Makers of Modern MedicineWalsh, James J. (James Joseph)
History
Makers of Modern Medicine
Walsh, James J. (James Joseph)
Medicine -- Biography
Morgagni, in discussing the reason why the diaphragm should be excited
into sympathetic reaction by the presence of an irritant in the nose,
pointed out a fact that had been forgotten or the significance of
which had not been appreciated. The membrane of the nose concerned in
smell is supplied by the first pair of cranial nerves, the so-called
olfactory nerves. Between this olfactory nerve and the nerve which
supplies the diaphragm, the phrenic nerve, which is a cervical and not
a cranial nerve, that is to say, comes from the central nervous system
through the spinal cord in the neck and not directly from the brain,
the older anatomists declared there was no connection. Morgagni
pointed out that the mucous membrane of the nose is partly supplied
also from the fifth pair of cranial nerves. From the fifth nerve,
small branches of connection with the cervical nerves, as low even as
the intercostal nerves, had been traced by Meckel. This shows the
possibility of a nervous reflex; that is, of a communication of nerve
impulses without the necessity for the intervention of the central
nervous system.
This was the first direct tracing of distant reflex nervous action in
human physiology. The problem of nervous reflexes was to remain
obscure for more than a century later, until light was thrown upon it
by the investigation of the French physiologist, Claude Bernard. Here,
however, was {43} the pregnant suggestion of the explanation of the
seeming mystery. In subsequent cases Morgagni looked for the
confirmation of his theory in this matter and found it. He pointed out
that there was a relationship between the abdominal viscera and the
olfactory mucous membrane of the nose. In one of his cases an
epileptic seizure was always accompanied by a sense of discomfort in
the upper abdominal region and a fetid odor. This odor was entirely
subjective; that is, though extremely annoying to the patient it could
not be noticed by any one else, even though the patient was close at
hand and exhaled his breath at the moment of the observation.
This would seem to point to the fact that Morgagni suspected there
were other connections between the special senses and important organs
besides those which had been discovered by anatomists up to that time.
As a matter of fact the so-called sympathetic nervous system does
place all the organs of special sense in direct connection with the
other important organs of the body. Morgagni's suspicions were to be
confirmed by the discoveries made in this sympathetic system during
the succeeding century.
Public-domain text, read in full here on John Shaqi.
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