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 state set up in the segment of the cord in which afferent fibres,
conveying pain from viscera, embouch affects its conductivity. It
subdues reflex action through the segment, and at the same time
facilitates or reinforces the transmission of sensory impulses towards
the seat of consciousness. This shows itself in the apparent increased
sensitiveness of the skin of the area of the surface supplied by
the posterior root which joins the segment of the spinal cord into
which the pain influence is also being poured. For example, afferent
sympathetic nerves from the cardiac end of the stomach join the sixth
and seventh thoracic spinal nerves. Other afferent fibres run up the
vagus to the medulla oblongata. When the cardiac end of the stomach
is diseased, pain is referred to the skin area supplied by the sixth
and seventh dorsal roots. The ordinary inevitable stimuli acting upon
this area cause pain. Experimental stimuli which elsewhere would be
felt as touch or warmth are painful. The impulses to which they give
rise pass through pain-agitated segments of the spinal cord. The vagus
nerve carries its pain influence to the medulla oblongata. Now, it
happens that the sensory nerve of the face—the fifth—spreads for a
considerable distance up and down the axis of the brain. The fifth
nerve in consequence pours its sensory impulses into a region which is
pain-agitated by those fibres of the vagus which come from the cardiac
end of the stomach. Hence disease of that organ gives rise also to an
“illusion” of pain—pains and illusions of pain are philosophically
indistinguishable—on the surface of the head. The viscera, having no
direct access to consciousness, appear by deputy. When the stomach
is distressed, it makes its appeal to the whole body politic for
considerate treatment through certain nerves which have the privilege
of appearing at Court. The message is misread as coming from the front
of the chest—“heart-burn”—or from the shoulder, or from the scalp, or
from the other skin areas which these nerves serve. When the liver is
in trouble, consciousness, having no knowledge of its whereabouts—is
it the business of hand and eye to explore another man’s liver, or
incumbent upon the mind to accept their findings?—infers that the cry
comes from the shoulder. Nor have the tissues beneath the root of the
nail, or the muscle of the shoulder, or the pulp of a tooth, any direct
representation in consciousness; but since the pain-condition in the
grey matter converts it into a microphone, messages from neighbouring
structures which otherwise would fail to arouse attention, after
traversing the pain-segments of the nervous system, ring out clearly,
and hence the mind locates approximately the “pain” of the whitlow, the
muscle-ache, the decayed tooth. Sufferers from toothache are familiar
with the phenomenon of the spread of pain from a definite spot to the
whole jaw or the whole side of the head, dependent upon the spread
Public-domain text, read in full here on John Shaqi.
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