Irritability : $b a physiological analysis of the general effect of stimuli in living substanceVerworn, Max
Science
Irritability : $b a physiological analysis of the general effect of stimuli in living substance
Verworn, Max
Irritability
perception_” and “_sensibilité sans perception_,” using the term
sensibility in the sense adopted by _Bordeu_ and which today we, with
_Glisson_, call irritability.
[3] _Albrecht v. Haller_: “Elementa Physiologiæ corporis humani.”
Tomus IV. Lausannæ M D C L XVI.
In this way serious thinkers of that time trifled with the words
irritability, sensitivity, contractility, perception. This led to
futile conceptions, which equalled the phantasies of the worst period
of speculative philosophy and which in no way led to progress. Hence it
is easy to understand that numerous attempts were made in those days
to reconcile in some way these different conceptions. An explanation,
which was the beginning of further development, came from England in
the works of _John Brown_ (1735–1788),[4] a man who was as talented
as he was dissolute. _Brown_ was an independent thinker, not without
genius, whose knowledge in practice and theory, however, was limited.
This combination in his mentality enabled him to observe the problems
somewhat differently than through the glasses of the usual conceptions
of that time. In direct opposition to his teacher _Cullen_ (1712–1790),
one of the leading minds in the medical school of Edinburgh, who
considered irritability only as an effect of sensibility and pronounced
the latter a specific property of the nervous system, _Brown_ took the
standpoint that all living substance, vegetable as well as animal, in
contrast to lifeless matter, possessed a fundamental property which he
designated as excitability, that is to say, the capability of being
stimulated to specific vital manifestations through external factors
or “stimuli,” in which sensitivity and indeed all mental processes
as well as movement are interpreted as specific effects, which the
“stimuli” produce on the irritable organs. This was an important
advance and from a wilderness of trifling conceptions his observations
led to a clearer knowledge of this subject. But _Brown_ went even
further. In his so-called “theory of irritation,” he has presented
a whole system of responsivity to stimulation, which in the first
chapters of his chief work he expounds with wonderful clearness. The
fundamental principles here established must be accepted even today.
The essential basis of this “theory of irritability” which he worked
out especially for his doctrine of disease, and which has also played
an important part in pathology, is the following: Every living, that
is, excitable system, is continually influenced by stimuli. The stimuli
consist of either external factors, such as heat, food, foreign matter,
poisons, etc., or inner factors which result from the influence of
the activity of one organ upon another. Only as a result of the
continual action of stimuli is life maintained, in that the stimuli
produce continual “excitement” in the irritable substance. The degree
of irritability differs in various plants, animals, in different
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