A TABULATED MANUAL OF philology and ftygieqe, TOGETHER WITH Tlje Effect? of Upon the j&J?tem, Clearly and Scientifically Stated. ESPECIALLY DESIGNED FOR THE USE OF TEACH- ERS AND STUDENTS iN TEACHING, IN REVIEWING, AND IN PREPARING FOR EXAMINATIONS. BY GEORGE W. HENDERSON, Author of the “ Revised Golden Chain,” and u A Vest-Pocket Manual or Civil Government.” “.Know thy Opportunity.”—Pittacus. & HENDERSON, PUBLISHERS, Yanghnsville, Ohio; 1 8 89 . Entered According to Act of Congress, in the year 1880, by mckinley & hende&son. In the office of the Librarian of Congress, at Washington, D. C. Record Steam Job Printing House, Ada, Ohio. My Dear Preceptor : to e. b. McKinley, m. d. 3n affectionate remembrance of your personal friendship and the great interest you have al- ways taken in educational matters, I beg leave to dedicate this Manual to you. I wish it were more worthy of the honor you do me in granting me this privilege. Please to accept it as a mark of the highest esteem in which you are held by the author for your aid and support to his every honest endeavor. I am Yours Fraternally, George W. If end hr sox. PREFACE. Shis Manual is the outgrowth of a series of notes made by the author through along course of study. His experience teaches him that most books of this class now in use treat the subjects in frag- ments in too many different places. Believing that a judicious abridgment that does not slight the essen tial facts of the subjects treated can not be considered ■other than a benefit to any department of science, the iniportanceand convenience of having all the essential points in relation to any particular subject tabulated or placed immediately under it can not fail to be appre- ciated. This arrangement will greatly facilitate a rapid ac- quirement of such things as should be thoroughly known, in order to pass a rigid examination or to give instruction. The object of this Manual is not to teach new facts, but those which are already known to - science in such a manner as to be easily comprehend- ed for the purpose of aiding teachers and students in memorizing and teaching them. The immediate -’end the student is diligently seeking to obtain is to pass his examinations in a creditable and satisfactory ; manner. The chief end the teacher is diligently endeavoring to obtain is to bring his teaching within the grasp of his pupils. These facts have been care- fully taken into consideration by the author in pre- paring the following pages. To give the names of all the authors consulted in the preparation of this work would needlessly encumber its pages. Neither time, patience, nor thorough research have been spared to verify every statement made. Hoping it may contribute to lighten the labors of his fellow teachers and students, in teaching, in reviewing, and in preparing for examinations, the author commits this little Manual into their hands ; appealing to their indulgence for any short-comings, . and wishing them success in preparing for the great- •est possible usefulness and improvement both now ~and forever. George W. Henderson. Waughnsville, 0., January, 1889. ERRATA. Page 27, point 2, read “ 1618’* instead of “1819,” Page 42, point 6, read “ tarsal ” instead of “ meta- tarsal.” Page 45, point 6, read “fossae” instead of “fossa.” Page 52, point 10, read “ centrifugal ” instead of “ centripetal.” Page 59, Table, Ist column, read “ portio ” instead of “ portis.” Page 60, point 9, “Aponeuroses instead of “Apomeuroses.” Page 66, point 4, read “ fraaenum ” instead of “ tras- num.” Page 70, point 7, read “ food ” instead of “ blood.” Page 71, Table, 4th column, read “thoracic” in- stead of “ thorax.” Page 74, Table, Ist column, read “ mucus ” instead of “ mucous.” Page 76, point 9, read “ ductus ” instead of “ ducts.” Page 77, point 13, read “ pre ” instead of “per.” Ir)f i®o J u cf'o py . ANATOMY, 1. From(l) ana, through, and (2) tome, a cutting. 2. Treats of the structure of organized beings, being learned by dissection. 3. It is divided into (1) Human, relating to man, (2) Comparative, relating to inferior animals. 4. It is divided also into (1) General, (2)Descriptive. 1. General Anatomy gives structure and physical properties without reference to form or situation. 2. Descriptive Anatomy, the shape, position, and connection of the parts of the body. PHYSIOLOGY. 1. From (1) phusis, nature, and (2) logos, a dis- course, 2. It signifies in moderli application the study of life. 3. Human Physiology, the study of the functions exhibited by the human organization in a state of health. 4. It is divided into (1) General, (2) Special. 1. General Physiology treats of the general laws of life. 2, Special Physiology, of the functions of particu- lar organs. HYGIENE. 1. From hugieinon, health, 2. It treats of the conditions most favorable to health, i. e.\ what is best calculated to secure and preserve a healthy condition of the body. 3. No health,—no energy, no vigor, no happiness. 4. The art of preserving health is surely one of the most important subjects for the special consideration of mankind. Tabulated Manual of Physiology. 5. Human Nature consists of four principal and eminent divisions,—physical, intellectual, moral, and devotional. They are dependent upon each other; if one suffers, all the others suffer with it, and man is dwarfed or incomplete, in proportion as he is defi- cient in any of these parts. Hence, look well to your physical, intellectual, moral, and devotional well- being. . DEFINITIONS. 1. Osteology* an account of bones*, (2) Myology, of muscles ; (3) Neurology, of nerves; (4) Angiology, of veins and arteries ; (5) Ichorology, of lymphatics and secretion; (6) Splanchnology, of the internal parts; (7) Histology, of the minute structure of the human body ; (8) Pneumonology, of the vocal and respiratory organs; (9) Adenology, of the glands; (10) Derma- tology, of the skin; (11) Syndesmology, of the joints; 2. A function is the action of a tissue or organ. 3. Organ, part of an organized body. 4. Apparatus, a collection of organs, designed to produce a certain result. 5. Cells compose tissues, and tissues compose or- gans; collectively, an organized being. ANATOMY AND PHYSIOLOGY. 1. They are the type of the earliest form of life. 2. The entire body grows out of, and for the most part, is made up of, cells. 3 Their shape is either (1) spheroidal, (2) flat, (3) elongated, (4) cylindrical, (5.) fusiform, (6) stellate, 4. An egg without the shell is a good example of a cell on a very large scale ; i. e., cell (soft shell), protoplasm (white of egg), nucleus (yolk) and nucleolus (germ spot). CELLS. Epithelium. 7 5. Very small when first formed, enlarging toward maturity. 6. They have a limited period of growth. 7. They multiply in three ways; viz 1. By hour-glass contraction, separating in the middle. 2. By division of nucleus within the cell. 3. Denovo, from the protoplasm. 8. They vary in size from to of an inch in diameter. 9. The cell substance is albuminous, insoluble in water. 10. They are the fundamental structural elements of which the tissues are composed. 11. The cell substance is known as bioplasm, sar- code, etc. 12. In old cells, their substance undergoes various transformations, partly replaced by fat-globules, pig- ment, and crystals. 13. Cells are the “Original Structural Elements?' EPITHELIUM. 1. There are four kinds, viz : 1. Pavement, 2. Columnar, 3. Spheroidal, 4. Ciliated. 1. Known also as tassellated. 2. Flat, nucleated cells of various kinds. 3. On surface of the skin, 4. On lining membrane of the blood vessels, 5. On all the serous cavities except the ventricles of the brain, 6. In the ducts, 7. On many of the mucous membranes. 8. Function, (1) Secretion, (2) Smoothness. PAVEMENT EPITHELIUM. 8 Tabulated Manual of Physiology. COLUMNAR EPITH ELIUM. 1. Cylindrical cells set together. 2. It covers the mucous membrane of the gastro- intestinal tract and its glands. 3. Its functions are; 1. To secrete from the blood. 2. To secrete from the alimentary fluid. 3. To insure smoothness. 4. SPHEROIDAL EPITHELIUM. 1. Circular cells, 2. Their contents are glanular, 3. Found in secreting glands. 4. Its functions are : I. Secretion, 2. Smoothness. 5. CILIATED EPITHELIUM. 1. May be any of the preceding forms. 2. It stands up from the free surface. 3. Found in respiratory tract from nose downward, 4. In eustachian tube, 5. In ventricles of the brain, (>. In the tympanum. 7. Its functions are : 1. To moisten ; 2. To insure a smooth surface. 6. BASEMENT MEMBRANE. 1. A very thin layer of protoplasm which is “the formal basis of all living bodies,” 2. Resembles clear gelatine in color. 3. Structureless, 4. Composed of coagulated albumen, 5. It is often not more than the ./oU o °f an inch in thickness. 6. In this membrane the epithelium isimbedded. Tissues. We shall do well to notice here that the arrange- ment of the epithelium and basement membrane to- gether with the fibro-areolar tissue make up the fol- lowing structural elements : 1. Mucous membrane, 2. Synovial membrane, 3. Serous membrane, 4. The inner coats of blood vessels, 5. The lymphatics, (b The ducts of all glands, 7. The skin. TISSUES. 1. The connective tissues are, (1) Fibrous (2) Areolar, (3) Cartilaginous. 2. The fibrous tissue has two forms: 1. White fibrous, 2. Yellow fibrous. 1. WHITE FIBROUS. 1. Widely diffused. 2. Developed from cells. 3. Consists of interlacing fibers. 4. It enters into the formation of nearly every organ. 5. It forms nearly the whole of the investing membranes; be.'fascia, periosteum, neurilemma, in- vesting membranes of the glands and of the eye, also tendons and ligaments (yellow interwoven to some extent in the latter). 2. YELLOW FIBROUS. 1. Yellow, elastic. 2. Elasticity, its chief characteristic. 3. Fibers branch and anastomose freely with, each other. 10 Tabulated Manual of Physiology. 4. Organs formed almost entirely of this tissue are (1) Ligamenta subflava of the vertebrae. (2) Elastic ligaments of larynx. (3) Middle coat of arteries. (4) Ligamentum nuchea. (5) Vocal chords. AREOLAR. 1. Fibers interwoven in every direction, with spaces or cells between. 2. Called “ Cellular” or a Cellular membrane.” 3. Forms a ready exit for inflammatory and other fluids effused. 4. In most situations it contains fat. 5. The spaces contain a fluid resembling serum. 6. The whole tissue forms an unbroken membrane. 7. It enters into the composition of all organs. 8. The spaces all open freely into each other. 9. Great excess of fluid produces general dropsy. ADIPOSE TISSUE. 1. Vesicles formed by an extremely delicate struct- ureless membrane either round (not subjected to pressure) or flattened (subjected to pressure). 2. Each vesicle is filled with fat, held together by fine connective tissue and supplied by capillary blood vessels. 3. It gives roundness and beauty of form. 4. None within the skull, lungs and eyelids. For muscular and nervous tissue see Muscles and Nerves. Chemical Composition of Body. 11 PER NAME. CENT AGE , WHERE FOUND. Oxygen . 72 Lungs and blood Hvdrogen . 9.1 Stomach and intestines Nitrogen . . 2.5 Intestines and blood Chlorine.. . 085 In all solids and fluids Fluorine . . .08 Bones and teeth Carbon . . 13.5 Expired air of lungs,lungs,intestines, exhalation from skin Phosphorus 1.15 In brain; albumen, fibrin, blood, etc. Calcium , . 1.3 Lymph, chyle, saliva, blood, bones and teeth Sulphur.. . .1470 Gelatine, fibrin, saliva, sweat, albu- men and casein Sodium. . . .1 All solids(except enamel)andfluids. Potassium. 026 In muscles, saliva, gastric juice, etc. Iron .01 In the blood-globules Magnesium ,0012|In all solids and fluids Silicon .... .0002Blood, hair, and bones Manganese. tracejBones, nails, and hair CHEMICAL COMPOSITION OF BODY. Number of chemical elements, 15 to 18. Number of proximate principles, about 100. Water, 70 %of body-weight; in all solids and fluids; gives solubility, promotes chemical changes, and is eliminated by the kidneys, lungs, and skin. Animal Heat is produced by a combination of oxygen with carbon in all tissues of the body in com- mon with all the organic functions and chemical changes. Mean Normal Temperature, 98.6 Fahr. 1. Aii elementary gaseous body, discovered in 1774 by Scheele and Dr. Priestly. 2. It is the most widely diffused of any of the elementary bodies. 3. It is necessary to our existence. OXYGEN. 12 Tubulated Manual of Physiology. 4. Found in air mixed with nitrogen (About 28 to 78). 5. Found in water with hydrogen (About 8 to 1 by weight). 6. Pure oxygen causes great fever and excitement amounting to madness. 7. United with carbon and hydrogen of coals, causes a more rapid combustion and increased heat. 8. Although non-combustible itself, it is the most powerful supporter of combustion. 9. It is found in the tissues, in the blood and in various compounds called oxides. 10. When we exercise, the carbon in the blood and oxygen inhaled causes greater combustion, and hence increased heat; i. c., oxygen is absorbed into the arterial blood by the Imunaglobin, being disengaged during nutrition. ii vimon KX. 1. An elementary gas. 2. The lightest of all known bodies. 8. It will not support life, nor combustion. 4. It chiefly exists in water. 5. It is never found but in a state of combination. As, with oxygen in water, with chlorine in hydro- chloric acid, etc. 0. 7 or 8 parts of air to lof gas produces the great- est explosive effect; more or less diminishes the effect. 7. The effect of its inhalation on the human system is general prostration. 8. Composition of water first discovered in 1781 by Cavendish. 1. An elementary gaseous body. 2. Found chiefly in the air. 8. In most animal matter, probably derived from XITROO EX, Carbon, and the Blood. iiitrogenized food, and held in solution in the plasma. 4. It will not burn, but will support combustion. 5. It is not a constituent of the vegetable acids, but is found in most of the vegetable alkalies. 1. An elementary body. 2. Said to be pure in the diamond, and almost pure in charcoal. 3. When burning it gives off carbonic acid. 4. Carbonic acid, then, is the union of carbon and Oxygen. 5. It is sent out of the lungs by compressure and mingled with the air; also exhaled from the skin. 6. Charcoal is made from wood by the application of heat without the admission of air, expelling the oxygen and hydrogen. 7. Ivory Black (Animal Charcoal) from the bones of animals heated generally in iron cylinders. 8. Coke, is coal divested of its hydrogen. GARBQN. Til E BLOOD. 1. Blood-corpuscles, blood-disks, blood-globules and blood-cells, all mean the same thing. 2. Total amount of blood in the body is about | of body weight. , 3. A fluid holding large numbers of corpuscles in suspension. 4. It is purple in the veins. 5. It is scarlet in the arteries. 6. Slightly alkaline; saltish to the taste. 7. Specific gravity, 1055. 8. Consists naturally of two parts,—(l) Liquor Sanguinis or Plasma composed of water, albumen (nutritious principle) paraglobulin, fatty matters, fibrinogen, organic matters and mineral salts, (2) Pec! Corpuscles, composed of water, globulin, haema- Tabulated Manual of Physiology. glohin (the coloring matter, an albuminious com- pound) mineral salts, .extractives and fatty matter, and originate from colorless nucleated corpuscles closely resembling white corpuscles, and “finally de- stroyed in the spleen.'’ 9. After the blood is drawn the two parts are; (1) The clot (corpuscles-f-fibrin of plasma). (2) The serum (remainder of the plasma). 10. The corpuscles consist of an elastic colorless framework (stroma) in which is entangled the color- ing matter (hmmaglobin). 11. Use of corpuscles, to carry oxygen to the tissues. 12. The corpuscles are of two kinds; (1) Red,, (2) White.—Proportion, 300 to 1. 13. The corpuscles are circular, biconcave disks. 14. There are about 5,000,000 disks in a cubic milli- meter of blood (the cubic of au inch). 15. Blood coagulates in the body after breathing has ceased in from 12 to 24 hours. 16. It contains all the necessary elements for the repair of the tissues. 17. It also conveys waste principles absorbed from the tissues to the excretory ducts which elimin- ate them from the system. 18. Without blood, no tissue activity,no life,no mind, no vigor. VASCULAR SYSTEM, OR CIRCULATORY APPARATUS, CONSISTS OF 1. The Heart, 2. The Arteries, 3. The Capillaries, 4. The Veins. 1. A hollow, muscular, pyramidal organ. 2. Enclosed in pericardium, which consists of an outer fibrous coat and an inner serous coat; the latter THE HEART. The Heart. 15 consisting of a parietal and visceral layer and secretes normally about one drachm of thin fluid, for lubrica- ting its surfaces. 3. Lined by endocardium, a serous membrane, continuous with lining membrane of the great vessels. 4. Joined to vertebral column by large blood vessels from the fourth to the eight dorsal. 5. Free except at base. 6. AVeight 10 to 12 ozs. in males, 8 to 10 ozs. in females. 7. It, consists of four cavities. (1) Right auricle, (3) Left auricle. (2) Right ventricle (4) Left ventricle. 8. The auricles occupy the basal end. 9. The ventricles occupy the body and apex. 10. A longitudinal septum divides it into right (pulmonic) and left (systemic) heart. 11. Each chamber divided by a transverse constric- tion into the auricle and ventricle. 12. Each cavity holds about 2 to 3 fluid ounces. 13. The cavities in the right side, triangular shape. 14. The cavities in the left side, oval in shape. 15. Fibrous Zones. 1. Four rings of fibro-elastic tissue, 2. At .opening between auricles and ventricles, 3. At beginning of aorta and pulmonary artery. 16. In the auricles, the walls are thin and bluish, 17. In the ventricles, thicker with fleshy columns (columnoe carneoe) arising on interior. 18. Valves formed from the (for their position, see circulation traced). 19. Number of valves: Six semilunar, three tricus- pid, and two bicuspid or mitral. 20. The fibers of the heart cross in at least three different directions. 16 'Tabulated Manual of Physiology. 21. The heart is the connecting link between the voluntary and involuntary muscles, i. e.: (1.) It is intermediate in structure, (2) It is involuntary in action, (3) Composed of striated muscle. (4) The sheath is wantincj. 22. There are two openings to each ventricle, o*ie in, and one out; both at upper part of the ventricle. 23. Capacity, nearly a pint. 24. Average size,—five inches long by four inches wide by two and a half inches thick. 25. The left ventricle beats with a force equal to from 52 to 60 pounds at every stroke. At 80 beats per minute, one ounce being received and thrown out at each beat, it will equal 5 pounds per minute, (more than a barrel per hour). 26. The force of the heart is ascertained by multi- plying the pressure in the aorta (4 pounds) by the area of the inner surface of the left ventricle (about 13 inches.) 27. The work done by the entire heart is estimated by multiplying the amount of blood sent out from the right and left ventricles at each contraction by the pressure in the pulmonary artery and aorta re- spectively. Demonstration: 1. The right ventricle in forcing out \ lbs. of blood must overcome a pressure in the pulmonary artery sufficient to support a column of blood three feet high, i. e., must raise f lb. 3 feet, or \ times 3, or | lb. one foot. 2. The left ventricle contracting sends out \ lbs. and must exert or overcome a pressure in the aorta sufficient to support a column of blood 9 feet high, i. e., \ lb. 9 ft. or times 9or 2f lbs. one foot. 3. Each contraction exerts a force sufficient to raise 3 foot pounds; 72 contractions per minute would Arteries. 17 be 72 times 3, or 216 foot pounds, in one hour(2l6X 60) or 12,960 foot pounds ; in 24 hours (12960X24) or 311,040 foot pounds or foot tons. 28. The nerves of organic life cause its contraction (systole) and dilation (diastole), propelling blood to all parts of the system. 29. The heart is influenced by age, exercise, diges- tion, posture, etc. 30. Beats oftener in the young than the old. 31. The principal nerves modifying the action of the heart are : (1) The Pneumogastric, (2) The Accelerator. 32. The time required for the entire mass of blood to pass through the heart is 58 pulsations or 48 seconds. 33. Average pulsations in the adult per minute, in males, 72; in females, 80. 1. A series of branching tubes. 2. They convey blood from heart to all parts of the body, at an average rate of 16 inches per second. 3. They have three coats : 1. Internal, (epithelium and basement mem- brane). 2. Middle, (fibrous, circular coat). 3. External, (cellular, or tunica adventitia). 4. They are endowed with (I) Contractility; (2) Elasticity. 5. They therefore can accommodate themselves (1) To the blood coming into themselves; (2) Equal- izing the blood pressure. 6. The pressure of blood is greatest in the large arteries, decreasing towards the capillaries. 7. The blood pressure is influenced, i. e., increased or lessened, (1) By influences acting upon the heart. (2) By the peripheral resistance of the capillaries. ARTERIES. Tabulated Manual of Physiology. 8. The caliber of the blood-vessels is regulated by the vasomotor neivas originating in the medulla ob- longata. 9. The pulse is the distention of the artery, in a longitudinal and transverse direction caused by an injection of blood at the time of the ventricular con- traction. 10. How to know when an artery has been severed: (l)Blood is scarlet; (2) Comes forth in jerks. 11, Nourished by the vasa vasorum. CAPILLARIES. 1. They inosculate with the arteries and veins. 2. Their diameter varies from to °f an inch. 3. Their walls are of an inch thick, lined by elongated, flattened cells. 4. Through the agency of the capillaries take place* (1) Nutrition; (2) Secretion. 5. The rate of the blood current through them is one inch in 30 seconds. 6. Corpuscles: (1) The red keep in the middle of the stream; (2)The white adhere to their walls. 7. Passage of blood through them is mainly due (1) To the force produced by contraction of the heart ; (2) To the elasticity of the arteries. 8. They branch and communicate in every possible direction. 9. They distribute the blood to the inmost recesses of the tissues. All the arteries originate from the pulmonary artery and the aorta. The pulmonary astery emerges from the right ventricle of the heart, soon dividing into a right and left branch, ramifying by innumerable branches through the lungs. TABLE OF ARTERIES. Table oj Arteries. 19 The aorta arises from the left ventricle of the heart giving off immediately at its origin the anterior and posterior coronary arteries. It then proceeds to sup- ply every part of the body with blood in the follow- ing order; (1) It forms an arch, (2) It then descends along the spine; and, (3) It divides into the two common iliac arteries. (1) The arch of the aorta gives off three branches: 1. The innominata, dividing into right common carotid and right subclavian. 2. The left common carotid. 3. The left subclavian. I. The common carotids are divided into external and internal. The external carotids give off 1. The superior thyroid, 2. The lingual, 3. The facial, 4. The inferior pharyngeal, 5. The occipital, 6. The posterior auris, 7. The internal maxillary, from which arise the spinous artery of the dura mater, the lower maxil- lary, and several branches about the palate and orbit. 8. The temporal. The internal carotid, gives off 1. The opthalmic, 2. The middle cerebral, 3. The communicans, inosculating with the ver- tebral. 11. The Subclaviaxs, give off 1. The internal mammary, from which arise the thymic, comes phrenici, pericardiac, and phrenico- pericardiac. 2. The inferior thyroidgiving off the tracheal, as- cending thyroid, and transversalis humeri. Tabulated Manual of Physiology. 3. The vertebral, ascending on each side through a canal formed by foramina in the transverse pro- cesses of the cervical vertebrae, and, giving oft' the anterior arteries of the spinal cord, joins its fellow of the opposite side ivithin the cranium to form the basilar artery, from which proceed the anterior cerebelli, the posterior cerebelli, which usually give off the posterior arteries of the spinal cord, the posterior cerebri, and many branches about the brain. 4. The cervicalis profunda. 5. The cervicalis superficialis. (). The superior intercostal. 7. The supra scapular. As soon as the subclavian artery reaches the arm- pit, it is called the Axillary artery and when the latter reaches the arm it is called the Brachial. The Axillary Artery gives off, 1. Four external (mammary) arteries, % The subscapular, dividing into subscapularis interna, and dorsalis scapulae inferior. 3. The posterior circumflex, and 4, The anterior circumflex, both ramifying about the shoulder joint. The Brachial Artery, gives oIT, 1. Many lateral branches, 2. The profunda superior (humeri) 3. The profunda inferior, (humeri) 4. The great anastomosing artery ramifying about the elbow joint. The brachial artery then divides, about the bend of the arm into ulnar and radial, ramifying 'to the ends of the fingers. The Ulnar Artery gives off, 1. The ulnar recurrent. 2. The posterior interosseous. 'Table of Arteries. 3. The anterior interosseous. The ulnar artery ends forming the superficial pal- mar arch from which proceed the digital arteries. The Radial Artery gives off, 1. The radial recurrent, 2. The Superticialis vobe, 3. The palmaris profunda, forming deep, palmar arch. B, The Descending 'Aorta gives off (1) In the Thorax, 1. The bronchial, and, 2. The oesophageal arteries (varying in number), 3. The inferior intercostals. (2) In the Abdomen, 1. The inferior diaphragmatic, 2. The cadiac which divides into three branches, I. The hepatic which gives off before it reaches the liver, (1) the duodeno-gastric, sending off the right gastro-epiploicand(2)thepancreatico-duodenal. 11. The pylorica superior hepatica, giving off (1) the coronaria ventriculi, (2) the splenic which emits the great and small pancreatics, the posterior gastric, the left gastro-epiploic and the vasa brevia. 3. The superior mesenteric, 4. The renal, (“ emulgents,”) 5. The spermatics, 6. The inferior mesenteric, 7. The lumbar arteries, ,8. The middle sacral. . 0. The Aorta then bifurcates into the common iliacs each of which divides into an external and in- ternal iliac. The Internal Iliac (hypogastric), gives off, 1. The ileo-lumbar, 2. The lateral sacrals, Tabulated Manual of Physiology. 3. The gluteal, 4. The obturatory, 5. The umbilical, 6. The uterine, T. The middle hemorrhoidal,, S. The pudic. The External Iliac gives off, (1) In the groin, 1. The epigastric, 2. The circumflexa iliaca. It then passes under Pcupart’s ligament, and called The Femoral Artery, gives off, 1., The external pudics, 2. The profunda, 3. and 4. The internal and external circumflex. 5. The ramus anastomoticus magnus, ramifying about the knee-joint. The femoral on reaching the ham is termed the popliteal and here gives off the articular arteries. It then divides into the anterior and posterior tibial. The Anterior Tibial, gives off, 1. The recurrent; 2, internal malleolar; 3, external; malleolar; 4, tarsel; 5, metatarsal; 6, dorsalis halicis. The posterior tibial divides into fibular (paroneal), posterior tibial (properly so called). The peroneal divides into anterior and posterior. The Posterior Tibial sends off, 1. The nutritia tibiae; 2, many small branches; 3, and 4, internal and external plantar, giving off the digitals of the toes. VEINS. 1. Return the blood to the heart, 2. They have three coats ; 1. Internal, (epithelium) Veins and Valves. 2. Middle, (fibrous), 3. External, (cellular or areolar tissue). 3. The main differences between these and the ar- teries : (1) The weakness of the middle coat of the vein#, (2) Veins passive, rather than active organs, (3) They do not stand open when divided, a# arteries do. 4. VALVES. 1. Prevent a reflux of blood by distension, 2. Formed by a reduplication of middle and inner coats of veins, 3. They consist of connective tissue and elastic fibers, 4. They are covered on both surfaces by epithel- ium, 5. They are semi-lunar in form, 6. Their convex edge attached to wall of vein, 7. Concave margin free, 8. Lie close to the wall as long as the blood flow# its natural course, 9. Two valves are generally placed opposite each other, (in some places 3, in others only 1). 10. Most numerous in the lower extremities, 11. They are absent in a number of veins, 5. The veins are nourished by the Vasa vasorum, 6. Nerves not usually distributed upon them, 7. All veins finally terminate in the vense cav«e which empties into right auricle of heart, 8. Flow of blood in veins mainly due 1. To action of heart, 2. To contraction of voluntary muscles, 3. To force of aspiration. 7'abnlated Manual of Physiology. TABLE OF VEINS. The blood is returned from every part of the body, except the lungs, into the right auricle, from three sources; 1. The vena cava superior, bringing it from the head, neck, thorax, and superior extremities. 2. The vena cava inferior, from the abdomen and inferior extremities. 3-; The coronary vein receiving it from the coronary arteries of the heart. 1. THE VENA CAVA SUPERIOR. This vein ends in the superior part of the right auricle, into which it evacuates the blood from the right and left subclavian vein, and the vena azygos. The right and left subclavian veins receive the blood from the head and upper extremities in the following manner: The veins of the lingers, called digitals, receive the bloOd from the digital arteries, and empty it into the cephalic of the thumb, which runs on the back of the hand along the thumb, and evacuates its blood into the external radial. The salvatella, which runs along the little finger,, unites with the former, and empties its blood into the internal and external cubital veins. At the end o’f the forearm there are three veins, called (1) the great cephalic, (2) the basilic, and (3) the median. The great cephalic runs along the superior part of forearm, and receives the blood from the external radial. The basilic ascends on the under side, and receives the blood from the external and internal cubital veins, and some branches which accompany the brachial artery, called venae satellites. The median is in the middle of the forearm arising from the union of several branches. The three veins above-named unite above the bend of the arm, and form— 7'he Vena Cava Superior. The hrachial vein which receives all their blood and is continued into the axilla, where it is called— The Axillary vein which receives also the blood from the scapula, and superior and inferior parts of the chest, by the superior and inferior thoracic vein, the vena muscularis, and the scapularis. The axillary vein then passes under the clavicle, where it is called the subclavian, which unites with the external and internal jugular veins, and the vertebral vein, which brings the blood from the ver- tebral sinuses; it receives, also, the blood from the mediastinal, pericardiac,diaphragmatic, thymic, inter- nal mammary, and the laryngeal veins, and then unites with its fellow to form the vend cava superior otherwise known as descending vena cava. The blood from the internal and external parts of the face and head is returned, in the manner follow- ing, into the external and internal jugulars, which terminate in the subclavians : The frontal, angular, temporal, auricular, sublingual and occipital veins receive the blood from the parts after which they are named, and all converge to each side of the neck and form the external jugular vein. The blood from the brain, and its membranes, is received into the lateral sinuses (or veins of the dura mater) one of which empties through the foramen lacerum in basii cranii on each side into the internal jugular, which descends in the neck by the carotid arteries, and receives the blood from the thyroideal and internal maxillary veins, and empties into the suhclaveans within the thorax. The vena azygos receives the blood from the bron- chial, superior, oesophageal, vertebral, and intercostal veins, and empties into the descending vena cava. 2. Vena cava inferior (“ascending vena cava”) is the trunk of all the abdominal veins, and those of the lower extremities, from which parts the blood is returned in the manner following : Tabulated Manual of Physiology. The veins of the toes, called digital, receive the blood from the digital arteries, and form on the back of the foot three branches: one on the great toe, called cephalic, one on the little toe, called vena saphena, and a third on the back of the foot, called vena dorsalis pedis; those on the sole of the foot empty into the plantar veins. The three veins on the upper part of the foot com- ing together above the ankle, form the anterior tibial; the plantar veins, with a branch from the calf of the leg, called sural vein, form the posterior tibial\ a branch also ascends in the direction of the fibula, called peroneal vein. The last three named in italics unite before the ham into one branch, the sub-popli- teal vein which ascends through the ham, carrying all the blood from the foot; it then proceeds upon the interior part of the thigh, in which site it is called the femoral (or crural) vein, and receiving many mus- cular branches, passes under Poupart’s ligament into the cavity of the pelvis, where it is called (he external iliac vein. The arteries distributed about the pelvis evacuate their blood (through capillaries) into five or six veins which unite in the pelvis to form the internal iliac vein. The external iliac vein unites with the internal iliac at the last lumbar vertebra, forming the com- mon iliac; the two common iliacs then form the ascending vena cava, which ascends on the right side of the spine, receiving the blood from the lumbar, sacral, etc., and the vena cava hepatica; and arriving at the diaphragm, it passes through the right foramen, and enters the right auricle of the heart, into which it empties all the blood from the abdominal viscera and lower extremities. Vena cava hepatica.—Ramifies in the substance of the liver, and brings the blood into the ascending vena cava from the branches of the vena portea, (portal vein) a great vein that carries the blood from The Circulation. the abdominal viscera into the substance of the liver. The trunk of the vena portea, about the fissure of the liver, in which it is situated, is divided into the hep- atic and abdominal portions. The abdominal portion consists of the splenic, meseraic, and internal haemorrhoidal veins, which three carry all the blood from the stomach, spleen, pancreas, omentum, mesentery, gall-bladder, and the large and small intestines into the sinus or fissure of the vena portea. The hepatic portion enters the substance of the liver, divides into innumerable ramifications, which secrete the bile, and the superfluous blood passes into corresponding branches of the vena cava hepatica. 1. Cardiac and Pulmonic : THE CIRCULATION. (1) The venae cavae receive the systemic ven- ous blood and (2) convey it into the right auricle, (no valves); then (3) it passes into the right ventricle through the tricuspid (auriculo-ventricular) valves to be (4) thrown into the pulmonary artery through the semilunar (pulmonary) valves; then (5) convey- ed to the lungs and oxygenized in the capillary plexus about the intercellular structure and the air-cells, and (6) returned by the four pulmonary veins to the left’side of the heart, into the left auricle, (no valves); it then (7) passes into the left ventricle through the mitral valve to be (S) forced into the aorta through semilunar valves, and (9) thence to all parts of the system : 2. Discovered by Harvey in 1819. 3. The forces keeping the blood in circulation are, 1. Action of the heart. 2. Elasticity of the arteries. 3- Contractility of the arteries. 4. Capillary force. 5, Respiratory movements. 28 Tabulated Tlanual of Physiology. 6. Contractility of voluntary muscles upon the veins. ' . •1. Organs,—(l) Larynx, (2) Trachea, (3) Lungs. RESPIRATION. 1. LARYNX. 1. Organ of voice, '2. From aperture behind epiglottis to lower bor- -4 t of the cricoid cartilage. 3. Pharynx opens into it. 4. Composed of 5 principal cartilages,—(l) Thy- roid, (2) Cricoid, (3) The two Arytenoid, (4) epiglottis. 1. THYROID. 1. The largest. 2. Consists of 2 lateral quadrangular plates,, meeting in front, (“Adam’s Apple”) 3. Connects above with hyoid bone. 4. Connects below with cricoid cartilage. 5. Its structure resembles costal cartilages. 2. CRICOID. 1. Connects above with thyroid. 2. Connects below with trachea. 3. inch wide in front, 1 inch wide behind. 4. Forms back part of cavity of larynx. 5. Structure, as above. 3. THE TWO ARYTENOID. 1. Small, triangular, and curved. 2. On top and back part of cricoid. 3. Forms articulations with cricoid. 4. At back part of larynx. 5. Structure, as above. 4. EPIGLOTTIS. 1. Composed of yellow tibro-cartilage. Vocal, False, and True Cords, 2. Shape,—leaf, rounded at free extremity. 3. Behind, and curving forwards towards tongue, 4. In front of superior opening of larynx, 5. During deglutition completely closes opening of larynx. 6. Connected to back part of hyroid bone and angle reaching between plates of thyroid. VOCAL COEDS. 1. Composed of yellow elastic tissue. 2. Extent,—from fore part each arytenoid to recessed part of thyroid. 3. There are two kinds,—(1) False, (2) True. 1. FALSE CORDS. 1. Above true vocal cords. 2. Not directly concerned in producing voice. 3. Two in number. 4. Formed by a folding in of the raucous mem- brane. 5. The saculus laryngis is a pouch on the outside of the false cords, being an extension of the ven- tricle of the larynx, an open depression between the false and true cords; it secretes a fiuid which lubricates the vocal cords. 2. TRUE CORDS. 1. Two in number. 2. Formed of mucous membrane and fibers; 3. The glottis (rima glottis), a fissure between these cords, 4. The glottis varies in size according to the voice, and (T) Length about 1 inch. (2) Width from £ to T inch, (less in females) (3) The cords enlarge at 14 or 15 years old. (;‘ change of voice ”) ~ Tabulated Manual of Physiology. (4) Voice is produced by vibrations of these membranes. (5) A change of Inch in length produces a change ot note. TRACHEA. 1. A cylindrical, cartilaginous and membranous air tube. 2. Flattened somewhat, behind. 3. Extent,—from larynx, level with sth cervical to opposite 3d dorsal where it divides into (1) Eight bronchus, (2) Left bronchus. 1. RIGHT BRONCHUS. 1. About 1 inch long. 2. Enters right lung opposite 4th dorsal. 3. Divides and subdivides till it ends in the pul- monary lobules. 3. LEFT BRONCHUS. 1. Smaller, but longer than right. 2. Length nearly two inches. 3, Enters root of left lung opposite sth dorsal. 4, Divides and subdivides till it enters pulmon- ary lobules. 4. The length of trachea is 4 or 5 inches. 5. Diameter from f to 1 inch, 6. Composed of a series of cartilaginous rings ex- tending f round its circumference. 7. The posterior composed of non-striated mus- cular fibers capable of lessening its caliber. 8. Lined by ciliated epithelium. 9. Diameter always less in females. LUNGS. 1. Two in number, 2. One in each lateral cavity of the chest. Lungs. 3. Separated by heart and other contents of the mediastinum. 4. Shape, conical. 5. Parts, 1. Apex,—tapering cone, extending to about Ip inches above first rib. 2. Base,—broad, concave, resting on diaphragm, 3. Two Borders, viz ; (1) Posterior,—round, broad, fills cavity on each side of spinal column. (2) Anterior,—thin, sharp, overlapping front of pericardium. 4. Two Surfaces, viz : (1) External, convex and smooth ; (2) Inner, concave fissure behind, giving attach- ment to root of lung. 6. Root, at middle, and inner surface connecting lung to heart and trachea, and consisting of, 1. Bronchial tube, artery and veins, 2. Pulmonary artery and veins, 3. Pulmonary plexus of nerves, 4. Lymphatics and areolar tissue. 7. Pleura, interposed down as low as fourth dorsal, 8. Below fourth dorsal, pericardium is interposed^ 9. Right lung larger, shorter, and has three lobes, 10. Left lung smaller, longer, and has two lobes. 11. Weight of both, 42 ounces. 12. Right lung, 2 ounces heavier than the left. 13. They are heavier in males than females. 14. Specific gravity, from 345 to 746. 15. Color, pinkish or mottled in appearance. 16. Color, from deposition of carbonaceous matter in the areolar tissue. 17. Substance, elastic and spongy in texture. Tabulated Manual of Physiology. 18. Float in water, crepitate when handled owing to air in the tissue. 19. Structure, 1. Serous coat, the pleura. 2. Sub-serous areolar tissue, invests entire lung. 3. Parenchyma, little lobules, connected by fibrous tissue. 20. Air-cells, from jiw to 70 inch in diameter. 21. Walls of air-cells lined internally by tessalated epithelium ; covered externally by elastic fibers, 22. Whole number of air-cells, 600,000,000, 23. The air and blood are separated by the walls of the air-cells and capillaries. 24. The lungs receive their nutrition from the brachial arteries. 25. The pulmonary capillaries are on the walls and speta of the air-cells. 26. Area of lung tissue, 21,000 square inches. 27. The vital capacity of a person 5 feet, 7 inches high is 230 cubic inches. (Varies with stature). 28. The movements of the lungs are called forth by impulses emanating from the medulla oblongata. 29. There passes in and out of the lungs, in 24 hours about 300 cubic feet of air. 30. Tidal air, that passing in and out at each in- spiration—2s to 30 cubic inches. 31. Reserve air, remaining after ordinary breath- ing but can be forcibly expelled—about 100 cubic inches. 32. Complement at air, all that can be forced into the lungs plus the tidal air—about 110 cubic inches. 33. Residual air, remaining in the chest and can- not be forcibly expelled—about 100 cubic inches. 34. The oxygen, imbibed from the air in 24 hours— about 15 cubic feet, or .18 ounces. Hones. 33 35. Carbonic Acid exhaled in 24 hours—about 14 cubic feet, or T ounces pure carbon. Remark ;—The first cubic foot of oxygen unites with hydrogen, perhaps, forming water. 36. Nerves,—pneumogastric and sympathetic. 37. Lymphatics,—end at root in bronchial glands. 38. Pulmonary artery conveys blood to lungs. 39. Pulmonary veins convey blood from the lungs. 40. Function of Lungs,—(1) To purify the blood, (2) Ultimately, to produce heat, motion and nervous energy. BONES. L Composition: 1. Blood-vessels and cartilage 33 (/o 2. Phosphate of lime 51 °/o 3. Carbonate of lime 11 % (Phosphate of magnesia ) 4. of sodium \ % /Fluoride of calcium ) 2. Structure: 1. Surrounded by the periosteum (vascular fibrous membrane). 2. Lined internally by the endosteum. 3. Arteries,—small and very numerous. Haversian Canals: 1. From ToVo 1° sou °f an'inch in diameter. 2. The larger ones contain marrow. 3. They afford free communication between the vessels of the endosteum and periosteum. 4. Each canal, surrounded by 8 to 15 concentric rings (lamdice) among which are small cavities (lacuna’). 5. Canals issuing from the lacunae, the tfofo °f an inch in diameter, are the canaliculi, communi- cating with adjacent lacunae. 6. Haversian Systems,—separated by interstitial lamellae. Tabulated Manual of Physiology. 7. A Haversian System consists of (1) concentric lamella?, (2) lacunas, (3) canaliculi. 8. Haversian Spaces, between adjoining systems. 9. Nerves and lymphatics have been traced into the bone substance. 3. Medulla. 1. That composed of fat (96%) and extractive (4%),—in (1) medullary canal, (2) cancellous text- ure, (3) larger Haversian canals. 2. That composed of albumen, fibrin, extractive, and fat, (redish in color),—in articular ends of long bones, the diploe, short bones, ribs, Ac. 4. Development.—Two ways: (1) from cartilage, (2) from membrane. 5. Manner of Development : 1. Intra-cartilaginous,—the deposition of earthy salts in the interior of the cartilage. 2. Intra-membranous,—a deposition of mineral matter in the membrane. 6. Centers of Ossification,—point of deposits. 7. Epiphyses,—become attached to main bone in- versely to the order of the appearance of their ossifi- cation. 8. Apiphyses,—a regular enlarged, continuous part of the bone. 9. Diaphysis,—that part between the articular ends. THE SKELETON. 1. °f body weight. 2. The frame-work of the body. 3. Prevents body from sinking by its own weight. 4. It serves as a basis for the attachment of muscles. 5. Composed of 4 kind of bones, 1. Long,—medullary canal in center, and number 90 Vertebra. 2. Short,—strength, with limited motion, number 30 3. Flat,—form walls around viscera, number. .38 4. Irregular,—vertebrae, ethmoid, sphenoid, etc., number 39 6. Total number of bones 200 if we include the patellae and os hyoid. 7. Again: 1. Spinal column 26 2. Cranium and face 22 3. Os hyoides, ribs and sternum 26 4. Upper extremities 64 5. Lower extremities 62 8. VERTEBRAL COLUMN. 1. It supports the head, 2. Itself, supported by the pelvis. 3. Its bones are, (1) movable, (2) united. 9. MOVABLE VERTEBRAL 1. 24 in number, 2. Divided into 3 groups,—(l) Seven cervical, (2) Twelve dorsal, (3) Five lumbar. UNITED VERTEBRAL 1. They enter into the formation of the pelvis. 2. They are coalesced, forming two pieces : 1. The sacrum. 2, Coccyx. 1. Body, 1. Forms anterior part. 2. Has small apertures for nutrient vessels, 3. Connected above and below to the bodies of the vertebrae by inter-vertebral fibro-cartilages. GENERAL CHARACTERS OF A VERTEBRA. I'abulated Manual of Physiology. 2, Pedicles, 1. Two thin portions of bone, 2. Connect the sides of the body with the laminae, 3. Grooved above and belowr, forming the inter- vertebral notches, transmitting the spinal nerves. 3. laminae, 1. Two lateral plates, 2. Pass back from posterior part of body, 3. Unite in the middle line forming spinous.pro- cess. 4. Ligamenta subllava attached to upper and lower borders. 4. Articular Processes, 1. Four in number, 2. Two on upper and two on lower surfaces of the laminae, 3. At the roots of the transverse processes, 4. Articulate above and below with the trans- verse processes. 5. Notches, 1. Four in number, 2. Two above and two below, 3. Formed by a groove in the lamina where it joins the body. 4. The corresponding notches above and below form the inter-vertebral notches. t>. The Foramen, 1. A ring inclosed by the body and lamina?, 2. Called spinal canal, 3. Contains spinal cord with its blood-vessels and membranes. DEVIATIONS. 4. The Atlas, 1. A bony ring, inclosing an irregular foramen, divided into two unequal segments by the trans- verse ligament. Fixed J'crtebrec and Entire Spine. 37 2. The anterior segment contains odontoid pro- cess of the axis, 3. The posterior segment contains the spinal cord. 4. Articulates with condyles of the occipital above, and the axis below. 2. Axis, 1. The foramen is heart-shaped with apex posterior. 2. It has a tooth-like(odontoid)process articulat- ing in front with ring of atlas, behind against trans- verse ligament, having the check ligaments which extend to the tubercles on the inner aspects of the condyles of the occipital bone attached to its apex. Note:—Chech ligaments serve to “check” the limit to which rotation of the cranium may be carried. 3. Peculiar Dorsal. 1. The First—facet above, demifacet below, 2. The Ninth—demifacet above, 3. The Tenth—one entire facet, 4. The Eleventh—an entire facet, none on trans- verse process, 5. The Twelfth—ditto. 4. Seventh Cervical, 1. Very long, prominent spinous process, 2. Called “ vertebras prominens.” 1. Nine in number, 2. The live upper constitute the sacrum, 3. The four lower form the coccyx. 4. They are united with the innominata. fixed (united) vertebrae, ENTIRE SPINE. 1. Made up of the vertebrae, 2. Average length 27 inches; Tabulated Manual of Physiology. 3. Viewed sideways it presents four curves, (1) Cervical, (2) Dorsal, (3) Lumbar, (4) Pelvic. THE RIBS. 1. Twelve in number on each side, forming lateral boundary of thorax, 2. kSeven are called true ribs, 3. Five are called false ribs, 4. The two lowest of the false called floating, 5. The true ribs are connected to the sternum by separate cartilages. 6. The three upper false have their cartilages attached to each other and the seventh. 7. The floating have their cartilages/ree. STERNUM. 1. Flat, and elongated, 2. Broader above than below, 3. Narrow in the center. 4. Originally has six segments, 5. In adults has three segments: (1) Manubrium, (2) Gladiolus, (3) Fusiform cartilage, 6. Articulates with 7 pairs of ribs and 2 clavicles. 7. It is the anterior boundary of thorax. 1. lii youth 3 parts, 2. Aids in formation of pelvis, 3. In manhood a single bone, of irregular shape, 4. Articulates with its fellow, sacrum and femur, 5. Acetabulum—a socket in this bone into which the head of the femur fits. 6'. In the center of the socket is fixed the round ligament of the u thigh bone.” OS INNOMINAT UM. 1, Basis of spinal cord. SACRUM. Coccyx, Scapula and Humerus. 39 2. Wedge-shaped, 3. Composed of 5 vertebrae, 4. In texture, light and spongy, 5. Between the innominata, 6. Articulates with last lumbar and coccyx. 1. Lower extremity of spinal cord, 2. Formed of 4 vertebrae, 3. Articulates with sacrum only. COCCYX. UPPER EXTREMITY CONSISTS OF 1. Shoulder, 3. Forearm, 2. Arm, 4. Hand. 1. SCAPULA. 1. On upper and back part of the thorax, 2. Extends from the second to the seventh rib, 3. Triangular in shape, 4. Coracoid Process hangs over upper and inner part of glenoid cavity. 5. Articulates with clavical and humerus. 2. HUMERUS. 1. Consists of a shaft and two extremities, 2. Head—smooth, covered with cartilage, fits into the glenoid cavity of the scapula, 3. Neck—constricted part of head for capsular ligament. 4. Two tuberosities at top of shafts with bicipital groove between. 5. Articulates with scapula above, and radius and ulna below. 6. Trochlear surface received into sigmoid cav- ity of ulna, admitting flexion and extension. Tabulated Manual of Physiology. 3. ULNA. 1. On inner side of forearm, 2. Longer and stronger than the radius, 3. Upper end articulates with humerus and radius, 4. It is the u small bone of the forearm.” 5. The olecranon process forms the projection of the elbow and is that much longer than the radius. 4. RADIUS. 1. Larger, but shorter than the ulna, 2. It is external to the ulna, (on thumb side), 3. Articulates with ulna, at elbow and wrist. 4. At the wrist it articulates with the first row of bones, forming wrist-joint. 5. THE CARPUS. 1. Consist of two rows of bones, 2. Four bones in each row, 3. Between forearm and metacarpus. 4. First row—(1) Scaphoid, (2) semilunar, (3) cuneiform, (4) pisiform. 5. Second row—(1) Trapezium, (2) trapezoid, (3) magnum, (4) unciform. 6. FINGERS. 1. Composed of 3 phalanges, 2. The thumb has 2 phalanges, 3. The first phalanges are 5 in number, 4. The second, 4 in number, 5. The third, (ungual) 5 in number and smallest, (>. Whole number of phalanges, 14. 1, The Femur, 3. The Fibula, 2. The Tibia, 4. The Patella, 5. The Foot. LOWER EXTREMITY. Femur, Patella. Tibia and Fibula. 1. Longest, strongest bone in the body. 2. Supports weight of head, trunk and upper ex- tremities. -V 3. Head received in acetabulum, forming an en arthrodial or ball-and-socket joint. 4. Articulates with os innominatum, tibia and patella. 5. Movements permitted are—Flexion, extension, adduction, abduction, circumduction and rotation. FK.MLH, PATELLA. 1. A sesamoid bone, 2. Triangular in shape. 3. Base above, apex below, 4. Anterior surface, convex, 5. Posterior surface divided by a prominent ridge. 6. Connected with tibia by the ligamentum patella.. 7. On anterior part of lower extremity of femur. 8. Articulates with condyles of femur. 1. Situated at fore and inner part of leg, 2. Triangular in shape, and larger than the fibula, 3. Articulates with femur, fibula and astragalus. 4. Where it articulates with the femur it is ex panded from side to side, tlie condyles of the femur resting upon it. 5. Between the tibia and fibula is the interosseous membrane. 6. It is prolonged downward on its inner side,form- ing the internal malleolus (ankle joint). TIBIA. FIBTLA. 1, Smaller than the tibia and similar in shape., 2. On outer side of leg, 42 Tabulated Manual of Physiology. 3. In proportion to its length most slender of all long bones, 4. Upper end below level of knee-joint and excluded from its formation. 5. Lower end projects below the tibia forming the outer malleolus (ankle) fi. Articulates with tibia and astragalus. TARSUS. 1. Bones composing it are seven, 2. Connected above to tibia and fibula, 3. Forms posterior part of foot. 4. Below it is arched, 5. Articulates in front with the bases of 5 met- atarsal bones. 6. The 7 metatarsal bones are,—Calcaneum, Astragalus, scaphoid, cuboid, and internal, middle and external cuneiform. 7. Firmly bound together by a few large, strong ligaments on back and sole of foot. 1. The middle part of the foot. 2. Composed of 5 long bones, 3. Between tarsus and toes. METATARSUS. 1. Composed of 14 bones, 2. Three bones to each toe, except first. 3. The great toe has only 2 bones. PHALANGES. THE CRANIUM. 1. Composed of 8 bones, 1. Occipital,—posterior part of skull. 2. Two Parietal,—lateral parts of head. 3. Frontal,—forehead. 4. Ethmoid,—between eye-sockets. 5. Sphenoid,—across base of brain. 6. Two Temporal,—temples. (See skull hones) Bones of Face, Ear, and Sup. Maxillary. 43 FACE. 1. Composed of 14 bones, towit: Two Malar, Two Palate, Two Nasal, TwolnferiorTurbinated, Two Superior Maxillary, The Vomer, Two Lachrymal, The Inferior Maxillary. 1. Composed of 3 bones, viz : Incus or Anvil, Malleus or Hammer, Stapedius or Stirrup. EAR. 1. Malar. RONES OF FACE 1. Prominent part of cheek, 2. At outer and under part of orbit. 3. Of quadrangular form. 4. Articulates with frontal, temporal, sphenoid and superior maxillary. 2. SUPERIOR MAXILLARY. 1. Hollow; quadrangular in form, 2. Forms facial surface externally, 3. Nasal process joins frontal bone, 4. Alveolar Process forms lower part of body and is hollowed out into sockets for 8 teeth. 5. Nasal spine extends above and between the central incisor teeth. 6. Antrum of Highmore—below the orbital plate, and above the alveoli of the molar teeth. 7. Articulates with frontal, ethmoid, nasal, ma- lar, lachrymal, inferior turbinated, palate, vomer, and its fellow of the opposite side. Tabulated Manual of Physiology. S. LACHRYMAL. 1. At inner and front part of orbit, 2. In size and shape like a finger nail, 3. Articulates with frontal, ethmoid, superior maxillary and inferior turbinated. 4. PALATE. 1. Form, quadrangular, 2. Concave, 3. Completes the door of the nose, 4. Its posterior edge gives attachment to the soft palate, a freely moving partition. 5. It sends up a crest to support the vomer. G. Articulates with sphenoid, ethmoid, superior maxillary, superior and inferior turbinated, audits fellow of the opposite side. 5. TURBINATED BONES. (Called also superior and inferior spongy portion of ethmoid by some writers). 1. Attached to lachrymal and ethmoid above, 2. Attached to ridge on palate and the superior maxillary below. 3. Helps to complete nasal duct, 4. Helps to enclose the Antrum of Highmore. G. VOMER. 1. In the central line of the nose, 2. It forms part of the septum of the nose, 3. Articulates with sphenoid, ethmoid, superior maxillaries, palate, and lachrymal. 7. NASAL BONE. 1. Between nasal processes, superior maxillary, 2. Forms the=“ bridge of the nose.’’ Inf. Maxillary, Os Uyoides, Articulations. 3. Articulates with ethmoid, frontal, superior maxillary and its fellow of the opposite side. 8. INFERIOR MAXILLARY. 1. Anterior part forms mental jirocess of chin, 2. Symphysis, a ridge in the center of anterior •part. 3. Alveolar process on upper edge of body and horizontal rami. 4. Ascending rami, from angle to glenoid fossa of temporals. 5. A dental canal communicates with each alveoli- 6. Articulates at glenoid fossa with each tem- poral bone. 9. OS HYOIDES. 1. At root of tongue, 2. Corresponds to epiglottis behind. 3. Shaped like a horse shoe. 4. Has no articulations. 5. To it 11 muscles are attached. * ARTICUL AT I ONS, (.) 01 NTS ) 1. In number about 200. 2. Classes.,— 1. Synarthrosis,—immovable, as of cranium. 2. Amphiarthrosis, Synchondrosis or Symphysis, having limited motion, as the vertebne. 3. Diarthrosis,—having free motion. 3. Varieties of Motion,—(1) flexion, (2) extension, (3) adduction, (4) abduction, (5) rotation, (6) circum- duction, (7) gliding. 4. By sutures are meant processes and indentations interlocked together; as inter-parietal, inter-frontal, fronto-parietal, etc*. Tabulated Manual of Physiology. 5. Gomphosis,—an articulation by the insertion of a cone-like process into a socket ; as, teeth. 6. Schindylesis,—the reception of a pi ate into the fissure of anot her bone ; as rostrum of sphenoid with vomer. 7...Lateral Ginglymus,—a pivot process turning within a ring, or a ring turning round a pivot; as superior radi-ulnar and atlo-axoid joint. 8. Structures entering into formation of joints : (1) articular lamella of bone, (2) ligaments, (3) flbro- cartilage, (4) cartilage, (5) synovial membrane. (See MEMBRANES) LIGAMENTS. 1. Found in nearly all movable articulations. 2. They consist of variously formed bands made up of white fibrous tissue, mostly, and have a shining silvery appearance. 3. They are pliant and flexible, yet strong, tough and inextensible. 4. They are the connecting medium between joints. 5. Where the elasticity of the ligament acts as a substitute for muscular power, they consist of yellow elastic tissue, as the ligamenta subflava connecting the adjacent arches of the vertebra. G. Capsular ligaments surround joints like a bag, thus preventing any efflux of synovia. 7. Connecting ligaments (external and internal) strengthen the union of ends of movable bones. Cartilage, Shoulder. Elbow and Wrist Joints. -Vt cartilage, or “Gristle.” 1. Consists mostly of chondrine with about 4 bone earth. 2. White, glistening and elastic. 3. It may be,—(l) Obducent, covering movable articulations; (2) Inter-articular, between articula- tions; (3) Uniting, uniting one bone with another. 0. SHOULDER JOINT. 1. Ball and socket. 2. Head of humerus received into glenoid cavity of scapula. 3. The ligaments preventing displacement are,— (1) Capsular,(completely encircling it), (2) Coraco- humeral, (strengthening upper and inner part of the capsular) (3) glenoid, (around margin of cavity, 4. Lined by synovial membrane, and moistened and lubricated by synovia. 10. ELBOW JOINT. 1. Hinge-joint 2. Trochlear surface of humerus received in great- er sigmoid cavity of ulna (flexion and extension), the depression on head of radius articulating with radial tuberosity of humerus ; circumference of head of radius with lesser sigmoid cavity of ulna (rota- tion), 3. Ligaments,—(l) anterior, (2) posterior, (3) internal lateral, (4) external lateral. 11. WRIST JOINT. 1. Arthrodia. 2. Above, are radius and fibro-cartilage, 3. Below, scaphoid, semilunar, and cuneiform. 4. Ligaments,—(l) anterior, (2) posterior, (3) external and (4) internal lateral. Tabulated Manual of Physiology. T± HIP JOINT. 1. Ball and socket. 2. Head of femur received into cavity of ace- tabulum. 3. Articulating surfaces covered with cartilage, and lubricated by synovia. 4. Ligaments,—(l) Capsular, (around margin of cavity above and neck ot femur below); (2) Teres, (fastened about the center of the head of femur blending with transverse); (3) cotyloid, (fills up all inequalities ); (4) Ilio-femoral ( across front of joint); (5) Transverse, (crosses notch at lower part acetabulum). 5. Movement, very extensive. 13. KNEE JOINT. L Hinge joint. 2. Head of femur above, tibia below, patella in front. 3. Some ligaments outside, others inside. 4. Ligaments outside,—(1) Ligamentura Patellae, (2) posterior, (3) internal lateral, (4) 2 external lateral, (5)-Capsular. 5. Ligaments inside,—(1) External crucial, (2) Internal crucial, (3) transverse, (4) coronary, (5) ligamentum mucosum, (6) ligamenta Alaria, and (7) 2 semilunar fibre-cartilages, Aote.—We do not attempt a full description of all joints. Simply remember what enters into the formation of joints and the bones that articulate, and you will experience no trouble in understanding and (describing articulations. (See abridgment). Abridgment of Osteology. NAME OF BONE. No. of Articulations No. Muscles Attached Devetopm’tal Centers NAME OF BONE. No. of Articulations No. Muscles Attached (Uevelopm tap 1 Centers 1 Frontal 12 3 2 Trapezoid 4 1 1 Parietal 5 1 1 Os Magnum 7 1 1 Occipital 6 12 4 LI nciform 5 2 1 Temporal 5 14 4 Metacarpal . ... 19 18 10 Sphenoid 12 12 10 Phalanges 23 20 28 Ethmoid 15 0 3 Vertebrae ...... 72 39 85 Nasal 4 0 1 Sacrum 4 5 11 Lachrymal 4 1 1 Coccyx 1 4 4 Malar 4 5 1 Os Innominatum 3 3 5 Inf. Turbinated. 4 0 1 Femur 3 23 5 Vomer. . 6 0 9 Patella 1 4 ses. Sup, Maxillary, 9 9 4 Tibia . 3 10 3 Inf. Maxillary.. . 2 14 2 Fibula 2- 9 3 Sternum 16 10 6 Os Calcis.. 2 8 1 Os Hyoides..... 0 11 5 Cuboid '. . . . 4 1 1 Ribs (4-) 24 19 34 Astragalus. 4 0 1 Scapula 2 17 7 Scaphoid ■: . ... 4 1 1 Olavical 3 6 2 Int. Cuneiform. . 4 2 1 Humerus 3 24 7 Mid. Cuneiform.. 4 0 1 Ulna., *. ., . 2 13 o O Ext. Cuneiform.. 6 2 2 Radius 4 9 3 Metatarsal 21 13 10 Scaphoid 5 0 1 Phalanges 23 23 28 Semilunar 5 0 1 Malleus.". . . . ; 1 3 9. Cuneiform '3 0 1 Incus.. . i. • . . 2 0 9, Pisiform. 1 2 1 Stapes 1 1 9, Trapezium 4 3 1 ABRIDGMENT OF OSTEOLOGY. NERVES. The two great systems are—(l) Cerebro-spinal, (2) Sympathetic. 1. CEREBRO SPINAL SYSTEM. 1. The system of animal life, (sensation, motion, etc). 50 Tabulated Manual of Physiology. 2. Occupies cranium and spinal canal. 3. Consists of (1) brain and cranial nerves, (2) spinal cord and spinal nerves. 2. SYMPATHETIC SYSTEM. 1. The system of organic life, (growth, nutri- tion, etc). Remark:—The distinction “organic” and “animal” is by no means complete. 2. It consists of a double chain of ganglia on each side of the spinal column from the base of the cranium to the coccyx; also ganglia in thorax, abdomen, head, face, etc. N. B.—The nerves of either system anastomose with the other. NERVOUS TISSUE. Composed of 2 kinds of matter (1) gray, (2) white. The Gray. 1. It is a fine connective tissue stroma imbedding in its meshes the gray vesicles or cells. 2. The cells. 1. Gray in color. 2. Invested in a delicate membrane. 3. Each contain a soft, albuminous nucleus. 4. Some have also a nucleolus. 5. Vary in size and shape. 6. Smallest in brain, largest in spinal cord. 7. Found on the surface of the brain, but in the interior of the spinal cord. 8. Their shape is generally oval. 9. Their shape may be irregular in outline with one, two, or more tails (processes) i. e., unipolar, bipolar, or multipolar. 10. Function : To generate nerve force. The White. 1. Where found : The Structure of Nerves. 51 1. In the interior of the brain, 2. On the surface of the spinal cord, 3. In nearly all nerves of both systems. 2. It consists of three parts: 1. The tubular membrane, investing, protecting, and keeping the parts from injury. 2. The white substance (of Schwann), inside of the tubular membrane, insulating the band axis, and together with the membrane, preventing dif- lusion of nerve force. 3. Band axis (axis cylinder); (1) In the center of white substance, transparent and albuminous in character; (2) It is the essential conducting agent. Remark :—Where the white substance is wanting, they are denominated non-medullated. 1. They are round or flattened cords, 2. The nerve filaments pursue an uninterrupted course from their origin to their termination. 3. They are surrounded by the neurilemma (sheath), which is fibre-elastic, in which the blood- vessels ramify, conveying nutrition to the nerve. 4. They pass into each other’s sheaths. 5. Motor fibers, (central endings) enter brain and spinal cord, retaining axis cylinder only, and blend with the gray cells. 6. The endings)form aplexusfrom which ultimate fibers issue and are distributed to the tissues, 7. Thq white substance of the nerve disappears, and the axis cylinder spreads out into a minute glanular plate—the “ motorial ” end plate, as the motor nerve enters the muscular fiber; the tubular membrane blends with the myolemma. This is the form of con- nection between motor nerves and voluntary muscle. 8. In involuntary muscle, the motor nerves form at their endings, a plexus on the muscular fiber-cells, connecting with their nuclei. 9. The sensitive nerves end in 3 ways,— THE STRUCTURE OF NERVES. 52 Tabulated Manual of Physiology. 1. In tactile corpuscles, (situated in the papillas of the true skin) by approaching the corpuscles and winding 2 or 3 times around, the nerves end in loops (sense of touch). 2. In end bulbs, a coiled mass inclosed in very fine connecting tissue. 3. In pacinian corpuscles, the nerve fiber enters and ends in a knob in the central bulb, (not well understood), 10. Efferent or centripetal nerves pass outward to various organs, transmitting nervous impulses. 11. Afferent or centripetal, convey impulses to the nerve centers. 12. Sensitive nerves give rise to sensation. 13. Vasomotor, regulate the caliber of blood-vessels, 14. Trophic, influence nutrition. 15. Secretory, influence secretion. 16. Inhibitory, produce a restraining action. 17. Motor nerves may be paralyzed without affect- ing sensation, (introduce wdofara under the skin), 18. Sensibility maybe abolished without destroying motion (employ anaesthetics). 19. Motor nerves conduct force at the rate of 120 feet per second. 20. Sensory nerves conduct force 190 feet per sec- ond. 21. Nervous stimuli—(1) iliechanical, (2) thermal, (3) chemical,'(4) electrical. 22. A nerve extends from a ganglia or center to some part of the body. 23. A commissure—from ganglia to ganglia. GANGLIA. 1. Congregated, adjoining, communicating cells giving off fibers. 2. They may be regarded as independent centers. Plexus a?id Spinal Nerves. 53 3. They consist of fibrous investing membrane con taining gray cells and gelatinous fibers. 4. Situations,—(1) on posterior roots of spinal nerves, (2) along sides of vertebral column, (3) on the cranial sensory nerves, (4) in the different viscera. PLEXUS. 1. Branches of different nerves interlacing in the most intricate manner, in all directions. 2. Fibers are again given off to pursue an indepen- dent course. 1. 31 in number. 2. Arising by 2 roots, anterior and posterior, uni- ting in the intervertebral foramen, and extending to the muscles, viscera, and skin. a. Anterior Roots. (Motor). 1. Transmit impulses from center-to periphery, 2. Irritation of these roots results in convulsive movements of the muscles. 3. Disease of these roots induces paralysis. 4. They arise from anterior columns of spinal cord. h. Posterior Roots. (Sensory). 1. Transmit impressions from periphery to centers in spinal cord or brain promoting in the first instance motor impulses, in the second, conscious sensations, 2. Irritation of these roots causes the sensation of pain. 3. Sensation in a part may be lost by division or disease of these roots. 3. The 31 pairs enumerated thus : (1) cervical, eight; (2) dorsal, twelve ; (3) lumbar, five; (4) sacral, five ; (5) coccygeal, one. 1. Cervical Plexus gives off branches to (1) integ- uments, (2) parotid gland, (3) ear, (4) back of head. SPINAL NERVES. 54 Tabulated Manual of Physiology. 2. Brachial Plexus to (1) shoulder joint, (2) pec- toral muscles, (3) elbow and wrist, (4) hand and fingers, &c. 3. Dorsal Nerves. Pass to (1) muscles and integu- ments of back and loins, (2) lateral and forepart of thorax, (3) intercostals, (4) diaphragm, (5) they anastomose with the sympathetic. 4. Sacral Nerves. Pass to (1) pelvis, (2) thigh, (3) leg. 'n P ana toes. 1. They communicate with all the cerebral nerves {except 3 of special sense, viz : olfactory, optic and auditory), and with all the spinal nerves. 2. Large plexuses are formed both in chest and abdomen in front of the vertebral column. 3. They ramify on the aorta, heart, venae cavae, stomach, pulmonary vessels, subclavian, ribs, phar- ynx, vertebral column, pancreas, spleen, etc. 4. They follow the distribution of blood-vessels. 5. Characterized by their numerous ganglia, viz; (1) superior, (2) middle, (3) inferior cervical, (4) car- diac, (5) thoracic, (6) semilunar, (7) solar plexus (be- hind stomach), (8) renal, (9) inferior mesenteric, (10) lumbar, (11) sacral, (12) ganglion impar. SYMPATHETIC SYSTEM. THE BRAIN AND ITS MEMBRANES. THE BRAIN. 1. Average weight; male, 494 ozs.; female, 44 ozs. 2. Weighs more than any of the lower animals except whale (5 lbs.) and elephant, (10 lbs.) 3. Maximum weight reached from 30 to 40 yrs.old. 4. Contained in the cranial cavity. 5. Composed of gray cells and white fibers. 6. The gray for the most part is on the surface; the white, within. 7. It is not only an originator or generator of nerve force, but a conductor of nervous impulses. Cerebrum and Cerebellum. 55 8. It has 4 divisions,—(1) Cerebrum, (2) Cerebel- lum, (3) Medulla oblongata, (4) Pons Yarolii. 9. Enclosed in 3 distinct membranes,—(1) dura mater, (2) arachnoid, (3) pia mater. 1. Average weight 3 lbs. (5 ozs. less in female). 2. The carotid and vertebral arteries supply it. 3. A decrease of blood to, a decrease of functional activity. 4. Consists of right and left hemisphere, divided by the longitudinal fissure from before backwards. 5. Connected with pons Yarolii and medulla ob- longata through crura cerebri, and with cerebellum through the superior peduncles. 6. Gyri,—rounded eminences (convolutions). 1. Sulci,—separates convolutions. 8. Lobes, five in number,—(1) frontal, separated from temporo-sphenoidal by fissure of Sylvius ; (2) Island of Reil, in angle of rami of fissure of Sylvius; (3) Parietal, separated from frontal by fissure of Rolando; (4) Occipital, separated from parietal by parieto-occipital fissure; (s)Temporo-Sphenoidal, sep- arated from frontal by fissure of Sylvius. 9. The hemispheres are the centers in which the phenomena of mind is manifested. 10. It is the seat of reason, intelligence, and will, registering impressions,and reproducing them as ideas. CEREBRUM. 1. Underneath back lobes of cerebrum. 2. In proportion to the cerebrum as 1 to B|. CEREBELLUM. 56 Tabulated Alarm a I of Physiology. 3. Two hemispheres, and a central portion, the Vermiform Process. 4. Insensible and inexcitable. 5. Connects with cerebum through superficial por- tion of pons Varolii, and with spinal cord through restiform bodies. 6. The center for co-ordination and equilibrium of muscular movement. 7. A vertical section gives an appearance called the Arbor Vi tee. PONS VAROLII. 1. Unites with (1) cerebrum, (2) cerebellum, (3) medulla oblongata. 2. Its transverse fibers unite the hemispheres of the cerebellum. 3. Its longitudinal fibers, continuous with the olivary bodies and anterior pyramids. -f. It serves for the transmission of sensory and motor impulses to and from the cerebum. 5. It seems to be the center of instinctive reflex- acts, and assists in automatic movements of station and progression. (See membranes). MEDULLA OBLONGATA. 1. A bulb formed by expansion of upper part of spinal cord. 2. Divided in halves by anterior and posterior mid- dle fissures, continuous with the cord. 3. Fibers of anterior pyramids cross (decussation) each other on their way to opposite sides of the brain. Dura Mater, Arachnoid and Pia Mater. 57 4. Each half consists of 4 columns named from be- fore backwards thus: (1) anterior pyramid, (2) lateral tract and olivary body, (3) restiform body, (4) pos- terior pyramid. 5. The center of mastication, respiration, degluti- tion, phonation, expression, and of the cardiac and ▼aso-motor nerves. MEMBRANES OF BRAIN. DURA MATER. 1. A firm, tough, white-fibrous tissue. 2. Serves as internal periosteum to the skull bones. 3. Attached to edge of foramen magnum. 4. It supports the brain. 5. It forms the following: 1. The sinuses, by separations in its layers, per forming the offices of veins. 2. Falx cerebri, between lobes of cerebrum. 3. Tentorium, above cerebellum, below back part of cerebrum, separating them. 4. Falx cerehelli. between lobes of cerebellum. ARACHNOID. 1. Very thin serous membrane. 2. Spread over surface of brain and spinal cord. 3. Between dura mater and pia mater. 4. It does not dip down into the sulci. 5. It consists of— 1. Parietal layer, in contact with dura mater except where it forms the sub-dural space or cavity which contains fluid, 2. The visceral layer, separated in many places from the pia mater, forming the sub arachnoid space which contains the cerehro-spinal fluid. 58 Tabulated Manual of Physiology. PI A MATER. 1. Lines entire surface of brain and cord. 2. Connected to arachnoid at outer surface, except at the base and sulci. 3. Dips between the covolutions of the brain. 4. Enters ventricles by the great transverse fissure. 5. Composed of areolar tissue. 6. Gives off from its inner surface small blood- vessels penetrating the brain and cord. 1. From 16 to 18 inches long. 2. Has 3 membranes, same as brain. 3. Weighs 1-} ounces. 4. Gray matter inside, white outside. 5. Extends from atlas to second lumbar, ending in thefilum terminale or cauda equina. 6. Has 8 columns, 4 on each side, continuous with those of the medulla oblongata. 7. The ventrical of the cord, (central canal) some- times extends its entire length, being lined by the ependyma which also lines the ventricles of the brain being a transparent serous membrane. SPINAL CORD. It controls the processes of organic life; regulates nutrition, secretion, and temperature ; governs all voluntary and involuntary muscular movement; sen- sation, mental and moral manifestations, motion, and language, and unites the organs and tissues of the body into an organic unit. FUNCTIONS OF THE NERVOUS SYSTEM. NAME. appa’t origin. PROPERTIES. FUNCTION. DISTRIBUTION. Anterior lobes of cerebrum convey special impressions of odorous substances Passes to ethmoid bone expands into 1st pair, Olfactory Governs sense of smell olfactory bulb, thence to mucous membrane of nose. 2nd pair, Optic Optic ganglion Convey special impressions of light Governs sense of sight Passes through optic foramina, and distributed to the retina. Elevates upper eyelid; move- 3rd pair. Motor Oculi Communis Cerebral pedun- cles Irritation causes contraction of pupil, images crossed, ina- bility to rotate the eye. drop- mentsof iris: accommodation for distance; animates all muscles of eye but rectus and Enters orbit through sphenoid fis- sure, thence to eye. ping upper evelid, etc. superior oblique Enters orbit through sphenoidal As- sure, thence to muscle. From two roots, (the smaller passing 4th pair, Patheticus ditto Injury causes one image to appear above another, or eye Movements of eye by su perior oblique muscles 5th pair, Trigeminal or Tri-facial Pons varolii irritation, neuralgia of head and face Most acute sense of any to head and face through foramen ovale), consists of 3 branches, viz: Opthalmic, superior and inferior maxillary. (ith pair, Motor Oculi Communis: A lain ecru- ditto Irri. turns eyeball outw’ds, if paralyzed, cannot be turned outwards Irritat’n produces convulsive movements of facial muscles To turn the eyeball outwards Enters orbit Onough sphenoidal fis- sure, thence to external rectus. 7th pair, Facial; Portis Dura Medulla oblon- gata To give expression, abo influ- encing taste uvula.membrana tympaui, etc. Exit through stylo-mastoid foramen, thence to muscles of face. Enter external auditory canal,thence 8th pair, Auditory; Portis Mollis ditto Convey impressions of sound Governs hearing to cochlea, vestibule and semi-circu- lar canals. 9th pair, Glosso- Cerebral pedun- Irritation produces pain or Controls reflex movements of Passes thro’ jugular foramen, down cles and medulla contraction of muscles of vomiting and swallowing; and forwards to tongue and pharynx, oblongata pharynx and palate sensibility of pharynx tonsils, uvula, soft palate. 10th pair, Par Vagum Pneumogastric Medulla oblongata Exhibits both sensory and motor properties, at orgin it is sensory. Influences secretions of stom- ach, liver, etc., action of heart, respiration, voice, deg- lutition. Passes through jugular foramen, tnence to larynx, heart, stomach, lungs, intestines, liver, spleen, kid- neys, etc. 11th pair, Spinal Accessory ditto and spinal cord Motor in beginning but from a u as tom os’g appears sensory Exhibits heart’s action, gov- erns phonation by influence on glottis,controls respiratory Enters cranium through foramen magnum, emerges through jugular foramen, receives and gives branches Motor inside, but sensory out- organs in prolonged phonat’h to other nerves. 12th pair, Sublingual: Hypo-glossal Medullaoblongata sidecran’mfrom anastomos’g Governs all move’tsof tongue, Emerges through condyloid foramen, Ini. produces difficult articu- influencing articulation,mas- sends fllaments to pneumogastric, lation and pronunciation tication and deglutition sympathetic and others. CRANIAL NERVES. 60 Tabulated Manual of Physiology. muscles: 1. They are bundles of reddish fibers. 2. They are connected with bones, cartilages, liga- ments, and skin either by- tendons or aponeuroses. 3. If connecting with cartilage or bone the fibers end bluntly on theperichondri/um of the one and the periosteum, of the other. , 4. If connecting with the skin they lie in a flatten- ed layer under it, or connect with its areolar tissue. 5. The broad flattened muscles inclosing the cavi- ties of the trunk are called its parietes. 6. They are called long, short, broad, &c., orpenui- form, bi-penniform,' fusiform, radiated, cf c., owing to their shape and position. 7. Origin, the central attachment; Insertion, the point upon which it is directed. 8. Tendons, are either round or flat white fibrous tissue cords, with parallel fibrils, bound firmly to- gether, with which the muscular fiber becomes blen- ded. 9. Apomeuroses, white fibrous membranes, in struc- ture resembling the tendons. , 10. Tendons and Aponeuroses are always interme- diately situated between the muscles and movable structures. ' . 11. Fasclce (a bandage) invest the softer and more delicate organs, and is either superficial or deep. 1., The. superficial fascia (fibro-areolar) is direc- tly under the skin over nearly the entire body con- necting it with the deep or aponeurotic fascia, and sub adjacent parts, facilitating its movement, and Muscular Tissue and Striated Muscles. 61 also retaining the warmth of the body owing to the adipose tissue being contained in its areolae which is a bad conductor. 2. The deep fascia (aponeurotic) (1) consists of parallel tendinous fibers, connected by reticular (interwoven) fibers. (2) It binds down the mus- cles collectively and sheathes each one individually, and also the vessels and nerves. (3) It serves for the' attachment of muscles (aponeurosis of attach- ment) and sheaths the entire limb, giving off septa departing the muscles and becoming attached to the periosteum, (aponeurosis of investment). .1.. There are two kinds, viz : 1. Voluntary (striated), controlled by the will. 2. Involuntary (non-striated), as a rule, not con- trolled by the will. MUSCULAR TISSUE. 1. Consists of'bundles.of fibers surrounded by a web of areolar tissue called perimysium P 2. Each bundle consists of smaller bundles, and these again of the primitive fasciculi {fibrils) enclosed in a tubular, elastic, transparent sheath called u sar- colemma.” 3. These muscular fibers are,distinguished by dark lines (striae) curving transversely (occasionally run longitudinally) around the fiber about TFJp °f an inch apart. 4. Each primitive fibril is about °f an inch in diameter. 5. The fibrils are composed of nucleated cells ar- ranged in a linear series. 6. This form constitutes the voluntary muscles. STRIATED MUSCLES. 62 Tabulated Manual of Physiology. 1. The libers form flattened bands, interlacing in all directions, the fibrils being composed of rod-shaped nucleated cells, and without striae. 2. The contraction is slower than in the Striated, and involves the entire muscle, i. e., membranes com- posed of this tissue contract slowly, then the contract- ed part relaxes and is taken up by another part of the membrane ; this action is strongly marked in the vermicular motion. Remark.—As muscles die they become stiff, the rigidity so characteristic of recent death is called u Rigor Mortis The rigidity (stiffening) is mostly due to the solidifying of the contents of the sarcolem- ma. As rigidity ceases, putrefactive changes set in. NON-STRIATED MUSCLES. 1. There are about 500 muscles. 2. They are all in pairs except 12. 3. Extensors pass over the back of joints. 4. Flexors pass in front of joints. 5. Law of contraction: They shall contract to- wards the center. 6. Stimuli. 1. Mechanical, (touch). 2. Chemical, (acids and alkalies). 3. Electrical, (shocks). 4. Vital, (Through the nervous system). 7. Blood vessels enter the perimysium and the fibers absorb their nutrition through the myolemma, (endosmosis). 8. Use: To give power of locomotion, ability to work, to communicate, etc , and by means of their con- tractile property the heart beats and circulation and respiration are carried on. They fill up cavities, give plumpness of appearance, and with the bones give support and power of resistance. GENERAL POINTS. Miuscles. 63 NAME. ORIGIN. INSERTION. FUNCTION. Occipito-frontalis Outer % sup. curved lineof occiput and mastoid process Frontal quadrilateral expansion to facial muscles Chiefly, facial expression. Orbicularis Palpebrarum Sphincter of eve To close the eyelids. Levator LabiiSu perioria Alaeque Nasal process sup. maxillary bone Cartilage of ala and upper lip To elevate upper lip and di- late the nostril. Orbicularis Oris Sphincter of mouth To close the mouth. Massetcr Malar process sup. max. and two- thirds inner surface zygoma Angle and ramus of the lower jaw A muscle of mastication. Temporal Tempera! fossa and fascia Coronoid process inferior maxillary To bring incisor teeth to- gether; the “biting muscle.” Sterno-cleido- masloid Sternum and clavical Mastoid process temporal bone To depress, and also to rotate the head. Transverse processes of 3rd. 4th, Tuner arch of atlas, transverse pro- To flex the cervical verte Lougus Colli and 6th C. Y., and bodies of first 3 cesses of the 2nd, 3rd, 4th, 5*h and brae and partially rotate dorsal, and lower 3 c< rvical cervical same. Ensiform cartilage, bodies of lorn- Diaphragm bar vertebrae, on right side from 2nd to 4th and on loft side from 2nd Central (cordiform) tendon (con needed with deep cervical fascia) Respiration and expulsion to 3rd and lower ribs Biceps Long head, upper margin glenoid cavity, Short head, apex coracoid process Outer and inner heads, shaft hum- Tuberosity of radius and fascia of forearm To su pin ate, and flex fore- a rm. Triceps erus. Long head, depression below Olecranon process of ulna To extend the forearm. glenoid cavity of scapula Oastrochuemius Two heads; One from each condyle Unites with tendo archillis to os To raise the body in walking of femur calcis or extend the foot. Sartorins Anter superior spine of ilium Upper inner surface of tibia To flex and cross the legs. Tabulated Manual of Physiology. ■Suffice it is to say there are over 500 muscles, all in pairs one on each side of the body except 12 ; each having its antagonist, that is—as one relaxes the other contracts, (see flexors and extensors). The names of the muscles have been derived (1) from their situation, as the Tibialis, (2) from their direction, as The Transversalis, (3) from their uses, as Flexor, (4) from their shape, as Deltoid, (5) from the number of their divisions, as Biceps, (6) from their points of attachment, as Sterno-cleido-mastoid. OPENINGS OF THE DIAPHRAGM. 1. Oesophageal, transmitting the oesophagus and pueumogastric nerves. 2. Aortic, transmitting aorta, vena azygos major, thoracic duct, and sometimes the left sympathetic nerve, 3. Opening for the Vena Cava is the highest. 4. The Right Crus, transmits the sympathetic and greater and lesser splanchnic nerves of right side. 5. The Left Crus, transmits the vena azygos minor and the greater.,and lesser splanchnic nerves of the left side. 1. Bounded above by the hard and soft palate. 2. Bounded below by the tongue and reflections of mucous membrane from it to the gums. 3. Bounded at the sides by the cheeks. 4. Anterior opening corresponds to the lips. 5. It communicates behind with the pharynx through the opening known as the isthmus faudum, which is bounded as follows : 1. Above, by the soft palate and uvula, 2. Below, by the tongue, 3. At the sides, by the tonsils and pillars of the palate. MOUTH. Teeth and Salivary Glands. 65 6. The mouth is lined with squamous epithelium. 1. Number in adults 32, (permament) in child- hood, 20. (deciduous), 2. Their divisions are:— 1. Incisors, eight, 2. Canine, four, 3. Bicuspids, eight, 4. Molars, twelve, 3. Wisdom teeth, the two last Molars (appear late). 4. The division in childhood are:— 1. Incisors, eight, 2. Canine, four, 3. Molars, eight. 5. Each tooth has— 1. A crown, seen above the gums, 2. A neck, between the crown and root, 3. A root, fitted in the alveolar process, sur- rounded by periosteum that lines the alveola. 6. Deciduous teeth, begin to appear about 7th month, entirely appear about 24th month. 7. Permanent teeth, begin to appear about 7th yrear, entirely appear from 17th to 25th year. 8. The greatest number of teeth in jaws at any one time would be from 5 to 7 yrs. of age,—4B in number. 3. The hard substance is made up of dentine en- amel and cement. 10. The dentine in the interior, inclosing the pulp ■containing blood-vessels and nerves. 11. Use : To grind the food. 12. They are not parts of the skeleton. TEETH. SALIVARY GLANDS. 1. Parotid,—in front and below outer ear, opening By Steno’s duct opposite 2nd molar, upper jaw. 66 Tabulated Manual of Physiology. 2. Sad maxillary,—within and anterior to angle of lower jaw, opening by Wharton’s duct at side of fra- enum linguae. 3. Sublingual,—in contact with inner surface lower jaw, close to symphysis, opening by 8 to 20 ducts, Ravinian, on each side frasnum linguae. 4. Function : To secrete saliva (See Fluids). TONGUE. 1. Made up of muscles, viz: (1) Extrinsic,, attach- ing it to other bones, (2) Intrinsic, found within it; also mucous membrane, vessels, and nerves. 2. Attached to hyoid bone at base. 3. Papillae of 3 kinds, (1) maxim(B, large forming row on back part like letter V inverted, (2) Media, at apex and sides, round, deep red, (3) Minima}, cover | anterior part, small whitish. 4. Trcenumlinguce,—(l) a distinct fold of mucous membrane, (2) beneath undersurface of tongue. 5. Sense of taste,—principally in mucous mem- brane on upper surface and in the u Taste hudsP -jJry- inch long in the papillae. 1. Glanular; on each side of fauces. 2. Almond-shaped ; marked by numerous crypts with follicles passing into substance of gland. 3. Corresponds to angle of lower jaw. 4. They seem to aid in moistening food passed be- t ween them. TONSILS. PHARYNX. 1. A musculo-membraneous, conical-shaped bag. 2. Behind mouth, incomplete in front. 3. Attached above to occipital bone; below to oes- ophagus. 4. Has 7 openings,—two to Eustachian tubes, two to posterior nares, one to mouth,(isthmus fauces), one to oesophagus and one to larynx. Stomach. 67 1. Membraneous muscular tube, 9 in. long. 2. From pharynx (sth cervical) to stomach (9th, dorsal). 3. 3 layers,—(l) muscular, (2) areolar. (3) raucous. 4. Narrowest part alimentary canal. 5. Oesophageal glands in subcutaneous tissue. 6. Conveys food to stomach. (ESOPHAGUS. STOMACH. 1. The principal organ of digestion. 2. The most dilated part of the alimentary canal, 3. Serves for reduction and solution of food (chyme- Ji cation). 4. Situated in the left and part of the right hypo- chondriac and the epigastric regions. 5. Below the diaphragm and liver, above the trans- verse colon, beneath the ribs, and in contact with the pancreas and spleen. 6. Weighs about 44 ounces. 7. It has two extremities, the splenic and pyloric, 8. The cut cle sac is the part 2 or 3 inches to the left of the entrance of the oesophagus. 9. It has 2 openings cardiac (into) and pyloric (out of). 10. Moved slightly downward and upward by breathing. 11. It has 3 coats, viz : 1. Muscular, immediately beneath the serous and having 3 sets of fibers ; (1) longitudinal, (2) circu- lar, (3) oblique. 2. Cellular ( “ vascular ” ) connects mucous and muscular layers. 3. Mucous, smooth, velvety, being in folds when the stomach is empty. Tabulated Manual of Physiology. 12. Alveoli, small hollows, from to of an inch in diameter. 13. lined with columnar epithelium. 14. Capacity, about 5 pints. 15. The true gastric and mucous glands imbedded in the mucous coat. 10. The true peptic glands, mostly in cardiac end, jet may be found all over stomach. IT. The secretion of gastric juice is a refiex act of the nerves in response to the stimulus of food in the stomach. 18. Averages 5 inches deep by 13 inches long. 19. Kept in place by peritoneum. SMALL INTESTINE. 1. 20 feet long. 2. Held in place by peritoneum. 3. Has 3 parts,—(1) duodenum, (2) jejunum, (3) ileum.. DUODENUM. I’. Length, 10 inches. 2. Shortest, widest, most fixed part of canal. 3. Lille a horse-shoe around head of pancreas with convexity to the right, descends in front of right kid- ney, passes transversely across spine, ends in jejunum. 4. Bile and pancreatic juice poured into it where chyllficdtiom takes {dace. 1. It lies in. coils around the region of the umbilicus. 2. It is the upper f from the duodenum to the Heo-esecal'valve,no definite limit being bet ween them. 3. The muscular fibers are longitudinal and circular. 4. Valmdai conniventes, the mucous layer thrown into folds. 5. Villi*,. minute vascular processes, number esti- ’nated.for entire length of small intestine 4,000,000. JEJUNUM. Ileum, Colon and Ccecum. 6. Brunners glands, small flattened glandular bodies imbedded in the submucous areolar tissue. 7. Crypts’of leiberlmKn, minute tubular depress- ions scattered between the villi. JLEUM. 1. Below the umbilical region. 2. Ending at ileo-ccecal valve (at entrance to colon). 3. Solitary glands, small, round, whitish,-scattered throughout mucous membrane of small intestine, mostly in the ileum. 4. Fryer's glands, regarded as aggregation sad* soli- tary glands, in circular and oval patches, from.2o to 30 in number and from 4 to 4 inches long, on the side opposite the messentery. 5. Structure, same as jejunum. 1. Forms of the canal. 2. Divided into (1) caecum, (2) colon, (3) rectum. 3. Has no valvuhe conniventes or villi. 4. It is sacculated and has small processes (the appendices epipldical) along its entire course. 5. Fibers of muscular coat longitudinal aaxl circu- lar. The longitudinal are collected into threeibands which being shorter than the intestine throw .it -into’? folds, z'" COLON. c.ecum. (Caput coli) 1. At right iliac fossa, behind abdominal wall 2. The beginning of the colon. 3. Receives ileum at inner side. 4. Measures 24 by inches. 5. Attached to its lower and back part is the «/> pefidix vermtformis, a worm shaped tube the size M a goose-quill in diameter, 4 to 6 inches long. COLON. 1. Extends from caecum to rectum. 2. Divided into (1) ascending, (2) transverse, (3-f descending, (4) sigmoid flexure. 70 Tabulated Manual of Physiology. 1. From descending colon to rectum. 2. Curves like the letter S. 3. Held in place by sigmoid meso colon. SIGMOID FLEXURE. ]. From sigmoid flexure to terminus. 2. Cylindrical, but not sacculated. 3. From 6 to 8 inches long. Notes.—To follow colon, begin on right side (ascend- ing) across (transverse) down left side (descending). RECTUM. Summary.— Alimentary canal, about 30 feet long and consists of—(1) Mouth, (2) Pharynx, (3) Oeso- phagus, (4) Stomach, (5) Small Intestine (Duodenum, Jejunum, Ileum), (0) Large Intestine (Caecum, Co- lon, Sigmoid Flexure, Kectum). DIGESTION. 1. Prehension,—conveying food into mouth by hands and lips. 2. Mastication,—grinding same which becomes moistened and glued by the saliva. 3. Deglutition,—conveying it through isthmus fauces, and down the oesophagus into stomach. 4. Gastric Digestion,—changing it into chyme by action of gastric juice, &c., in stomach. 5. Intestinal Digestion,—the pancreatic juice and bile being poured into duodenum, changing it into chyle, which is absorbed by the lacteals. 6. Passing on through jejunum, ileum, colon, sig- moid flexure, absorption taking place more or less the entire length until, 7. Digestion, which act extrudes the indigestible substances from the body. (See Fluids). The changes taking place in saccharine,albuminoid, and oleaginous principles of blood are,—(1) the con- version of starch begins with the saliva, (2) conver- sion of cane sugar and albuminoids,with gastric juice, (3) emulsifying of fats, wit!) pancreatic juice and bile, (4) the intestinal juices harmonizing and completing all digestive operations. Absorption. ABSORPTION. NAME. ORIGIN. COMPOSITION. am’t secre- ted IN 21 HOURS. FUNCTI CN Lymph. Transudes from capillary blood- Water proteids (/. e.) serum, albu- men, fibrin, globu- sy2 pounds Elirnina t’n of waste par- ticles from the sys’m ; on the other vessels during lin) + Extratives empty into hand the in- process of diges- (sugar, urea, chol- Thorax duct. troduction of tion. Taken up from estinepTatty mat- ter (a tracei- salts. Water -{-albumen Enters lym- new materi’l into theblood mostly from the alfm’tary canal,but al- ■Chyle. thealimentaryca- vrtbrin + extract- phatics and so from cl os- nal principally by ives fatty mat- estimated as ed cavities of the lacteals. ter t- salts. lymph. the body,re- spirat’y sur- face and skin The agents of absorption are,—(1) veins, (2) lym- phatics. The veins absorb from the chyme as it passes along, (1) water, (2) albuminose, (3) glucose, (4) inorganic salts, conveying them directly to the liver. Lymphatics; arise (1) in lymph spaces, (2) open- ings on surface serous membranes (not well under- stood). They originate at periphery and empty at base of neck by thoracic duct, which is a tu be the size of a goose-quill, 20 inches long, from receptacu- lum chyli (2nd lumbar) to junction of internal jugu - lar and left subclavian veins. The right lymphatic duct, very short, emptying at junction of right sub- clavian and jugular. Lacteals; (1) originate within the villi, (2) pass through mesentery, (3) end in thoracic duct. They absorb, (1) chyle, (2) water, (3) albuminose, (4) glucose, (5) salts. 72 Tabulated Manual of Physiology. PERITONEUM. 1. The largest serous membrane in the body,— lines walls of abdomen, reflected almost entirely over the pelvic and abdominal viscera (excex>t spleen, sup- rarenal capsules, and pancreas) and thus consisting of two layers, (1) parietal, (2) visceral. 2. There are some seventeen folds (“ligaments”) supporting different organs which to trace is almost, if not quite impossible. 3. The Omenta (Epiploa),—folds connecting stom- ach with other organs. 4. The Mesentaries (Mesos),—folds connecting in- testines to the abdominal walls, (parieties of). 5. There are sacs filled with fat along upper part of rectum and particularly the transverse colon. G. The hepatic vessel* reach the liver without per- forating the membrane. 7. There is nothing passing through the foramen of Wislow connecting the cavities of the general per- itoneal cavity and the great omentum. 8, The divisions generally given are : 1. Mesentery proper,containing lacteals, lympha- tics, mesenteric arteries,veins, and nerves, and attach- ed to lumbar vertebrae, and united to small intestines. 2. Meso-Colon,—connected to the colon. 3. Meso-Rectum*—connected to the rectum. Membranes. MEMBRANES. 1. MUCOUS. 1. Continuous with the skin at the orifices of the body. 2. Lines entire gastro intestinal tract. 3. The epithelium may be,—(1) columnar, (2) spheroidal, (3) ciliated. 4. The epithelium is supported by the corium being analogous to the derma of the skin, below which is the iihro-vascular layer with basement membrane intermediate. 5. The Jihro-vascular 1 aver contains (1) white and yellow fibrous tissue and vessels, (2) muscular fiber cells, (3) nerves, (4) lymphatics, (5) many glands imbedded in it, (6) villi andpapilhe projecting out of it in many places. 2. SEROUS. 1. They form shut sacs. 2. Can be traced continously around whole cir- cumference. 3. Consists for the most part of a layer of epithe- lium, beneath which is connective or areolar tissue with basement membrane intermediate between the two. 3. SYNOVIAL. 1. Ail ala go us in structure to the serous. 2. There are 3 kinds,—(particular, in all freely moving joints. (2) hursal, between surfaces moving upon each other, (3) sheaths,-.in osseo-fibrous can- als through which tendons pass. Tabulated Manual of Physiology. NAME. origin. composition. amount secreted IN 24 HOURS. FUNCTION. Cerebro- Spinai Pia Mater Abater, Animal Matter and Sats Very small Prevents Friction and Con- cussion. Saliva Salivary Glands Water, Proteid Matter, Inor- ganic Salts, Ptyalin 3% pounds Convei ts starch into grape sugar (glucose) and facilitates deglutition. Gastric • f IK’ F Gastric Glands Water, Pepsin, Inorganic Salts and Hydrochloric Acid 8 to 14 pounds Converts Albumen into Al- bumiuosc. Pancreatic Juice Pancreas Water, Inorganic Salts and Albuminoid Substances V/2 pounds E m n 1 si li es fats, con v ’ ts s t a rc 11 into glucose, and Albumen into Albuminose. Intestinal Juice Follicles of Intestine Water, Inorganic Matter and Salts 16 ounces Assists digestion of Albumi- noids, and converts starch in- to giucose. Syxovi a Synovial Membrane Water, Albumen, Sails and Mucous Undetermined Lubricates the joints. Serous Serous Membrane Water and Albumen Undetermined Prevents concussion and fric- tion by moistening. Mucous Mucous Membrane Water, Albumen, Salts and debris of Cells secreting it Undetermined Protects and defends Mucous Membrane. Endolymph Inner layer of Membranous Labyrinth Limpid and Serous Undetermined To aid in bearing. Tears Lachrymal Glands Water and Chloride of So- dium Unknown To soothe and cool during ex- cited brain. Serum Sebaceous Glands " il^er’ Salts, Fatty Globules and Epithelial Cells Undetermined To lubricate skin, to soften the hair. Meibomian Meibomian Glands in eye-lids Fatty-like Varies To prevent adhesion of eye- lids. Cerumen Glandulse Coruminosea of External Meatus “Waxy” Varies Moistens membrane of tym- panum. Fluids. Perilymph Membrane of inner surface of osseous labyrinth Thin and limpid Undetermined To aid in hearing. aqueous Iris, ciliary processes and in- ner surface cornea Water and chloride of so- dium Undetermined Refracting medium. . Milk Mammary glands Water, lactose, salts, fatty- matter, casein and serum al- bumen Average 3 pints In store for nutriti'n,perhaps. | M Oh C P 'A td Membranous labyrinth Thin and limpid Undetermined To aid in hearing. i! Liquor Sangitinus Formal basis of living bodies Water, albumen (nutritious principle) paraglobin. fatty matters, Febrinogen, organic matters and mineral salts With (ho globules forms all the blood li Nutrition. Sweat Sudoriparous glands Water, urea, lactates, salts and fatty matters 23.62 ounces jl Removes waste matters from the blood and regulates lhe|| temperature. Urine Kidneys Water, urea, uric acid, hip- nuric acid, mucous, pigment, inorganic and organic salts, and nitrogen and carbonic acid gases 66.31 ounces Eliminated from system. * Breath 1 ungs Carbonic acid and vapor of water 13.4 ounces The diffusion of gasses. Bile Liver Water, fatty acids, cholester- ine, Glycogen 2yz pounds Promotes emulsification, and absorption of fats, prevents putrefactive changes, and stimulates paristaltic move- ment. 76 Tabulated Manual of Physiology. PANCREAS. 1. Weighs 34 ozs. 2. Average length 6 inches, breadth inches, thickness inch. 3. Long and flat extending across the posterior wall of the abdomen, behind the stomach. 4. The right extremity bending from above down- wards is called the head, embraced by concavity of duodenum. 5. The left extremity tapering, forms the tail. fl. The middle portion is called the body. 7. A lobular fold is on the anterior aspect which is sometimes detached from the rest, and is called the lesser pancreas. Its duct (ductus pancreaticus minor) opening either into the main duct, or seperately into the duodenum an inch or more from the main duct. -8. The Pancreatic duct, (canal of Wirsung) extends from right to left through the substance of the gland, finally opening into the duodenum separately or in company with the ductus communis choledochus. 9. The duets communis choledochus is formed by the union of the cystic (gall-bladder) and hepatic (liver) ducts; 3 inches long, size of goose-quill, and empties into duodenum. See Fluids. LIVER. 1. Largest gland in the body. 2. Average weight 4 lbs. 3. At right side below diaphragm, in contact with stomach, colon, duodenum, and right kidney. 4. Dimensions; transverse diameter 10inches; an- terio posterior diameter inches. 5. It has 5 ligaments,—the suspensory, two lateral and coronary attaching it to the diaphragm, and the round ligament ascending from the umbilicus. 6. It has J5 .fissures,-—the longitudinal, transverse (portal), fissure for the ductus venosus, fissure for the gall bladder, fissure for the vena cava. Kidneys. 77 7. It has 5 lobes,—the right, the left, lobulus quad- ratic, lobulus Spigelii, and lobulus caudatus. 8. The right and left lobes are to each other as 6:1. 9. The liver is made up of lobules the inch in diameter, which are composed of nucleated cells the ToVo inch in diameter which are the true hepatic cells. 10. The hepatic ducts (bile capillaries) originate in the lobules. 11. The bile channels are 20 0“ inch in diameter and empty into the interlobular ducts. 12. The gall bladder is (1) on under surface of right lobe, (2) pear-shaped, (3) length 4 inches, (4) holds about 1| fluid ounces of bile. 13. The liver is appended to the alimentary canal, and performs the triple office of (1) excretion of bile, (2) elaboration of blood, (3) secretion of glycogen. 1. Bile, does not per exist in the blood, but is formed in the hepatic cells from both venous and arterial blood, and stored up during the intervals of digestion in the gall-bladder from which it is dis- charged as food passes into the alimentary canal (See Fluids). 2. Elaboration of Blood ; It also has the prop- erty of changing products of digestion transversing its substance, till they readily assimilate with the blood and are converted into tissues and solids. 3. Glycogen : a sugar-forming substance formed? it would seem, denovo in the cells from materials derived from the food, consisting mostly of glu- cose into which it is transformed on being carried from the liver, by the agency of a ferment. 14. The bile empties through the ductus communis choledochus, which see, (point 8, Pancreas). KIDNEYS. 1. On each side of spinal column. 2. Opposite the two upper lumbar vertebrae. 78 Tabulated Manual of Physiology. 3. Bean-shaped, and brownish red in color. 4. Length 4J inches, breadth 2 inches, thickness 1 inch. 5. The right a little lower than the left. 0. Composed of two substances,—(1) medullary, (2) cortical. (1) Medullary. 1. The internal portion. 2. Consists of about 15 pyramids (Malpighian) with apices towards pelvis, with the papillw hav ing a slight depression, the foveola on the apex. 3. Infundibulum,-a membraneous cup surround- ing each papilhe, 4 or 5 of these uniting to form the calyx, 3or 4 calyces uniting to form a common trunk the pelvis from which proceeds the excretory tube of the kidney. 7. The Malpighian bodies,—little Jlask-like extre- mities of the convoluted tubes of the cortical sub- stance, inch in diameter, 8. The Cortical substance, is the external part about inch in diameter containing immense numbers of tubules extending in every possible direction consti- tuting the secretory tubes, the excretion finally pas- sing out by way of the ureters (18 inches long) and bladder. THE SPLEEN. 1. It averages 5 by 3 by 2 inches. 2. Weighs from 8 to 10 ounces. 3. It is spongy, soft, and vascular. 4. It is connected to the cardiac end of the stomach by the gastro-splenic omentum. 5. The Suspensory Ligament,—a fold of peritoneum attaches it to the diaphragm at its upper extremity. 6. Hilum, a vertical fissure on concave surface pier- ced by vessels, nerves, and lymphatics. Eye and Sclerotic. 79 7. It has two coats (1) External serous, (2) Inter- nal fibrous elastic. 1. External,—peritoneum, investing almost the entire organ. 2. Fibrous Elastic,—forms frame-work of spleen investing the exterior and reflected in upon the vessels in the form of sheaths. 8. Splenic Pulp or substance,—surrounds the Mal- pighian corpuscles in the interspaces of the areolar frame-work. 9. Malplgh lan corpuscles—expansions of outer coat of the small arteries being about -gb inch in diameter. 10. It has no excretory duct. 11. Its function not well understood. EYE. 1. The Tunics (coverings) are three, viz. 1. Sclerotica and Cornea, 2. Choroid, Iris and Ciliary Processes, 3. Retina. 2. The Refracting Media are three, viz ; 1. Aqueous Humor, 2. Crystalline Lens and capsule, 3. Vitreus humor. 1. Dense, hard, forming posterior | of globe, 2. Maintains form of the globe, 3. Thicker behind (sb-inch) than in front, (^inch) 4. Two suffices, 1. External, smooth, white, partly covered by conjunctiva into which Recti and Oblique muscles are inserted. 2. Internal, brown, with grooves for ciliary ner- ves, connected with outer surface of choroid by tine cellular tissue [lamina fusca) contains orifices for the transmission of nerve filaments the most SCLEROTIC. Tabulated Manual of Physiology. important being that transmitting the arieria cen~ trails retina to interior of eye-ball. 5. In front, joins with cornea by direct continuity of tissue. 6. Overlaps cornea a little more on outer than in- ner surface. 7. Few vessels, small capillaries, nerves doubtful. 1. Forms anterior of the globe. 2. Projecting and transparent, being -2JS inch thick at center. 3. It is set into the sclerotic as a watch crystal into its case. 4. Not quite circular, broadest transversely. 5. Degree of curvature differs in different persons and at different times in the same person. 6. Posterior surface perfectly circular in outline. 7. Has 5 layers, viz : 1. fibrous central structure, “cornea proper,” inch thick. 2. The anterior elastic lamina, covered by the conjunctiva. 3. The posterior elastic lamina, 2uVo hich thick covered by lining membrane of anterior chamber. 4. Conjunctival Epithelium, inch thick cov- ering front of the anterior elastic lamina. 5. Epithelial lining of aqueous chamber. 8. The elastic laminae preserve the curvature. 9. Capillaries end in loops. 10. Nerves, derived from ciliary nerves and ramify in the laminated surface. CORNEA. CHOROID. 1. Invests posterior | of the globe. 2. It is from -^-0 to Ti-0- inch thick. 3. Extends forward a little in front of the equator, ending at the ciliary ligament. 4. Dark brown in color. 6. Pierced behind by the optic nerve. Ciliary Processes and Iris. 81 6. Connected externally with inner surface of scle- rotic by cellular web, the membranafusca. 7. The internal surface is in contact with the retina. 8. It has 3 layers, viz : 1. External,—mostly formed of converging veins, forming 4 or 5 equidistant trunks, piercing sclerotic half way between the entrance of the op- tic nerve and edge of cornea. 2. Middle, fine plexus of short ciliary vessels, (tunica Ruyschiana) 3. Internal, (Pigmentary,) delicate membrane of nucleated cells loaded with pigment granules. 9. it contains no pigment in Albinos. 1. Behind the iris, around margin of lens. 2. They are about inch long. 3. In number from 60 to 80 arranged in a circle. 4. They lay side by side and are of large and small size. 5. Their direction is longitudinal forming a curtain- like expansion behind the iris. 6. Attached to ciliary ligament, continuotis with middle and inner layers of choroid with opposite mar- gin free, resting on the circumference of the lens. CILIARY PROCESSES. IRIS. 1. A thin, circular, contractile curtain suspended in'thb’aqueous humor behind the cornea and in front of the lens. 2. It is about inch in width,' and T|T inch in thickness. 3. Perforated by the pupil which is from to } inch in diameter. 4. The sphincter muscular fibers contract, and the radiating fibers expand, the pupil. 5. The inner edge of iris forms the pupil, the outer edge connects with the choroid. 82 Tabulated Manual of Physiology. 6. The color varies owing to difference in color of the pigment cells. 1. Images are received upon its surface. 2. It is about Th inch in thickness. 3. Ends nearly as far forward as the ciliary liga- ment in a jagged margin, the ora serrata. 4. It is a delicate transparent membrane. 5. In the posterior part at a point corresponding to- the axis of vision, is the yellow spot of Soemmering, having a central depression, the fovea centralis. 6. The optic nerve enters about inch to the in- ner side of the yellow spot {limbus luteus) spreading out, aiding to form the retina. 7. The arteria centralis pierces the optic nerve. 8. The retina consists of 3 layers, viz : 1. External, or columnar. 2. Middle, or glanular. 3. Internal, or nervous. (Gray) According to others, 10 layers, viz; (1) membrana limitans interna, (2) fibers of optic nerve, (3) layers- of ganglionic corpuscles, (4) molecular layer, (5) in- ternal glanular layer, (0) molecular layer, (7) exter- nal glanular layer, (8) membrana limitans externa, (9) layer of rods and cones, (10) layer of pigment cells. 9. The estimated number of optic nerve fibers are 800,000; and for each fiber there are 7 cones, 7 pig- ment cells, and 100 rods. 10. The points of rods and cones point from the en- tering light, dipping into the pigment layer. 11. The rods, cones and pigment layer intermediate the change of ethereal vibrations into nervous force* which is fashioned into sensations of light, form and color in the occipital lobe. RETINA. Humor and Lens. 83 AQUEOUS HUMOR. 1. Fills both anterior and posterior chambers. 2. Weight 4 or 5 grains. 3. Anterior Chamber, between the cornea in front, and the iris and ciliary ligaments behind. 4. Posterior Chamber (denied by many authori- ties) is between the iris in front, and capsule of lens, ciliary ligament and processes behind. vitreous humor, (Hyaloid Body). 1. Fills cavity of retina. 2. Inclosed in the hyaloid membrane. 3. Albuminous, transparent, jelly-like. 4. Hollowed in front receiving the lens and its cap- sule. CRYSTALLINE LENS AND ITS CAPSULE. 1. Lens enclosed in its capsule, which is transpa- rent, elastic and jio inch in thickness. 2. Behind pupil, in front of vitreous body. 3. Surrounded by ciliary processes. 1. Transparent double-convex lens. 2. Composed of water, cholesterine, soluble and in- soluble albuminous matter. 3. Weight from 4 to 4|- grains. 4. Transverse diameter, inch; anterioposterior diameter \ inch. 5. It has no vessels or nerves, receiving its nutri- tion by imbibition. 6. It consists of concentric layers, the outer being soft, the next firmer; the inner hard nucleus. 7. It refracts and concentrates the ray of light at a given point posterior to it, and, if accurately focus- ed on the retina a correct perception of images of ex- ternal objects is the result. LENS. 84 Tabulated Manual of Physiology. 8. Ifc is held in position between the layers of the hyaloid membrane which having separated pass in front and behind it, being called the suspensory lig- ament', the space formed by its separation is the Canal of Petit. 1. Diameters',—Antero-posterior T9o5o inch,—Trans- verse, TVo inch,—Vertical, Vro inch (adult). 2. Anterior Pole.—center of the cornea, 3v Posterior Pole,—center of the fundus, 4. Axis,—imaginary line connecting the poles, 5. Visual Axis,—imaginary line from the yellow spot to the object cutting the axis at an angle of from 3° to 7°, the Visual Angle-. ■ 6. Equator, an imaginary line passing round the globe dividing it into anterior and posterior hemis- pheres. 7. Meridian Planes,—coincide with the axis. 8. The eye ball rests on a cushion of fat and con- nective tissue, retained by muscles, conjunctiva, &c. TlfE EYE BALL. 1. WHAT IS IT TO SEE ? The course a ray of light takes is as follows: It passes through (1) cornea, (2) lens, (3) vitreous hu- mor, (4) layers of the retina, (5) being arrested by the pigment layer of the choroid, here exciting some physical or chemical change in the layer rods and cones, whence (6) it is transmitted to the fibers of the optic nerve, and thence (7) to the occipital lobes where (8) it is perceived as a sensation of light, 2. The eye structures are supplied with blood by the ciliary arteries piercing its posterior part around the optic nerve. 3. The conjunctiva is the mucous membrane of the eye. 4. Eue-lids shade the eye and protect it from in- jury. See Muscles. Nasal Fossae and the Ear. 85 5. Lachrymal Glands,—at upper and outer part of the orbital cavity opening by 6 or 8 ducts at the out- er part of the upper eye lid. NASAL FOSSAE. 1. Two irregular cavities separated by the vomer, perpendicular plate of ethmoid bone and the trian- gular cartilage. 2. The cavities open anteriorly (anterior nares) and posteriorly, (posterior nares). 3. Lined by raucous membrane with ciliated epith- elium. 4. The upper of the fossae is the only part capable of receiving odorous impressions. 5. Nerves distributed between the epithelial cells of the olfactory mucous membrane. 6. The olfactory hulhs are the centers perceiving the sensations, arid are formed by an expansion oi the Ist pair of nerves. THE EAR. 1. The organ of hearing. 2. Consists of— 1. External eqr, including the -pinna and exter- nal meatus. 2. Middle ear, including the tympanum and its appendages. 3. Internal ear, including the vestibule, semi-cir- cular canals and cochlea. PINNA. 1. A fibro cartilaginous plate covered by integu- ment. 2. Collects the sound waves, transmitting them to the membrana tympani. 3. Helix, forms the semi circular outline or border. 86 Tabulated Manual of Physiology. 4. Anti-helix, below the helix inclosing a fossa (depression). 5. Tragus, an eminence anterior and inferior to the external meatus. 6. Lobule, pendulous body underneath the anti- tragus. 7. Concha, the deep, conoidal cavity leading to the meatus. 8. Fossa of the helix, a groove between the helix and anti-helix. 1. A curved canal leading from the concha to the membrana tympani. 2. Outer half cartilaginous, inner half osseous. 3. Length about If- inches. 4. Lined by skin underneath which are glands called glandules ceruininose, secreting the cerumen, or “ ear-wax.-’ EXTERNAL MEATUS. 1. Separates the external and middle ears. 2. Circular, at an angle of 45° and consists of 3 layers,—(l) external, (cuticular), (2) internal, (mu- cous), (3) middle, (fibrous). 3. At inner aspect, attached to the handle of the malleus. 4. It receives and transmits the sound-waves to the chain of bones. 5. When relaxed it vibrates farther appreciating a lovi tone. 6. When tense it vibrates less forcibly appreciating a high tone. MEMBRANA TYMPANI. 1. Consists of the cavity of the tympanum, and small bones and their muscles. 2. It is an irregular space closed externally by the membrana* internally by a second mem- brana tymp parating it from tlie labyrinth. MIDDLE EAR. The Ear. 87 3. Length | inch, 4. Lined with mucous membrane, 5. Communicates with the mastoid cells, and by the Eustachian tube with the pharynx. 6. Contains 3 connected bones extending across its cavity, viz: 1. The Malleus (Hammer), having a head, (ar- ticulating with Incus) neck and handle (articulat- ing with the membrana tympani). 2. The Incus (anvil), with a cup-like cavity for the head of the malleus, a short process lying in the mastoid cells, and a long process having at- tached to its extremity a small process of bone, the os orhiculare by some considered to be a distinct bone. 3. The Stapes (stirrup), attached by its head to the orbicular process externally and to the edges of the foramen ovale internally. 7. The chain of bones is surrounded by air, and transmit the waves of sound across the tympanum to the internal ear (labyrinth). EUSTACHIAN TUBE. 1. Partly bony, partly cartilaginous. 2. About 1A inches long, lined with mucous mem- brane having ciliated epithelium. 3. Extends from middle ear to pharynx permitting the passage of air to the middle ear, equalizing the pressure. INTERNAL EAR. 1. In the petrous portion of the temporal bone. 2. Consists of an osseous and a membranous por- tion. I. OSSEOUS LABYRINTH. Divided into 3 parts,—(l) the vestibule, (2) the semi-circular canals, (3) the cochlea. 1. Behind the cochlea, and in front of the semi- circular canals. THE VESTIBULE. 88 Tabulated Manual of Physiology. 2. Oval cavity, i of an inch in diameter, contain- ing watery fluid. 3. Communicates with middle ear by foramen ovale. 4. Has several openings, among which may be men- tioned (1) fenestra ovalis, on outer wall, (2) aqueduc- tus vestibuli, on inner wall, (3) the jive openings of the semi-circular canals, on posterior walls. 11. THE SEMI-CIRCULAR CANALS. 1. Three in number, viz : the superior vertical, the inferior vertical, and the horizontal, each opening into the vestibule by two openings, except the two vertical, which open at one extremity by a common opening. 2. Each semi-circular canal is of an inch in di- ameter, presenting a dilation at one end called the ampulla about j of an inch in diameter. 111. COCHLEA. 1. A tapering canal, inches long. 2. Turns 24 times round a central pillar, the mod- iolus. 3. Divided into two passages, the scala tyrnpani and scala vestibule by a thin plate of bone projecting f across the canal. 4. The Perilymph tills the interior of the osseous labyrinth, cochlea, semi-circular canals and vestibule. I, MEMBRANOUS LABYRINTHS. 1. Smaller, and corresponds in shape to the osseous labyrinth. 2. The utricle and saccule (little sacs), situated in the vestibular part, (1) the utricle communicating with the semi-circular canals about the same way that the semi-circular canals and vestibule do in the osseous labyrinth, and (2) the saccule with the mem- branous cochlea, which tapers to a point and situated next to the outer wall of the osseous cochlea. ■ Thz Ear'. 89 3. Otoliths, or Ear-Stones,—a powder, made up of crystals of carbonate of lime, to °f au inch in diameter, being held together by a mucoid substance, and found in the utricle and saccule, in the membranous labyrinth. 4. The Endolymph fills the interior of the mem- branous labyrinth, cochlea, canals, utricle and sac- cule. rods of corti, (Organ of Corti). 1. It is situated in the membranous cochlea. 2. Of cartilaginous consistence. 3. An inner and an outer set arranged obliquely, their ends supporting each other. 4. The inner hair-cells are internal to the inner rods, the outer hair-cells on the outer side of the ex- ternal row. 5. The estimated number of rods in the internal row is 3500; in the external row, 5200. 1. The cochlea is thought to possess the power of appreciating pitch and shades of musical tones. 2. The semi circular canals seem to aid in main- taining the equilibrium of the body, as well as to assist in hearing, since their loss is attended with a loss of power to maintain the equilibrium. FUNCTIONS. o. WHAT IS IT TO HEAR? The pinna and external meatus gather the waves of sound, conveying them to the tympani, which, aided by its muscles, (tensor and laxator), receives the waves of either low or high pitch, sends them by its vibrations across the middle ear through the chain of bones to the foramen ovale, and by the air of the tympanum to the second membrana tympani, which closes the foramen rotunda where the labyrinth re- ceives the vibrations, which are then transmitted through the perilymph, membranous labyrinth and endolymph ; it is thence taken up by filaments of the auditory nerve, and conveyed to the brain, where it is recognized as a sensation of sound. 90 Tabulated' Manual of Physiology. 1. Its main divisons are,—(l) Epidermis or Cuti- cle, with its sub-divisions the superficial epithelial layers, and the retemucosum or pigmentary layers, (2) Derma, or Cutis Vera (true skin) with its sub-di- visions, the papillary layer below and separated from, the rete mucosum by the basement membrane, and the corium, the deepest part. 2. In the sub-cutaneous cellular tissue are found, —(1) sebaceous glands, (2) sweat glands, (3) fat cells, (4) hair roots. 3. The derma and epidermis are both perforated by hair-follicles, ducts of sweat glands, and some- times ducts of sebaceous glands. 4. Number of sweat glands,—from 417 to 2800 per square inch giving a sum total for the whole body of about two and a half millions, being equal to about 8 square inches of evaporating surface. 5. The skin is from of an inch to rh of an inch in thickness. 6. It is lubricated by sebum from the sebaceous glands. 7. Carbonic Acid is exhaled from the skin in amount equal to about the of that from the lungs. See Fluids. 8. Perspiration,—(l) Sensible, when evaporation is not rapid enough to carry it away as in vigorous exercise, &c. (2) Insensible,—where it takes place gradually, passing off by evaporation as fast as formed. 9. Total amount of perspiration excreted daily, about 2 lbs. 10, Functions of the skin,—(1) A protective cover- ing, (2) An eliminating organ, (3) An organ of sen- sibility. SKIN. HAIR. 1. A modified form of epidermis. 2. Color, from the deposition of pigment matter. JVai/s and Pleurae. 91 3. Softened by the sebum. 4. Each hair consists of (1) The Root lodged in an involution of the epidermis called the Hair follicle, in the bottom of which is a papillary projection which gives it material for its growth. (2) The Shaft, the projecting portion with medulla in the center, next to this a fibrous part, and externally a layer of imbri- cated cells; or thus: It consists of a fibrous tissue with thin flat scales externally and pigmentary cells internally. (3) Point, consists of the flat scales ex- ternally and the fibrous part without medulla in the center. 5. Functions: (1) Prevents foreign bodies from en- tering the ears, nose, lungs, etc., (2) Retains the heat of the body, (3) Protects from cold and sun. NAILS. 1. They are flat, horny structures, 2. Formed from the pavement epithelium, 3. Each nail is fastened into a fold of the integu- ment, 4. The matrix lies immediately below the nail, 5. The lunula is that white crescent-shaped part next to its root caused by a diminution in the num- ber of underlying papillae. PLEURAE. 1. A delicate serous membrane enclosing each lung as far as its root (visceral layer) and then reflec- ted upon the inner surface of the thorax {parietal layer). 2. The Plural cavity is the interspace between the two layers. 3. Each pleura is a shut sac, occupying one-half of the thorax, and are perfectly separate. 4. Each pleura envelopes a lung, meeting only in one point in front. 92 Tabulated Manual of Physiology. 5. The interspace between them containing the re- maining viscera of the thorax is the mediastinum. 6. Each pleural cavity contains a serous fluid moistening and preventing friction. ABRIDGMENT OF THE SKULL BONES. The following is merely a reminder to the student of Anatomy in his examination of the skull bones : 1. OCCIPITAL. 1. Posterior and inferior surface of cranium. 2. Posterior surface convex with protuberance at center. 3. The crest, trom protuberance to foramen mag- num to which is attached the ligamentum nuchea. 4. The foramen magnum transmits (1) medulla oblongata and its membranes, (2) the vertebral arteries, (3) the spinal accessory nerves. 5. locate: Condyles, basilar and jugular pro- cesses, pharyngeal spine, anterior and posterior condyloid foramina, fossae cerebri et cerebelli, tor- cula protuberance; grooves for occipital, lateral,in- ferior petrosal, superior longitudinal sinus and me- dulla, jugular fossae. 2. PARIETAL. 1. Upper and sides of cranium. 2. On inner surface are (1) convolutions of brain,. (2) Pacchionian bodies, (3) meningeal arteries (4) superior longitudinal sinus. 3. Locate: Eminence, foramen, temporal ridge, middle meningeal groove, Pacchionian depressions,, lateral and longitudinal sinus. 3. FRONTAL. 1. Upper and anterior part of skull. 2. Frontal sinuses separate its two tables on either side of the nasal process. Abridgment of the Skull Bones. 93 3. Locate: Superciliary ridge, eminence, external and internal angular processes, temporal ridges and fossa, supra orbital notches and arches, nasal spine and eminence, orbital plates, lachrymal fossa, eth- moid notch, meningeal grooves, pulley depression, anterior ethmoid foramina, frontal and superior longitudinal sinus and Pacchionian depressions. 4. TEMPORAL. 1. Lateral, middle and interior part of skull. 2. Divided into (1) squamous, (2) mastoid, (3) petrous. 3. Locate: Zygoma, articular eminence, auditory, mastoid, styloid, and vaginal processes, glenoid fossa, Glasserian fissure, mastoid foramen, superior and inferior petrosal and lateral sinus, aqueductus vestibuli, meatus auditorius interims, hiatus Eal- lopii, carotid canal, depression Gasserian ganglion, opening for smaller petrosal nerve, and Jacobson’s and Arnold’s, aqueductus cochlea, auricular fissure, stylo-mastoid foramen, jugular fossa, canal for Eus- tachian tube, and tensor tympani. 5. SPHENOID. 1. In the base of the skull. 2. Body in center, wings extend out on each side, and the pterygoid processes project from it below. 3. Body hollowed out in interior, presenting a mere shell. 4. Articulates with all bones of the cranium and five of the face. 5. Locate : Sella turcica; anterior, middle and posterior clinoid processes, olivary process, optic groove, ethmoid spine, cavernous groove; spinous, hamular, vaginal, external and internal pterygoid processes; the opticum, rotundum, lacerum anter- ius,Versalii, spinosum and ovale foramina ; rostrum, pterygoid ridge and notch, scaphoid, pterygoid, temporal and zygomatic fossae, pterygopalatine and Yidian canals. Tabulated Manual of Physiology. 6. ETHMOID. 1. Cubical form, between the orbits, at the root of the nose, light and spongy. 2. Helps form cavities of orbits and nose. 3. Ethmoid cells, 10 or 12 in number. 4. Locate: Crista galli, infundibulum, os planum, unciform processes, superior meatus, anterior and posterior cells and olfactory foramina. HYGIENE. Surely, if it be an important matter to know how to relieve pain, to cure diseases, and to restore health when lost, it is vastly more important to be able to avoid pain and disease and preserve that bodily health without which all other sublunary favors are bestow- ed in vain. Many a heedless youth and blooming- fair one, for the merest momentary gratifications, are urging their way with rapid strides to premature old age, or an untimely grave. 1. Deeply possess your mind with the vast impor- tance of a good judgment and the inestimable advan- tage of right reasoning. 2. Consider the weaknesses, frailties and mistakes of human nature in general which arise from the very constitution of a soul united to an animal body, and by this subjected to many inconveniences. 3. -Watch against the pride of your own reason. Those who trust to their own understanding entirely are pronounced fools in the word of God. Remem- ber the highest degree of human wisdom consists in regulating our appetites and passions, so as to avoid all extremes. It is that which chiefly entitles us to the character of rational beings. The slaves of ap- petite will ever be the disgrace of human nature. It is in vain to attempt giving precise rules for the quanti- Hygiene. 95 ty or quality of food to be eaten by others-. Every one knows when he has eaten enough and may avoid excess if he will. Simplicity of diet is the perfection of the art; arid no animal but man misapprehends its rules. He alone feasts on the luxuries of a foreign soil, and finds in the dainties of earth the elements of his own destruction. 4. Clothing is too often perverted from its proper use, and made an object of pride and show; the fash- ions are continually changing without much regard to either health, comfort, or convenience. It would be a thankless task to point out the hurtful effects of the present fashionable mode of dress.- 5. “ Cleanliness is next to godliness.” Few virtues are more important to society than general cleanli- ness. The continual discharge from our bodies by perspiration renders a frequent change of apparel necessary. When this matter which should be car- ried off by perspiration is retained in the body or re- absorbed by the skin from dirly clothing it must oc- casion disease. The clothes of the sick and the sheets upon which they lie should be changed as often as convenient without too much exposure and fatigue, being careful that they are entirely free from damp- ness. 6. Cold water preserves the freshness of the skin, preventing wrinkles, etc. A person who bathes in cold water freely is much less liable to take cold, lung troubles, sore-throat or dyspepsia ; and lassitude, de- spondency, and indolence will find no lodging place. 7. Sleep is as necessary as any of the means to pre- serve health. We who will subvert the established order of high heaven by changing night into day and vice versa, will suffer the penalty of the violation. We shall close our introduction to health with a few words to the studious. This being the most intelligent class of mankind, we might reasonably expect that they, of all others, would be best qualified to understand and obey the 96 Tabulated \Manual of Physiology. Jaws of our physical organization, and that they would be the first to adopt a rigid mode of discipline for the preservation of body aswTell as the cultivation of the mind. Our constitutions are no more adapted to continual study than they are to continual physical labor and that student*whq thinks the necessary time spent in exercise and amusement is lost from study has not learned the first principles of acquiring knowledge. One hour’s efficient study, when the mind is clear and untrammeled, and the body invigorated is worth three or more spent in dull musing when the mind is clouded and the wheels of life “ wading in backed water.” Let the student engage immediately after a full meal in hard study; the energies of the system being diverted from the stomach and concentrated upon the brain the food is imperfectly digested, and if the imposition is kept up? “ heart-burn,” head-ache, languor, shattered nerves, etc., will be the legitimate consequences. “Never engage in study for at least thirty minutes after a full meal.” Pointing you to the fact that ignorance and intemperance is the root of all pain, and on the other hand, that light, truth and knowl- edge is the germ of life and happiness, we implore you to know and to improve upon those God-given powers placed within you, we point you to other pages in this little manual. THE BRAIN. 1. Avoid blows or undue pressure lest the hemis- pheres become disorganized causing a disturbance or entire suspension of mental activity. 2. Take time to sleep. During the waking state the brain undergoes a certain amount of waste as a result of the exercise of its important functions, the activity becomes enfeebled at which time there is an accumulation of waste and consequently a diminish- ed molecular activity which is unsufficient to dominate The Eye. 97 the medulla oblongata and spinal cord which act the more vigorously and through the action of the vaso- motor nerves lessen the caliber of the cerebral blood- vessels thus diminishing the quantity of blood to the» brain and producing that periodical condition of the nervous system we call sleep, the activities of thet higher nerve centers ceasing either partially or whol- ly. During sleep nutrition and force is restored and waste products removed. The loss of sleep is one of the great causes of insanity. 3. Avoid, vigorously, the use of alcohols. (See Alcohol.) 4. Avoid cerebral overwork. 5. Excessive eating and drinking may produce con- gestion. 6. Exposure to dampness and cold may cause in- flammation of the spinal membranes extending to the cerebral pia mater and arachnoid. 7. HAVE A SYSTEMATIC HABIT OF THINKING. THE EYE. 1. Give the eye exercise, then rest it as you would any other organ. 2. Those who read much should often look at dis- tant objects. 3. Avoid facing the light of a lamp or window while reading; when possible, let the light fall over your shoulder. 4. Avoid reading by twilight. 5. Avoid reading immediately on rising in the morning before the eye-s are accustomed to the light. 6. Avoid impure air, dust, smoke, etc. whenever possible. I 7. Close application has a tendency to shorten the sight and weaken the eyes. 8. Remove dust or cinders by turning the lid back; over a lead pencil and using silk or soft linen. 9. Avoid all oblique positions of the eye. 4 98 Tabulated Manual of Physiology. 10. Myopia (short-sightedness) corrected by con- cave glasses. Hyper metropia (long-sightedness) corrected by convex glasses. 12. Presbyopia (loss of power of accommodation) remedied by convex glasses. 13. Always remember the body sympathy existing, and be attentive to care for the entire physical being. 14. Amaurosis (paralysis of the retina) results from using the eye too long in very intense light. THE EAR. 1. Should there be an over-accumulation or harden- ing of the cerumen, use a few drops of sweet oil, or inject tepid soft water with a syringe. 2. The Eustachian tube may become obstructed in consequence of colds, etc. which should be avoided by proper clothing, ventilation, &c. 3. Persons who are recovering from severe throat affections or scarlet fever should be extremely careful lest a permanent discharge from the ear take place. 4. In dullness of hearing as long as you can hear the ticking of a watch placed against the side of the head there is yet hope. THE BONES. 1. Avoid allowing children to sit alone too early when the bones are softer the result may be a crook- ed spine. 2. Avoid allowing children to walk too early or the result may be knock-kneed or bandy-legged. 3. Regular exercise should be taken. 4. Avoid compressing the chest. 5. Maintain as far as possible an upright position in standing, walking or sitting. 6. Give special attention to diseases of the bones, particulary fractures and sprained ligaments. Rest is absolutely essential. Felons, as they originate be- neath the periosteum, may be cured by making an incision through the periosteum. Teeth and Nerves. 99 7. The aged bone is brittle and breaks easily and is two or three times longer in “knitting” than the young bone. 8. Good, wholesome nutritious food. 1. Remove all teeth past tilling and avoid neuralgic pains and maxillary abscess. 2. Avoid picking the teeth with hard substances. , 3. The breaking of the enamel results in rapid ,de- cay unless the teeth be tilled by a competent dentist. 4. Remove the loose teeth of children at once that they may not interfere with the torm and position of the new permanent teeth. 5. Cleanse the teeth with brush and soft water. 6. Occasionally'draw a thread between them. 7. Avoid the fruits that “ set the teeth on edge.” 8. Avoid acids, or if taken at once rinse out the mouth with some weak alkaline solution. 9. The Fersalts of iron injure the teeth, and should be administered through a glass tube. 10. Vigorously reject most “ patent ” articles for the teeth. THE TEETH. 1. The prime necessity for the highest welfare of the nerves is to preserve the general health of the body. 2. Don’t do heavy brain-work awhile and then be idle, 3. Have a systematic habit of thinking. 4. Employment is indispensable. 5. A variety of subjects upon which to think is healthful. 6. Avoid excessive use of alcohol, opium and to- bacco. 7. Avoid losing sleep for vain amusements. 8. Keep cheerful: despondency is health-destroy- ing. THE NERVES. 100 Tabulated Manual of Physiology. 9. Avoid overworking the nervous tissue of child- ren; try to judge of the quality of different brains. 10. Best the brain and nerves by changing from one study to that of another for awhile. 11. Anxiety, mental emotion, or exposure to damp and cold may bring on neuralgia or sciatica. 12. Pure food, pure air, and good habits are abso- lutely essential to the preservation of a healthful state of the nerves. ORGANS OF RESPIRATION. 1. Those having weak lungs should avoid exposure to certain kinds of dust arising from metals, stones, confined air, etc. 2. Avoid all things that suddenly check the pers- piration, such as exposure to cold when heated, or changing from heavy to light clothing. 3. Avoid compression of the chest, lest it reduce the capacity of the lungs. 4. The air should be pure; therefore look to the location of dwelling houses, away from cesspools, slaughter houses, swamps, etc., and to keeping the cellars in proper condition. 5. Allow fresh air to enter the rooms, avoiding a draft across the sleeper. 6. Never allow many persons in the sick room for any length of time without thorough ventilation. 7. Avoid sitting in crowded halls or churches real- izing that you are becoming stupefied by foul air. Suggest some method of ventilation and quietly leave unless ventilation is secured. 8. Indolence, or the want of due exercise in the open air, next to taking cold, is the most common cause of lung trouble. MUSCLES. 1. Use them frequently and regularly. 2. Rest them gradually. 3. Don’t bend over too long at a time. Throwback the shoulders, expand the chest. Heart, Arteries—Food. 101 4. Avoid leaning on the hip-joints; stand erect. 5. Give all the muscles their share of exercise ac- cording to the age and health. 6. Avoid exercising vigorously just before and af- ter meals. 7. The morning hoi n are better for exercise than the evening. The same is true of the intellectual powers. 8. Train and educate your muscles and in this way attain skillfulness in all your work. 1. Frequent bathing in the morning hours. 2. Zealously avoid compression on any parts. 3. Avoid wearing anything tight around the neck, lest the brain be deprived of its arterial blood and a return of the venous blood. 4. Exercise and temperance. 5. Preserve as far as possible an equal temperature. 6. If an artery be wounded compress it on that side of the wound towards the heart. 7. If a vein is wounded, compress it on that side towards the capilliaries. 8. Avoid alcohol since it is a powerful motor-de- pressant. 9. Pure air, pure food, pure drink, sound sleep and cold bathing. THE HEART, ARTERIES, CAPILLARIES AND VEINS. 1. The supply must equal the waste of the system. 2. The less exercise the less food; the more exer- cise the more food. 3. Study to know whether the food is suited to the present state of the organs of digestion. 4. It must be properly cooked, suited to the season and climate, and of agreeable temperature. 5. It should be ground by the teeth, not sent down to impose upon the functions of the stomach. FOOD. 102 Tabulated Manual of Physiology. 6. Eat leisurely, and at regular hours. 7. Cheerfulness and pure air aid wonderfully in di- gestion. 8. Proper exercise of brain and muscle. 9. It is not best to drink while eating (see Saliva). 10. Avoid eating heartily just before going to bed lest44 colicky pains ”be the result. 11, Avoid excess. DIGESTIBILITY OF FOODS' TIME DIGESTIBILITY OF FOODS TIME hr m hrjm Beefsteak, broiled. . . 3 00 Oysters, stewed 330 Beans, “ .... 2 30 Potatoes, roasted.... 230 Beets, “ .... 3 45 “ boiled .... 3 00 Chicken, boiled 4 00 Parsnips “ 2 30 Ducks, roasted 4 00 Pork, roasted 5 15 Cabbage, boiled... 4 30 Sausage, broiled 3 20 Eggs, boiled hard... 3 30 Soup, chicken, boiled 3 00 “ soft,. . . 3 00 “ mutton “ 3 30 “ whipped 1 30 “ bean “ 3 00 Green corn, boiled. . 3 45 u barley “ 1 30 Liver, (beef) broiled. 2 00 Turnips, boiled 3 30 Lamb, broiled 2 30 Turkey, roasted 225 Oysters, raw. ....... 2 55 Veal, broiled i 400 Water Albura’n Starch Sugar Fats Salts % ■°ib °Jc % % % Bread .. . 37.0 8.1 47 4 3.6 1.6 2.3 Milk .... 86.0 4.1 5'. 2' 3.9 .8 Eggs .... 74.0 14.0 ■■■■); y 10,5 1.5 Potatoes. 75.0 2 1 18.8 3.2 .2 ,7 Meat.. .. 54.0 27.6 15.45 2 95 Corn .... 14.0 11.1 64.7 .4 8 1 1.7 Oatmeal. 15.0 12,6 58.4' 5.4 5.6 3.0 Turnips.. 91.0 1.2 5.1 2.1 6.0 Rice 13 0 6.3 ■i 79 1 . . .4 • .7 ,5 Carrots. . 83,0 1.3 8.4 6.1 .2 1 0 COMPOSITION. Sense of Smell, Skin and Absorption. 2. Foods are (1) Nitrogenous, (2) Non-Nitrogenous. 1. Nitrogenous (albumin and albuminose), make blood and give nutrition. 2. Non-Nitrogenous (fats, sugars, and starch) keep up heat by (1) yielding hydrogen (in brain, muscles, blood and chyle) and (2) carbon to be ex- hibited by the lungs and skin. THE SENSE OF SMELL. 1. Avoid snuff. 2. Avoid the practice of smelling pungent medi- cines. 3. Inflammation of the mucous membrane may take place more or less impairing, if not entirely abolishing the sense of smell from the following caus- es : (1) Exposure of feet and ankles to cold and damp- ness. (2) Exposure of the neck to a draft of cold air. (3) Atmospherical changes. (4) Inhalation of irrita- ting vapors or dust. THE SKIN. 1. Cold sponging of the body. 2. Clothing—clean and dry and adapted to the age, occupation and health. 3. Clothing—should be porous and loosely fitting. 4. For the unpleasant odor sometimes produced by exhalations from the skin, wash in a basin of water containing 1 to 2 tablespoonfuls of spirits of ammo- nia.1 5. For Corns, etc.—soak them in shine1 alkaline so- lution, remove them Avhen softened, and then avoid the cause. 6. Warts may be burnt off with acid, or sometimes blue vitriol (I oz.) in pint of rain water frequently rubbed on will answer the purpose. ABSORPTION. 1. Moisture increases the activity of the absorbents. 104 Tabulated Manual of Physiology. 2. Alcohol and tobacco increase the liability to disease by stimulating the absorbent vessels. 3. Nutritious food deceases the activity o 1 the ab- sorbents. 4. Bed-rooms must be properly ventilated. 5. Dry apartments and healthy food are absolutely necessary in case of infectious disease. 6. Sick rooms should receive special attention since exhalations are greater at night and in sickness. POISONS AND ANTIDOTES. The figures number the course of treatment. Arsenic,—(1) Vomit, (2) milk and raw eggs, (3) .oil and lime water. - Strychnine,—(l) Emetic, (2) Flax seed tea, (3) Laudanum to relieve spasms. Mercury,—(l) Albumen instantly, (2) Milk and wheat flour, (3) Flax seed tea. Alkalies,—(1) Vinegar, (2) Lemon Juice, (3) Castor Oil. Alcohol,—(1) Emetic by warm water and salt (re- peat), (2) Strong coffee, (3) Galvanism. Chloroform,—(1) Lower head, (2) Elevate legs, (3) Inhalation of ammonia, (4) Electricity. Tin,—(1) Flour and water (2) Then Emetic, (3) Albumen. Copper,—(l) Plenty milk and white of eggs, (2) warm water, (3) Then strong tea. Opium,—(l) Emetic quickly, (2) Do anything to keep him awake, (3) Mustard plaster to calf of each leg. . . < Prussic Acid,—(1) Hyperdermic of atropia, (2) Ammonia, (3) cold to head, chest and spine, (4) Mustard to stomach. Other Acids,—(l) 1 oz. magnesia in wine glass of water, (2) soft soap, (3) Plenty of warm water. A Icohol. 105 Lead,—(1) 2 oz. Epsom salts in pint of water, wine- glass full every 10 minutes till bowels move freely. Bee stings,—(l) Salt and water on part, (2) Oil and Ammonia rubbed on. Bites of Serpents,—(1) Suck the wound, (2) Drink whisky freely. ALCOHOL. 1. A liquid composed of 91% by weight (94% by volume) of ethyl alcohol (C 2 H5 HO; 46), and 9% by weight (6% by volume) of water. 2. Specific gravity .820 at 60° Fahrenheit. 3. Boils at 78° centigrade. Remark: To change from degres Fahrenheit to centigrade,—Subtract 32 and divide by 1. B—or8—or From degrees centigrade to Fahrenheit,—Multiply by 1. 8 and add 32. 4. It is transparent, colorless and volatile. 5. It has a pungent agreeable odor and a burning taste. 6. It is usually obtained from whisky by distilla tion, being a derivative of sugar. 7. The term alcohol should include all carbon com- pounds called alcohol or malt and spirituous liquors when studying its effects upon the human system. 8. Whiskey is an alcoholic liquid obtained by the d istillatidh of fermented grain. 9. Fermentation, is decomposition taking place in organic bodies when exposed to the action of mois- ture, air and a warm atmosphere. 10. The present theory of frelnentaiion is that it is caused by the presence of certain micro organisms known as bacteria. 11. Whiskey is prepared from.grain by 1. Mashing, by which the starch is changed into sugar. 106 Tabulated Manual of Physiology. 2. Fermentation, by which the sugar is convert- ed into alcohol. 3. Distillation, by which the alcohol is separa- ted as crude spirits. 12. Cane sugar is decomposed into alcohol on expo- sure to the action of aii\ water and a warm tempera- ture., and is thought to be caused by a microscopic plant bearing the name of Torula cerevisial. 13. If alcohol and water be mixed a contraction of volume takes place; 45 gallons of water added to 55 gallons of alcohol will make only 964 gallons; i. e. a loss in volume of 3f gallons. 14, Alcohol or acetic acid may be produced by the action of dilute acids and ferments on cellulin or starch. ALCOHOLIC THE SOURCE FROM WHICH THEY ARE % LIQUIDS. DERIVED. ALC Whiskey.. . . Hum Rye, corn, barley, potatoes or cider. Fermented molasses 50 53 Brandy..... Red Wine. . . Grapes (wine) 50 Grapes with skins 12 White W ine. Port Wine. . Grapes without seeds, stems or skins Generally made artificially 12 40 Claret Alc’l, tannic acid, &c., with coloring From any malted grain, flavored with hops (yeast falling) By rapid fermentation, ( yeast floating) 6 Beer 3 Ale 6 Porter About the same, with much color- ing matter ..! .5".;;...,. 6 Champagne. Catawba, &c., (sweet, bottled before fermentation ceases). . . .... . . 12 Common Gin Holland Gin. Barley, rye or potatoes, and rectified from turpentine. . . . . AA ....... Matled barley, rye meal with hops, and rectified from juniper berries 50 51 Effects of Alcohol. 107 1. A diffusible stimulant (very small doses). 2. A motor-depressant;, i. e., lowering the func- tional activity of the spinal cord and motor appara- tus, and will paralyze them immediately if taken in large doses. 3. A cerebral-excitant, i. e., increasing the activity of the cerebrum without depressing or entirely sus- pending brain-function (very small doses). 4. A deliriant, exciting the activity of the higher brain until the mental faculties are disordered, giv- ing rise to intellectual confusion, loss of will-power, convulsions and delirium. 5. A cerebral depressant, i.