What are the various uses of this elaborate organ? In the first place,
it serves as a protection to the softer parts beneath. Secondly, it
serves to regulate the temperature of the body, by preventing, on
the one hand, the too rapid radiation of the natural heat, and, on
the other, by providing a very large surface for the evaporation of
the constantly exuding perspiration, it prevents the overheating of
the body. Thirdly, it is constantly removing from the body certain
effete materials. These are the scales of the cuticle (which we remove
whenever we wash and rub the surface), the perspiration, and the
sebaceous, or greasy secretion. The amount of sweat varies immensely;
it may be almost nil, or as much as a pint in an hour. The secretion
of sweat is influenced by the temperature of the air, by exercise,
by the drinking of fluids (especially warm fluids), and notably by
the emotions. There can be no doubt that the secretion of a certain
amount of sweat is necessary for perfect health; and it is the common
experience of all that the checking of perspiration is very liable to
be followed by dangerous internal congestion.
It has been demonstrated on some of the lower animals that, if the skin
be shaved and varnished, death speedily ensues. This has been spoken
of as a sort of cutaneous suffocation, death taking place owing to the
charging of the blood with matter which should have been removed by the
skin. It has been asserted, however, that death is due to cold in these
cases; and it has certainly been demonstrated that animals so treated
live much longer provided they be kept warm by a layer of cotton wool.
Sometimes the skin is superficially destroyed by accidental burning or
scalding, and it is well recognised that a burn or scald is dangerous
to life in proportion to its superficial extent, rather than to its
depth or severity.
The blood-vessels of the skin vary much in size under different
circumstances, and the different degrees of pallor or redness of the
skin are due to the condition of these superficial blood-vessels. The
phenomenon of blushing is well known; and this should serve to remind
us that the emotions can not only influence the amount of perspiration,
but the size of the cutaneous blood-vessels. The intimate relations
existing between the skin and the great nerve-centres should never be
lost sight of.
The cutaneous blood-vessels enlarge in certain fevers, as scarlet-fever
and measles; they can be made to enlarge also by the application
of warmth, or irritants, such as mustard, or the stroke of a whip.
Contraction of the blood-vessels is most marked in conditions of fear,
or as the result of the prolonged application of cold.
Public-domain text, read in full here on John Shaqi.
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