The Cleveland Medical Gazette, Vol. 1, No. 5, March 1886 — John Shaqi
The Cleveland Medical Gazette, Vol. 1, No. 5, March 1886Various
History
The Cleveland Medical Gazette, Vol. 1, No. 5, March 1886
Various
Medicine -- Periodicals; Surgery -- Periodicals
The examination of the alveoli not leading to any results as to
nerve-endings—no structures being discovered there that might be called
nervous—I attacked the problem from the other side. I took up the nerve
trunks accompanying the ducts, and tried how far I could follow their
divisions and branches, and can say that I have spent a great deal of
time on this point. In speakings of the bloodvessels, the fact was
mentioned that, where arteries and veins of any size run along-side of
the duct, these are accompanied by nerve branches, _i. e._, bundles of
nerve fibres, inclosed in a sheath, and these—at least in the cat, the
calf and the ox—are made up (excepting, possibly, the very large trunks)
of fine nerve fibres. Thicker or medullary nerves I have not been able
to discover, even in branches of considerable size, consisting of, say
six or eight fibres, and giving off smaller twigs containing one to
three fibres. Fig. 7 shows such a nerve-trunk with side branches;
neither in the main stem nor in the offshoots are there any medullary
nerves discoverable.
If this observation is correct, we see that what has to be traced
further, is not the more easily recognized medullary fibre, but
exceedingly fine fibrils carrying in certain intervals nuclei, the only
distinguishing feature. It will be admitted also (first) that it must be
a matter of considerable difficulty to follow such indifferent looking
structures, as delicate fibres. And (secondly), one cannot expect to
find medullary nerves approach the alveoli, penetrate the membrane, come
in connection with the secretory cells, etc., etc, as has been done by
Pflüger. If the question should be asked how far I have been able to
follow these nerves, I should say: Small twigs consisting of one to
three fine fibrils, enclosed in a sheath branch off from a trunk, not
much larger, and apply themselves to the membrana propria of the duct;
their sheaths in all probability coalescing with that membrane. Here
they have been seen to apply themselves to some bloodvessel and are now
lost out of sight, being hid by all the many structures mentioned above,
the nuclei of membrane, capillary, duct cells, and the fibre cannot so
readily be distinguished from the membrana propria of the duct upon
which it rests. But I do not wish to be understood that because the
nerves have been lost out of sight, along-side of vessels, that they
have their “ending” there, inasmuch as the network of bloodvessels is
such a close one that the nerves cannot but help coming in contact with
them. Fig. 8 shows such a fine nerve-trunk. By the aid of aniline blue
the fine fibrils have been made quite plain. Such fine fibrils can by
the same means be demonstrated in much larger trunks, as shown in fig.
7, and it can be shown that even such large trunks consist of nothing
but these fine fibrils.
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