The term "nerves" still persists, in the old sense, in both botany and
entomology, which speak of the "nerves" of a butterfly's wing, or the
"nervation" of a leaf, meaning simply the branching, fibrous framework
of each.
It comes in the nature of a surprise to most of us to learn that
"nerves" are real things. I shall never forget the shock of my own first
convincing demonstration of this fact. It was in one of the first
surgical clinics that I attended as a medical student. A woman patient
was brought in, with a history of suffering the tortures of the damned
for a year past, from an uncontrollable sciatica.
It was a recognized procedure in those days (and is resorted to still),
when all medical, electrical, and other remedial measures had failed to
relieve a furious neuralgia, for the surgeon to cut down upon the
nerve-trunk, free it from its surrounding attachments, and, slipping his
tenaculum or finger under it, stretch the nerve with a considerable
degree of force. Whether it acts by merely setting up some trophic
change in the nerve-tissue, or by tearing loose inflammatory adhesions
which are binding down the nerve-trunk, the procedure gives excellent
results, nearly always temporary relief, and sometimes a permanent cure.
The patient was placed upon the table and anaesthetized, and the surgeon
made a free, sweeping incision down the back of the thigh, exposing the
sciatic nerve. He thrust his finger into the wound, loosened up the
adhesions about the nerve, hooked two fingers underneath it, and, to my
wide-eyed astonishment, heaved upward upon it, until he brought into
view through the gaping wound a flattened, bluish-gray cord about twice
the size of a clothesline, with which he proceeded to lift the hips of
the patient clear of the table. In my ignorant horror, I expected every
moment to see the thing snap and the patient go down with a bump,
paralyzed for life; but I never doubted after that that nerves were real
things. Though it has nothing to do with this discussion, for the
benefit of those of my readers who cannot bear to have a story left
unfinished, I will add that the operation was as successful as it was
dramatic, and the patient left the hospital completely relieved of her
sciatica.
When at last it was clearly recognized that the nerves were concerned in
the sending of messages from the centre to the brain, known as
_sensory_, or centripetal, and carrying back messages from the brain to
the muscles and surface, known as _motor_, or centrifugal,--in other
words that they were the organs of the mind,--still another source of
confusion sprang up, and that was the determination on the part of some
to regard them from a purely mental and, so to speak, spiritual point of
view, and on the part of others to regard them from a physical and
anatomical point of view. This confusion is of course in full riot at
the present time.
Public-domain text, read in full here on John Shaqi.
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