Eminent doctors: Their lives and their work; Vol. 1 of 2Bettany, G. T. (George Thomas)
History
Eminent doctors: Their lives and their work; Vol. 1 of 2
Bettany, G. T. (George Thomas)
Medicine -- Great Britain -- History; Physicians -- Great Britain
The importance of this discovery may be gathered from the fact, that
but few considerable advances in the physiology of the nervous
system had hitherto been made, the most important being that of
Sir Charles Bell, proving that there were separate nerve fibres of
motion and of sensation, and that they entered different portions
of the spinal cord and brain. Dr. Andrew Whytt of Edinburgh had
published in 1751 a work in which he detailed the movements which a
frog’s trunk was able to execute after its head had been cut off,
and had naturally referred these movements to the spinal cord; but
the import of such actions was not understood, nor the mechanism
by which they were executed. Somehow these observations led to
no new principles. But the truly original mind of Marshall Hall
travelled beyond the first facts to trace the process, and he at
last comprehended the nature of such acts as the involuntary closure
of the eyelids, independent of will, for the purpose of preventing
the admission of injurious matter, or of protecting the eye against
injury. The processes of swallowing, choking, vomiting, coughing
were now for the first time explained. Further, in pursuance of
Marshall Hall’s practicality of object, many cases of injury to the
nervous system became more or less intelligible. In paralysis of the
brain, where the medulla oblongata and spinal cord were uninjured,
it was understood how the animal functions could be maintained,
and how in cases where the patient was unable by any exercise of
the will to clench his hand, yet the stimulus of a rough stick
on the sensory nerves of the palm of the hand was sufficient to
bring about a forcible grasp, this being a simple reflex act in
which the spinal cord was concerned. The first breath of a new-born
infant, the spasmodic closure of the larynx in convulsions, fits of
spasmodic asthma, &c., were seen to be reflex in their nature; and
in many disorders which had hitherto baffled curative efforts, they
became possible, because the first great step had been taken, the
understanding of the phenomena.
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