The Philosophy of Health; Volume 1 (of 2): or, an exposition of the physical and mental constitution of manSmith, Southwood
Philosophy
The Philosophy of Health; Volume 1 (of 2): or, an exposition of the physical and mental constitution of man
Smith, Southwood
Hygiene; Physiology
119. Between the abdomen and the pelvis there is no separation; one
cavity is directly continuous with the other (fig. LXI. 3); but along
the inner surface of the expanded bones, which form a part of the
lateral boundary of the abdomen, there is a prominent line, termed
the brim of the pelvis (fig. XLV. 15), marking the point at which the
abdomen is supposed to terminate and the pelvis to commence.
120. Behind and at the sides the walls of the abdomen are completed
partly by the lumbar portion of the spinal column and partly by the
lumbar muscles (fig. XLV. 4), and before by the abdominal muscles (fig.
LXIII. 9).
121. The inner surface of the walls of the abdomen is lined throughout
by a serous membrane, termed the peritoneum (fig. LXIII.). From the
walls of the abdomen, the peritoneum is reflected upon the organs
contained in the cavity, and is continued over them so as to form their
external coat. The peritoneum also descends between the several organs,
connecting them together, and holding them firmly in their situation;
and it likewise forms numerous folds, in which are embedded the vessels
and nerves that supply the organs. It secretes a serous fluid, by
which its own surface and that of the organs it covers is rendered
moist, polished, and glistening, and by means of which the organs
glide smoothly over it, and over one another in the various movements
of the body, and are in constant contact without growing together. In
structure, distribution, and function, the peritoneum is thus perfectly
analogous to the pleura.
122. Like the thorax, the abdomen is always completely full. When
the diaphragm is in action, it contracts. When the diaphragm is
in the state of contraction, the abdominal and lumbar muscles are
in the state of relaxation. By the contraction of the diaphragm,
the organs contained in the abdomen are pushed downwards, and the
anterior and lateral walls of the cavity being at this moment in
a state of relaxation, they readily yield, and, consequently, the
viscera are protruded forwards and at the sides. But the abdominal
and lumbar muscles in their turn contract, the diaphragm relaxing;
and, consequently, the viscera, forced from the front and sides of the
abdomen, are pushed upwards, together with the diaphragm, into the
cavity of the thorax. A firm and uniform pressure is thus at all times
maintained upon the whole contents of the abdomen: there is an exact
adaptation of the containing to the contained parts, and of one organ
to another. No space intervenes either between the walls of the abdomen
and the organs they enclose, or between one organ and another: so that
the term cavity does not denote a void or empty space, but merely the
extent of the boundary within which the viscera are contained.
123. The contents of the abdomen consist of the organs which belong to
the apparatus of digestion, and of those which belong to the apparatus
of excretion.
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