Disease and Its CausesCouncilman, W. T. (William Thomas)
Science
Disease and Its Causes
Councilman, W. T. (William Thomas)
Diseases -- Causes and theories of causation
THE REACTIONS OF THE TISSUES OF THE BODY TO INJURIES.--INFLAMMATION.--
THE CHANGES IN THE BLOOD IN THIS.--THE EMIGRATION OF THE CORPUSCLES OF
THE BLOOD.--THE EVIDENT CHANGES IN THE INJURED PART AND THE MANNER IN
WHICH THESE ARE PRODUCED.--HEAT, REDNESS, SWELLING AND PAIN.--THE
PRODUCTION OF BLISTERS BY SUNBURN.--THE CHANGES IN THE CELLS OF AN
INJURED PART.--THE CELLS WHICH MIGRATE FROM THE BLOOD-VESSELS ACT AS
PHAGOCYTES.--THE MACROPHAGES.--THE MICROPHAGES.--CHEMOTROPISM.--THE
HEALING OF INFLAMMATION.--THE REMOVAL OF THE CAUSE.--CELL REPAIR AND
NEW FORMATION.--NEW FORMATION OF BLOOD-VESSELS.--ACUTE AND CHRONIC
INFLAMMATION.--THE APPARENTLY PURPOSEFUL CHARACTER OF THE CHANGES IN
INFLAMMATION.
Injury and repair have already been briefly considered in their
relation to the normal body and to old age; there are, however,
certain phenomena included under the term inflammation which follow
the more extensive injuries and demand a closer consideration than was
given in Chapter II. These phenomena differ in degree and character;
they are affected by the nature of the injurious agent and the
intensity of its action, by the character of the tissue which is
affected and by variations in individual resistance to injury. A blow
which would have no effect upon the general surface of the body may
produce serious results if it fall upon the eye, and less serious
results for a robust than for a weak individual.
Most of the changes which take place after an injury and their
sequence can be followed under the microscope. If the thin membrane
between the toes of a living frog be placed under the microscope the
blood vessels and the circulating blood can be distinctly seen in the
thin tissue between the transparent surfaces. The arteries, the
capillaries and veins can be distinguished, the arteries by the
changing rapidity of the blood stream within them, there being a
quickening of the flow corresponding with each contraction of the
heart; the veins appear as large vessels in which the blood flows
regularly (Fig. 11). Between the veins and arteries is a large number
of capillaries with thin transparent walls and a diameter no greater
than that of the single blood corpuscles; they receive the blood from
the arteries and the flow in them is continuous. The white and red
blood corpuscles can be distinguished, the red appearing as oval discs
and the white as colorless spheres. In the arteries and veins the red
corpuscles remain in the centre of the vessels appearing as a rapidly
moving red core, and between this core and the wall of the vessels is
a layer of clear fluid in which the white corpuscles move more slowly,
often turning over and over as a ball rolls along the table.
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