The growth of medicine from the earliest times to about 1800Buck, Albert H. (Albert Henry)
History
The growth of medicine from the earliest times to about 1800
Buck, Albert H. (Albert Henry)
Medicine -- History
He describes the optic nerve, the oculo-motorius and
trochlearis, the different ramifications of the trigeminus, the
acusticus and facialis, the vagus and glossopharyngeus, the
nerves of the pharynx and larynx, the sympatheticus (with the
accompanying ganglia), and the radial, ulnar, median, crural and
ischiatic nerves. (Puschmann.)
Although it is true that certain important anatomical and physiological
facts are found recorded for the first time in the works of Galen,
this must not be accepted as evidence that Galen himself is the real
discoverer of these facts. The most that can be claimed for him is that
he is the first writer to bring the facts in question to the knowledge
of us moderns. When the ancient books that have been lost are once
more brought to light, as they very well may be at any time, we shall
be able, perhaps, to give credit where credit is due. But there is one
department in which Galen did experimental work of an entirely original
character and for which he deserves unstinted praise. I refer to the
experiments which he made concerning the physiology of the brain and
spinal cord. They are related in the following extract, which has been
translated from the account given by Neuburger (_op. cit._, Vol.
I., p. 380):--
The brain itself is not sensitive; it expands and contracts
synchronously with the respiratory movements, the purpose of
which action is to drive the pneuma from the cavities of that
organ into the nerves. The function of the meninges is to hold
the parts firmly together and to unite the blood-vessels.
Pressure upon the brain causes stupor. An injury of the tissues
surrounding the fourth ventricle or of those which constitute
the beginning of the spinal cord produces death. The seat of
the soul is in the substance of the brain, and not in its
membranes. The spinal cord serves as a conductor of sensation
and of motor impulses, and it also plays the part of a brain
for those structures of the body which lie below the head.
It gives off nerves like streamlets. Division of the spinal
cord longitudinally in its median axis does not give rise to
paralysis. Transverse division, on the other hand, causes
symmetrical paralyses. If the cord is divided between the third
and fourth cervical vertebrae, respiration is arrested, and
if the division is made between the cervical and the thoracic
portions of the spinal column, the animal breathes with the aid
only of its diaphragm and of the upper muscles of the trunk of
the body. Division of the recurrent nerves produces aphonia; if
the fifth cervical nerve is divided, the scapular muscles on
the corresponding side will be paralyzed. Galen considers the
ganglia to be organs for reinforcing the energy of the nerves.
The fact that both cerebral and spinal-cord nerve-filaments
enter into the composition of the sympathetic nerve explains the
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