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
after lowering the arm the shoulder-muscle aches, much as it does
in rheumatism. Pain is an effect upon consciousness, which absorbs,
engulfs, and therefore obliterates sensation. To use an ancient phrase,
“It is less that I feel pain than that I am pain.” If we speak of the
capacity for pain as a sense, we may call it for the purpose of our
present argument the “sense of damage.” The nerves of the skin are
acutely affected by any agent which is likely to do harm. It is their
business to convey to the central nervous system an influence which
so affects it as to set up in consciousness the condition of pain.
Sensations of damage evoke reflex movements by means of which the part
of the body likely to be injured, or the whole body, is removed to a
safe distance. It being the duty of the skin to give this warning, a
service of nerves sensitive to noxious agents has been developed which
scouts in co-operation with the services devoted to the recognition
of physical contact and heat and cold (_cf._ p. 425). If, imagining
that the fire has not been lighted, I touch an almost red-hot stove, I
acquire quite a considerable amount of information of which I am able
to make use. I gain an accurate notion of the situation of the stove,
and I put the right part of my finger in my mouth. The skin sends to
the brain the ordinary sensations of touch and pressure before the
condition of pain is established. In seeking for a definition of pain,
we must eliminate the two attributes which have characterized all the
forms of stimulation which we have considered up to the present time:
(1) The tendency to provoke movement; (2) the supply of information.
If I am suffering from a whitlow, the last thing that I am disposed
to do is to jerk my finger about. Although it enhances the urgency
of skin-reflexes, pain, in general, inhibits movement instead of
provoking it. This is well illustrated in pleurisy. So long as a man is
healthy he is quite unconscious of the fact that at each respiration
the lower part of the lung slides on the lining of the chest-wall;
but commencing inflammation on the surface of one of the lungs causes
intense susceptibility to friction, and the pain produces an effect
which the man is quite unable to produce by an effort of will; it stops
the movements of the chest on the damaged side. Pain is inhibitory, not
stimulant. It is not, properly speaking, a sensation. Frequently being
mixed with sensational elements, it conveys topographical information;
but pure pain approaches in quality the nebulous sense of distress of a
patient who, when asked where he felt it, replied: “Nowhere; but there
is a deal of it in the room.”
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Elsewhere in the archive
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account