Memoirs of John Abernethy: With a View of His Lectures, His Writings, and Character; with Additional Extracts from Original Documents, Now First PublishedMacilwain, George
Science
Memoirs of John Abernethy: With a View of His Lectures, His Writings, and Character; with Additional Extracts from Original Documents, Now First Published
Macilwain, George
Abernethy, John, 1764-1831; Physicians -- Great Britain -- Biography
We shall see, by and by, that Mr. Abernethy made this and other cases
the instruments of much future good; but as we shall not be able to
digress from that Summary of our obligations, which we shall then be
employed in taking, we will add a few words here in aid of removing
that difficulty which some people have in understanding how such
dreadful pain can result from any organ in the interior of the body,
where no pain is felt at all. In order to do this, it is only necessary
to have a clear general notion of the nervous system. If you could
take away everything but the nerves, you would have the brain, spinal
marrow, and certain knot-like pieces of nervous substance (ganglions,
as we term them) from which myriads of cords proceeded, varying in size
from the smallest imaginable filaments up to moderate sized cords; the
ends of the delicate filaments terminating in the various organs and
on the surface of the body; millions of messengers of the most extreme
sensibility, by which impressions are telegraphed with the swiftness of
lightning between all parts of the body. There is, however, a habit or
rule which is ordinarily observed, and that is one of the most curious
things in the whole range of physiology—namely, that the immediate
cause of our recognition of sensation is never in the part itself,
but the action is constantly transferred to the extremity of the
nerve. When you strike the ulnar nerve at the elbow (popularly termed,
sometimes, the funny-bone), you feel it in the fingers to which its
branches are distributed.
If you place your finger in cold or warm water, the action that makes
you feel it is in the brain; and we infer this, because if we divide
the communication between the brain and the finger, you no longer
feel the sensation. Now, bearing this in mind, you easily understand
how anything disturbing the nerves of any internal organ may produce
pain in some distant branch; and that this is really so, many cases
of tic doloreux have furnished conclusive and triumphant proofs. Now,
as to _why_ it should be seated in this or that particular site, is
a question of extreme difficulty; as also in what organ the primary
disturbance is seated, supposing it to have been in any of them. The
former, I believe, is a question we have yet been unable to solve; the
_latter_ may usually be accomplished, _if sufficient pains be taken_.
Abernethy, in his lectures on this subject, when observing on the
inefficiency of this division of the nerve—which was ministering to
effects only—was accustomed to remark, with that peculiar archness of
expression which his pupils must so well remember: "I wonder that it
never entered into the head of some wise booby or other to divide the
nerve going to a gouty man's toe." This was a very characteristic mode
of terminating a discussion of any point which he wished to impress on
the memory of the pupil.
SECTION.
OF HIS PAPER ON OCCASIONAL CONSEQUENCES OF BLEEDING.
Public-domain text, read in full here on John Shaqi.
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