTERNAL SENSES. SECT. XXII. OF THE INTERNAL SENSES, AND OTHER FACULTIES OF THE MIND. § 281 THROUGH the medium of those ex- ternal senses, of which we have hitherto treated, ideas are conveyed to our nobler part, the mind; for, agreeably to the tenor and spirit of a well- known theorem, nothing can enter the under- standing save by the route or avenue of the senses. § 282. For the purposes of receiving and preserv- ing the ideas thus acquired, by the aid of the senses, and also for making the best use and im- provement of the intellectual stock received, va- rious faculties of the mind contribute their united exertions. Though these faculties be, (as we have already had occasion to observe, § 42.), widely different from the vital energies which reside in the body, nevertheless, by means of the nervous system, they are so closely connected with those corporeal energies, that an astonishing in- tercourse is thus established and supported between the body and mind, (§ 211.) N2 § 283. 196 OF THE INTERNAL SENSES. § 283. The first of those powers, possessing indeed, apparently, the lowest grade, is the faculty of perception, by means of which the mind is ren- dered conscious of impressions made on the dif- ferent organs of sense. § 284. This faculty is aided by another, of better rank and higher dignity, namely, attention, which so directs and determines the mind towards any idea when once excited, as to rivet its thoughts to that object alone. § 285. For the important purposes of preserving ideas, which have been already perceived, of re-exciting them, and associating them into more lively and picturesque species of imagery, two other faculties, called internal senses, are brought into action: these are memory and imagination, two powers, which, though nearly allied to each other, may, notwithstanding, be readily distinguished by the following characters: memory appears to be more subservient to, and engaged in, the reception and retention of arbitrary signs of things; whereas, imagination, on the contrary, wakes up rather the very images of things, bestows on them form and colouring, and marshals them under the view of the 197 OF THE INTERNAL SENSES. the mind, as if the objects themselves were again actually present: this faculty is more particularly and powerfully exercised on such objects as are calculated to excite sensations of pleasure or disgust. § 286. Upon the whole, the faculty of choosing and refusing, and, (when we consider the matter a little more minutely), even the foundation of the whole will itself, appear to rest and depend en- tirely on certain agreeable and disagreeable varie- ties of sensation. § 287. From the same prolific source, namely, the imagination, are also to be derived the affections or commotions of the mind, to which we see dif- ferent individuals variously subjected, in confor- mity to the countless diversities of existing tempe- raments (§ 59.) The very intimate and instan- taneous consent of these affections with certain functions of the body, appears strikingly evident in an infinitude of examples; thus, for instance, there is scarcely a single passion of the mind, which does not possess considerable influence over the motion of the heart, the appetite for food, and the powers of digestion,—not to descend to a minute specification of particular effects, such, for exam- ple, as the action of shame in giving rise to N3 blushing, 198 OF THE INTERNAL SENSES. blushing, the action of love or hatred on the organs which serve to distinguish the sexes, the action of anger on the secretion of bile, &c. &c. While speaking of the effects produced in the economy of the human body, by the commotions of the mind, it is proper to observe, that they may be divided into stimulant and sedative, or into those which excite, and those which depress. Of the former description are joy, love, hope, anger, &c. Of the latter, fear, sorrow, nostalgia, and other species of permanent desire or longing, terror, envy, &c. § 288. Those faculties of the mind hitherto enume- rated, are observed to exist in brutes as well as man, though the latter undoubtedly possesses them in by far the highest degrees of strength and per- fection: thus, for example, in none of the inferior animals do we discover a memory so extensive in its range, and so powerful in its tenacity; in none do we discover such a splendid brilliancy, and glowing warmth of imagination; in none do we discover such an unbounded, and sometimes fatal, vehemence of mental passions, &c. § 289. 199 OF THE INTERNAL SENSES. § 289. The leading prerogative of the human mind, consists in this, that it alone possesses the exclusive power of reason, by means of which it is able to judge, to form abstract ideas, &c. and which exerts also the greatest influence over most of the other faculties of the mind. In place of this divine power, other animals are endowed with various instincts, or blind and involuntary impulses, which lead them to the performance of such actions, as are suitable to their several economies and modes of life. Of these instinctive impulses man, on the other hand, is furnished with scarcely any, save that which prompts him to participate in venereal gratifications. § 290. The immense and striking difference between animal instinct and human reason, will appear glaring as the noon-day light to him who considers: That instincts are faculties co-eval with birth, whereas, on the other hand, the use of reason is acquired only by culture and education: That instincts remain stationary, and admit of no improvement, whereas the expansive improve- ment and exercise of reason, are literally free from circumscription: N4 That 200 OF THE INTERNAL SENSES. That instincts are suited only to the destined mode of life, to the climate, &c. of each species of animals, and, on this account, are not adequate to the exigencies of man, who, confined to no climate, exclusively restricted to no mode of life, is destined to be an inhabitant of the world at large: from which boundless and splendid prero- gative, an inconceivable diversity of wants arise, which simple instinct is too weak!—far too weak to supply! but which, the powers of reason, from resources equally diversified as the emergencies themselves, are able to satisfy, in the most ample and complete manner. Lastly, another high prerogative of man, de- pending on the powers and exercise of his reason, is the use of speech, of which we have briefly spoken on a former occasion (§ 154.) This in- valuable privilege is the exclusive boast of man alone, brutes being only furnished with voice, or a power of emitting sound. SECT. 201 OF VOLUNTARY ACTIONS. SECT. XXIII. OF THOSE ACTIONS OF THE BODY WHICH ARE SUBJECT TO THE POWER OF THE WILL. § 291. THE nerves, as we have already seen, are so constituted as to perform two different functions (§ 215), namely, sensation and motion. The doctrine of the former we have already con- sidered. It yet remains to add a few observations on the subject of the latter. § 292. The motions in general of the several parts of the human body, are usually divided into two classes, one of which is excited and governed by the power of the will, while the other is not in any measure subject to its influence, or controul. For examples of the latter class, physiologists commonly refer to the harmonious action of the heart, and likewise to the peristaltic motion of the intestines and certain other viscera, &c. Instances 202 OF VOLUNTARY ACTIONS. Instances of the former class we have in the motions of by far the greater part of the other muscles of the body. Doubts are still entertained, with respect to the real nature of certain motions which take place in the human system; such as the motions in respira- tion, in sneezing, in the tension of the membrana tympani, &c. These are by some classed with the voluntary, by others with the involuntary, while others again refer them to a third class, called mixed motions. § 293. When this division, however, is considered with a little more steadiness and attention, it is easily perceived to be embarrassed with such momen- tous difficulties, that it is scarcely possible to ascertain, and mark, with definitude, the precise limits between the classes. For, on the one hand, a few of the functions of our bodies, over which the will, unassisted by other powers, may be said to possess no command at all, may notwithstanding be excited and brought into action, when the imagination and passions of the mind act in concert with the will. On 203 OF VOLUNTARY ACTIONS. On the other hand there are not wanting instances of muscular functions, which, though naturally subject to the immediate command of the will, have, notwithstanding, been rendered in a great measure involuntary, by the plastic power of custom, (the influence aud energetic agency of which, on animal motions, are indeed of the utmost moment and importance.) § 294. Of this latter description are those kinds of muscular motion, which, although at other times subject to the controul of the will, yet, under certain circumstances, take place not only without the consciousness, but even contrary to the incli- nation of the mind. Thus, for example, we wink contrary to our determination, when the finger of a friend is hastily approached towards our eye, although it does not touch it; and in most persons, the flexion of the little finger is usually attended with a syn- chronous flexion of the ring finger, though a de- termination had been formed to preserve the latter entirely unbent. Without the consciousness of the mind we fre- quently move our limbs, even when wrapt in the most profound sleep. There 204 OF VOLUNTARY ACTIONS. There are, on the other hand, examples of muscles, which, although for the most part per- fectly obedient to the will, yet in certain cases refuse to obey its commands. To this head we may refer the difficulty of describing, by syn- chronous movements, circles in contrary directions, with the hand and foot of the same side, together with other motions of a simiilar nature, which, although truly voluntary, and extremely easy when practised alone, are, notwithstanding, per- formed with the utmost difficulty, if an attempt be made to associate them with certain other motions. § 295. With respect to those motions, which physio- logists suppose to be perfectly exempt from the influence of the will, I know of none which can be clearly and unexceptionably referred to this head, save the spasms of the uterus in the labour of parturition. With respect to the pulsation of the heart, a very remarkable account stands on record of a British colonel, who possessed a power of sus- pending, at pleasure, the motion of both the heart and arteries. In confirmation of the truth of this, we have the public testimony of Baynard and Cheyne, two physicians of the highest reputation and 205 OF VOLUNRARY ACTIONS. and veracity, who were themselves witnesses to the astonishing phenomenon. That the motion of the stomach may be volun- tary, (as indeed the process of rumination in general seems to evince), I had once an oppor- tunity of ascertaining, to my entire satisfaction, in a ruminating human subject, in whom this retrogade or reverted motion of the stomach, was under the most perfect subjection to the command of the will. Although the motion of the iris be involuntary, in by far the greater part of the human race, I have, notwithstanding, been favoured with an account, sufficiently authenticated, of a man, who possessed a power of voluntary command over this membrane, in such a manner, as to be able, by a very singular effort, to contract the pupil of the eye even in a weak and dull light. There are indeed a great variety of motions, which, though generally performed without the influence of the mind, are nevertheless voluntary in certain individuals, especially if a high degree of attention, and a vigorous effort of imagination be excited. Thus, I have known men, who were able at any moment, to produce and exhibit on themselves a spasmodic horripilation of the skin, and 206 OF VOLUNTARY ACTIONS. and also to renew and completely revive in themselves the ideas or perception of certain disa- greeable sensations. § 296. Perhaps those phenomena may be satisfactorily explained from the re-action of the sensorium, which appears to be indeed as powerfully excited by means of the imagination waking up and exhibiting before it, the image of an active stimulus, as by the stimulus itself, when impressing it by its actual presence. There are indeed an infinitude of phenomena of the animal economy, which admirably correspond to this explanation; as the various causes, for example, which excite erections of the male penis, &c. § 297. With regard to voluntary motions in general, it may be proper finally to observe, that they are among the primary and leading characteristics which serve to distinguish the animal from the vegetable kingdom; for, as on the one hand, a power of voluntary motion is never observed to be possessed by any plant, so on the other, such a power constitutes an essential attribute of even the most simple and imperfect genera of animals. § 298. 207 OF MUSCULAR MOTION. § 298. In our own systems, the voluntary motions fur- nish the most full and striking evidence, of that intimate and truly astonishing harmony, which subsists between the mind and the body. Of the existence of this harmony every one will be con- vinced, who considers with attention, the amazing celerity with which such diversied motions succeed each other, in the fingers of an able and skillful performer on the violin, or in our organs of speech, while we are engaged in conversation. SECT. XXIV. OF MUSCULAR MOTION. § 299. THE immediate organs of by far the greater number of the motions of our bodies, are the muscles, which constitute the principal portion and bulk of what are called partes similares. § 300. The muscles are, however, distinguished, in a particular manner, from the rest of the similar parts, by a two-fold characteristic; one depending on 208 OF MUSCULAR MOTION. on their texture; and the other of a very singular nature, derived from their vital energy. § 3O1. Their texture is fleshy, composed of a peculiar set of fibres, of a very pale red colour: they are so joined together, that every muscle consists, in the first place, of fibrous cords, these cords again, of smaller bundles of fibres, which bundles, by a still further progressive division, may be finally separated and resolved into fleshy fibres and fibrils of inconceivable minuteness. § 302. Each muscle is inclosed in a cellular sheath or covering, which, passing into the very substance of the muscle, appears to be interwoven through- out the whole of its volume, and thus forms par- titions, first between the larger lacerti, then be- tween the smaller fasciculi or bundles, and lastly, between the fibres and more minute fibrils them- selves. § 303. Besides this cellular expansion, the whole tex- ture of the muscles is also interspersed with an infinitude of blood-vessels and nervous filaments; of these, the latter appear to deliquate into an inscrutable pulp, and to be thus very intimately 2 blended 209 OF MUSCULAR MOTION. blended along with the muscular fibres; but the former are so extensively and minutely interwoven among those very tender fibres, as to paint the whole of the fleshy parts with that beautiful crim- son dye, by which they are uniformly characterised. When these are thoroughly washed, they are again restored to their native colour, which, as already observed (§ 301.), is somewhat pale. § 304. Finally, a circumstance common to most of the muscles is, that they terminate in tendons-parts, which, though likewise of a fibrous texture, are notwithstanding so extremely different, with respect to colour, structure, elasticity, &c. that their entire disagreement from both the preceding kinds of fibres, is very easily ascertained and demonstrated. Hence, therefore, we are enabled successfully to refute the opinion of those physiologists, who have erroneously supposed, that the tendinous, are no- thing more than mere continuations of the muscu- lar fibres. To the adoption of this opinion, they have been inadvertently led by attending to the following phenomenon, observable in the muscles of infants; namely, if we compare the muscular parts, of these tender subjects, with those of adults, we will find the proportion of flesh, to that of tendon, greater in the former than in the latter. VOL. I. O § 305 210 OF MUSCULAR MOTION. § 305. The other exclusive characteristic of muscles, which we have mentioned (§ 300.) is, the irrita- bility of Haller. Although we endeavoured, on a former occasion, to give a general view of this vital energy, and to ascertain the difference be- tween it and contractility, (§ 44.), yet it may not be improper, at present, to pursue the inquiry a little further. § 306. This irritability, otherwise called vis muscularis, vis insita, or vis propria, is indeed common to all the muscular parts of our bodies, but does not reside in all of them in the same degree, some parts being observed to possess a much higher propor- tion of it than others. The principal seat of this energy, where it most plentifully abounds, is the hollow muscles, sub- servient to the vital and natural functions: of these muscles, the heart, as was observed formerly (§ 119.), possesses the highest degree of the cha- racteristic now under consideration: of this last mentioned organ, the internal surface, in parti- cular, is endowed with the most exalted degree of life, and is by far the most tenacious of irrita- bility. Next 211 OF MUSCULAR MOTION. Next to the heart, in point of this prerogative, is the intestinal canal, more especially that portion of it which constitutes what are called the small intestines: in warm-blooded animals, this part of the tube sometimes contracts on being irritated, even after the heart itself has become incapable of motion. Next in degree is the stomach,—next, the uri- nary bladder, &c. Among the remaining muscles of the system, irritability resides, again, in a very striking degree, in those actively concerned in the function of respiration, as the diaphragm, the intercostals, and the triangularis sterni. Next in order to these are the various other muscles of the body. The arteries doubtless possess irritability, though in a degree far inferior to what exists in the parts just mentioned (§ 123.) This vital energy resides also in the trunks of veins contained in the thorax, (§ 84.) In a degree still lower, does it exist, in the other parts of the sanguiferous veins, if, indeed, those O2 parts 212 OF MUSCULAR MOTION. parts can be said to possess any genuine irritability at all (§ 128.) § 307. Haller himself, that illustrious defender of the doctrine now under consideration, appears to me to have, without sufficient foundation, attributed irritability to certain parts of the body, which are found, indeed, on experiment, to be endowed with contractility (§ 50 seq.), but in which I have never been able to discover any indubitable testi- monies of genuine irritability. Among these parts may be reckoned the lacteal veins, the small glands, the gall-bladder, the uterus, the dartos covering, and the male penis. On no better foundation, in my opinion, is irri- tability attributed, by others, to the iris, to the external surface of the lungs, &c. in all which parts (if, indeed, I be capable of judging rightly), there exists no more of this vital energy, than there does in the common cellular membrane, and parts composed of it, such, for instance, as the common integuments, the meninges, the pleura, the peritoneum, the periosteum, the medullary membrane, the tendons, the aponeuroses, &c.; or than there does in those viscera composed of genuine parenchyma, (§ 27.), such as the liver, the 213 OF MUSCULAR MOTION. the spleen, the kidneys, the secundines, the brain, with the rest of the nervous system, &c. all which parts, as they are throughout, completely destitute of muscular fibres, so are they likewise destitute of irritability, which resides in muscular fibres alone. § 308. As we have, thus, on the one hand, seen muscular irritability now and then confounded with cellular contractility, so on the other, certain celebrated characters have lately been desirous of ascertaining and establishing an identity between irritability and the vis nervea. For although we can neither deny the power- ful influence of the nerves on muscular motion, (of which we will speak a few words presently), nor exhibit the smallest fibril of muscular flesh, per- fectly destitute of the pulp of evanescent nerves, yet these circumstances are not sufficiently mo- mentuous to compel us to a dereliction of the opinion, that irritability is, in its own nature, as widely and essentially different from the vis nervea as it is from contractility. On the one hand, this energy is wanting in all parts not muscular, although they be supplied with the utmost profu- sion of nerves, as the skin, all the nervous viscera, &c; whereas, on the other, we are not able to produce any portion of true muscular flesh, where O3 the 214 OF MUSCULAR MOTION. the genuine and obvious phenomena of irritability do not exhibit themselves. From a close and impartial consideration of the foregoing argu- ments, besides a great number of others which might be advanced, it appears more consonant to reason and found induction, to attribute the singular phenomena of irritability to the equally singular texture of muscular fibres, than to refer them to the nerves, which, in so many other parts of the body, are as minutely distributed as they are through the muscles, and yet do not generate and exhibit, in those parts, the faintest shadow of real irritability. I say nothing of the weighty argu- ments which might be drawn from the following well-founded position, viz. that no steady propor- tional relation is observed to exist, between the degree of irritability in any part of the body, and the quantity of nerves with which it is supplied. § 309. With respect to the extreme terminations of the nerves, which are well known to exert an influence over the muscles, the following appears to be the most rational conclusion, viz. that they may be considered as remote or exciting causes of mus- cular motion, but should not be confounded with the proximate or efficient cause, which is indeed irritability alone, and that residing exclusively in the muscular fibres. The 215 OF MUSCULAR MOTION. The passions of the mind, for example, act on the sensorium, this again re-acts on the nerves of the heart, in such a manner, as to excite its irrita- bility, and thus produce palpitations and other irregular motions of this organ. The will acts on the sensorium, this re-acts again on the nerves of the arm, these nerves in like manner operate immediately as remote causes in exciting muscular motion, which, notwith- standing, depends ultimately for its existence on irritability itself. § 310. This distinction, of the two kinds of causes which concur in the production of muscular motion, is indeed fully authorised and sanctioned by actual experiments: from a variety of these it appears, that certain parts of the animal system have been oftentimes rendered paralytic, by cutting, or inclosing in ligatures, the nerves leading to them, while they have, notwithstanding, still continued to retain their irritability for a long time afterwards. § 311. In what degree the blood, with which the muscles are very abundantly supplied, contributes to their action, is not yet clearly and satisfactorily ascertained. O4 It 216 OF MUSCULAR MOTION. It appears, however, from an experiment of Steno, that a paralysis of the lower extremities may be generally produced, by passing a ligature round the aorta in its descent behind the abdo- minal cavity. § 312. Besides these common inherent energies of the muscles, which have hitherto been the subjects of our consideration, they possess also certain specific and adventitious peculiarities, arising from varieties in their figures, situations, &c. by these peculia- rities they are adapted, and rendered completely adequate, to the nice performance of their several functions. § 313. From the contemplation of this circumstance, muscles are usually divided into hollow and solid: the former of these, as we have already seen, not being in immediate subjection to the command of the will, are particularly destined to the perfor- mance of the vital and natural functions, and cannot, therefore, be further treated of in this place, where we are considering what are called voluntary muscles, which are more especially sub- servient to that order denominated the animal functions. § 314. 217 OF MUSCULAR MOTION. § 314. Between these last-mentioned muscles them- selves, there occur again very stiking diversities. For to say nothing of the varieties in their relative magnitudes, they differ extremely from each other in the disposition of their lacerti and fasciculi, in the direction of their fibres, but more especially in the habit and proportional relation of their fleshy and tendinous parts, and, finally in their courses, their insertions, &c. § 315. Nevertheless, in by far the greater part of the fusiform or tapering muscles, their figures are more or less oblong, so that their fleshy bellies terminate at each end in tendinous cords. These cords, which are inert and perfectly destitute of irritability, being attached to, and inserted in, bones, serve the necessary purpose of moving them after the manner of levers. § 316. As there are, however, a few muscles in the body entirely destitute of tendons, such as the latissimus colli; so there are, in like manner, a few not attached to bones, namely, the muscle last mentioned, the cremaster muscle, as it is generally called, the azygos uvulæ, and most of those which move the ball of the eye. § 317. 218 OF MUSCULAR MOTION. § 3l7. By the co-operation and combined aid of all those energies, (as well the common, § 305, as the proper, § 312), with which the muscles are furnished these instruments of motion are fitted and completely qualified for the performance of their several actions, which may, in like manner, be also divided into common and proper. § 318. During their common action, which arises immediately from irritability, and occurs in all muscles, their fleshy portions become shorter, more rigid, and, for the most part, unevenly and somewhat angular. It also appears from the celebrated experiment of Glisson, that they suffer at the same time a slight diminution in point of magnitude. We are indeed prevented from joining Jo. and Dan. Bernouille, and other mathematical physicians, in an attempt to reduce the measure of this diminution to common calculation, first, by the immense difference in this respect, which is observable between the hollow and solid muscles, and secondly, by the diversity which also occurs, on the same point, between these latter muscles themselves;—not to mention various other diffi- culties, which obstruct the road to success. § 319. 219 OF MUSCULAR MOTION. § 319. The proper or specific actions of the muscles, (§ 317.), correspond precisely to their specific energies; from whence it naturally and sponta- neously follows, that these actions are marked with such an infinitude of varieties, as to render it literally impossible to reduce them to any general laws, or to arrange them under any well-defined orders and genera. With regard to the general principle, commonly taught and adopted on this subject, viz. that every muscle while in action, draws the more moveable part to which it is attached, towards that which is more permanent, it ought to be considered, (as has been very justly observed by the sagacious Winslow) in a relative point of view, and is indeed subject to a variety of limitations. Thus, for example, the two parts to which a muscle is attached, may be rendered, each more moveable than the other, in alternate vicissitudes, accordingly as the one or the other is fixed and rendered stationary, by the joint action of other co-operating muscles. As to the action of the flexor muscles, it ought to be estimated on contrary principles, and a dif- ferent opinion formed respecting it. Although these muscles, for the most part, predominate so much over their antagonists, the extensors, that when 220 OF MUSCULAR MOTION. when the body is in a state of perfect quietude and rest, the arms, fingers, &c. are under a gentle degree of flexion, yet these parts do not appear to be drawn into this state and position by any actual force, but rather in consequence of a voluntary relaxation of their extensor muscles, by means of which, those muscles, subservient to the flexion of the parts, are left at liberty to act without oppo- siton or resistance. § 320. To all the foregoing considerations, it appears proper to add, in the last place, that each muscle possesses a peculiar amd specific mechanism, by means of which it is adapted, in the most complete manner, to the performance of the various motions of its immediate destination. Besides the peculiar advantages which the muscles severally derive from their determinate figures, their actions are also promoted by a variety of other concomitant aids, such, for instance, as the annular ligaments by which they are surrounded; the fat, in which a great number of them are imbedded; the lymphatic dew with which they all abound; and, what ought to have been men- tioned in the very first instance, the conformation of the skeleton itself, especially as far as the same relates to the structure of the apophyses, and the articulation 221 OF MUSCULAR MOTION. articulation of the joints: under the same head of auxiliaries to the muscles, may be also arranged certain entire bones, as the patellæ, and ossa sesimoidea, of similar structures and uses, which nature appears to have very wisely adapted and destined to facilitate the motions of particular muscles. § 321. By these diversified and numerous aids, has nature made compensation for, or at least very considerably diminished, that inevitable loss of power, which necessarily arises from the confor- mation and stature of the whole body. The acuteness of the angles formed by the insertions of a great many muscles, and the vicinity of these insertions to the centres of motion, may be brought forward as incontrovertible testimonies in favour of such a loss of power, which would not have been sustained, had the tendinous cords been in- serted at greater distances from the centres of motion, or in such directions, as to have formed more obtuse angles. § 322. To our bodies, thus furnished with about four hundred and fifty muscles, together with a few occasional supernumeraries, (arising from sexual and individual varieties), two advantages of the utmost magnitude and importance are very obvi- ously 222 OF MUSCULAR MOTION. ously derived. First, in consequence of this beau- tiful and complicated system of organs, not only our individual members, but also our whole bo- dies, are rendered capable of the most astonishing agility, in point of motion; and secondly, from the same source, we derive such remarkable de- grees of strength, as qualify us to bear, without injury, the most arduous species of labour and fatigue. These two momentous advantages de- pend, indeed, in part, on a perfect state of the muscles, to which, no less than to a perfect state of the bones, we arrive by degrees, as youth advances towards maturity; but they are also, in part acquired by a frequency of use and exercise. The powerful influence which those two latter circumstances possess and exert over the muscles, in strengthening them and rendering them capable of the utmost agility of motion, is strikingly de- monstrated by numerous examples of rope-walkers, of dancers, of runners, of wrestlers, of boxers, and of those robust barbarians, who constituted the glory and boast of former ages. SECT. 223 OF SLEEP. SECT. XXV. OF SLEEP. § 323. THOSE two species of nervous action, (the history of which we have now completed) that have for their ultimate ends sensation and motion, are so reduced and debilitated by the diversified exercises of the day, that repose by night becomes absolutely necessary, for the purpose of refreshing their declining vigour and energy, which sleep alone, the image, or sem- blance of gelid death, is able completely to restore. § 324. Sleep is a function perfectly periodical, which suspends, as it were, for a time, all intercourse and communication between the mind and body. The various phenomena of this function, some of which shall be immediately enumerated, appear to declare, with no small force of evidence, in favour of the existence of a nervous fluid. §325. Besides a variety of other circumstances, we may here enumerate as precursors and harbingers of 224 OF SLEEP. of sleep, a sluggishness and gradually increasing dullness of the external senses, together with a relaxation of most of the voluntary muscles, especially such as are of considerable length. To these may be added a congestion of the venous blood in, and near, the heart, and an effort to remove the uneasiness thence arising, by the aid of yawning. Finally, the only additional pre- cursor to be mentioned at present, which appears to constitute the very isthmus, as it were, between the waking and sleeping states, and the immediate transition of the former into the latter, is a pecu- liar species of transient delirium. § 326. The following are what constitute the principal phenomena of sleep, when that state has actually occurred: the animal functions are wholly sus- pended from action, while almost all the others are at the same time performed in a more sluggish and torpid manner; thus, in subjects buried in sleep, all other circumstances being alike, the pulse is slower, and the heat of the body somewhat diminished; perspiration is also less plentiful; digestion less powerful; and (if the occasional discharge of the semen masculinum be excepted) all the excretions are suppressed, &c. I § 327. 225 OF SLEEP. § 327. The remote causes which induce sleep are very plain and obvious. For to say nothing of narcotic substances themselves, we may consider as very energetic causes in the production of this state, all waste of the animal powers by means of preceding fatigue, by watching, &c. To these we may sub- join the influence of custom, together with dark- ness, silence, rest, &c. which appear indeed to derive their somniferous powers from the same source; we may also further add, gentle, uniform, and constant impressions acting on any of the senses, such, for instance, as the soft murmurings of the rill, or the appearance of a harvest field, agitated and thrown into wavy undulations, by the mild fannings of the western breeze, &c. Under the same head of remote causes we may also con- sider, full meals, and intense cold acting on the body, together with a variety of other circum- stances, tending to derive the blood from the encephalon, as pediluvia, clysters, and profuse hemorrhages, &e. § 327. Those remote causes which we have mentioned in the latter part of the preceding paragraph, are, of themselves, sufficient to conduct us to the proxi- mate cause, which appears, from the best evidence VOL. I. P that 226 OF SLEEP. that can be collected on the subject, to consist in a diminution of the column of blood that goes to supply the encephalon. That this is indeed the proximate cause of sleep, is powerfully illustrated and confirmed, by a very singular and striking phenomenon, which I had once an opportunity of observing in a living human subject, whose case has been already men- tioned on another occasion. As often, and as long, as this person indulged himself in sleep, his brain subsided and continued in a state of consi- derable collapse, but during his waking hours throughout the day, this organ became again turgid and distended in consequence of a more copious afflux of blood. As an additional argument in support of the same cause, we may observe, that morbid watch- fulness, on the other hand, usually arises from congestions of blood in the region of the brain. § 329. The quantity of sleep necessary, depends in a great measure on varieties in age, habit of body, temperament, &c. The general result, however, of all the existing evidences on this subject, appears to be, that a longer indulgence in sleep is either a concomitant of imbecility (as is the case in 227 OF SLEEP. in tender infants. and subjects far advanced in years), or a very exuberant source of fatuity and dullness. § 330. We rise from sleep with renovated powers, and our return into the living, and completely waking state, is accompanied with symptoms and pheno- mena very similar to those which attended our transition from this state into that of sleep: we are attacked, for instance, by a yawning, accom- panied for the most part with more or less of a stretching, we are also affected by a certain dull- ness, and torpidity of the senses, &c. § 331. The causes which rouse into wakefulness, ap- pear to correspond exactly with those productive of sleep. The proximate cause will be the return of a more copious column of blood into the ence- phalon. The remote causes, besides the power of custom, which is confessedly very great, consist of an immense variety of stimuli, that may be divided into external and internal. The external are calculated to excite the numbering senses, while P2 the 228 OF SLEEP. the internal act either immediately on the body itself, as the distension of the urinary bladder; or impress the nervous system through the medium of the imagination, the mode in which dreams operate. § 332. Dreams are light sportings of the imagination, in which it recalls the images of things formerly perceived, and appears to exercise and busy itself in arranging and combining them into the most fantastical representations. I have never been able to discover the slightest vestige of this faculty in new-born infants pre- viously to the third month after birth. There are also various examples of adults who explicitly declare, that they have no knowledge of dreams, having never been troubled by them. Those visions of the night are, for the most part, indeed, confused and irregular; but they are, notwithstanding, sometimes marked with astonishing vestiges of reason. The influence of stimuli acting on the body is truly great in the production of dreams: thus the stimulus of the male semen gives rise to lustful 2 ideas; 229 OF SLEEP. ideas; the stimulus of an excessive plethora calls up images of a frightful and terrifying nature, &c. We have even received a well confirmed account of a man, to whom, while asleep, his friends could sug- gest whatever visions they pleased, by communi- cating to him the subject and matter of the dream in a soft and gentle tone of voice. This appears however, to belong rather to a preternatural state, consisting of somnolency and wakefulness, of which that truly morbid affection of the somnam- bulantes, or those who walk in their sleep, constitutes also another variety. It is necessary previously to the final conclusion of this subject to observe, that Locke and others have thought proper to consider all dreams as belonging to this mixed or compound state. END OF THE FIRST VOLUME.  Elements of Phsiyology; BY JO. FRED. BLUMENBACH, M.D. PROFESSOR OF MEDICINE IN ORDINARY AT GOETTINGEN, MEMBER OF THE ROYAL SOCIETY OF SCIENCES AT GOETTINGEN, AND OF SEVERAL OTHER SOCIETIES IN DIFFERENT PARTS OF EUROPE. Translated from the Original Latin, AND INTERSPERSED WITH OCCASIONAL NOTES. BY CHARLES CALDWELL. TO WHICH IS SUBJOINED, BY THE TRANSLATOR, An APPENDIX, EXHIBITING A BRIEF AND COMPENDIOUS VIEW OF THE EXISTING DISCOVERIES Relative to the Subject of ANIMAL ELECTRICITY. VOLUME II. PHILADELPHIA, PRINTED BY THOMAS DOBSON, AT THE STONE-HOUSE, N° 41, SOUTH SECOND-STREET. M.DCC.XCV.  ELEMENTS OF PHYSIOLOGY. SECTION XXVI. OF FOOD, AND THE APPETITE FOR IT. § 332. As the waste of the animal powers is again restored by sleep, so in like manner the in- cessant loss of the natural powers, and even of the very elementary parts of the body, is repaired by fresh and repeated supplies of food. § 333. To the acquisition and use of this food we are forcibly led by the frequent and irresistable calls of nature. These calls, though widely different from each other in their natures, tend notwith- standing to the final accomplishment of the same end: they consist, on one hand, of the insupport- VOL. II. A able 2 OF FOOD AND APPETITE. able torments of hunger and thirst; and on the other, of the very pleasing, but no less powerful, allurements of appetite. § 334. The stimulus of hunger, some physiologists have sought for in the mutual friction between the rugæ of the stomach when empty; others in that which appears, indeed, to be of primary importance in giving birth to this potent sensation, namely, not only in a more copious secretion and afflux of the humours discharged into the first passages, more especially of the saliva, the pancreatic juice, and the bile, but also in a certain degree of morbid acrimony, with which these same humours are apt to be contaminated, unless such a state be guarded against by regular supplies of nourishment. § 335. Thirst is a distressing sensation, arising princi- pally from a very troublesome dryness of the fau- ces and esophagus; and also from a peculiar im- pression produced by taking in acrid, but more especially saline, substances. § 336. With respect to the absolute necessity of satisfy- ing and removing these stimuli, no fixed and posi- tive rule can with propriety be laid down, as such necessity 3 OF FOOD AND APPETITE. necessity is doubtless rendered more or less urgent by varieties in age, habit of body, and more espe- cially by the power of custom. From a general consideration of this subject, however, the result appears to be, that an adult and healthy person, who is under no undue impressions or influence, (in whom, for instance, those assuasive calls of na- ture are neither silenced by the louder ravings of enthusiastic fanaticism, nor by other preternatural causes) cannot refrain from the use of food, for even one whole day, without a very great prostra- tion of strength; and can seldom fast for more than eight days without incurring the utmost hazard of life. § 337. With regard to drink, although a desire for this appears to urge with the greater vehemence and intensity of the two, it is, notwithstanding, much less necessary to life and health than the ar- ticle of food. This we infer, with apparently strict propriety and truth, not only from numerous species of warm-blooded animals, as mice, quails, &c. that are never impelled by necessity to the use of drink, but also from actual examples of certain individuals of the human race, who have conti- nued, through a long series of time, in the enjoy- ment of life, health, and spirits, without recourse to the use of drinks of any kind. A2 § 338. 4 OF FOOD AND APPETITE. § 338. As to food, controversies have existed respecting the kind most proper to satisfy the internal calls of our nature: whether, for example, the struc- ture and constitution of the human body corres- pond most perfectly with food taken from the ani- mal, or with that derived from the vegetable, kingdom; and which of these two kinds of sub- stances nature, therefore, designed to constitute the aliment of man? § 339. That man is by nature an herbivorous animal, Rousseau attempted, with a great degree of acute- ness, to prove, not only by arguments taken from the figure of his teeth, and the length of his in- testines, but by the further consideration, that wo- man is naturally uniparous, and furnished with two mammæ, &c.; to all which might be added, actual examples of rumination having been per- formed by human subjects, a process well known to belong exclusively to herbivorous animals. Those, on the contrary, who, with Helvetius, consider man as a carnivorous animal, attempt to support their opinion by the shortness of his intes- tinum cæcum, and other arguments of a similar nature. § 340. 5 OF FOOD AND APPETITE. § 340. But from more accurate observation, and a more minute investigation of the subject, it ap- pears, that nature did not intend to restrict man to the exclusive use of either the one or the other of those kinds of aliment, but more indulgently destined him to a free participation of both. That this is indeed the kind destination of man with re- spect to the nature of his food, we very naturally infer from his teeth, especially the molares, and the conformation of his intestines, briefly mentioned above, possessing a middle state between the same parts, as they exist in carnivorous and in herbivo- rous animals. This prerogative of man is, how- ever, still more forcibly demonstrated, by the na- ture of the articulation which connects the con- dyles of the lower jaw to the ossa temporum in hu- man subjects. § 341. If the observations be true (and they surely cannot be doubted) which we stated on a former occasion, respecting the high privilege of man, in being by far better calculated than other animals for traversing an extensive range of climate on the globe we inhabit, it from thence spontane- ously follows, that he would have been indeed very illy accommodated, in being solely restricted either to the one or the other of the above kinds A3 of 6 OF FOOD AND APPETITE. of food: for as some regions of the globe afford animal, and others vegetable food alone, the ob- vious and unhappy result of such an exclusive re- striction would have been, that man, though cal- culated and destined to reside in all latitudes of the earth, must, notwithstanding, in some of them, be denied the use of such aliments as nature had rendered essentially necessary to the continuation of his existence. § 342. Of all animals, with which we are in any mea- sure acquainted, man may, with the strictest pro- priety and truth, be said to be omnivorous. As on the one hand he is calculated to banquet in luxury, amidst the most profuse variety of delica- cies that art can prepare from the immense re- sources of the animal and vegetable kingdoms, so, on the contrary, he is able to retain his health and vigour when subsisting on the most simple and frugal fare. Thus, to produce only a very few examples, a great many men even at the present day subsist solely on a vegetable diet, such as potatoes, ches- nuts, dates, &c. which constituted also the food of the first progenitors of the human race: for it ap- pears highly probable, that those simple and hardy sons of nature, supported life first by the fruits and roots 7 OF FOOD AND APPETITE. roots of plants, and afterwards, by the more sub- stantial and durable fare of grains and pulse. Some of the Moorish tribes in Africa live almost entirely on the gum senegal. The inhabitants of Kamschatka and of a great many other maritime situations subsist on fish. In Europe itself, the Morlachi are supported al- most entirely on a diet of flesh. Some nations of Barbarians subsist even on raw flesh, a circumstance which is undoubtedly true, with respect to the Samoids, the Esquimaux, and certain tribes of people inhabiting South America. Neither are the liquids made use of as drinks, in certain nations, less singular and striking. Thus the inhabitants of several islands, which lie between the tropics, more especially those situ- ated in the Pacific Ocean, are entirely destitute of sweet and pleasant water, and therefore, as a sub- stitute for this fluid, use the delicious juice of the lactescent cocoa. Others again drink the waters of the briny ocean;—from all which facts and circumstances, A4 taken 8 OF MASTICATION taken collectively, together with an infinitude of others that might be adduced, we need not hesitate a moment to pronounce, that man is literally an omnivorous animal. SECT. XXVII. OF MASTICATION AND DEGLUTITION. § 343. FOR the purpose of masticating the more solid species of food, both our under, and upper jaws, are armed with three different kinds of teeth. These are first, the incisores, which, in most men, are chisel-formed, and well calculated to bite off morsels of food. Secondly, the canini, strong, conical and com- pletely adapted for breaking substances of greater firmness. And lastly, the molares, of different sizes, exqui- sitely fitted for the process of grinding. § 344. 9 AND DEGLUTITION. § 344. The mandible or lower jaw is connected to the other parts of the head, by means of a very singu- lar variety of articulation, which appears to be of a middle nature between arthroida and ganglimus. Being furnished with a pair of double concave car- tilages, it thus unites, to a sufficient degree of strength and firmness, a capacity of being easily and very considerably moved in all directions. The under jaw is drawn back, in opening the mouth, chiefly by means of the musculus biventer, but in part also by the geniohyoidei and the my- lohyoidei. It is brought back again, when we attempt to cut any thing through with the dentes incisores, and pressed with astonishing force against the opposite jaw, during our efforts to crush any hard substances, by the masseter and temporal muscles. It is moved laterally in chewing, by the action of the internal and external pterygoid muscles; the latter of which have also the power of moving it in a forward direction. § 345. 10 OF MASTICATION § 345. Substances taken into the mouth for the pur- pose of being chewed, are retained, placed in a proper situation, and thus effectually subjected to the action of the teeth, by means of the musculus buccinator, and the tongue, an organ of extreme flexibility, and very capable of changing its form (§ 233). § 346. During the act of manducation we emulge, as it were, a certain quantity of saliva, which is an aqueous liquid, of a nature somewhat saponace- ous; it contains a small quantity of earthy matter, (which gives origin to tartarous incrustations of the teeth, and to small sublingual calculi); this fluid, from being in perpetual contact with the tongue, makes no sensible impressions of taste on that organ, although it contains a small quantity of microcosmic salt; it possesses antiseptic and re- solvent properties, and has also a power of spee- dily exciting the process of fermentation in vege- table substances, especially in those of the farina- ceous kind. § 347. The sources from whence this fluid is derived are, small conglomerate glands, of three several orders, 11 AND DEGLUTITION. orders, the lateral and internal, of which are situ- ated beneath the lower jaw. The most considerable of these glands, called parotids, (remarkable, on account of being ex- tremely subject to metastases), excrete their saliva through the Stenonian duct, just behind the middle molar tooth of the upper jaw. The saliva furnished by the submaxillary glands, is discharged through the duct of Wharton. That derived from the sublingual glands, which are the least of all, flows through the numerous ducts of Rivinus. § 348. The excretion of saliva, (of which, in confor- mity to the opinion of Nuck, about a pint is com- monly supposed to be secreted in the space of twelve hours), is considerably encreased both by the application of any stimulating substance, and also by mechanical pressure, the latter of which appears to act merely by emulging the containing parts. Thus, whatever hard substances we chew, be- come perfectly moistened and macerated, as it were, by a copious afflux of saliva produced in conse- 12 OF MASTICATION consequence of the pressure, to which the parotids are particularly exposed from, being situated so near to the articulation of the lower jaw. With regard to the operation of stimuli on the secretion of this fluid, it is necessary farther to ob- serve, that when acrid substances are taken into the mouth, a plentiful afflux of saliva is immedi- ately produced, which has the effect of diluting and thus effectually counteracting the irritating acrimony: an increase of the same fluid is also oc- casionally produced by the stimulus of the imagi- nation; to this cause must we refer that afflux of saliva, which so frequently accompanies a strong appetite for food. § 349. With the saliva are blended a fine aqueous, dew-like fluid, which transudes from the soft parts of the mouth, and also a mucus, secreted by small glands, situated in the lips and cheeks: it is a portion of this mucus by which the tongue is lu- bricated. § 350. The morsel during mastication, being thorough- ly moistened by this mixture of saliva and other animal juices, is thus, not only converted by de- grees into a soft pulpy bolus, more fit for the pur- pose 13 AND DEGLUTITION. pose of deglutition, but is likewise prepared, at the same time, for further digestion and final assi- milation. § 351. The actual business of deglutition, although it appears to be of a very compound nature, and is indeed performed by the co-operation of a great many different parts, may be considered as com- mencing and proceeding in the following order; viz. the tongue being first retracted towards its basis, and becoming therefore somewhat turgid and stiff, receives on its excavated dorsum or back, the lubricated and moistened bolus, which is from thence forced onwards into the fauces, where it is received by the expanded infundibulum of the pharynx, which appears, at the same time, to ad- vance somewhat upwards; on the reception of the food the infundibulum makes a singular and vio- lent exertion, which may be supposed to proceed from a species of vita propria; from this funnel- like entrance, the bolus is again protruded on- ward, by a threefold contraction of the pharynx, into the œsophagus. All the above motions suc- ceed each other with the utmost degree of rapidi- ty, and are of extremely short continuance. § 352. For the purposes of expanding this passage, and rendering it at the same time steady and secure, nature 14 OF MASTICATION nature has made the most ample provision by a variety of auxiliary parts. The motion of the tongue, in this momentous business, is regulated and directed by the os hyo- ideum. To prevent any of the substances swallowed, from passing, by mistake, either into the internal nares, or into the eustachean tubes, the soft palate is very wisely provided. This fleshy curtain, de- pending equally from the arched roof to which it is attached, is capable of being rendered tense by the action of a peculiar set of muscles, and thus the above passages may be completely closed. The glottis is securely guarded by the tongue itself, because at the very instant in which we at- tempt to swallow, the larynx, being drawn up- ward and forward, is in a certain degree concealed beneath the retracted basis of the tongue, and is so compressed by it, that the glottis, not only by this constriction, but also by the additional security of the epiglottis, is thus very effectually guarded against the intrusive entrance of any heterogene- ous substances. § 353. Finally, the business of deglutition is greatly fa- cilitated by means of a quantity of mucus, with which 15 AND DEGLUTITION. which the whole of the passage above described is lubricated; and which, besides the lingual glands already mentioned (§ 235), is chiefly fur- nished by the numerous sinuses of the tonsils, and by that infinitude of mucaginous cryptœ, so pro- fusely bestowed on the larynx itself. § 354. With respect to the œsophagus itself, through which all substances swallowed must necessarily pass, previously to their entrance into the stomach, it is a fleshy canal, rather narrow in its diameter, and exceedingly firm and strong, but at the same timepliable, dilatable, and possessed of a high degree of sensibility: it is composed of tunics or coats, which, if we except the difference in their thick- ness, bear no small resemblance to the coats of the other portions of the alimentary canal. Thus, the external covering is muscular, made up of fibres running both longitudinally and in transverse or circular directions. The middle coat is nervous, ending on each side in a very lax cellular membrane, by means of which it is connected, as well to the preceding, as to the subsequent tunic. Lastly, 16 OF DIGESTION. Lastly, the internal coat is lined by mucus of an exquisite degree of lubricity. § 355. The following appears to be the mode in which this canal performs its office; as soon as it has re- ceived either a draught or bolus completely within its parietes, the parts immediately above presently contract themselves, thus forcing downwards the substance to be swallowed; which, if it be a bo- lus, can be protruded onward only by one uni- form series of exertions in the surrounding tube, till it has passed through the diaphragm, and been finally received into the cavity of the stomach itself. SECT. XXVIII. OF DIGESTION. § 356. THE chamber, or immediate seat of di- gestion, is the stomach, a viscus more uniformly possessed than any other, by almost every indivi- dual throughout the immense range of animated nature: if, therefore, we estimate the dignity of the several viscera from this circumstance alone, the stomach is, doubtless, to be considered as an I organ 17 OF DIGESTION. organ surpassing all the others in utility and im- portance to the animal economy. § 357. The human stomach resembles a leathern pouch, of very considerable dimensions, sufficient, for the most part, in an adult, to contain three pints, or more, of water, and furnished with two separate orifices or mouths: These are, first, a superior orifice, called car- dia, which is formed in the place where the œso- phagus, by a plaited and somewhat oblique aper- ture, opens into the stomach itself, and points to- wards the bottom of this viscus, or that extremity which regards the left side of the body. Secondly, an inferior one, which constitutes the termination of the right, and less capacious end of the stomach: this orifice is called pylorus, and de- scends a short distance into the cavity of the ad- joining duodenum. § 358. The situation of the stomach, when empty, is different from that of the same organ, when full: thus, in the former state, it hangs loose and flaccid in the abdominal cavity, in such a manner that its greater curvature looks in a backward direction; VOL. II B and 18 OF DIGESTION. and its pylorus, being turned somewhat upwards, forms a plaited or twisted angle with the duode- num, to which it is connected. But in the latter state, when distended with food, its greater curvature is again turned, and looks in an anterior direction, so that the pylorus enters now, by a more direct route, into the duodenum; whereas the cardia, on the contrary, is so folded and bent as to be completely closed. § 359. The stomach is composed of four principal coats, distinguished and separated by three others, of an entirely cellular nature, which lie between them. The most external of these coverings is common to the stomach, with all the rest (save a small por- tion) of the alimentary canal, and is continued over the omenta, which shall be spoken of here- after. Next to this, lies that cellulo-muscular coat, so very striking in its nature and properties, on which depend both the exquisite irritability of the sto- mach (§ 306.), and also its peristaltic motion; the latter of which shall be a subject of consideration in another place. This coat is composed of dif- ferent 19 OF DIGESTION. ferent strata of muscular fibres, which are usually divided into three orders, one longitudinal, and two circular; the circular fibres are again divided into those that are directly, and those that are ob- liquely, circular. It must, however, be observed, that so extremely variable and irregular are the fi- bres of this coat, with regard to their direction and distribution, as scarcely to admit of reduction to, and arrangement under, any determinate and general rules. The third principal coat is called the nervous, an appellation extremely improper, as it is compo- sed wholly of condensed cellular membrane, be- coming gradually more soft and lax on each side; by which means it is connected externally to the muscular, and internally to what we shall presently call the villous, coat. It is, notwithstanding, so firm and robust, that it may be aptly enough call- ed the basis of the whole stomach. Lastly, the internal coat, which has been very improperly called villous, is exceedingly tender, somewhat spongy, porous, and folded into a very great number of rugæ or wrinkles, so that its area is much more extensive than that of any of the other coats which we have just described: it every where exhibits cells of the utmost minuteness, some- B2 what 20 OF DIGESTION. what similar in appearance to those larger ones, with which the reticulum of ruminating animals is very beautifully and elegantly characterized. The internal surface of this coat is lined with mucus, apparently secreted by small mucaginous cryptæ, some of which may be, indeed, readily enough distinguished near to the pylorus, or lower orifice of this organ. § 360. The stomach is furnished with an astonishing apparatus of nerves, whence its sensibility is so ex- quisite, that it is capable of being very readily af- fected by stimuli of almost every kind, whether they be external, as cold &c. or internal as food, and even by the inquiline humours themselves. From the same source arises also that extensive, and truly admirable consent, which exists between this important viscus and most of the other func- tions of the body; to which head belongs, in a particular manner, the striking effects, produced on the stomach, by all mental commotions, and also, on the other hand, the very powerful influ- ence of an entirely sound and healthy state of this organ, on the cheerfulness and serenity of the mind. § 561. 21 OF DIGESTION. § 361. The number and functions of the blood vessels, belonging to the stomach, are no less considerable and striking, than those of the nerves. The small arteries, (of which an infinitude of different or- ders, are minutely interspersed throughout the cel- lular coats of this organ), appear to constitute the immediate sources of the gastric juice, a liquor which flows in perpetual streamlets from the inter- nal surface of the stomach. § 362. This juice bears, on the whole, no small resem- blance to saliva, except that, agreeably to the ex- periments of the illustrious Spalanzani, its powers are counter to those which promote fermentation. As to the rest of its properties, it is saponaceous, equally antiseptic with the saliva, and is indeed, a very powerful menstruum, sufficient gradually to dissolve milk after it has been gently coagulated in the stomach. § 363. The gastric juice appears to be the most power- ful and active agent in the great business of diges- tion. If the food be carefully masticated, and suf- ficiently blended with the menstruum furnished by the salivary glands, this fluid of the stomach com- B3 pletely 22 OF DIGESTION. pletely dissolves, and finally converts it, into a soft pultaceous chyme. § 364. This momentous function is also further aided and prompted, by a variety of accessory and assis- tant powers: of these the most considerable is the peristaltic motion, by means of which the food, now reduced to a pulpy consistence, is thoroughly agitated, and kept perpetually in a state of wavy commotion. Although the force of the peristaltic motion fall far short of the chimerical calculations, formerly made on this subject, by mathematical physicians, and although it be not itself the sole cause of digestion, it is, notwithstanding, of the utmost efficacy and influence in this important process. § 365. Among the auxiliary powers, of this kind, may be also reckoned another species of motion, which the pressure of the surrounding parietes of the ab- domen, communicates to the stomach: to these we may still farther subjoin, the extreme warmth of the situation in which this viscus is placed; so very powerful was this fotus or bath, formerly esteemed, in consequence of the abundant quan- tity of blood contained in the neighbouring vessels and 23 OF DIGESTION. and viscera, that instead of the term digestion, that of coction, was used by the greater part of physiologists. § 366. To determine, with precision, the period of time requisite for the conversion of our aliment into chyme by the joint co-operation of the foregoing powers (§ 361.), will appear almost impossible to any one, who may consider the great variety of circumstances, on which such conversion must de- pend: these circumstances are, the quality and quantity of the food taken in, the different degrees of force in the digestive powers, the greater or less attention and care bestowed on the prepara- tion of the food for digestion, by previous masti- cation, &c For in a healthy subject, the unimpaired sto- mach does not discharge such alimentary matters as have been taken in, previously to the conver- sion of their digestible parts into a perfect pulp. From whence it is evident, that different periods of time are requisite, for the complete digestion of different kinds of food. If, however, it be allow- able to form any general conclusion on this subject, it would appear, that from the third, to the sixth hour, after the use of aliment, the stomach has, for the most part, discharged through the pylorus, B4 in 24 OF DIGESTION. in a very gradual manner, the whole of its pul- taceous contents. § 367. The pylorus is an annular rim, not formed, (like the other rugæ on the internal surface of the stomach), by the folding of the villous coat alone, but consisting, in part, also of a few fasciculi from the subjacent nervous, and also of certain fibres from the muscular, coat: all which parts are so organized and arranged, as to constitute a coniform termination to the stomach, that is extended into, and embraced by, the duodenum, in the same manner as the os uteri is received and embraced, by the superior part of the vagina. SECT. XXIX. OF THE PANCREATIC JUICE. § 368. Subsequent to the expulsion of the chyme through the pylorus, that pulpy mass must be subjected, in the duodenum (a short, but remarkable portion of the intestinal tube), to new and considerable changes, previously to the for- mation 25 OF THE PANCREATIC JUICE. mation and final separation of complete, alimen- tary chyle. These necessary changes are effected in the chyme by the accession and admixture of various kinds of inquiline humours, the most strik- ing and important of which, are, the bile and the pancreatic juice. § 369. Of these two humours, we will speak in sepa- rate sections. We proceed therefore, to consider the liquor of the pancreas first, because it appears to bear a very considerable resemblance, both in its nature and uses, to those other two dissolvent humours, of which we have already spoken, name- ly, the saliva and the gastric fluid. § 370. Athough it be indeed a matter of no small diffi- culty, to procure the pancreatic liquor of a found animal, in a pure and unadulterated state, yet the obvious and unequivocal result of all the facts, which the most attentive investigation has been able to supply, with regard to its nature, is, that it bears the strongest similitude to the saliva in all its general properties. Were it not for the pur- pose of showing how mischievous, and even de- structive, the practice of medicine may become, unless directed by found principles of physiology, I should not think it necessary nor even proper, at the 26 OF THE PANCREATIC JUICE. the present enlightened period, to mention the er- roneous physiological hypotheses, entertained by Franc. Sylvius, and his humble followers, Regn. de Graef, Flor. Schuyl, and others, respecting the visionary or supposed acidity of the pancreatic liquor, especially as those opinions have been long since very ably refuted by Pechlin, Swammerdam, and Brunner, characters of the first celebrity in the annals of medical science. § 371. The sources from whence the lymph and saliva are derived, bear no small resemblance to that which constitutes the subject of our present consi- deration, namely, the pancreas: this latter is by far the largest of all the conglomerate glands of the human body, and exhibits, in the whole of its structure, a very striking similitude to the glands, that give birth to the salivary fluid; with these last mentioned bodies it also further agrees, in this particular, that its excretory canals, arising from radicles of the utmost minuteness, run together and unite by degrees, till they constitute finally a common duct, which has received its name from Jo. G. Wirsung, who first discovered and de- monstrated it in the human subject, in the year 1642. This 27 OF THE PANCREATIC JUICE. This duct passes through the coats of the duo- denum, and by a constant stillicidium, weeps into the cavity of that intestine, the fluid it had receiv- ed from the gland to which it is appended. § 372. Finally, the excretion of this fluid appears to be promoted by the very same powers, which were formerly said to be subservient to the excretion of saliva, namely, pressure and stimulus. By means oS the former, it is emulged chiefly when the stomach is distended and rests immedi- ately on the pancreas. The substances that contribute most, by their irritations, to excite a discharge of the pancreatic fluid are, first, the chyme itself, as it passes through the pylorus in a crude and unassimilated state; and secondly, the bile, which is discharged through the very same orifice with the liquor of the pan- creas. § 373. The use of this fluid is doubtless to dissolve the chyme, more especially that part of it, which has not been sufficiently digested in the stomach: by its abundant afflux, it contributes to assimilate this pulpy 28 OF THE BILE. pulpy mass still more and more to the nature of the inquiline humours, and thus finally mature it for the further process of chylification. SECT. XXX. OF THE BILE * § 374. THE secretion of bile is the pecu- liar destination of the liver, the largest and most ponderous viscus in man. This superiority of size is more especially observable, during the fœtal * Doctor Maclurg, of Virginia, published in the year 1772, an experimental treatise on the formation, the nature and the uses of the human bile, which has acquired for its learned and ingenious author, no small degree of reputation both at home and abroad. That this elaborate publication possesses an uncommon share of merit, not even the avowed enemies of the Doctor are themselves able to deny. The author has shewn himself to be, at least, a very patient expe- rimenter, and an extremely attentive observer. He appears to have made himself perfectly master of the opinions of all authors of celebrity and distinction, who had previously writ- ten on the same subject. With regard to the literary merit of the composition itself, it is doubtless entitled to the highest en- comiums that even the most partial eulogist can bestow. The order 29 OF THE BILE. state, in which, the younger the fœtus the greater is the proportional magnitude of the liver, when compared with that of the other viscera of the order is inimitably lucid, the style is chaste, manly and ner- vous in the highest degree, and as to closeness and propriety of argumentative arrangement, not even the supercilious lo- gician himself, can find room to suggest the shadow of an amendment. All human compositions are, however, like the sources from whence they originate, in some measure faulty and im- perfect. To this general maxim, humiliating as it may ap- pear to the pride of the self-adoring philosopher, the treatise of the illustrious Maclurg is by no means an exception. In several of the Doctor's experiments there appears to be a want of sufficient accuracy and definitude, in others a want of object and design. Over these faults, however, consider- able as they are in the works of an experimentalist, we feel inclined to spread a kind mantle of palliation, when we re- collect that our author experimented and wrote in the early morn of scientific chemistry. Experimenters had not yet be- come perfect adepts in their nice and momentous art; they had not yet acquired sufficient circumspection and address to obviate every source of fallacy, and to avail themselves of every circumstance that might pave the way to satisfactory and unequivocal results. But another charge of a more weighty and important na- ture, lies against our learned and ingenious author. He has certainly built, on nothing more substantial than the flimsy basis of deceptious analogy, some of the leading principles of his favourite doctrine. Thus, for example, he supposes the bile 30 OF THE BILE. body. The dignity and high importance of this viscus in the animal economy may be fairly de- duced, from the universality of its presence; thus bile to be a fluid, the direct result of a putrefactive degene- racy in a portion of the circulating volume of the blood. His most plausible reasons in support of this opinion are, first, that the parts, from whence the incipient radicles of the vena portarum immediately originate, contain, and communicate with, matter already in a semiputrescent state. And second- ly, that the bile is most abundant in quantity and most active with regard to its quality, at that season, and under those circumstances, which are most favourable to the commence- ment and progress of putrefaction in the living system, as well as in all other physical bodies. Plausible as those arguments may, on first view appear, they are certainly, as already observed, founded on nothing better than fair, but fallacious analogy. The principle which they tend to establish stands in the most direct opposi- tion to the result of experiment—sacred experiment! the on- ly unerring guide to conduct the candid enquirer to the ever- lasting temple of truth. Did our learned author (I would beg leave to ask) ever faithfully experiment on separate por- tions of the blood, drawn from different parts of the body, in order to determine the comparative proximity of each portion, to the putrefactive state? I presume he never did, otherwise his opinion on this subject would have been, doubtless, very different from what we find in his ingenious publication. For it is a truth, nothing the less sacred and respectable on account of its novelty, that if equal quantities of blood be taken from the vena portarum, and from the lungs or any part of the arterial system, and exposed to the same incumbent circum- 31 OF THE BILE. in all animals possessing red blood, it exists no less generally and uniformly than the heart itself. circumstances, the pulmonic or arterial, will assume the putre- factive process, much sooner than the hepatic, blood. The cause of this phenomenon must be sufficiently obvious to any one acquainted with the late discoveries, in the divine science of chemistry. We would attempt its solution in the follow- ing manner. Vital air (which is indeed the genuine septic principle, if any such principle exist) is in all cases essential to the progress of putrefaction. This air, or rather its base (termed oxygene by the ingenious chemists of France) is, as we have the strong- est reasons to believe, from the experiments of Goodwyn, Beddoes, Girtanner, and others, intimately blended with the circulating blood in its passage through the lungs. As the blood proceeds in its mazy route through the different parts of the arterial system, it is gradually robbed of its concommit- tant oxygene or base of vital air, by the mysterious action of the animal system. The consequence of this spoliation is, that the florid arterial, assumes a much darker colour, and suf- fers finally a complete transmutation into venous blood. In this latter state the putrefactive process is less apt to com- mence, because the blood contains less oxygene in a state of intimate mixture, or perhaps I might with more propriety say, in a state of combination. For in proportion as the base of vital air is more intimately blended with, and therefore more nearly approximated to, the constituent parts of the blood, the more powerfully can it co-operate with other aux- iliary agents, in inducing these parts to assume that intestine motion, which constitutes the putrefactive process. Although our learned author is decidedly of opinion, that putrefaction commences more readily, if vital air be excluded altogether from 32 OF THE BILE. § 375. The substance of the liver is of a nature, sui generis, and may be readily distinguished, at first from the putrefying substances, yet it is now well known, that the very reverse of this is true. Exclude vital air from a body, in the composition of which none of this energetic fluid exists, and you thereby embalm that body in a degree equal, if not superior to the embalmment of the unperishable mummies of the East. No body, whatever, is capable of taking on the putrefac- tive process, that does not contain in its composition more or less of those simple substances that belong to the class of inflammables. Reasoning therefore a priori, or climbing the arduous steeps of science by the more laborious steps of expe- riment and observation, we are warranted in either case to conclude, that putrefaction consists, in a very considerable degree, in the intimate combination of the base of vital air to certain substances of an inflammable nature. Both the pri- mary elements of which putrefiable bodies are composed, and also the results of actual putrefaction, co-operate in the esta- blishment of the same conclusion. It is certainly a truth, that vital air is as essential to the putrefactive process as it is to the support of combustion, or the continuance of animal life. Upon the whole, we may without the smallest hesitation conclude, that the former opinions of physiologists respecting the supposed putrescent disposition of the hepatic blood, are wholly insupportable by argument or fact, being indeed di- rectly opposed to the literal result of positive experiment; 2 and 33 OF THE BILE. sight, from that of all the other viscera of the body: it consists of a parenchyma of a well known colour and very tender texture: this parenchyma is abundantly supplied with nerves, with lympha- tic vessels (very visible on both surfaces), with bi- liferous ducts, and finally with blood-vessels, from whence these ducts originate: with respect to these blood-vessels, some of which are remarkably large, we will immediately state a few observations on each of their several orders. § 376. The first vessel which here presents itself for our consideration is, the vena portarum, which differs very widely from every other portion of the venous system, not only in its singular appear- ance, but also in the peculiarity of its course and distribution, of which a few words were spoken on a former occasion (§ 87). This large vessel is formed by the conflux of by far the greater number of the venous branches that originate and run from the viscera, situated in the lower part of the abdomen, and is invested and strengthened by and therefore, that the pious eulogia so profusely bestowed on the powers of the animal economy, in being able to form an antiseptic out of a highly putrescent fluid, appear to be as visionary and hypothetical, as nature's final intention in the preparation of this fluid was thought to be beneficent, and her process itself beautiful, and interesting. VOL. II C a cel- 34 OF THE BILE. a cellular covering, commonly known by the name of capsula Glissonii. No sooner does this trunk make its entrance into the liver, than it is divided into several branches, which as they run in vari- ous directions through its substance, suffer still far- ther divisions, till they are finally encreased to a countless number of the most subtle ramifications, which pervade, with the utmost minuteness, every portion of this viscus. This whole system of the vena portarum was formerly compared, by Galen, to a tree, the roots of which are dispersed through- out the whole cavity of the abdomen, while its branches are enclosed in the more contracted vo- lume of the liver. § 377. Another blood-vessel of a different kind, with which the liver is furnished, is the arteria hepatica. This vessel originates from the cæliac artery, and although far inferior to the vena portarum, both in its capacity and in the number of its branches, is, notwithstanding, divided into ramifications of astonishing subtility, and is also distributed with a great deal of minuteness throughout every part of the liver. § 378. The extreme terminations of both the forego- ing kinds of vessels, end in genuine veins, which gradually 35 OF THE BILE. gradually uniting, form by their general conflux, certain large venous trunks, that lose themselves finally in the inferior vena cava. § 379. Those extreme terminations, by which these small branches of the vena portarum and arteria hepatica become radicles to the vena cava, form a very subtle vascular texture, exhibiting a singu- lar and striking appearance, as if the vessels were convoluted, or wound up into globes of incon- ceivable minuteness. These globular bodies im- posed so effectually on Malpighi, as to induce that illustrious physiologist to consider them as glandu- lar, hexagonal, and hollow kernels, destined to constitute the immediate chambers of secretion. § 380. From those same globular convolutions of blood- vessels arise, lastly, the pori biliarii. These are very tender ducts, which convey the gallish liquid from the blood, and completely eliminate the same from the system of the liver, through the ductus hepaticus communis, a canal which they form by their general conflux. § 381. It is common for physiologists to enquire, from what kind of blood the bile is immediately C2 secreted; 36 OF THE BILE. secreted; whether from arterial, or from that con- tained in the vena portarum? Although the former of these opinions appears, on the first view of the subject, to be rendered most probable from the analogy of other secre- tions, which are evidently the result of arterial action, yet from a more accurate investigation of the matter we will readily be convinced, that by far the greater part, if not indeed the whole, of the bi- liary secretion, is derived from the vena portarum: the blood of this vessel being lurid, and highly im- pregnated with phlogiston, corresponds precisely with the nature of the bile; but how extremely different, on the other hand, are the habit and constitution of the florid and fiery arterial blood, which the cæliac artery transmits from the aorta immediately to the liver! With respect to arguments drawn from analogy we may observe, that as the vena portarum is sub- jected to an arterial distribution, so it may, in like manner, possess the power of performing an arte- rial function: this same opinion, for which we con- tend, appears also to derive additional support from the analogy which exists between the liver and the lungs: to perform the leading function of these last mentioned viscera, is doubtless the imme- diate destination of the large pulmonary arteries; whereas, 37 OF THE BILE. whereas, on the other hand, the bronchial artery is only subservient, to the nourishment of the parts, on which it is distributed:—the discharge of an office, similar to this latter, is also, if we be not greatly deceived, the more immediate destination of the arteria hepatica. Notwithstanding what we have here advanced, we are still ready to ac- knowledge, that the hepatic artery may possibly contribute somewhat towards the secretion of bile; but, that its influence, in this respect, is indeed very inconsiderable, and not yet sufficiently ascer- tained and demonstrated, are positions to which we subscribe with the utmost confidence. § 382. The biliary hepatic liquor, when once secreted, flows in a gentle but uninterrupted streamlet through the hepatic duct; and, when the intesti- num duodenum is empty, glides directly onward, through the common ductus choledocus, into the cavity of that viscus; but when the duodenum is distended with chyme, it becomes necessary for this fluid to pursue a different route, whence it regurgitates from the hepatic, and flows through the cystic duct into the gall-bladder, where it is retained a certain time, and thence derives the name of cystic bile. C3 § 383. 38 OF THE BILE. § 383. The gall-bladder is an oblong sack, somewhat pyriform in its figure, attached to the concave su- perficies of the liver, and composed of three mem- branes or coats. These are, first, the external, which does not invest the whole of the cyst, and is derived from the peritoneum. Secondly, the middle, usually called the nervous coat, which, as in the stomach, the intestinal tube and the urinary bladder, constitutes here likewise the principal part of the tone and firmness of the sac. And, lastly, the internal, which bears a certain similitude to the internal membrane of the stomach (§ 359.); like that it is interspersed with an infi- nitude of minute blood-vessels, and like that it is also marked by rugæ or wrinkles, which form, here and there, fine net-like checkerings, that ex- hibit the appearance of the most exquisitely ele- gant lattice-work. § 384. The neck of the gall-bladder is conical, and forms, by its termination, the cystic duct, which pursues 39 OF THE BILE. pursues not a direct, but somewhat circuitous or serpentine route, and is furnished with a few mi- nute valves of a lunated or falciform figure. § 385. The gall-bladder retains the bile, when once received, till that liquor either flows out spontane- ously, in consequence of being favoured by a re- clined and somewhat supine position of the body, or till it is emulged from the cyst by the pressure of the neighbouring intestines, namely, the jeju- num and ileum, or by the occasional passage of hardened fæces through the transverse colon. Different stimuli acting on the duodenum have also the effect of soliciting a more copious effusion of bile into the cavity of that intestine. The remarkable contractility of the gall-blad- der, evidenced and satisfactorily established by live dissections and certain pathological phenomena, (although this sac be indeed completely destitute of all genuine irratibility), (§ 307.), will appear to contribute, not a little, to the excretion of the bile; especially when we consider the stimulant impression which this fluid, after retention in the cyst, must make on its surrounding parietes or walls. C4 § 386. 40 OF THE BILE. § 386. For although the cystic exhibits, in its general properties, the most striking similitude to the he- patic bile (§ 382.), it is notwithstanding concen- trated, as it were, by rest and stagnation, and thence rendered more tenacious and bitter: this effect appears to be owing, in a particular man- ner, to the lymphatic vessels of the cyst, which slowly absorb the aqueous parts of the bile, while thus enclosed and retained in a quiescent state. § 387. We proceed now to the consideration of the bile itself. This is an animal fluid of the highest dignity and importance in the living system: its na- ture and uses have, for twenty pears past, laid a foundation for more literary controversies among physiologists, than have existed respecting any other fluid that belongs to the body of man. What we shall advance on this subject will re- late immediately to the cystic bile, as this is to be esteemed the more perfect of the two, and is there- fore in a state more favourable for successful in- vestigation. § 388. Bile, taken from the recent corpse of an adult subject, who had not previously laboured under any 41 OF THE BILE. any disease, is a liquor somewhat viscid, of a faint green colour, inclining towards a brown, inodo- rous, and, if compared with the gall of brutes, of a slightly bitterish taste. § 389. Although the constituent parts of this fluid nei- ther separate from each other spontaneously, nor yet by so simple a mode of treatment as is sufficient to produce that effect on the parts that compose the blood, they may, notwithstanding, be subject- ed, without much difficulty, to such an examina- tion as will make it appear, that they doubtless possess and exhibit a certain analogy to the ele- mentary parts of the blood, though this analogy should not be pursued to too great an extent. The bile contains, in the first place, an aqueous menstruum, which has been denominated by some late physiologists, its salivary part: this may be aptly enough compared to the aqueous portion, and resembles also, though not in every particu- lar, the serum of the blood. From the bile we can also separate and procure a small portion of a white and grumous substance, which may be said to possess a certain, though re- mote resemblance to the plastic lymph of the blood. Finally, 42 OF THE BILE. Finally, the most striking and important princi- ple which the bile contains is the matter of phlo- giston, derived in large quantities from the blood of the vena portarum, which is highly impreg- nated with this subtle element. § 390. This active inflammable part evidently manifests its existence in dried bile, but more especially in gall stones, by bursting immediately into flame, when placed in contact with a burning substance. To the action and influence of this principle must we attribute those striking and singular qualities, formerly enumerated, such as colour, taste, &c. which serve to distinguish the bile from the other inquiline humours belonging to the system; and from the same source must we also derive the other remarkable properties of this fluid, which shall be mentioned hereafter. § 391. The bile is not of such a nature as to possess, like soap, an equal affinity to oil and water, and thus serve to mix and intimately combine these two elements together. The contrary opinion (which was erroneously entertained on this subject by Boerhaave, and afterwards by Schroder) was formerly invalidated and refuted by certain re- markable experiments of my own (since confirmed and 43 OF THE BILE. and further increased by other writers), and is now entirely repudiated by the greater number of physiologists. On the other hand, if bile be ap- plied to the two foregoing elements, i. e. oil and water, when in a state of intimate mixture and combination, it produces an evident disunion and separation of them from each other. This fluid possesses indeed no alkaline properties, but is, not- withstanding, equally unfriendly to the existence of acid acrimony, to fermentation, and to putre- faction. § 392. By considering with due attention the foregoing observations, we may easily ascertain the true, the important, and the diversified uses of the bile, in the process of chylification. For in the first place, from that equable and uniform chymous pulp which the stomach has dis- charged into the duodenum, which the pancreas has diluted by an effusion of its own juice, and which moves spontaneously onward to the cavity of the small intestines, it gradually precipitates the fæces, and thus separates from them that cream- like fluid denominated chyle. The 44 OF THE BILE. The bile itself suffers, at the same time, a divi- sion into two parts, the one aqueous, the other phlogistic. The latter part adheres to the fæces, tinges them, and is afterwards discharged, along with them, out of the body; whereas the former appears to be mixed with the chyle, and re-con- ducted back to the mass of blood. Thus the abundant phlogiston, new become troublesome and noxious to the blood, is first di- rected to the liver, where it is rendered subservient to the formation of a singular and very important humour: After this humour has fully answered the end of its destination, its superfluous, or rather noxious part is included among the excrements, and finally eliminated from the system. A further use of the bile is, to evolve and ex- terminate from the alimentary canal, the fixed air, which had been hitherto confined among the chy- mous mass: it appears also to act on, and aid, the intestinal tube, by means of its stimulus, thus ex- citing it to perform its peristaltic motion with greater vigour and energy. I silently pretermit a variety of other uses, com- monly attributed to the bile, which appear to me to rest on more doubtful and equivocal evidence, such, 45 OF THE SPLEEN. such, for instance, as its power of regurgitating into the stomach when empty, and thus exciting appetite, a phenomenon that, in my opinion, can very seldom occur in a well formed and healthy human subject. SECT. XXXI. OF THE FUNCTION OF THE SPLEEN. § 393. THE spleen is very intimately connect- ed with the liver, not only by an intercourse of vessels, but also by the affinity and subserviency of its function: it is situated in the left hypochon- driac region, opposite to the liver; its figure is oblong, generally, indeed, accommodated to the situation of the neighbouring viscera with which it lies in contact: it is subject however, to multiplex varieties with regard to form, number, and other species of lusi naturæ, or preternatural pheno- mena. § 394. Its colour is livid, its texture altogether singu- lar, being soft, friable, easily lacerated, and there- fore 46 OF THE SPLEEN. fore securely protected by two membranous cover- ings, the internal of which belongs properly to the spleen itself, while the external appears to be derived from the omentum. § 395. The situation and size of the spleen are now and then, no less than its figure, subject to striking and singular variations, arising in a great measure from the different states of the stomach, with re- spect to fulness and depletion: thus, for example, when the stomach is empty, and hangs in a loose and depending position, the spleen is distended with blood; but when the former viscus becomes turgid again, the latter is emulged, and conse- quently diminished in bulk by the pressure to which it is subjected. The spleen is also agitated by another perpetual, though gentle and uniform motion, in consequence of respiration, being subjected to the immediate action of a primary instrument of that function, namely, the diaphragm. § 396. The texture of the spleen, physiologists former- ly supposed to be cellular, and uniformly compared it to the corpora cavernosa of the penis: this opi- nion, however, is evidently founded in error, and has 47 OF THE SPLEEN. has been very satisfactorily refuted by a more ac- curate examination of the human spleen. For, from such examination we learn, that almost the whole volume of this viscus is composed of blood vessels, extremely large in proportion to its size; so that it is supplied with a greater profusion of blood, than any other part belonging to the body of man. § 397. The splenic artery, conspicuous (agreeably to the experiments of Wintringham) on account of the astonishing fineness and strength of its coats, is divided into an infinitude of minute ramifica- tions, which constitute finally, by their evanescent extremities, very small pulpy pencils: these pencils afford origin, again, to fine filiform veins, that constitute by their gradual confluence, large and lax trunks highly capable of dilatation. § 398. This vast congeries of blood vessels, is, how- ever, knit together and supported by a small quan- tity of cellular parenchyma, from whence the ab- sorbent vessels arise, the trunks of which run on the plain or flat side of the spleen, between the two membranous coverings, of which we have al- ready spoken. § 399. 48 OF THE SPLEEN. § 399. This texture of the spleen, so very lax and high- ly capable of admitting blood, corresponds admi- rably with what we formerly said respecting the sanguineous distension of this viscus (§ 395): and we may further observe, that the phenomena of the congestion, and tardy progressive motion of this crimson fluid in the spleen, considered in conjunc- tion with the nature of the surrounding and conti- guous viscera, tend not a little to illustrate the pe- culiar state and condition of the splenic blood, which of themselves appear to shed considerable light on the function of this mysterious viscus, a subject of such repeated controversies among phy- siologists. § 400. The blood contained in the veins of the spleen is very fluid, dissolved, coagulated with the utmost difficulty, and admits of but a slight and partial separation of the serum from the crassamentum; its colour is also livid and obscure, as in the fœ- tus; all which phenomena appear evidently to combine in ascertaining and even demonstrating the presence of an abundant quantity of the phlo- gistic element. That this element is, however, unequivocally present in large quantities, I further ascertained to my entire satisfaction, by the follow- ing simple and conclusive experiment: to the ac- I tion 49 OF THE SPLEEN. tion of pure dephlogisticated air, I exposed recent sections and slices of the spleen of a human subject; no sooner were these pieces brought in contact with this vital fluid, than they were overspread with a very florid and beautiful crimson blush, while the air itself, thus despoiled of its native fire, was on the other hand, contaminated by the splenic phlogiston. § 401. When we contemplate the foregoing circum- stances collectively, and consider in the last place, that the spleen is the only viscus of a similar nature wholly unfurnished with any vestige of an excre- tory duct, save those vessels which we have alrea- dy said run to the liver, we are obliged from the force of concurring testimony to conclude, that the sole office of the organ now under considera- tion, is to act in subserviency to the function of the liver, and contribute towards the formation of bile by the co-operation of its phlogistic parts. § 402. This opinion is still farther substantiated by a very curious and useful observation, made on such individuals of the animal kingdom, as have been deprived of the spleen by excision. It appears that in animals subjected to this operation (which, however singular and seemingly barbarous, has VOL. II. D been, 50 OF THE OMENTUM. been, notwithstanding, very frequently performed from remote periods of time) the cystic bile has been uniformly afterwards found to be pale, weak- ly impregnated with phlogiston, and disposed to a grume-like coagulation of its lymphatic portion. SECT. XXXII. OF THE FUNCTION OF THE OMENTUM. § 403. THE omentum gastrocolium, or omentum magnum, (so called to distinguish it from the par- vum or hepaticogastricum), is indeed a very singu- lar production of the peritoneum, originating im- mediately from the external coat of the stomach. § 404. For notwithstanding the continuations of the peritoneum, in the abdominal cavity, be almost innu- merable, and although all the parts contained in this cavity, whether viewed collectively or indivi- dually, be so uniformly invested by it, that, on opening the abdomen, it is impossible to discover a single viscus which this membrane does not em- brace, yet the modes in which it furnishes this covering 51 OF THE OMENTUM. covering to the several viscera, are so diversified, as to merit a division into different classes. Thus, for example, the abdominal cavity con- tains certain parts, over which the peritoneum is only spread in such a partial and simple manner, as to invest but one of their surfaces; this obser- vation may be applied particularly to the kidneys, the intestinum rectum, the vesica urinaria, and in some measure also, to the pancreas and gall- bladder. There are also other viscera, which, notwith- standing their attachment and adhesion to the sur- rounding parietes of the abdomen, yet project also to a considerable distance into the abdominal ca- vity itself, and derive from the peritoneum a co- vering, which invests, by far, the greater part of their external surfaces: of this description are the liver, the spleen, and even the stomach and female uterus, to which we may add, finally, the testes of a male fœtus, previously to their descent into the scrotum. Considerably different again, (in point of peri- toneal covering), from both the foregoing classes of viscera, is the whole of the intestinal tube, ex- cept that portion which is denominated intestinum rectum. This tube passes through the adominal D2 cavity 52 OF THE OMENTUM. cavity in such a manner, as to carry along with it, two remarkably broad processes of the peritoneum, namely the mesentery and mesocolon, to which it adheres in a state of suspension: under the same class with the two preceding processes, may we also arrange those singular peritoneal productions, denominated the broad ligaments of the uterus. § 405. But finally, the most extensive of all is that pe- culiar continuation of the peritoneum called the omentum. This production is a large empty sac of a very delicate texture, that hangs in a depend- ing position from the great curvature of the sto- mach; it is spread over the region of the small in- testines in particular, nicely adapts itself to their irregular convexities, and dips down, in some measure, into their numerous interstices. § 406. Besides the blood vessels by which the omen- tum is painted, it is also marked by numerous striæ or broad lines of adipose substance, which meet, intersect, and thus form a variety of reticu- lar intertextures, from whence the membrane has received the name vernaculum. In persons dis- posed to obesity this adipose substance encreases now and then to such a size, as to become not only troublesome but even dangerous: it is also this adipose 53 OF THE OMENTUM. adipose portion that affords origin to that oily halitus by which the omentum is constantly sur- rounded and moistened. § 407. It has been the opinion of certain celebrated characters, and a further attempt was made by the illustrious Haller to prove, that the fat con- tained in the omentum is destined to be taken up by absorption and conveyed to the liver, for the purpose of supplying the bile with its oily portion, &c. With respect to the truth of this opinion, however, I must still be permitted to entertain and express a serious doubt, having never yet been convinced that sound, uncontaminated, bile con- tains any oil; nor have I ever been able to disco- ver any orifices subservient to such an absorption, not even in frogs themselves, where Malpighi al- leged, and even attempted to prove, their exis- tence; much less in that part which is the subject of our present consideration, namely, the omentum of man. § 408. What appears, from the nature and situation of the part, as well as from the concurring belief of all physiologists of the present day, to be a much more unequivocal use of the omentum, is, to lu- bricate the intestines, and by that means aid and D3 facili- 54 OF THE OMENTUM. facilitate their perpetual motion. The same ap- pear also to be the use and destination of certain similar, but small, adipose bursæ, by which the colon and rectum are invested. The omentum also further serves to prevent the occurrence of an adhesion between the intestines and peritoneum, by which the whole office of the primæ viæ would be subverted. § 409. That this adipose curtain is destined to serve as a defence against cold, (though an opinion very generally received), appears, notwithstanding, to rest on evidence of a more questionable nature: the omentum of a man in perfect health, which ought by no means to be burthened with an accu- mulation of fat, is indeed, but very illy calculated to answer such an intention. When we consider, in the mean time, the sin- gular structure of the two omenta, more especially of that denominated omentum parvum or gastrohe- paticum, it appears sufficiently probable, that be- sides the uses already enumerated, the latter is still destined for another, of, perhaps, even supreme importance, which is as yet unknown to us, and which future researches in comparative anatomy will be alone able to develope. SECT. 55 OF THE INTESTINES. SECT. XXXIII. OF THE FUNCTIONS OF THE INTESTINES. § 410. THE intestinal tube itself (before which the omentum is spread, and into which we have already seen the chyme conveyed, in order to be further elaborated and sufficiently fitted for the separation of chyle), is divided into two leading portions, namely, the small and great; of the functions of which we will now treat separately and in order. § 411. The small portion of intestines is again subdi- vided into three parts, namely, the duodenum, je- junum, and ileum. The duodenum derives its name from the cir- cumstance of its length. The jejunum from that of its general habit, be- cause, in a recent corpse, it appears collapsed and empty as it were, even although it contain at the same time a quantity of pulpy chyme. In the third division, called ileum, the chyme deposits its fæces, and suffers an evolution of its air, which D4 had 56 OF THE INTESTINES. had been hitherto fixed, so that this last of the small intestines, being at the same time the longest, and deriving its name from its circumvolutions, appears more turgid, somewhat inflated, and mark- ed here and there with small bubble-like emi- nences, after the manner of the large portion of this tube. § 412. The coats of the small intestines are perfectly similar to those composing the stomach, of which we have already spoken (§ 359.) The external is a production of the mesentery. The muscular coat consists of two orders of fibres, to wit, longitudinal, which are interrupted in their course, and run rather externally, especi- ally on that side of the intestine that looks in a contrary direction from the mesentery; and more internal, annular, or falciform fibres, which are calculated to contract or narrow the diameter of the tube; whereas the former are intended to di- minish its longitudinal extent. On both the pre- ceding orders of fibres depends that exquisitely energetic and pertinacious irritability of the intes- tines, of which we have spoken on a former occa- sion (§ 306.) The 57 OF THE INTESTINES. The nervous coat consists of compacted cellular membrane; and may, by a very simple mode of treatment, especially by blowing into it, be again reduced to a spongy, foam-like tissue: throughout this coat a variety of blood-vessels, detached from the mesenteric, are distributed in the form of ar- borets or branching shrubs, of inimitable elegance and beauty. As in the stomach, so likewise in the intestines, the nervous coat is the principal seat of tenacity and strength. Finally, the internal coat (which merits more unequivocally, in the small intestines, than in any other part of the alimentary canal, the name vil- lous), is continued here and there, in conjunction with the internal surface of the preceding mem- brane, into wave-like productions and rugous folds, that in the intestines, when inflated and dried, exhibit a falciform appearance, and are de- nominated valvulæ Kerkringii. § 413. Of the villi themselves, an immense number overspread, in the closest order, the whole inter- nal surface of the small intestines: their subtle and exquisitely elegant vascular structure, was first dis- covered and demonstrated by the labours of the indefatigable Leiberkuhn. While the intestines are destitute of chyle, the villi may be compared in 58 OF THE INTESTINES. in some measure to small purses hanging in a loose and flaccid position, and consisting internally of a soft spongy texture; but when they become tur- gid, in consequence of the absorption of this milky fluid from the intestinal canal, their figure undergoes such a striking change, as to bear no small resemblance to the phallus esculentus *. § 414. Those villi are surrounded, at their bases, by an infinitude of small glandular follicles, which are lodged principally in the nervous coat, and com- municate by very minute orifices with the intesti- nal cavity, into which they discharge a mucus that serves to line and lubricate the whole internal sur- face of that tube. These minute glands are commonly supposed to consist of three orders. First, the Brunnerian or larger glands, which are separate from each other, and situated principally on that part of the duode- num, which lies next to the pylorus. Secondly, the Peyerian, which are considerably smaller, planted in clusters, and lodged, in parti- cular, on the other extremity of the small intes- * A species of fungus, denominated phallus, from its strik- ing similitude to the male penis. tines, 59 OF THE INTESTINES. tines, which looks towards, and is contiguous to, the valve of the colon. And, lastly, the glands of Leiberkuhn, the most minute of all, of which about eight are said to be- long to each villus. It ought to be observed, however, that this di- vision of the sources of mucus appears to rest on very equivocal evidence. For if I be not greatly deceived, both the Brunnerian and Peyerian glands, as commonly exhibited in plates, are the result of a vitiated and diseased state of the intesti- nal tube. I am induced to entertain this opinion from having never been able to discover, in the sound small intestines of subjects carefully exami- ned in different periods of life, the smallest vestige of such fungous papillæ, perforated with orifices; whereas, on the other hand, I have frequently seen, in cases of aphtha, almost the whole intesti- nal canal planted with countless numbers of them, partly standing alone, and partly arranged in crouded clusters. From considering the foregoing circumstances, I feel a confidence in concluding, that none can be accounted true muciferous glands, except those extremely minute miliary bo- dies, which, on gently separating the villous lining, may be readily detected on its averted surface, but cannot, 60 OF THE INTESTINES. cannot, without great difficulty, be distinguished on the side next to the eye. § 415. It has been incontrovertibly established, not only from that well known experiment first insti- tuted (if I mistake not) by Pechlin, but also from several others, that as the stomach, so in like manner the cavity of the small intestines, is sup- plied with a constant influx of a liquid, denomi- nated, from the place into which it is discharged, intestinal juice. It appears probable that this fluid is similar in its nature to the gastric liquor, al- though a more accurate investigation of it is, cer- tainly as yet, a desideratum in physiology: nei- ther can I venture to say any thing decisive re- specting the quantity of this liquid secreted: I am, however, fully of opinion, that Haller has been too profuse in his estimate, where he alleges, that this secretion amounts to eight pounds in the space of twenty-four hours. § 416. Further, it is also common to the intestines with the stomach, to be agitated by a similar, but far more lively and vigorous peristaltic motion, which, in particular, while the chymous pulp is advancing, onward, throws the same into gentle commotion, by 61 OF THE INTESTINES. by a wavy and progressive constriction, and thus propels it forward from the duodenum towards the great intestines. For although we cannot ab- solutely deny the phenomenon of an anti-peristal- tic commotion, in consequence of which the intes- tines are subjected to a retrograde action, it must, notwithstanding, be acknowledged, that this, in a healthy subject, is much feebler than the former, that it occurs more rarely, and possesses a more precarious and short-lived existence. § 417. In consequence of the co-operation of those energetic causes, hitherto enumerated (viz. both the principles of motion, of which we have just spoken, and likewise the solvent and alterative powers of the inquiline humours that are every where blended in abundance with the chyme), the following remarkable changes are produced in this heterogeneous mass:—in the jejunum it exhibits the appearance of a more liquid pulp, possessing a colour somewhat grey, and an odour slightly acid: after its entrance into the ileum it begins to sepa- rate into two portions; these are, first, the fæces, marked by a pale yellow colour, inclining more or less towards a brown, and possessing a fetid odour; and, secondly, a white milk-like fluid, de- nominated true chyle, which floats on the surface of the fæces, and is separated from them by the action 62 OF THE INTESTINES. action of the hepatic liquor or bile. This chy- mous emulsion, designated by the name of chyle, is destined to be received by absorption into the lacteal vessels, through which mazy tubes we will accompany it farther in the following section; and shall, in the mean time, close the present, by tra- cing, in as brief and intelligible a manner as pos- sible, the route pursued by the residuary fæces. § 418. These, therefore, after having become more and more inspissated, in consequence of a tedious course through the ileum, are obliged at length to pass the valve of the colon, and thus enter the tract of the great intestines; for which purpose the neigh- bouring extremity of the ileum is furnished, and lubricated internally, by a more copious quantity of mucus, destined to destroy the friction of the fæces, and consequently facilitate their transition through the foregoing valve. § 419. The valve of the colon (denominated very justly in honour of its real and illustrious discoverer, valvula Fallopii), is a short continuation or process of the ileum projecting into the cavity of the great intestinal portion, by which it is surrounded and closely embraced: the more exterior labia of this process are so constituted, by means of a more prominent 63 OF THE INTESTINES. prominent or extensive ruga of the great intestine, as to consist not only of its internal and nervous coats (as is the case with the greater number of such plicæ), but to contain also in its composition some fibres from the muscular coat. Hence the function of this valve appears to be twofold, to prevent the premature passage of the fæces from the small into the great intestines. and also to ob- struct their regurgitation from the latter into the former. § 420. The great intestinal portion, which in like man- ner with the small, is also divided into three sec- tions, begins from the cœcum (to which is append- ed the vermiform process, a part indeed of equivo- cal use in the economy of an adult subject), and constitutes collectively a canal so capacious, as to admit the inspissated fæces to be gradually collected and retained in its cavity, till a convenient oppor- tunity for their evacuation. § 421. As the great is superior to the small portion of the intestines in diameter, so it likewise exceeds it in the thickness and strength of its coats. The muscular coat, in particular, possesses this peculia- rity, that its longitudinal fibres (if we except the lower part of the rectum) are collected into three fasciculi 64 OF THE INTESTINES. fasciculi or bundles, called ligamenta coli; aud the colon itself is thus divided into distinct segments of a vesicular or cystiform appearance. The internal coat in the great, is not of such a beautiful and elegantly floccose appearance as in the small in- testines, but possesses a nearer resemblance to that which invests the cavity of the stomach. § 422. The peristaltic motion appears to be less vivid and active in the great, than in the small intestines. On the other hand, the abdominal pressure is con- siderably greater on the former than on the latter, in as much as the whole colon is subjected to its immediate action and influence. § 423. The inspissated and hardened fæces contained in the large intestines, are protruded slowly onward, till having at length reached the rectum, they ex- cite, by their stimulus on the internal surface of that tube, a propensity to an evacuation. For the purpose of facilitating this evacuation, ample and wise provision is made, partly by a defect or inter- ruption in the transverse rugæ, but more especi- ally by a profuse quantity of mucus, that lubri- cates the internal surface of the rectum near to its extremity. 4 The 65 OF THE ABSORBENT SYSTEM. The evacuation of the fæces is, however, prin- cipally accomplished by a downward direction of the abdominal pressure, overcoming the resistance of the coccyx and both the sphincters, the interior of which is a very singular fascisculus or bundle of annular fibres, but the exterior, a genuine cuta- neous muscle: these ends being quite completed, there succeeds an entire remission of the abdominal effort, the intestine is retracted by the levator ani in particular, and finally closed again by the con- traction of the sphincters. SECT. XXXIV. OF THE FUNCTIONS OF THE ABSORBENT SYSTEM. § 424. FROM observations delivered in a for- mer section it is sufficiently evident, that the chyle, which we left in the intestinum ileum, completely disengaged from its fæces, is a compound of seve- ral different humours. Although it be almost li- terally impossible to calculate, with accuracy and definitude, the precise quantity of inquiline hu- mours, such as saliva, gastric juice, pancreatic juice, intestinal juice, bile, &c. that is mixed and blended VOL. II. E with 66 OF THE ABSORBENT SYSTEM. with the chyme, it appears, notwithstanding, a matter of the highest credibility, that these several humours, taken collectively, very far exceed, in quantity, the other constituent part of the chyle, which is derived immediately from alimentary sub- stances, recently taken as nutriment. Hence we may derive a solution of that problem in physio- logy, by what means alimentary matters, though of the most different and even opposite kinds, may, notwithstanding, be converted into the same assimi- lized, homogeneous, and milk-like chyle, equally adapted to the nature, and calculated to serve as the nutriment, of animals? § 425. The channels through which the chyle must flow, in its passage from the intestines to the mass of blood, (the reservoir destined for its ultimate re- ception), constitute a part of the absorbent system, which we have hitherto mentioned only occasion- ally, and in a very cursory manner, but will now assume as the professed object of our present at- tention. This system is divided generally into four parts, viz. lacteal veins; lymphatic veins; conglobate glands; and finally, the thoracic duct, each of which shall constitute a subject of exclu- sive consideration. § 426. 67 OF THE ABSORBENT SYSTEM. § 426. With respect to the nascent origin of the lac- teals from the intestines, there exists scarcely a doubt, but that this is constituted by the innume- rable villi of the internal intestinal coat, of which we have already spoken. It is, however, still a matter of controversy, whether the lacteals origi- nate immediately from those villi themselves, or only preserve a more distant intercourse and com- munication with them, by means of interjacent cellular substance. As far as my information has extended, no one has hitherto been able, more than myself, to trace the evanescent radicles of the lacteal vessels to the villi themselves, with such clearness and definitude, as to discover an imme- diate and unequivocal connection between the parts; on the other hand, the lacteals appear here and there, throughout the coats of the intestines, to form trunks of considerable size, immediately after their orgin, and, (if a conjecture be allow- able), to absorb from the cellular substance of the adjacent parts, that chyle which had been origi- nally taken up from the cavity of the intestines by means of the villi themselves. This phenomenon I think I have frequently observed, in young pup- pies, into which I had poured, according to the celebrated experiment of Lister, a solution of In- dian blue, one or two hours before subjecting them to the operation of live-dissection. E2 § 427. 68 OF THE ABSORBENT SYSTEM. § 427. Those trunks, of which we have just spoken, frequently run the distance of several inches, and sometimes even wind about in angling or mean- der-like directions, immediately under the external coat of the intestine, previously to their entrance into the mesentery. § 428. During their passage through the mesentery, these trunks make frequent entrances into small mesenteric glands, which may be divided into two different series or orders. Those of the first order are situated in the vicinity of the intestinal tube, and resemble, in their appearance, small beans ly- ing separate from each other. The glands of the other order, lie nearer to the receptacle of the chyle, are superior in magnitude, and planted in collective clusters. § 429. Both the foregoing kinds of glands appear to be in reality nothing else, than round compacted convolutions: of the lacteal vessels themselves, co- vered and interspersed with an infinitude of minute blood-vessels: their destination appears to be, to retard the progressive motion of the chyle, in or- der, perhaps, that, by such delay, it may be more fully and perfectly animalised and matured, previ- ously 69 OF THE ABSORBENT SYSTEM. ously to its entrance into the thoracic duct, and subsequent admixture with the circulating volume of the blood. § 430. It has been proposed as a physiological question, whether or not the large, possess also lacteal veins, in common with the small intestines? The affirma- tive of this has been zealously advocated, and its defence attempted by arguments drawn from the influence and efficacy of specific enemas, of ene- mas composed of nutrimental substances, of ine- briating substances, &c. and also from the follow- ing well known circumstance, viz. that the longer inspissated fæces are retained in the large portion of the alimentary canal, the more indurated and insucculent they are uniformly found. But al- though these arguments do not satisfactorily de- monstrate that any genuine chyle is absorbed from the fæces after their transition over the valve of Fallopius, they furnish, notwithstanding, additional evidence in confirmation of that, which has indeed been long since established on the testimony of the sense of vision itself, namely, that the great in- testines abound with a sufficiently plentiful appa- ratus of lymphatic veins, perfectly similar to the lacteals both in their structure and functions: in testimony of this entire similarity, it may be proper to observe, that when the intestines are destitute E3 of 70 OF THE ABSORBENT SYSTEM. of chyle, the lacteals of the mesentery are then engaged in the absorption of lymph. § 431. Another question, more important and difficult of solution than the former, is, whether or not the whole of the chyle, absorbed from the cavity of the small intestines, be conveyed to the blood through the same public, and royal route, as it is termed, or whether there do not exist certain se- cret channels, through which it may glide surrep- titiously onward, to mingle its streamlets with the general current of circulating blood? It must indeed, be confessed, that most of the arguments, by which physiologists have endea- voured to prove a private absorption and convey- ance of chyle through the sanguiferous veins, do not appear to rest on a very solid foundation: thus the assertion of Ruysch, that on the approach of old age the mesenteric glands become so indu- rated and constricted, as to be rendered unfit for performing their functions, has been long since re- futed, and it has, on the other hand, been satis- factorily demonstrated that, different affections of these glands, such as swellings, &c. very errone- ously pass under the common name of obstructions, while, at the same time, their vessels remain in a state sufficiently pervious to afford a very easy en- trance 71 OF THE ABSORBENT SYSTEM. trance and transition to injections of quick silver. That well known phenomenon, from which it is ascertained, that tepid water, thrown into the inert mesenteric veins of a dead subject, transudes into the cavity of the intestines, appears to contribute but very little towards the satisfactory elucidation of any function of the human body while in a living state; much less can we repose confidence in the evidence derived from that bicrural and two branched tube of copper, which was invented by Lieberkuhn, for the purpose of confirming the same opinion. As to the assertion, that chyle has been unequivocally detected in the red veins of the mesentery, it appears to me to stand in need of farther evidence for its unquestionable confir- mation; on the whole, I have never yet been convinced, that those veins convey any thing else than blood very highly charged with phlogiston, destined for the secretion of bile. § 432. Finally, the ultimate trunks of the lacteal veins, (with certain other tubes very similar in appear- ance and function, which are formed by the con- fluence of a great number of minute lymphatic ves- sels), unite and constitute by their junction, the receptacle or cistern of the chyle, which is a name given by physiologists to the inferior and larger E4 portion 72 OF THE ABSORBENT SYSTEM. portion of the thoracic duct, called also the duct of Pecquet. § 433. This duct is a membranous canal, of a delicate appearance and texture, yet sufficiently robust and strong, more or less circuitous in its course, and not unfrequently subject to very striking diversities with regard to the direction in which it runs, and the divisions it occasionally undergoes: it is equal- ly destitute of muscular fibres and nerves, is fur- nished here and there with small valves, and, after having passed over the left subclavian vein, is again reflected towards, and finally inserted into, the same, and, at the very point of insertion, has its entrance guarded by a valve of a peculiar struc- ture. § 434. The powers which produce and continue the onward motion of the chyle, both in the lacteal veins, and through the thoracic duct, are to be attributed, indeed, principally to the contractility of these vessels themselves, but, in part also, to the valves with which they are furnished, to a propulsive vis a tergo, and to the uninterrupted puisation of neighbouring arteries. § 435. 73 OF THE ABSORBENT SYSTEM. § 435. It appears probable, that the principal destina- tion of the valve, which is fixed, as has been al- ready observed, in the entrance of the chyliferous duct into the subclavian vein, is not so much to obstruct the lateral passage of blood into this duct, as to regulate the necessary discharge of chyle in- to the vein, and prevent its admission in any other manner than by a slow and gradual stillicidium. By this means, adequate provision is made against the simultaneous entrance of too large a quantity of recent chyle, into the mass of blood. Such an excessive influx of this crude fluid would necessarily stimulate the parietes of the heart to ex- ertions too violent and laborious, and would be blended and assimilated by the same, with the ut- most difficulty, and in an imperfect manner; that this would be the result, we judge from the nature of recent chyle, which is a compound of hetero- geneous elements, derived not only from the pri- mæ viæ, by means of the lacteal, but also from all the other parts of the body, through the ave- nues of the lymphatic vessels. § 436. The lymphatic veins themselves, which consti- tute a third part of the absorbent system, and bear a very 74 OF THE ABSORBENT SYSTEM. a very close resemblance to the lacteals, both in structure and in function, are so considerable, in point of extension, as to pervade, perhaps, every part of the human body; but originate, in parti- cular, from the common external integuments, from the pleura, the peritoneum, and viscera, contained in the thorax and abdomen. § 437. The manner in which they arise, is simliar to the origin of the lacteals from the intestines, of which we have already spoken. Thus each radi- cle of each lymphatic vessel, is destined to absorb from a neighbouring portion of cellular membrane, (as from a territory of its own), the moisture it contains, and propel it onward to the general cis- tern of the chyle. § 438. These lymphatic vessels are furnished in their course, sometimes more frequently, sometimes more rarely, with valves situated in bigæ or pairs. By far the greater part of them enter conglobate glands; those in the vicinity of each other fre- quently anastomose; and such of them as over- spread the surface of certain viscera, as that of the lungs, the liver, &c. form exquisitely elegant reti- cular expansions. § 439. 75 OF THE ABSORBENT SYSTEM. § 439. To pass silently over certain other aids, suffici- ently evident from former observations, the func- tion of the lymphatics is greatly promoted by their remarkable contractility, and the strength of their delicate coats, which is sufficient, in processes for anatomical preparations, to resist the pressure from a ponderous column of quick silver: this function is also further aided, especially in the joints, by muscular motion, in consequence of which, the lymphatics being compressed and closely embraced on all sides, have their tone remarkably aug- mented. § 440. With respect to the terminations of the lym- phatics, various controversies have lately existed among physiological writers. Thus, while some contend, that all those vessels unite in the thoracic duct, (in like manner as the sanguiferous veins unite in the venæ cavæ), others, on the contrary, exempt from this general confluence, at least the lymphatics of the right arm, and right side of the neck, which they allege are not inserted into the same duct, but into the right subclavian vein: others again assert that in the conglobate glands, the lymphatics communicate immediately with san- guiferous veins; and lastly, others maintain (not indeed without an appearance of probability) that certain 76 OF THE ABSORBENT SYSTEM. certain lymphatic vessels *, actually exist, which form a direct and free communication between the intestinal tube and uropoietic organs. § 441. Seeing therefore, the lymphatic vessels are extended far and wide throughout almost the whole system, and, especially, in as much as an immense profusion of them originate on the cuta- neous surface of the body, and may consequently absorb such fluids as are applied from without, it is sufficiently evident, that the lymph, when re- cently absorbed, must be, indeed, a liquid compo- sition extremely heterogeneous and diversified as * For a great number of truly important observations and highly interesting speculations on this subject, the reader is referred to a short treatise, written by Charles Darwin, "On the retrograde motion of the lymphatics," and pub- lished at Litchfield in the year 1780, a considerable period of time after the premature death of its ingenious author. This young philosopher and physician appears to have been peculiarly formed by nature, and happily finished by edu- cation, to shed unequivocal light on subjects of a dark and difficult nature in the science of medicine. He experimented with accuracy and definitude, he observed with the utmost attention, and he speculated with the highest ingenuity and force. Unhappily for the healing art, and (perhaps I may add) for science in all its various branches, this amiable young philosopher was hastily summoned away, ere yet his mind was perfectly expanded, or his plenitude of merit announced to the world. to 77 OF THE ABSORBENT SYSTEM. to its nature and elementary parts: this diversity is fully ascertained and established, by a more careful and accurate examination of dead subjects, where, for instance, the liquid contained in the absorbents of the liver and spleen, appears to be evidently different from that discovered in those which run to the uterus. § 442. Of the conglobate glands, (which constitute the last branch of the lymphatic system), the prin- cipal use and destination appear to be, to assimi- late to the animal nature this subtle and hetero- geneous fluid, especially that portion of it which is absorbed by the lymphatics of the skin: this assimilation they accomplish by retarding and in some measure obstructing the motion of the lymph, and perhaps also by the addition of a new fluid, derived from the minute arteries, with which they very plentifully abound. Hence a wise and ade- quate provision is made, to prevent the humours, while in too crude a state, from effecting a prema- ture mixture with the blood, and thus the heart is guarded in perfect security from their noxious impressions. § 443. With respect to those other glands of the same nature, which are minutely dispread throughout by 78 OF SANGUIFICATION. by far the greater part of the system, and planted here and there in collected clusters, as in the groin, beneath the axilla, &c. they bear, in every respect, the most perfect resemblance to the me- senteric glands, of which we have already spoken; like them they are composed, in a great measure, of the mazy convolutions of absorbent veins; like them they are furnished with a vast profusion of minute blood vessels; and finally, they are subject to be readily invaded by the same diseases that attack the glands of the mesentery. SECT. XXXV. OF SANGUIFICATION. § 444. IT is scarcely necessary to observe, that by the term sanguification, we mean the assimila- tion of chyle to blood, and the constant and uni- form restitution made by means of the former, for the equally constant and uniform loss which is sus- tained by the latter. § 445. For on this principle depends that division of all the humours of our body, into the three classes (§ 4. 79 OF SANGUIFICATION. (§ 4. 5.) of crude, sanguineous, and secreted; viz. that the middle class embrace the whole circula- ting volume of blood, from which the different se- creted humours are derived in constant streamlets, and to which the countless channels of the absor- bent system convey their chyle, and the infinitude of lymphatic tubes return their absorbed fluids in currents equally constant and uniform. § 446. Seeing the blood is an animal humour of so very singular and exclusive a kind, as to be wholly dis- similar to every other fluid yet discovered in any department of nature, it is a proposition sufficiently self-evident, that there must be a variety of assist- ant powers which contribute, by their joint co- operation, to incorporate and assimilize with the blood, the heterogeneous and adventitious hu- mours, which it is constantly deriving from the thoracic duct. § 447. The process of sanguification we may consider, then, as first commencing under the action and influence of those mazy circumvolutions (frequent- ly spoken of already), which both the lacteal and lymphatic veins exhibit occasionally in their courses (more especially in the mesenteric and other con- globate 80 OF SANGUIFICATION. globate glands), and which are, at the same time, furnished with considerable quantities of what may be called animal and inquisine contagion. § 448. It is necessary further to consider, that a great part of the lymph, which enters the subclavian vein (after having first effected a mixture with the intestinal chyle in the thoracic duct), is derived from the interior recesses of the viscera and other soft parts of the body, and was formerly secreted from the blood itself; from whence it necessarily follows, that such portion of the lymphatic fluid must doubtless possess, already, the animal nature entire, and be very readily miscible with the mass of blood to which it is returned. § 449. To these we may add another circumstance, of which we spoke on a former occasion, namely, the slow and stillicidious transition of the chyle into its reservoir, the blood—that fluid not being ad- mitted to pass through the ultimate valve of the thoracic duct into the subclavian vein, in any other manner than by drops, in order that those minute portions may, by this means, be more inti- mately mixed and incorporated with the circu- lating blood. 2 § 450. 81 OF SANGUIFICATION. 450 The internal structure of the heart itself appears also to contribute, not a little, towards the im- portant process of sanguification. Thus, by means of those astonishing muscular papillæ, with which the ventricles of the heart are plentifully fur- nished, the blood and chyle (having recently met together), are thoroughly agitated, and brought into a state of more intimate combination. § 451. That the lungs, receiving the blood, recently impregnated with chyle, perform, by the function of respiration, an important part in the further assimilation of this crude fluid, will appear suffici- ently evident to any one who considers the asto- nishing vascular structure of these viscera (§ 136.) in conjunction with the equable alternate motion to which they are perpetually subjected, during the continuance of human life. § 452. The remaining part of the process of sanguifica- tion is finally completed by the more extensive circuitous journey of the blood throughout the whole body, and by those powers which con- tribute towards the continuance of the same, more especially muscular motion, &c. VOL. II. F § 453. 82 OF SANGUIFICATION. § 453. But although potent provision be made, by such powerful and diversified apparatus, for blend- ing and intimately incorporating the chyle with the blood, it appears, notwithstanding, that there exists a certain similarity between the constituent parts of those two fluids. It is very commonly asserted, that a great many hours must elapse be- fore the chyle can be completely divested of its own milky colour, and perfectly assimilated to that of the crimson fluid into which it is destined to be converted: in testimony of the truth of this asser- tion, medical philosophers usually adduce (besides other arguments) the following singular patholo- gical phenomenon, namely, that several hours after the close of digestion, genuine chyle has been fre- quently observed to flow from an orifice made in a vein of the human body: this phenomenon I have indeed had an opportunity of observing my- self; but it was at the same time extremely evi- dent, that the blood was then highly charged with phlogiston (a condition of this fluid very un- friendly to the regular assimilation of chyle), so that from hence scarcely any inference can be drawn relative to the healthy state of the system, which is alone the exclusive subject of the science of physiology. SECT. 83 OF NUTRITION. SECT. XXXVI. OF NUTRITION. § 454. BESIDES that function (which we at- tributed to the blood in a former section) of dis- tributing the element of fire throughout the whole body, and in its place wasting that of phlogiston back to the lungs, two of its primary and leading offices appear to be, to convey to the body nou- rishment, and to the secretory organs the matter of those peculiar fluids which they are severally destined to extract. Of this twofold function we will next treat; and first of the function of nu- trition. § 455. Nutrition is the supreme privilege of nature. It is a common and leading prerogative of all or- ganized bodies, whether animal or vegetable, by which they are instantly discovered, on first view, to surpass, in an immeasureable degree, all ma- chines and automatons constructed by human ar- tifice: because on none of these latter has any artist ever been able to confer a power (I will not say of actual growth, of progressing toward matu- rity, and of acquiring gradually higher and higher F2 degrees 84 OF NUTRITION. degrees of perfection), but not even of preserving themselves in a state of stationary existence by their own inherent powers, nor of repairing the gradual losses to which they are subjected by attrition, by incidental casualties, &c. § 456. Nutrition is that faculty of our bodies, on which all the sublime and astonishing functions of our na- ture depend. By means of this faculty we increase in magnitude from the earliest dawnings of our existence, we advance through the expanding period of youth, and finally arrive at our acme, or point of complete maturity. It is also through the instrumentality of this same faculty that a com- petent remedy is applied, and sufficient restitution made, for that uniform waste and loss of the body, by which (while in a living state) it destroys and in some measure consumes itself, by its own neces- sary action. § 457. With respect to the nature and mode of this wasting or loss, various controversies have existed among physiologists. The more immediate point of disputation has been, whether such waste occurs in the solid parts of our bodies, or whether it be not more probable, that those parts, when once formed and completed, remain stationary, without being 85 OF NUTRITION. being subject either to vitiation or change? which latter is indeed an opinion embraced and taught by several characters of the utmost acumen and ingenuity. § 458. With respect to some particular solid parts of the body, such, for example, as the epidermis, the nails, &c. there exists indeed not a shadow of doubt, but that they are gradually destroyed and again repaired; and with regard to the destruction or waste and subsequent reparation of the bones themselves, the testimony will appear equally plain and conclusive, to any one who may consider with attention the result of the well known experiments made by feeding warm-blooded animals, for some time, on the root of the rubia tinctorum, or who may take the further trouble of contemplating attentively the phenomena exhibited by certain large plain bones, especially those of the cranium, which in extreme old age become remarkably attenuated, or diminished in thickness, in conse- quence of the scanty nourishment with which they are supplied at that period of life. § 450. Upon the whole, if I be capable of judging rightly, those solid parts appear to be not only gradually consumed, and again repaired, by the F3 faculty 86 OF NUTRITION. faculty of nutrition, but possess also a vis repro- ductiva, or power of re-production. This latter is indeed a surprising faculty, destined not only to make restitution for the uniform removal of minute atoms by the necessary action of the animal economy, but also to repair the incidental loss of larger parts (suffered in consequence of external injuries, wounds, &c.), by a perfect restoration of the substance of which the body has been thus forcibly deprived. That such a power does un- equivocally reside in the bones, and a few other parts, of which we have just spoken, is with me too well ascertained and substantiated to admit of a doubt. § 460. But on the other hand, from a variety of obser- vations and experiments which I have made both on man and other warm-blooded animals, this power of reproduction appears to reside in scarcely any other solid parts of the body than such as are endowed with contractility alone, without possessing at the same time any of the other vital energies, such as irritability, sensibility, or finally, specific life. § 461. Of those parts of the system therefore (which possess the more exalted kinds of vital energy), the staminal basis appears to me to consist of a pe- rennial 87 OF NUTRITION. rennial parenchyma, which is subject neither to genuine mutation nor decay, but only liable to certain vicissitudes in point of bulk, that are pro- duced in the following manner, namely, when the process of nutrition is conducted with suffi- cient activity and vigour, the cellular interstices of the parenchyma, being uniformly filled with the rich and plastic lymph of the blood, are, of course, dis- tended, and the parenchyma necessarily enlarged; but when, on the other hand, nutrition goes on less favourably, these same interstices, being in a great measure deprived of this nutritious lymph, fall into a state of collapse, and the parts become consequently diminished in size. § 462. With respect to this plastic lymph (of the dig- nity and importance of which we have spoken fully on a former occasion), as it assumes with great facility the appearance and nature of genuine cellular membrane, so it appears to constitute ge- nerally the principal nutritious matter of the whole system, and is conveyed to every part of the body by means of that infinitude of minute blood- vessels, to which we have so often called the reader's attention. F4 § 463. 88 OF NUTRITION. § 463. During the time of the body's advancement in growth, it appears to possess certain peculiar or specific powers, by the aid of which the lymph, being deposited from the evanescent extremities of the sanguiferous vessels, into the surrounding cellular membrane, is duly arranged, and com- pletely assimilated to each particular portion, and kind of parenchyma. To the head of these specific powers, must we in part refer that particular law of affinity, by means of which the partes similares of the system attract and appropriate to themselves, the homogeneous elements of the nutritious lymph, more especially such of them, as possess reciprocal and kindred propensities; and to the same head may we also in part refer that nisus formativus, of which we will have occasion to speak more fully hereafter, and to which must be attributed, the just and specific application of the rude, and hi- therto formless, elementary matter, and its subse- quent organisation and arrangement into the form and figure of its peculiar destination. § 464. It is, I presume, from the joint co-operation of both the preceding powers, that we must princi- pally derive the nutrition of those parts of the body, which are not proximately supplied with any blood 89 OF NUTRITION. blood vessels at all; such as the nails, hairs, &c. and which are, notwithstanding, generated at first, by a very powerful and truly infallible nisus or ex- ertion, are afterwards advanced in magnitude, and regularly supported by nutriment throughout the whole of life, and, finally, if by accident removed, are again readily restored by the astonishing efforts of the vis reproductiva. § 465. Although the preceding appears to be a general breviate account of the process of nutrition, yet, on the other hand, it is evident that there exists, in different individuals, a great many varieties, with regard to the degrees and modes in which this function is discharged. Thus, for example, in proportion as a more lax or more close apposition and union of the nutritious matter are effected, the texture of the parts themselves is rendered more dense or delicate, and hence also seems to origi- nate the difference between the specific weight of human bodies; in which respect it is well known, not only that man differs from man, but even nation from nation: in testimony of this truth it may be sufficient to adduce even a solitary example from among certain northern tribes, namely, the Jukutæ, the Buratæ, &c. people highly conspi- cuous on account of the remarkable and truly sin- gular levity of their bodies. SECT. 90 OF SECRETION. SECT. XXXVII. OF SECRETION. § 466. BESIDES those juices destined for the important process of nutrition, there are also in the animal system other humours, of a very different order and character, which are extracted for various purposes from the exuberant fountain of the blood. These humours owe their exis- tence to the process of secretion, than which no function is less understood by physiologists; a truth mentioned as a subject of just regret, both by the immortal Haller and other preceding writers. § 467. The secreted humours, appear, in one point of view, to be so extremely diversified in their na- tures, and, in another, to bear so striking an affi- nity to each other, that it is not possible to reduce them to any, save highly arbitrary, classes. If, however, in treating of these humours, we found our divisions of them on the less and greater changes to which their elementary parts, (con- tained 91 OF SECRETION. tained in the mass of blood), are subjected in the secretory organs, they may be aptly enough enu- merated in the following order. First, the milk, a fluid which we think proper to place at the head of our census or enumeration, because it may be considered, in some measure, as renovated chyle, and appears to be secreted, by the most simple process, from the blood, to which the chyle had been recently united. Secondly, the aqueous fluids; such, for exam- ple, as the humours of the eye, and the tears: to the same head must we refer in like manner, the sweat; and also, (if our opinion be not un- founded), that halitus which is contained gene- rally in the interstices of the cellular membrane, as well as in the cavities of the thorax and abdo- men: this vapour appears to differ but very little either from the liquor of the pericardium, or from that subtle halitus by which the ventricles of the brain, and the pituitary sinuses of the cranium are preserved in a state of perpetual humidity. Under the same head of aqueous fluids, it is likewise common to arrange the urine, although this is doubtless a liquid possessed of some singu- larly striking and peculiar properties. Of 92 OF SECRETION. Of a less compound nature are the salivary humours, which, in office, are subservient to mas- tication, to digestion, and to chylification. Thirdly, the mucagenous fluids, which invest and lubricate the cavities of most of the viscera, that are destined to the performance of the natural and genital functions, and also the internal surfaces of all the aerial avenues belonging to the system, such as the nares, the larynx, and the aspera arteria. Of a nature not widely different from the fore- going, is that portion of mucus which covers the internal segment of the eyeball; as well as that which is spread immediately beneath the epi- dermis. Fourthly, the adipose humours are, in particular, (besides the common fat itself), the medulla of the bones, and the smegma or oily covering of the skin, to which may be added the cerumen aurium, or waxlike substance investing the external ave- nues of the ears. Of a nature nearly related to the foregoing, is that unctuous secretion, so evident on the glans penis of the male, and about the rima or os exter- num, in the genital organs of the female. Under 93 OF SECRETION. Under the same class may we also arrange that oily substance, with which the glands of Meibo- mius furnish and anoint the eyelids. Fifthly, what are commonly denominated by physiologists gelatinous fluids, examples of which we have in the liquor amnii, and unguen of the joints. Respecting the nature of these fluids, however, we are not yet possessed of a sufficient number of well authenticated facts to give birth to unequivocal and satisfactory conclusions: a similar observation may also be made, respecting that uninvestigated and anonymous humour, which the female uterus discharges during the ardent glow of the venereal orgasm. We remain also as yet, in a state of equal un- certainty respecting the nature of that fluid, which is lodged, during the first months after conception, between the chorion and amnios; of that which is contained in the umbilical vesicula or pouch of the embryo in its tenderest state; and also of that which is interposed between the three vessels that constitute the umbilical cord. The liquid enclosed in the vesiculæ graffianæ of the female ovary, and also the liquor of the pros- tate gland, appear to be of a truly serous or albu- minous nature. Sixth- 94 OF SECRETION. Sixthlly, the male semen appears to be a humour so remarkably singular in its nature, as not to admit of classification, nor even of comparison, with any other. And lastly, with regard to the bile, there is equal room for the admission of a similiar obser- vation. § 468. That the foregoing secreted humours, so ex- tremely diversified in their natures and habits, can neither be derived from the mass of blood by the same individual process, nor by organs of the same kind, is a proposition too self evident to stand in need of, or indeed leave room for, any farther confirmation. Among these humours, there ob- viously exists this memorable variety, namely, that while some of them are secreted and conveyed from the blood through a shorter route, others again, are more elaborately prepared, by being carried onward through tubes of greater longitu- dinal extension. § 469. Of all the modes of secretion, that must doubt- less be considered as the most simple, in which the secreted humour appears to transude immediately through the coats of the arteries, by what physi- ologists 95 OF SECRETION. ologists call diapedesis. Instances of this mode we have in the secretion of the fat, and of the medulla residing in the bones, &c.; and, finally, it appears to be by a modification of the secretory process, not greatly dissimilar to the foregoing, that the gastric liquor, the intestinal liquor, &c. are pre- pared and discharged into the cavities of their respective viscera. § 470. The mechanism of secretion appears to be more compound, where that process is performed by means of glands, under which denomination we generally include even follicles and cryptæ them- selves; such, for example, as are easily discover- able in the fauces; and which physiologists gene- rally designate by the name of glandulæ sim- plissimæ. We bestow, with propriety, the denomination of secreting glands, on those bodies which, (to distinguish them from the conglobate, belonging to the lymphatic system), are called conglomerate; ex- amples of which we have in the salivary glands, in the pancreas, in the lachrymal glands, and in the mammæ, or breasts of females. The foregoing glandular bodies are furnished with excretory ducts, which are composed of tubes or canals running immediately from their larger lobes: these lobes, 96 OF SECRETION. lobes, on being submitted to farther examination, are found to be made up of smaller lobules, re- specting the internal structure of which, there for- merly existed very warm controversies in some of the most celebrated schools of medicine. Malpighi considered the small miliary globules, which may be readily demonstrated in the greater part of them, to be nothing else than genuine acini or kernels, containing, each one, a minute cavity in its centre. While Ruysch contended, on the other hand, that those hypothetical excavated kernels were nothing more than globular convo- lutions of extremely fine blood vessels; which lat- ter opinion, is doubtless founded on by far the most unequivocal and substantial testimony, as we readily learn from well conducted anatomical investigations, more especially from successful injections, and the assistance of glasses. § 471. Nor does this structure (if indeed we keep out of view the peculiar parenchyma of each parti- cular viscus), differ much from, but appears rather to shed a considerable gleam of light on, the struc- ture of certain other secreting viscera, particularly on that of the liver and kidneys, in which late ex- perimenters have been able to demonstrate, with the utmost perspicuity, certain spherical bodies entirely similar to the globular convolutions of 4 Ruysch, 97 OF SECRETION. Ruysch, or the kernel-like substances of the cele- brated Malpighi. For, in what is called the cortical portion of those viscera, minute ramifications emerg- ing from the sides of the small capillary arteries, be- come presently convoluted, in such a manner, as to form little vascular balls, which thus appear to hang by those ramifications of which they are composed, like so many small berries or grapes supported by their footstalks. From these minute vascular balls originate first, that very subtle and colourless order of vessels immediately destined for the busi- ness of secretion, (respecting the origin of which, from the evanesceut terminations of arteries, we transiently spoke on a former occasion, (§ 79. 81.); and secondly, the incipient radicles of veins, into which the minute arteries are themselves continuously reflected, and which conduct back to the venous trunks, the residue of the blood now deprived of those elementary particles neces- sary to constitute the fluid recently secreted. § 472. Finally, certain other parts of the body, appro- priated entirely to the business of secretion, are distinguished again by different and remarkably peculiar, species of organization; thus the male testes, for example, are wholly composed of no- thing else than close and mazy convolutions of very lengthy and numerous blood vessels, &c. VOL. II. G § 473. 98 OF SECRETION. § 473. We come now to the consideration of the pe- culiar causes, by the operation and efficacy of which those determinate and specific humours are secreted in these corresponding determinate and specific organs: this is indeed the Gordian knot— this is by far the most difficult point of disquisition in the whole doctrine of secretion—that point which numerous doubts and difficulties yet invest. § 474. It appears indeed to be a truth ascertained and established beyond the faintest shadow of a doubt, that the leading, and what may be called the proximate cause of most of the secretions, must be sought for in the internal structure of the se- treting organs themselves: under this head we must particularly consider, in the conglomerate glands and other secreting viscera, not only the peculiar distribution and direction of the extreme blood-vessels, from which the humours are se- creted, but also the parenchyma, so uniformly proper to each secreting viscus, that in many of them it can be instantly known and distinguished at first sight from all other kinds or species of flesh (§ 27). § 475. It is also an opinion extremely probable (in support of which we have advanced, on former occasions, 99 OF SECRETION. occasions, several arguments not easily refuted), that the secreting viscera, besides their peculiar parenchyma, possess also what we have taken the liberty to call a vita propria, i. e. a specific or exclusive kind of vital energy, essentially different from what we denominated the three common energies, namely, contractility, irritability, and sen- sibility. § 476. But further, if my views of the subject be in any measure just, the absorbent system appears to contribute also a very important part towards the promotion of the several secretions: thus, from each of the secreting viscera certain appropriate branches of this system absorb and re-convey to the blood-vessels larger or smaller portions of each of the several humours to which these viscera give origin; the uniform consequence of which is, that the blood becomes literally impregnated with the contagion of every humour secreted in the different parts of the body, e. g. with bile from the liver, with semen from the testes, &c. Thus there appears to exist, in the system de- stined for the business of secretion, a perpetual routine or circulation, so that the elementary parts of the humours already secreted being in- cessantly conveyed from the secreting organs G2 them- 100 OF SECRETION. themselves, are united afresh to the mass of blood, and on their subsequent return to their parent organs, in conjunction with the sanguineous cur- rent, are again more easily attracted by the se- creting vessels, in consequence of a peculiar law of affinity, and have also a power of drawing along with them those parts of the blood that are most homogeneous in their nature, and for which they consequently possess the highest de- gree of attraction. § 477. To facilitate the secretion of certain humours of the body, adequate provision is made by the production of specific qualities, in those particular portions of the blood from which they are to be proximately derived: thus the bile is secreted from the blood of the vena portarum, a portion of fluid highly impregnated with phlogiston, fur- nished in profusion by the abdominal sources, from which this blood immediately originates. § 478. I pass in silence over certain other co-operating aids, which act in subservience to particular secre- tions, as congestion and derivation, so evidently efficacious in the secretion of milk, with other in- stances of a similar nature. § 479. 101 OF SECRETION. § 479. Among the humours thus secreted by the or- gans which we have just described, and by the powers or causes just enumerated, it may be ob- served that the following difference afterwards exists, namely, while some of them drop imme- diately from their secreting organs into the places of their ultimate destination, in which they are to perform their specific functions, others again are conveyed to appropriated receptacles, in which they are retained for some time, and thus farther matured previously to their final elimination from the system: of this last description is the milk which stagnates in the lactiferous ducts, the urine, the bile, and the semen masculinum, which are subjected to retention in their vesicular receptacles, and finally, the serum contained in those vesicles which were first discovered by de Graaff in the ovaria of the female. G3 SECT. 102 OF THE URINE. SECT. XXXVIII. OF THE URINE. § 480. BESIDES the nutritious juices and the secreted humours destined for further services in the animal economy (§ 4.), the blood furnishes also materials for the formation of certain useless and superfluous liquids, that are intended to be entirely eliminated from the system, and are from thence vulgarly called excrements of the second di- gestion. These excrementitious liquids are of two kinds, one of which is exhaled by the process of perspiration, and has already engaged our parti- cular attention; the other is the urine, a liquid secreted in those glands denominated kidneys. § 481. The kidneys are two viscera situated behind the peritoneum, on each side of the spine, and in the upper part of the lumbar region: Although their figure is generally somewhat flatted, yet it is pro- per to observe, that both in this respect, and also in point of number, they are subject to more va- rieties than any other viscus belonging to the hu- man body: they hang by vessels commonly called emulgents 103 OF THE URINE. emulgents (remarkably large in proportion to the magnitude of the parts on which they are distri- buted), and are cushioned round by fat of a seba- ceous consistence (§ 38). § 482. They are invested by a proper membrane, of an elegant vascular structure: each one of them, especially during the period of infancy, appears to be composed of about eight, or somewhat more, kidney-form lobes or subdivisions; each of which consists again (according to an opinion formerly en- tertained and taught by Ferrein), of about seventy or eighty fleshy radii, which that physiologist called white pyramids. § 483. If the kidney be dissected or divided from its convex dorsum towards its concave pelvis, it ex- hibits in its composition two kinds of substance; one forming its circumference, and therefore de- nominated its cortical, the other constituting its centre, and hence called its medullary, portion. Each portion abounds with sanguiferous arte- ries and veins; besides which, the external cortex is also furnished with an additional order of very minute colouriess vessels, destined to secrete the urine: while the medulla contains also vessels of G4 a similar 104 OF THE URINE. a similar description, intended to carry it onward when secreted. Those secretory ducts originate, in the manner already described (§ 471.), from the small glo- bular convolutions of capillary arteries that are every where interspersed throughout the cortex of the kidney: those ducts constitute indeed by far the greater portion of the cortical substance of the kidney, and may be very easily distinguished by their singular meanderings and intricate mazes, from the small conducting tubes of Bellini, in which they finally terminate. These tubuli Belliniani (as they are frequently termed) pass by a direct route from the cortical, and enter the medullary substance, of which they constitute by far the greater part; and uniting afterwards by reiterated coalitions into a small number of narrow trunks, finally perforate, by their extreme orifices, in a sieve-like manner, the several papillæ contained in the renal pelvis. § 484. The papillæ correspond for the most part to the number of lobes, of which we already said each kidney is composed. The urine that is secreted in the colourless vessels of the cortex, and after- wards conducted through the tubuli Belliniani of the medulla, these papillæ discharge into their corresponding 105 OF THE URINE. corresponding infundibula, which form by their subsequent confluence the common pelvis. § 485. The pelvis is continued into the ureters, which are membranous canals, exquisitely sensible, and defended internally by a complete investiture or lining of mucus; they are capable of extreme di- latation; in man they are here and there uneven in the width of their cavities, and are at length inserted into the posterior surface, not far from the neck of the urinary bladder. This insertion is effected in such a manner, that the ureters do not immediately perforate the parietes of the uri- nary cyst, but descend a short distance between its muscular and nervous coats (which are here possessed of more than ordinary thickness), and open finally into the cavity of this organ by ob- lique orifices. By means of this structure, ade- quate provision is made to prevent the urine, that has once entered the cavity of the bladder, from being forced to return again into the ureters by an inverted or retrograde motion. § 486. In an adult subject, the urinary bladder is in general sufficiently capacious to contain about two pounds of urine; its fundus or bottom, which in the fætal state terminates in the urachus, and also its 106 OF THE URINE. its posterior side, are invested by the peritoneum; as to its remaining membranes or coats, they bear a general resemblance to those of the stomach, of which we have already spoken. The muscular coat consists indeed of interrupted bands of fleshy fibres, that surround the cyst, forming at the same time various irregular decus- sations or interfections, which are different in dif- ferent subjects: this muscular coat physiologists denominated detrusor urinæ, while they designate by the name of sphincter vesicæ, those orbicular fibres that partially surround the neck of the blad- der, though they are very inconstant and irregu- lar, both with respect to their figure and origin. The nervous coat bestows on this membranous viscus also the principal part of its strength and firmness. Finally, the internal coat, which is considered by physiologists as a process or continuation of the epidermis, is defended by a complete covering of mucus, especially round the neck of the bladder. § 487. Besides those public and well known routes of the urine, of which we have already spoken, it appears probable from several phenomena, that there 107 OF THE URINE. there exist also certain secret avenues, which lead immediately from the intestines to the uropoietic organs. For the speedy discharge of certain drinks from the urinary emunctory, so frequently imbued with the odour, tinctured with the colour, and characterized by other specific qualities of the aliments recently taken in, will scarcely admit the belief, that these liquids had performed, in so short a time, the customary long and circuitous route through the thoracic duct and sanguiferous sys- tem: to the foregoing circumstance we may add an account we have read, of the urine having been found covered with oil, that entered into the composition of an enema, which had been previ- ously and recently thrown into the intestinum rec- tum. It is, on the other hand, a circumstance well known to physiologists of the present day, that very striking and numerous anastomoses oc- cur between the lymphatic vessels of the intes- tines, and those of the kidneys. Lastly, it is now unequivocally ascertained and confirmed by live dissections, that if both ureters of a dog be tightly enclosed in ligatures, and his bladder perfectly evacuated of its contents, this latter organ will, notwithstanding, in the term of three hours after- wards, contain a certain quantity of urine; while at the same time the usual avenues of this fluid, namely, the ureters, are completely obstructed, as is evident from this circumstance, that above the ligatures 108 OF THE URINE. ligatures these tubes suffer vast distention from the accumulated urine. § 488. But through whatever avenues the urine has been conveyed to the bladder, its gradual accu- mulation in that organ excites an uneasy sensation, which becoming urgent and troublesome (§ 331.) potently solicits its final elimination, through an emissary or fewer destined for that particular pur- pose, namely, the urethra. This excretory canal is subjected to a variety in its conformation, found- ed on the diversity of the sexes, of which we will speak more amply when treating professedly of the sexual functions. § 489. In order to evacuate the bladder, it is necessary to overcome the contraction of its sphincter, by the exertion of its own detrusor (of which we for- merly spoke) (§ 486.), aided by the co-operation of the abdominal muscles, and those subservient to the process of respiration; to which, in males of the human species, we may add, lastly, the action of the musculi acceleratores, which forcibly ejaculate, per saltum, as it were, even the residuary drops of urine that may be occasionally lodged in the bulb of the urethra. § 490. 109 OF URINE. § 490. As to the nature of the urine itself, it is subject indeed, to an infinitude of varieties generated by the circumstances of age, and season, but, above all, by the longer or shorter term of time, subse- quent to the previous use of food and drink, the discharge of this fluid occurs; to which may be also added, the quality of the aliment previously used, &c. In general, however, when we exa- mine the urine which is discharged by a healthy human adult, immediately after sound and tran- quil sleep, we discover it to be a watery liquid, of a nidorous smell, and citron colour, containing in its aqueous medium, (as in a common vehicle) various elementary substances, especially earthy and saline, which bear different proportions to each other in different individuals, and even in the same individual at different times and under the influence of different circumstances. Of the terrene elements the most abundant is, in general, calcareous earth, which is not unfrequently sound in the urinary passages under the form of calculi, but which is, notwithstanding, extremely variable and inconstant in its quantity. Of all the saline matters, that most worthy of being mentioned, is the essential and native salt of urine—called also, microcosmic salt, fusible salt, &c. This saline sub- stance contains, in a greater proportion than any other 110 OF SEXUAL DISCRIMINATION. other part of the human body, the celebrated phosphoric acid chemically espoused to the volatile alkali. SECT. XXXIX. OF THE DISCRIMINATION OF THE SEXES IN GENERAL. § 491. THOSE functions of the human body, in the consideration of which we have been hi- therto engaged, are indeed possessed, and exercised in common, by the individuals of each sex: with respect to the mode, however, in which some of them are performed, there occur between the two sexes no inconsiderable degrees of difference. Of this difference, it may be proper briefly to enumerate the leading points, previously to our entrance on the consideration of what are denomi- nated the sexual functions. § 492. To speak, then, in general terms, each sex possesses and exhibits its own peculiar habit, which differs considerably from that of the other. In the 111 OF SEXUAL DISCRIMINATION. the human subject after birth, this difference of habit is distinctly observable; but during the ten- der fœtal state, is scarcely to be distinguished, unless by more close and pointed attention; neither indeed, in this state, can the external organs of generation themselves be discriminated, on a transient and superficial view, owing to the extraordinary magnitude and prominency of the female clitoris, and the very diminutive size of the male scrotum. § 493. During the period of infancy this difference of the general habit, depending on the diversity of sex, makes only a slight impression on the ob- server; but becomes gradually more and more obvious and striking till the full completion of the years of puberty, at which period, the general conformation of the female body, its tenderness, its softness, and the usual inferiority of its stature, contrasted with the athletic and robust body of the male, exhibit this general habitual difference in the most striking point of view. § 494. Similar to the difference that occurs between the external habits of body, that characterise the two sexes, is that which is observable in the bones them- 112 OF SEXUAL DISCRIMINATION. themselves. These solid portions (all other cir- cumstances being alike) are evidently much more smooth and round in females than in males; the cylindrical bones, in particular, are more slender and delicate, and the plane ones more attenuated or thin, in the former, than in the latter sex; not to mention the peculiar diversities of certain re- markable bones, particularly those of the thorax and pelvis, with the clavicles, the femora, &c. § 495. With respect to the soft parts of the body, we may observe in general, that in females, the cel- lular membrane is more lax, more pliable, and consequently more readily dilatable in the state of pregnancy: while the skin is more tender, fair and beautiful, in consequence of the immediate substratum of fat. The hair of the head is generally of a greater length in females than in males, while at the same time, certain other parts of the body which in the latter are rough and hairy, are in the former either perfectly smooth, as the chin and breast; less hairy, as the perineum; or planted with only a very tender and soft down, as the arms and legs. 4 § 496. 113 OF SEXUAL DISCRIMINATION. § 496. When speaking of the diversities of particular functions, we must not silently pretermit the pulse, which (other circumstances being alike) is more frequent in females than in males, (§ 109). In the former, the thorax is subjected to a greater degree of motion, (especially at its superior part,) than in the latter; the os hyoides is much smaller, the larynx is less capacious, and hence the voice more shrill. § 497. With regard to the animal functions, it is ne- cessary to observe in general, that in females the mobility of the nervous system is much greater than in males, the irritability is more exquisite; and the propensity to commotions of the mind, more prompt and spontaneous. § 498. As to the natural functions, the appetite for food is weaker in the female, than in the male sex; while, on the other hand, the increase of the body is more rapid in the former, and the state of puberty and mature growth attained at an earlier period. VOL. II. H § 499. 114 OF THE GENITAL FUNCTION § 499. But by far the greatest and most important distinction of the sexes is derived from the genital functions themselves, the male being furnished with a power of fœcundation, and the female with that of conception. A farther investigation of these powers shall engage the greater part of our atten- tion, throughout the remaining pages of this work. SECT. XL. OF THE GENITAL FUNCTION OF THE MALE SEX. § 500. THE genital liquor of the male is prepared by the testes, two bodies suspended in the scrotum by their spermatic cords, and (besides the lymphatic veins with which they abound in profusion), composed chiefly of three kinds of vessels. These are first, the spermatic artery, which in proportion to its slender diameter is said to be the longest of all the arteries belonging to the human body: 115 OF THE MALE SEX. body: it in general conveys the blood immedi- ately from the abdominal portion of the aorta itself, to the body of the testis. Secondly, the ductus deferens, which carries to the visiculæ seminales, the semen when once se- creted from the arterial blood. And, lastly, what is commonly denominated the pampiniform plexus of veins, the function of which is to receive and convey to the cava or emulgent vein, the blood that remains after the process of secretion is accomplished. § 501. The testes are not, from the time of their earliest formation, suspended in the scrotum, as represented in the above description: thus in the male fœtus, while yet in a very tender and imma- ture state, those glandular bodies occupy indeed a very different situation, the reason and successive changes of which were first accurately investigated and detailed by Haller, at Gottengen in the year 1749, but were afterwards explained by other writers on principles so different from each other, as to have given rise to various controversies of some weight and importance. Of the situation and changes of the testes in the fœtal state, I am prepared to lay before the reader a brief, though H2 compre- 116 OF THE GENITAL FUNCTION comprehensive account,—the spontaneous result of numerous observations made on nature herself, during a remarkable series of dissections of male embryo's, in which I engaged for the express purpose of shedding light on this subject so inte- resting to physiologists. § 502. On opening the lower abdominal region of an immature fœtus, we discover in each groin, near what is called the ring of the oblique muscles, a very narrow orifice in the membrane denominated peritoneum; this orifice is the threshold to a strait avenue or alley, as it were, that leads through the abdominal ring itself, and terminates afterwards in a peculiar bullous or bubble like sack: this sack extends without the abdominal cavity, looks towards the scrotum, is interwoven with cellular fibres, and destined for the future reception of the testis. § 503. At the very posterior margin of this small abdominal orifice, the peritoneum sends off an- other process, which mounts upwards, and in the tender fœtus represents, in the greater part of its course, a longitudinal fold: from the basis of this process a slender cylinder, or rather inverted cone ascends, and forms at its summit, which regards the 117 OF THE MALE SEX. the inferior margin of the kidney, a small blister or sack-like termination; in this sack the testis and epididymis are enclosed; so as to resemble, at first sight, a small berry resting on its footstalk, and appear, at the same time, to hang loosely into the abdominal cavity somewhat like the liver or spleen (§ 404). § 504. The vessels which are afterwards to constitute the spermatic cord, are, at this very early period, seen running behind the extremely tender and pellucid peritoneum, so that the spermatic artery and vein run in a descending direction along the sides of the spine, while the vas deferens bending somewhat inwardly towards the neck of the uri- nary bladder, stretches along the loose cellular membrane, which is situated behind the perito- neum, and both enter the body of the testis in that peritoneal plica or fold of which we have already spoken. § 505. From about the middle stage of pregnancy, the testes begin to sink downward by degrees, so as gradually to approach the narrow orifice of the peritoneum, which has been already mentioned. At the same time, the foregoing peritoneal fold, with its cylindrical attachment, are wrapped up H3 by 118 OF THE GENITAL FUNCTION by degrees, till the testis finally rests on the very mouth of the preceding canal. § 506. When in the fœtus, now advanced to a higher stage of maturity, the testis is fully prepared for a final descent, the orifice, hitherto so contracted or narrow, suffers such a remarkable dilatation, that the testis is at full liberty to enter with facility the opening that leads out of the abdomen as well as the ring by which this opening is surrounded, to pass onward through the whole length of the canal, and thus plunge headlong, as it were, into the blister-like sac of which we have already spo- ken. The testis having finally accomplished its descent, the peritoneal opening is soon after closed in the most complete manner, and even subjected in a short time to a perfect adhesion of its sides, so that in the stage of infancy, scarcely a wreck of it is left, to point the enquirer to the place of its former existence. § 507. The more gradual and slow the movement of the testis (while yet in the abdominal cavity) to- wards the orifice of its egression, the more sud- den and instantaneous appears to be its act of transition through the abdominal ring. For in the dissections of mature fœtuses, it is by no means uncom- 119 OF THE MALE SEX. uncommon to discover the testis either as yet in- cumbent on the peritoneal opening, or else statio- nary in the groin, after having recently passed the abdominal ring: but once only was I so fortunate as to have an opportunity of observing the right testicle of a twin-fœtus (of which a complete drawing has been given), at the very moment of its passage through the abdominal ring: the gland appeared to have been very tightly embraced and strangled, as it were, by the surrounding parts, and was apparently in complete readiness to emerge from the abdomen into its destined sack; a transition already accomplished by the left tes- ticle, that had just escaped from the ring, the ori- fice of which had again resumed its former imper- vious state. § 508. This remarkable descent of the testes along the groins, does not appear to be exclusively confined to any particular period of time: it occurs for the most part, however, about the last month of pregnancy: although these glandular bodies are not unfrequently found either in the abdominal cavity itself, or in the superior part of their in- guinal route, even in infants after birth. For the testicle, after its entire escape from the abdomen, has still a further stage of its journey to perform, namely, its final descent along the groin into the H4 scrotum, 120 OF THE GENITAL FUNCTION scrotum, in company with the small sac by which it is enveloped. § 509. That the foregoing is indeed a true account of the progressive movement of the testes in their descent from the abdomen into the scrotum, I have had sufficient opportunities of ascertaining from repeated observation. To develope the causes and energies by which this astonishing de- scent is accomplished, appears to be indeed attend- ed with difficulties of the utmost magnitude. For I am daily more and more convinced, that neither of those powers to which this descent has been hither- to ascribed (such, for example, as the action of the cremaster muscle, the action of the diaphragm, or the contractility alone of that cellular and tendi- nous intertexture, which adheres to the processes of the peritoneum, and is usually denominated gubernaculum Hunterii, &c.), is sufficient to ex- plain a movement of such extreme singularity, especially that part of it relating to the immediate transition of the testis through the narrow abdo- minal ring, to which the reader's attention has been so frequently solicited: while I am impressed, on the other hand, by a thorough conviction, that this whole process exhibits the most unequi- vocal and striking example of what we have de- nominated specific life, without the peculiar opera- tion 121 OF THE MALE SEX. tion and aid of which, it is scarcely possible to solve the several phenomena of a transition so ex- tremely singular in its nature, and so widely dissi- milar to all other movements and functions that occur in the whole animal economy. § 510. The involucra by which the testes are invested, after their final completion of the foregoing route, may be aptly enough divided into common and proper. The only involucrum common to both these glandular bodies is the scrotum. This is a sac, consisting of a tender portion of cutis expanded over a thin substratum of fat, and possessing a pe- culiarity that does not reside in any other part of the common integuments of the body, namely, a power of changing, in a very remarkable degree, its usual habit and appearance: thus, it sometimes depends loose and flaccid, and again (especially under the impression of the venereal œstrum, or in case of exposure to cold), becomes constricted and rigid, as it were, and is then particularly marked by furrows and diversified rugosities. § 511. Of those involucra which are proper to each testis, that placed immediately beneath and within the 122 OF THE GENITAL FUNCTION the scrotum, is called the tunica dartos: this coat possesses a very peculiar and vivid contractility, by which Winslow, Haller, and other celebrated cha- racters have been so far deceived, as to bestow on it the nature and energy of a muscle. § 512. This is succeeded (after a voluminous and soft stratum of cellular membrane), by three separate vaginal coverings, which were first accurately traced and distinguished by the ingenious and in- defatigable Neubauer. Of these vaginal coats, the exterior is common to the testicle and spermatic cord, and has the cre- master muscle attached to it by separate bundles of fibres. But the two interior are proper, one to the sper- matic cord, and the other to the testis itself; of these the latter adheres, for the most part, by its fundus to the common tunic, while its internal surface is moistened by a lubricant fluid, some- what after the manner of the pericardium. § 513. The origin of those vaginal tunics which has given rise to such a variety of controversies among physiologists, can, (if I be not greatly deceived), be 123 OF THE MALE SEX. be without difficulty ascertained, from what has been already said, when treating of the descent of the testes. Thus, the tunica communis, for example, origi- nates from the descending (§ 502.) blister-like sac or process of the peritoneum. The propria testis, from that production of the peritoneum, which mounting upward in the form of a cylinder (§ 503.), invests the testis itself from its earliest formation. And, finally, the propria funiculi, from that fold of the peritoneum, of which we have already spoken, and the short cylinder in which it termi- nates previously to its embracing the testis itself. § 514. Immediately to the testis itself the tunica albu- ginea is very closely attached, somewhat after the manner of a cortical covering. From this tunic, blood-vessels pass into the pulp or body of the testicle, which consists indeed entirely of innume- rable vessels, about a span in length, wound up into small conglomerate lobules: these vessels, of which the substance of the testicle is composed, are both sanguiferous and secreting, the latter of which 124 OF THE GENITAL FUNCTION which conduct the semen, when prepared, through the vascular net-work of Haller, and the vasa defferentia of Graaf, into the beginnings of those cones that form the epididymis. § 515. That body which ranges along the side of the testis, namely, the epididymis, consists indeed of a single vessel, about thirty feet in length, which at one end (that for instance denominated its head), is distinguished into about twenty small rolls or cones, and at its other (inferior) extremity, called therefore its tail, increases gradually in thickness, and thus forms by its continuation the vas de- ferens. § 516. The two vasa deferentia ascending towards the neck of the urinary bladder, and forming a junc- tion beneath, or near to, the prostate gland, are from hence bent backward, and expanded into the vesiculæ seminales; in such a manner, how- ever, that these vesiculæ, and the vasa deferentia themselves, open by two common orifices into the urethra, just behind the caput gallinaginis. § 517. Finally, the vesiculæ seminales themselves, are attached to the posterior surface of the urinary cyst, 125 OF THE MALE SEX. cyst, near to the inferior extremity, or neck, of that organ: they are imbedded in a profuse quan- tity of fat, and from their diversified flexuosities and numerous blind appendiculæ that shoot oft somewhat in the form of ramifications, resemble, in their general appearance, two small intestines. These vesiculæ consist of two coats, almost of the same kind with those that enter, as formerly mentioned, into the composition of the gall blad- der; thus, the first or external coat is more ro- bust, and similar in its nature to such as are com- monly denominated nervous; while the second or internal abounds with minute cells and pits, and is every where divided, by means of projecting eminences, into minute purse-like cavities, per- fectly similar to those that are so conspicuous about the neck of the gall-bladder. § 518. In those organs and vessels hitherto enume- rated and described, there is, even from the ear- liest years of puberty, a certain fluid secreted slowly, and retained in small quantity, namely, the semen masculinum; a liquor extremely singular in its nature, and of the utmost dignity and im- portance in the animal economy: it exhibits to the eye a milky colour, emits an odour entirely peculiar, possesses a mucoid viscosity, and is of such 126 OF THE GENITAL FUNCTION such remarkable specific gravity, as to surpass, in this respect, all other secreted humours belonging to the animal body. § 519. A peculiarity of this fluid, which must not be passed over in silence, is, (as was first observed by Lud. Ham at Dantzic, in the year 1677), that it is peopled by a countless multitude of microscopic animalculæ, belonging to the same order with those called infusoria, and possessing different figures, as they appear in the seminal fluids of dif- ferent animals. In man (and also in the male ass) the seminal animalcules exhibit oval figures, furnished with tails of extreme minuteness: these animalcules are said not to be found in any, save found and prolific semen, so that they appear to constitute a certain adventitious criterion of the fertilizing maturity of this important fluid: we have called the criterion derived from these ani- malcules adventitious, and presume it is scarcely necessary, at this enlightened period, to repeat, that they should not be accounted the reservoirs of the secundating principle, much less should they be considered as the germs of future homunculi, since so many, and such weighty arguments and observations have been lately advanced in sup- port of a different doctrine. § 520. 127 OF THE MALE SEX. § 520. This genital liquid being gradually collected in the vesiculæ, which we have already described, is there retained till a future act of excretion. By such retention it suffers changes very nearly re- sembling those to which the bile is subjected in consequence of a state of stagnancy in its cystic reservoir; thus, being gradually robbed of its aqueous portion, it is more and more inspissated and approximated, as it were, towards a state of concentration. § 521. For as the testes generally, together with the cords by which they are suspended, abound with an astonishing assemblage of lymphatic vessels, which serve to re-convey from thence to the blood a portion of fluid, impregnated with the spermatic contagion, and by this means aid and facilitate the further secretion of semen, on the principle, and in the manner formerly laid down (§ 476.), so are the vesiculæ seminales themselves also provided with vessels of the same kind, which by absorbing the subtle, though inert water, ren- der the residue of the seminal fluid more active and efficacious. § 522. 128 OF THE GENITAL FUNCTION § 522. On this subject I doubt much whether or not, in a healthy man, any genuine semen be ever ab- sorbed from the vesiculæ seminales:—more still, whether or not, as is sometimes alleged, semen thus absorbed could be carried immediately into the neighbouring sanguiferous veins:—but most of all, whether or not such a seminal absorption (admitting its real existence) could possibly act as an antidote against excessive venereal propensities, since it appears evidently, on the other hand, that this same absorption would necessarily operate as an exciting cause of unbridled and almost infuriate lust: in quest of testimony to establish the truth of this latter proposition, we need only attend to the phenomena of such animals as experience the ve- nereal propensity only at stated seasons of the year, and compare them with the constitution of those that have been reduced to the state of cas- tration. § 523. To me indeed it appears probable, that, for the purpose of moderating libidinous desires, man is endowed with a far different prerogative (not conferred on any other species of animals with which we are hitherto acquainted), namely, that of nocturnal pollutions: these evacuations I there- fore consider among the natural excretions of man I —evacua- 129 OF THE MALE SEX. —evacuations by which (as they occur at longer or shorter intervals, according to the varieties of temperament and constitution), he is relieved from a troublesome and otherwise urgent impression produced by an abundant accumulation of semen. § 524. It must be observed, however, that the semen masculinum is never excreted in a state of entire purity, but is always blended with more or less of what is usually denominated liquor prostatæ (i. e. the liquor of the prostate). With regard to the external habit and appearance of this last men- tioned liquid, it bears a very striking similitude to the albumen or white of eggs. This peculiar liquor derives its name from its immediate birth- place or source, which is a body of considerable magnitude, and of a singular and very compact parenchymatous texture, situated between the ve- siculæ seminales and the bulb of the urethra, and is usually designated by the name of glandula pro- stata. The excretory avenues of this liquor have not yet been satisfactorily investigated and ascer- tained, unless (as appears probable) they commu- nicate with the duct of the caruncula seminalis, the orifice of which opens into the urethra be- tween the two mouths of the avenues leading from those minute vesicles destined for the recep- VOL. II. I tion 130 OF THE GENITAL FUNCTION tion and temporary retention of the fertilizing semen, (§ 516). § 525. The urethra in man is destined as a common conduit or emissary duct, to three different kinds of fluids, namely, the urine, the semen, and the liquor of the prostate gland. It is lined internally with a mucus which originates from an immense number of sinuses, that are every where dispersed throughout its canal. It is surrounded by a sub- stance of a spongy texture, to which are subjoined two other bodies, similar in structure but far supe- rior in size, (called corpora cavernosa), that con- stitute the principal part of the male penis; an organ which is terminated anteriorly by the glans, and wholly invested by a very tender and pliable portion of skin entirely destitute of all appearance of fat. This skin forms the prepuce by its at- tachment round the corona, or circular base of the glans, and plays over this body with a free motion, somewhat like the palpebræ over the ball of the eye. The interior duplicature of the prepuce, having assumed a different appearance, is reflected over the glans itself, (somewhat like the adnata over the eye) and is furnished around the corona, with an immense number of the small glands of Littrius, (analogous to the Meibomian glands of the 131 OF THE MALE SEX. the palpebræ) that give birth to a matter of an unctuous but very singular nature. § 526. The male penis, thus organised and constructed agreeably to the preceding description, possesses a faculty of erection, i. e. in consequence of an encreased congestion and impetuous effusion (for congestion alone will not explain the phenomenon) of blood into the corpora cavernosa, the penis swells, becomes rigid, and changes its former position, but suffers again a detumescence and collapse by a reabsorption of the superfluous por- tion of this distending fluid. § 527. When the penis resumes its flaccid condition, it suffers a singularly circuitous flexion, at the place where it originates from the neck of the bladder. In this state it is, indeed, extremely well calculated for the excretion of real urine, but quite unqualified for the emission of semen, as the beginning of the urethra forms now a more acute angle with the small orifices of the vesiculæ semi- nales. § 528. When a gradual intumescence of the penis com- mences, there occurs first an effusion of the liquor I2 furnished 132 OF THE GENITAL FUNCTION, &c. furnished by the prostate gland, which is often- times eliminated unmixed, but scarely ever along with the urine. Of this liquor the primary desti- nation is, to be ejected, in conjunction with the seminal fluid itself; either, that it may, by its albuminoid lubricity, qualify the sluggish tenacity of the latter fluid, and thus facilitate and promote its ejection; or that it may itself contribute, in a certain degree, towards the process of generation. § 529. The emission itself of the male semen is excited as well by the immediate impression arising from an abundant accumulation of this fluid in its ap- propriated receptacles, as by the genuine sexual instinct; it is accomplished, first, by a very strong erection of the penis, which, while it obstructs the passage of the urine, paves as it were, on the other hand, a more direct and ready way for the transition of the semen; to which we may subjoin, as co-operating causes, a certain spasmodic con- traction of the vesiculæ seminales, a convulsive action of the levator ani, and acceleratores urinæ, and finally, a general succession, of the whole ner- vous system, gentle indeed in degree, and transient in existence, but yet of an epileptic nature, and considerably depressing, in its effects, on the ener- gies of the system. SECT. 133 OF THE GENITAL FUNCTION, &c. SECT. XLI. OF THE GENITAL FUNCTION OF THE FEMALE SEX IN GENERAL. § 530. AS the male organs of generation are naturally calculated to give, so are the female to receive, and in the two sexes these organs are, in a general point of view, widely different from each other. It must be observed, however, that in the general structure of certain parts, these two kinds of organs exhibit no small degree of reci- procal similitude. Thus beneath the pubes (the structure of which has been already a subject of transient attention (§ 36.) the clitoris which lies concealed in the superior commissure of the labia, resembles the male penis in more respects than one, but is not furnished with a urethra, is there- fore imperforate, and, (when not of a preter- natural proportion,) is remarkably small. It is said, however, that this organ preserves, occasion- ally, even in adults, the same proportional size, which, as formerly observed, is so extremely conspicuous in the clitoris of the female embryo, (§ 492.) Hence appears, in all probability, to have originated most of those obscene and fabulous I3 stories, 134 OF THE GENITAL FUNCTION stories, respecting the existence of hermaphrodites. This organ consists also, like the male penis, of corpora cavernosa, like it, is capable of erection, like it, is invested by a prepuce, and furnishes, finally, an unctuous matter not dissimilar to that of Littrius, (§ 525). § 531. From the clitoris descend the nymphæ, acquiring, also, occasionally, an enormous and preternatural magnitude, (which excess has, in like manner, not unfrequently given rise to extraordinary and fabu- lous reports): they possess, in common with the clitoris the most exquisite degree of sensibility; and appear to give direction to the stream of urine when discharged, as the orifice of the urethra, (a tube extremely short in the female sex, and, in the most highly finished and perfect examples, ciliated or fringed in a very singular manner), lies hid, as it were, in a fossa formed by their two bases. § 532. Beneath this orifice is situated the opening of the vagina itself, environed by cryptæ of various kinds, such, for example, as the urethral lacunæ of Graaf, and the mouths of what are improperly and even absurdly termed, the prostate glands of Casp. Bartholin, &c. with the unguen-like mucus of 135 OF THE FEMALE SEX. of which, these obscene parts are moistened and lubricated. § 533. Over the very threshold or entrance of the vagina is expanded a weblike production denomi- nated the hymen. This is a membrane, the exis- tence of which in an unlacerated condition, is considered as a sure badge of spotless virginity— a membrane bestowed exclusively on the female of the human species, and of which no physical destination has been yet unequivocally ascertained. The fringes or residual fragments of this mem- brane, after laceration, are gradually converted into what are denominated carunculæ myrtiformes, bodies quite indefinite in point of number. § 534. From the immediate seat of these minute myrti- form bodies ascends, between the urinary cyst and intestinum rectum, the vagina, a tube composed of a cellular parenchyma, interspersed with an infinitude of small blood-vessels. At its inferior extremity the vagina is encircled by a muscle denominated constrictor cunni; more internally it is lined by a very soft and delicate coat, which is characterised by two extremely elegant columns of rugæ or wrinkles, namely, the anterior and poste- I4 rior; 136 OF THE GENITAL FUNCTION rior; from these columns a fine mucus is con- stantly discharged, destined to lubricate the cavity of this highly important canal. § 535. The vagina, at its upper and interior end, re- ceives and embraces, finally, the uterus, an organ attached on each side to, and thus suspended by, the ligamenta lata. The cylindrical neck of this organ being thus embraced, as it were, by the vagina, is perforated by a narrow canal, which, like that of the vagina, is impressed by a singular apparatus or arrange- ment of rugosities, designated by the name of arbor vitæ: of this canal the two extreme orifices, more especially the superior or internal, are over- spread, for the most part, with a quantity of tena- cious mucus. § 536. The substance of the uterus is altogether sin- gular in its nature, consisting of a peculiar paren- chyma, very dense and compact, and interwoven with an infinitude of blood-vessels (running in serpentine mazes of astonishing intricacy) of which, the veins are wholly destitute of valves. This organ is doubtless furnished, in like manner, with an apparatus of lymphatic vessels: it abounds with 137 OF THE FEMALE SEX. with a countless number of nerves, through the medium of which, it preserves such an astonishing sympathy with the other parts of the system. § 537. Externally the uterus is invested by the perito- neum, while its minute internal cavity is lined, especially at its fundus, by a very soft and tender membrane, of a spongy texture, which, as some physiologists allege, consists of colourless vessels, while others pronounce it to be composed of lym- phatic absorbents. § 538. With regard to the muscular texture attributed to this organ by some physiologists, and strenu- ously denied again by others, I must take the liberty of observing, that notwithstanding the number of uteri which I have examined with the utmost care and attention, both in an impregnated and an unimpregnated state, (in each of which I have had repeated opportunities of examining this organ, not only in a prepared condition, but also in subjects recently dead), I have never yet been able to detect, in them, any portion that exhibited obvious and unequivocal signs of muscularity. On the other hand, I am daily more and more per- suaded, that the uterus, possessing no muscular fibres, is destitute also of true irritability (§ 307), and 138 OF THE GENITAL FUNCTION and owes entirely to a vita propria, or specific life (§ 47.), all its peculiar motions and functions, which cannot, indeed, with the smallest semblance of propriety, be derived from any of those ener- gies that are common to what we formerly term- ed the partes similares, or similar parts of the body (§ 43, 46). So very singular and unac- countable did the motions and functions of the uterus appear to the physicians and philosophers of ancient times, that they were led to consider this organ as a smaller animal contained within a larger. § 539. From the angles on each side of the lacunar, or fundus uteri, arise what are called the Fallopian tubes. These are two very narrow and tortuous canals, that run in the superior duplicature of the ligamenta lata: they are similar in texture to the vagina itself, except, that being internally destitute of valves, they are lined with a kind of spongy flesh, of a very soft and tender consistence. § 540. The extreme orifices of these tubes, that regard the abdominal cavity, besides being much more capacious than those which open into the uterus, are also edged round by fringe or finger-like fim- briæ, of a truly singular and elegant structure. The 139 OF THE FEMALE SEX. The offices which these fimbriæ are destined to perform, in the business of conception, appear to be indeed of no small degree of importance; thus being rendered, during the venereal orgasm, equally turgid with the tubes themselves, they evidently embrace, in this state, the ovaria that are situated in some measure beneath them. § 541. The ovaria themselves, or the female testes, as they were called previously to the time of Steno, besides a tenacious and somewhat tendon-like in- volucrum, consist also of a dense and decussating cellular membrane, which incloses in each ova- rium about fifteen of those minute bodies denomi- nated the ovula, or little eggs of Graaf: these ovula contain each a small vesicle, or rather drop of serum, faintly yellowish in its colour, and of an albuminous nature, which, if the recent ovarium be immersed in boiling water, is reduced, like the genuine white of eggs, to a state of complete co- agulation. § 542. An albuminoid drop of this kind appears to be indeed the principal fluid which the female con- tributes towards the process of conception; for it appears extremely probable, that, throughout the progressive course of what are termed the prime or 140 OF THE GENITAL FUNCTION, &c. or better years of life, these small drops arrive at complete maturity in gradual succession, so that each one, in its turn, looks as it were through the involucrum, by which the ovarium is enveloped, till it is able finally to burst the parietes of its prison, and thus be received by the abdominal orifice of the Fallopian tube. § 543. But besides this minute albuminous drop that thus bursts from the volume of the ovarium, it appears that there occurs also, during the vene- real œstrum, an effusion of another liquor, which ancient physiologists very improperly and errone- ously denominated the female semen. Respecting the nature, however, the sources, and the univer- sal presence of this humour, we are able to pro- pose nothing more determinate or satisfactory than we can advance with regard to its destination and uses. SECT. 141 OF MENSTRUATION. SECT. XLII. OF MENSTRUATION. § 544. A VERY frequent and highly import- ant function of the uterus in the female of the hu- man species is, to discharge monthly a tributary effusion (called therefore catamenia), during the tedious and momentous term of about thirty years. This is a painful condition of existence, to which nature has not subjected any other genus of her subjects, throughout the wide and diversified range of the whole animal kingdom; so that to use the words of the eloquent Pliny "the only menstruous "animal in nature is woman." From this con- dition, on the other hand, painful as it is, nature has not exempted the females of any of the known nations of the globe, but has stamped it with the sacred character of an essential requisite—of a genuine sine qua non, in rendering the female sex competent to the propagation of their species. § 545. The commencement of this singular function generally takes place, in our climate, about the fifteenth year of life, and is, for the most part, preceded by various and unequivocal symptoms of 142 OF MENSTRUATION. of plethora, such as congestion and anxiety about the breast, sense of tension and weight in the lum- bar region, lassitude or weariness of the limbs, &c. On the first appearance of the catamenia, the ge- nital organs, in the beginning of the attack, usu- ally discharge a humour of a pale reddish cast; this is gradually succeeded by a liquid of a more intensely florid and sanguineous colour, which terminates, at length, in an effusion of genuine cruor or red blood. This spontaneous, though gentle discharge of blood, is kept up for the term of several days, and is, in the mean time, accompanied by a gradual cessation of all those distressing symptoms of which we have just exhi- bited a partial detail. § 546. From the time of its first occurrence, this con- stitutional hemorrhagy (as it may, with sufficient propriety, be denominated) becomes regularly pe- riodical: thus its future paroxysms return uni- formly about the expiration of every fourth week, and at each recurrence, the evacuation continues, at a mean calculation, about six days; during which term, a healthy female is supposed to dis- charge from eight ounces to an entire pound of blood. § 547. 143 OF MENSTRUATION. § 547. It is proper, however, to observe, that this func- tion is subject, for the most part, to an entire in- termission, during the state of female pregnancy, and the term of maternal lactation. The final cessation of the catamenia occurs after their discharge has continued, at stated periods, about the space of thirty years, which term of time is completed, in our climate, about the 45th year of life. § 548. The sources of the catamenial discharge have been referred by some to the vessels of the vagina, and by others (with superior weight of evidence on their side) to those of the uterus: for with regard to those examples commonly adduced in support of the former opinion, where women, although pregnant, possessing an imperforated uterus, or distressed by a prolapsus of that organ in an inverted state, have notwithstanding men- struated with uniform regularity, they tend to prove nothing else than the powerful efforts of the vis medicatrix naturæ, which in cases where the main street is obstructed, is (to adopt a vulgar mode of expression) fortunately acquainted with the routes through lanes and alleys. There are on record, on the other hand, numerous dissections of 144 OF MENSTRUATION. of females who died during the term of actual menstruation, from which it was unequivocally ascertained, that the catamenial discharge had been wept out of, or discharged in a stillicidious manner from, the uterine cavity of these subjects: not to mention the arguments drawn a priori (as metaphysicians express themselves), from which it appears highly probable, that the end and desti- nation of the menses are, to prepare the uterus for a state of future pregnancy, and render it more fit for the regular nutrition of the fœtus. For the very same reasons also this hemorrhagy ap- pears to be attributed, with more propriety, to the arterial than to the venous vessels of the uterus. § 549. With regard to the causes of this periodical and perennial hemorrhagy, they are shrouded by so thick a curtain of obscurity, and their investigation is attended with such momentous difficulties, that in the prosecution of this subject, we have not a sufficient power of evidence to conduct us over the arduous mound which divides the twilight- region of probability from the more luminous realm of demonstration, and certainty. The proximate cause physiologists suppose to be a certain topical congestion or plethora, to which 2 opinion, 145 OF MENSTRUATION. opinion, indeed, the symptoms of the impending catamenia, together with the profusion and nature of the uterine blood-vessels fitly enough correspond, and in favour of the truth of which they exhibit a degree of testimony sufficiently respectable. Among its remote causes it will be proper to enumerate, the erect position of the body (a posi- tion that serves as a characteristic distinction be- tween the human species and most other descrip- tions of animals); to which we must add, the singular parenchyma of the uterus itself, and, finally, the vita propria or specific life of that important organ. With regard to the cause of the periodical re- currence of the catamenia, it will here be better, much better to acknowledge our ignorance, than to indulge ourselves in vague and visionary con- jectures, and sportively range through the fair but fallacious fields of mere speculative hypothesis. For I am, indeed, persuaded, that all those peri- odical phenomena which occur in the animal body, whether in health or disease, (provided their in- terval extend beyond the term of 24 hours) must be ranked with those latent mysteries of animal nature, which nothing but time, talents, and in- dustry, will be ever able to develope. VOL. II. K SECT. 146 OF THE MILK. SECT. XLIII. OF THE MILK. § 55O. BETWEEN the female mammæ and uterus (the former of which were, by the philo- sopher Favorinus in his communications to Gelllius, elegantly and emphatically denominated, the sa- cred fountains that nourish the human race, there exists such an extremely potent sympathetic con- nection, that these two organs may be said to be indissolubly associated, or to accompany each other hand in hand, in their phenomena and functions. Thus, during the tender period of infancy, so great is their imbecility and want of action, that they are capable of performing scarcely any func- tion at all: as the years of puberty advance, they begin, at the same time, to acquire vigour and activity, so that on the first eruption of the catamenia, a swelling of the mammæ or breasts becomes also evident to the senses. Throughout the subsequent periods of life those two organs are either subjected to simultaneous and similar changes, as when the breasts become turgid and discharge milk during the progress of pregnancy; or experience alternate and opposite affections, instances 147 OF THE MILK. instances of which we have in the suspension of the catamenia during the term of lactation, a more copious effusion of the lochia when the secretion of milk does not commence at the usual period, &c. And, lastly, on the unwelcome accession of old age, both the preceding functions fail at the same time, so that when the catamenia finally retreat, never again to return, the uterus and mammæ become equally flaccid, inert and wholly incapable of their former action. A great variety of pathological phenomena, easily observable in cases of irregular menstruation, in fluor albus, and other similar affections, shall be in silence preter- mitted, although they furnish the most potent and unequivocal testimony in confirmation of the sympathy now under consideration, namely, that which exists between the uterus and mammæ. § 551. Nor will this intimate sympathetic connection, which subsists between the uterus and mammæ, appear in any measure extraordinary or surprising, when we consider, that all those diversified sources of physiological consent, particularly enumerated on a former occasion (§ 54), jointly co-operate in the establishment of such connection between these organs of the female thorax and abdomen. K2 § 552. 148 OF THE MILK. § 552. The anastomosis observable between the internal mammary and epigastric arteries, was formerly esteemed a circumstance of the highest importance in the explication of the foregoing consent. Al- though physiologists have hitherto attributed by far too much to this remarkable anastomosis, yet that it ought not to be entirely excepted from the number of co-operating causes will appear ex- tremely probable to any one who considers the obvious and wide difference which exists between the diameter of the epigastric artery in a state of pregnancy, and that of the same vessel during the period of lactation. § 553. The two preceding organs, namely, the uterus and mammæ, possess also, in common with each other, this further property, that they both retain and exhibit a friendly affinity or attraction for the chyle, by which means they solicit that fluid to themselves, especially during the term of preg- nancy, and thus convert it to peculiar uses. § 554. The female mammæ consists of a placentoid con- geries of small conglomerate glands, distinguished by numerous sulci into lobes of considerable mag- nitude, and completely embedded in a mass of adipose 149 OF THE MILK. adipose substance. On the anterior part, in particu- lar, a protuberance is formed by a more firm seba- cious cushion, which is covered and protected by a cutis of a very tender and delicate texture. § 555. Each one of these lobes is composed of a num- ber of inferior lobuli, and these again of what are denominated acini or kernels, in which the incipi- ent radicles of the lactiferous ducts originate, and from the extreme ramuli or branches of the in- ternal mammary artery extract a chyliform fluid, which they are particularly destined to convey. § 556. The fine filiform radicles uniting successively in their onward passage, terminate finally in lead- ing trunks, corresponding in number to the prin- cipal lobes; so that they generally amount, in each mamma, to about fifteen or perhaps a few more. These trunks are frequently dilated into more spacious sinuses, but never appear to be con- nected by genuine anastomoses. § 557. These trunks terminate in excretory canals of exquisite delicacy and tenderness, which, bein collected and closely approximated towards the centre of the mamma, form, by the co-opera K3 150 OF THE MILK. of cellular membrane, the papilla or nipple. This projecting papilla being interspersed and minutely pervaded by an infinitude of blood-vessels and nerves of extreme fineness and subtlety, is subject to a very singular species of erection on the acces- sion of certain external stimuli. § 558. The nipple is surrounded by an areola or small circle, which is conspicuous, as well as the pa- pilla itself, on account of the singular colour of the reticulum mucosum expanded immediately be- neath the epidermis or cuticle. This areola is further distinguished by small sebaceous follicles, and likewise by a few minute lactiferous ducts with which it is in some instances pervaded. § 559. The human milk which is secreted in the glan- dular organs hitherto described, is a fluid of a well known colour, somewhat watery, and con- taining also a small portion of oil: this liquid is sweetish to the taste, extremely mild, and resem- bles, in its general properties, the milk of do- mestic animals belonging to the class mammalia, except that it is not, like the latter, subject to co- agulation from the action of acids, nor does it ex- hibit, to the most attentive observation, the slight- est vestige of volatile alkali. § 560. 151 OF THE MILK. § 560. When coagulated, however, by the influence of spirits of wine, it exhibits the same component elements of which the milk of those other animals already mentioned is known to consist. For be- sides the watery halitus which human milk emits when recently drawn, and yet in a tepid state, its serum, separating from the caseous or cheezy por- tion, contains also the sugar of milk, which is composed of the saccharine acid united to a calca- reous earth, together with certain additional parts oily and mucaginous in their natures. Lastly, it contains also a cream or butter-like portion, the globules of which are extremely various and changeable in their magnitudes, thus vibrating in their diameters from the tooth to the tooth part of a line. § 561. The analogy which is observed to exist between chyle and blood, and between each of these liquids and milk itself, renders it sufficiently pro- bable, that this last humour, (which constitutes at present the more immediate object of our con- sideration), is a species of chyle renovated from the volume of blood, or rather separated from this crimson fluid (with which it had just formed a junction) previously to its final and complete assi- milation. This opinion, besides other arguments K4 which 152 OF THE MILK. which might be advanced in its favour, derives powerful testimony from the specific tastes of seve- ral kinds of aliment being not unfrequently per- ceptible in the milk of nurses; and also from the chyle-like habit and constitution of that watery milk, which not unfrequently exudes from the breasts of females during the term of pregnancy, and for a short time after the period of parturition. § 562. The reason why, during the progressive con- tinuance of lactation, this bland food of the fœtus becomes gradually more and more inspis- sated, rich and oily, must be referred chiefly to the lymphatic veins, with which the mammæ plentifully abound: Thus the more profuse the afflux of milk, and the greater length of time this afflux has continued, with the more power and uniformity do these lymphatics absorb its serous parts, and convey them back to the mass of cir- culating blood, by which means they furnish the most effective aid to the whole process of this se- cretion (§ 476). § 563. During the first days after parturition, a very profuse secretion of milk occurs, and (provided the mother lactates, i. e. suckles her child) is pro- moted and kept up by the suction of the infant itself, 153 OF THE MILK. itself, until the catamenia return, which had for a long time ceased to flow (§ 547). The exist- ence of milk in the breasts of virgins truly invio- late, in the breasts of new-born infants of each sex, and even in the breasts of men themselves, as well as in those of other male animals belong- ing to the class mammalia, is a phenomenon which not unfrequently presents itself to our observation. § 564. A profuse quantity or accumulation of milk in the breasts effectually solicits its own final excre- tion, whence a spontaneous discharge of that fluid is observed frequently to occur; this discharge is further promoted by the external pressure of the mammæ, as well as by the suction of the tender infant. SECT. 154 OF CONCEPTION SECT. XLIV. OF CONCEPTION AND PREGNANCY. § 565. HAVING hitherto considered the structure of the genital organs peculiarly belong- ing to each sex, we come now to treat of those functions or processes which constitute the imme- diate end and destination of these organs, namely, conception and the propagation of the human race. In the order and progress of our enquiries into these abstruse and interesting subjects, we will first give a plain and simple narrative of the several phenomena observable in this admirable and truly divine process; and then attempt an investigation of the energies from which these phenomena appear to originate. § 566. It is, in the first place, necessary to observe, that the subjects of the human race have not, like most other animals (all those, if I be not deceived, belonging to the class mammalia, man alone ex- cepted), any peculiar season of the year in which they are unusually prone to venereal enjoyments, but 155 AND PREGNANCY. but are equally liable to experience, at every pe- riod and under every varying temperature, the gentle glow of love's diffusive fires. § 567. When therefore, the female of the human spe- cies admits the embraces of the male, and while they are thus mutually enwrapt in the ardour of that animal instinct which far surpasses every other both in the universality and the potency of its sway, the uterus (if we be not greatly deceived) being rendered turgid by a species of inflammatory or- gasm, and animated at the same time by its own specific life, (§ 538.) drinks in, as it were, the seminal fluid emitted by the male, and effects a synchronous discharge of that which is proper to itself (§ 543); the fallopian tubes become at the same time rigid, and with their fimbricated extre- mities embrace the adjacent ovaria: in one or the other of these ovaria one of the vesiculæ Graaffianæ is lacerated or burst, somewhat after the manner of an abscess advanced to a state of complete ma- turity, and the albuminoid liquid which this rup- tured vesicula contained, being absorbed by the orifice of the embracing tube, is thus conveyed onward into the cavity of the uterus. § 568. 156 OF CONCEPTION § 568. This liquid being discharged from the ovary, the external lips of the small and recent wound through which it was emitted, are again united by a fine cicatrix, while the remaining delicate vascular membrane in which the liquid had been enclosed, constitutes what is called corpus luteum. This body appears to be at first hollow and filled with a quantity of plastic lymph, that in process of time is converted into a fleshy nucleus, invested by a firm cortex or membrane, which is inter- spersed by a variety of minute, yet remarkable blood-vessels. § 569. The uterus being thus impregnated, the canal leading through the cervex or neck of that organ, especially towards its superior or internal orifice, (§ 535.) is completely obstructed, in such a man- ner, that according to the common course of nature there is no room left for superfœtation. § 570. The internal superfices of the uterus appears to be invested with a slight inflammatory crust of plastic or coagulable lymph, (§ 19.) which forms the membrana caduca, (called also membrana de- cidua), of Hunter. This 157 AND PREGNANCY. This membrane-like crust physiologists distin- guish into two laminæ or layers; one of which, denominated lamina crassa, invests the whole internal cavity of the uterus, except the imme- diate openings into the fallopian tubes, and the internal orifice of the cervical canal; while the other is the growth of a later period, and appears to be generated in the following manner, viz. after the formation of the ovulum is fairly com- menced, and this minute body begins to strike its roots into the decidua, already mentioned, this second lamina begins gradually to expand, and is thus continued from the place where those minute roots begin to pullulate, over the remaining superficies of the ovum, whence it has been distinguished by the name of caduca reflexa. § 571. Although the ovulum be formed itself at an earlier period than the embryo which it is destined to contain, yet the real organization of the former seldom commences earlier than the termination of the first week after conception. For I very much doubt, whether or not, at an earlier period than this, any unequivocal vestige of an organised body has been ever observed in the impregnated uterus of the human subject. § 572. 158 OF CONCEPTION. § 572. This ovulum, or little egg, is composed of two proper membranes, besides that external adven- titious covering, which it derives from the caduca of Hunter. The proper membranes are, first, an external one, apparently destitute of blood-vessels, which forms the chorion of modern writers. From the earliest origin of this membrane a great part of its external superficies is beautifully set with knot-like flocculi or minute piles of inconceivable elegance, from whence it has been called, chorion muscosum seu frondosum, i. e. the moss-like, or leaf-like, chorion. By means of those delicate piles, which constitute the rudiments of the fœtal part of the future placenta, the ovulum is inserted (as if by roots) into the decidua uterina. (§ 569.) The other membrane, lying interiorly, is deno- minated the amnion, which is also destitute of blood-vessels, (§ 5.) it is indeed delicate and ten- der, but yet of remarkable tenacity and strength. § 573. For a few weeks after the first formation of the ovulum, its two proper membranes differ very widely from each other in point of size, the chorion exhibiting the appearance of a larger bladder, 159 AND PREGNANCY. bladder, to the inside of which the amnion adheres under the form of a smaller one, and is attached in particular to that part which is opposite to the centre of the external floccose superficies of the chorion. The interstice which then exists between the chorion and amnion is filled with a very subtle chrystaline water, of doubtful origin, and transient continuance. For when the amnion begins, during the first months after conception, to increase with greater rapidity than the chorion, and to gain on the latter membrane in point of magnitude, this chrys- taline liquor must necessarily undergo a synchro- nous, and perfectly correspondent, diminution. § 574. The internal membrane of the ovum, from the earliest period of its formation (§ 570), till the final close of parturition itself, is constantly filled with a fluid, denominated by physiologists, liquor amnii. This liquid is aqueous, and of a pale yellowish colour; it emits scarcely any odour, and is to the taste bland, with a slight saline impreg- nation hardly perceptible; physiologists generally suppose it to be a source of nourishment, and compare it to the white of an egg, from which it notwithstanding, 160 OF CONCEPTION notwithstanding, differs in a very obvious and essential manner, as may be easily demonstrated by an attentive experimental investigation. The sources of this fluid are as yet doubtful: It is certainly, however, neither derived from the fœtus nor the umbilical cord, as it is not unfre- quently found in abortive ovula, which contain neither of these bodies. The quantity of this fluid is in an inverse pro- portion to the bulk of the fœtus. Thus the smaller and more tender the embryo, the more profuse is the volume of liquor amnii, and vice versa. Hence we are at liberty to hazard a conjecture respecting the primary use of this liquor, which appears to be subservient, not so much to the nutrition, as to the protection and defence of the minute body of the tender embryo, as yet in a gelatinous state, and, therefore, wholly unable to bear the violence of external injuries. With respect to that small portion of the liquor amnii, which has been sometimes (though so rarely as to deserve to be esteemed a preternatural occurrence) found in the stomach of the fœtus, it cannot possibly be destined for the purpose of its nutrition, as will be obvious to any one who considers how 2 extremely 161 AND PREGNANCY. extremely inert and empty the chyliferous system of even a more mature fœtus appears, how unfit for, and even how averse from, the arduous and important process of chylification. To the forego- ing circumstances we might (if necessary) subjoin various examples of fœtuses destitute of heads, with diverse other arguments of a similar nature, and tending to the establishment of a similar result. § 575. The embryo itself, which (suspended by the umbilical cord, as fruit appended to its foot-stalk), floats in this liquor, begins to be formed about the third week after conception: it appears first under the very simple globe-like figure of a small bean or kidney, to which the rudiments of the extremities are gradually subjoined, the symmetry and specific form farther completed, &c. § 576. According to the usual course of nature, the female of the human species is uniparous, and con- ceives only one fœtus at a time. She not unfre- quently, however, bears twins, the proportion of which to solitary births is, according to the calcu- lations of Suffmilch, as one to seven. In a case of twins each fœtus has its own amnion, but they are both enveloped in a common chorion. VOL. II. L That 162 OF CONCEPTION § 577. That medium, by the aid of which a recipro- cal intercourse is preserved between the embryo and mother, are the umbilical cord, and the pla- centa through which this cord is minutely dis- tributed. § 578. The umbilical cord, which appears to be co- eval with the embryo itself, is indeed very strik- ingly diversified, not only in point of length and thickness, but also with respect to the place of its insertion into the placenta, its varicose protu- berances, &c. In general, however, it is formed of the spiral contortions of three blood-vessels, namely, a vein running to the liver of the fœtus, and two arteries which originate from the inter- nal iliacs or hypogastrics. These vessels are se- parated and distinguished from each other by cel- lular partitions, running in various directions, and have their lights or diameters frequently straitened by the small nodes or valve-like bodies of Ho- boken. These vessels are collected and compacted to- gether into a cord by means of cellular membrane, which being filled with a singular and very limpid humour, exhibits the appearance of jelly, but is in- vested externally by a continuation of the amnion. § 579. 163 AND PREGNANCY. § 579. At the place where the fœtus is attached to this cord, the latter is joined by a peculiar body, which originates from the bottom of the vesica urinaria (§ 486.), and pursues a middle course between the two umbilical arteries, namely, the urachus. This body is, in the human species, pervious, for at least a short space, and afterwards totally disappears; but in other animals belong- ing to the class mammalia, leads onward to what is called the allantois. Of this allantois the human fœtus appears to be entirely destitute, unless we be inclined to designate by this name that myste- rious and transient vesicula umbilicalis, uniformly. observable in the human ovula, between the cho- rion and amnion, which (if I be not greatly de- ceived) Isbr. de Diemerbrock first discovered long before it was seen by Albinus or Zinn. But in more modern times it is discovered too frequently, and with too uniform an aspect in unvitiated and fruitful human ovula, (even to so late a period as the third month after conception), to be any longer considered as an accidental, a morbid, or a monstrous conformation of the part. § 580. The blood-vessels of the cord, of which we have already spoken, pass into the placenta, which was formerly said to originate from the leaf-like L2 superficies 164 OF CONCEPTION superficies of the chorion, a membrane attached to, and even inserted in, the decidua crassa: Hence we perceive that the placenta is a body composed of two different kinds of substance, re- ceived from an equal number of sources. Thus, for example, one kind called the uterine, from its immediate apposition to that organ, is derived from the decidua, and constitutes the spongy pa- renchymatous portion of the placenta; while the other belonging to the fœtus, and therefore call- ed the fœtal part, is derived from the umbilical vessels distributed throughout the chorion. At this time the increase of the tender ovum is unequal, so that the growth of the smooth por- tion of the chorion is greater and more rapid than that of the muscosum or moss-like; hence it is evident, that the relative magnitude of the placenta to that of the whole volume of the egg, is greater in proportion as the conception is more recent, and less, on the other hand, accordingly as the period of parturition is nearer. As pregnancy gradually advances, the placenta becomes more and more close and compact in its texture; it is impressed with grooves, and distin- guished into lobes on its external surface which respects the uterus, but is smooth and highly po- lished on its internal, which, looking towards the fœtus, 165 AND PREGNANCY. fœtus, is invested or lined by the amnios. With regard to magnitude, thickness, figure, and situa- tion or point of cohesion to the uterus, it is sub- ject to a multitude of diversities; it is attached, however, for the most part, to the fundus or bot- tom of that organ; and is, upon the whole, equally destitute of both sensibility (§ 205.) and genuine irritability (§ 307). § 581. Although all physiologists uniformly concur in this, that the placenta is the principal organ through the medium of which the tender fœtus is supplied with nutriment, yet various contro- versies have latterly existed among them respect- ing the genuine mode of its official action, and its reciprocal relation, as well to the uterus as to the fœtus. From an attentive and impartial conside- ration of all the testimony that can be collected on this subject, the result appears to be, that there exists no direct anastomosis between the blood- vessels of the maternal uterus and those of the umbilical cord; but the arterial blood which passes by a continuous route from the uterus of the mother to that portion of the placenta that owes its origin to the decidua crassa, is there absorbed by the incipient radicles of the umbilical veins, that are distributed throughout the moss-like por- tion of the chorion, and thus conducted into the L3 venous 166 OF CONCEPTION venous trunk of the funis umbilicalis: while, on the other hand, the blood which is conveyed back from the fœtus by the umbilical arteries, being in like manner effused into the parenchyma of the placenta, is taken up by the venous radi- cles of its uterine portion, and thus finally re-con- veyed into the substance of the uterus itself. The foregoing opinions receive additional con- firmation from the many well guarded but fruit- less attempts that have been made by different physiologists to inject the vessels of the umbilical cord through those of the uterus, or, on the other hand, to fill the vessels of the latter organ by in- jections forced through those of the former. As a further evidence in support of the same prin- ciples, we may mention the difference which is observed to exist between the pulse of the mother and that of the fœtus before their final disen- gagement from each other; and lastly, it may not be improper to add, as a circumstance tend- ing to the establishment of the same result, the observations which we formerly delivered respect- ing the difference between the nature of the fœtal and that of the maternal blood (§ 147). But further, it appears probable that a portion of chyle is also conveyed to the fœtus along with the blood of the mother. For besides the conside- ration, 167 AND PREGNANCY. ration, that the blood of the mother is not at all times equally pure and unmixed, but, for some hours after every meal, carries along with it, in an unassimilated state, that portion of chyle re- cently received from the thoracic duct, it has been demonstrated, on a former occasion, that the uterus itself possesses a singular and strong affinity to the chyle and milk (§ 550. 553.); and there are also on record a great variety of observations, from which it appears, that a milky juice has been actually discovered in the uterine portion of the placenta. § 582. During the progressive advancement of preg- nancy, while the fœtus and secundines increase so very remarkably in magnitude, it is obvious that the uterus must be also subjected to striking and remarkable changes. Besides the augmentation of its bulk, so extremely evident at first view, those changes respect also its situation and figure, but affect more especially the texture of this sin- gular and important viscus. Thus, in consequence of the uniform and weighty congestion of humours which the gravid uterus is obliged to sustain, it is likewise subjected to extreme alteration, both with regard to the state of its blood-vessels, and L4 also 168 OF CONCEPTION also with respect to that of its parenchymatous portion, throughout which those vessels are inter- woven. On the present occasion it may not be impro- per to observe, that in proportion as the impreg- nated uterus advances in magnitude, its blood- vessels lose that mazy and convoluted appearance, for which they are at other times so very remark- able, and assume courses much more rectilineal or direct; while at the same time they are subjected to a considerable extension of their diameters, and a consequent increase of their real capacities. Thus, even the uterine veins have become so ex- tremely capacious and prominent, as to have been mistaken by numerous anatomists for true sinuses. With regard to the parenchymatous portion of the impregnated uterus, it becomes gradually more and more lax and spongy, especially where it is in contact with the ovum contained; so that towards its sundus or bottom it becomes consider- ably thick, and in a living and healthy female, is greatly distended with blood, and possesses the powers of life in a very high degree. This or- gan is, notwithstanding, soft at the same time, and very widely different in its general habit and appearance from the firm and compact flesh of the uterus 169 AND PREGNANCY. uterus in an unimpregnated state: this difference is still more striking if the subject containing the gravid uterus be dead, in which case, provided pregnancy be considerably advanced, this organ falsely assumes in its texture (as was formerly well observed by Arantius), a lamellated appearance. It may not be amiss, on the present occasion, briefly to enumerate a few more of the most important changes to which the gravid uterus is subjected, together with the most remarkable ones that occur in the ovum and fœtus. These changes we will consider in the successive order in which they appear throughout the series of ten lunar months, which period of time is now, with suffi- cient propriety, supposed to constitute the most natural term of pregnancy. § 583. As we uniformly observe the uterus beginning to swell shortly after the time of impregnation, (§ 567.) so being from that period increased both in bulk and weight, it descends a little deeper into the superior part of the vagina; notwithstanding this descent it still retains its former figure in all, except the following, respects, viz. its fundus becomes a little more convex, its anterior paries or wall, recedes a little farther from the posterior, and its cavity, which was before very narrow and almost 170 OF CONCEPTION almost triangular, now accommodates itself to the globose figure of the ovulum it encloses. About the end of the first month, the ovulum itself amounts to the size of a pigeon's egg, and has the two deciduæ separated from each other, and also the small amnion situated at a distance from the larger chorion: about the termination of the third month it attains the size of a goose's egg, the caduca reflexa becomes approximated to the crassa, and the amnion approaches nearer to the chorion. The amnion abounds, at this time, with a profuse volume of fluid denominated liquor amnii. In this liquor the embryo, as yet very tender, and extremely small in proportion to the quantity of the surrounding fluid (being at this time scarcely equal in magnitude to a small mouse) appears to fluctuate in a loose and unsteady manner, and is even now in a precipitate position. § 584. About the fourth month after conception, the uterus begins to assume more of an oval or some- what globe-like appearance; its neck being more and more softened, gradually shortened, and as it were, destroyed, or rather latterly distended, it again protrudes upwards, and begins to ascend from the smaller into the larger pelvis. At the same time the fallopian tubes themselves, with the convex 171 AND PREGNANCY. convex bottom of the uterus being elevated or borne upwards, are thus extended and elongated; these tubes are, however, attached and connected so closely to the sides of the uterus, that they cannot recede from them, more than one half of their own length; hence, when only viewed superficially, they appear to originate and proceed from the middle of the uterus, which has given birth to a very erroneous opinion respecting the astonishing increase of the fundus uteri. From this time also the fœtus acquires by degrees such an increased magnitude, as renders it more proportionate to the capacity of the ovum, and begins about the same period to fix itself in a more steady and firm position, which it preserves till the very close of parturition: in this position its head is placed in a downward direction, and and its face turned towards the lumbar region of the mother, inclining, for the most part, somewhat obliquely towards the left side. § 585. In the middle stage of pregnancy, which occurs about the end of the fifth month, the uterus has attained such a magnitude, that its fundus is elevated to a point half-way between the pubes and umbilicus, and the pregnant state becomes now observable 172 OF CONCEPTION observable from the external appearance of the abdomen. About the same time, the fœtus becomes more perceptible to the mother from the agitative mo- tion of its body, though we are not able to deter- mine, with accuracy and definitude the precise period of time at which this motion takes place. It appears now, however, to be more vigorous and active, so that, according to the common use and acceptation of speech, it may be said to be the unequivocal action of life. § 586. Throughout the five remaining lunar months the uterus, with the fœtus which it contains, make gradually still farther advancements in point of magnitude. Thus, at the end of the sixth month they reach nearly to the umbilicus or navel; and about the termination of the eighth approach even the scrobiculus cordis, in consequence of farther protrusion upwards. The cervix uteri is in the mean time more and more obliterated, re- duced nearer to a level with the adjacent parts of that organ, and its parietes or walls considerably diminish in thickness. § 587. 173 AND PREGNANCY. § 587. Finally, about the end of the tenth month after conception, the uterus being oppressed and over- powered as it were, by its own bulk and weight, (its longitudinal axis, amounting in general to 11, and its transverse to 9 inches in length) begins again to subside, and as the period of parturition approaches, its ostium or mouth is gradually ex- panded, and thus exhibits an orbicular or ring-like opening. Each membrana caduca, more especially the reflected one, which adheres to the chorion, having been gradually attenuated for several months immediately preceding, exhibits now a kind of net-like appearance distinctly marked by short fibres of a whitish colour. Such is the size of the placenta at this advanced period, that its greatest diameter or breadth amounts to about 9 inches, its least diameter or thickness to about one inch; and its weight to about one pound, and sometimes more. The length of the umbilical cord for the most part equals, and sometimes even exceeds, eighteen inches. The 174 OF THE NISUS FORMATIVUS. The weight of a mature and well grown fœtus is nearly seven pounds, its length about twenty inches. The quantity of the liquor amnii is so extremely variable, that it cannot possibly be ascertained with any degree of definitude; in general, how- ever, it scarcely amounts to a pound, provided the fœtus be healthy and robust. SECT. XLV. OF THE NISUS FORMATIVUS. § 588. HAVING thus enumerated and de- scribed, in a plain and simple manner, the most obvious and unequivocal phenomena of concep- tions, together with such changes as are discovered by attentive observation to succeed each other, during the progressive course of pregnancy, not only in the human ovum itself, but also in the fœtus which it embraces, and contains, we now proceed to an investigation of those physical pow- ers, by the influence and efficacy of which the sublime 175 OF THE NISUS FORMATIVUS. sublime and truly astonishing process of generation appears to be most probably accomplished. § 589. There are not wanting certain characters of high celebrity and distinction who attempt, even in our own times, to explain the divine process, in the following brief and summary manner; they contend that the genuine work of actual generation has not, at the present time, any real existence at all; on the contrary, they allege, that the whole human race possessed, under the form of original germs, a joint pre-exstence in the genital system of one or other of our first parents, and that these germs have ever been, and are yet, subjected to gradual evolutions, according as the progressive lapse of time, aided by the co-operation of specific causes, has contributed to awaken them to the enjoyment of open and actual life. Unfortunately, however, for the advocates of the foregoing hypothesis, an essential difference of opinion prevails among them on a point of considerable magnitude and importance; thus, while some of them are anxiously in quest of those original germs among the animalculæ that people the semen of the male; others are searching for those microscopic animals with no less industry and zeal in the ovaria of the female. § 590. 176 OF THE NISUS FORMATIVUS. § 590. To the latter of these sects in physiology, I must acknowledge that I myself was formerly an adhe- rent. I was lead to adopt the opinion of this learned body not only by the respectable autho- rity of its numerous advocates, but also by the want of another more rational and satisfactory. At present, however, I am obliged to repudiate this doctrine entirely, to confess my errrors, and endeavour if possible to correct them; having been fully convinced, from a more close and mi- nute attention to the phenomena of generation, that nature performs this process in a manner quite different from that contemplated and embraced in the theory now under consideration. § 591. For I am indeed daily more and more con- vinced, that all living organized bodies possess, from their earliest effort at organization to the closing glass of their existence, a peculiar power perpetually active, perpetually efficacious, the immediate destination of which is, first, to mould the bodies in which it resides into their native and specific forms by the mysterious process of gene- ration, to preserve them afterwards from destruc- tion by the ceaseless function of nutrition, and, in case of accidental mutilation, to restore their parts again, as far as consistent with the regular esta- 2 blishments 177 OF THE NISUS FORMATIVUS. blishments of nature, by the process of repro- duction. That this energy may not be confounded with the other kinds of vital energy, let it be distinguished by the name of nisus formativus. By this name, however, we mean to designate not so much a cause as a perpetual and uniform effect, the existence and reality of which are deduced from actual observations made on the constant and universal occurrence of certain physical pheno- mena. It is thus, with views, and on principles entirely similar, that we make use of the terms attraction and gravitation, to denote certain ener- gies or sources of action, the causes of which are notwithstanding still involved in more than cimmerian darkness. § 592. To me it appears, indeed, highly probable, that a stated period of time is requisite for accomplish- ing the intimate mixture, the union and complete concoction or maturity of those various inquiline humours, belonging to each sex, (§ 518. 524. 542. 543.) which are doubtless discharged into the cavity of the uterus, during every act of fruitful coition. This term of preparation having at length elapsed, and the liquors being fully matured and brought into the most perfect state of union and reciprocal influence, the nisus formativus is forth- with excited into action, by means of which the VOL. II. M spermatic 178 OF THE NISUS FORMATIVUS. spermatic mass, hitherto formless and chaotic, is partly arranged and organized into the elegant and beautiful envelopes of the nascent ovulum, and partly moulded into the figure of the living embryo which this minute bodies encloses. From this theory we can assign a satisfactory reason, why the uterus, for the two first weeks after con- ception, appears to contain a mass of crude and shapeless humours alone, and does not exhibit, even to our best glasses (now brought to very high perfection), the smallest vestige of an or- ganized embryo, which, notwithstanding bursts into view almost instantaneously about the end of the third week, and is, even on its first appear- ance, of considerable magnitude. § 593. Of the nisus formativus we are presented with more remote vestiges throughout every department of natural bodies, not excluding even the most simple elements of matter, where original germs cannot possibly be supposed to have the shadow of an existence. Thus, the clouds themselves assume their own determinate forms, and even the stream- ing torrents or veins of the electric fluid preserve specific figures. There are, again, in the mineral kingdom, specimens of metallic chrystallization, which, if indeed the form alone be considered, and the 179 OF THE NISUS FORMATIVUS. the prerogative of life kept entirely out of view, bear the most striking resemblance to truly orga- nized bodies. In testimony of the truth of this, we need only mention the curious hypniform crystals into which refined or depurated copper shoots when first reduced to a state of fusion, or that exquisitely beautiful specimen of native peruvian silver which they call filicinum or fern-like, from the resem- blance of its figure to that of the plant denomi- nated fern. § 594. In like manner both the animal and vegetable kingdoms afford numerous examples of organized bodies, in which, from their magnitude being suf- ficient to render them visible, from their beautiful and unclouded transparency and from the extreme rapidity of their progressive growth, the whole process of generation is completely unmasked as it were, and may be subjected to the examination of the naked eye. The result of attentive and minute observations made on this process in such subjects as these, will be sufficient to evince, on the autho- rity of the most indubitable testimony that, at least in these bodies, no germs pre-exist. In illustration of the above position it will be sufficient to mention M2 from 180 OF THE NISUS FORMATIVUS. from among the different individuals of the vege- table kingdoms the conferra fontinalis. And from those of the animal, the hydra viridis. § 595. I should far exceed the limits prescribed to these institutions were I to attempt a minute and circum- stantial detail of the various arguments which, in my view, nature herself furnishes to prove the potent influence of the nisus formativus in the process of generation. It may be proper, how- ever, briefly to state a few of them, the force and efficacy of which will appear sufficiently evident on the slightest examination. § 596. The first argument I shall further propose on this subject is taken from the history of those curious and interesting subjects of organized nature denominated hybrids. From a very beautiful and celebrated experiment it appears, that, if prolific female hybrids be successively through several generations impregnated by males of any given species different from the species of the females, the new offspring will gradually deviate so widely from the original form of the mother, and make such evident and effectual strides towards that of the father, as to lose at length every vestige of similitude to the former, and become finally, (by a species 181 OF THE NISUS FORMATIVUS. species of arbitrary metamorphosis) completely assimilated to the external figure and appearance of the latter. § 597. There exists a phenomenon or fact relative too the history and production of monsters, (the truth of which is too well ascertained and established to admit of a doubt), that merits our attention while on the consideration of the present interest- ing and intricate subject. It is a circumstance well known to naturalists, that those animal produc- tions denominated monsters (most of which are supposed, by the advocates for the celebrated doctrine of evolution, to have pre-existed in a monstrous germiform state from their original crea- tion)—it is, I say, well known, that such preter- natural productions, though very frequent among certain species of animals in a subjugated or do- mestic state (more especially among swine), are notwithstanding very rarely found among the ori- ginal and free-born animals of the very same spe- cies, that have never been reduced to an humble state of domestication, but still range the com- mons and wilds of nature, wholly exempt from the tyrannic controul of man. M3 § 598. 182 OF THE NISUS FORMATIVUS. § 598. It is necessary further to observe, that not only monstrosities co-eval with the birth of animals, but also subsequent adventitious mutilations and other species of deformity, whether produced on the animal system by accident or design, become now and then completely hereditary; and thus, what was at first the effect of art alone, may be said to become at length the actual work of nature herself. § 599. The phenomena of re-production in general are much more easily and rationally accounted for, by considering them as the result of a nisus forma- tivus, than by referring them to the pre-existence of partial or local germs. This observation is more fully and clearly illustrated, and its truth more forcibly exhibited by an application of it to some particular instances of re-production, as that of the nails, for example, which after the entire loss of the first, are well known to be frequently regenerated on the second phalanx of the fingers. § 600. Again, in certain parts of the body where no pre-existence of germs can possibly be suspected, we not unfrequently see organic parts of a pre- ternatural 183 OF THE NISUS FORMATIVUS. ternatural order produced by the vis medicatrix naturæ, when roused into action in consequence of accidental diseases: As an example, and in illustration of this, we may mention those small ossifications known by the name of ossicula Wor- miana, which, in cases of hydrocephalus internus, are formed by the provident powers of the ani- mal system, for the purpose of arching over and thus completely closing the enlarged fontanel. § 601. Finally, on comparing with candour, and weigh- ing with impartiality, the various arguments on each side of the question, it very evidently ap- pears, that besides a power of exciting to motion and action, which the advocates for the pre-ex- istence of germs attribute to the male semen, in order to render their favourite theory more spe- cious and plausible, they must also bestow on that fluid plastic or formative powers of the utmost extent and influence: Whence it is obvious, that the doctrine for which they so zealously contend, is of itself wholly inadequate to the explanation of the numerous and intricate phenomena of ge- neration, unless it be aided by the powerful con- currence of a nisus formativus: Whereas, on the other hand, the system which we have just pro- posed on the subject is, without the bold pre- sumption of pre-existent germs, fully sufficient to explain all the multiplicity of phenomena attend- M4 ant 184 OF PARTURITION. ant on this divine process. Let us then on the present, as we should on every other point of con- troversy, adhere to that doctrine which is most simple in its nature, and most conclusive in its end, from a thorough conviction, that an unnecessary multiplication of entities or causes is no less repug- nant to real and practical utility, than to the tenor and spirit of found philosophy. SECT. XLVI. OF PARTURITION, AND ITS CONSEQUENCES. § 602. THE fœtus being regularly formed and fashioned by the energies of which we have hi- therto treated, and advanced through the pro- gressive stages of its subsequent growth, till it be brought to a state of fœtal perfection, must, after arriving at this particular period of maturity, be finally ushered into the enjoyment of light and en- tire life, by the painful business of parturition. § 603. This critical and important period arrives, agree- ably to the usual order of spontaneous nature, (which is the only object contemplated in physio- logy), 185 OF PARTURITION. logy), about the termination of the tenth lunar month, i. e. about the 39th or 40th week after conception. § 604. When a pregnant female finally arrives at this eventful crisis, she is forcibly impelled to the la- bour of parturition by an insuperable necessity, already said (§ 295.) to be less subject to the con- troul of the will than that which urges to the per- formance of any other function belonging to the human body. § 605. With respect to the causes of a revolution so determinate and sudden, different and even oppo- site opinions have been entertained by different physiologists. When we view, and take into at- tentive consideration, all the attendant circum- stances, it appears necessary to refer the cause, which immediately impels to parturition, to an eternal law of nature, which has hitherto received no better explanation than has been given to a great many other physical phenomena, which take place in like manner at regular and stated periods; such, for example, as the metamorphosis of infects, the progressive stages of eruptive fevers, their crises, &c. &c. Without subjecting themselves to the just charge of fancifully entering on an absurd speculation, 186 OF PARTURITION. speculation, certain physiologists have compared a mature ovum, in the uterus of the human subject, to the healthy fruit of vegetables, which when completely ripened, fall spontaneously from their parent plants, in consequence of a self-constriction of the vessels through which their nourishment was conveyed. It has been in like manner ob- served, that as the period of parturition ap- proaches, the human placenta suffers a slight de- gree of constriction, and becomes thus prepared, as it were, for its impending separation from the surrounding uterus. With regard to the opinion entertained on this subject by physiologists in general, namely, that the amazing expansion to which the impregnated uterus is subjected, with a multitude of other im- pressions or impulsive powers of a like nature, act as the genuine exciting causes of parturition, it appears to be very clearly and effectually invali- dated by a great variety of arguments, which may be fairly deduced from the unequivocal pheno- mena of the animal economy itself: of these argu- ments we think proper to mention the following, namely, in numberless genuine cases of extra- uterine conception, where the fœtuses have been contained, for example, in the Fallopian tubes, or in the ovaria, the uterus has notwithstanding been attached by painful and convulsive throws, about the 187 OF PARTURITION. the termination of the tenth lunar month after the occurrence of such preternatural conception. § 606. Besides the exciting, it is evident that there must be also the joint co-operation of very pow- erful efficient causes, arising from the nature and properties of the uterus itself, and of the contents which it encloses. The proximate or immediate and primary cause must be doubtless referred solely to the vita pro- pria, or specific life of the uterus itself (§ 47.) Of the remote causes the leading and most con- siderable appear to be, the powerful efforts which are made by the assistance of the process of respi- ration, and the extensive consent or co-operation of the intercostal nerve with the other portions of the nervous system. § 607. When finally the labour of genuine parturition is excited, its phenomena observe a determinate and regular order with regard to their commence- ment and subsequent progressive course. In con- sequence of this, they have been divided by ac- coucheurs into different stages, of which four have been enumerated by the latest writers on the obstetric art. § 608. 188 OF PARTURITION. § 608. In the first stage, the parturient patient expe- riences a slight attack of those peculiar and well- known pains, called in that state precursors oi warnings, which shoot in a direction from the loins to the lower parts of the uterus, and which are indeed felt at intervals, (though with dimi- nished frequency and force), throughout the whole period of parturition: the orifice of the uterus begins, at the same time, to be considerably di- lated, the abdominal tumor subsides, an inclina- tion to pass urine becomes urgent and trouble- some, and a copious discharge of mucus takes place from the genital organs, now in a state of distension and laxity. § 609. In the second stage, the pains increase, and are now distinguished by the name of preparantes, or preparatory efforts: the inferior segment of the coverings or membranes of the ovum are, at the same time, protruded through the uterine orifice into the vagina. § 610. In the third stage the pains still continue greatly augmented in their violence, and are now denomi- nated dolores ad partum *. They act against the * i. e. The genuine pains of parturition. uterus 189 OF PARTURITION. uterus with a more violent impetus, and thus potently protrude it downwards, while, at the same time the uterus presses with such astonishing force on the encarcerated fœtus, as to occasion a rup- ture in the membranes by which it is inclosed. § 611. During the fourth and last stage of parturition, while the patient is agitated with convulsive throws, and tortured with the most excruciating pain, she makes, at length, a violent exertion, (not un- frequently accompanied with horripilation, grind- ing of the teeth, trembling of the knees, &c.), by the impulsive force of which, the head of the emerging infant is urged forward, and finally pro- truded quite through the external orifice with its face foremost: in this unlooked for position it is forced to advance, in consequence of the vertex or crown of the head becoming lodged against the arch of the pubes, while its other parts are urged onward, and obliged to revolve on the stationary vertex, as on an axis, or centre of motion. Thus, amidst a profuse discharge of blood, the infant is finally excluded from its place of confinement, and introduced to the enjoyment of light and life. § 612. The fœtus being thus happily excluded, the birth of the secundines succeeds, after a short in- terval, 190 OF PARTURITION. terval, accompanied, in like manner, with painful, though much less violent, throws: this latter birth is, as well as the former, followed by a discharge of blood, from that part of the uterine cavity to which the placenta adheres by means of the crassa or gross membrana decidua. § 613. The uterus, being thus, at once delivered of its two-fold birth, by which it had been encum- bered and oppressed, is now contracted by little and little, till it is finally restored to its former figure, and reduced almost to its former size. § 614. During the first week after the birth of the child, there exists, from the genital organs of the mother, an uninterrupted effusion of the lochia, a discharge very much resembling the catamenia, except that it is more profuse in quantity, espe- cially when not in any measure checked or dimi- nished, by the commencement of lactation. The bloody or florid colour of the liquid discharged by this evacuation is, notwithstanding, changed about the fourth day to a pale red, and from thence passes on to assume a white appearance. As soon as the uterus is thoroughly cleansed of all remaining fragments of its deciduous mem- brane, 191 OF THE HUMAN SUBJECT, &c. brane, and has thus finally completed the painful and tedious task of propagation, it may again resume the natural process of menstruation, or even return to the performance of fresh immola- tions on the altar of conception itself. SECT. XLVIII. OF THE DIFFERENCES BY WHICH THE HUMAN SUBJECT IS CHARACTERISED BEFORE AND AFTER BIRTH. § 615. FROM what has been already said respecting the mode of life enjoyed by the fœtus, while yet encarcerated within the parietes, and immersed in the warm-bath of the maternal uterus, it is extremely obvious that an immense difference must exist, between the functions of the animal economy in this state, and that which shortly suc- ceeds, when the infant is finally introduced, by birth, into entire life, and is possessed of a power of spontaneous motion. An enumeration and statement of the leading points or circumstances of this difference, constitutes the design of the present section. § 616. 192 OF THE HUMAN SUBJECT § 616. To begin then with the circulation of the blood, it must be observed, that the route of this crimson fluid is different in the fœtal state, from what it is in that which immediately succeeds paturition or birth. During the continuance of the former state, the fœtus is connected, and preserves a cir- cular intercourse with the uterine placenta, by means of the umbilical cord; it has never, as yet, inspired air for the purpose of supplying the blood with that vital pabulum, a process which immedi- ately commences and is uniformly continued after birth, when this reciprocal connection between the mother and child, is finally destroyed. § 617. The umbilical vein originating from the placenta of the mother, and passing through what is called the umbilical ring of the fœtus, directs its course towards the liver, where it discharges its blood into the sinus of the vena portarum; from thence the blood is distributed in part, by the ramifica- tions of this memorable vein, throughout the liver, and in part, conveyed by a direct route through the ductus venosus Arantii, to the inferior or ascending vena cava. The two foregoing canals, namely, both that portion of the umbilical cord which is contained 2 in 193 BEFORE AND AFTER BIRTH. in the abdomen of the fœtus, and also the ductus venosus mentioned above, suffer after birth an entire obliteration of their cavities, and assume the nature and appearance of solid cords, insomuch that the former constitutes what is denominated the round ligament of the liver. § 618. When, in the fœtus, the blood is conveyed from the inferior vena cava to the right side of the heart, the greater part of it is denied a passage from thence through the lungs, and is therefore directed towards the left or posterior auricle of the heart, by the valve of Eustachius, and admit- ted into that cavity through the foramen ovale. § 619. For over the mouth of the inferior vena cava, after its ascent from the cavity of the abdomen in the fœtal state, a valve of a lunated figure is extended, which, in honour of its immortal discoverer, has been called the valve of Eustachius. This luni- form body is, for the most part, gradually oblite- rated as life advances, although in the fœtal state it appears to perform the important office of directing the blood, emerging from the abdominal cavity, towards an orifice to be spoken of presently, which penetrates the septum situated between the two auricles of the heart. VOL. II. N § 620. 194 OF THE HUMAN SUBJECT § 620. The orifice referred to in the preceding para- graph is called the foramen ovale, through which by far the greater part of the ascending column of blood, derived immediately from the inferior vena cava, is conducted into the left auris of the heart during each diastole of the auricles: of this blood the regurgitation is effectually prevented, by the elegant falciform valve formerly mentioned, which is closely spread over the foramen, and appears to close that orifice completely, during each systolic motion of the auricles. During the first years of infancy the foramen ovale is in part closed by means of this small valve, and partly obliterated by the gradual but slow adhesion of its sides: in cor- respondence to such adhesion, the valve of Eusta- chius itself undergoes also a slow and gradual diminution in point of size, till scarcely a wreck of it is left behind. § 621. Of that blood which, at the same time, enters the right auricle of the heart from the superior vena cava, a very small portion only can be received by the lungs of the fœtus, as yet in a weak and in- active condition: it is therefore taken up by the ductus arteriosus, from the trunk of the pulmonary artery (of which this duct is indeed the leading branch) and conveyed by a direct and speedy route to 195 BEFORE AND AFTER BIRTH. to the arch of the aorta, without passing through the lungs at all. Within the course of a few weeks after the birth of the infant, the cavity of the ductus arteriosus is, for the most part obliterated, and its parietes or walls converted into the nature and appearance of a dense and firm ligament. § 622. The blood being propelled through the trunk of the aorta, that portion of it, destined to be re-conveyed to the system of the mother, enters the umbilical arteries (§ 578.) which pass through the annulus umbilicalis, on each side of the urachus, and are, in like manner, after the birth of the infant, converted into solid imperforated cords. § 623. As the lungs perform in the fœtus scarcely any function at all, their general habit and appearance differ very materially from those which they assume after the infant has commenced the process of respiration. Thus, their bulk is proportionably much less, their colour more dark, their substance more compact, and hence their specific gravity so much greater, that when immersed, recent and free from putrefaction, into a vessel of water, they fink instantly to the bottom; whereas, on the other hand, if the infant has been born in a living state, and taken in air by inspiration, these viscera, N2 the 196 OF THE HUMAN SUBJECT for the most part, float on the surface of water, or of any other fluid equally ponderous. The right lobe of the lungs appears to possess the peculiar prerogative of being dilated a little sooner than the, left by the incipient influx of air in the first act of inspiration. With regard to the other pheno- mena of this new function of life, they were enumerated formerly, when we were treating particularly of the process of respiration. § 624. From the observations which were formerly proposed on the nutrition of the fœtus (§ 574, 581.), it may be very easily perceived that the state and condition of the alimentary tube and chy- lopoietic system, are extremely different before, from what they are after, the birth of the infant, these viscera being in the first case inert and wholly incapable of action. Thus, for instance, in the tender embryo of only a very few months existence, the larger, are perfectly similar in habit and appearance to the smaller, intestines; but during the closing months of pregnancy the former portion of the intestinal canal (being considerably distended with meconium) appears to merit unequi- vocally that name by which it is afterwards dis- tinguished from the latter. § 625. 197 BEFORE AND AFTER BIRTH. § 625. The meconium is a peculiar species of saburra, of a green colour, shaded with more or less of a brownish cast. It is doubtless derived from the inquiline humours of the fœtus itself, more espe- cially from the bile: that it is indeed of a bilious origin we are induced to believe from the follow- ing considerations:—First, because the earliest appearance of this excrementious substance corres- ponds exactly, in point of time, with the com- mencement of the biliary secretion; and, Secondly, because we learn from accurate observation, that such monsters as are destitute of a liver, have their intestines supplied with nothing else but a small quantity of colourless mucus instead of the more common and natural meconium. § 626. In the new-born infant the form of the cœcum is also very widely different from what it is in the future periods of life; and this intestine is then continued in a direct line with the appendicula vermiformis. § 627. Several other differences and peculiarities, of a similar nature, we have already spoken of on parti- cular occasions, and shall here, therefore, only N3 glance 198 OF THE HUMAN SUBJECT glance on them in the most brief and transient manner: They are the Urachus (§ 579.) the membrana pupillaris (§ 259.) and, in the male fœtus, the descent of the testes (§ 501.) A few additional peculiarities will be spoken of with more propriety in the following section. Others, as being of less importance, we volun- tarily pretermit in perfect silence. § 628. The present appears to be indeed a very fit and favourable opportunity for calling the attention of the reader to three parts of the human body, altogether peculiar in their nature and obscure in their destination, which are of a greater propor- tional size in the fœtus than in the adult, and appear to be in a special manner subservient to the economy of the former. The true and une- quivocal uses of the parts now in contemplation have not as yet, however, been clearly and satis- factorily ascertained, although, anxiously sought after by the combined labours of numerous and very respectable anatomists. These parts are designated by the name of glands, although their parenchyma is far, very far, different from the glandular, and they have never been discovered to 199 BEFORE AND AFTER BIRTH. to possess the faintest vestige of an excretory duct. They are denominated the thyroid gland, the thymus, and the renes succenturiatati. § 629. The thyroid gland is situated on the anterior side of a cartilage of the same name, which enters into the conformation of the larynx. It consists of two lobes, and is of a lunated or falciform figure; in the fœtus it is distended with a lympha- tic fluid, but, as life advances, becomes gradually more and more spoliated of its distending liquid. § 630. The thymus consists of a mass of shining and very tender flesh, is, in like manner with the pre- ceding substance, bilobular, now and then divided into two distinct portions, and contains also occa- sionally a cavity of considerable dimensions. This body is situated beneath the middle and upper part of the sternum, and ascends on each side even to the throat itself; in the fœtus it is large, irregular in its figure, and abounds with a juice of a milk-like nature; but as youth advances it gra- dually diminishes in size, until, finally, on the accession of old age, it is so completely obliterated as to exhibit scarcely a shadow of its former existence. N4 § 631. 200 OF THE INCREASE, MATURITY, § 631. Lastly, The Renes succenturiatali, (called like- wise glandulæ suprarenales, capsulæ atrabiliariæ. &c.) are situated beneath the diaphragm, resting on the upper extremities of the kidneys. In adults they are not only diminished in size, but are also removed to a small distance from the contact of the kidneys, and contain a dark coloured fluid, which in the fœtus is more inclined to a pale red. SECT. XLVIII. OF THE INCREASE, MATURITY, AND DECLINE OF MAN. § 632. HAVING hitherto minutely considered the human economy, in detail, agreeably to the several classes into which its physical functions are divided, nothing further remains at present than to take a general, brief, and comprehensive survey of man in his transit over the diversified stage of life, and thus accompany him, from his earliest vital pulse in an embriotic state, throughout the leading, 201 AND DECLINE, OF MAN. leading revolutions and æras in his economy, down to the final termination of his existence. § 633. First, then, about the third week after concep- tion, the rudimental organization of the embryo appears to take place (§ 575.): about the fourth week afterwards, while the embryo still enjoys an extremely low and languid degree of life, border- ing even on that of a vegetable, it is supplied with the first portion of genuine red blood (§ 13.) The motion of the corculum or minute heart, has been but very seldom observed by physiologists in the incipient human embryo, but was long since discovered by Aristotle in the incubated chick, and has been, from that period, designated by the name of the punctum saliens. § 634. About the seventh or eighth week after con- ception, the momentous process of osteogeny, or the generation of bone, commences in the human subject. Those parts where osseous, or bony matter makes the first depositions for the formation of its nuclei, are the clavicles, the ribs, the verte- bræ, the long cylindrical bones of the extremities, the mandible or lower jaw, and certain other bones of the face, &c. Those parts again where the osseous depositions are secondary in point of time, 202 OF THE INCREASE, MATURITY, time, are some of the plain bones of the skull, such, for example, as the frontal and occipital:— while the bones of the neck, &c. are formed at a still later period. The younger the embryo is, in particular, or to proceed on a more extensive and general scale, the younger the human subject is, whether before or after birth, with the greater rapidity does its growth advance, and vice versa. § 635. About the middle period of pregnancy, the fœtus becomes what may be called a genuine sub- ject of vitality or life, agreeably to the rule of discrimination laid down on that particular point in a former part of this work (§ 585.) About the same time, the secretion of certain humours make their first appearance, such, for example, as the fat (§ 38) and the bile. § 636. As the fœtus advances towards maturity the tender hair begins to pullulate, the nails emerge into view, the membrana pupillaris gives way (§ 260), and in the male sex the testes begin to descend (§ 505). § 637. 203 AND DECLINE, OF MAN. § 637. About the close of the tenth lunar month, the infant is finally released from its imprisonment by means of parturition (§ 603); after which, besides the astonishing revolutions in almost the whole economy of its system, detailed more amply and minutely above, it is also subjected to various changes in its external habit and appearance; thus, for instance, that delicate lanuginous hair, with which the face of the new-born infant is overspread, disappears by degrees, its wrinkles are gradually obliterated, its anus retires within the nates, which now begin to be slowly protruded, &c. &c. &c. § 638. The infant also learns, (though indeed by very slow degrees), the exercise of the various faculties of the mind, such, for example, as those of per- ception, of attention, of reminiscence, of desiring, &c. &c. from whence, in a very few months after birth, it is subjected to dreams, &c. § 639. The organs of the external senses undergo also gradual or progressive improvements, and are advanced to still higher and higher degrees of perfection, such as the external ears, the internal nares, 204 OF THE INCREASE, MATURITY, nares, also the coverings of the eyes, such as their supra-orbital arches, their supercilia, &c. § 640. The bones of the cranium acquire, in the mean time, an augmented degree of firmness. The fonticuli or chasms between the different bones are gradually arched over, and about the eighth month the process of dentition commences. § 641. The infant is now ready to undergo ablactation or weaning, being furnished with teeth for the express purpose of subduing more solid food, and not to injure the papilla, or nipple of the mother. § 642. About the close of the first year, the infant learns to stand alone, and support itself in an erect position, the greatest and most enviable prerogative with which the human body is dignified. § 643. The infant being thus removed from its mother's breast, and possessing the use and command of its feet, makes daily advances in growth, and im- proves in the power of spontaneous motion, while it acquires, at the same time, another very import- ant privilege conferred on the human race, namely, the use of speech. Ideas which have become familiar 205 AND DECLINE OF MAN. familiar to its mind it now begins to make attempts to express by the aid of that important organ the tongue. § 644. About the seventh year of life, the milk-teeth, or first set, being twenty in number, drop out by degrees, and are replaced in a series of years by a second dentition, consisting of thirty-two peren- nial or permanent teeth. § 645. During this period of infancy the memory far surpasses in strength and perfection the other pow- ers of the mind, and appears to be indeed in a very peculiar manner adapted for receiving and retaining the signs of things; whereas after the fifteenth year of life, the glowing powers of the imagination usually gain the ascendency. § 646. This superior strength and activity of the ima- gination very happily manifests itself throughout those years of life in which the human subject is, by a variety of striking and very important changes in the body, gradually prepared for the future performance of such functions as constitute the characteristic distinctions between the two sexes. § 647. 206 OF THE INCREASE, MATURITY, § 647. Shortly after this period the mammæ or breasts of the female subject begin to swell, the chin of the male becomes clothed in a mantle of coarser down, and a variety of other phenomenon occur in each sex, which serve in like manner to an- nounce the gradual approach of puberty: thus, in the female the catamenia begin to flow; while in the male the secretion of a true semen com- mences, which is uniformly accompanied by a more luxuriant crop of beard, and a very striking change in the voice from a shriller to a graver tone. About the same time the sexual instinct (§ 289.) that spontaneous and potent call of nature, is first awakened into action, and man, now in the blos- som of life, is fitted and inclined to venereal en- joyments. § 648. The crisis or precise period of puberty cannot by any means be accurately ascertained. It is much varied by diversities of climate and of tem- perament. In general, however, it occurs earlier in the female than in the male sex; thus, in our climate females may be said to have arrived at this interesting period against the fifteenth, but males not before the twentieth year of life. § 649. 207 AND DECLINE OF MAN. § 649. Shortly after the above period the human body finally ceases to increase stature; this particular is also influenced and greatly diversified by differ- ence of climate, not to mention the countless va- rieties that are exhibited relative to this point, not only by different individuals, but even by whole families. § 650. About this period also the epiphyses, which had been hitherto distinguished from the bones to which they were attached by very visible lines of separation, become so intimately united to, and so completely coalesce with these bones, that not a vestige is left to serve as a memento of their for- mer distinction. § 651. With respect to the term of perfect manhood, which constitutes indeed the most lengthy, as well as most useful and important period of human life, we find it characterised by the highest de- grees of vigour and uniformity, when we examine the functions of the body, and by that most inva- luable prerogative, maturity of judgment, when we take into consideration the faculties of the mind. Throughout this interesting period the lamp 208 OF THE INCREASE, MATURITY, lamp of human life blazes with the highest degree of intensity and splendor. § 652. The heralds which unerringly announce the in- trusive approach of old age are, in females, the cessation of the catamenia, (§ 547.), in males, a languid propensity to venereal gratifications, and in both an invasion of what is called the rigidity or dryness of old age, with a flow but sensible de- clination of the vis vitæ, or aggregate power of performing the various functions of life. § 653. Finally, the frigid reign of the ultimate degree of old age is strongly characterised by the follow- ing concomitant phenomena, namely, a sluggish- ness and increasing dulness of the senses, both ex- ternal and internal, an irresistible call for longer indulgence in sleep, and a torpidity and languor in all the functions of the animal economy. The hairs assume a silvery gray, and fall in part from their exalted situation. The teeth themselves drop spontaneously from their declining sockets. The neck is no longer able to support the head, nor the tottering legs to sustain the weight of the incumbent body. Even the bones themselves, those indispensible fulcra of the whole machine, 1 are 209 AND DECLINE OF MAN. are obliged to bear a part in this irremediable and universal decay. § 654. We have thus arrived at length to the remote ultimatum of physiology, namely, death without disease, or the euthanasia of old age. To conduct and protract human life to this only natural ter- mination (the causes of which are sufficiently ob- vious from what has been already laid down) con- stitutes indeed the alpha and omega, i. e. the sole and exclusive end and object of the healing art. § 655. The phenomena of this natural death (as observed in man when about to resign himself to its potent grasp), are, a coldness of the extremities, a loss of the brilliancy of the eyes, a very small and slow pulse, accompanied with intermissions pro- gressively increasing in frequency, and lastly a flow respiration, which by a more forcible act of ex- spiration, is at length closed for ever. In the live-dissections of animals belonging to the class mammalia, there is a convenient oppor- tunity for observing the last exertions of the heart, from which it appears, that the right ventricle and auricle of that viscus resist the encroachments VOL. II. O of 210 OF THE INCREASE, MATURITY, of death longer, and continue the motions of life to a later period, than the left. § 656. Coldness accompanied by rigidity, a cadaverous stench, but more especially a flaccidity of the cor- nea, and a hiatus or gaping of the anus ascertain in the most unequivocal manner the complete death of the body. When in the corpse an aggregate collection of all these signs occur at once, not even the sceptical Pliny himself could find room to inter- pose the shadow of a doubt respecting the complete extinction of animal life. § 657. To ascertain with definitude the natural term of the life of man, (or to point out that period which may be considered as the more frequent and regular goal or ne plus ultra of human existence), is, indeed, a matter attended with the utmost diffi- culty. I have notwithstanding learnt, from exa- mining with care and comparing with accuracy, a great number of bills of mortality, that a consider- able proportion of such Europeans as are advanced in years reach, but that very few of them pass, the eightieth and fourth year of life. § 658. 211 AND DECLINE OF MAN. § 658. We may observe upon the whole, that in con- sequence of the weakness and tender susceptibility of infancy and childhood, the intemperance and irregularity of an infinitude of adults, the incon- trolable violence of diseases, and a countless multitude of fatal casualties, not more of mankind than seventy eight in a thousand resign their lives to that species of death now under consideration, namely, death without disease. Notwithstanding the truth and authenticity of the preceding obser- vation, yet on making a genuine estimate of human longevity and comparing it, under similar circum- stances, with that of the other subjects belonging to the class mammalia, whose natural term of existence is known to us, it will evidently appear, that, except the baseless declamations of sophists regarding the miseries of human life, nothing can be more unfounded and irrational than their splen- did and verbose effusions respecting its brevity O2  APPENDIX, IN WHICH IS EXHIBITED A Condensed and Summary View OF THE EXISTING DISCOVERIES AND SPECULATIONS Relative to the Subject of, what is usually denominated, ANIMAL ELECTRICITY. STEADY and uniform as the lapse of time itself, are the exertions made by the enter- prize and industry of man, to shed light on the arcana or secret processes of nature. In proportion as such laudable attempts are prosecuted with boldness and crowned with success, revolutions and improvements take place in the various branches of physical science. Revolutions derive birth from the detection of error, while improvements result from the discovery of truth. On the repudiation of false principles in science, as well as on the developement of new ones deduced from the reci- O3 procal 214 APPENDIX. procal concurrence of numerous and unequivocal facts, it is not without the sanction of reason and propriety that new systems are forthwith compiled, digested and ushered into the world. For, to be complete and satisfactory, a system in any branch of science, should embrace and ar- range in order all the well authenticated principles spontaneously resulting from facts already ascer- tained and observations already made, relative to that particular branch. A system less general and comprehensive in its scope than this, should be deemed, at best, but defective and partial, and received as the abortive production of a mind deficient in point of information. Of the former description was the famous phy- siological system of Baron Haller, at the time its illustrious author first submitted it to the eye of the world. That excellent physician and philosopher grasped in his acute and comprehensive mind, and detailed at large, in the work to which I here allude, all the authentic and well defined princi- ples resulting from the infinitude of facts with which the science of physiology was at that time enriched. But all systems are stationary and have been as yet imperfect, while, happily for the interest of man, 215 APPENDIX. man, improvements in science are progressive and advancing towards perfection. In the course of a few years, such a blaze of physical light was dis- fused abroad by the industry and ingenuity of philosophers in general, but of physicians and chemists in particular, that the deficiencies and errors of the Baron's elaborate system were ren- dered obvious to the most weak and inattentive observer. In the important doctrines respecting the causes of animal heat and the nature and purposes of respiration, in particular, entire revolu- tions were effected by the numerous and ingenious discoveries of chemists in that branch of science denominated aerology. To supply, as far as possible, the deficiencies of this system of Haller, and to circumvent the errors which the authority of so celebrated a cha- racter might tend to diffuse throughout the minds of his numerous readers, became desiderata of no small moment in the science of physiology. The most effectual method of accomplishing these desirable ends was too obvious to escape discovery. For as violence is most effectually repelled by counter violence, and one disease not unfrequently removed from the animal system by the impetuous invasion of another, so in like manner, in science, the defects of one system are most advantageously O4 supplied 216 APPENDIX supplied, and its errors most effectually contro- verted and exposed, by the plenitude and unequi- vocal certainty of the principles of a rival system. This truth did not escape the observation of that learned and acute professor, of Goettingen, who now fills the chair which was formerly rendered vocal by the eloquence of the immortal Haller. Need I add, that professor Blumenbach is the man to whom I allude—a man, for the completion of whose greatness and utility in physical science, nature and art appear to have all but exhausted their abundant resources! For industry and perse- verance in the collection of materials, for powers to combine and arrange materials when thus col- lected, and for ingenuity and acumen to deduce and speculate from such combination and arrange- ment, the present age certainly boasts few—too few physiologists who may be set in competition with the illustrious Blumenbach. For this physician and philosopher was reserved the honourable and important task of collecting, digesting and consigning to publicity, a system of physiology destined to supply the deficiencies and correct the errors of that which had already resulted from the labours of his celebrated friend and predecessor. The system of professor Blumen- bach was, like that of Baron Haller, perfect and complete 217 APPENDIX. complete at the time in which it was handed to the world. There existed not, at that period, an established principle, nor scarcely even a probable conjecture in physiology, with which he was not minutely acquainted, and which he did not draw into the extensive and powerful vortex of his system. Had the science of physiology been finally com- plete at the time in which professor Blumenbach wrote, the industry, the immense resources and the comprehensive talents of that philosopher would, no doubt, have quite precluded the neces- sity of future systems in this branch of science. But in the unfathomed depths of the animal economy more arcana yet existed—more terra incognita lay yet unexplored, and further re- searches of enterprise were therefore essential. By the combined labours of experimental physi- ologists in different parts of the world, this branch of science was at length matured for giving birth to another discovery, which will probably be found of equal importance, in explaining the phenomena, and in removing the diseases of the animal system, with that which consigned to immortality the name of the illustrious Harvey. The discovery to which I wish at present to direct the attention of the reader is that of, what is usually called animal electricity, 218 APPENDIX. electricity, or, of the existence and operation of a fluid extremely similar to electricity in the living animal system. For the fortunate Galvani pro- fessor of anatomy at Bologna, was reserved the honour of lighting by accident on this beautiful and divine discovery—a discovery which entitles its author to be ranked with the great promoters science and the essential benefactors of man. That such a fluid did actually exist in the bo- dies of animals, had been long suspected by phy- siologists and other speculative philosophers. The matter rested however on pure conjecture alone, and was yet unsanctioned by the tests of experi- ment and observation. The apparent intricacy of the subject depressed the hopes of the boldest experimenters, and the subtlety of the investiga- tion seemed to throw an insurmountable bar in the road to success. But accident not unfrequently does more for the real advancement of science, than boasted genius and industry are able to ac- complish. It was accident that first suggested to the celebrated Gallileo the construction and use of that optical instrument denominated the tele- scope—It was accident which first led the immortal Newton to the original conception of that prin- ciple of gravitation, by which he afterwards ex- plained, with such facility, the movements and ex- quisite balance, of the material universe. And it was, 219 APPENDIX. was, in like manner, accident—fortunate accident, that first suggested to the industrious and acute Galvani the mode of experimenting, with effect, on the intricate subject of animal electricity—a subject which may possibly be destined as the only proper clue to conduct future physiologists to the genuine springs and principles of life itself. " Whilst the professor (alluding to Galvani) was engaged in dissecting a frog in a room where some of his friends were amusing themselves with an electrical machine, one of them drew a spark from the conductor, at the same time that the professor touched one of the nerves of the animal. In an instant the whole body of the frog was shook by a violent convulsion. The professor was astonished at the phenomenon, and believed it owing to his having wounded the nerve; to assure himself whether this was really the case, he pricked it with the point of his knife, without any motion of the body being produced; he now touched the nerve with the instrument as at first, and ordered a spark to be taken from the machine, on which the contractions were renewed. The experiment was repeated a third time, but the animal remained motionless; however, upon per- ceiving he held his scalpel by the handle, which was of ivory (a bad conductor), he changed it for 220 APPENDIX. for a metallic one, and re-excited the movements, which he constantly failed of doing whilst using an electric substance. " After having made a number of experiments with the electrical machine, he resolved to prose- cute the subject with atmospheric electricity. To this end he raised a conductor upon the roof of his house, from which he brought an iron wire into his room, and to this attached metal con- ductors, connected with the nerves of the animals destined to be the subjects of his experiments, and to their legs he tied wires, which reached the floor. Considerable movements were observed in the animals, whether of cold or warm blood, whenever it lightened. These preceded thun- der, and corresponded with its intensity and re- petition, and even when it did not lighten the movements took place when any stormy cloud passed over the apparatus." " Professor Galvani one day suspended some frogs, perhaps with similar views, on metal hooks, fixed in the spine of the back, upon the iron rail- ing of his garden; several times he remarked that these animals contracted, and appeared to receive shocks; at first he conceived the movements were owing to changes in the atmosphere, but a more scrupulous 221 APPENDIX. scrupulous examination undeceived him. Having placed a prepared frog * upon an iron plate in his room, and happening with his dissecting forceps to press it against the plate, he observed the move- ments to take place. This experiment succeeded with all metallic bodies, but more particularly well with silver; non-conducting substances were not proper for it. From this period our author began to suspect the animal possessed an electricity of its own; and in this suspicion he was further con- firmed by the following circumstance:—He held * That the reader may not be entirely ignorant of what is meant by a prepared frog, I take the liberty of presenting him with the following brief extract from the first experi- ment detailed in Dr. Valli's publication: " My first experi- ment was made on a frog, in the following manner: I opened the abdomen in order to lay bare the spine of the back, and discover the crural nerves which issue from it; a few lines above this point I cut the animal in two, and by passing my sciffars immediately under the origin of these nerves, re- moved the remaining portion of the vertebral column, so as only to leave the vertebræ which united the bundle of nerves. Having enveloped this portion of the vertebræ with a piece of sheet lead, with one end of a metal conductor, I touched the coated part, and with the other the surface of the thighs, which had been previously stripped of the skin. The movements were violent, and continued for a long time," &c. In general, throughout the whole of this physician's expertmental treatise, when one or more of the nerves of an animal are coated with sheet-lead or any other metal, that animal is said to be prepared. to 222 APPENDIX. a prepared frog by a hook with one hand, so as to let its feet rest upon the bottom of a small sil- ver cup, which he happened unintentionally to strike with the other; at the instant the body of the animal fell into violent convulsions. If one person held the prepared frog, and another touch- ed the cup, no movements were excited. The professor being now aware of the necessity of a communication, undertook a series of experiments for the farther investigation of this subject. He first placed a prepared frog upon a non-conduct- ing surface, and brought one end of a conductor in contact with the hook which secured the ani- mal, and with the other touched its feet, on which the contractions took place. When the conduct- ing arch was interrupted by a non-conducting substance, the frog remained motionless, &c." No sooner had professor Galvani published to the world his experiments on animal electricity, than their same dispread, swift as the intangible fluid which they regarded, throughout the differ- ent parts of Europe. Animal electricity became, in a short time, a subject of very interesting specu- lation to medical philosophers. Among the seve- ral physiologists who entered the lifts in this in- vestigation, the most distinguished whose writings have fallen into my hands, are Dr. Valli, an Italian physician, from whose publication the preceding account 223 APPENDIX. account respecting the first discoveries of Galvani is extracted, and Mr. Fowler, a native of the island of Great Britain. Doctor Valli appears to have led the van of those philosophical characters who first co-ope- rated with the celebrated Galvani in investigating that animal fluid, the existence of which had been so long suspected, but so lately realised by actual experiment. After repeating most of the experi- ments of his predecessor in this branch of physics, the Doctor proceeded to a series of new experi- ments, mostly conceived and instituted by himself. The objects which he appears to have kept stea- dily in view throughout the whole course of his experiments and observations were, to ascertain the nature of the animal fluid discovered by the professor of Bologna, and to determine its influ- ence and medium of operation in the animal eco- nomy. In the prosecution of these ends the Doc- tor has doubtless displayed all that industry and patient perseverance, so essentially requisite in the character who would successfully inquire of na- ture, through the medium of experiment. I am sorry, however, to observe, that all his experiments were not conceived and instituted with equal in- genuity, and perhaps I may add, not executed with equal accuracy and definitude. Many of many 224 APPENDIX. them appear to have been instituted without a di- rect reference to any specific or particular end— Equally unhappy with regard to conception, inde- finite with respect to their nature, and inconclu- sive in point of result, they leave no impressions on the mind of the reader, save those of disap- pointment and regret—regret that a character of such learning and industry should, notwithstand- ing, interrogate nature with so little meaning, and (I am sorry to add) with so little success. The preceding observations must be considered only in the light of general rules, and as such, are liable to numerous exceptions. Many of the experiments of Dr. Valli are, doubtless, both in- genious and valuable; and I even entertain the utmost confidence, that the period will yet arrive, when the whole of them, that are ascertained and related with justness and definitude, will be made subservient to the establishment of general and useful results. At present, however, they stand in an insulated state, completely detached from practical conclusions, and disconnected from all known principles in physical science. After a series of experiments sufficiently lengthy and tedious, the Doctor conceived himself une- quivocally authorised to conclude, that the animal fluid of Galvani, was entirely the same with the 4 subtle 225 APPENDIX. subtle matter of electricity. This conclusion he alleges to be the spontaneous and necessary result of the following positions, which he delivers as substantiated and confirmed by actual experiment. " First, substances which conduct electricity, are conductors likewise of the nervous fluid." " 2dly, Substances which are not conductors of electricity, do not conduct the nervous fluid." " 3dly, Non-conducting bodies, which acquire by heat the property of conducting electricity, preserve it likewise for the nervous fluid." " 4thly, Cold at a certain degree, renders water a non-conductor of electricity, as well as of the nervous fluid." " 5thly, The velocity of the nervous fluid is, as far as we can calculate, the same with that of electricity." " 6thly, The obstacles which the nerves, under certain circumstances, oppose to electricity, they present likewise to the nervous fluid." " 7thly, Attraction is a property of the electric fluid, and this property has been discovered in the nervous fluid." VOL. II. P Having 226 APPENDIX. Having enumerated and detailed the foregoing arguments, the Doctor, in an effusion of triumph, subjoins, " We here see the greatest analogy be- tween these fluids; nay, I may even add, the cha- racters of their identity." As an additional support to the same opinion, Dr Valli adduces the peculiar and striking pheno- mena exhibited by the torpedo, the gymnotus elec- tricus, the silurus, &c. which proceed, as he alleges, from a fluid in every respect the same with that which was discovered in frogs, by the professor of anatomy at Bologna. As the Doctor, however, has advanced nothing in confirmation of such entire sameness, save a certain remote analogy which he says he has discovered between the mus- cles of animals, and the electrical apparatus of the torpedo, the gymnotus, &c. it is obvious that this latter argument will but very slightly impress the philosophical physiologist, who founds his belief of principles on facts, rather than on vague and visionary conjectures. Having thus, as he supposed, satisfactorily ascer- tained the identity of the nervous with the electric fluid, he next proceeds to speculations on its in- fluence in the diversified movements and functions of the animal economy. To me, however, I must confess, the greater part of this speculative inves- tigation, appears to be rather the effervescent effusions 227 APPENDIX. effusions of an imagination, heated to excess in a favourite pursuit, than the solemn decisions of a tranquil and unbiassed understanding. I acknow- ledge myself unable, in many instances, to discern the necessary nexus or affinity between his con- clusions, and the facts from which they are de- duced:—or perhaps I may speak my sentiments more fully when I say, that the learned author appears not unfrequently to have substituted mere hypothetical allegations, for fair and logical conclu- sions—the vacant results of his own conjectures, for genuine principles developed by experiment, and ascertained by observation. It very often happens, that by attempting to embrace too much under a single cause, we extend the tortured principle beyond its natural limits, and thus, to appearance, weaken or render doubtful its influ- ence, even on those phenomena which it immedi- ately regards. This observation applies with too much propriety and force, to the speculations of the indefatigable Valli. By attempting to explain all, he has in fact explained none, of the pheno- mena of the animal economy, by that subtle fluid on which he so patiently experimented. Many of his physiological facts and speculations are indeed ingenious and interesting, but, in my view, they are equally deducible from any other series of experi- ments, as from that by which they are preceded in the Doctor's publication. Many of the learned author's facts may be, no doubt, true and well P2 defined 228 APPENDIX. defined, and some of his principles and results to a certain degree interesting to the physician and philosopher, but, taken in the aggregate, they are too disjointed to constitute any thing like a system, too disconnected to form a regular chain of investigation. On my mind, his speculations on the causes of muscular motion, sensation secre- tion and nutrition, impress no more solid convic- tion than do those of Stahl on the subject of his anima medica, of Van Helmont respecting his subtle Archeus, or of the airy Paracelsus with re- gard to his planetary influence. Notwithstanding the apparent severity of the foregoing observa- tions, I am still obliged to declare it as my opinion, that the novelty and importance of the subject on which Dr Valli has experimented and written, entitle his work to the particular atten- tion of the learned and ingenious of every na- tion. For the want of system and requisite decision in the writings of the preceding author, compensation is, in a great measure, made by a subsequent pub- lication of the accurate and ingenious Fowler. The experiments and speculations of this young philoso- pher, on what he terms, the " influence discovered by Galvani," made their first public appearance at Edinburgh, in the course of the year 1793: they are not, indeed, so numerous as those of the Italian physician, but they appear to have been conceived 229 APPENDIX. conceived with more design, and executed with more judgment. Mr. Fowler seems to have been among the first who controverted the opinion of Galvani and Valli, respecting the identity of the nervous and electric fluids: and he has, doubtless, controverted it with ability and effect. Mr. Fowler preliminates his observations, with a lucid and forcible statement of a certain previous combination of circumstances, which he alleges, must have strongly prepossessed the mind of professor Galvani, with a belief of the sameness of the pre- ceding fluids. That such a prepossession must have had, indeed, a powerful effect on the subsequent deductions and conclusions of the Professor, will be readily ac- knowledged, by every one who has experienced the influence of preconceived opinions—an influ- ence pregnant with error, and leading countless evils in its train. Mr. Fowler proceeds then to mention the first object which engaged his attention, in the com- mencement of his interesting inquiry, and which appears well calculated to pave the way, for the more easy and effectual accomplishment of his experimental course. This, to make use of his own words, was, " to ascertain, as well the va- P3 rious 230 APPENDIX. rious circumstances, essentially requisite to the production of these new phenomena, as those in which they can be rendered most obvious." The issue of his enquiry on this subject, I will also lay before the reader in his own words. " After " says he, " a great variety of experiments, of which it would be unnecessary here, to relate more than the result, I found, that I could not excite in an animal the appearances described by Galvani, with any substances whatever, whether solid or fluid, except the metals: and that the mutual contact of two different metals with each other, so far as I was able to determine, was in every case necessary to the effect." After a satisfactory attainment of this object, the ingenious author next proceeds to a judicious series of experiments, with a view to discover the genuine nature of the animal fluid, first realised by the fortunate professor of Bologna. Of those ex- periments he does not give us a minute specifica- tion, but only furnishes statements of their most obvious and striking results. These statements he also occasionally intersperses with interesting and important remarks, and some very ingenious spe- culations. Having finished his series of experiments, (a series sufficiently numerous and diversified for the establishment 231 APPENDIX. establishment of general principles) relative to the nature of the nervous fluid, and its affinity to the matter of electricity, Mr. Fowler at length favours us on this subject with the following conclusions, which I shall take the liberty of presenting to the reader in the words of their ingenious anthor. After having stated a few analogies between the animal fluid of Galvani, and that possessed by the torpedo, he then reverses the comparison, and lays down several points of essential difference, not only between the two preceding fluids, but also between the former of them, namely the fluid of Galvani, and the matter of electricity. " This influence, (says he, referring to the nervous fluid of animals) differs, both from that of the torpedo, &c. and from electricity, in pro- ducing no sensation (in man at least) at all similar to that of an electrical shock." "—That some kind of disagreeable sensation is occasioned by it, even in frogs, independent of that which must necessarily arise from irritation and the contractions of their muscles, is evident from their restlessness and expressions of uneasiness. In other animals, as I shall afterwards have occa- sion to shew, these expressions are still less equi- vocal: and in man we can ascertain both their P4 degree 232 APPENDIX. degree and their kind. That they differ consider- ably from such as are produced by electricity will be proved when I come to speak of the effects of this influence upon our senses." " But the most important, and characteristic difference which I have yet been able to discover, between this new influence and electricity, consists in their effects upon the contractile power of animals and of plants. The contractions of ani- mals excited by electricity have a tendency to destroy that power upon which contractions de- pend. But the contractions excited, by the appli- cation of the metals, have, in all my experiments, had the directly opposite effect. The more fre- quently contractions have been in this way excited, the longer do they continue excitable: and the longer are the parts upon which such experiments are made, preserved from putridity. An influ- ence, capable of exciting contractions without occasioning exhaustion, was a thing I so little expected to find, and so contrary to the character which had been given of this both by Galvani and by Doctor Valli, that I at first distrusted my own observation of the fact: but the number of comparative experiments which I had afterwards occasion to make, though with views different from that of ascertaining the point in question, convinced me that this influence, so far from destroying 233 APPENDIX. destroying the contractility of muscles, has a ten- dency to preserve it. Oxygene is, so far as I know, the only stimulus in nature, whose effects are at all analogous." " When a frog has been long dead, I have been sometimes more than a quarter of an hour without being able to excite a single contraction by the application of the metals: but after this, without at all varying the means employed, con- tractions have appeared, and have become gradu- ally more and more vigorous." " It is said (for I have never had an opportunity of making the experiment), that a stream of elec- tricity, passed through a sensitive plant, produces an almost immediate collapse of its leaves. But the influence discovered by Galvani produced no such effect in the following experiment. Having separated the leg of a frog from its body, I freed its crural nerves from surrounding parts, and with one hand held it supported upon the end of a probe. An assistant placed a piece of silver under its foot, and held the zinc with which it was to be touched. A sensative plant formed the medium of communication between us. He held the bot- tom of its stem between his fingers, while I held the top; so that when the silver was touched by the zinc, the influence passed up the plant, and through 234 APPENDIX. through the whole of its stem. The frog's leg instantly contracted, and repeated its contractions every time the silver and zinc were brought in contact: but the leaves of the plant did not col- lapse; neither did they when any of its branches formed part of the circuit." I must however, confess that the plant, upon which this experiment was made, had been kept through the winter. With a young one the result might possibly be different; but such an one I have not yet had in my power to procure. " The torpedo does not appear at all affected by the influence which itself produces. Animals in which Galvani's phenomena are produced, are strongly affected." The very ingenious author passes on next to report the result of certain experiments which he instituted, in order to refute the opinion of those, who allege, that the fluid of Galvani proceeds entirely from the metallic substances used, and does not reside at all in any part of the animal system. In his enquiry respecting this point he displays the same fertility in devising, the same sagacity in judging, and the same ingenuity in deducing, which so forcibly impress the reader throughout every part of his experimental investi- gation. 235 APPENDIX. gation. He also farther shows, that the nervous influence of Galvani, and the subtle fluid of elec- tricity differ very materially from each other in the following particular, namely, that against the effects of the former, animals are able to guard themselves by means of a certain voluntary exer- tion, whereas the operation of the latter is not in the smallest degree subject to the controul or in- fluence of the will. Having finished the consideration of the nature, Mr. Fowler proceeds to make some useful appli- cations, of the influence discovered by the professor of anatomy at Bologna. In his attempts to shed light on certain controverted points, and to solve certain abstruse questions, in physiology, by means of this fluid, he appears no less ingenious and satisfactory than in the former parts of his enquiry. He appears peculiarly happy and conclusive in his researches after the source from whence the nerves and muscles derive their respective powers. I beg leave to lay before the reader two of the author's experiments, instituted for the purpose of ascertaining this interesting particular—a particular which has so long furnished a subject of contro- versy among speculative physiologists. The latter of the two experiments, (to which the former serves 236 APPENDIX. serves only as a necessary introduction) is of itself more than equal to all that has ever been ad- vanced on the opposite side of the question. EXPERIMENT I. " I divided (says Mr. Fowler) the sciatic nerve of one leg, and tied the crural artery of the other in a large frog. Scarcely any blood was lost in doing either. Two days after this I strangled it. During the first 24 hours, the leg in which the nerve had been divided, appeared to contract with the most vigour; after this period the difference between them became more doubtful; but the contractions were at no time stronger in the leg whose artery was tied, than in that whose nerve was divided. EXPERIMENT II. " The same operations were performed upon a large female frog full of spawn. Four hours afterwards she was covered by a male, who had been treated in a similar manner. I mention this circumstance, as it tends to prove, that the pain occasioned by the operation was probably not so great as to produce much fallacy. " On the day following, she had spawned, and on the sixth day from the operations, she was strangled. When laid upon a plate of zinc, and excited 237 APPENDIX. excited by means of a rod of silver, the contrac- tions were found extremely feeble in the leg whose artery had been tied, and ceased altogether in about twenty-two hours after her death. In the leg, whose nerve had been divided, they appeared as vigorous as they usually are in legs to which no injury has been previously done, and continued excitable upwards of two days after they had ceased to be so in the other." It may be proper on the present occasion briefly to observe, that the influence discovered by Gal- vani was the test used by Mr. Fowler to determine the existence or cessation of irritability in the muscles of the animals subjected to the preceding experiment. For this influence, as our author judiciously observes, appears to be indeed by far the best and most delicate test that has ever yet been discovered for ascertaining the lowest possible degrees of muscular irritablility. After having become wholly insensible to the impressions of all other stimuli, muscles still continue to vibrate to the kindred touches of this subtle fluid, to which nature appears to have given them such a nice, and, perhaps I may say, specific correspondence. Mr. Fowler, after having transiently glanced on the subject of inflammation, passes on to the attack 238 APPENDIX. attack of a physiological doctrine, propagated with zeal, and supported with ability by that celebrated experimentalist, the Abbe Fontana. The doctrine alluded to, embraces the existence or residence of a certain vital principle in the volume of the blood. On this principle, as the industrious Abbe alleges, poisons produce their instantaneous effect, when introduced into the vascular systems of living animals. To all the different parts of this physical doctrine I could never yet be induced to subscribe, notwithstanding the respectability of its learned and numerons advocates. By attacking and vanquishing one of its most powerful champions, Mr. Fowler has doubtless contributed much to its final demolition. For, in the contest now under our immediate conside- ration, I must confess, that to me the laurels of victory appear to be fairly wrested from the silvered temples of the Italian, and planted over the youthful brow of the British Philosopher. I have thus exhibited a view, somewhat general indeed, though confessedly very succinct, of the results laid down, and of the opinions entertained, by the ingenious Fowler, on the subject of the animal influence discovered by Professor Galvani. To lay before the reader a full account of all that is useful and important in the observations of this interesting 239 APPENDIX. interesting author, would be to transcribe and re- print his whole publication. The only productions in the English language, which this country now furnishes, professedly on the subject of the animal fluid discovered by Gal- vani, are (as formerly observed) those of Fowler and Valli. On the comparative merit of those two authors I will here take the liberty of advancing a few general, and, I flatter myself, impartial, observations: The experiments of Doctor Valli are more numerous and pompous—those of Mr. Fowler more definite and intelligible. The former author appears often, the latter, never, to have experi- mented without some determinate end in view. The experiments of the Italian may be compared to the promiscuous plants of the forest, strewn at random by the sportive and irregular hand of nature—those of the young Briton, to choice and valuable collections, arranged with order and elegance, in a well regulated and beautiful garden. The experiments of Valli appear to throw into shade, those of Fowler into light, the objects which they immediately regard. From the for- mer, the reader collects information with diffi- culty, from the latter, without labour or painful attention. In 240 APPENDIX. In their deductions and speculations, the two preceding authors are no less dissimilar, than with regard to their experiments themselves. Valli is more diffuse and often hypothetical—Fowler more pointed and generally conclusive. Valli appears to give loosened reins to a glowing imagination— Fowler to be constantly under the steady guidance of a powerful and well-cultivated understanding. The former makes a greater display of learning, and, therefore, too frequently views objects through the more obscure media of previous publications—the latter exhibits a higher degree of ingenuity, and derives the principal part of his information, not from pages, sanctioned only by the names of celebrated, yet fallible, authors, but from the great folio-volume of nature, impressed with her own signature. On the whole, Valli has experimented and written in the most lengthy and profuse—Fowler in the most definite and conclusive manner. In many parts of the writings of the former, nothing else than the fiat of an almighty genius would be able to bring order out of confusion—in those of the latter, lucidity, con- nection, and regularity, shine pre-eminent through almost every page. Having thus, without reserve, delivered my sentiments on the publications of others, I hope I may be allowed to trespass on the reader's attention 4 while 241 APPENDIX. while I make a few observations relating to my own. Nothing could have induced me thus hastily to forsake the humble, but secure, retreats of obscu- rity, and risk myself before the eye of the world in the hazardous character of an author, save a solicitous wish to contribute to the advancement of medical science, and thus aid in acquiring for man a more effectual exemption from misery and pain. I saw with regret the literary treasures of a Blumenbach concealed from the view of my fellow-citizens beneath the drapery of an ancient and an obsolete language. I was anxiously desirous to see the physiological system of that illustrious character completely clothed in the language of my country. I engaged in the trans- lation of this work, not because I conceived my- self better qualified for its execution than others, but because others appeared to me unpardonably remiss with regard to the undertaking. The execution proved laborious and difficult beyond my expectations. The difficulty of detecting an author's precise meaning through the dusky medium of a Latin expression, can be fully under- stood and realised only by him who has made the arduous experiment. VOL. II. Q Even 242 APPENDIX. Even after the ideas and opinions in the original are fully embraced and completely comprehended, another difficulty of no small magnitude still remains, namely, to convey them to the reader with unequivocal definitude, through the indefinite medium of a different language. It is well known how extremely liable we are to misapprehend the precise meaning of an author who even writes in our own vernacular tongue, much more so of one who publishes in a language but little used in con- versation, and, at best, but imperfectly understood by any man living. Should the foregoing translation ever fall into the hands of the celebrated professor of Geottingen, I hope he will receive, with candour and indul- gence, a well meant attempt to extend the empire of his utility and his fame, by increasing the number of his admiring readers. If the transla- tion be in any part erroneous, in any part defi- cient, strictures and corrections will be thankfully received, and punctually attended to in a second edition of the work, should a second be demanded by a patronising public. To preserve as far as possible the firm and energetic spirit which characterizes the writings of the illustrious professor of Goettingen, and to convey 243 APPENDIX. convey to my readers the facts, the principles, the speculations, and the opinions contained in his original work, without even the shadow of altera- tion, diminution, or addition, has been my steady and uniform aim throughout the whole of the foregoing translation. Owing, however, to the different constitutions or idioms, as they are more generally termed, of the Latin and English lan- guages, my translation is in many places far—very far from being strictly literal. Phraseology I con- sider, at best, as the mere trappings or drapery of composition, while facts and principles constitute its more substantial and important part. To preserve the latter, therefore, inviolate, and to communicate them with the utmost definitude, is the indispen- sible duty of a translator, from a principle of justice to the original author, to the public, and to himself; but in my opinion, he is not bound, by any principle whatever, to make an entire sacrifice of all elegance and beauty, to mere puncti- lious literality of expression. Impressed with the propriety and truth of these sentiments, I have, throughout the whole of the foregoing work, been sometimes literal and sometimes free, accordingly as the one or the other mode of translation gave birth to a phraseology or stile most agreeable to my ear, and most accordant to the spirit of the original composition. Q2 With 244 APPENDIX. With respect to the appendix itself, it may not be amiss to make it the subject of a few transient observations. The principle which these additi- onal pages regard, and are intended to commu- nicate, is justly becoming, among medical philoso- phers, an object of primary importance. This principle opens to the view of the speculative mind a rich and spacious field, never yet printed, save by the adventurous steps of a few pre-eminently active and enterprising physiologists—A field, the salutary fruits of which will, no doubt, at a future day, serve to elucidate the nature, to develope the composition, and to alleviate the complicated misery of man. My whole design in this appendix is to give a condensed, but somewhat general view, of this principle or influence discovered by professor Gal- vani. By far the greater number of medical charac- ters in the immense tract of country embraced within the limits of the United States, are, in con- sequence of their distances from literary institu- tions, excluded from access to public libraries, and situated quite beyond the free circulation of physical science. To such my appendix will serve the humble purpose of a literary chronicle; it will convey to them a brief account of the discoveries 2 which 245 APPENDIX. which are now going forward in the delightful and important science of physiology. On the subject of the influence discovered by Galvani I have myself instituted and performed a considerable number of experiments *; some of * That the reader may be acquainted with an easy, cheap and familiar method of experimenting on this subject, with- out having his feelings hurt by the agonizing pangs of tor- tured and dying animals, I will here take the liberty of in- serting, in form of notes, a few extracts taken from a com- munication transmitted to Mr. Fowler, by his learned friend Mr. Robison, professor of natural philosophy in the univer- sity of Edinburgh. I. " I find (says the professor) that if a piece of zinc be applied to the tongue, and be in contact with a piece of sil- ver, which touches any part of the lining of the mouth, nostrils, ears, urethra, or anus, the sensation resembling taste is felt on the tongue. If the experiment be inverted, by ap- plying the silver to the tongue, the irritation produced by the zinc is not sensible, except in the mouth and the urethra, and is very slight. II. " If the zinc (finely polished) be applied to the ball of the eye, the brightness of the flash seems to correspond with the surface of contact of the silver with the tongue, palate, sauces, or cheek. The same thing happens when the silver is applied to the eye." III. " When a rod of zinc and one of silver are applied to the roof of the mouth, as far back as possible, the irrita- tions 246 APPENDIX. my results have appeared striking and new, but my experiments have been neither sufficiently nume- rous nor varied to warrant the deduction and esta- blishment of general principles. My present in- tention is (should heaven indulge me in life and health), to prosecute to some extent this highly tions produced by bringing their outer ends into contact, are very strong, and that by the zinc resembles taste, in the same manner as when applied to the tongue." IV. " I had been paring my toe-nails with scissars, and had cut off a considerable portion of the thick skin, so that the blood began to ooze through in the middle of the wound. I applied the zinc there, and an extensive surface of silver to the tongue. Every time I brought the metals into con- tact, I felt a smart irritation by the zinc at the wound," &c. A variety of other experiments of a similar nature are contained in the same communication from Mr. Robison to Mr. Fowler; but a further detail of them I conceive un- necessary, as the ingenious reader, being acquainted with the foregoing, can with facility devise other experiments for himself. Thus I have frequently conveyed to my eye the luminous flash mentioned by Mr. Robison, not only from the internal vestments of the mouth, the nose, the ure- thra, &c. but also from between my fingers, from the cu- bital flexure of my arm, and from various other parts of my body, where the texture of the cuticle and skin is more fine and soft than ordinary; always taking care, however, to moisten the part previously to the application of the metals. interesting 247 APPENDIX. interesting subject. Should my investigation be favoured with the discovery of any thing curious in science, or useful in practice, a detail of it may be expected in a future communication. To my solemn audit before the bar of the pub- lic, I now hasten in tremulous anxiety, " with all my imperfections on my head,"—imperfections which will no doubt awaken the censure of the critic, but receive, I flatter myself, the indulgence of the liberal and candid. The approbation of the former I neither court nor regard; that of the latter it shall be my constant ambition to de- serve. The professed business of most modern critics appears to be, to condemn—promiscuously condemn, too frequently without the faintest sha- dow of either inclination or talents to discriminate merit from its reverse. In my view the approbation of a professed critic is perfectly synonymous with the censure of the liberal and the ingenious, to whose candid exami- nation the preceding pages are submitted with all that respect and deference due from an inexperi- enced writer. THE END.