The quality of the sensation complicates the question, however, for in
some sensations, as bitter, sour, salt, and certain smells, the turning
point of the dotted curve must be drawn very near indeed to the
beginning of the scale. In the skin the painful quality soon becomes so
intense as entirely to overpower the specific quality of the sort of
stimulus. Heat, cold, and pressure are indistinguishable when
extreme--we only feel the pain. The hypothesis of separate end-organs in
the skin receives some corroboration from recent experiments, for both
Blix and Goldscheider have found, along with their special heat-and cold
spots, also special 'pain-spots' on the skin. Mixed in with these are
spots which are quite feelingless. However it may stand with the
terminal pain-spots, separate paths of _conduction_ to the brain, for
painful and for merely tactile stimulations of the skin, are made
probable by certain facts. In the condition termed _analgesia_, a touch
is felt, but the most violent pinch, burn, or electric spark destructive
of the tissue will awaken no sensation. This may occur in disease of the
cord, by suggestion in hypnotism, or in certain stages of ether and
chloroform intoxication. "In rabbits a similar state of things was
produced by Schiff, by dividing the gray matter of the cord, leaving the
posterior white columns intact. If, on the contrary, the latter were
divided and the gray substance left, there was increased sensitiveness
to pain, and possibly touch proper was lost. Such experiments make it
pretty certain that when afferent impulses reach the spinal cord at any
level and there enter its gray matter with the posterior root-fibres,
they travel on in different tracts to conscious centres; the tactile
ones coming soon out of the gray network and coursing on in a readily
conducting white fibre, while the painful ones travel on farther in the
gray substance. It is still uncertain if both impulses reach the cord in
the same fibres. The gray network conducts nerve-impulses, but not
easily; they tend soon to be blocked in it. A feeble (tactile) impulse
reaching it by an afferent fibre might only spread a short way and then
pass out into a single good conducting fibre in a white column, and
proceed to the brain; while a stronger (painful) impulse would radiate
farther in the gray matter, and perhaps break out of it by many fibres
leading to the brain through the white columns, and so give rise to an
incoördinate and ill-localized sensation. That pains are badly
localized, and worse the more intense they are, is a well-known fact,
which would thus receive an explanation."[26]
Pain also gives rise to ill-coördinated movements of defence. The
stronger the pain the more violent the start. Doubtless in low animals
pain is almost the only stimulus; and we have preserved the peculiarity
in so far that to-day it is the stimulus of our most energetic, though
not of our most discriminating, reactions.
* * * * *
Public-domain text, read in full here on John Shaqi.
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