The People's Common Sense Medical Adviser in Plain English: or, Medicine Simplified, 54th ed., One Million, Six Hundred; and Fifty Thousand — John Stuart Mill — John Shaqi
The People's Common Sense Medical Adviser in Plain English: or, Medicine Simplified, 54th ed., One Million, Six Hundred; and Fifty Thousand
John Stuart Mill · en
Hitherto, we have only considered the anatomy and functions of the
organs employed in Digestion, Absorption, Circulation, Respiration,
Secretion and Excretion. We have found the vital process of nutrition to
be, in all its essential features, a result of physical and chemical
forces; in each instance we have presupposed the existence and activity
of the nerves. There is not an inch of bodily tissue into which their
delicate filaments do not penetrate, and form a multitude of conductors,
over which are sent the impulses of motion and sensation.
[Illustration: Fig. 54.
The Nervous System.]
Two elements, _nerve-fibers_ and _ganglionic corpuscles_, enter into the
composition of nervous tissue. Ordinary nerve-fibers in the living
subject, or when fresh, are cylindrical-shaped filaments of a clear, but
somewhat oily appearance. But soon after death the matter contained in
the fiber coagulates, and then the fiber is seen to consist of an
extremely delicate, structureless, outer membrane, which forms a tube
through the center of which runs the _axis-cylinder_. Interposed between
the axis-cylinder and this tube, there is a fluid, containing a
considerable quantity of fatty matter, from which is deposited a highly
refracting substance which lines the tube. There are two sets of
nerve-fibers, those which transmit sensory impulses, called _afferent_
or _sensory_ nerves, and those which transmit motor impulses, called
_efferent_ or _motor_ nerves. The fibers when collected in bundles are
termed nerve trunks. All the larger nerve-fibers lie side by side in the
nerve-trunks, and are bound together by delicate connective tissue,
enclosed in a sheath of the same material, termed the _neurilemma_. The
nerve-fibers in the trunks of the nerves remain perfectly distinct and
disconnected from one another, and seldom, or never, divide throughout
their entire length. However, where the nerves enter the nerve-centers,
and near their outer terminations, the nerve-fibres often divide into
branches, or at least gradually diminish in size, until, finally, the
axis-cylinder, and the sheath with its fluid contents, are no longer
distinguishable. The investing membrane is continuous from the origin to
the termination of the nerve-trunk.
[Illustration: Fig. 55.
Division of a
nerve, showing a
portion of a nervous
trunk (_a_)
and separation of
its filaments (_b, c, d, e_.)]
In the brain and spinal cord the nerve-fibers often terminate in minute
masses of a gray or ash-colored granular substance, termed _ganglia_, or
_ganglionic corpuscles_.
The ganglia are cellular corpuscles of irregular form, and possess
fibrous appendages, which serve to connect them with one another. These
ganglia form the cortical covering of the brain, and are also found in
the interior of the spinal cord. According to Kölliker, the larger of
these nerve-cells measure only 1/200 of an inch in diameter. The brain
is chiefly composed of nervous ganglia.