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
system is the cause of the quieting of the surrounding area. Impulses
which reflexly check the heart cannot get through the medulla oblongata
whilst the swallowing impulses are traversing it. Inhibition has been
described as a drainage of nerve-force into the active area. On the
structural side it seems to require the conception of an extra-neuronic
substance which, agitated in the vicinity of the cells which are to
be discharged, is brought to rest around neighbouring cells. The
promulgation through the nervous system of the state which, when it
reaches the centres of consciousness, produces pain also seems to call
for an hypothesis of extra-neuronic conduction.
Any reference to =pain= in a work on physiology needs a few words
of preface, since popularly the term “pain” is used in various
senses. When I see pink geranium and nasturtiums growing in the same
flower-bed, I may exclaim: “It is positively painful.” The want of
harmony, and at the same time the insufficiency of contrast, of chalky
pink and translucent orange, jars my æsthetic sense. Dislikes, however
well founded, are ruled out in thinking of the physiology of pain.
Further, in defining pain, we must be careful to isolate the real
thing, and not to confuse it with sensations which seem to lead up to
it. If, putting my finger in a pair of pincers, I touch it as lightly
as possible, the first sensation is one of contact; a little harder,
and it becomes a sense of pressure; harder still, and all sense of
contact or pressure is lost in pain. It is usual to regard pain as
sensation carried to excess. But neither is this physiological. An
excessively bright light or an excessively loud sound is disagreeable.
It causes a sudden movement for the purpose of avoiding it—just such
a movement as one would make if one touched a red-hot poker—but it is
not, strictly speaking, painful. Not uncommonly in cases of accident
or disease of the spinal cord a sharp distinction is drawn between the
sense of touch and the capacity for experiencing pain. Below the injury
the patient retains his sense of touch undiminished in acuteness, but
no blow, or cut, or burn, causes him any pain. The pain caused by
squeezing the finger in a pair of pincers is not, therefore, an excess
of touch sensation. Pain begins to be experienced in the skin just when
the object applied to it is affecting it to an extent which might do
harm. If the point of a needle touches it, it causes pain as soon as
the pressure is a trifle less than that needed to pierce its surface. A
hot object begins to hurt when the temperature reaches 48° C.—almost
enough to coagulate the tissue fluids. Pain is not a discriminative
sensation. If I hold my arm out at right angles, I am conscious for
the first few minutes of its weight, and have, besides, some sense
of the traction exerted by the muscle of the shoulder. At the end of
ten minutes these sensations are merged in pain, and for some time
Public-domain text, read in full here on John Shaqi.
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