"Among the researches of the last thirty years, those bearing on
the _Circulation of the Blood_ must take an important place,
both for their physiological interest and for the weighty
influence they have exerted on our knowledge and treatment of
disorders of the vascular system, such as heart disease. We have
learned to measure accurately the work done by the great
heart-pump; and by studying the manner in which this work is
affected by different conditions, we are enabled to increase or
diminish it, according to the needs of the organ. Experiments in
what is often regarded as the most transcendental department of
physiology--_i.e._ that which treats of muscle and nerve--have
thrown light on the wonderful process of 'compensation,' by
which a diseased heart is able to keep up a normal circulation.
"_Vaso-motor System._--Largely by the labours of British
physiologists, the exquisite control exercised by the nervous
system over every blood-vessel in the body has been brought to
light, the paths tracked out, and the mechanisms elucidated, by
means of which the circulation through each part of the body is
subordinated to the needs of the whole. Since the chief
vaso-motor nerves take their course through the sympathetic
system, the researches on their distribution have led to the
mapping out of the whole of this system, and to an accurate
knowledge of its functions. We are now acquainted with the
course, to all parts of the body, of the nerves which not only
determine the changes in the calibre of the blood-vessels, but
affect also the secretion of sweat and the erection of the
hairs. Incidentally, the mapping out of these nerves, in the
hands of Mackenzie, Head, and others, has led to more power of
localising the seat of visceral disease.
"_Digestion._--Our knowledge of the processes of digestion has
of late years received a great accession by the work of
Professor Pawlow, of St. Petersburg. His success is largely due
to his recognition of the importance of keeping his experimental
animals under the most normal conditions possible, and of
studying the different parts of the alimentary tract in animals
which were not anæsthetised, but which were free from any pain
or even discomfort, either of which conditions materially
interferes with the activity of the digestive glands. He
therefore established in dogs fistulæ in chosen portions of the
alimentary canal, analogous to the fistula which accident
rendered so valuable in the case of Alexis St. Martin. Not only
has the knowledge thus gained enabled the physician to
understand the sequel of events in disordered digestion, but the
success of the operative measures undertaken by physiologists
for the elucidation of their science has emboldened surgeons to
attack disease in the most various parts of the alimentary
canal.
Public-domain text, read in full here on John Shaqi.
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