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
human beings, they train the blood of animals to meet it; and, keeping
their serum in stock, they can, when the critical moment arrives,
reinforce the fighting strength of the patient with this mercenary aid.
=The Spleen.=—The spleen is placed on the left side of the body, and
rather towards the back. It rests between the stomach and the inner
surface of the eighth, ninth, tenth, and eleventh ribs. It is quickly
distinguished from other organs by its brown-purple colour, a sombre
hue to which it owed its evil reputation with the humoralists. The
liver’s yellow bile tinged man’s mental outlook, preventing him from
seeing objects in their natural brightness; but the spleen made black
bile, which, mounting to the brain, displayed its malign influence upon
the action of that organ, as, or in, the worst of humours.
The spleen is invested with a capsule of no great toughness. Inside the
capsule is “spleen-pulp.” When the fresh organ is cut across, it is
seen that, although most of the pulp is of the colour of dark venous
blood, it is mottled with light patches. In some animals—the cat,
for example—these whitish patches are small round spots, regularly
arranged at a certain distance from the capsule. The distinction
into “red pulp” and “white pulp” marks a division into two kinds of
tissue with entirely different functions. The white pulp is lymphoid
tissue, lymph-follicles developed in the outer or connective-tissue
coat of the branches of the splenic artery. Its function is to make
lymphocytes, of which, for reasons which will shortly appear, the
spleen needs an abundant supply. The constitution of the red pulp is
entirely different, and peculiar to the spleen. The branches of the
splenic artery divide in the usual way into smaller and still smaller
twigs until the finest arterioles are reached; but these arterioles
do not give rise to capillary vessels. At the point at which in any
other organ their branches would attain the calibre of capillaries,
the connective-tissue cells which make their walls scatter into a
reticulum. They are no longer tiles with closely fitting, sinuous,
dovetailed borders, but stellate cells with long delicate processes
uniting to constitute a network. The blood which the arterioles bring
to the pulp is not conducted by closed capillary vessels across the
pulp to the commencing splenic veins. It falls into the general
sponge-work. The venules commence exactly in the same way as the
arterioles end. Stellate connective-tissue cells become flat tiles
placed edge to edge. The endothelium of an arteriole might be likened
to a column of men marching shoulder to shoulder, three or four
abreast; the connective tissue of the pulp, to a crowd in an open
place. The column breaks up into a crowd. On the other side the crowd
falls into rank as the endothelium of veins. The capsule and the red
pulp are largely composed of muscle-fibres. These relax and contract
about once a minute. By their contraction the blood is squeezed out of
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