The Body at Work: A Treatise on the Principles of PhysiologyHill, Alex
Science
The Body at Work: A Treatise on the Principles of Physiology
Hill, Alex
Physiology
The most important of all constrictor nerves are the splanchnics which
control the supply to the stomach and intestines. When these nerves
are cut, the digestive organs become engorged to such an extent that
a pronounced fall of the general blood-pressure is the result. Their
stimulation renders the digestive organs anæmic. We have already
shown that the relaxation of vaso-constriction occurs in a reflex
manner. The reflex relaxation of the splanchnic area is a matter of
great importance, because it can be brought about by stimulation of
one of the sensory nerves of the heart. The higher the blood-pressure,
the harder the heart would work if left to itself. It is an impetuous
organ, always trying to quicken its pace and to increase the force
of its beat. Excessive zeal would get it into trouble if severe
precautions were not taken to hold it in check. True, it is encouraged
by certain “accelerator nerves”—sympathetic filaments which leave the
spinal cord by the anterior roots of the second and third thoracic
nerves; but the influence which the accelerators exert under normal
conditions is not, it would seem, very pronounced. The nerves which
restrain the heart are much more in evidence than those which urge
it on. The arrangements for diminishing the work of the heart are of
two kinds. In the first place, branches derived from the vagus act
as a continuous check. From a certain spot in the medulla oblongata,
the cardio-inhibitory centre, impulses are always descending to slow
the heart. They are of reflex origin, but a high blood-pressure in
the centre increases the facility with which they are transmitted.
Some of these stimuli originate in the heart itself, ascending and
descending the vagus nerve. The remainder come from various sources.
A severe injury to any part of the body slows the heart. Injury
to the intestines, such as occurs in peritonitis, is particularly
effective in increasing vagus inhibition. Slowing of the heart lowers
blood-pressure. When both vagi are cut, the heart begins to gallop
whatever may be the pressure against which it has to work.
A sensory nerve of the heart, termed the “depressor,” is the chief
agent in lowering blood-pressure. Its course is not the same in all
animals, but it runs more or less in conjunction with the vagus.
Usually it joins its superior laryngeal branch. Impulses which ascend
this nerve inhibit the constriction of the splanchnic vessels. They
open a floodgate which brings down the general pressure. The severe
pain and extreme distress of angina pectoris are the cry of the heart
when blood-pressure is too high—when it feels unable to work against
it. This was recognized by physiologists long before a remedy was
known. A systematic search was instituted for a drug which could be
used with safety to lower blood-pressure. The discovery that the
inhalation of amyl nitrite answers this purpose and fulfils this
condition was the result.
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