Irritability : $b a physiological analysis of the general effect of stimuli in living substanceVerworn, Max
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Irritability : $b a physiological analysis of the general effect of stimuli in living substance
Verworn, Max
Irritability
In connection with our present observations, however, I will more
closely analyze the process itself, following the results of
investigations extending over more than ten years carried out by my
coworkers and myself. In these investigations it has been found that
narcosis belongs to this group of depressing processes. A satisfactory
theory of narcosis, however, and this I must explain from the first,
can even today not be arrived at. Such a theory would require the
ascertainment of all primary and secondary alterations produced by the
narcotic in the course of normal vital activity. For this, however, a
number of minute details are still lacking. Nevertheless, the careful
and detailed investigations during the last ten years have acquainted
us with a large number of alterations, which, acting as conditioning
factors for the process of narcosis, must be taken into consideration,
and which to a certain extent give us an idea of the mechanism of
this process. They are equally interesting from a theoretical as well
as from a practical point of view. The presentation will become more
detailed as more of such conditioning factors are established by the
deeper penetrating of future analysis. I will deal here with the facts
found up to the present and then proceed to the deductions which these
furnish for the theory of narcosis.
In the first place narcosis is stamped as a typical process of
depression, being characterized by a _decrease of irritability
with a corresponding decrement of the extent of excitation_. The
chief feature of all narcotized systems is, that in slight narcosis
excitating stimuli produce a greatly weakened excitation, and that in
deep narcosis no perceptible response is obtained. This can readily
be ascertained in the various forms of living substance. According
to the previous observations on the inseparable relations between
conduction of excitation and irritability, it is self-evident that
with decrease of irritability there must be a corresponding decrease
in the capability of the conduction of excitation from the point of
stimulation. This decrease in conductivity must, therefore, be the
greater the more irritability is reduced; that is, the deeper the
narcosis, the greater must be the decrement undergone by the wave
of excitation in its extension from the point of stimulation. These
facts can be observed in the highest perfection in the nerve, and
have, as we have seen, been demonstrated by the investigations of
_Werigo_, _Dendrinos_, _Noll_, _Boruttau_ and _Fröhlich_.[205] Upon
deeper analysis of this process of depression, the next task for the
investigator must be the ascertainment of the special components of the
metabolic activity, which are depressed as a result of the narcotic.
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