CORNELL UNIVERSITY LIBRARY Library arV1489 A treatise on anatomy physiology, and h 3 1924 031 244 431 olin.anx Cornell University Library The original of this book is in the Cornell University Library. There are no known copyright restrictions in the United States on the use of the text. http://www.archive.org/details/cu31924031244431 TREATISE ON ANATOMY, PHYSIOLOGY, AND HYGIENE. DESIGNED FOR COLLEGES, ACADEMIES, AND FAMILIES. By CALVIN GUTTEK, M.D. WITH ONE HUNDRED AND FIFTY ENGRAVINGS. REVISED STBKBOTYPE EDITION. PHILADELPHIA: J. B. LIPPINCOTT & CO. CINCINNATI : SARGENT, WILSON & HINKLE. ST. LOUIS, MO. : KEITH &. WOODS. CHICAGO, ILL. : S. C. GRIGGS & CO. Entered accordiDg to Act of CoBgress, in tbe year 1852, by CALVIN CUTTER, M.D., in the Clerk'a Offlee of the Sistriet Court of the District of Massachusetts. PEEFACE. Agesilaus, king of Sparta, when asked what things boys should learn, replied, " Those which they will practise when they become men." As health requires the observance of the laws inherent to the different organs of the human system, so not only boys, but girls, should acquire a knowledge of the laws of their organization. If sound morality depends upon the inculcation of correct principles in youth, equally so does a sound physical system depend on a correct physical edu- cation during the same period of life. If the teacher and parents who are deficient in moral feelings and sentiments, are unfit to communicate to children and youth those high moral principles demanded by the nature of man, so are they equally incompetent directors of the physical training of the youthful system, if ignorant of the organic laws and the phys- iological conditions upon which health and disease depend. For these reasons, the study of the structure of the human system, and the laws of the different organs, are subjects of interest to all, — the young and the old, the learned and the unlearned, the rich and the poor. Every scholar, and particu- larly every young miss, after acquiring a knowledge of the primary branches, — as spelling, reading, writing, and arith- metic, — should learn the structure of the human system, and ] * 6 PREFACE. the conditions upon which heallh and disease depend, as this knowledge will be required in practice in after life. " It is somewhat unaccountable," says Dr. Dick, " and not a little inconsistent, that while we direct the young to look abroad over the surface of the earth, and survey its moun- tains, rivers, seas, and continents, and guide their views to the regions of the firmament, where they may contemplate the moons of Jupiter, the rings of Saturn, and thousands of luminaries placed at immeEisurable distances, * * that we should never teach them to look into themselves ; to consider their own corporeal structures, the numerous parts of which they are composed, the admirable functions they perform, the wisdom and goodness displayed in their mechanism, and the lessons of practical instruction which may be derived from such contemplations." Again he says, " One great practical end which should always be kept in view in the study of physiology, is the invigoration and improvement of the corporeal powers and functions, the preservation of health, and the prevention of disease." The design of the following pages is, to diffuse in the community, especially among the youth, a knowledge of Human Anatomy, Physiology, and Hygiene. To make the work clear and practical, the following method has been adopted : — r 1st. The structure of the different organs of the system has been described in a clear and concise manner. To render this description more intelligible, one hundred and fifty engravings have been introduced, to show the situation of the various organs. Hence the work may be regarded as an elementary treatise on anatomy. PBEFACB. 2d. The functions, or uses of the several parts have been briefly and plainly detailed ; making a primary treatise on human physiology. 3d. To make a knowledge of the structure and functions of the different organs practical, the laws of the several parts, and the conditions on» which health depends, have been clearly and succinctly explained. Hence it may be called a treatise on the principles of hygiene, or health. To render this department mofe complete, there has been added the appropriate treatment for burns, wounds, hemor- rhage from divided arteries, the management of persona asphyxiated from drowning, carbonic acid, or strangling, directions for nurses, watchers, and the removal of disease, together with an Appendix, containing antidotes for poisons, so that persons may know what should he- done, and what should not he done', until a surgeon or physician can be called. In attempting to effect this in a brief elementary treatise designed for schools and families, it has not been deemed necessary to use vulgar phrases for the purpose of being understood. The appropriate scientific term should be applied to each organ. No more effort is required to learn the mean- ing of a proper, than an improper term. For example : a child will pronounce the word as readily, and obtain as correct an idea, if you say lungs, as if you used the word lights. A little effort on the part of teachers and parents, would diminish the number of vulgar terms and phrases, and, consequently, improve the language of our country. To obviate all objections to the use of proper scientific terms, a Glossary has been appended to the work. 8 PREFACE. The author makes no pretensions to new discoveries in physiological science. In preparing the anatomical depart- ment, the able treatises of Wilson, Cruveilhier, and others have been freely consulted. In the physiological part, the splendid works of Carpenter, Dunglison, Liebig, and others have been perused. In the department of hygiene many valuable hints have been obtained from the meritorious works of Combe, Rivers, and others. We are under obligations to R. D. Mussey, M. D., formerly Professor of Anatomy and Surgery, Dartmouth College, N. H., now Professor of Surgery in the Ohio Medical Col- lege ; to J. E. M'Girr, A. M., M. D., Professor of Anatomy, Physiology, and Chemistry, St. Mary's University, IIL ; to E. Hitchcock, Jr., A. M, M. IX, Teacher of Chemistry and Natural History, Williston Seminary, Mass. ; to Rev. E. Hitch- cock, D. T>., President of Amherst College, Mass., who examined the revised edition of this work, and whose valuable suggestions rendered important aid in preparing the manuscript for the present stereotype edition. We return our acknowledgments for the aid afforded by the Principals of the several Academies and Normal Schools who formed classes in their institutions, and examined the revised edition as their pupils progressed, thus giving the work the best possible test trial, namely, the recitation-room. To the examination of an intelligent public, the work is respectfully submitted by CALVIN CUTTER. ■Wariien, Mass. TO TEACHERS AND PARENTS. As the work is divided into chapters, the subjects of which are complete in themselves, the pupil may com- mence the study of the structure, use, and laws of the several parts of which the human system is composed, by selecting such chapters as fancy or utility may dic- tate, without reference to their present arrangement, —as well commence with the chapter on the digestive organs as on the bones. The acquisition of a correct pronunciation of the technical words is of great importance, both in recita- tion and in conversation. In this work, the technical words interspersed with the text, have been divided into syllables, and the accented syllables designated. An ample Glossary' of technical terms has also been appended to the work, to which reference should be made. It is recommended that the subject be examined in the form of topics. The questions in Italics are de- signed for this method of recitation. The teacher may call on a pupil of the class to describe the anat- omy of an organ from an anatomical outline plate ; afterwards call upon another, to give the physiology of the part, while a third may state the hygiene, after W TO TEACHERS AND PARENTS. which, the questions at the bottom of the page may be asked promiscuously, and thus the detailed knowl- edge of the subject possessed by the pupils will be tested. At the close of the chapters upon the Hygiene of the several portions of the system, it is advised that the instructor give a lecture reviewing the anatomy, physiology, and hygiene, of the topic last considered. This may be followed by a general examination of the class upon the same subject. By this course a clear and definite knowledge of the mutual relation of the Anatomy, Physiology, and Hygiene, of different parts of the human body, will be presented. We also suggest the utility of the pupils' giving analogous illustrations, examples, and observations, where these are interspersed in the difiierent chap- ters, not only to induce inventive thought, but to discipline the mind. To parents and others we beg leave to say, that about two thirds of the present work is devoted to a concise and practical description of the uses of the important organs of the human body, and to show how such information may be us.efully applied, both in the preservation of health, and the improvement of physical education. To this have been added direc- tions for the treatment of those accidents which are daily occurring in the community, making it a treatise proper and profitable for the FAMiLr library, as well as the school-room. CONTENTS. Chapter. Pago. 1. Oknebal Rekaxks .' 13 2. Stbvctube of Man, 17 3. Chemistry op the Human Body 26 1. Anatomy of the Bones, 29 6. Anatomy op the Bones, continted, 39 6. Fhysioloqy op the Bones 18 7. Hyqiene op the Bones, 53 8. Anatomy op the Muscles, 64 9. Fhysioloqy op the Muscles 76 10. Hyqieke op the Muscles, 8d 11. Hyqiene op the Muscles, continued, 96 12. Anatomy op the Teeth ." 105 12. Fhysioloqy op the Teeth, 1 09 12. Hygiene of the Teeth 110 13. Anatomy OF the Diqestiye Orqans 113 14. Fhysioloqy op the Diqestiye Obqans, 124 15. Hygiene op the Digestive Orqans ,, 129 16. Hygiene of the Digesttve Organs, continued, 142 17. Anatomy of the Circulatory Organs, 154 18. Fhysioloqy of the Circulatory Organs, 164 19. Hygiene op the Circulatory Organs', 172 20. Anatomy op the Lymphatic Vessels 181 20. Fhysioloqy of the Lymphatic Vessels 183 20. Hygiene op the Lymphatic Vessels 188 21. Anatomy op the Secretory Organs, 192 21. Fhysioloqy OP the Secretory Organs, 193 21. Hygiene op the Secretory Organs , 197 22. Nutrition 200 22. Hygiene of Nutrition, .' 205 23. Anatomy of the Respiratory Organs, 209 12 CONTENTS. Cbaptflr. F.ig« 24. Physiolooy of the Kebfis^toby Obqaks 217 2d. Hyoi£xe of the Kesfibatoky Obqans, 228 26. Hygiene op the Eespibatoby Obqahs, continued, 239 i27. Animal Heat, 252 28. Hyoienb of Anijiai Heat, - 261 29. Anatomy op the Vooax Ubgans, 268 29. Physiology op the Vooal Obgaks, 272 30. Hygiene of the Vocal Oboans 274 31. Anatomy of the Skin 282 32. Physiology of the Skin 293 33 . Hygiene of the Skin, 301 34. Hygiene of the Skin, continued, 311 35. Appendages op the Skin 322 ^6. Anatomy of the Nebtoub System, 327 37. Anatomy op the Nebvous System, continued, 340 38. Physiology op the Nebvous System, 346 39. Hygiene op the Nebvous System, 358 40. Hygiene op the Nebvous System, continued, 368 41. The Sense of Touch, 373 42. Anatomy of the Oegans of Taste, 384 42. Physiology op the Oboans op Taste, 386 43. Anatomy of the Obgans of Smell 389 43. Physiology op the Obqans op Smell ." 391 44. Anatomy op the Obgans of Vision 394 45. Physiology op the Obgans of Vision, 404 45. Hygiene op the Oboans op Vision 410 46. Anatomy op the Oboans of Heabing 414 47. Physiology op the Oboans op Heabing, 420 47. Hygiene of the Obqans op Heabing, 422 48. Means op pbesebvinq the Health, 425 49. Dibectionb pob Nubses, 432 APPENDIX, 439 GLOSSAHY, 45J INDEX, 463 ANATOMY, &c. CHAPTER I. GENERAL REMAEKS. 1. Anatomy is the science which treats of the structure and relations of the different parts of animals and plants. 2. It is divided into Vegetable and Animal anatomy. The latter of these divisions is subdivided into Human anatomy, which considers, exclusively, human beings ; and Comparative anatomy, which treats of the mechanism of the lower orders of animals. 3. . Physiology treats of the functions, or uses of the organs of animals and plants. Another definition is, " the science of life." 4. This is also divided into Vegetable and Animal physiol- ogy, as it treats of the vegetable or animal kingdom ; and into Human and Comparative physiology, as it describes the vital functions of man or the inferior animals. 5. Hygiene is the art or science of maintaining health, oi a knowledge of those laws by which health may be preserved. 6. The kingdom of nature is divided into organic and in- organic bodies. Organic bodies possess organs, on whose I. What is anatom^ 2. How is it divided 7 How is the latter diTision subdivided 7 3. What is physiology 1 Give another definition. 4. How is physiology divided ? Give a subdivision. 5. What is hygiene J 6. Define organic bodies. 2 14 ANATOMY, PHYSIOI.OGY, AND HYGIENE. action depend their growth and perfection. This division includes animals and plants. Inorganic bodies are devoid of organs, or instruments of life. In this division are classed the earths, metals, and other minerals. 7. In general, organic matter differs so materially from inorganic, that the one can readily be distinguished from the other. In the organic world, every individual of necessity springs from some parent, or immediate producing agent ; for while inorganic substances are formed by chemical laws alone, we see no case of an animal or plant coming into existence by accident or chance, or chemical opera- tions. 8. Animals and plants are supported ly means of nourish- ment, and die without it. They also increase in size hy the addition of new particles of matter to all parts of their sub- stances ; while rocks and minerals grow only by additions to their surfaces. 9. " Organized bodies always present a combination of both solids and fluids ; — of solids, differing in character and properties, arranged into organs, and these endowed with functional powers, and so associated as to form of the whole a single system ; — and of fluids, contained in these organs, and holding such relation to the solids that the existence nature, and properties of both mutually and necessarily de- pend on each other." 10. Another characteristic is, that organic substances have a certain order of parts. For example, plants possess organs to gain nourishment from the soil and atmosphere, and the power to give strength and increase to all their parts. And animals need not only a digesting and circulating apparatus, but organs for breathing, a nervous system, &c. Define inorganic bodies, 7. What is said of the diBerence, in general, be- tween organic and inorganic bodies ? 8. What of the growth of organic and inorganic bodies ? 9. What do organized bodies always present ? 10. Give another characteristic of organized substances. GENERAL REMARKS. 15 11. Individuality is an important characteristic. For in- stance, a large rock may be broken into a number of smaller pieces, and yet every fragment will be rock ; but if an or- ganic substance be separated into two or more divisions, neither of them can be considered an individual. CJosely associated with this is the power of life, or vitality, which is the most distinguishing characteristic of organic structure ; since we find nothing similar to this in the inorganic creation. 12. TAe distinction \etween plants and animals is also of much importance. Animals grow proportionally in all directions, while plants grow upwards and downwards from a collet only. The food of animals is organic, while that of plants is inorganic ; the latter feeding entirely upon the ele- ments of the soil and atmosphere, while the former subsist upon the products of the animal and vegetable kingdoms. The size of the vegetable is in most cases limited only by the duration of existence, as a tree continues to put forth new branches during each period of its life, while the animal, at a certain time of life, attains the average size of its species. 13. One of the most important distinctions between ani- mals and plants, is the different effects of respiration. Ani: mals consume the oxygen of the atmosphere, and give off carbonic acid ; while plants take up the carbonic acid, and restore to animals the oxygen, thus affording an admirable example of the principle of compensation in nature. 14. But the decisive distinctions between animals and plants are sensation and voluntary motion, the power of ac- quiring a knowledge of external objects through the senses, and the ability to move from place to place at will. These 11. What is said of the individuality of organized and inorganized bodies I What is closely associated with this ? 12. Give a distinction between ani mals and plants as regards growth. The food of animals and plants. What is said in reaped to size 1 13. What important distinction in the effects of respiration of animals and plants 7 14. What are the decisive distinotions between animals and pl&nts I 16 ANATOMY, PHYSIOLOGY, AND HYGIENE. are the characteristics which, in their fullest •development in man, show intellect and reasoning powers, and thereby in a greater degree exhibit to ns the wisdom and goodness of the Creator. 15. Disease, which consists in an unnatural condition of the bodily organs, is in most cases under the control of fixed laws, which we are capable of understanding and obeying. Nor do diseases come by chance ; they are penalties for violating physical laws. If we carelessly cut or bruise our flesh, pain and soreness follow, to induce us to be more careful in the future ; or, if we take improper food into the stomach, we are warned, perhaps immediately, by a friendly pain, that we have violated an organic law. 16. Sometimes, however, the penalty does not directly fol- low the sin, and it requires great physiological knowledge to be able to trace the effect to its true cause. Jf we possess good constitutions, we are responsible for most of our sick- ness ; and bad constitutions, or hereditary diseases, are but the results of the same great law, — the iniquities of the parents being visited on the children. In this view of the subject, how important is the study of physiology and hygiene ! For how can we expect to obey laws which we do not under- stanfl ? 15. What is said of disease ? 16. Why is the study of physiology and hygiene important ? STRUCIUEE OP MAN. " ' 17 CHAPTER 11. STETTCTXTRE OF MAN. 17. In the structure of the human body, there is a union of fluids and solids. These are essentially the same, for the one is readily changed into the other. There is no fluid that does not contain solid matter in solution, and no solid matter Ihat is destitute of fluid. IS. In different individuals, and at different periods of life the proportion of fluids and solids varies. In youth, the fluids are more abundant than in advanced life. For this reason, the limbs in childhood are soft and round, while in old age they assume a Hard and wrinkled appearance. 19. The fluids not only contain the materials from which every part of the body is formed, but they are the medium for conveying the waste, decayed particles of matter from the system. They have various names, according to their nature and fiinction ; as, the blood, and the bile. 20. The solids are formed from the fluids, and consequent ly they are reduced, by chemical analysis, to the same ultimate elements. The particles of matter in solids are arranged variously ; sometimes \n fibres, (threads,) sometimes in lam'i- nee, (plates,) sometimes homogeneously, as in basement mem- branes. (Appendix A.) » 21. The parts of the body are arranged into Pi'bres, Fas- dc'u-li, Tis'sues, Or'gans, Ap'pa-ra'tus-es, and Sys'tems. 17. "What substances enter into the structure ef the human body ? Are they essentially the same ? 18. What is said of these substances at differ- ent periods of life ? 19. "What offices do the flmds of the system perform ? 20. What is said of the solids ? How are the particles of matter ar- rfinged in solids F 21. Give an arrangement of the parts of the body. 2* 18 ANATOMY, PHYSIOLOGY AND HYGIENE. 22. A FiBEE is a thread of exceeding fineness. It is either cylindriform or flattened. 23. A FASCICULUS is the term applied to several fibres united. Its general characteristics are the same as fibres. 24. A TISSUE is a term applied to several different solids of the body. 25. An ORGAN is composed of tissues so arranged as to form an instrument designed for action. The action of an organ is called i^fiinction, or use. Example. The liver is an organ, and th^ secretion of the bile from the blood is one of its functions.* 26. An APPARATUS is an assemblage of organs designed to produce certain results. Example. The digestive apparatus consists of the teeth stomach, liver, &c., all of which aid in the digestion of food Fig. 2. Vig. S. Represents a portion of broken muscular fibre of animal Hfb, (magnifleil about seven hundred diameters.) 27. The term system is applied to an assemblage of organs arranged according to some plan, or metliod ; as the nervous system, the respiratory system. * Where examples and observations are given or experiments suggested, let the pupil mention other analogous ones. 22. Define a fibre. 23. Define a fasciculus. 24. Definp a tissns. 25. De- fine an organ. What is the action of an organ called ? Give examples. MeiUion other examples. 26. What is an apparatus ? Give an example 27. How is the term system applied ? STEUCTUEE Ol' MAN. 19 28. A TISSUE is a simple form of organized animal sub- stance. It is flexible, and formed of fibres interwoven in various ways, as the cellular tissue. 29. However various all organs may appear in tbeir struc- ture and composition, it is now supposed that they can be reduced to a few tissues, as the Gel'lu-lar, Os'se-ous, Mus'cio- lar, Mu'cous, JVer'vous, &c. (Appendix B.) 30. The CELLULAR TISSUE,* now called the areolar tissue, consist^ of small fibres, or bands, interlaced in every .direc- tion, so as to form a net-work, with numerous interstices that communicate freely with each other. These interstices are filled, during life, with a fluid resembling the serum of blood. The use of the areolar tissue is to connect together organs and parts of organs, and to envelop, fix, and protect the vessels and nerves of organs. Kg. 3. Fig. 3. Arrangement of fibrea of the cellular tissue magnified one hundred and thirty diameters. Observations. 1st. When this fluid becomes too great in quantity, in consequence of disease, the patient labors under general dropsy. The swelling of the feet when standing, and their return to a proper shape during the night, so often noticed in feeble persons, furnish a striking proof both of the * The Cellular, Serous, Dermoid, Fibrous, and Mucous tissues are very generally called membranes. 28. What is a tissue ? 29. What is said respecting the structure and com- position of the various organs? Name the primary membranes. 30. De- scribe the cellular tissue. How are the cells imbedded in certain tissues 7 Give observation 1st, relative to the cellular tissue. 20 ANATOMY, PHYSIOLOGY, AND HYGIENE. existence and peculiarity of this- tissue, which allows the fluid to flow from cell to cell, until it settles in the lower ex- tremities. 2d. The free communication between the cells is still more remarkable in regard to air. Sometimes, when an ac- cidental opening has been made from the air-cells of the lungs into the contiguous cellular tissue, the air in respiration has penetrated every part until the whole body is so inflated as to occasion sufi'ocation. Butchers often avail themselves of the knowledge of this fact, and inflate their meat to give it a fat appearance. 31. " Although this tissue enters into the composition of all organs, it never loses its own structure, nor participates in the functions of the organ of which it forms a part. Though present in the nerves, it does not share in their sensibility ; and though it accompanies every muscle and every muscular fibre, it does not partake of the irritability which belongs to these organs." 32. Several varieties of tissue are formed from the cellular; as, the Se'-rous, Der'moid,, Fi'brous, and several others. 33. The SEROUS tissue lines all the closed, or sac-like cavities of the body ; as, the chest, joints, and abdomen. It not only lines these cavities, but is reflected, and invests the organs contained in them. The liver and the lungs are thus invested. This membrane is of a whitish color, and smooth on its free surfaces. These surfaces are kept moist, and pre- vented from adhering by a se'rous fluid, which is separated from the blood. The use of this membrane is to separate organs, and also to facilitate the movement of one part upon another, by means of its moist, polished surfaces. 34. The DERMOID TISSUE covers the outside of the body. Give observation 2d. 31. What is said of the identity of this tissue ? 32. Name the varieties of tissue formed from the oellular. 33. Where is the serous tissue found? What two offioes does it perform? Give its structure. What is the use of this membrane ? STETJCTTJEE OP MAH. 21 It is called the cu'tis, (skin.) This membrane is continuous with the mucous at the various orifices of the body, and in these situations, from the similarity of their structure, it is difficult to distinguish between them. Observations. 1st. In consequence of the continuity and similarity of structure, there is close sympathy between the mucous and dermoid membranes. If the functions of the skin are disturbed, as by a chill, it will frequently cause a catarrh, (cold,) or diarrhcea. Again, in consequence of this intimate sympathy, these complaints can be relieved by ex- citing a free action in the vessels of the skin. 2d. It is no uncommon occurrence that diseased or irri- tated conditions of the mucous membrane of the stomach or intestines produce diseases or irritations of the skin, as is seen in the rashes attendant on dyspepsia, and eating certain spe- cies of fish. These eruptions of the skin can be relieved by removing the diseased condition of the stomach. 35. The riBROTJS tissue consists of longitudinal, parallel fibres, which are closely united. These fibres, in some situ- ations, form a thin, dense, strong membrane, like that which lines the internal surface of the skull, or invests the external surface of the bones. In other instances, they form strong, inelastic bands, called lig'a-ments, which bind one bone to another. This tissue also forms ten'dons, (white cords,) by which the muscles are attached to the bones. Observation. In the disease called rheumatism, the fibrous tissue is the part principally affected; hence the joints, where this tissue is most abundant, suffer most from this affection. 36. The ADIPOSE tissue is so arranged as to form distinct bags, or cells. These contain a substance called fat. This - 34. Describe the dermoid tissue. What is said of the sympathy between the functions of the skin and mucous membrane ? Give another instance of the sympathy between these membranes. 35. Of what does the fibrous tissue consist? How do these appear in some situations ? How in others? What tissue is generally affected in rheumatism ? 22 ANATOMY, PHYSIOLOGY, AND HYGIENE. tissue is principally found beneath the skin, abdominal mus- cles, and around the heart and kidneys ; while none is found in the brain, eye, ear, nose, and several other organs. Observation. In those individuals who are corpulent, there is, in many instances, a great deposit of this substance. This tissue accumulates more readily than others when a person becomes gross, and is earliest removed when the system emaciates, in acute or chronic diseases. Some of the masses become, in some instances, enlarged. These enlargements are called adipose, or fatti/ tumors. Kg. 4. * a Kg. 4. I, A portion of the adipose tissue. 2, 2, 2, Minute bags coatoiiUDg fat. 3, A cluster of these hags, separated and suspended. 37. The CARTILAGINOUS TISSUE is firm, smooth, and highly elastic. Except bone, it is the hardest part of the animal frame. It tips the ends of the bones that concur in forming a joint. Its use is to facilitate the motion of the joints by its smooth surface, while its elastic character diminishes the shock that would otherwise be experienced if this tissue were inelastic. 36. Describe the adipose tissue. Wliere does this tissue principally exist ? Give observation in regard to the adipose tissue. 37. Deeoribe the cartilaginous tissue. What is its use ? STRUCTURE OP MAN. 23 38. Tie OSSEOUS tisstje, in composition and arrangement of matter, varies at different periods of life, and in different bones. In some instances, the bony matter is disposed in plates, while in other instances, the arrangement is cylindrical. Sometimes, the bony matter is dense and compact ; again, it is spongy, or porous. In the centre of the long bones, a space is left which is filled with a fatty substance, called mar'row. Observation. Various opinions exist among physiologists in regard to the use of marrow. Some suppose it serves as a reservoir of nourishment, while others, that it keeps the bones from becoming dry and brittle. The latter opinion, however, has been called in question, as the bones of the aged man contain more marrow than those of the child, and they are likewise more brittle. Kg. 6. Fig. 5. A section of the^femur, (thigh-bone.) 1, 1, The extremitjea, showing a thin plate of compact texture, which covers small cells, that diminish in size, but increase in number, as they approach the articulation. 2, 2, The walls of the shaft, which are very firm and solid. 3, The cavity that contains the marrow. 39. The MUSCULAR tissue is composed of many fibres, that unite to form fasciculi, each of which is enclosed in a delicate layer of cellular tissue. Bundles of these fasciculi constitute a muscle. Observation. A piece of boiled beef will clearly illustrate the arrangement of muscular fibre. 38. "What is said of the osseous tissue ? How is the bony matter arranged in different parts of the animal frame ? What is said of the usp of marrow ? 39. Of what is the muscular tissue composed ? How may the arrangement of muscular fibre bo illustrated ? 24 ANATOMY, PnVSIOLOGY, AND UYQIENE. 40. The MUCOUS tissue differs from the serous by its lining all the cavities which communicate with the air. The nostrils, the mouth, and the stomach afford examples. The external surface of this membrane, or that which is exposed to the air, is soft, and bears some resemblance to the downy rind of a peach. It is covered by a viscid fluid called mu'cus. This is secreted by small gland-cells, called ep-i-thefli-a, or secretory cells of the mucous membrane. The use of this membrane and its secreted mucus is to protect the inner sur- face of the cavities which it lines. Observation. A remarkable sympathy exists between the remote parts of the mucous membrane. Thus the condition of the stomach may be ascertained by an examination of the tongue. 41. The NEEVOUS tissue consists of soft, pulpy matter, enclosed in a sheath, called new-ri-lem'a. This tissue consists of two substances. The one, of a pulpy character and gray color, is called cin-e-rifiious, (ash-colored.) The other, of a fibrous character and white, is named med'vl-la-ri/, (marrow- like.) In every part of the nervous system both substances are united, with the exception of the nervous fibres and fila- ments, which are solely composed of the medullary matter, enclosed in a delicate sheath. 40. How does tlje mucous differ from the serous tissue? What is the appearance of the external surface of this membrane ? Where is the mucus secreted ? What is the use of this membrane ? 41. Of what does the nervous tissue consist ? Describe the two substances that enter into the composition of the nervous tissue. CHKMISTEY OS THE UUMAN BODY. 25 CHAPTER III CHEMISTRY OF THE HUMAN BOBY. 42. An ULTIMATE ELEMENT IS the simplest form of matter with which we are acquainted ; as gold, iron, &c. 43. These elements are divided into metallic and non-metallic substances. The metallic substances are Po- tas'si-um, So'di-um, Cal'ci-um, Mag-ne'si-um, A-lu'min-um, Tron, Man'ga-nese, and Cop'per. The non-metallic sub- stances are Ox'y-gen, Hy'dro-gen, Car'lon, Ni'tro-gen, Si-li'- ci-um, Phos'phor-us, Sul'phur, Chlo'rine, and a few others. 44. Potash (potassium united with oxygen) is found m the blood, bile, perspiration, milk, &c. 45. Soda (sodium combined with oxygen) exists in the muscles, and in the same fluids in which potash is found. 46. Lime (calcium combined with oxygen) forms the prin- cipal ingredient of the bones. The lime in them is combined with phosphoric and carbonic acid. 47. Magnesia (magnesium combined with oxygen) exists in the bones, brain, and in some of the animal fluids; as milk. 48. SiLEX (silicium combined with oxygen) is contained in the hair and in some of the secretions. 49. Iron forms the coloring principle of the red globules of the blood, and is found in every part of the system. ■ Observation. As metallic or mineral substances enter into the ultimate elements of the body, the assertion that all min- erals are poisonous, however small the quantity, is untrue. 42. What is an ultimate element 7 Give examples. 43. How are they divided 7 Name the metallic suDstances. Name the non-metallic substances. 44. What is said of potash 7 45. Of soda 7 46. Of lime 7 47. Of magnesia ? 48. Of silex 7 48.. What forms the colonng principle of the blood 1 What IS said of mineral substances 7 3 26 ANATOMY, PHYsiOLoay, a;!jd hygiene. 50. Oxygen is contained in all the fluids and solids of the body. It is almost entirely derived from the inspired air and water. It is expelled in the form of carbonic acid and water from the lungs and skin. It is likewise removed in the other secretions. 51. Hydrogen is found in all the fluids and in all the solids of the body. It is derived from the food, as well as from water and other drinks. It exists in the greatest abundance in the impure, dark-colojed blood of the system. It is removed by the agency of the kidneys, skin, lungs, and other excretory organs. 52. Carbon is an element in the oil, fat, albumen, fibrin gelatin, bile, and mucus. This element likewise exists in the impure blood in the form of carbonic acid gas. Carbon is obtained from the food, and discharged from the system by the secretions and respiration. 53. Nitrogen is contained in most animal matter, but is most abundant in fibrin. It is not contained in fat and a few other substances. Observation. The peculiar smell of animal matter when burning is owing to nitrogen. This element combined with hydrogen forms am-mo'ni-a, (hartshorn,) when animal matter is in a state of putrefaction. 54. Phosphorus is contEftned in many parts of the system, but more particularly in the bones. It is generally found in combination with oxygen, forming phosphoric add. The phosphoric acid is usually combined with alkaline bases ; as lime in the bones, forming phosphate of lime. 55. Sulphur exists in the bones, muscles, hair, and nails. It is expelled from the system by the skin and intestines. 56. Chlorine is found in the blood, gastric juice, milk, perspiration, and saliva. 60. What is said of cxygcn ? 61. Of hydrogen f 52. What is said of carbon? 63. Of nitrogen ? How is ammonia formed? 64. What is said of phosphorus ? 55. What is said of sulphur ? 56. Of chlorine ? CIIEMISTEY OF THE HUMAN BODY, 27 57. Proximate elements are forms of matter that exist in organized bodies in abundance, and are composed cbiefly of oxygen, hydrogen, carbon, and nitrogen, arranged in dif- ferent proportions. They exist already formed, and may be separated in nmany instances, by heat or mechanical means The most important compouniis are Al-hu'men, Fi'brin Gel'a-tin, Mu'cus, Fat, Ca'se-ine, Chon'drine, Lac'tic acid, and Os'ma-zome. ^.^ 58. Albumen is found in the body, ooth in a fluid and solid form. It is an element of the skin, glands, hair, and nails and forms the principal ingredient of the brain. Albumen la without color, taste, or smell, and it coagulates by heat, acids, and alcohol. Observation. The white of an egg is composed of albu- men, which can be coagulated or hardened by alcohol. As albumen enters so largely into the composition of the brain, is not the impaired intellect and moral degradation of the inebri- ate attributable to the effect of alcohol in hardening tlie albu- men of this organ .' 59. FiBKiN exists abundantly in the blood, chyle, and lymph. It constitutes the basis of the muscles. Fibrin is of a whitish color, inodorous, and insoluble in cold water It differs from albumen by possessing the property of coagu- lating at all temperatures. Observation. Fibrin may be obtained by washing the thick part of blood with cold water ; by this process, the red glob- ules, or coloring matter, are separated from this element. 60. Gelatin is found in nearly all the solids, but it is not known to exist in any of the fluids. It forms the basis of the cellular tissue, and exists largely in the skin, bones, ligaments, and cartilages. 67. What are proximate elements ? Do they exist already formed in ofgan ized bodies 1 Name the most important compounds. 58. What is said of albumen ? Give observation relative to this element. 59. Of fibrin 7 How does albumen differ from fibrm 7 How can fibrin be obtained 7 60. ^Vhat 18 said of gelatin 7 28 ANATOMY, PHYSIOLOGY, AND HYGIENE. Observation. Gelatin is known from other organic principles by its dissolving in warm water, and forming " jelly." When dry, it forms the hard, brittle substance, called glue. Isin- glass, which is used in the various mechanical arts, is obtained from the sounds of the sturgeon. 61. Mucus is a viscid fluid secreted by the gland-cells, or epithelia. Various substances are included under the name of mucus. It is generally alkaline, but its true chemical character is imperfectly understood. It serves to moisten and defend the mucous membrane. It is found in the cuticle, brain, and nail^ ; and is scarcely soluble in water, especially when dry. (Appendix C.) 62. OsMAZOME is a substance of an aromatic flavor. It is of yellowish-brown color, ^nd is soluble both in water and alcohol, but does not form a jelly by concentration. It is found in all the fluids, and in some of the solids ; as the brain. Ohservation. The characteristic odor and taste of soup are owing to osmazome. 63. There are several acids found in the human system ; as the A-ce'tic, Ben-zo'ic, Ox-al'ic, Uric, and some other sub- stances, but not of sufficient importance to require a particu- lar description. How is it 'known from other organic principles ? 61. What is said ol raacus ? 62. Of osmazome ? To what are the taste and odor of soup owing 1 63. What acids arc found in the system i ANATOMY OF THE BONES 29 CHAPTER 17. THE BONES 64. The bones are firm and hard, and of a dull while color, In all the higher orders of animals, among which is man, they are in the interior of the body, while in lobsters, crabs, &c., they are on the outside, forming a case which protects the more delicate parts from injury. 65. In the mechanism of man, the variety of movements he is called to perform requires a correspondent variety of component parts, and the different bones of the system are so admirably adapted to each other, that they admit of nu merous and varied motions. 66. When the bones composing the skeleton are united by natural ligaments, they form what is called a natural skeleton , when united by wires, what is termed a.n artificial skeleton. 67. The elevations, or protuberances, of the bones are called proc'es-ses, and are, generally, the points of attach- ment for the muscles and ligaments. ANATOMY OF THE BONES. 68. The BONES are composed of both animal and earthy matter. The earthy portion of the bones gives them solidity and strength, while the animal part endows them with vitality 64. What is said of the bones ? 65. Is there an adaptation of the bones of the system to the oiHoes they are required to perform ? 66. "What is a natural skeleton ? What an artificial .' 67. What part of the bones are called processes ? 68 — 73. Give the structure of the bones. 68. Of what are the bones composed ? What are the diffeient uses of the component parts of the bones ? 3* 30 ANATOMY, PHYSIOLOCIY, AND HYaiENB. Experiments. 1st. To show the earthy without the animal matter, burn a bone in a clear fire for about fifteen minutes, und it becomes white and brittle, because the gelatin, or ani- mal matter of the bone, has,been destroyed. 2d. To show the animal without the earthy matter of tho bones, immerse a slender bone for a few days in a weak acid, (one part muriatic acid and six parts water,) and it can then be bent in any direction. In this experiment, the acid has removed the earthy matter, (carbonate and phosphate of lime,) yet the form of the bone is unchanged. 69. The bones are formed from the blood, and are sub- jected to several changes before they are perfected. At their early formative stage, they are cartilaginous. The vessels of the cartilage, at this period, convey only the lymph, or white portion of the blood ; subsequently, they convey red blood. At this time, true ossification (the deposition of phosphate and carbonate of lime) commences at certain points, which are called the points of ossification. 70. Most of the bones are formed of several pieces, or centres of ossification. This is seen in the long bones which have their extremities separated from the body by a thin partition of cartilage. It is some time before these separate pieces are united to form one bone. 71. When the process of ossification is completed, there is still a constant change in the bones. They increase in bulk, and become less vascular, until middle age. In ad- vanced life, the elevations upon their surface and near tho extremities become more prominent, particularly in individ- uals accustomed to labor. As a> person advances in years, the vitality diminishes, and in extreme old age, the earthy Ilriw can the earthy matter of the bones be showTi ? The animal? C9. What is the appearance of the bones in tlieir early formative stage ? When does true ossification commence ? 70. How are most of the bones formed f 71. TVliat is said of the various changes of the bones aftur OBfiiflcation i ANATOMA OF THE BONES. 31 substance predominates; consequently, the bones arc ex- tremely brittle. 72. The fibrous membrane that invests the bones is called per-i-os'te-um ; that which covers the cartilages is called per-i-chon'dri-um. When this membrane invests the skull, It is called per-i-cra'ni-um. ' Kg. 6. Pig. 6. A section of the linee-joint. Tlie lower part of tlie femur, (thigh-bono,, and upper part of the tibia, (leg-bone,) are seen ossified at 1, 1. The , cartilaginous extremities of the two bones are seen at d, d. The points of ossification of the extremities, are seen at 9, 2. The patella, or knee-pan, is seen at c 3, A point, or centre of ossification. 73. The PERIOSTEUM is a firm membrane imniediately in- vesting the bones, except where they are tipped with cartilage, and the crowns of the teeth, which are protected by enamel. This membrane has minute nerves, and when healthy, pos- 72. What is the membrane called that invests the bones ? That covers the cartilage ? That invests the skull ? Explain fig. 6. 73. Describe the periosteum 82. ANATOMY, PHYSIOLOGY, AND HYGIENE. sesses but little sensibility. It is the nutrient membrane of the bone, endowing its exterior with vitality; it also gives insertion to the- teijdons and connecting ligaments of die joints. - ' 74. There are two hundred and eight* bones in the human body, beside the teeth. These, for convenience, are divided into four parts : 1st. The bones of the Head. 2d. The bones of the Trunk. 3d. The bones of the Upper Extremities. 4th. The bones of the Lower Extremities. 75. The bones of the head are divided into those of the Skull, Ear, and Face. 76. The SKULL is composed of eight bones. They are formed of two plates, or tablets of bony matter, united by a porous portion of bone. The external tablet is fibrous and tough ; the internal plate is dense and hard, and is called the vit're-ous, or glassy table. These tough, hard plates are adapted to resist the penetration of sharp instruments, while the different degrees of density possessed by the two tablets, and the intervening spongy bone, serve to diminish the vibrations that would occur in falls or blows. 77. The skull is convex externally, and at the base much thicker than at the top or sides. The most important" part of the brain is placed here, completely out of the way of injury, unless of a very serious nature. The base of the cranium, or skull, has many projections, depressions, and apertures ; the latter affording passages for the nerves and blood- vessels. • Some anatomistB reckon more than this number, others leas, foi the reason that, at different perioda of life, the number of pieces of which one bone is formed, varies. Example. The breast-bone, in infancy, has eight pieces ; in youth, three ; in old age, but one. 7i. How many bones in the human body ? How are they divided ? 75 — 81 . Gioe the anatomy of the bones of the head. 7S. How are the bones of the head divided ? 76. Describe the bones of the skull. 77. What is the form of the skull ? What does the base of the skull present! ANATOMY OF THE BONES. 33 78. The bones of the cranium are united by ragged edges, called sut'ures. The edges of each bone interlock with each other, producing a union, styled, in carpentry, dove- tailing. They interrupt, in a measure, the vibrations pro- duced by external blows, and also prevent fractures from extending as far as they otherwise would, in one continued bone.. From infancy to the twelfth year, the sutures are imperfect; but, from that time to thirty-five or forty, they are distinctly marked ; in old age, they are nearly obliterated. Fig. 7. Fig. 7 1, 1, Tlie coronal suture at the front and upper part of the skull, or cr;i.- nium. 2, The sagittal suture on the top of the skull. 3, 3, The lainbdoidal suture at the back part of the cranium. 79. We find as great a diversity in the form and texture of the skull-bone, as in the expression of the face. The head of the New Hollander is small ; that of the African is com- pressed ; while the Caucasian is distinguished for the beautiful oval form of the head. The Greek skulls, in texture, are close and fine, while the Swiss are softer and more open. 78. How are the bones of the skull united? "What are the usps of the sutures? Mention the appearance of the sutures at diiferent ages. What does fig. 7 represent ? 79. What is said respecting the form and texture of the skull in different nations ? 34 ANATOMY, PHYSIOLOGY, AND HYGIENE, 80. In each- EAR are four very small bones. They aid in hearing. 81. In the face are fourteen bones, some of which serve for the attachment of powerful muscles, which are more or less called into action in masticating food ; others retain in place the soft parts of the face. Fig. 8. 5 I 1 V.^^v^. id cavity. 3, 4, Processes, to which muscles are attached. 5, A process, called the extcrual elbow. 6, A process, called the internal elbow, 7, The artica* lating surface upon which the ulna rolls. Fig. 14. 1, The body of the ulna. 2, The shaft of the radius. 3, The upper articulation of the radius and ulna. 4, Articulating cavity, in which the lower extremity of the humerus is placed. 5, Upper extremity of the ulna, called the olecranon process, which forms the point of the elbow. 6, Space between the radius and ulna, filled by the intervening ligament. 7, Styloid process of the ulna. 8, Sur- face of the radius and the ulna, where they articulate with the bones of the wrisu 0, Styloid process of the radius. 100. The ULNA articulates with the humerus at the elbow, and forms a perfect hinge-joint. This bone is situated on the inner side of the fore-arm. What is represented by fig. 13? By fig. Uf 100. Describe the ulna. ANATOMY OF THE BONES. 4] 101. The RADIUS articulates with the bones of the carpus, and forms the wrist-joint. This bone is situated on the out- side of the fore-arm, (the side on which the thumb is placed.) The ulna and radius, at their extremities, articulate with each other, by which union the hand is made to rotate, permitting its complicated and varied movements. 102. The CARPUS is c&mposed of eight bones, ranged in two rows, and so firmly bound together, as to peimit only S small amount of movement. Pig. 15. Pig. 16. Fig. 15. u, The alna. R, The radius, ti, The scaphoid bone. L, The seuillunor bone, c, The cuneiform bone. P, The pisifonn bone. These four form the first row of carpal bones. T, T, The trapezium and trapezoid bones. M, Tie os magnum, u, The unciform bone. These four form the second row of carpal bones. 1, 1, 1, 1, 1, The metacarpal bones of the thumb and fingers. Pig. 16. 10, 10, 10, The metacarpal bones of the hand. 11, 11, First range of fin- ger-bones. 12, 12, Second range of finger-bones. 13, 13, Third range of finger-bones 14, 15, Bones of the thumb. 103. The METACARPUS is composed of five bones, upon four of which the first range of the finger-bones is placed ; and 101. The radius. 102. How many bones in the carpus ? How are they ranged ? 103 Describe the metacarpus. 4» 42 ANATOMY, PHYSIOLOGY, AND HYGIENE. upon the other, the first bone of the thumb. The five meta- carpal bones articulate with the second range of carpal bones. 104. The PHALANGES of the fingers have three ranges of bones, while the thumb has but two. Oiservation. The wonderful adaptation of the hand to all the mechanical offices of life, is one cause of man's superior- ity over the rest of creation. TMs arises from the size and strength of the thumbs, and the different lengths of the fingers. 105. The LOWER extremities contain sixty bones — the Fe'mur, (thigh-bone ;) the Pa-tel'la, (knee-pan ;) the Tib'i-a, (shin-bone ;) the Fii'u-la, (small bone of the leg ;) the Tar'sus, (instep ;) the Met-a-tar'sus, (middle of the foot ;) and the Plia- lan'ges, (toes.) 106. The FEMUR is the longest bone in the syaterh. It supports the weight of the head, trunk, and upper extremities. The large, round head of this bone is placed in the acetabu- lum. This articulation is a perfect specimen of the ball mid socket joint. 107. The PATELLA is a small bone connected with the tibia by a strong ligament. The tendon of the ex-tens'or muscles of the leg is attached to its upper edge. This bone is placed on the anterior part of the lower extremity of the femur, and acts like a pulley, in the extension of the' limb. 108. The TIBIA. is the largest bone of the leg. It is of a triangular shape, and enlarged at each extremity. 109. The FIBULA is a smaller bone tlian the tibia, but of sim- ilar shape. It is firmly bound to the tibia, at each extremity. 110. The TARSUS is formed of seven irregular bones, which are so firmly bound together as to permit but little movement. 104. How many ranges of bones have the phalanges ? 105 — 112. Giee the anatomy of the bones of the lower &iiicmities. 105. How many bones in the lower extremities ? Name them. 106. Describe the femui. 107. Describe the patella. What is its function f 108. AVhat is tho largest bone of the leg called ? Wliat is its form ? 109. What is said of the fibula? 110. Describe the tarsus. ANATOMY OF THE BONES. Fig- 17- fig. 18. 43 Fig 17. 1, Tlie shaft of the femur, (thigh-bone.) a, A projection, calied the trochantar minor,' to which are attached some strong muscles. 4, The trochantar major, to which the large muscles of the hip are attached. 3, The head of the fe- mur. 5, The external projection of the femur, called the external condyle. 6, Tho Internal projection, called the internal condyle. 7, The surface of the lower extrrm ity of the femur, that articulates with the tibia, and upon which the patella slides. Pig. 18. 1, The tibia. 5, The fibula. 8, The space between the two, filled with the inter-osseous ligament. 6, Tlie junction of the tibia and fibula at their upper extremity. 2, The external malleolar process, called the external ankle. 3, The Internal malleolar process, called the internal ankle. 4, The surface of the lower exiremity of the tibia, that unites with one of the tarsal bones to form the ankle-joint 7, The upper extremity of the tibia, upon which the lower extiemity of the femur rests. Explain fig. 17. Kxplain fig. 18. 44 ANATOMif, PHYSIOLOGY, AND HYGIENE. 111. The METATARSAL bones are five in number. They articulate at one extremity with one range of tarsal bones ; at the other extremity, with the first range of the toe-bones. rig. 19. Fig. 19. A representation of the upper surface of the bones of the foot. 1, The surface of the astraguhis, where it unites with the tibia. 2, Tlie body of tlie astrag- nlus. 3, The calcis, (heel-bone.) 4, The scaphoid bone. S, 8, 7, The cuneiform bones. 8, The culjoid. 9, 9, 9, The metatarsal bones. 10, The first bone of the great toe. 11, The second bone. 12, 13, 14, Three ranges of bones, forming the small toos. Fig. 20. Fig. 20. A side view of the bones of the foot, showing its arched form. The areh rests upon the heel behind, and the ball of the toes in front. 1, The ower |lart of the tibia. 2, 3, 4, 5, Bones of the tarsus. 6, The metatarsal bone. 7, 8, The bones of the great toe. These bones are so united as to secure a great degree of elasticity, or spring. Olservation. The tarsal and metatarsal bones are united so as to give the foot an arched form, convex above, and con- Ill. Describe the metatarsal bones. Explain fig, 19. What is repre- sented by fig. 20 ? What is said of the arrangement of the bones of the foot? ANATOMY OF THE BONES. 45 C8V0 below. This structure conduces to the elasticity of the step, and the weight of the body is transmitted to the ground by the spring of the arch, in a manner which prevents injury to the numerous organs. 112. The PHALANGES (fig. 19) are composed of fourteen bones ; each of the small toes has three ranges of bones, while the great toe has but two. 1 13. The Joiif TS form an interesting part of the body. In their construction^ every thing shows the regard that has been paid to the security and the facility of motion of the parts thus connected together. They are composed of the extremities of two or more bones, Car'ti-lages, (gristles,) Syn-o'vi-al membrane, and Lig'a-ments. ) Fig. 22. ^ k y ^ IV' '.F' Fig. 31 The relative position of the bones, cartilages, and synovial membrane. 1, 1, The extremities of two bones that concur to form a joint. 2, 2, The carti- tages that cover the end of the bones. 3, 3, 3, 3, The synovial membrane which covers the cartilage of both bones, and is then doubled back ftom one to the other; It is represented by the dotted liu^s. Fig, ^. A vertical section of the knee-joint. 1, The femur. 3, The patella. 5, The .tibia. S, 4, The ligaments of the patella. 6, The cartilage of the tibiH. 12, The cartilage of the femur. * * * *, The synovial membrane. 114. Cartilage is a smooth, solid, elastic substance, of a pearly whiteness, softer than bone. It forms upon the articu- 112. Describe the phalanges. 113—118. Give the anatomy of the joints, 113. "What is said of the joints? Of what are the joints composed? What is illustrated by fig. 21? By fig. 22? 114. Define cartilage. 46 ANATOMY, PHYSIOLOGY, AND HYGIENE. lar surfaces of the bones a thin incrustation, not more than the sixteenth of an inch in thickness. Upon convex surfaces it is the thickest in the centre, and thin toward the circum- ference ; while upon concave surfaces, an opposite arrange- ment is presented. 115. The SYNOVIAL membrane is a thin, membranous layer, which covers the cartilages, and is thence bent back, or reflected upon the inner surfaces of the 'ligaments which surround and enter into the composition of the joints. Thus membrane forms a closed sac, like the membrane that lines an egg-shell Fig. 23. Fig. 24. Fig. S3. The anterior ligaments of the knee-joint. 1, The tendon of the muscle that extends the leg. 2, The patella. 3, The anterior ligament of the patella, near Us insertion. 4, 4, The synovial membrane. 5, The internal lateral ligament 6, The long external lateral ligamenL 7, The anterior and superior ligament that unites the libula to the tibia. Fig. 34. 2, 3, The ligaments that extend ftrom the clavicle (1) to the scapula (4.) The ligaments 5, 6, extend from the scapula to the first bone of Uie arm. 116. Beside the synovial membrane, there are numerous smaller sacs, called bur'sce mu-co'sce. These are often asso- ciated with the articulation. In structure, they are analogous to synovial membranes, and secrete a similar fluid. 115. Describe the synovial membrane. 116. Describe the burste mucosae. What is representcil by fl What does fig. 34 represent ? 140. How call one shoulder be elevated and no injurious results follow ? 60 ANATOMY, PHYSIOLOGY, AND HYGIENE. follow, provided care is taken not to keep it in the raised posi- tion too long, or if the opposite shoulder is elevated for the same period of time. The right shoulder projects more fre- quently than the left. This arises from the greater use of the right hand with the shoulder elevated, and not unfrequently the oblique positions assumed in performing the daily voca- tions of life. With proper care, and by calling into action the left shoulder, this deformity can be prevented. Fig. 36. Fig. 35. A representation of a deformed trunk. 141. The loss of symmetry and diminution of height from deformed spines are minor considterations, compared with tlie distortions that the chest experiences, thereby impairing res- piration ajid inducing diseases of the heart and lungs. The Why does the right shoulder project more frequently than the left ? How can this deformity be prevented? 141. What is said of deformed spinal culumus ? HYGIENE OF THE BONES. 61 invasion of the functions of these two important organs lessfens the vitality of the vi^hole system, and causes general ill health. Again, the curvature of the spinal column is frequently at- tended by irritation and disease of the spinal cord. 142. Eminent physicians, both in this country and France, state that not more than one female in ten, who has been fash- ionably educated, is free from deformities of the shoulder Or spinal column. Teachers, as well as mothers, should notice the positions of the child m performing the tasks allotted to it, whether studying or pursuing any employment. The fee- bler the organization of the child, the more frequently should there be a change of position. 143. When a slight projection of the shoulder, with a cur- vature of the spine, exists, it can be improved by walking with a book, or something heavier, upon the head ; to balance which, the spinal column must be nearly erect. Those people thai carry burdens upon their heads seldom have crooked spines. Ohservation. Persons from the North, in travelling through the Southern States, are surprised to see the heavy burdens that the porters carry on their heads. It is not unusual to see them walking at a rapid pace, with one or two trunks, weigh- ing fifty or eighty pounds each, upon their heads. Occasion- ally, we meet an itinerant toy-man, with his tray of fragile merchandise upon his head, walking with as much apparent security, as though his toys, or images, were in his hands. This is the easiest method of carrying burdens, because the position of the head and spinal column is erect. 144. If the animal and earthy matter of the hones is not deposited in proper proportions, they are deficient in strength. If the gelatin predominates, the bones are weak, and be- \i% What statement by eminent physicians respecting deformities of the spine ? "What caution to teachers and mothers ? 143. Why should we stand and sit erect ? How may slight deformities of the spine be pre- rented ? What is frequently noticed in travelling South ? 144. AVhat is the efi'eot upon the bones when the gelatin preponderates ? 6 I 62 ANATOMY, PHYSIOLOGY, AND HYGIENE. come distorted. When nutrition is defective in the cylindri- cal bones, the heads are generally enlarged, and the shafts crooked ; if in the spinal column, it may be curved ; or in the cranium, it may be enlarged. This disease is familiarly known by the name of rickets. It is most common among those who have poor and insufficient food, live in dark, damp rooms, and breathe a vitiated air. The prevention and remedies for this disease are cleanliness, regular exercise, pure air, and nutri- tious food. 145. When a bone is broken, some days elapse before the substance that reunites it is thrown out from the blood. In young persons, it may be secreted during the second or third week, and in individuals advanced in life, usually during the third and fourth week. When the bone is uniting, during the second, third, or fourth week, the attention of a surgeon is more needed than during the first week. At this time, the ends of the bone should be placed together with accuracy, which requires the careful application of proper dressing. After the bones have united, it will take some weeks to consolidate the uniting material and render the " callus," or union, firm. During this time, the limb should be used with care. Observation. When a bone is fractured, a surgeon is imme- diately called, and the bone is " set." While the limb remains swelled and painful, the surgeon is required to attend and keep the dressings (bandages and splints) on. When the swelling has abated, and the pain subsided, frequently the patient intimates to the surgeon that his services can be dispensed with, as the " limb is doing well." This is the most important period, as the bone is uniting, and, unless the ends ore nicely adjusted, the dressing properly applied, the person What is one cause of rickets ? Wliat are the prevention and remedies for this disease ? 145. Does the time vai-y when the reuniting substance of the bone is secreted from the blood! When ia the surgeon's core most needed f Why ? HYGIENE OF THE BONES. 63 will find, on recovery, a shortened and crooked limb. Tlie surgeon is then censured, when he is not blamable. 146. It IS seldom that a bone is displaced without injury to the connecting ligaments and membranes. When these connecting bands are lacerated, pain, swelling, and other symptoms indicating inflammation succeed, which should be removed by proper treatment, directed by a surgical adviser. 147. In sprains, but few, if any, of the fibres of the con- necting ligaments are lacerated ; but they are unduly strained and twisted, which occasions acute pain at the time of the injury. This is followed by inflammation and weakness of the joints. The treatment of these injuries is similar to that of a dislocated bone after its reduction. The most important item in the treatment during the few first days, is rest. 148. In persons of scrofulous constitutions, and those in whom the system is enfeebled by disease, white swellings and other chronic diseases of the joints frequently succeed sprains. Such persons cannot be too assiduous in adopting a proper and early treatment of injured joints. 146. What parts are injured in the displacement of "a bone ? 147. What causes the acute pain in sprains ? What is a good remedy for this kind of injury f 148, What caution to persons of scrofulous constitutions? G4 ANATOMy, PHYSIOLOGY, AND HYGIENE. CHAPTER VIH. THE MUSCLES. 149. All the great motions of the body are caused by the movement of some of the bones which form the framework of the system ; but these, -independently of themselves, have not the power of motion, and only change their position through the action of other organs attached to them, which, by contracting, draw the bones after them. In some of the slight movements, as the winking of the eye, no bones are displaced. These moving, contracting organs are the Mus'cles, (lean meat.) ANATOMY OF THE MUSCLES. 150. The MUSCLES, by their size and number, constitute the great bulk of the body, upon which they bestow form and symmetry. In the limbs, they are situated around the bones, which they invest and defend, while they form, to some of the joints, their principal protection. In the trunk, they are spread out to enclose cavities, and constitute a defensive wall, capa- ble of yielding to internal pressure, and reassuming its origi- nal state. 151. In structure, a muscle is composed of fas-dc'u-li (bundles of fibres) of variable size. These are enclosed in a cellular membranous investment, or sheath. Every bundle is composed of a number of small fibres, and each fibre con- sists of a number of filaments, each of which is enclosed in 149. How are all the motions of the body produced ? AVliat are these motor organs called? 150 — 160. Giro the anatomy of the muscles 150. 'WTiat is said of the muscles ? 151. Give their structure. ANATOMY OF THE MUSCLES. 65 a delicate sheath. Toward the extremity of the organ the muscular fibre ceases, and the cellular structure becomes aggregated, and so modified as to constitute ten'dons, (cords,) by which the muscle is tied to the surface of the bone. The union is so firm, that, under extreme violence, the bone will sooner break than permit the .tendon to separate from its attachment. In some situations, there is an expansion of the tendon, in the manner of a membrane, called Ap-o-neu-ro'sis, or Fasfd-a. Observation. The pupil can examine a piece of boiled beef, or the leg of a fowl, and see the structure of the fibres and tendons of a muscle. Fig. 36. I ; VBW 2 I Pig. 36. 1, A representation of the direction and arrangement of the fibres in a fusiform, or spindle-shaped muscle. S, In a radiated muscle. 3, In a penniform muscle. 4, In a bipenniform muscle. £, t. The tendons of a muscle. 152. Muscles present various modifications in the arrange- ment of their fibres, as relates to their tendinous structure. Sometimes they are completely longitudinal, and terminate, at each extremity, in a tendon, the entire muscle being spindle- shaped. In other situations, they are disposed like the rays of How are tendons or cords formed ? "What is the expansion of a tendon called ? How can the structure of muscles and their fibres be shown ! What docs fig. 36 represent ? 152. Give the different airangenfents of muscular fibre?. 66 ANATOMY, PHYSIOLOGY, AND HYGIENE. a fan, converging to a tendinous point, and constituting a ra'di-ale muscle. Again they are pen'ni-form, converging, like the plumes of a pen, to one side of a tendon, which runs the whole length of the muscle ; or they are hi-pen'ni-form, converging to both sides of the tendon. 153. In the description of a muscle, its attachments are expressed by the terms "origin" and "insertion." The term origin is generally applied to the more fixed or central attachment, or to the point toward which motion is directed ; while insertion is assigned to the more movable point, or to that most distant from the centre. The middle, fleshy portion is called the " belly," or " swell." The color of a muscle is red, which is characteristic of flesh ; and each fibre is supplied with arteries, veins, lymphatics, and both sensitive and motor nervous filaments. 154. The FASCIA is of various extent and thickness, dis- tributed through the difierent regions of the body, for the pur- pose of investing and protecting the softer and more delicate organs. An instance is seen in the membrane which en- velopes a leg of beef, and which is observed on the edges of the slices when it is cut for broiling. When freshly exposed, it is brilliant in appearance, tough, and inelastic. In the limbs it forms distinct sheaths to all the muscles. 155. This tendinous membrane assists the muscles in their action, by keeping up a tonic piessure on their surface. It aids materially in the circulation of the fluids, in opposition to the laws of gravity. In tlie palm of the hand and sole of the foot, it is a powerful protection to tlie structures that enter into the formation of these parts. In all parts of the system, the separate muscles are not only invested by fascia, but they 163. What is meant by the origin of a muscle ? The insertion ? The swell ? What is the color of muscles ? With what is each muscular fibre Bupplied ? 154. What is said of fascia f What is its appearance when freshly exposed f 156. What effect has it on the muscles? Give other nses of the fascia. ANATOMY OF THE MUSCLES. 67 are arranged in layers, one over another. Tlie slieath of eacli muscle is loosely connected with another, by the cellular membrane. 156. The interstices between the different muscles are filled With adipose matter, or fat. This is sometimes called the packing of the system. To the presence of this tissue, youth are indebted for the roundness and beauty of their limbs. Fig. 37, Fig. 37. A transverse section of the neck. The. separate muscles, as they aie arranged in layers, with their iuvtisting fuscite, are beautifully represented. As Che system is symmetrical, figures are placed only on one side. In the trunk the muscles are arranged in layers, surrounded by fascisB, as in the neck. The same is true of the muscles of the upper and lower limbs IS, The trachea, (windpipe.) 13, The oesophagus, (gullet) 14, The carotid artery und Jugular vein. S8, One ijf the bones of the npinal column. ' The figures that are placed in the white spaces represent some of the fasciie ; the other figures indicate muscles. 157. The muscles may be arranged, in conformity with the general division of the body^ into four parts : 1st. Those of the Head and Neck, 2d. Those of the TrntnL 3d. Those of the Upper Extremities. 4th. Those of the Lower Ex- tremities, 156. Give a reason why the limbs of youth are rounder than those of the aged. Describe fig. 37. 68 ANATOMY, PHySIOLOGY, AND HYQIESE. Fig. 38. „„ Ml FJg. 38. The superficial layer of muscles on the face and neck. 1, 1, The occipito* frontalis muscle. 3, The orbicularis palpebrarum. 6, The legator labii superioris. 7, The levator anguli oris. 8, The zygomaticua minor. 9, The Kygomattcos majoi; 10, Tlie masseter. 11, The depressor labii superioris. 13, The orbicularis one. 15, The depressor anguli oris. 16, The depressor labii Inferioris. 18, The E:terno- hyoideus. 19, The platysma-myodes. SO, The superior belly of the omo-hyoideus. SI, The sterno-cleido masloidcus. 93, The scalenus medius. S3, The inferior belly of the omo~hyoideus. 34, Tlie trapezius.* Practieal Ea^laiiaticn. The muscle 1, 1, elevates the eyebrows. The muscle 9 closes the eye. The mu^le 6 elevates the upper lip. The muscles 7, 8, 9, elevate the angle of the mouth. The muscle 10 brings the teeth together when eating. The muscle n depresses the upper lip. Tlie muscle 13 closes »he mouth. The muscle 15 depresaes the angle of the mouth. The muscle 16 draws down the lower Up. The muEcles 18, X9 20, 23, depress the lower jaw and larynx and elevate the sternum. The muscle 21, when both sides contract, draws the head forward, or elevates the sternum ; when only ono contracts, the face is turned one side toward the opposite ehoulder. The muscles 18, 19, 20, SI, 23, 33, 24, aid in respiration. * In the platoa illustwiting tlie muscular B^toni, the names of such muscles are given as arc referred to In the piiragi-aph " Priulii>al Kxplanation." Those names need not bo committed to memory. If a pupil wishes to ncquiro a kuowlodge of the gen- oral attachment of the muscles roprosontod in the plates, ho can do bo by compai'iug the muscular plate with that of the skoletou, (fig. 26.) ANATOMY, OF THE MUSCLES. 69 Ohervation. When we are sick, and cannot take food, the body is sustained by absorption of the fat. The removal of it into the blood causes the sunken cheek, hollow eye, and prominent appearance of the bones after a severe illness. 158. The number of muscles in the human body is more than five hundred; in general, they form about the skeleton two layers, and are distinguished into superficial and'deep- sealed muscles. Some of the muscles are voluntary in their motions, or act under the government of the will, as those which move the fingers, limbs, and trunk ; while others are involuntary, or act under the impression of their proper stimu- lants, without the control of the individual, as the heart. Observations. 1st. The abdominal muscles are expiratory, and the chief agents for expelling the residuum from the rec- tum, the bile from the gall bladder, the contents of the stomach and bowels when vomiting, and the mucus and irritating sub- stances from the bronchial tubes, trachea, and nasal passages by coughing and sneezing. To produce these effects they all act together; Their violent and continued action sometimes produces hernia, and, when spasmodic, may occasion ruptures of the different organs. 2d. The contraction and relaxation of the abdominal mus- cles and diaphragm stimulate the stomach, liver, and intestines to a healthy action, and are subservient to the digestive powers. If the contractility of their muscular fibres is destroyed or impaired, the tone of the digestive apparatus will be diminished, as in indigestion and costiveness. This is frequently attended by a displacement of those organs, as they generally gravitate towards the lower portion of the abdominal cavity, when the sustaining muscles lose their tone and become relaxed. What causes'the hollow eye and sunken cheek after a severe sickness ? 158. How many muscles in the human system ? Into how many layers are they arranged f What is a voluntary muscle ? Give examples. What is an involuntary muscle ? Mention examples. Give observation 1st, respect- ing the use of the abdominal muscles ? Observation 2d. 70 ANATOMY, PHYSIOLOGY, AND HYGIENE. Fig. 39. Fig 39 A front view of the muscles of the trunk. On the left side the superficial layer is sesn; on the riglit, the deep layer. 1, The pectoralis major utusclo. 2, The deltoid muscle. 6, The pectoralis minor muscle. 9, The coracoid process of the scapula. 11, The external intercostal muscle. 12, The external oblique muscle 13, Its aponeurosis. 16, The rectus muscle of the right side. 16, The internal oblique muscle. Practical Explanation. The muscle 1 draws the arm by the side, and across the chest, and likewise draws the scapula forward. The muscle 2 elevates the arm. The muscle 6 elevates the ribs when the scapula Is fixed, or draws the scapula for^vard and downward when the ribs are fixed. The muscles 12, 16, 18, bend the body for- ward or elevate the hips when the muscles of both sides act. They likewise depress the ribs in expiration. When the muscles on only one side act, the body is twisted to (he same side. Explain fig. 39. Give the function of some of the most prominent muscles, from this figure. ANATOMY OS TUE MUSCLES. Fig. 40. 71 rig. 40. A lateral view of the muscles of the trunk. 3, The upper part of the external oblique muscle. 4, Two of the external intercostal inuscle3. 5, Two of the internal intercostals. 6, The transversalis muscle. 7, Its posterior aponeurosis. 8, Its anterior aponeurosis. 11, Tlie right rectus muscle 13, The crest of the Ilium, or haunch-bone. - Practical Explanation. The rectus muscle, 11, bends the thorax upon the abdomen when the lower extremity of the muscle is the fixed point ; but when the upper ex- tremity is the fixed point, the eifect is to bring forward and raise the pelvis and lower extremities. They likewise depress the ribs in respiration. The transverse muscie, 6,7, 8, lessens the cavity of the abdomen, and presses the intestines, stomach, and liver upward, against the dianhragm, in expiration. ^ 3d. The region of the back, in consequence of its extent, Is common to the neck, the upper extremities, and the abdomen. The muscles of which it is composed are numerous, and are arranged in six layers. What is represented by fig. 40 ? Give the function of some of the mus- cles represented by this figure ? ANATOMY, PHYSIOLOOY, AND HYGIENE. Fig. 41. Fig. 41. Tlie first, second, and part of the third layer of muscles of tlie back. The first layer Is shown on the right, and the second on the left side. I, The tra- pezius muscle. 9, The spinous processes of the vertebrffi. 3, The acromion process and spine of the scapula. 4, The latissimus dorsi muscle. 5, The deltoid muscle. 7, The external oblique muscle. 8, The gluteus medius muscle. 9, The gluteus maximus muscle. .11, 13, The rhomboldeus major and minor muscles. IS, The vertebral aponeurosis. 16, The serratus posticus inferior muscle. 22, The serratus magnus muscle. 93, The internal oblique muscle. . Practical ET^UnuUion. The muscles I, U, 12, draw the scapula back toward the spine. Tile muscles U, 12, draw the scapula upward toward the head, and slightly back- ward. The muscle 4 draws the arm by tlie side, and backward. The muscle 5 elevates the arm. The muscles 8, 9, extend the thigh on the body. The muscle 1 draws the head back and elevates the chin. The muscle 16 depresses the riba in expiration. The muscle S3 elevates the ribs in inspiration. ANATOMY OF THE MUSCLES. 73 159. The diaphragm, or midrifF, is the muscular division between the thorax and the abdomen. It is penetrated by the CESophagus on its way to the stomach, by the aorta conveymg blood toward the lower extremity, and by the ascending vena cava, or vein, on its way to the heart. Fig. 42. /J 1 Fig. 42. A representation of tlie under, or abdominal side of , the diaphragm 1, 9, 3, 4, The portion which is attached to the margin of tlie ribs. 8, 10, Tlie two fleshy pillars of the diaphragm, which are attached to the third and fourtli lumbar yertebrs. 9, The spinal column. 11, The opening for the passage of the aorta. 12, The opening for the oesophagus. 13, The opening for the ascending vena cava, or vein. Olservation. The diaphragm may be compared to an in- verted basin, its bottom being turned upward into the thorax, while its edge corresponds with the outline of the edges of the lower ribs and sternum. Its concavity is directed toward the abdomen, and thus, this cavity is very much enlarged at the expense of that of the chest, which is diminished to an equal extent. 159. Describe the diaphragm. What vessels penetra-te this muscular Ecptum ? 7 74 ANATOMY, PHYSIOLOGY, AND HYGIENE. 160. " The motions of the fingers do not merely result from the action of the large muscles which lie on the fore-arm, these being concerned more especially in the stronger actions of the hands. The finer and more delicate movements of the fingers are performed by small muscles situated m the palm and between the bones of the hand, and by which the fingers are expanded and moved in all directions with wonder- ful rapidity." Fig. 44. Fig. 43. A front view of tho sliporflciivl Inyor of musclos of tho fo^o^u•m. 6, The floxor curpi rodialis miiBclo. 0, Tho pulmoris longus mnaclo. 7, One of tho fasci- 160. Whoro iiro tho musolos situated that cffoot tho larger movements of tho hand? That perform tho delicate movements of the fingers ? Give the use of some of tho muscles roprosentod by fig. 43. Xhoso represented by fig. 44. ANATOMY OF THE MUSCLES. 75 culi of the flexor subliniis digitorum muscle, (the rest of the muscle is spen beneath the tendons of the palmaris longus.) 8, The flexor carpi ulnaria muscle. 9, The palmar fascia. 11, The abductor pnllicia muscle. 12, One portion of the flexor brevis pollicia muscle. 13, The supinator longua muscle. 14, The extensor ossia melacarpi, and extensor primi intcrnodii pollicis muscles, curving around the lower border of the fore-arm. 15, The anterior portion of the annular ligament, which binds the tendons in their places. Practical Explanation. The muscles 5, G, 8, bend the wrist on the bones of tli^ fore- arm. The muscle 7 bends the second range of finger-bones on the first. The mus- cle 11 draws the thumb from the fingers. The muscle 12 flexes the thumb. The muscle 13 turns Che palm of the hand upward. The muscles 8, 13, 14, move the hand laterally. Fig. 44. A back view of the superficial layer of muscles of the fore-arm. 5, The extensor carpi radialis ^ngior muscle. 6, The extensor carpi radialis brevior muscle. 7, The tendons of insertion of these two musclea. 8,^The extensor com- munis digitorum muscle. 9, The extensor minimi digiti muscle. 10, The extensor tarpi ulnaris muscle. 13, The extensor ossis metacarpi and extensor primi inter- nudii musclea, lying together. 14, The extensor secundi internodii muscle j its tendon is seen crossing the two tendons of the extensor carpi radialis longior and brevior muscles. 15, The posterior annular ligament. The tendons of the common extensor muscle of the fingers are seen on the back of the hand, and their mode of distribution on the back of the fingers. Practieal Explanation. The muscles 5, 6,10, extend the wrist on the fore-arm. The muscle 8 extends the fingers. The muscle 9 extends the little finger. The muscles 13 extend the metacarpal bone of the thumb, and its first phalanx. The muscle 14 extends the last bone of the thumb. Tho musclea 10, 13, 14, move the hand laterally 76 ANATOMY, PHYSIOLOGY, AND HYGIENE. CHAPTER IX. PHYSIOLOGY OF THE MUSCLES. 161. The muscles exercise great influence upon the sya- tem. It is by their contraction that we are enablcl to pursue ditlerent employments. By their action the farmer cultivates his fields, the mechanic wields his tools, the sportsrnan pursues his game, the orator gives utterance to his thoughts, the lady sweeps the keys of the piano, and the young are whirled in the mazy dance. As the muscles bear so intimate a relation to the pleasures and employments of man, a knowledge of the laws by which their action is governed, and the conditions upon which their health depends, should be possessed by all. 162. The peculiar characteristic of muscular fibres is contractility, or the power of shortening their substance on the application of stimuli, and again relaxing when the stim- ulus is withdrawn. This is illustrated in the most common movements of life. Call into action the muscles that elevate the arm, by the influence of the will, or mind, (the common stimulus of the muscles,) and the hand and arm are raised ; withdraw this influence by a simple effort of the will, and the muscles, before rigid and tense, become relaxed and yielding. 163. The contractile effect of the muscles, in producing the varied movements of the system, miy be seen in the bending of the elbow. The tendon of one extremity of the muscle is Bttachp(^to the shoulder-bone, which acts as a fixed point ; the tendon of the other extremity is attached to one of the bones 161 — 172. Give tht physiology of the rmiiclea. 161. What are some of the influences exerted by the muscles on the system? 162. What i/peculiiu to muscular fibres f How is this illustrated ? 1G3. Explain how the move- ments of the .system arc efl'cotcd by the oontiaction of the muscles. PHYSIOLOGY OF THE MUSCLES. 77 of the fore-arm. When the swell of the muscle contracts, or shortens, its two extremities approach nearer each other, and by the approximation of the terminal extremities of the mus- cle, the joint at the elbow bends. On this principle, all the joints of the system are moved. This is illustrated by fig. 45. Fig. 46. 2 Fig. 45. A representation of tlje manner in which all of the joints of the body are moved. 1, The bone of the arm above the elbow. 9, One of the bones below the elbow, 3, The muscle that bends the elbow. This muscle is united, by a tendon, to the bone below the elbow, (4 ;) at the other extremity, to the bone above the elbow, (5.) 6, The muscle that extends the elbow. 7, It* attachment to the point of the elbow. 8, A weight in the hand to be raised. The central part of the muscl HYGIENE. bounded in front by the lips ; on each side by the internal surface of the cheeks ; above, by the hard palate (roof of the mouth) and teeth of the upper jaw ; below, by the tongue and teeth of the lower jaw ; behind, it is continuous with the pharynx, but is separated from it by a kind of movable curtain, called the soft palate. This may be elevated or depressed, so as to close the passage or leave it free. 237. The salivary glands are six in number; three on each side of the jaw. They are called the pa-rot'id, the sub-max'il-la-ry, and the sub-lin'gual. Fig. 58. Fig. 58. A view of the salivary glands in their proper situations. 1, The parotiil gland. 2, Its duct. 3, The submaxillary gland. 4, Its duct. 5, The sublingual gliind, brought to view liy the removal of a section of Uie lower jaw. 238. The parotid gland, the largest, is situated in front of the external ear, and behind the angle of the jaw. A duct (Stono's) from this gland opens into the mouth, opposite the second molar tooth of the upper jaw. 237, How many glands about tho mouth? Give their names. What does fig. 58 roprosent ? 238. Describe tho parotid rland. ANATOMY OF THE DIGESTIVE ORGANS. 115 239. The submaxillary gland is situated within the lower jaw, anterior to its angle. Its excretory duct (Wharton's) opens into the mouth by the side of the frcetnum lin'gucs, (bridle of the tongue.) 240. The sublingual gland is elongated and flattened, and situated beneath the mucous membrane of the floor of the mouth, on each side of the froenum linguae. It has seven or eight small ducts, which open into the mouth by the side of the bridle of the tongue. Observation. In the "mumps," the parotid gland ia diseased. The swelling under the tongue called the " frog" is a disease of the sublingual gland. Fig. 59. Fig. 59. A side view of the face, gsgoplmgus, and trachea. 1, The trachea (wind- pipe.) 9, The larynx. 3, Tne cesophagus. 4, 4, 4, The muscles of the upper portion of the oesophagus, forming the pharynx. 5, The muscle of the cheek. 6, The jnua- cle that surrounds tlie mouth. 7, The muscle that forms the floor of the mouth. 241. The piiakynx is a membranous sac, situated upon the 239. The submaxillary. 240. The sublingual. What observation respect- ing these glands ? What does fig. 59 represent ? 116 ANATOMY, PHYSIOLOGY, AND HTGIENE. upper portion of the spinal column. It extends from the base of the skull to the top of the tra'che-a, (windpipe,) and is continuous with the oesophagus. From the pharynx are four passages ; one opens upward and forward to the nose, the second leads forward to the mouth, the third downward to the trachea and lungs, the fourth downward and backward to tlie stomach. 242. The cesofhagus is a large membranous tube that extends behind the trachea, the heart, and lungs, pierces the diaphragm, and terminates in the stomach. It is com- posed of two membranes — an internal, or mucous, and a muscular coat. The latter is composed of two sets of fibres ; one extends lengthwise, the other is arranged in circulai bands. 243. The stomach is situated in the left side of the abdo- men, immediately below and in contact with the diaphragm. It has two openings; one connected with the oesophagus, called the car'di-ac orifice ; the other connected with the upper portion of the small intestine, called the py-lor'ic orifice. It is composed of three coats, or membranes. The exterior, or serous coat is very tough and strong, and con- fines the stomach in its proper situation. The middle, or muscular coat is composed of two layers of muscular fibres, one set of which is arranged longitudinally, the other circu- larly, The interior coat is called the mucous, and is arranged in ru'gm, (folds.) The stomach is provided with a multitude of small glands, inj^hich is secreted the gastric fluid. Illustration. Tn?Three coats of the stomach anatomically resemble tripe, which is a preparation of the largest stomach of the cow or ox. The outer coat is smooth and highly polished. The middle coat is composed of minute threads, which are 241. Describe the pharynx and the passages leading from it. 242. Give the structure of the oesophagus. 243. Where is the stomach situated? How many coats has it? Describe them. What article prepared for food docs the stomach resemble? ANATOMY OF THE DIGESTIVE ORGANS. in arranged in two layers. The fibres of these layers cross each other. The inner coat is soft, and presents many folds, usually called " the honey-comb." Fig. 60. Pig. 60. The inner surface of the stomacli and duodenum. 1, Tfte lower portlnn of tlie cesopliagus. 9, The opening through which the food is passed into the stomacli. 8, The Btomach. 9, The opening through wliich the food passes out of ^he stomach Into the duodenum, or upper portion of the small intestine. 10, 11,14, Tlio duodenum. IS, 13, Ducts through which the hile and pancreatic fluid pass into it. a,,h, c. The three coats of the stomach. 244. The intestines, or alimentary canal, are divided into two parts — the svmH and large. The small intestine is about twenty-five feet in length, and is divided into three portions, namely, the Du-o-de'num, the Je-ju'num, and the He-urn. The large intestine is about five feet in ]eiJ|gth, and is divided into three parts, namely, the Coe'cum, the Co'lon, and the Red tun, (Appendix D.) 245. The duodenum .is somewhat larger than the rest of the small intestine, and has received its name from being in 244. Explain fig. 60. What i^ the length of the small intestine, and how is it divided ? What is the length of the large intestine ? Give its divisions. 245. Describe the duodenum. 118 ANATOMY, PHYSIOLOGY, ANE HYGIENE. length about the breadth of twelve fingers. It commences at the pylorus, and ascends obliquely backward to the under surface of the liver. It then descends perpendicularly in front of the right kidney, and passes transversely across the lower portion of the spinal column, behind the colon, and terminates in the jejunum. The ducts from the liver and pancreas open into the perpendicular portion, about six inches from the stomach. ■ 246. The jejunum is continuous with the duodenum. It is thicker than the rest of the small intestine, and has a pinkish tinge. 247. The ileum is smaller, and thinner in texture, and somewhat paler, than the jejunum. There is no mark to dis- tinguish the termination of the one or the commencement of the other. The ileum terminates near the right haunch-bone, by a valvular opening into the colon at an obtuse angle. This arrangement prevents the passing of substances from the colon into the ileum. The jejunum and ileum are sur- rounded above and at the sides by the colon. 248. The small intestine, like the stomach, has three coats. The inper, or mucous coat is thrown into folds, or valves. In consequence of this valvular arrangement, the mucous mem- brane is more extensive than the other tissues, and gives a greater extent of surface with which the aliment comes in contact. There are imbedded under this membrane an immense number of minute glands, and it has a great number, of piles, like those upon velvet. For this reason, this mem- brane is sometimes called the vil'lous coat. 249. The ccecum is the blind pouch, or cul-de-sac, at the commencement of the large intestine. Attached to its ex- tremity is the ap-pend'ix verm-i-form'is, (a long, worm- What important ducts open into it ? 246. Describe the jejunum. 247. The ileum. 248. What is said of the coats of the intestines ? Why is the mucous membrane sometimes called the villous coat ? 249. Describe the ooDcum. ANATOMY OF THE DIGESTIVE ORGANS. 119 shaped tube.) It is from one to six inches in length, and of the size of a goose-quill. 250. The colon is divided into three parts — the ascending, transverse, and descending. The ascending colon passes upward from the right haunch-bone to the under surface of the liver. It then bends inward, and crosses the upper part of the abdomen, below the liver and stomach, to the left side, under the name of the transverse colon. At the left side, it turns, and descends to the left haunch-bone, and is called the descending colon. Here it makes a peculiar curve upon itself, which is called the sigmoid Jlex'ure. Fig. 61. Pig. 61. 1,1, The duodenum, 2, S, The small intestine. 3, The Junction of the BDiaJlintestine with the colon. 4, The appendis vermiforinls. 5, The ccEcuni. 6, The ascending colon. 7, The transverse colon. 8, The descending colon. 9, The sig- moid flexufe ot the colon. 10, The rectum. 250 Describe the course of the divisions of the colon. Explain, fig. 61. 120 ANATOMY, PHYSIOLOGY, AND HYGIENE. 251. The KECTUM is the termination of the large intestine. The large intestine has three coats, like the stomach and small intestine. The longitudinal fibres of the muscular coat are collected into three bands. These bands are nearly one half shorter than the intestine, and give it a sacculated appearance, which is characteristic of the coecum and colon. 252. The lacteals are minute vessels, which commence in the villi, upon the mucous surface of the small intestine. From the intestine they pass between the membranes of the mes'en-ter-y to small glands, which they enter. The first range of glands collects many small vessels, and transmits a few larger branches to a second range of glands ; and, final- ly, after passing through several successive ranges of these glandular bodies, the lacteals, diminished in number and in- creased in size, proceed to the enlarged portion of the thoracic duct, into which they open. They are most numerous in the upper portion of the small intestine. 253. The thoracic duct commences in the abdomen, by a ponsiderable dilatation, which is situated in front of the lower portion of the spinal column. From this point, it "passes through the diaphragm, and ascends to the lower part of the neck. In its ascent, it lies anterior to the spine, and by the side of the aorta and oesophagus. At thS. lower part of the neck, it makes a sudden turn downward and forward, and terminates by opening into a large vein which passes to the heart. The thoracic duct is equal in diameter to a goose- quill, and, at its termination, is provided with a pair of semi- lunar valves, which prevent the admission of venous blood into its cylinder. 251. What is said of the arrangement of the fibres of the muscular coat of the large intestine f 252. What are the lacteals ? Give their course from the mucous coat of the intestine to the thoracic duct. 253. Describe the oourse of the thoracic luot. How is the venous blood prevented from passing into this duct } ANATOMY OF THE DIGESTIVE ORGANS. 121 Fig. 62. Fig. 63. A portion of the small Intestine, lacteal vessels, mesenteric glands, and thoracic duct. 1, The intestine, a, 3, 4, Mesenteric glands, through which the iacteals pass to the thoracic duct. 5, 6, The thoracic duct. 7, The point in the neck where it turns down to enter' the vein at 8. 9, 10, The aorta. 11, IS, Vessels of the neck. 13, 14, 15, The large veins that convey the blood and chyle to the heart 17, 17, The spinal column. 18, The diaphragm, (midriif.) Observation. The mesenteric glands, which are situated between two layers of serous membrane (mesentery) that connects the small intestine with the spinal column, occasion- ally become diseased in childhood, and prevent the chyle Explain fig. 62. What is said respecting the mesenteric glands ? 11 ]22 ANATOMY, PHySIOI.OGY, AND HYGIENE. from passing to the thoracic duct. Children thus affected have a voracious appetite, and at the same time are becoming more and more emaciated. The disease is called mesenteric con- sumption. 254. The liver, a gland appended to the alimentary canal, is the largest organ in the system, and weighs about four pounds. It is situated in the right side, below the diaphragm, and is composed of several lobes. Its upper surface is con- vex ; its under, concave. This organ is retained in its place by several ligaments. It performs the double office of sepa- rating impurities from the venous blood, and of secreting a fluid (bile) necessary to chylification. On the under surface of the liver is a membranous sac, called the gall-cyst^ which is generally considered as a reservoir for the bile. Fig. 63. Jig. 63. The under surface of the liver. 1, The right lobe. 9, Tlie leU. 3, A, Smaller lobes, }0, The gall-bladder, or cyst, lodged in its depression. 17, The notch on the posterior border, for the spinal column. Observation. A good idea of the liver and intestines can be obtained by examining these parts of a pig. In this animal, the sacs, or pouches, of the large intestine are well defined. 255. The pancreas is a long, flattened gland, analogous to 264. Deecribe the liyei. 286. What is said of the pancreas? ANATOMY OP THE DIGESTIVE ORGANS. 123 the salivary glands. It is about six inches in length, weighs three or four ounces, and is situated transversely across the posterior wall of the abdomen, behind the stomach. A duct from this organ opens into the duodenum. 256. The spleen, (milt,) so called because the ancients supposed it to be the seat of melancholy, is an oblong, flat- tened organ, situated in the left side, in contact with the dia- phragm, stomach, and the pancreas. It is of a dark, bluish color, and is abundantly supplied with blood, but has no duct which serves as an outlet for any secretion. . Its use is not well determined. Rg. 64. Fig. 64. The pancreas with its duct, through which the imacreatic secretlou pasBca into the duodenum. 257. The omentum (caul) consists of four layers of the serous membrane, which descends from the stomach and transverse colon. A quantity of adipose matter is deposited around its vessels, which ramify through its structure. Its function is twofold in the animal economy. 1st. It protects the intestines from cold. 2d. It facilitates the movements of the intestines upon each other during their vermicular, or worm-like action. 258. Every part of the digestive apparatus is supplied with arteries, veins, lymphatics, and nervous filaments, from the ganglionic system of nerves. 2S6. Why is the spleen so called ? What is peculiar to this orgao ? 257. Of what is the omentum composed ? What is its use ? 258. With what is every part of the digestive apparatus supplied ? 124 ANATOMY, PHYSIOLOGY, AND HYttlBNE. CHAPTER XIV. PHYSIOLOGY OF THE DIGESTIVE ORGANS. 259. Substances received into the stomach as food, must necessarily undergo many changes before they are fitted to form part of the* animal body. The solid portions are re- duced to a fluid state, and those parts that will nourish the body are separated from the waste material. 260. The first prepara-tion of food for admission into the system, consists in its proper mastication. The lips in front, the cheeks upon the side, the soft palate, by closing down upon the base of the tongue, retain the food in the mouth, while it is subjected to the process of mas-ti-ca'tion, (chew- ing.) The tongue rolls the mass around, and keeps it between the teeth, while they divide the food to a fineness suitable for the stomach. 261. While the food is in process of mastication, there is incorporated with it a considerable amount of sa-li'va, (spittle.) This fluid is furnished by the salivary glands, situated in the vicinity of the mouth. The saliva moistens and softens the food, so that, when carried into the pharynx, it is passed, with ease, through, the oesophagus into the stomaoh. 262. When the food has been properly masticated, (and in rapid eaters when it is not,) the soft palate is raised from the base of the tongue backward, so as to close the posterior open- ing through the nostrils. By a movement of the muscles of the tongue, cheeks, and floor of the mouth, simultaneous with ■2P9 — 272. Give the physiology of the digesHvt organs. 259. "Whatisnecps- Bary before food can nourish the body ? 260. Describe how mastication is perlormcd. 261. Of what use is the saliva in the process of mastication 1 202. How is the food pressed into the pharynx F PHYSIOLOGY OF THE DIGESTIVE ORGANS. J25 that of the soft palate, the food is pressed into the upper part of the pharynx. 263. When in the pharynx, the food and drink are pre- vented from passing into the trachea by a simple valve-like arrangement, called the ep-i-glot'tis. The ordinary position of this little organ is perpendicular, so as not to obstruct the passage of air into the lungs ; but in the act of swallowing, It is brought directly over the opening of the trachea, called the glot'tis. The food, being forced backward, passes rapidly over the epiglottis into the oesophagus, wher»the circular band of muscular fibres above, contracts and forces the food to the next lower band. Each band relaxes and contracts succes- sively, and thus presses the alimentary ball downward and onward to the stomach.* Ohservation. If air is inhaled when the food or drink is passing over the glottis, some portions of it may be carried into the larynx or trachea. This produces violent spasmodic coughing, and most generally occurs when an attempt is made to speak while masticating food ; therefore, never talk when the mouth .contains food. 264. When the food reaches the stomach, the gastric glands are excited to action, and they secrete a powerful solvent, called gastric juice. The presence of food in the stomach also increases a contractile action of the muscular coat, by which the position of the food is changed from one part of this cavity to another. Thus the aliment is brought in contact with the mucous membrane, and each portion of it becomes saturated with gastric juice, by which it is softened, or dissolved into * The process of deglutition may be comprehended by analyzing the operation of swallowing food or. saliva. 26S. When the food is in the pharynx, how is it prevented from passing into the trachea, or windpipe ? Describe how it is passed into the stomach. Give the observation. 264. Describe how the food in the stomach is con- verted into chyme. 11* 126 ANATOMY, PHYSIOLOGY, AND HYGIENE. a pulpj- homogeneous mass, of a creamy consistence, called Chyme. The food is not all converted into chyme at the same time ; but as fast as it is changed, it passes through the pyloric orifice into the duodenum. Plservation. The gastric juice has the property of coagu- lating liquid albuminous matter when mixed with it. It is this property of rennet, which is an infusion of the fourth stomach of the calf, by which milk is coagulated, or formed into " curd." 265. The chyme is conveyed through the pyloric orifice of the stomach into the duodenum. The chyme not only excites an action in the duodenum, but also in the liver and pancreas. Mucus IS then secreted by the duodenum, bile by the liver, and pancreatic fluid by the pancreas. The bile and pancre- atic fluid are conveyed into the duodenum, and mixed with the chyme. By the action of these different fluids, the chyme is converted into a fluid of a whitish color, called Chyle, and into residuum. Observation. The bile has no agency in the change through which the food passes in the stomach. In a healthy condition of this organ, no bile is found in it. The common belief, that the stomach has a redundancy of this secretion, is erroneous. If bile is ejected in vomiting, it merely shows, not only that the action of the stomach is inverted, but also that of the.,duodenum. A powerful emetic will, in this way, generally bring this fluid from the most healthy stomach. A. knowledge of this fact might save many a stomach from the evils of emetics, administered on false impressions of their necessity, and continued from the corroboration of these by the appearance of bile, till derangement, and perhaps perma- nent disease, are the consequences. 266. The chyle and residual matter are moved over the What peculiar property has giistrio juioo ? 265. Whore and how ia chyme converted Into chyle ? What is said in regard to the bile ? 266. What booumos of the chyle? PHYSIOLOGY OF THE DIGESTIVE ORGANS. 127 mucous surface of the small intestine, by the action of its muscular coat. As the chyle is carried along the tract of the intestine, it comes in contact with the villi, where the lacteal vessels commence. These imbibe, or take up, the chyle, and transfer it through the mesenteric glands into the thoracic dupt, through which it is conveyed into a large vein at the lower part of the neck. In this vein the chyle is mixed witli the venous fluid. The residual matter is conveyed into the large intestine, through which it is carried and excreted from the system. (Appendix E.) • 267. In the process of digestion, the food is subjected to five different changes. 1st. The chewing and admixture of the saliva with the food ; this process is called mastication. 268. 2d. The change through which the food passes in the stomach by its muscular contraction, and the secretion from the gastric glands ; this is called chymijication. 269. 3d. The conversion of the homogeneous chyme, by the agency of the bile and pancreatic secretions, into a fluid of milk-like appearance ; this is chylijication. 270. 4th. The absorption of the chyle by the lacteals, and its transfer through them and the thoracic duct, into the subclavian vein at the lower part of the neck.* 271. 5th. The separation and excretion of the residuum. 272. Perfection of the second process of digestion requires thorough and slow mastication. The formation of proper chyle demands appropriate mastication and chymifl^ation ; while a healthy action of the lacteals requires that all the anterior stages of the ing the fleshy columns, tendinous coids, and valves, cut on each side of the septum parallel to it. This may be easily found between the ventricles, as tliey differ in thickness. 341. The ARTERIES are the cylindrical tubes that convey the blood from the heart to every part of the system. They are dense in structure, and preserve, for the most part, the cylindrical form, when emptied of their blood, which is theii condition after death. 342. The arteries are composed of three coats. The external, or cellular coat, is firm and strong.; the middle, or fibrous coat, is composed of yellowish fibres. This coat is elastic, fragile, and thicker than the external coat. Its elas- ticity enables the vessel to accommodate itself to the quantity of blood it may contain. The internal coat is a thin, serous membrane, which lines the interior of the artery, and gives it the smooth polish which that surface presents. It is con- tinuous with the lining membrane of the heart. 343. Communications between arteries are free and nu- merous. They incretise in frequency with diminution in the size of the branches, so that through the medium of the minute ramifications, tlie entire body may be considered as one circle of inosculation. The arteries, in their distribution through the body, are enclosed in a loose, cellular investment, called a sheath, which separates them from the surrounduig tissues. 344. The pulbionary artery commences in front of the origin of the aorta. It ascends obliquely to the under surface of the arch of the aorta, where it divides into two branches, one of which passes to the right, the other to the left lung. 'J'hese divide and subdivide in the structure of the lungs, and terminate in the capillary vessels, which form a net-work 341. Wh^t arc artorios-P 342. Give thoir struotuio. 343. What is said of the communioatious botwoon the artorica? In their distribution, how are they eoparatod from the surrounding tissues ? 344. Describe the pul- monary artery. ANATOMY OF TUE CIRCULATORY ORGANS. 159 ound the air-cells, and become continuous with the minute anches of the pulmonary veins. This a'rtery conveys the ipure blood to the lungs, and, with its corresponding veins, tablishes the lesser, or pulmonic circulation. Fig. 69. Pig. 69. t. The trachea. *, The heart, a, The aorta, p. The pulmonary artery. The branch of the pulinonary artery that divides in the left lung. 2. The branch it divides in the right lung. The divisions of this artery continue to divide and subdivide, until they become larger than hairs in size. These minute vessels pass over the air-cells, represented small dark points around the margin of the lungs. 345. The aorta proceeds from the left ventricle of the iart, and contains the pure, or nutrient blood. This trunk ves oflf branches, which divide and subdivide to their ulti- ate ramifications, constituting the great arterial tree which rvades, by its minute subdivisions, every part of the animal ime. This great artery and its divisions, with their return- ^ veins, constitute the greater, or systemic circulation. JVhat does this artery and its corresponding veins establish ? Explain . 69. 345. Describe the aorta. What do this artery and Its correspond- ! veins constitute ? 160 ANATOMY, PHYSIOLOar, AND UYGIENE. Fig. 70. Fig. 70. The aorta and its bmnrlies. 1, The cj^mmoncement of the aorta. B, Till' arch oftlie aorta. 3, The carotid artery. -4, The temporal artery. 5, The eubclavian artery. 6, The axillary artery. 7, The brachial artery. 8, The radial artery. 9, The ulnar arteryi 10, The iliac artery. 11, The femoral iirlery 12, The tibial artery. 13. The peroneal artery. 346. The VEINS are the vessels which return the blood to the auricles of the heart after it has been circulated by the Whiit doo3 fig. 70 roprosei\t? .S46. What arc tho veins? ANATOMY OF THE CIRCirLATGRY ORGANS. 161 arteries through the various tissues of the body. They aro thinner and more delicate in structure than the arteries, so that when emptied of their blood, they become flattened and collapsed. The veins commence by minute radicles in the capillaries, which are every where distributed through the textures of the body, and coalesce to constitute larger and larger branches, till they terminate in the large trunks which convey the dark-colored blood directly to the heart. In diam- eter they are much larger than the arteries, and, lilce those vessels, their combined area would constitute an imaginary cone, the apex of which is placed at the heart, and the base at the surface of the body. 347. The communications between the veins are more frequent than between the arteries, and take place between the larger as well as among the smaller vessels. The office of these inosculations is very apparent, as tending to obviate the obstructions to which the veins are peculiarly liable, from the thinness of their coats, and from inability to overcome great impediments by the force of their current. These tubes, as well as the arteries, are supplied with nutrient vessels, and it is to be presumed that nervous filaments from the sympathetic nerves are distributed to their coats. 348. The external, or cellular coat of the veins, is dense and firm, resembling the cellulaT tunic of the arteries. The middle coat is fibrous, like that of the arteries, but extremely thin. The internal coat is serous,' and also similar to that of the arteries. It is continuous with the lining membrane of the heart at one extremity, and with the lining membrane of the capillaries at the other. 349. At certain intervals, the internal coat forms folds, or Where do they commence ? 347. What is said of their communica- tions ? What is the apparent design of the inosculations of the veins ? What vessels are distributed to the coats of the veins ? 348. Give the structure of the coats of the veins. 349. How are the valves in the veiiis formed ? 14* 162 ANATOMY, PHYSIOLOSY, AND HYGIENE. duplicates, which constitute valves. They are generally com- posed of two semilunar folds, one on each side of the vessel. The free extremity of the valvular folds is concave, and directed forward, so that while the current of blood sets toward the heart, they present no impediment to its free passage ; but let the current become retrograde, and it is impeded by their distention. The valves are most numerous in the veins of the extremities, particularly the deeper veins situated between the muscles ; but in some of the larger trunks, and also in some of the smaller veins, no valves exist. Fig. 71. ^il?«««W Kia. 71. A vein laid open to slww tlio valvoB. I, Tile uank of the vein. B. S. lis valves. 3, An opening of a branch into the ninin trunk. What is their uso ? Wliore are they the most uumerous ? ANATOMY OF THE CIRCCLATORY ORGANS. 163 350. The capillaries constitute a microscopic net work, and are so distributed through every part of the body as to render it impossible to introduce the smallest needle beneath the skin, without wounding several of these fine vessels. They are remarkable for the uniformity of diameter, and for the constant divisions and communications which take place between them. 351. The capillaries inosculate, on the one hand, with the terminal extremity of the arteries, and on the other, with the commencement of the veins. They establish the communi- cation between the termination of the arteries and the begin- ning of the veins. The important operations of secretion and the conversion of the nutrient materials of the blood into ,bone, muscle, &c., are performed in these vessels. Fig. 72. Fig. 73. Fig. 72. An ideal view of a portion of the pulmonic circulation. 1, 1, A branch of the artery that carries the impure blood to the lungs. 3, 3, Capillary vessels. 2, 2, A vein through which red blood is returned to the left side of tha heart. Fig. 73. An ideal view of a portion of the systemic circulation. 1, 1, A branch of the aorta. This terminates in the capillaries, (3, 3.) 2, 2, A vein through which the impure blood is carried to the right side of the heart. 3.50. What do the capillaries constitute ? For what are they remark able ? 351. "What relation do they bear to the arteries and veins ? What important operations are performed in these vessels ? "What is represented byCg. 72? By fig. 73? 164 ANATOMY, PHYSIOLOGY, AND HYGIENE. CHAPTER XVIII. PHYSIOLOGY OP THE CmCULATORY ORGANS. 353. The walls of all the cavities of the heart are com- posed of muscular fibres, which are endowed with the property of contracting and relaxing, like the muscles of the extremities. The contraction and relaxation of the mus- cular tissue of the heart, produce a diminution and en- largement of both auricular and ventricular cavities. The right and left auricles contract simultaneously. When these contract, the right and left ventricles dilate. The dilatation of the ventricles is termed the di-as'to-le of the heart ; their con- traction, its sys'to-le. 353. The ventricles contract quicker and more' forcibly than the auricles, and they are three times longer in dilating than contracting. The walls of the right ventricle, being thinner than the left, are more distensible, and thus this cavity will contain a greater amount of blood. This arrangement adapts it to the venous system, which is more capacious than the arterial. The thicker and more powerful walls of the left ventricle adapt it to expel the blood to a greater distance. 354. The valves in the heart permit the blood to flow from the auricles to the ventricles, but prevent its reflowing. The valves at the commencement of the aorta and pulmonary 352 — 366. Give the physiology of the circtila-lory orgatis. 352. What do the contraction and relaxation of the muscular walls of the heart produce ? How do the auricles and yentricles contract and dilate ? 353. What is said of the oontiaction and dilatation of the ventricles in the heart ? How is the right ventricle adapted to its function ) How the left ? 354. Wliat is the use of the valves in the heart ? Those of the aorta and pulmonary artery ? PHYSIOLOGY OF THE CIECULATOEr ORGANS. 165 •tery, permit the blood to flow from tlie ventricles into these jssels, but prevent its returning. 355. The function of the different parts of the heart, ill be given, by aid of fig. 74. The blood passes from the ght auricle (3) into the right ventricle, (5,) and the tricuspid lives (6) prevent its reflux ; from the right ventricle the ood is forced into the pulmonary artery, (7,) through which passes to the lungs. The semilunar valves (9) prevent is circulating fluid returning to the ventricle. The blood, lile passing over the air-cells in the lungs, in the minute' dsions of the pulmonary artery, is changed from a bluish lor to a bright red. It is then returned to the left auricle the heart by the pulmonary veins, (11, 11.) Fig. 74, 8 I ig 74. 1, The descending vena cava, (vein.) S, The ascending vena cava, (vein.) 'he right .auricle. 4, The opening between the right auricle and the right venlri 5, The right ventricle. 6, The tricuspid valves. 7, The pulmonaiy artery , The branches of the pulmonary artery that pass to the right and left lung The semilunar valves of the pulmonary artery. 30, The septum between' the two tricles of the heart. 11, 11, The pulmonary veins. 12, The left auricle. ^ 13, The ling between the left auricle and ventricle. 14, The left ventricle. 15, The ■al valves. 16, 16, The aorta. 17, The semilunar valves of the aorta. ^5. Besdribe the course of the blood from the right auricle ie the heart 166 ANATOMY, PHYSIOLOGY, AND HYGIENE. Observation. If the blood is not charged in the lunjrs, it will not flow to the pulmonary veins. This phenomenon is seen in instances of death from drowning, strangling, carbonic acid, &c. The same is true, but in a less degree, of indi- viduals whose apparel is tight, as well as of those who breathe impure air, or have diseased lungs. 356. The left auricle, (12,) by its contraction, forces the blood into the left ventricle, ( 14.) The mitral valves (15) pre- vent its reflowing. From the left ventricle the blood is forced into the aorta, (16,) through which, and its subdivisions, it is distributed to every part of the system. The semilunar valves (17) prevent its returning. Observation. The parts of the circulatory organs most liable to disease are the valves of the heart, particularly the mitral. When these membranous folds become ossified or ruptured, the blood regurgitates, and causes great distress ui breathing. The operations of the system are thus disturbed, as the movements of the steam engine would be if its valves were injured, or did not play freely. 357. The difTerence between the functions of the pulmo- nary artery and aorta is, tlie former communicates with the right ventricle of the heart, and disti-ibutes only impure blood to the lungs ; the other connects with the left ventricle of the heart, and distributes pure blood to the whole body, the lungs not excepted. At the extremity of the divisions of the aorta, as well as the pulmonary artery, are found capillary vessels. This curious net-work of vessels connects with the minute veins of the body,- which return the blood to tlie heart. Observation. The function of the veins of the systemic What is the effect when the blood is not changed in the lungs ? 856. D'escribe the circulation of the blood from the left auricle to the general system. What part of the circulatory organs is most liable to disease ? Wha* is the effect when the Talves are diseased ? 357. Give the difference in the functions of the pulmonary artery and aorta. Show the relation between the functions of the arteries and veins both of the pul- monic and systemic circulation. PHYSIOLOGY OF THE CIECB'tATOEr OEOANS. 167 circulation is similar to the office of the arteries in the lungs, and that the veins of the pulmonic circulation transmit to the heart the pure, or nutrient blood, and thus supply the arteries of the general system with assimilating fluid. 358. The veins that receive the blood from all parts of the body, follow nearly the same course as the arteries. The myriads of these small vessels beneath the skin, and others that accompany the arteries, at last unite a ad form two large trunks, called ve'na ca'va as-cend'ens, and descend' ens. Oiservation. A peculiarity is presented in the veins which come from the stomach, spleen, pancreas, and intestines. After forming a large trunk, they enter the liver, and ramify like the arteries, and in this organ they again unite into a trunk, and enter the ascending vein, or cava, near the heart. This is called the portal circulation. 359. The ventricles of the heart contract, or the " pulse " heats, about seventy-five times every minute, in adults ; in infants, more than a hundred times every minute ; in old persons, less than seventy-five times every minute. The energy of the contraction of this organ varies in difierent mdividuals of the same age. It is likewise modified by the health and tone of the system. It is difficult to estimate the muscular power of the heart ; but, comparing it with other muscles, and judging from, the force with which blood is ejected from a severed artery, it must be very great. Observation. The phenomenon known under the name of pulse, is the motion caused by the pressure of the blood against the coats of the arteries at each contraction of the ventricles. 360. The following experiment will demonstrate that the blood flows from the heart. Apply the fingers upon the artery 358. "What is the course of the reins? What peculiarity is observable in the veins of the liver? 359. How often does the heart contractj or the pulse beat, in adults ? In infants ? In old persons ? What is said of the energy of its contraction in different persons ? How is the pulse produced ? 360. Demonstrate by experiment that the blood flows from the heart. 168 ANATOMY, PHYSIOLOGY, AND HYGIENE. at the wrist, at two different points, about two inches apart ; if tlie pressure be moderately made, the " pulse " will be fell nt both points. Let the point nearest the heart be pressed firmly, and there will be no pulsation at the lower point ; but make strong pressure upon the lower point only, and the pul- sation will continue at the upper point, proving that the blood flows from the heart, in the arteries, to different parts of the system. 361. There are several influences, either separately or combined, that propel the blood from the heart through the arteries, among which may be named, — 1st. The contraction of the muscular walls of the heart. 2d. The contractile and elastic middle coat of the arteries aids the heart in impelling the blood to the minute vessels of the system. 3d. The peculiar action of the minute capillary vessels is considered, by some physiologists, as a motive power in the arterial circu- lation. 4th. The pressure of the muscles upon the arteries, when in a state of contraction, is a powerful agent, particu- larly when they are in active exercise. 362. The following experiments will demonstrate that the blood from every part of the system flows to the heart by the agency of the veins. 1st. Press firmly on one of the veins upon the back of the hand, carrying the pressure toward the fingers ; for a moment, the vein will disappear. On remov- ing the pressure of the finger, it will reappear, from the blood rushing in from below. 2d. If a tape be tied around the arm above the elbow, the veins below will become larger and more prominent, and also a greater number will be brought in view, while the veins above the tape are less distended. At this time, apply the fin- ger at the wrist, and the pulsation of the arteries still continues, showing that the blood is constantly flowing from the heart 361. State the influences that propel the blood from the heart. 862. De- monstrate by the first experiment that the blood flows to the heart. By the second experiment. PHYSIOLOGY OF THE CIECULATORY ORGANS. 169 through the arteries, into the veins ; and the increased size of tlie veins shows that the pressure of the tape prevents ita flowing back to the heart. 363. The influences that return the blood to the heart through the veins, are not so easily understood as those that act on the blood in the arteries. Some physiologists have imputed an active propulsive power to the capillary vessels in carrying the blood through the veins. This is not easily explained, and perhaps it is as difficult lo understand. An influence upon which others have dwelt, is the suction power of the heart in active dilatation, acting as a vis afrorde (power in front) in drawing blood to it. 364. Another influence that aids the venous circulation is attributed to the propulsive power of the heart. It is not easy to comprehend how this power of the heart can be extended through the capillary vessels to the blood in the veins. Again, an important agency has been found, by some physiologists, in the inspiratory movements, which are sup- posed to draw the blood of tlie veins into the chest, in order to supply the vacuum which is created there by the elevation of the ribs and the descent of the diaphragm. 365. One of the most powerful causes which influence the venous circulation, is the frequpnfly-recurring action of the muscles upon the venous trunks. When the muscles are contracted, they compress that portion of the veins which lie beneath the swell, and thus force the blood from one valve to the other, toward -the heart. When they are relaxed, the veins refill, and are compressed by the recurring action of the muscles. Observation. The physician, in opening a vein, relies on the energetic contractions and sudden I'elaxations of .the 363. What is said of the influences that return the blood to the heart ? What is said of the propulsive power of the capillaries ? Of the suction power of the heart ? 364. Give another influence. State another agency. 365. What is one of the most powerful causes wliioh influence venous circulation ? Give practical observation. IS 170 ANATOMY, PHYSIOLOGY, AND HYGIENK. Fig. 75. Fig 75. An Ideal view of the circulation in the lungs and system. From the right ventricle of the heart, (3,) the dark, impure blood is forced into the puhnonary artery, (3,) and its branchea (4, 5) carry the blood to the left and right lung. Id the capillary vessels (6, 6) of the lungs, the blood becomes pure, or of a red color, and is returned to the left auricle of the heart, (9,) by the veins, (7, 8.) From the left auricle the pure blood passes into the lelt ventricle, (10.) By a forcible contrac- tion of the left ventricle of the heart, the blood Is thrown into the aorta, (II.J ItH branchea (13, 13, 13) carry Uie pure blood to every organ or part of the body. The divisions and subdivisions of tlie aorta terminate in capillary vessels, represented by 14, 14. In these hair-like vessels the blood becomes dark colored, and is returned to the right auricle of the heart (I) by the vena cava descendeng, (15,) and vena cava ascendens, (16.) The tricuspid valves (17) prevent the reflow of the blood from the right ventricle to the right auricle. The semilunar valves (18) prevent the blood passing Ctom the pulmonary artery to the right ventricle. The mitral ralves (19) pre- vent the reflow of htood from the left ventricle to the left auricle. The semilunar valves (30) prevent t)ie roflow of blood tmm the aorta to the left ventricle. rnYSIOLOGY OF THE CIECULATOKY ORGANS. 171 muscles, when he directs the patient to clasp the head of a cane, or the arm of a chair ; these alternate motions of the muscles cause an increased flow of blood to the veins of the ligated arm. 366.' The muscles exercise an agency in maintaining the venous circulation at a point above what the heart could per- form. As the pulsations are diminished by rest, so they are accelerated by exercise, and very much quickened by violent effort. There can he little doubt that the increased rapid- ity of the return of blood through the veins, is, of itself, a sufficient cause for the accelerated movements of the heart, dufing active exercise. Observation. The quantity of blood in different individuals varies. From twenty-five to thirty-five pounds may be consid- ered an average estimate in a healthy adult of medium size. The time in which the blood courses .through the body and returns to the heart, is different in different individuals. Many writers on physiology unconditionally limit the period to three minutes. It is undeniable that the size and health of a per- son, the condition of the heart, lungs, and brain, the quantity of the circulating fluid, the amount and character of the inspired air, and the amount of muscular action, exert a mod- ifying influence. The time probably varies from three to eight minutes. 366. What causes the accelerated movements of the heart during active exercise ? Note. Let the pupil review the anatomy and physiology of the circula- tory organs from fig. 75, or from anatomical outline plates, No. 6 and 7. 172 ANATOMY, PHYSIOLOGY, AND HYGIENE. CHAPTER XIX. HYGIENE OF THE CIRCULATORY ORGANS. 367. If any part of the system is deprived of blood, its vitality will cease ; but, if the blood is lessened in quantity to a limited extent, only the vigor and health of the part will be impaired. The following conditions, if observed, will favor the free and regular supply of blood to all portions of the system. 368. Tlie clothing should he loosely worn. Compression of any kind impedes the passage of blood through the vessels of the compressed portion. Hence, no article of apparel should be worn so as to prevent a free flow of blood through every organ of the body. 369. The blood which passes to and from the brain, flows through the vessels of the neck. If the dressing of tliis part of the body is close, the circulation will be impeded, and the functions of the brain will be impaired. This remark is par- ticularly important to scholars, public speakers, and individu- als predisposed to apoplexy, and other diseases of the brain. 370. As many of the large veins lie immediately beneath the skin, through which the blood is returned from the lower extremities, if the ligatures used to retain tlie hose, or any other article of apparel, in proper positiow, be tight and inelastic, the passage of blood through these vessels will be 367—386. Give the hxjgiem of the circuMory organs. 367. "WTint effect will be produced on the body if it is deprived of blood ? If the blood is only lessened in quantity ? 368. Why should the clothing be worn loose ? 369. What is said of dressing the neck f To what persons is this remark applicable ? 370. How are enlarged veins frequently produced ? HYGIENE OF THE CIRCULATORY ORGANS. 173 obslructed, producing, by their distention, the varicose, or enlarged veins. Hence elastic bands should always be used for these purposes. 371. An equal temperature of all parts of the system pro- motes health. A chill on one portion of the body diminishes the size of its circulating vessels, and the blood which should distend and stimulate the chilled part, will accumulate in other organs. The deficiency of blood in the chilled portion induces weakness, while the superabundance of sanguineous fluid may cause disease in another part of the system. 372. The skin should he kept not only of an equal, hut at its natural temperature. If the skin is not kept warm by adequate clothing, so that chills shall not produce a contraction of the blood-vessels and a consequent paleness, the blood will recede from the surface of the body, and accumulate in the internal organs. Cleanliness of the skin is likewise necessary, for the reason, that this condition favors the free action of the cutane- ous vessels. Observation. When intending to ride in a cold day, wash the face, hands, and feet, in cold water, and rub them smartly with a coarse towel. This is far better to keep the extrem- ities warm, than to take spirits into the stomach. 373. Exercise promotes the circulation of the hlood. As the action of the muscles is one of the important agents which propel the blood through the arteries and veins, daily and regular exercise of the muscular system is required to sustain a vigorous circulation in the extremities and skin, and also to maintain a healthy condition of the system. The best stimu- lants to improve the sluggish circulation of an indolent patient, whose skin is pale and whose extremities are cold, are the 371. Why should the temperature -of the body be equal ? 372. Why should the skin be kept at its natara.1, as well as at an equal temperature ? What practical observation -v^hen intending to ride in a cold day ? 373. Why does exercise promote health? What are good stimulants for sluggish circulation in the indolent ? 15 174 ANATOMY, PHYSIOLOGY, AND HYGIENE. union of vigorous muscular exercise with agreeable mental action, and the systematic application to the skin of cold water, attended with friction. Illustration. The coach-driver and teamster throw their arms around their bodies to warm them when cold. 'The jnuscles that are called into action in swinging the arms, force a greater quantity of blood into the chilled parts, and, conse- quently, more heat is produced. 374. When a number of muscles are called into energetic action, a greater quantity of blood will be propelled to the lungs and heart in a given time, thf, Bronchia, or air-tubes, entering the lungs, v, v. Pulmonary veins, issuing from lungs. 6, The left auricle. 7, The left ventricle. 8, The aorta. 9, The upper e of the lefl: lung. 10, Its lower lobe. 11, The upper lobe of the light lung The middle lobe. 13, The lower lobe. Observation. When this membrane that covers the lungg, :66. By what are the lungs enclosed? What is the relative position of lungs and pleura? What is said of the reflected pleurae ? Explain fig. What part of the lungs is affected in pleurisy ? 212 ANATOM-y, FinSIOLOGY, AND HYGIENE. and also lines the chest, is inflamed, the disease is called " pleurisy." 467. The lungs are composed of the ramifications of tlie bronchial tubes, which terminate in the bronchial cells, {air- cells,) lymphatics, and the divisions of the pulmonary artery and veins. All of these are connected by cellular tissue, which constitutes the pa-ren! chy-ma. Each lung is retained in its place by its root, which is formed by the pulmonary arteries, pulmonary veins, and bronchial tubes, together with the bronchial vessels and pulmonary ner\'es. 468. The trachea extends from the larynx, of which it is a continuation, to the third dorsal vertebra, where it divides into two parts, called bronchia. It lies antenor to the spinal col- umn, from which it is separated by the oesophagus. 469. The bronchia proceed from the bifurcation, or di- vision of the trachea, to their corresponding lungs. Upon entering the lungs, they divide into two branches, and each branch divides and subdivides, and ultimately terminates in small sacs, or cells, of various sizes, from the twentieth to the hundredth of an inch in diameter. So numerous are these bronchial or air-cells, that the aggregate extent of their lining membrane in man has been computed to exceed a surface of 20,000 square inches, and Munro states that it is thirty times the surface of the human body. Illustration. The trachea may be compared to the trunk of a tree ; the bronchia, to two large branches ; the subdivisions of the bronchia, to the branchlets and twigs ; the air-cells, to the buds seen on the twigs in the spring. 470. The air-vesicles and small bronchial tubes compose 467. Of what are the lungs composed? How retained in place? 468. Where is the trachea situated ? 469. Describe the bronchia. What is the aggregate extent of the lining membrane of the air-cells ? To what may the trachea and its branches be compared ? 470. What is said of the air-cells and bronchial tubes ? ANATOMY OF THE KESPIRATORY ORGANS. 213 largest portions of the lungs. These, when once inflated, ttain air, under all circumstances, which renders their spe- c gravity much less than water ; hence the vulgar term, 'tis, for these organs. The trachea and bronchial tubes lined by mucous membrane. The structure of this mem- ne is such, that it will bear the presence of pure air without riment, but not of other substances. ;. 91. A representation of the larynx, trachea, bronchia, and air-cells. 1, 1, 1, lutllne of the right lung. 2, 2, 2, An outline of the left lung. 3, The larynx, le trachea 5, The right bronchial tube. 6, The left bronchial tube. 7, 7, 7, 8, The BubdlTisions of the right and left bronchial tubes: 9, 9, 9, 9, 9, 9, Air- 'hat membrane lines the trachea and its branches ? What is peculiar in trncture ? What does fig. 91 represent ? 214 ANATOMY, PHYSIOLOGY, AND HYGIENE. Ohservallon. The structure of the trachea and lungs may be illustrated, by taking these parts of a calf or sheep and inflating the air-vesicles by forcing air into the windpipe with a pipe or quill. The internal structure may then be seen by opening the different parts. 471. The lungs, like other portions of the system, are sup- plied with nutrient arteries and nerves. The nervous filaments that are distributed to these organs are in part from the tenth pair, (par vagum,) that originates in the brain, and in part from the sympathetic nerve. The muscles that elevate the ribs and the diaphragm receive nervous fibres from a separate system, which is called the respiratory. Fig. 92. Fig. 93. 1, A bronchial tube. 9, 3. 2^ Air-vesic1e9. Buth the tube and vesicles are much magnified. 3, A bronchial tube and vesicles laid open. Olsenation. When the mucous membrane of a few of the larger branches of the windpipe is slightly inflamed, it is called a " cold ;" when the inflammation is greater, and extends to the lesser air- tubes, it is called hronch-i'tis. When the air-cells and parenchyma become inflamed, it is called inflammation of the lungs. Coughing is a violent expulsory effort by which air is suddenly forced through the l^ronchia and trachea to remove offending matter. How may the structure of the trachea and its branches be illustrated f 471. Are the lungs supplied with nutrient arteries ? Where are the respir- atory nerves distributed ? From what source do those organs derive their nervous fllamonts? ANATOMY OF THE RESPIRATOKY ORGANS. 215 472. The ribs are joined to the spinal colunnn at their posterior extremity ; and in front, they terminate in cartilages, which unite them to the sternum. They incline downward, from the spinal column to the breast-bone, and form resist- ing walls that assist in producing the partial vacuum necessary for inspiration. "Fig. 93. Fig. 94. Fig 93. A section of the chest wlien the lungs are inflated. 1, The diaphragm 2, The muscular walla of the abdomen. Fig. 94. A section of the chest when the lungs are contracted. 1, The diaphragm^ in common expiration. 2, 2, The muscular walls of the abdomen. 3, The position of the diaphragm in forced expiration. These engravings show the diaphragm to be more convex, and the walls of the abdomen more flattened, when the lungs are collapsed, than wllen they are inflated. 473. The diaphragm is a flexible circular partition, that separates the respiratory from the digestive organs, and the chest from the abdomen. Its margin is attached to the spinal column, tlie sternum, and cartilages of the lower ribs. The lungs rest upon its upper surface, while the liver and stomach 472. Describe the ribs. Explain figs. 93 and 94. 473. Describe the dia- phragm. 816 ANATOMY, PHYSIOLOSY, AND HYGIENE. are placed below it, (fig. 88.) In a state of repose, its upper surface forms an arch, the convexity of which is toward the chest. In forced expiration, its upper point reaches as high as the fourth rib. In an ordinary inspiration, it is depressed as low as the seventh rib, which increases the capacity of the chest. 474. The respiratory muscles are, in general, attached at one extremity to the parts about the shoulders, head, and uppei portion of the spinal column. From these, they run downward and forward, and are attached, at the opposite extremity, to the sternum, clavicle, and upper rib. Other muscles are attached at one extremity to a rib above, and by the opposite extremity to a rib below. These fill the spaces between the ribs, and, from their situation, are called in-ter- cost'al muscles. Observation. 1st. There are several actions of common occurrence, that are intimately connected with respiration ; such as hiccough, sneezing, &c. Hiccough is an involuntary contraction of the muscles of respiration, particularly the dia- phragm. 2d. Sneezing is a violent, involuntary contraction of the respiratory muscles, as in hiccough. When an acrid stimu- lant, as snuff, is applied to the mucous membrane of the nose, an irritation is produced which is accompanied by. a violent expulsion of air from the lungs. This is owing to the con- nection between the nasal and respiratory nerves. What is its form when not In action ? 474. "Where do the respiratory muscles make their attachment ? What name is given to those muscles that fill the places between the ribs ? What is hiccough ? What is sneezing ? PHYSIOLOGY OF THE RESPIRATORY ORGANS. 217 CHAPTER XXIV. PHYSIOLOGY OF THE KESPIRATOEY ORGANS. 475. Respiration, or breathing, is that process by which air is taken into the lungs and expelled from them. The object of respiration is, 1st. To supply the system with oxygen, which is essential to the generation of animal heat ; 2d. To convert the chyle into blood. This is done by the oxygen of the inspired air ; 3d. To relieve the organs of the body of the principal elements (carbon and hydrogen) that compose the old and useless particles of matter. The organs of the system, as already mentioned, are principally composed of carbon^ hy- drogen, oxygen, and nitrogen. 476. By the action of the lymphatics and capillary veins, the old and worn-out particles are conveyed into the veins of the systemic circulation. The hydrogen, in form of watery vapor, is easily discharged in the perspiration and other secre- tions. The nitrogen and oxygen are, or may be, separated from the blood, through the agency of several different organs ,• but carbon does not escape so readily. It is probable that a part of the surplus carbon of the venous blood is secreted by the liver ; but a far greater amount passes to the lungs, and these may be considered as special organs designed to sepa- rate this element from the venous blood. 477. An ordinary inspiration may be accomplished by the action of the diaphragm, and a slight elevation of the ribs. In 475—494. Oive the x>h.ysiology of the respiratory organs. 475. What ia respiration? What is the principal object in breathing? 476. How are the useless atoms of matter conveyed into the veins of the systemic circu- lation? . How may the principal elementary substances be separated from the blood ? 477. How may an ordinary inspiration be accomplished ? 19 218 ANATOMY, PHYSIOLOGY, AND HYiilENE. full inspiration, the diaphragm is not only more depressed, but the ribs are evidently elevated. To produce this effect on the ribs, two sets of muscles are called into action. Those which are attached to the upper rib, sternum, and cavicle, contract and elevate the lower and free extremities of the ribs. This enlarges the cavity of the chest between the spinal column and the sternum. But the lateral diameter, in conse- quence, is only slightly increased, because the central portion of the ribs sinks lower than their posterior extremities, or their ci^rtilaginous attachment to the sternum. Fig. 96. 3 2 Fig. 95. 6, Four of the vertebriE, to which are attached three ribs, (7, 7, 7,) with their intercostal muscles, (8, 8.) Tliese ribs, in their natural position, have thoir anterior cartilaginous extremity at 4, while the posterior eitremity is atladied to the vertebra:, (6,) wliich are neither elevated nor depressed in respiration. 1, I, and 2, 2, parallel lines, within which the ribs lie in their natural position. If Uie anterior extremity of the ribs 1? elevated fVom 4 to 5, they will not lie within tlie line a, 9, but will reach the line 3, 3. If two bands extend from 1, 1, to 3, S, tbey will eSectually prevent the elevation of the ribs f>om 4 to 5, as the lineS, 3, cannot be moved to 3, 3. 478. The central portion of the ribs is raised by the actiod of intercostal muscles. The first, or upper rib, has but little movement ; the second has more motion than the first, while What effect has a full inspiration on the ribs and diaphragm ? How is the chest enlarged between the spinal column and sternum ? What is said of the lateral diameter of the chest ? Explain fig. 9S. PHYSIOLOGY OP THE RESPIEATORT ORGANS 219 the third has still more than the second. The second rib is elevated by the contraction of the muscles between it and the first. The third rib is raised by the action of two sets of muscles ; one lies between the first and second ribs, the other between the second and third. 1 he motion of each succeed- ing rib is increased, because it is not only acted upon by the muscles that move the ribs above, but by an additional inter- costal ; so that the movement of the twelfth rib is very free, as it is elevated by the contraction of eleven muscles. 479. The tenth rib is raised eight times as much as the second rib, and the lateral diameter of the lower portion of the chest is increased in a corresponding degree.. At the same time, the muscular margin of the diaphragm contracts, which depresses its central portion ; and in this way, the chest is enlarged forward, laterally, and downward, simultaneously with the relaxation of the walls of the abdomen. 480. The lungs follow the variations of capacity in the chest, expanding their air-cells when the latter is enlarged, and contracting when the chest is diminished. Thus, when the chest is expanded, the lungs follow, and consequently a vacuum is produced in their air-cells. The air then rushes through the mouth and nose into the trachea and its branches, and fills the vacuum as fast as it is made. This mechanical process constitutes inspiration. 481. After the expansion of the chest, the muscles that elevated the ribs relax, together with the diaphragm. The elasticity of the cartilages of the ribs depresses them, and the cavity of the chest is diminished, attended by the expulsion of a portion of the air from the lungs. At the same time, the muscles that form the front walls of the 478. Describe the action of the intercostal muscles upon the ribs. 479. How does the elevation of th« tenth rib compare with the second? What efTeet has this elevation upon the lateral diameter of the chest,? 480. Describe the process of inspiration. 481. Describe the process by which the air is forced out of the lungs. 220 ANATOMY, PHYSIOLOGY, AND HYGIENE. abdominal cavity, contract, and press the alimentary canal, stomach, and liver, upward against the diaphragm; this, being relaxed, yields to the pressure, rises upward, and presses upon the lungs, which retreat before it, and another portion of air is expelled from these organs. This process is called expiration. Fig. 96. Pfg, 95. A front riew of the cheat and abdomen in respiration. 1, 1, The position of the walls of the chest in inspiration. 9, S. % The position of the diaphragm in inspiration. 3, 3, The position of ^Iie wails of the chest in expiration. 4, 4, 4, The position of the diaphragm in expiration. 5, 5, The position of the walls of the abdo- men in inspiration. 6, 6, The position of the abdominal walls in expiration 482. Thus it is obvious that the enlargement of the chest, or inspiration, is produced in two ways : 1st. By the depres- sion of the convex portion of the diaphragm ; 2d. By the elevation of the ribs. On the contrary, the contraction of the Explain fig. 9S. 482. In how man; ways may the chest be enlarged, and tiow ii> it accomplished ? How is the contraction of the chest effected ? PHYSIOLOGY OF THE RESPIKATORY OKBANS. 221 chest, or expiration, is produced by the depression of the riba, and elevation of the central part of the diaphragm. These movements are successive during life, and constitute res- piration. Fig. 97. Fig. 97. A side view of the chest and abdomen in respiration. 1, The cavity of the chest. % The cavity of the abdomen. 3, The line of direction for the diaphragm when relaxed in expiration. 4, The line of direction for the diaphragm when con- tracted in inspiration. 5, 6, The positi^iuif the front walls of the chest and abdo- men in inspiration. 7, 8, The position of the front walls of the abdomen and chest in expiration. . Experiment. Place the ear upon tlie chest of a person, and a murmuring sound will be heard, somewhat like the soft sighings of the wind through forest-trees. This sound is Explain fig. 97. How Daay the murmur of respiration be heard ? 19* 822 ANATOMY, PHTSIOLOGV, AND HYGIENE. caused by the air rushing in and out of the lungs, and is peculiarly distinct in the child. 483. It is not easy to decide how much air is taken into the lungs at each inspiration. The quantity, however, must vary in different individuals, from the difference in the condi- tion and expansion of the lungs, together with the size of the chest. From numerous experiments, the quantity, at an ordinary inspiration, of a common-sized man, is fixed at forty" cubic inches. It has been estimated that one hundred and seventy cubic inches can be thrown out of the lungs by a for- cible expiration, and that there remain in the lungs two hun- dred and twenty cubic inches ; so that these organs, in their quiescent state, may be considered as containing about three hundred and ninety cubic inches of air, or more than a gallon. 484. Respiration is more frequent in females and children than in adult men. In diseases, particularly tliose of the lungs, it is more increased in frequency than the action of the heart. In health, the smallest number of mspirations in a minute by an adult, is not less than fourteen, and they rarely exceed twenty-five. Eighteen may be considered an average number. The quantity of oxygen taken into the lungs at each inspiration is about eight cubic inches, one half of which disappears in every act of respiration. Observation. Under different circumstances, however, the consumption of oxygen varies. It is greater when the tem- perature is low, than when it is high ; and during digestion, the consumption has been found one half greater than when the stomach was empty. 483. Can it be ascertainfid with accuracy how much air is taken into the lungs at each inspiration ? Why not ? What is the probable quantity that an ordinary sized man inspires ? How much can be thrown out of the langs at a forcible expiration, and how much remains in the lungs ' From these calculations, how much may they contain in their quiescent state ! 484. In whom is respiration most frequent ? How in disease ? How in health? How many may be considered an average number? When is the consumption of oxygen the greatest i PHYSIOLOGY OF TUB RESPIRATORY ORQANS. 223 485. Dr. Southwood Smith has lately performed a series of very interesting experiments, from which he deduces the following general results : " 1st. The volume of air ordinarily present in the lungs is about twelve pints. 2d. The volume of air received by the lungs at an ordinary inspiration is one pint. 3d. The volume of air expelled from the lungs at an ordinary expiration, is a little less than one pint. 4th. Of the volume of air received by the lungs at one inspiration, only one fourth part is decomposed at one action of the heart. 5th. The quantity of blood that flows to the lungs, to be acted upon by the air at one action of the heart, is two ounces, and this is acted on in less than one second of time. 6th. The quantity of blood in the whole body of the human adult, is twenty-five pounds avoirdupois, or twenty pints. 7th. In the mutual action that takes place between the air and blood, every twenty-four hours, the air loses thirty-seven ounces of oxygen, and the blood fourteen ounces of carbon." 486. Apparently, atmospheric air is a simple element. But chemical analysis shows its composition to be oxygen and nitrogen, in the proportion of fwenty-one parts of the former, and about seventy-nine of the latter. In addition, there is a small amount of vapor of water and cabonic acid. The pros- suie of this invisible, ekistic fluid upon the body of an ordinary sized adult, is estimated to equal thirty-five thousand pounds. 487. The principal substance of a vitiated character in the dark-colored blood is carbonic acid. And since there is no chemical aflSnity between the oxygen and nitrogen of the air, the former readily unites with some of the elements of the blood. Hence, whenever blood is presented to the 485. State the Ist, 2d, 3A, and 4th deductions from the experiments of Di. Southwood Smith. The 5th, 6th, and 7th. 486. Of what is atmospheric air composed ? What is the weight of air upon a common si^ed man 7 487. What is the principal substance of a vitiated character in the darlt-colored olood ? What is said of the chemical affinity between oxygen nnd nitrogen I 224 ANATOMY, PhVblOLOGY, AND HVGIENB. air in the lungs, the oxygen leaves the nitrogen, and becomes mixpd with the circulating fluid. (Appendix J.) 488. Again, carbonic acid and water have a stronger affinity for atmospheric air than for the other elements of the blood. Consequently, when they are brought into contact with the air in the lungs, the carbonic acid and water leave the other constituents of the blood, and unite with the air. In this way the bluish, or impure blood is relieved of- its impu- rities, and becomes the red, or pure blood, which contains the principles so essential to life. (Appendix K.) 489. The formation of carbonic acid and water, eliminated from the system through the lungs and skin, is explained by the following theory: In the lungs and upon the skin the oxygen separates from the nitrogen and unites with the blood in the capillary vessels of these organs. The oxygen is con- veyed with the blood to the capillary arteries and veins of the diflerent tissues of the system. In these membranes there is a chemical union of the oxygen with the carbon and hydrogen rontained in the blood and waste atoms of the system. This combustion, or union of oxygen- with carbon and hydrogen, is attended with the disengagement of heat, auid Jie formation of carbonic acid and water. (Appendix L.) 490. The following experiment will illustrate the passage of fluids through membranes, and the different affinity of gases for each other. Put a mixture of water and alcohol into a phial and leave it uncorked. Both tlie water and alcohol have a greater affinity for air than for each other. Alcohol has a greater affinity for the air, and will be diffused through it more readily than the water, when tliere is no intervening obstacle. But tie a piece of bladder over the mouth of the phial, and let it stand a few days, — the water 488. What is formed when oxygen unites with carbon or hydrogen 1 489. Give the theory Cor the formation of carbonic acid and watery vapor thrown out of the system. 490. Illustrate the passage of fluids through membranes, and the different affinities of gases. PHYSIOLOGY OF THE RESPIKATOEY OKSANS. 225 will leave the alcohol, and pass through the membrane. By ihe aid of this experiment, we shall endeavor to explain the interchange of fluids in the lungs. 491. The walls of the air-vesicles, and coats of the blood- vessels, are similar, in their mechanical arrangement, to the membranous bladder in the before described experiment. As the oxygen of the air has greater affinity for blood than for nitrogen,- so it permeates the membranes that intervene be- tween the air and blood more readily than the nitrogen. As the carbonic acid and water have a greater affinity for air than for the other elements of the blood, so they will also pass through the walls of the blood-vessels and air-cells more readily than the other elements of the dark-colored blood. Fig, Pig. 98. I, A bronchia) "ibe divided into tliree brandies. 2, a, 2, Air-cells. b. Branches of the pulmonary artery, that spread over the air-cells. Through the pulmonary; artery the dark, impure blood is carried, to the air-cells of the lungs. 4, Branches' of the pulmonary vein, that commence at the minute terminations of the pulmonary artery. Through the pulmonary vein the red blood is returned to the heart. 492. As the impure blood is passing in the minute vessels over the air-cells, the oxygen passes through the thin coats of the air-cells and blood-vessels, and unites with the blood. At the same time, the carbonic acid and water leave the blood, and pass through the coats of the blood-vessels and air-cells, and mix with the air in the cells. These are thrown out of the system every time we breathe. This interchange of products produces the change in the color of the blood. Explain fig. 9S. 492. How and where is the blood changed? 226 ANATOMy, PHYSIOLOGY, AND HYGIENE. Experiment. Fill a bladder with dark blood drawn from any animal. Tie the bladder closely, and suspend it in the air. In a few hours, the blood next the membrane will have become of a bright red color. This is owing to the oxygen from the air passing through the bladder, and unitmg with the blood, while the carbonic acid has escaped through the membrane. Fig. 99. >3. Fig. 99. An ideal view of the pulmonary circulation. 1, 1, The right Inng. e, a, The left lung. 3, The trachea. 4, The right bronchial tube. S, The left bronchial tiibtt. 6, 6, 6, 6, Air-cells. 7, The right auricle. 8, The right veutride. 9, The tricu.spid valves. 10, The pulmonary artery. 11, The branch to the right lung. 12, Ttie branch to the left lung. 13, The right pulmonary vein. 14, The left pulmonary vein. 15. The left auricle. IG, The left ventricle. 17, The Eoltral valves. 493. The presence of carbonic acid and watery vapor in the expired air, can be proved by the following experiments : nivo the experiment showing that oxygon changes the dark-colored bloorl to ft bright rod color. What is represented by fig. 99 ? 493. How can the pro.'ence of carbonic ncirt in Ihe lungs he proved? PHYSIOLOGY OF THE RESPIRATORY ORGANS. 227 1st. Breathe into lime-water, and in a few minutes it will become of a milk-white color. This is owing to the carbonic acid of the breath uniting with the lime, forming the car- bonate of lime. 2d. Breathe upon a cold, dry mirror for a few minutes, and it will be covered with moisture. This is condensed vapor from the lungs. In warm weather, this watery vapor is invisible in the expired air, but in a cold, dry morning in winter, the successive jets of vapor issuing from the mouth and nose are sufficiently obvious. 494. From the lungs are eliminated other impurities be- side carbonic acid, the perceptible quality of which is various in different persons. The offensive breath of many persons may be caused by decayed teeth, or the particles of food that may be retained between them, but it often proceeds from the secretion, in the lungs, of certain substances which previously existed in the system. Illustration. When spirituous liquors are taken into the stomach, they are absorbed by the veins and mixed with the dark-colored blood, in which they are carried fe the lungs to be expelled from the body. This will explain the fact, which is familiar to most persons, that the odor of different sub- stances is perceptible in the breath, or expired air, long after the mouth is free from these substances. How the watery vapor ? 494. Are there other excretions from the lungs ? Give the illustration. Note. Let the anatomy and physiology of the respiratory organs be reviewed from iigs. 96, 97, and 99, or from anatomical outline plates Nos. 5 and 7- 228 ANATOMY, I'lIYSIOLOGY, ANU HYGIENE. CHAPTER XXV. HYGIENE OF THE RESPIRATORY ORGANS. 495. For man to enjoy the highest degree of health, it is necessary that the impure " venous " blood be properly changed. As this is effected in the lungs by the action of the air, it follows that this element, when breathed, should bo ])ure, or contain twenty-one per cent, of oxygen to about seventy-nine per cent, of nitrogen. 496. The volume of air expelled from the lungs is some- what less than that which is inspired. The amount of loss varies under different circumstances. An eightieth part of the volume taken into the lungs, or half a cubic inch, may be considered an average estimate. 497. The quality and purity of the air is affected hy every respiration. 1st. The quantity of oxygen is diminished. '2d. ThB amount of carbonic acid is increased. 3d. A certain proportion of watery vapor is ejected from the lungs in the expired air. Of the twenty-one parts of oxygen in the inspired air, only eighteen parts are expired, while the car- bonic acid and watery vapor are increased about four per cent. The quantity of nitrogen is nearly the same in the expired as in the inspired air. Obseruation. It is now fully ascertained that while the chemical composition of the blood is essentially changed, ita 495—^46. Give the hygiene of the respiratory oiyatis. 495. "Wliat is necessary that man enjoy the highest degree of health ? 496. How docs the volume of expired air compare with that which was inspired ? Does Ihis loss vary, and what is an average estimate f 497. How is the purity of the air affected by respiration ? How is the inhaled oxygen afTected ? What effect on the carbonic acid and watery vapor ? On the nitrogen ? What is said respeoting the weight of the blood ? HYGIEIiE OF THE RESPIRATORY ORGANS. ^29 weigbt remains the same, as the carbon and hydrogen dis- charged are equal to the united weight (Jf the oxygen and nijrog6n absorbed. 498. If one fourth part of the volume of air received by the lungs at one inspiration is decomposed at one " beat " of the heart, it might be supposed that if the expired air be again received into the lungs, one half of the oxygen would be consumed, and, in a similar ratio, if re-breajhed four times, all the oxygen would be consumed. But it does not follow, if the air is thus re-breathed, that the same changes will be effected in the lungs. For air that has been inspired does not part with its remaining oxygen, as freely as when it con- tains the proper amount of this life-giving element, and thus the changes in the impure blood are not so completely effected. Illustration. In the process of dyeing, each successive article immersed in the dye weakens it ; but it does not follow that the dye each time is affected in the same degree, or that the coloring matter by repeated immersions can be wholly extracted. The same principle applies to the exchange of oxygen and carbonic acid gas in the lungs. 499. If the inspired air is free from moisture and carhonie acid, these substances contained in the Hood will he more readily imparted to it. When the air is loaded with vapor, they are removed more slowly ; but if it is saturated with moisture, no vapor will escape from the blood through the agency of the lungs. This may be illustrated by the following experiment : Take two and a half pounds of water, add to it half a pound of common salt, (chloride of sodium,) and it will readily mix with the water ; and to this solution add the same quantity of salt, and it will be dissolved more slowly. Again, add more salt', and it will remain undissolved, as the water has become saturated by the pound before dissolved. 498. Does air that is re-breathed freely impart its oxygen? Why? 499 What is the effect on the blood when the air is free from vapor and carbonic aeid? When loaded with vapor? When saturated ? How is this illffetratcd ? 20 230 ANATOMY, PHYSIOLOGY, AND HYGIENE. 500. The principle in this experiment is analogous to that of the union between carbonic gas and atmospheric air. Allen and Pepy showed by experiment, that air which had been once breathed, contained eight and a half per cent, of carbonic acid. They likewise showed, that no continuance of the respiration of the same air could make it take up more than ten per cent. This is the point of saturation. Experiment. Sink a glass jar that has a stop-cock, or one with a glass stopper, into a pail of water, until the air is expelled from the jar. Fill the lungs with air, and retain it in the chest a short time, and then bre^athe into the jar, and instantly close the stop-cock. Close the opening of the jar that is under the water with a piece of paper laid on a plate of sufficient size to cover the opening, invert the jar, and sink into it a lighted candle. The flame will be extinguished as quickly as if put in water.* Remove the carbonic acid by inverting the jar, and place a lighted candle in it, and the flame will be as clear as when out of the jar. Ohservations. 1st. It is familiarly known that a taper will not burn where carbonic acid exists in any considerable quantity, or when there is a marked deficiency of oxygen. From this originated the judicious practice of sinking a lighted candle into a well or pit before descending into it. If the flame is extinguished, respiration cannot there be maintained, and life would be sacrificed should a person venture in, until the noxious air is removed. 2d. It is the action of carbonic acid upon the respiratoiy * Ab a subslitute for a jar with a stop-oock, take a piece of lead pipe bent in the form of a siphon, and insert it in the mouth of a reversed jar. This experiment is ns conclusive whether the air is inlialed once only or breathed many times. 600. What did the experiments of Allen and Pepy show? How can the presence of carbonic gas in the expired air be demonstrated ? State observation Int. Ohservntion 2d. HYGIENE OF THE RESPIRATORY ORGANS. 231 organs that gives rise to a phenomenon frequently seen in mines and caves. A man may enter these subterranean rooms, and feel no inconvenience in breathing; but the dog that follows him, falls apparently dead, and soon dies if not speedily removed to pure air. This arises from the fact that this gas is heavier than air, and sinks to the bottom of the room or cave. 3d. While it is true that carbonic acid possesses properties that render it unfit to be breathed, it is, notwithstanding, productive of very agreeable effects, when conveyed into the stomach. It forms the sparkling property of mineral waters, and fills the bubbles that rise when beer or cider is fermenting. 501. Pure atmospheric air is best adapted to a healthy action of the system. As the air cannot be maintained pure under all circumstances, the question may be asked, To what degree may the air be vitiated and still sustain life .' and what is the smallest quantity of pure air a person needs each minute to maintain good health ? Birnan says, that air which contains more than three and a half per cent, of carbonic acid is unfit for respiration, and, as air once respired contains eight and a half per cent, of carbonic acid, it clearly shows that it is not fitted to be breathed again. 502. No physiologist pretends that less than seven cubic feet of air are adequate for a man ,to breathe each minute, while Dr. Reid 'allows ten feet. The necessity of fifteen or twenty times the amount of air actually taken into the lungs, arises from the circumstance, that the expired air mixes with and vitiates the surrounding element that has not been inhaled. 503. The quantity of air which different persons actually CbserTation 3d. 501. What questions may be asked respecting the inspired air ? Give the remark of Birnan. 602. How many cubic feet of air are adequate for a man to breathe each minute? How much does Dr. Reid allow ? 503. Mention some reasons why different persons do not require the Siime amount of air. 232 ANATOMY, PHYSIOLOGY, AND HYGIENE. need, varies. The demand is modified by the size, age, habits, and condition of the body. A person of great size who . has a large quantity of blood, requires more air than a small man with a less amount of circulating fluid. Individuals whose labor is active, require more air than sedentary or idle persons, because the waste of the system is greater. On the same principle, the gormandizer needs more of this element than the person of abstemious habits. So does the growing lad require more air than an adult of the same weight, for the reason that he consumes more food than a person of mature years. Habit also exerts a controlling influence. A ' man who works in the open air suffers more when placed in a small, unventilated room, than one who is accustomed to breathe the confined air of workshops. 504. Air, in which lamps will not hum with hrilliancy, is unfitted for respiration. In crowded _rooms, which are not ventilated, the air is vitiated, not only by the abstraction of oxygen and the deposition of carbonic acid, but by the excre- tions from the skin and lungs of the audience. The lamps, under such circumstances, emit but a feeble light. Let tlie oxygen gas be more and more expended, and the lamps will burn more and more feebly, until they are extinguished. Illustrations. 1st. The effects of breathing tlie same air again and again, are well illustrated by an incident that occurred in one of our Jialls of learning. A large audience had assembled in an ill-ventilated room, to lis!en to a lecture ; soon the lamps burned so dimly that the speaker and audience were nearly enveloped in darkness. The oppression, diz- ziness, and faintness experienced by many of the audience, induced them to leave, and in a few minutes after, the lamps were observed to rekin lie, owing to the exchange of pure air on opening the door. How is it with the laborer ? With the gormandizer f AVith the person that works in the open air ? 504. What effect has impure air on a burning lamp ? GiTO the illustration of the effects of impure air on lighted lamps. HYOIENE 01 THE RESPIUATORY ORGANS. 233 2d. In the "Black Hole of Calcutta," one hundred and forty-six Englishmen were shut up "in a room eighteen feet square, with only two small windows on the same side to admit air. On opening this dungeon, ten hours after their imprison- ment, only twenty-three were alive. The others had died from breathing impure air. 505. Air that has become impure from the abstraction of oxygen, an excess of carbonic acid, or the excretions from the lungs and skin, has a deleterious effect on the body. When this element is vitiated from the preceding causes, it prevents the proper arterialization, or change in the blood. For this reEison, pure air should be admitted freely and constantly into work-shops and dwelling-houses, and the vitiated air permitted to escape. This is of greater importance than the warming of these apartments. We can compensate for the deficiency of a stove, by an extra garment or an increased quantity of food ; but neither garment, exercise, nor food will compensate for pure air. 506. School-rooms should be ventilated. If they are not, the pupils will be restless, and complain of languor and head- ache. These unpleasant sensations are caused by a want of pure air, to give an adequate supply of oxygen to the lungs. When pupils breathe for a series of years such vitiated air, their life is undoubtedly shortened, by giving rise to consump- tion and other fatal diseases. Illustration. A school-room thirty feet square and eight feet high, contains 7200 cubic feet of air. This room will seat sixty pupils, and, allowing ten cubic feet of air to each pupil per minute, all the air in the room will be vitiated in twelve minutes. Observation. In all school-rooms where there is not ade- Of the effects of breathing impure air. 505. In preserving healtn, what is of greater importance than warming the room f 506. Why should a school-ioom be ventilated ? Give the illustration. 20* 23-i ANATOMY, PHYSIOLOGY, AND HYGIENE. quale ventilation, it is advisable to have a recess of five or ten minutes each hour. During this time, let the pupils breathe fresh air, and open the doors and windows, so that the air of the room shall be completely changed. 507. Churches, concert halls, and all rooms designed for a collection of individuals, should be amply ventilated. While the architect and workmen are assiduous in giving these public rooms architectural beauty and splendor, by adorning the ceiling with Gothic tracery, rearing richly carved columns, and providing carefully for the warming of the room, it too frequently happens that no direct provision is made for the change of that element which gives us beauty, strength, and life. Illustration. A hall sixty feet by forty, and fifteen feet high, contains 36,000 cubic feet of air. A hall of this size will seat four hundred persons; by allowing ten cubic feet of air to each person per minute, the air of the room will be rendered unfit for respiration in nine minutes. 508. Railroad cars, cabins of steam and canal-boats, omni^ ^ buses, and stage-coaches, require ample ventilation. In the construction of these public conveyances, too frequently, the only apparent design is, \o seat the greatest number of persons, regardless of the quantity and character of the air to maintain health and even life. The character of the air is only realized when, from the fresh, pure air, we enter a crowded cabin of a boat or a closed coach ; then the vitiated air from animal excretions and noxious gases is offensive, and frequently pro- duces sickness. 509. The influence of habit is strikingly expressed by Birnan, in the " Art of Warming and Ventilating Rooms : " " Not the least remarkable example of the power of habit is What suggestion when a school-room is not ventilated ? 507, What is said in regard to ventilating churches, concert halls, &c. ? State the illustration. 508. What remarks relative to public conveyances ? 509. State the influence of habit by Birnan. HYGIENE OF THE RESPIRATORY ORGANS. 285 its reconciling us to practices which, but for its influence, would be considered noxious and disgusting. We instihclively shun approach to the dirty, the scjualid, and the diseased, and use no garment that may have been worn by another. We open sewers for matters that offend the sight or the smell, and contaminate the air. We carefully remove impurities from what we eat and drink, filter turbid water, and fastidiously avoid drinking from a cup that may have been pressed to the lips of a friend. On the other hand, we resort to places of assembly, and draw into our mouths air loaded with effluvia from the lungs, skin, and clothing of every iadividual in the promiscuous crowd — exhalations offensive, to a certain extent, from the most healthy individuals ; but when arising from a living mass of skin and lungs, in all stages of evaporation, disease, and putridity, — prevented by the walls and ceiling from escaping, — they are, when thus concentrated, in the highest degree deleterious and loathsome." 510. The sleeping-room should he so ventilated that the air in the morning will he as pure as when retiring to rest in the evening. Ventilation of the room would prevent morning headaches, the want of appetite, and languor — so common among the feeble. The impure air of sleeping-rooms proba- bly causes more deaths than intemperance. Look around the country, and those who are most exposed, who live in huts but little superior to the sheds that shelter the farmer's flocks, are found to be the most healthy and robust. Headaches, liver complaints, coughs, and a multitude of nervous affections, are almost unknown to them ; not so with those who spend their days and nights in rooms in which the sashes of the windows are calked, or perchance doubled, to prevent the keen but healthy air of winter from, entering their apartments. Disease and suffering are their constant companions. 610. What is said of the ventilation of sleeping-rooms ? What would adequate ventilation prevent ? Give a common observation. 236 ANATOMY, PHYSIOLOGY, AND HYGIENE. Illustration. By many, sleeping apartments twelve feet sqiiare tind seven feet high, are considered spacious for two persons, and good accomntodations for four to lodge in. An apartnient of this size contains 1008 cubic feet of air. Al- lowing ten cubic feet to each person per minute, two occupants would vitiate the air of the room in fifty minutes, and four in twenty-five minutes. When lodging-rooms are not ventilated, we would strongly recommend early rising. 511. The sick-room, particularly, should he so arranged that the impure air may escape, and pure air he constantly ad- milted into the room. It is no unusual practice in some com- munities, when a child or an adult is sick of an acute disease, to prevent the ingress of pure air, simply from the apprehen- sion of the attendants, that the patient will contract a cold. Again, the prevalent custom of several individuals sitting in the sick-room, particularly when they remain there for several hours, tends to vitiate the air, and, consequently, to increase the suffering and danger of the sick person. In fevers or inflammatory diseases of any kind, let the patient breathe pure air ; for the purer the blood, the greater the power of the system to remove disease, and the less the liability to con- tract colds. Olservation. Among children, convulsions, or " fits," usu- ally occur when they are sleeping. In many instances, these are produced by the impure air which is breathed. To pre- vent these alarming and distressing convulsions, the sleeping- room should be ventilated, and there should be no curtains around the bed, or coverings over the face, as they produce an effect similar to that experienced when sleeping in a small, unventilated room. To relieve a child when convulsed, carry it into the open air. 512. While occupying a room, we are insensihle of the AVlat is said of the size of sloeping-rooms 7 511. What is said of the siok-rootu ? Mention some provailing customs in reference to these rooms. What is said of convulsions among children ? HYGIENE OF THE EESPIKATORY OUGANS. 237 idual vitiation of the air. This is the resuh of the dimin- 3d sensibility of the nervous system, and gradual adaptation the organs to blood of a less stimulating character. This idition is well illustrated in the hibernating animals. We insensible of the impure air of unventilated sleeping- rooms, il we leave them for a walk or ride. If they have been sed, we are made sensible of the character of the air as n as we reenter them, for the system has regained its usual sibility while inhaling a purer atmosphere. 313. In the construction of every inhabited room, there mid he adequate means of ventilation, as well as warming. room is well ventilated, unless as much pure air is brought 3 it as the occupants vitiate at every respiration. This can effected by making an aperture in the ceiling of the room, by constructing a ventilating flue in the chimney. This luld be in contact with the flues for the escape of smoke, ; separated from them by a thin brick partition. The hot in the smoke flues will warm the separating brick partition, 1 consequently rarefy the air in the ventilating flue. Com- nication from every room in a house should be had to such 3s. The draught of air can be regulated by well-adjusted ;isters, which in large rooms should be placed near the floor well as near the ceiling. )14. While provision is made for the escape of rarefied pure air, we should also provide means by which pure air y be constantly admitted into the room, as the crevices of doors and windows are not always su$cient ; and, if they mid be adequate, air can be introduced in a more conven- t, economical, and appropriate manner. There should be aperture opposite the ventilating flue, at or near the floor, connect with the outer walls of the building or external air. 12. Why are we insensible to the gradual vitiation of the air of an «n- tilated room ? 613. What is very important in the building of every abited room ? How can a room be well ventilated f 514. What is said- itive to a communication with the external air ? 238 ANATOMY, PHYSIOLOGY, AND HYGIENE. But if pure heated air is introduced into the room, it obviates the necessity of the introduction of the external air.* . 515. In warming rooms, the hot air furnaces, or box and air-tight stoves converted into hot air furnaces, should be used in preference to the ordinary stoves. The air thus intro- duced into the room is pure as well as warm. In the adapta- tion of furnaces to dwelling-houses, &c., it is necessary that the air should pass over an ample surface of iron moderately heated ; as a red heat abstracts the oxygen from the contigu- ous air, and thus renders it unfit to be respired.t Observation. Domestic animals need a supply of pure air as well as man. The cows of cities, that breathe a vitiated air, have, very generally, tubercles. Sheep that are shut in a confined air, die of a disease called the " rot," which is of a turberculous character. Interest and humanity require that the buildings fgr animals be properly ventilated. • Mr. Frederick Emerson, of Boston, has devised a simple and effective apparatus for removing vitiated air from a room. It is suc- cessfully used upon all the public school-houses of Boston. It is now being generally applied to the school-houses and other public build- ings, as well as private dwellings, of New England. t Dr. Wyman's valuable work on " Ventilation," and the work of Henry Barnard.Eaq., on "School-house architecture," can be advanta- geously consulted, as they give the practical methods of ventilating and warming shops, school-rooms, dwelling-houses, public halls, &o. 615. How should rooms be warmed ? What is necessary in the adapta- tion of furnaces to dwelling-houses ? HYGIENE OF THE RESPIRATORY ORGANS. 239 CHAPTER XXVI. HYGIENE OP THE UESPIEATORY OE.OANS, CONTINUED. 516. The change that is effected in the hlood while passing through the lungs, not only depends upon the purity of the air, but the amount inspired. The quantity varies according to the size of the chest, and the movement of the ribs and diaphragm. 517. The size of the chest and lungs can be reduced by moderate and continued pressure. This is most easily done in infancy, when the cartilages and ribs are very pliant ; yet it can be effected at more advanced periods of life, even after the chest is fully developed. For want of knowledge of the pliant character of the cartilages and ribs in infants, too many mothers, unintentionally, contract their chests, and thus sow the seeds of disease by the close dressing of their offspring. 518. If slight but steady pressure be continued from day to day and from week to week, the ribs will continue to yield more and more, and after the expiration of a few months, the chest will become diminished in size. This will be effected without any suffering of a marked character, but the general health and strength will be impaired. It is not the violent and epheriieral pressure, but the moderate and protracted, that produces the miscalled, " genteel," con- tracted chests. 519. The style of dress which at the present day is almost universal, is a prolific cause of this deformity. These bane- 516. What varies the amount of air received into the lungs ? 617. How- can the size of the chest be diminished ? When is this most easily effected ? 618. How are the miscalled "genteel," contracted chests usually produced? 519. What is said of the style of the dress at the present day ? 240 ANATOMY, PHYSIOLOGY, AND HYGIENE. ful fashions are copied from the periodicals, so widely cir- culated, containing a "fashion plate of the latest fasWions, from Paris." In every instance, the contracted, deformed, and, as it is called, lady-like waist, is portrayed in all its fascinating loveliness. These periodicals are found on almost every centre-table, and exercise an influence almost omnip- otent. If the plates which corrupt the morals are excluded by civil legislation, with the same propriety ought not those to be suppressed that have a tendency so adverse to health ' I'ig. 100. Fig. 101. Fig. 100. A correct outline of the Venus de Medici, the («ni ideal of female eymmetry. Fig. 101. An outline of a well-corseted^ modem beauty. One has nn artificial, insect waist ; the otlier, a natural waist. One baa sloping slioulders, wtiile the shoulders of the other are comparatively elevated, square, and angular. The proportion of the corseted female below the waist, is also a departure from the symmetry of nature. Observations. 1st. The Chinese, by compressing the foet of female children, prevent their growth; so that the foot of a What does flg. 100 represent? Fig. 101 ? Give observation 1st. HYGIENE OF THE RESPIRATORY ORGANS. 241 Chinese belle is not larger than the foot of an American girl of five years. 2d. The American women compress their chests, to prevent their growth ; so that the chest of an American belle is not larger than the chest of a Chinese girl of five years. Which country, in this respect, exhibits the greater intelligence .' 3d. The chest can be deformed by making the linings of the waists of the dresses tight, as well as by corsets. Tight vests, upon the same principle, are also injurious. 520. In children, who have never worn close garments, the circumference of the chest is generally about equal to that of the body at the hips ; and similar proportions would exist through life, if there were no improper pressure of the clothing. This is true of the laboring women of the Emerald Isle, and other countries of Europe, and in the Indian female, whose blanket allows the free expansion of the chest. The symmetrical statues of ancient sculptors bear little resem blance to the " beau ideal " of American notions of elegant form. This perverted taste is in opposition to the laws of •nature. The design of the human chest is not simply to connect the upper and lower portions of the body, like some insects, but to form a case for the protection of the vital organs. 521. Individuals may have small chests from birth. This, to the particular individual, is natural ; yet it is adverse to the great and general law of Nature relative to the size of the human chest. Like produces like, is a general law of the animal and vegetable kingdoms. No fact is better estab- lished, than that which proves the hereditary transmission Observation 2d. Obaervation 3d. fi20. What is the size of the chest of a child that has always worn loose clothing ? What is said of the size ot the laboring women of Ireland, and the Indian female? How is it in ancient statues ? What is the design of the chest ? fi21 . What is a gen- eral law of both the animal and vegetable kingdoms ? What fact in this connection is well established ? 21 2'12 ANATOMY, PHYSIOLOGY, AND HYGIENE. from parents to children of a constitutional liability to disease ; and the same may be said in regard to their conformations. If the mother has a small, taper waist, either hereditary or acquired, this form may be impressed on her offspring ; — thus illustrating the truthfulness of scripture, " that the sins of the parents shall be visited upon the children unto the third and fourth generation." 522. The quantity of air inhaled is modified by the capa- city of the respiratory organs. The necessity of voluminous lungs may be elucidated by the following experiment : Sup- pose a gill of alcohol, mixed with a gill of water, be put into a vessel having a square foot of surface, and over the vessel a membrane be tied, and that the water will evaporate in twenty-four hours. If the surface had been only six inches square, only one fourth of the water woald have evaporated through the membrane in the given time. If the surface had been extended to two square feet, the water would have evap- orated in twelve hours. 523. Apply this principle to the lungs : suppose there are two hundred feet of carbonic acid to be carried out of the system every twenty-four hours. This gas, in that time,, will pass through a vesicular membrane of two thousand square feet. If the lungs were diminished in size, so that there would be only one thousand square feet of vesicular membrane, the amount of carbonic acid would not, and could not, be eliminated from the system. Under such circumstances, the blood would not be purified. 524. Again ; suppose the two thousand square feet of membrane would transmit two hundred cubic feet of oxygen into the system every twenty-four hours. If it should be diminished one half, this amount of oxygen would not pass into the blood. From the above illustrations we may learn What does this hereditary transmission prove? 522. How is the necessity of voluminous lungs illustrated ? 623 How is this priiK:iple applied to the interchange of products in the lungs ? HYGIENE OF THE EESPIEATOHY ORGANS. 243 the importance of well-developed chests and voluminous lungs ; for, by increasing the size of the lungs, the oxygen is more abundantly supplied to the blood, and this fluid is more perfectly deprived of its carbon and hydrogen. 525. The chest is not only most expanded at its lower part, but the portion of the lungs that occupies this space of the thoracic cavity contains the greater part of the air-cells ; and, from the lower two thirds of the lungs the greatest amount of carbonic acid is abstracted from the blood, and the greatest amount of oxygen gas is conveyed into the cir- culating fluid. Hence, contracting the lower ribs is far more injurious to the health than diminishing the size of the upper part of the chest. 526. The question is often .asked. Can the size of the chest and the volume of the lungs be increased, when they have been injudiciously compressed, or have inherited this un- natural form ? The answer is in the affirmative. The means for attaining this end are, a judicious exercise of the lungs, by walking in the open air, reading aloud, singing, sitting erect, and fully inflating the lungs at each act of inspiration. If the exercise be properly managed and persevered m, it will expand the chest, and give tone and health to the important organs contained in it. But, if the exercise be ill-timed or carried to excess, the beneficial results sought will probably not be attained. Observation. Scholars, and persons who sit much of the time, should frequently, during the day, breathe full and deep, so that the smallest air-cells may be fully filled with air. While, exercising the lungs, the shoulders should be thrown back and the head held erect. 527. The movement _of the ribs and diaphragm is modified hy the dress. When the lungs are properly filled with air, 625. Why is it more injurious to contract the 1 ower part of the chest than the upper ? 526. How can the size of the chest be increased when it is contracted? Give the observation. 527. How is the movement of the ribs and diaphragm modified ? 241 ANATOMY, PHYSIOLOGY, AND HYGIENE. the chest is enlarged in every direction. If any article of apparel is worn so tight as to prevent the full expansion of tlie chest and abdomen, the lungs, in consequence, do not receive air sufficient to purify the blood. The effect of firm, unyielding clothing, when worn tight, in preventing a due supply of air to the lungs, may be shown by the following illustration. Illustration. If the diameter of a circle is three feet, the circumference will be nine feet. If the diameter is extended to four feet, the circumference will be increased to twelve feet. Should a tight band be thrown around a circle of nine feet, its diameter cannot be increased, for the circumference cannot be enlarged. 528. Any inelastic band, drawn closely around the lower part of the chest, or the abdomen, below the ribs, operates like the band in the preceding illustration, in restricting the movement of the ribs. When any article of dress encircles either the chest or abdomen, so as to prevent an increase of its circumference, it has an injudicious tendency, as it pre- vents the introduction of air in sufficient quantities to purify the blood. The question is not. How much restriction of the respiratory movements can be endured, and life con- tinue ? but. Does any part of the apparel restrict the move- ments ? If it does, it is a violation of the organic laws ; and though Nature is profuse in her expenditures, yet sooner or later, she sums up her account. 529. In determining whether the appsirel is worn too tight, mflate the lungs, and, if no pressure is felt, no injurious effects need be apprehended from this cause. In testing the tight- ness of the dress, some persons will contract to the utmost the Bibdominal muscles, and thus diminish the size of the How is the effect of unyielding olotbing, when worn tight, illustrated? 628. What effect has an inelastic band upon the lower part of the chest? What question is asked ? 529. How can we determine whether the apparel is worn too tight ? HYGIENE OF THE RESPIRATORY ORGANS. 245 chest, by depressing the ribs ; wlien this is done, the in- dividual exclaims, " How loose my dress is ! " This practice is both deceptive and ludicrous. A good test is, to put the hand on the chest below the arm ; if there is no movement of the ribs during respiration, the apparel is too tight. The only reliable test, however, is a full inflation of the lungs. Oiservation. Many individuals do not realize the small amount of force that will prevent the enlargement of the chest. This can be demonstrated by drawing a piece of tape tightly around the lower part of the chest of a vigorous adult, and confining it with the thumb and finger. Then endeavor fully to inflate the lungs, and the movement of the ribs will be much restricted. 530. The position in standing and sitting influences the movement of the riis and diaphragm. When the shoulders are thrown back, and when a person stands or sits erect, the diaphragm and ribs have more freedom of motion, and the abdominal muscles act more efficiently ; thus the lungs have broader range of movement than when the shoulders incline forward, and the body is stooping. 531. Habit exercises an influence upon the range of the respiratory movements. A person who has been habituated to dress loosely, and whose inspirations are full and free, suffers more from the tightness of a vest or waistband, than one, the range of movements of whose chest has long been subjected to tight lacing. 532. Tlie condition of the brain exercises a great influence upon respiration. If the brain is diseased, or the mind depressed by grief, tormented by anxiety, or absorbed by abstract thought, the contractile energy of the diaphragm and GiTe another test. How can the amount of pressure necessary to pre- vent the enlargement of the chest be demonstrated ? 530. Show the effect of position on the movements of the ribs and diaphragm. 531. Show the effect of habit on the respiratory movements. 532. State the influence of the mind upon respiration.. 21 246 ANATOMY, PHYSIOLOGY, AND HYOIENE. muscles that elevate the ribs, is much diminished, and the lungs are not so fully inflated, as when the mind is influenced by joy or other exhilarating emotions. The depressing pas- sions likewise lessen the frequency of respiration. By the influence of these causes, the blood is but partially purified, and the whole system becomes enfeebled. Here we may see the admirable harmony between the different parts of the body, and the adaptation of all the functions to each other. 533. As the quantity of air inhaled at each unimpeded inspiration in lungs of ample size, is about forty cubic inches, it follows, if the movement of the ribs and diaphragm is restricted by an enfeebled action of the respiratory muscles, or by any other means, the blood will not be perfectly purified. In the experiment, (§ 522, 523,) suppose forty cubic inches of air must pass ove.r the membrane twenty times, every minute, and that this is the amount required to remove the vapor which arises from the membrane ; if only half of this amount of air be supplied each minute, only one half as much water will be removed from the alcohol through the membrane in twenty-four hours ; consequently, the alcohol would be impure from the water not bo'ing entirely removed. 534. Restrain the elevation of the ribs and depression of the diaphragm, so that the quantity of air conveyed into the lungs will be reduced to twenty cubic inches, when forty are needed, and the results will be as follows : Only one half of the carbonic acid will be eliminated from the system, and the blood will receive but one half as much oxygen as it requires. This fluid will then be imperfectly oxydated, and partially freed of its impurities. Tfte impure blood will be returned to ilie left side of the heart, and the whole system will suffer from an infringement of organic laws. 533. Illustrate the efifeot upon tho blood wbon the respiratory musoles are enfoobled in their action. 534. Show how the blood is imperfectly purified by restricting the movements of the ribs and diaphragm. HTGIKNE OF THE RESrmATORY ORGANS. 247 635. Scrofula, or consumption., frequently succeeds a de- pressed state of the nervous system. Tliese diseases arise from the deposition of tuberculous matter in different parts of the body. Those individuals who have met with reverses of fortune, in which character and property were lost, afford pain- ful examples. Hvmdreds yearly die from the effect of depressed spirits, caused by disappointed hopes, or disappointed ambi- tion. • Illustration. A striking instance of the effects of mental depression is related by Laennec. In a female religious establishment in France; great austerities were practised; the mind was absorbed in contemplating the terrible truths of religion, and in mortifying the flesh. The whole establish- ment, in the space of ten years, was several times depopu- lated — with the exception of the persons employed at the gate, in the kitchen, and garden — with that fatal disease, consumption. This institution did not long continue, but waa suppressed by order of the French government. 536. T7ie purity of the blood is influenced by the condition of the lungs. When the bronchial tubes and air-cells have become partially impervious to air, from pressure upon the lungs, from fluids in the chest, from tumors, or from the con- solidation of the cells and tubes from disease, — as inflam- mation, or the deposition of yellow, cheesy matter, called tubercles, — the blood will not be purified, even if the air is pure, the lungs voluminous, and the respiratory movements unrestricted, as the air cannot permeate the air-cells. Observations. 1st. The twenty-three who escaped imme- diate death in the Black Hole of Calcutta were soon attacked with inflammation of the lungs, by which these organs were 535. Mention some of the effects of mental depression upon the body. What is related by Laennec? 536. Does the condition of the lungs influ- ence the purity of the blood ? Mention some of the conditions that will impede the oxydation of blood in the lungs. What occurred to those per- sons who escaped death in the_BIaoli Hole of Calcutta? 248 ANATOMY, PHYSIOLOGY, AND HYGIENE. consolidated, and thus prevented the permeation of air into their cells. This disease of the lungs was caused by breath- ing vitiated air. 2d. One of the precursory symptoms of consumption is the feeble murmur of respiration in the upper part of the lungs. This condition of these organs is produced by, or frequently follows, mental depression, the breathing of impure air, the stooping position in standing or sitting, and the restriction of the movements of the ribs and diaphragm. 3d. Persons asphyxiated by carbonic acid, water, stran- gling, or any noxious air, after resuscitation, are usually affected with coughs and other diseases of the lungs. 537. Colds and coughs are generally induced by a chill, that produces a contraction of the blood-vessels of the skin ; and the waste material, which should be carried from the body by the agency of the vessels of this membrane, is retained in the system, and a great portion of it is returned to tlie mucous membrane of the lungs. For such is the harmony established by the Creator, that if the function of any portion of the body is deranged, those organs whose offices are similar take on an increased action. 538. The waste material, that should have passed through the many outlets of the skin, creates an unusual fulness of the minute vessels that nourish the mucous membrane of the bronchia ; this induces an irritation of these vessels, which increases the flow of blood to the nufrient arteries of the lungs. There is, also, a thickening of tlie lining membrane of tlie lungs, caused by the repletion of the bronchial vessels of the mucous membrane ; this impedes the passage of air through the small bronchial tubes, and consequently the air-vesicles What is one of the preouraory symptoms of consumption ? How is this condition frequently produood ? What diseases usually follow asphyxia by oarbonio aoid, water, strangling, Ao. ? 537. How are oolds generally in- duced ? 638. What effeot has a oommon oold upon the mucous membrane of the lungs? UYaiENB or THE RESPIRATORY ORGANS. 249 cannot impart a sufficient quantity of oxygen to purify the blood, and this fluid, imperfectly purified, does not pass with facility through the lungs. An additional obstacle to the free passage of air into the lungs, is the accumulation of blood in the pulmonary vessels. 539. As colds and coughs are very generally treated by the " matrons " of the community, or by the patient, the following suggestions may aid in directing a proper treatment : To effect a speedy cure, it is necessary to diminish the amount of fluid in the vessels of the lungs. This can be effected in two ways : 1st. By diminishing the quantity of blood in the sys- tem ; 2d. By diverting it from the lungs to the skin. The first condition can be easily and safely affected, hy abstaining from food, and drinking no more than a gill of fluid in twenty- four hours. As there is a continuous waste from the skin and other organs of the system, the quantity of blood by this procedure will be diminished, and the lungs relieved of the accumulated fluid. 540. The second condition can be accomplished by resort- ing to the warm or vapor bath. These and the common sweats will invite the blood from the lungs to the skin. By keeping up the action of the skin for a few hours, the lungs will be relieved. In some instances, emetics and cathartics are necessary ; mucilages, as gum arable or slippery-elm bark, would be good. After the system is relieved, the skin is more impressible to cold, and consequently requires care- ful protection by clothing. In good constitutions, the first method is preferable, and generally sufficient without any medicine or " sweating." 541. The method of resuscitating persons apparently drowned. In the first instance, it is necessary to press the chest, suddenly and forcibly, downward and backward, and 539. Give the first method for the treatment of cold. 540. The second method. 541, 542. How should persons apparently drowned be treated } 250 ANATOMY, PHVSIOLOGY, AND HYGIENE. instantly discontinue the pressure. Repeat this without inter- mission, until a pair of bellows can be procured. When the bellows are obtained, introduce the nozzle well upon the base of the tongue, and surround the mouth and nose with a towei or handkerchief, to close them. Let another person press upon the projecting part of the neck, called "Adam's apple," while air is introduced into the lungs through the bellows. Then press upon the chest, to force the air from the lungs, to imitate natural breathing. 542. Continue the use of the bellows, and forcing the air out of the chest, for an hour at least, unless signs of natural breathing come on. Wrap the body in warm, dry blankets, and place it near the fire, to preserve the natural warmth, as well as to impart artificial heat. Every thing, however, is secondary to filling the lungs with air. Avoid all friction until breathing is restored. Send immediately for medical aid. 543. The means of resuscitating persons asphyxiated front electricity, Sfc. In apparent death from electricity, (light- ning,) the person is frequently asphyxiated from pa-ral'y-sis (palsy) of the respiratory muscles. To recover such persons, resort to artificial respiration. In cases of apparent death from hanging or strangling, the knot should be untied or cut immediately ; then use artificial respiration, or breathing, as directed in apparent death from drowning. Observation. It is an impression, in many sections of the country, that the law will not allow the removal of the cord from the neck of a body found suspended, unless the coroner be present. It is therefore proper to say, that no such delay is necessary, and that no time should be lost in attempting to resuscitate the strangled person. 544. The method of resuscitating persons apparently dead from inhaling carbonic acid gas. When life is apparently 643. What treatment should be adopted in asphyxia from electricity ? From hanging ? 644. What should be the treatment in asphyxia from inhaling carbonic acid B;as ? HYGIENE OF THE RESPIRATORY ORGANS. 251 extinct from breathing carbonic acid gas, the person should be carried into the open air. The head and shoulders should be slightly elevated ; the face and chest should be sponged or sprinkled with cold water, or cold vinegar and water, while the limbs are wrapped in dry, warm blankets. In this, as in asphyxia from other causes, immediately resort to artificial respiration. Observations. 1st. Many persons have died from breathing carbonic acid that was formed by burning charcoal in an open pan or portable furnace, for the purpose of warming their sleeping- rooms. This is not only produced by burning char- coal, but is evolved from the live coals of a wood fire ; and being heavier than air, it settles on the floor of the room ; and, if there is no open door or chimney-draught, it will accumu- late, and, rising above the head of an individual, will cause asphyxia or death. 2d. In resuscitating persons apparently dead from causes already mentioned, if a pair of bellows cannot be procured immediately, let their lungs be inflated by air expelled from the lungs of some person present. To have the expired air as pure as possible, the person should quickly inflate his lungs, and instantly expel the air into those of the asphyxiated person. Place the patient in pure air, admit attendants only into the apartment, and send for a physician vdthnut delay. What sad results frequently follow the burning of charcoal in a close room ? What suggestion in resuscitating asphyxiated persons ? 252 ANATOMY, PHYSIOLOGY, AND HYGIENE. CHAPTER XXVII. ANIMAL HEAT. 545. The true sources of animal heat, or calorification, are still imperfectly known. No hypothesis hsis, as yet, received the concurrent assent of physiologists. We see certain phe- nomena, but the ultimate causes are hidden from our view. Its regular production, to a certain degree, is essential both to animal and vegetable life. ■ 546. There is a tendency between bodies of different tem- perature to an equilibrium of heat. Thus, if we touch or approach a hot body, the heat, or caloric passes from that body to our organs of feeling, and gives the sensation of heat. On the contrary, when we touch a cold body, the heat passes from the hand to that body, and causes a sensation of cold. 547. The greater number of animals appear cold when we touch them ; and, indeed, the temperature of their bodies is not much above that of the atmosphere, and chEinges with it. In man, and other animals that approach him in their organization, it is otherwise. They have the faculty of pro- ducing a sufficient quantity of caloric to maintain their tem- peratures nearly at the same degree, under all atmospheric changes, and keep themselves warm. 548. Those animals whose proper heat is not very per- ceivable, are called coZd-blooded ; as most species of fishes, toads, snakes, turtles, and reptiles generally. Those animals 645 — S70. WfuU is said respecting animal heat f 645. Are the true sources of animal heat known? What do we see? 646. What is the tendency between bodies of different temperatures ? Give an explanation. 647. What is said of the temperature of animals ? 648. What is meant by oold-blooded luiimMls ? By warm-blooded animals ? ANIMAL HEAT. 253 which produce sufficient heat independently of the atmosphere surrounding them, are called warm-h\ooded ; as man, birds, quadrupeds?, &c. 549. The temperature of man is about 98°, (Fahrenheit's thermometer,) and that of some other animals is higher ; the temperature of birds, for example, is about 110°. It is ob- vious, that in most parts of the globe, the heat of the atmos- phere is, even in summer, less than that of the human body. In our latitude, the mercury rarely attains 98°, and sometimes it descends to several degrees below zero. 550. Captain Parry, with his ship's company, in his. voyage of discovery to the arctic regions, wintered in a climate where the mercury was at 40°, and sometimes at 55° below zero. Captain Back found it 70° below zera These were 72° and 102° below the freezing point, or about 200° beiow that of their own bodies, and still they were able to resist this low temperature, and escape being " frost-bitten." 551. Captain Lyon, who accompanied Captain Parry in his second -voyage to the northern regions, found the tempera- ture of an arctic fox to be 106°, while that of the atmosphere was 32° below zero ; making a difference between the tem- perature of the fox and that of the atmosphere, of 138°. Cap- tain Scoresby found the temperature of a whale, in the Arctic Ocean, to be 104°, or nearly "as high as that of other animals of the same kind in the region of the equator, while the tem- perature of the ice was as low as 32°, and the water was nearly as cold. These facts show what a strong counteract- ing energy ihere is in animals against the effects of cold. 552. On the other hand, it has been ascertained by numer- ous and well-conducted experiments, that the human body can 649. Whatia the temperature of the human body? Of birds ? How does the heat of the atmosphere in summer, in our latitude, compare \citb that of the human system ? 650. What is related of Captain Parry ? Of Captain Back ? 651. Of Captain Lyon ? Of Captain Scoresby ? What do these facts show ? 652. What has been ascertained on the other hand i 22 254 ANATOMY. PHYSIOLOGY, AND HYGIENE. be exposed, even for a length of time, to a very high tem- perature, witliout essentially elevating that of the body. Chan- trey, the sculptor, often entered the furnace, heated for drying his moulds, when the temperature indicated by the thermom- eter was 330°. Chaubert, the Fire-King, is said to have entered ovens when heated to 600°. In 1774, Sir Charles Blagden entered a room in which the mercury rose to 260°. lie remained eight minutes without suffering. 553. In order to render it certain that there was no fallacy, says Sir Charles Blagden, " in the degree of heat shown by the thermometer, but that the air breathed was capable of producing all tlie well-known effects of such a heat on inan- imate matter, I put some eggs and beefsteak upon a tin frame placed near the thermometer, and farther distant from the cockle than from the, wall of the room. In about twenty min- utes the eggs were taken out, roasted quite hard ; and in forty- seven minutes, the steak 'was not only dressed, but almost dry." 554. If a thermometer be placed under the tongue of a healthy person, in all climates and seasons the temperature will be found nearly the same. Sir Charles Blagden, " while in the heated room, breathed on a thermometer, and the mercury sank several degrees ; and when he expired forcibly, the air felt cool as it passed through the nostrils, though it was scorching hot when it entered them in inspiration." Observation. Did not the human body possess within itself the power of generating and removing heat, so as to maintain nearly an equality of temperature, the most fatal consequences would ensue. In northern latitudes, especially, in severe weather of winter, the blood would be converted into a solid What is related of Chantroy? Of Chaubort? Of Sir Charles Blagden? 663. Give Sir Charles's own statement. 554. What is said of the tem- perature of the human tongue ? Mention tho experiment by Sir Charles Blagden. What would be the effeot if the human system did not maintain an equality of temperature? ANIMAL HEAT. 255 mass ; and on the other hand, the fatty secretion, when sub- jeoted to equatorial heat, would become fluid, and life would be' extinguished. 555. To enable man, and other warm-blooded animals, to maintain this equilibrium of temperature under such extremes of heat and cold, naturally suggests two inquiries : 1st. By what organs is animal heat generated .? 2d. By what means is its uniformity maintained .' 556. The ancients had no well-arranged theory qn the sub- ject of animal heat. They believed that the chief object of respiration was to coot the blood, and that the heart was the great furnace where all the heat was generated. At a later period, Mayow, from his discoveries respecting respiration, asserted that the object of respiration was to produce heat, and denied that the blood was cooled in the lungs. 557. When it was discovered that, both in combustion and respiration, carbonic acid was produced and oxygen absorbed, it led Dr. Black to conclude that breathing was a kind of combustion by which all the heat of the body was produced. This theory was objected to, because, if all the heat was gen- erated in the lungs, like those parts of a stove in contact with the fuel, they would be at a higher temperature than those parts at a distance, which was known not to exist. 558. The next theory, and one which received the sanction of the scientific men of Europe, was proposed by Dr. Craw- ford. He agreed with Dr. Black that heat not only was generated in the lungs, but that thcarterial blood had a greater capacity for heat than the venous, and that this increase of capacity takes place, in the lungs. At the moment heat is generated, a portion of it, under the name of latent heat, is absorbed and conveyed to the different parts of the body, 555. What inquiries are naturally suggested ? 656. What was the theo- ry of the ancients ? What did Mayow assert at a later period ? 657. What was the theory of Dr. Black ? The objection f 558. What was the theory of Pr Crawford r 256 ANATOMY, PHYSIOLOGY, AND HYGIENE Wherever arterial blood is converted into venous, this latent heat is given out. But, unfortunately for this theory, Dr. Davy proved the capacity of both, for heat, to be nearly the same. 559. No one can doubt that respiration and animal heat are closely connected. Those animals whose respiratory apparatus is the most extended, have the highest temperature. An example is seen in birds, whose organs of respiration extend over a large part of the body, and their temperature is 12° above man ; while the respiratory apparatus of cold- blooded animals, as some kinds of fish, is imperfect, and only a small quantity of blood is subjected, at any time, to the effects of-respiration. 560. To understand the process by which heat is generated in the human system and in animals, it will be necessary to state : 1st. That the apparent heat of a body, as perceived by the touch, or as indicated by a thermometer, is not the measurement of heat contained in the body, or its capacity for heat. Illustration. If we mix one pound of wa^er, at the tempera- ture of 60°, with another pound at 91°, the resulting tempera- ture will be exactly the medium, or 75^°. But, if we mix a pound of water at 60° with a pound of quicksilver at 91°, the resulting temperature will be only 61°, because the capacity of water for heat is so much greater than that of quicksilver, that the heat which raised the quicksilver 31° will raise the water only 1°. 561. 2d. When the density and the arrangement of the atoms of a body are changed, its capacity to hold heat in a latent state is altered. If it will retain more, heat will be absorbed from contiguous and surrounding substances ; but, The objection ? 659. In what do all the physiologists of the present day concur ? How is it proved that respiration and animal heat are closely con- nected ? 660. What is said of the apparent heat of bodies ? How is this illustrated ? 661. What is the effect when the density and the arrange- ment of the atoms of a body are changed ? ANIMAL UEAT. 287 if its capacity for caloric is lessened, heat will be set free and given out to surrounding bodies. Illustrations. 1st. ice and salt, (muriate of soda,) when mixed, are converted into a fluid. In this state they will hold more heat than when solid. The heat necessary to produce this change is drawn from the surrounding medium, which is made proportionally colder by the loss of caloric imparted to the ice and salt. It is by this chemical process that " ice- cream " is made. 2d. On the other hand, mix water and sulphuric acid, (oil of vitriol,) of the temperature of 60°, and the mixture will become quite warm, and will freely impart its heat to sur- rounding and contiguous objects. 562. The same principle is exhibited, when oxygen unites with an inflammable body, as in the burning of wood, coal, oil, &c. In combustion, the oxygen of the atmosphere unites with carbon and hydrogen, and carbonic acid and water are produced This process, according to all the known laws of caloric, is attended with heat. The quantity of heat disengaged in combustion is always in proportion to the amount of carbon and hydrogen consumed ; thus a piece of wood weighing one pound, in burning slowly, would give out the same quantity of heat as a pound of shavings of the same wood, in burning rapidly. Upon these principles, the production of animal heat may be understood. 563. The food contains carbon and hydrogen. These exist in the chyle. The old and waste atoms of the body lilfewise contain the same elements. In the lungs the oxygen and nitrogen of the inspired air are separated. It is now supposed that the oxygen enters the capillary vessels of the Give thelst illustration. The 2d. 662. What changes take place when oxygen unites with an inflammable body ? To what is the quantity of heat proportionate in combustion? Give an example. 663. How are carbon and hydrogen supplied to the system ? How the oxygen ? Where does the oxygen mingle with the blood ? 22* 258 ANATOMY, PHYSIOLOGY, AND HYUIENE. lungs, and mingles with the blood, with which it is carried to the heart and thence to the nutrient capillary vessels of every part of the system. 564. In the capillary vessels, the oxygen of the arterial blood unites with the carbon and hj drogen which the refuse materials contain, and carbonic acid and water are formed. The combustion of carbon and hydrogen in the capillaries of every part of the system, (the lungs not excepted,) is attended with a disengagement of heat, and the carbonic acid and water are returned to the lungs in the dark-colored blood, and evolved from the system. 565: Sir Benjamin Brodie and some others have main- tained, that the heat of the system is generated exclusively by the influence of the brain and nerves. This theory is dis- carded by most physiologists ; yet it is true that the nervous system exercises a great influence over the action of the capillary vessels in the process of nutrition, secretion, and absorption. When these operations are most active, the change among the particles of matter of which the body is composed, is then greatest, and the generation of heat is increased in a corresponding degree. 566. The necessity of pure, red blood in the production of animal heat, is shown when the vessels that carry blood to a limb are ligated, or tied ; the part immediately becomes colder. The necessity of nervous influence is seen in the diminished temperature of a paralytic limb. 567. Our next inquiry is, By what means is the uniformity of temperature in the body maintained ? As there is a con- stant generation of heat iu the system, there would be an undue accumulation, — so much so as to cause disagreeable 564. "Where does it unite with the carbon and liydrogen contained in the body, and how is heat genoriitod ? 665. Wliat was tiie theory of Sir Ben- jamin Brodie? Is this theory in general disoiirdod? What is true of this theory ? 666. How is the neoessil y of puro, red blood and nervous action shown in the production of animal heat? ANIMAL HEAT. 259 sensations, — if there were no means by which it could be evolved from the body, or its production lessened. 568. It has been ascertained that the principal means by which the system is kepi at a uniform temperature, is the immense evaporation from the skin and lungs. These mem- branes, in an ordinary state, are constantly giving out water, which is converted into vapor, and carried off by the surround- ing air. The quantity of heat abstracted from the system to effect this, depends on the rapidity of the change of air, its temperature, and the amount of water it contains in a state of vapor. The quantity removed is greatest when the air is warm and dry, and the change, or current, rapid. Observations. 1st. The first discovery of the use of free evaporation of the perspiration from the skin in reducing the heat of the body, and the analogy subsisting between this process and that of the evaporation of water from a rough porous surface, so constantly resorted to in warm countries, as an efficacious means of reducing the temperature of the air in rooms, and of wine and other drinks, much below that of the surrounding atmosphere, was made by Franklin. 2d. In all ages and climes, it has been observed that the in- creased temperature of the skin and system in fevers, is abated as soon as free perspiration is restored. In damp, close weath- er, as during the sultry days of August, although the tempera- ture is lower, we feel a disagreeable sensation of heat, becau.se the saturation of the air with moisture lessens evaporation, and thus prevents the escape of heat through the lungs and skin. 3d. It is on the principle of the evaporation of fluids, that warm vinegar and water, applied to the burning, aching head, cools it, and imparts to it a comfortable feeling. The same 508. What are the principal means by which a uniform temperature of the body is maintained ? On what does tlie quantity of heat abstracted from the system depend? What discovery relative to, animal heat is due to Franklin ? What is said of free perspiration in fevers ? What occasions the disagreeable sensation of heat in damp, close weather ? 260 ANATOMY, PHYSIOLOGY, AND HYGIENE. results follow if warm liquids are applied to the skin in the hot stage of fever ; and this evaporation can be increased by constant fanning. 4th. It is frequently noticed, in very warm weather, that dogs and other domestic animals are seen with their tongues out of their mouths, and covered with frothy secretions. This Is merely another mode of reducing animal heat, as the skin of such animals does not perspire eis much as that of man. 569. Under some circumstances, a portion of the heat of the system is removed by radiation. When cold air comes in contact with the skin and mucous membrane of the lungs, heat is removed from the body, as from a stove, to restore an equilibrium of temperature. The removal of heat from the body is greatest wh6n we are in a current of cold air, or when a brisk, cold wind is blowing upon us. 570. As the primary object of the different processes of nutrition is to supply animal heat, so the action of the dif- ferent nutritive organs is modified by the demands of the system for heat. When heat is rapidly removed from the body, the functional activity of the organs of nutrition is increased. When the system is warmed by foreign influence, the activity of the nutritive organs is diminished. This leads to the natural, and, we may add, instinctive change in the quality and quantity of food at different seasons of the year. 669. M''hen is heat radiated from the body ? 'When is it greatest I 570. What is the primary object of the different processes of nutrition? Wlien is the activity of the nutritive organs increased ? When diminished I To what does this lead? HYGIENE OP ANIMAL HEAT. 261 CHAPTEE XXYIII. HYGIENE OF ANIMAL HEAT. 571. The amount of heat generated in man and inferior animals depends upon the quantity and quality of the food, age, exercise, the amount and character of the respired air, condition of the brain, skin, and general system. 572. Animal heat is modified hy the proportion of digest' ihle carbon which the food contains, and hy the quantity con- sumed. As the kind of fuel that contains the greatest amount of combustible material evolves the most caloric when burned, so those articles of food that contain the greatest quantity of carbon produce the most heat when converted into blood. The inhabitants of the frigid zones, and individuals in temperate climates during the cold season, consume with impunity stimulating animal food, that contains a large proportion of carbon, while the inhabitants of the tropica! regions, and persons in temperate climates during the warm season, are more healthy with a less stimulating or vegetable diet. Observation. When we ride or labor in cold weather, an adequate amount of nutritious food will sustain the warmth of the system better than intoxicating drinks. 573. Age is another influence that modifies the generation of animal heat. The vital forces of the child being feeble, less heat is generated in its system than in that of an adult. 571_685. Give the hygiene of animal heat. 571. State some of the influ- ences that modify the generation of animal heat. 672- What element of the food influences the generation of heat? When and where can animal food be eaten with impunity ? GiTe the practical obserratioo. 262 ANATOMY, PHYSIOLOGY, AND HYGIJENE. The experiments of Dr. Milne Eti wards show that the power of producing heal in warm-blooded animals, is at its minimum at birth, and increases successively to adult age ; and that young children part with their heat more readily than adults, and, instead of being warmer, are generally a degree or two colder. After adult age, as the vital powers decline, the generation of heat is diminished, as the energies of the sys- tem are lessened. Hence the young child, and the debili- tated aged person, need more clothing than the vigorous individual of middle age. 574. Exercise is an influence that modijies the generation of animal heat. As carbon and hydrogen enter into the com- position of the organs of the body, whatever increases the flow of blood in the system, increases also liie deposition of new material, and the removal of the waste particles. This change among the particles of matter is attended with an elevation of temperature, from the union of oxygen with the carbon and hydrogen of the waste atoms. For this reason, a person in action is warmer than in a quiescent state. Conse- quently, the amount of clothing should be increased, when exercise or labor is diminished or suspended. 575. On the other hand, whatever impedes tlie circula- tion and the interchange of the atoms of matter, diminishes animal heat. Common observation shows, that the extremities are not as warm when tight gloves or boots are worn as when they are loose. One reason is, the circulation of blood is impeded, which is attended with less frequent change of the particles of matter. 576. The quantity of air which is inhaled mcdifes the heat of the system. In the generation of heat in a stove, air, or oxygen, is as essential as the wood or coal. It is equally What do the cxporimonts of Dr. Milne Edwards show? 674. Why does exercise influence animal heati" 575. What is the effeot when the oiroula- tion of blood is impeded ? Give examples. 676. Why do those persons that have broad ohests and voluminous lungs suffer less from oold than the narrow-ohested with small lungs? HYGIENE OF ANIMAL HEAT, 263 SO in the production of animal heat. The oxygen of the inspired air should be in proportion to the carbon and hydro- gen to be consumed. This requires voluminous lungs, together with free movements of the ribs and diaphragm. A person whose chest is small, and whose apparel is worn tight over the ribs, suffers more from the cold, and complains more frequently of chilliness and cold extremities, than the broad-chested and loosely dressed. Observation. Fishes that breathe by means of gills, as the cod, pike, &c., depend solely on the small quantity of oxygen that is contained in the air mixed with the water. Their temperature is not much greater than the medium in which they live. , Whales, dolphins, &c., breathe by means of lungs ; and the inhalation of atmospheric air makes theii- temperature about 100°, independent of the heat of the element in which they live. 577. The quality of respired air influences the generation of animal heat. In vestries, and other public rooms, when crowded with an audience, where the ventilation is inadequate, the lamps will emit but a faint light, because the oxygen is soon expended, and there is not enough of the vivifying prin- ciple to unite with .the oil and disengage light. In the human body, when the respired air has lost some of its life-giving properties, the combustion that takes place in different parts of the system is not so complete as when it contains a proper proportion of oxygen ; and hence less heat is disengaged. For this reason, those persons that breathe impure air, eitlier in the daytime or night, require more clothing, than those that work and sleep in well- ventilated rooms. 578. The condition of the brain and nervous system affects What is said of those fishes that breathe by means of gills? Of those that breathe by means of lungs ? 577. Why do lamps give but a faint light in crowded, un ventilated rooms? What effect on animal heat has tmpure air ? S78. Mention the eifects of some of the mental emotions on animal heat. 264 ANATOMY, PHYSIOLOGY, AND HYGIENE. the generation of animal heat. If the brain is diseased, or the mind is absorbed in thought, depressed by sorrow, or aroused from fear, the breathing becomes slow and scarcely perceptible, and a chilliness pervades the body, particularly the extremities ; while, on the contrary, if the mind and ner- vous system are excited by joyous and agreeable emotions, the circulation of blood is quicker, and the system more pow- erfully resists external cold. During sleep, when the brain is partially inactive, less heat is generated than when awake. Observation. The preceding remark explains why an indi- vidual who sleeps in the same clothing that was adequate to prevent chills while awake, contracts a cold, unless he throws over him an additional covering. 579. The state of the skin exercises much influence in the generation of heat. If the functions of this membrane are not interrupted, more heat will be generated than when it is pallid and inactive. The action of the capillaries is most energetic when the skin is clean ; on this account, before taking a walk or a ride, in cold weather, remove all impurities from the skin, by thorough ablution and vigorous friction. 580. The amount and kind of clothing modify the tern- perature of the system. Those persons that are well clothed have greater power to resist cold than the thinly apparelled, because both the evaporation and the radiation from the skin are impeded, and less heat, in consequence, is abstracted from the body. If the articles of apparel possess tlie property of retaining air in their meshes, as flannel, the removal of heal is not as rapid as when linen is worn. Observation. In winter, although more heat is generated in the system than in summer, yet we require more clothing. What does the preceding remark explain ? 679. What suggestion respecting the condition of the skin before taking a walk or ride in a cold day? Why? 680. Do th« amount and kind of clothing affect animal heat ? What is said of well-clothed persona ? When does the system generate the most heat i HYGIENE OF ANIMaL HEAT. 265 and also those articles that are poor conductors of heat, because caloric is more rapidly' extracted in clear, cold weather, than in a warm day. 581. The health and constitution influence the generatimi of heat. When the health is firm, and the constitution vigor- ous, less clothing is needed, for the change among the par- ticles of matter is more rapid, and more heat is generated, than when the opposite condition obtains. Persoiis of a fee- ble constitution, particularly, if any of the vital organs * are diseased, need more clothing and require rooms of a warmer temperature, than individuals who are free from disease and have a vigorous constitution. Observation. Persons who are infirm, and whose vital powers are feeble, in general, accustom themselves to an undue amount of clothing and warm rooms. A more judi- cious practice would be, to exercise more and use a moderate amount of clothing, together with a more nutritious diet. 582. The surplus heat should be removed equally from all parts of the system. The rapid evaporation of fluids, as in free perspiration, or from radiation, as in a cold atmosphere, IS attended with a removal of heat from the system. This modifies the action of the circulatory vessels. Consequently, if heat is suddenly and rapidly abstracted from one "part of the system, the equilibrium of the circulation is destroyed, which will produce disease. Observation. Currents of a'r that impinge upon small portions of the body, as from small apertures, or from a • The brain, Ivings, heart, and digestive organs, are called vital organs. Why do we, then, require more clothing in winter than in summer ? B81. Why do persons of firm health and vigorous constitution need less clothing than those who are feeble 3 What is a general practice among inflnn persons ? What would be more judicious? 582. WJiy slioiild the surplus heat be removed equally from all parts of tlie eystcm i Wlu>l is saul respecting currents of air from email apertures? 23 266 ANATOMY, PHYSIOLOGY, AMD HYGIENE. window slightly raised, should be avoided. They are ruorfi dangerous thf.n to expose the whole person to a brisk wind, because the current of air removes the heat from the part exposed, which disturbs the circulation of blood and causes disease, usually in the form of " colds." For the same reeison, it is not judicious to stand in an open door, or the opening of a street. 583. The system suffers less when the change of tempera' tnre is gradual. The change in the production of heat, as well as in the evaporation of fluids from the system, is gradual when jiot influenced by foreign causes. This gradual change is known under the name acclimation. By this means the body is enabled to endure tropical heat and polar cold. Owing to this gradual adaptation of the system to different temperatures, we can bear a greater degree of heat in the summer between the tropics, than in the winter under the polar circles. On the other hand, we can endure a greater degree of cold in winter and in the arctic region, than in the summer and in equatorial countries. 584. The sensation of heat which would be oppressive in a mild, warm day of January, would only be grateful in July, and a degree of cold which could scarcely be endured in August, would not be uncomfortable in December. The changes of season in our latitude pr&vent the disagreeable and perhaps fatal consequence that would follow, if no spring or autumn intervened between the severity of winter's cold and the intensity of summer's heat. During the transition periods, the constitution is gradually changed, and adapted to bear the extremes of temperature without suflering. The amount of fi83. In what manner sliould change of temperature take place, to be udapted to the body ? How is the body enabled to endure tropical he.it and polar cold ? State some of the effects of the gradual adaptation of the eyslem to dilFerent temperatures. 684. What is said relative to a waim day in winter f To a cold day in summer ? What is said of the charges ol Beosona in our latitude? What elTeot on the oonstitution during spring and autumn ? What change in the amount of heat generated ? HYSIENE OF ANIMAL HEAT. 261 heat generated in the nutrient capillary vessels, is likewise diminished or increased as the temperature of the season becomes greater or less. 585. But, on the contrary, we cannot suddenly pass from one extreme of temperature to the other with impunity. Let an inhabitant of Quebec suddenly arrive in Cuba in February, and he would suffer from languor and exhaustion ; after be- coming acclimated to this tropical climate, let him suddenly return to Quebec in January, and the severity of the weatlier would be almost insupportable. Observations. 1st. Experience shows that heated rooms, as well as tropical climates, lessen the generation of heat in the body, and likewise the power of resisting cold. It would be idle for the merchant from his warehouse, or the mechanic from his heated shop, to attempt to sit on the box with a coachman, with the same amount of clothing as his compan- ion, who is daily exposed to the inclemency of the weather. 2d. " It is the power of endurance of cold at one period, and the absence of its necessity at another, that enables ani- irals, in their wild and unprotected state, to bear the vicissi- tudes of the seasons with so little preparation in clothing, and so little real inconvenience." 585. What effect on the system has a sudden transition from a cold to a warm oUraate? What does experience show? Why do wild animals bear the vicissitudes of the seasons with so little preparation in clothing ? 2(38 ANATOMY, PHYSIOLOcr, AND HYGIENE. CHAPTER XXIX. THE VOICE. 586. The beautiful mechanisiti of the vocal instrument, wliich produces every variety of sound, from a harsh, unme- lodious tone, to a soft, sweet, flute-like sound, has, as yet, been imperfectly imitated by art. It has been compared, by many physiologists, to a wind, reed, and stringed instrument. This inimitable, yet simple instrument, is the Lar'ynx. 587. Incidentally, the different parts of the respiratory organs, as well as the larynx, are subservient to speaking and singing. The tongue, nasal passages, muscles of the fauces and face, are agents which aid in the intonation of the voice. ANATOMY OF THE VOCAL ORGANS. 588. The larynx is a kind of cartilaginous tube, which, taken as a whole, has the general form of a hollow, reversed cone, with its base upward toward the tongue, in the shape of an expanded triangle. It opens into the pharynx, at its superior extremity, and communicates, by its inferior opening, with the trachea. It is formed by the union of five cartilages, namely, the Thy'roid, the Cri'coid, the two A-ryt-e'noid, and the Ep-i-glot'tis. These are bound together by ligaments, and moved by muscles. 686. What is said of the structure of the vocal instrument ? With what instrument have physiologists compared it ? What is the vocal instrument called 7 687. What organs are called into action in speaking beside the larj'nx? 688 — 596. Give the anatomy of the vocal orffana. 688. Describe the larynx Name the cartilages that form the larynx. ANATOMY OF THE VOCAL ORGANS. 269 589. The thykoid cartilage is the largest of the five, and forms the prominence in the front of the neck, called Po'mum A-da'mi, (Adam's apple.) It is composed of two parts, and is connected with the bone of the tongue above, and with the cricoid cartilage below. 590. The cricoid cartilage takes its name from its resem- blanfee to a ring. It is situated below the thyroid cartilage ; it is narrow in front, broader at the sides, and still broader behind, where it is connected with the thyroid cartilage. Below, it connects with the first ring of the trachea. Fig. 102. Fig. 103. Fig 102. A side view of the cartilages of the laiynx. • The front side of the luj- roi^artilage. 1, The os hyoides, (bone at the bass of the tongue.) 2, The lisS' ment that connects tlie hyoid bone and thyroid cartilage. 3, 4, 5, The thyroid car- tilage. 6, The cricoid cartilage. 7, The trachea. Fig 103. A posteriur view of the cartilages and ligaments of the larynx. 1, The posterior face of the epiglottis. 3, 3, The os hyoides. 4, 4, The lateral lig;unent3 which connect the os hyoides and thyroid cartilage. 5, 5, The posterior face of the thyroid cartilage. 6, 6, The arytenoid cartilages. 7, The cricoid cartilage. 8, 8, The junction of the cricoid and the arytenoid cartilages. 12. The first ring of the trachea. 689. Describe the thyroid cartilage. 590. From what does the cricoid cartilage derive its name? Where is it situated? Explain fig. liJ2. I'ig. 103. 23 270 ANATOMY, PHYSIOLOSY, AND HYGIENE. 591. The ARYTENOID CARTILAGES are small triangular bodies placed upon the back part of the cricoid cartilage. They are connected with the thyroid cartilages, by four ligaments, called Vo'cal Cords. 592. The epiglottis is fibro-cartilaginous, and is placed behind the base of the tongue. In shape it resembles a leaf of parsley. 593. The vocal cords, or ligaments, are formed of elastic and parallel fibres, enclosed in a fold of mucous membrane. They are about two lines in width, and pass from the anterior anf^le of the thyroid cartilage, to the two arytenoid cartilages. Fig. 104. Fig. 105. FiR. 104. An ideal, lateral section of the laiynx. 1, 1, The upper voca) conla. %, !2, The lower vocal cords 3, 3, The glottis. 4, 4, The ventricles of the larynx. Fig, IDS. A vertical section of the larynx. S, The os hyoides. 4, The apex of Ujo epiRlottis. 7, The superior vocal ligament. 9, The ventricle of the larynx. 10. Tlie lower vocal ligament. II, The arytenoid cartilage. 13,13, The cricoid cartilage. 14, The trachea. IB, The oesophagus. U)\. Describe the arytenoid cartilages. 692. What is said of the epi- glottis ? 693. Give the structure of the vocal cords. Where is the ventri- cle of the larynx ? Whore is the glottis situated ? What is represented by fig. 104 ; Explain llg. 106. ANATOMY OF THE VOCAL ORGANS. 2^1 The one is called the superior, and the other the inferior vocal ligament. The cavity, or depression between the superior and inferior ligament, is called the ventricle of the larynx. The aperture, or opening between these ligaments, is called the glottis, or chink of the glottis. It is about three fourths of an inch in length, and one fourth of an inch in width, the opening being widest at the posterior part. This opening is enlarged and contracted by thfe agency of the muscles appro- priated to the larynx. Fig. 106. / '/\' "V w VJ 1-/ Fig. 106. A view of the larynx from above, ghnwing the vocal ligaments. 1, The anterior edge of the larynx. 4, The posterior face of the thyroid cartilage. 5, 5, The arytenoid cartilages. 6, 6, The vocal Itgamenta. 7, Their origin, vrithin the angle of the tliyroid cartilage. 9, Their termination, at tlie base of tlie arytenoid cartilages S 10, The glottia. 594. The larynx is connected by muscles with the sternum, oesophagus, base of the skull, hyoid bone, lower jaw, and tongue. This organ is supplied with a large number of blood- Vessels, and it likewise receives nerves from the sympathetic system, and two large nerves from the tenth pair. The num- ber and size of the nervous filaments distributed to the mucous membrane of the larynx, render it more sensitive than any other portion of the respiratory organs. « How is the glottis enlarged or contracted ? Explain fig. 106. 594. By what means and to what organs is the larynx connected ? Why is tha larjnx more sensitive than other parts of the respiratory organs ? 27'i ANATOMY, PHYSIOLOGY, AND HYGIENE. 595. The larynx is much more developed and prominent ill man than in woman. In the former, the anterior angle of the thyroid cartilage is acute, while in the latter it is roiinded, and the central slope of the superior border of the same carti- lage is less deep, and the epiglottis smaller and less prominent, llian in man. 596. The difference in the formation of the larynx in infancy is less striking'; but at a later period, it is more developed in the male than in the female. It is very remark- able that this increase is not progressive, like that of other organs, but, on the contrary, develops itself at once at the poriod of puberty. PHYSIOLOGY OF THE VOCAL ORGANS. 597. In the formation of the voice, each part already described performs an important office.' The cricoid and thyroid cartilages give form and stability to the larynx ; the arytenoid cartilages, by their movement, vary the width of the glottis. The epiglottis is flexible and eleistic. When it is erect, the chink of the glottis is open, as in inspiration ; when depressed, as in swallowing food and drink, it covers and closes this aperture. It prevents the introduction of articles of food into the trachea, and probably modifies sound as it issues from the glottis. 598. The muscles of the neck elevate and depress the larynx; the muscles of the larynx increase or diminish the width of the glottis; at the same time, the vocal cords are 595. What diffoienoo between the formation of the larynx of the female anil that of the male ? 596. Does this difference exist in childhood ? Is its development progressive i 697—600. Give the physiology of the vocal orijiaHd. 607. WIKch cartilages give stability and form to the larynx? Which vary the width of the glottis ? What is the function of the epi- glottis ? 698. What effect have the muscles of the neck upon the larynx ? The use of the muscles of the larynx } PHYSIOLOGlf OF THE VOCAL ORGANS. Zl.i rekxed or tiglitened, while the muscles of the face open and close the mouth. 599. The elasticity of the ribs and the contraction of the abdominal muscles diminish the cavity of the chest, and the air, in consequence, is pressed from the air-cells into the bronchial tubes and trachea. It then rushes by the vocal cords, and causes a peculiar vibration, which produces sound. Ohseroatiotis. 1st. Experiments have satisfactorily shown ihat the vocal cords are the principal agents in the formation of the voice. The tongue, which many have supposed to be tlie most important organ in speaking, is not essential to sound. In several instances it has been removed, and the persons thus mutilated could speak with fluency. 2d. When the vocal cords are ulcerated, or inflamed, how- ever slightly, as in sore throat produced by a cold, the voice will be changed. The loss of speech among public speakers is generally produced by a relaxation of the vocal ligaments. Hence, bronchitis is a misnomer for this affection. 600. Sound is varied by the velocity of the expelled cur- rent of air, and the tension of the vocal ligament* The size of the larynx, the volume and health of the lu^'^s, the condi- tion of the fauces and nasal passages, the elevation and depression of the chin, the development and freedom of action of the muscles which are attached to the larynx, the opening of the mouth, the state of the mind, and general health of the system, influence the modulations of sound. What effect has the combined action of these muscles- ? 599. How ia sound produced ? What have experiments shown ? What effect has dis- ease of the vocal ligaments upon the voice ? 600. How is sound varied ? Mention other conditions that contribute to the modulation of sound. 274 ANATOMY, PHVSIOLOGV, AND HYGIENE. CHAPTER XXX. HYGIENE OF THE VOCAL ORGANS. 601. The voice can he changed and modified by habit. Sailors, smiths, and others, who are engaged in noisy occupa- tions, exert their vocal organs more strongly than those of more quiet pursuits. This not only affects the structure of the vocal organs, but varies the intonation of the voice. 602. The voice is strong in proportion to the development of the larynx, and the capacity of the chest. Singing and reading aloud improve and strengthen the vocal organs, and give a healthy expansion to the chest. The enunciation of the elementary sounds of the English language, aids in devel- oping the vocal organs, as well as preventing disease of the throat and l*igs. This exercise also conduces to the acqui- sition of musical sounds. 603. Tlie altitude affects the modulation of the voice. When an individual stands erect, the movements of the whole respiratory apparatus are most free and effective. The larynx is brought forward by the erect position of the head and the elevation of the chin. The muscles of the aiytenoid cartilages are then brought to a proper relation for action, by which a tension of the vocal cords is produced, that favors clear and harmonious enunciation. Experiment. Read with the head bowed forward and the chin depressed ; then read with the head erect and the chin elevated, apd the difference in the movement of the vocal 601 — 616. Qive the hygieno iif the vocal ort/nnt. 602. How may the voica be sti-engthoned ? 603. What effeot has the eroct attitude upon the mndu- ];iMnnfl ftf the voice? Oivo the pviteriment. HYCilENE OF THE VOCAL ORGANS. 275 organs, together with the difference in the voice, will be manifest. Fig. 107. Tig. 108. Fig. 107. All improper position ; but one not unfrequenuy seen m some of our common scUools, and in some of our public speakers. Fig. 1D8. The proper position for reading, speaking, and flinging. 604. If an individual or class read or sing when shting, let the position represented by fig. 109 be adopted, and not the one represented by fig. 110 ; for the erect position in sitting conduces to the free and effective action of the res- piratory and vocal organs, and is as important as the erect attitude in standing. 604. What position should be adopted when a. person reads or sings v.'li*'n sitting ? Why ? 4 276 ANATOMY, PliyslOLOGY AND HYOIEHE. G05. The muscles of the neck should not he compressed. If the muscles of the iieck and larynx are compressed by a high cravat, or other close dressing, not only will the free and energetic movements of these parts be impeded, but the tones will be feeble and ineffective. Therefore the dress of the neck, particularly of public speakers and singers, should be loose and thin. For a warm dress upon the neck, when the vocal organs are in action, will induce too great a flow of blood to these parts, which will be attended by subsequent debility. Fig. 109. Observations. 1st. The loss of voice, (Iar->/n-(/i'tis,') which IS prevalent among public speakers, may be ascribed in part to the injudicious dressing of the neck, and improper position in stjinding. fi06. How should public speakers dress their necl^s ? Why ? What is a cdin'Mon ntiusG of the loss of voice ? HYGIENK OF THE VOCAL ORGANS. 277 ■2d. When individuals have been addressing an audience iu a warm room, or engaged in singing, they should avoid all impressions of a cold atmosphere, unless adequately pro- tected by an extra garment. Fig, 110. 606. The condiijon of the air modifies speaking and sink- ing. As pure air is more elastic and resonant than impure, and as easy, melodious speaking or singing requires atmos- pheric elasticity, so school-rooms and singing-halls should be well ventilated, if we would be entertained with soft intona- tions in reading, or sonorous singing. Observation. The imperfect ventilation of churches and vestries is another cause of laryngitis among clergymen. Give 2d observation. 606. Why does easy and melodious speaking re- quire pure air? What .is another cause of larvngitis annnng clergymen? 24 '21S ANATOMY, PHySIOLOGY, AND HVCilENE. This affection is almost unknown among those who speak in very open rooms, where stoves are not used. 607. The condition of the nasal passages and throat modifies the voice. The enunciation of words is rendered more or less distinct, in proportion as the jaws are separated ill speaking, and the fauces and neisal passages are free from obstruction. For these reasons, the scholar should be taught to open the mouth adequately when reading, speaking, or singing, that the sounds formed in the larynx and modified in the fauces may have an unobstructed egress. Observations. 1st. If the fauces are obstructed by enlarged tonsils, (a condition by no means uncommon in children,) they should be removed by a surgical operation, which is not only effective, but safe, and attended with little suffering. The tonsils are situated on each side of the bsise of the tongue, and, when enlarged, they obstruct the passage through which the air passes to and from the lungs, and the respiration is not only laborious, but distressing. 2d. When the nasal passages are obstructed, there is a peculiar sound of the voice, which is called " talking through the nose." This phenomenon arises, not from the expired air passing through the nose, but from its not being able to pass through the nasal passages. 608. The state of the mind and health exerts an influence upon the vocal organs. " The organs of tlig voice, in common with all other parts of the bodily frame, require the vigor and pliancy of muscle, and the elasticity and animation of mind, which result from good health, in order to perform their appropriate functions with energy and effect. But tliese indis- pensable conditions to the e.xercise of vocal organs, are, in the case of most learners, very imperfectly supplied." 007. Does the condition of the throat and nasal passages modify the voice i Name the influences that produce cleav enunciation of words. 'What is tlit efl'eot when the nasal passages are obstructed ? 008. How are the vocal orgin« influenced ? , What do they require ? HYGIENE OF THE VOCAL ORGANS. 279 609. " A sedentary mode of life, the want of invigorating exercise, close and long-continued application of mind, and, perhaps, an impaired state of health, or a feeble constitution, prevent, in many instances, the free and forcible use of those muscles on which voice is dependent, tience arises the necessity of students of elocution practising physical exercises adapted to promote general muscular vigor, as a means of attaining energy in speaking; the power of any class of muscles being dependent on the vigor of the whole sys- tem." 610. " Gymnastic and calisthenic exercises are invaluable aids to the culture and development of the voice, and should be sedulously practised when opportunity renders them acces- sible. But even a slight degree of physical exercise, in any form adapted to the expansion of the chest and to the freedom and force of the circulation, will serve to impart energy and glow to the muscular apparatus of voice, and clearness to its sound." 611. "There Is, therefore, a great advantage in always practising some preliminary muscular actions, as an imme- diate preparation for vocal exercises. The art of cultivating the voice, however, has, in at^dition to the various forms of corporeal exercise, practised for the general purpose of pro- moting health, its own specific prescription for securing the vigor of the vocal organs, and modes of exercise adapted to the training of each class of organs separately." 612. The results of such practice are of indefinite extent. They are limited only by the energy and perseverance of the student, excepting perhaps in some instances of imperfect organization. A few weeks of diligent cultivation are usually sufficient to produce such an effect on the vocal organs, that 609. 'Why are students of elocution in general necessitated to practise physical exercise? 610. What are invaluable aids in the culture of the voice ? 611. What is said of the art of cultivating the voice ? 612. Are the results of such practices limited ? What exception ? 280 AMATOMY, PIIYSIOLOar, AND HYGIENE. persons who commence practice with a feeble and ineffective utterance, attain, in that short period, the full command of clear, forcible, and varied tone. 613. Repetition is essential to. distinct articulation oj words. In teaching a child to articulate a letter or word, in the first instance, make an effort to induce a proper state of the vocal organs by which the particular sound is produced. Repeat the letter or word again and again, until all the parts of the vocal apparatus harmonize in their movements to pro- duce the given sound. This repetition is as necessary in learning to read as in singing. Observations. 1st. There is nothing gained by trying to teach a child to pronounce the letters of the alphabet, before the vocal organs are so developed that distinct utterance can be given to the proper sounds. 2d. The drawling method of talking to young children, as well as using words that are not found in any written language, (called child's talk,) is decidedly wrong. A child will pro- nounce and understand the application of a correct word eis quickly as an incorrect one. 614. No part of the vocal organs is wanting, with those individuals that stammer, or vilur have an impediment mi their speech. Some parts may be more developed than others, but they generally are but imperfectly under the control of the will, and assume an irregular and rapid movement, while other parts, the motions of which are essential, remain compara- tively inactive. This can be seen by comparing the move- ments of the lips, tongue, and larynx, while attempting to speak, in a person who stammers, with tlie movements of the corresponding parts, while speaking, in an individual who has no such impediment. 613. Is repetition esaontial to distinct nrtioulntion ? What method is suggested in teaching a child to articulate letters or words ? Give obser- viition 1st. Observation 2d. 614. Are the vocal organs wanting in stam- merers? Why the defect in their nrtipulntion of words? HYGIENE OF THE VOCAL ORGANS. 281 615. Surgical operations and medical treatment are not highly advantageous in a majority of these cases. In the young and middle aged, this defect can be remedied hy patient and judicious training. At first, only those letters and words should be spoken that can be articulated with distinctness. Let there be repetition, until the words can be spoken at any time with readiness. Then take for a lesson other words, more difficult to articulate ; and pursue a similar process of training and repetition, until every part of the vocal organs can be called into a ready and harmonious action in giving utterance to any word in common use. 616. The method of removing foreign bodies from the throat. It is not necessary to ascertain which passage the foreign body is in, for the immediate treatment ought in either case to be the same. 3ome person should place one hand on the front of the chest of the sufferer, and, with the other, give two or three smart blows upon the back, allowing a few seconds to intervene between them. This treatment will gen- erally be successful, and cause the substance to be violently thrown from the throat. Ohservation. If the foreign body passes into the larynx, violent spasmodic coughing immediately silcceeds, which con- tinues until it is removed or life is extinct. Such cases de- mand the prompt opening of the trachea below the larynx by a skilful surgeon. 615. How can stammering be remedied? 616. What is the method of removing foreign bodies from the throat ? 24* 283 ANATOMY, PHYSIOLOGY, AND HYGIEIIB. CHAPTER XXXI. THE SKIN. 617. TnE skin is a membrane which envelops the muscles and other parts of the system. In youth, and in females par- ticularly, it is smooth, soft, and elastic. In middle age, and in males, it is firm and rough to the touch. In old age, in persons who are emaciated, and about the flexions of the joints, it is thrown into folds. The interior of the body, like the exterior, is covered by a skin, which, from the constantly moistened state of its surface, is called the mucous mem- brane. At the various orifices of the body, the exterior skin is continuous with the internal. ANATOMY OF THE SKIN. 618. The SKIN, to the naked eye, appears composed of one membrane. But examination has shown that it consists of two layers of membrane, namely, the Cu'ti-cle, (scarf-skin,) and the Cu'tis Ve'ra, (true skin.) These layers are widely different from each other in structure, and perform very dif- ferent ofiices in the animal economy. 619. The CUTICLE (sometimes called tlie ep-i'derm'is) is the external layer of the skin. This membrane is thin and 617. What is the skin ? Mention its different appearances in its differ- ent conditions in the human frame. Is the interior of the body, as well «s the exterior, covered by a skin ? What is the interior membrane called ? Why has it received this name f 618—636. Give the atmtomy of the skin. 618. What is said of the skin ? Wliat is said relative to these layers of membrane? 619. Dosoribo the cuticle. What name is sometimes applied to the cuticle ? ANATOMY OF THE SKIN. 283 semi-transparent, and resembles a thin shaving of soft, clear horn, and bears the same relation to other parts of the skin thai the rough bark of a tree does to the liber, or living bark. The cuticle has no perceptible nerves or blood-vessels ; con- sequently, if it is cut or abraded, no pain wili be felt, and no fluid will ooze from it. Experiment. Pass a pin through the portion of the cuti- cle that skirts the nails, or remove a thin shaving from the palm of the hand, and no painful sensation will be expe- rienced unless the pin or knife penetrates deeper than the cuticle. 620. This membrane varies in thickness on different parts of the body, — from the thin, delicate skin upon the internal flexions of the joints, to the thickened covering of the soles of the feet. The greater thickness of the cuticle of the palms of the hands and soles of the feet, is manifestly the intentional work of the Creator ; for it is perceptible in infants, even at birth, before exercise can have had any influ- ence. « 621. The CUTIS teka (sometimes called the co'ri-on) is composed of minute fibres, which are collected into small bundles or strands^ These are interwoven with each other so as to constitute a firm, strong, and flexible web. In the superficial part of the true skin, the web is so close as to have the appearance of felt-cloth ; but more deeply, the pores become progressively larger, and, upon the lower surface, have a diameter of about a line, or one twelfth of an inch. This gives the under surface the appearance of a coarse web. The strands of the under surface of the true skin are con- nected with the fibrous web, in which the sub-cutaneous fat of the bqdy is deposited ; while the upper surface gives Give the experiment 620. What is said of the thicliness of the cuticle in difi'erent parts of the body ? 621. Describe the cutis vera. By what name is it sometimes called ? What is the appearance of the upper sur- face of the cutis vera ? Of the under surface ? 284 ANATOMY, PHYSIOLOGY, AND HYGIENE. support to the sensitive, or papillary layer, which is bedded upon it. Observation. When the skins of animals are immersed in a strong solution of oak or hemlock bark, a chemical union takes place between the gelatin, of which the true skin is mosJly composed, and the tannin of the bark. By this process leather is formed, and its peculiar markings are owing to the papillary layer. Fig. Ill, Ftg. 111. An ideal representation of the papiUs. 1, 1, The cutia vera. 3, S, Tbs papillary layer. 3, 3, The arteries of the papilla 4, 4, The veina nf the papilla. 5, 5, The nerves of the papiUiB. 622. The sensitive layer of the skin is thin, soft, uneven, pinkish in hue, and composed of blood-vessels, which confer its various tints of red ; and of nerves, which give it the facul- ty of sensation. The unevenness of this layer is produced by small, elongated, conical prominences, called Pa-pil'lce. 623. Each papilla is composed of a minute artery, vein, and nerve. Some of the prominences are arranged in concen- How is leather formed? 622. What is the appearance of the aensitire layer? Whut causes the unevenness of this layer? Explain fig. 111. C23. Describe the papilloe. ANATOMY OF THE SKIN. 2S5 trie ovals, as may be seen on the ends of the fingers ; others are more or less parallel, and pursue a serpentine course ; some suddenly diverge, and again reunite, as may be seen in &e palm of the hand. Papillae are found in every part of the skin. Consequently, their number is very great. 624. The cutis vera contains not only Arteries, Veins, and Nerves but Lymphatics, Oil- Glands and Tubes, and Perspi- ratory Glands and Tubes. Fig. 112. Fig 112. The arteries and veins of a section of the skin. A, A, Arterial brancliea B B, Capillary, or hair-like vessels, in which the large branches terminate. C, The venous trunk, collecting the blond from the capillaries. 625. The arteries and veins of the skin are very numer- ous. The larger branches of the arteries pass through the open meshes of the true skin, and are subdivided into a myriad of minute capillary vessels, which form a beautiful net-work on the upper surface of the true skin. This vascu- lar net sends a branch to each of the papillae, which opens into and terminates in a minute vein. The capillary veins are C24. What vessels are found in the cutis vera? Explain fig. 112. 025. What is said of the cutaneous arteries ? Of the cutaneous veins ? 286 ANATOMY, PHYSIOLOGY, AND HYGIENE. as numerous as the arteries which tliey accompany. Tliey unite and form larger trunks, as small springs from the hill- side coalesce to form rivulets. 626. The nerves that are spread over every part of the sensitive layer of the true skin, proceed from the spinal cord. As a proof of the great number of nervous filaments in the skin, no part of this tissue can be punctured with a fine needle without transfixing a nerve, and inducing pain. In some parts of the system, however, the nerves are more abundant than in others ; where the sense of feeling is most acute, we find the greatest number of nerves, and those of the largest size. Those parts that are most exposed to injury are most sensitive. Examples. 1st. The conjunctiva, or skin of the &ye, is pained by the presence of a particle of dust, because it would render vision imperfect. 2d. The lungs, also, would be injured by the smallest par- ticle of matter ; they are therefore protected by the exquisite sensitiveness of the lining membrane of the trachea, so that a particle of food or dust is ejected by a convulsive cough before it reaches the lungs. 627. The nerves are more numerous in the upper than lower extremities ; in greater numbers upon the palm than the back of the hand. They are, likewise, more abundant and larger at the extremities of the fingers, and in the hps, than in any other part of the skin. Observation. The proboscis of the elephant, the extremities of the tails of certain species of monkeys, and the tentacula of some kinds of fish, receive a more abundant supply of sen- sitive nerves than other parts of their systems. 626. Whore do the nerves of the sisin proceed from ? Are they numer- ous in this mciubi-nno? IIow is it jirovoJ ? What is said of those ports most exposed to injury? Give example 1st. Example 2d. 627. Mention the difference in the distribution of the nerves in various parts of the body. Is this difference found in the lower order of animalt? ANATOMY OF THE SKIN. 287 628. In the small papillae, the nerve forms a single loop, while in papillse of larger size, and endowed with a power of more exalted sensation, the nerve is bent several time? upon itself previous to completing the loop. These little loops spring from a net-work of nerves, imbedded in the upper porous layer of the true skin, at the base of the papil- Ieb. This net-work of nerves receives its influence through nerves which take their winding course through the fat dis- tended openings of the deeper layers of the true skin. Fig. 113. Fig. 113. 1, 1, The cuticle. 2, a, Tile colored layer of the cuticle. S, 3, The papillary layer, exhibiting the nerves as they form loops. 4, 4, Tlie net-»vo(k of nerves. 5, 5, The true skin. 6, 6, 6, Three nerves that divide to form the net- _work (4, 4.) 7, 7, 7, The furrows between tlie papilla. 8, 8, 8, Three papillaa magnified liny diameters. 629. The lymphatics are found in great numbers in the true skin, and they are so minute that they cannot be seen with the naked eye ; but when these hair-like vessels are injected w'.th quicksilver, (a work of great difficulty,) the surface injected 628. How are the nerves of the small papillae arranged? How in the large papillae ? What does fig. 113 represent? 629. What is said of the cutaneous lymphatics ? How is their existence proved ? 28R ANATOMY, PHYSIOLOGY, AND HYGIENE. resembles a sheet of silver. In this 'vay their existence can be imperfectly demonstrated. They are a part of the vascu- lar net-work situated upon the upper surface of the true skin. Each papilla is supplied with a lymphatic filament, the mouth of which opens beneath, and lies m contact with the under surface of the cuticle. This net- work of vessels communi- cates through the open meshes of the true skin with larger lymphatic trunks, that open into the venous svstem. Fig. 114. Fig. 114. A plexus of lymphatic vessels in the skin, considerably magntfled from an injected preparation. 630. The oil-glands are small bodies imbedded in the true skin. They connect with the surface of the skin by small tubes, which traverse the cuticle. In some parts, these glands are wanting ; in others, where their office is most needful, they are abundant, as on the face and nose, the head, the ears, &c. In some parts, these tubes are spiral ; in others, straight. These glands offer every shade of complexity, from the simple, straight tube, to a tube divided into numberless — r- Of what aro thoy a part? 630. Dosoribo the oil-glands? With what do thoy connect? Do they exist in every part of tho body? Of what form uro their tubes? ANATOMY OF THE SKIN. 289 ramifications, and constituting a little rounded tree-like mass, , about the size of a millet seed. 631. In a few situations, these small glands are worthy of particular notice, as in the eyelids, where they possess great elegance of distribution and form, and open by minute pores along the lids ; in the ear-passages, where they produce that amber-colored substaitee, known as the ce-ru'men, (wax of the ears,) and in the scalp, where they resemble small clusters of grapes, and open in pairs into the sheath of the hair, supply- ing it with a pomatum of Nature's own preparing. The oil- tubes are sometimes called the se-ha'ceous Jbl'li-cles. Fig. US. Fig. 115. 1, An oil-tube and gland from the scalp. A, The gland. B, The tube slightly twisted. 2. An oil-tube and gland from the skin of the nose. The gland (A) is double, and communicates with the main tube (B) by means of two smaller tnbes. S. Another oil-tube and gland from the nose. A, The gland. B, The tube filled v^th the peeuUar animalculaB of the cdly substances. Their heads are directed inward. 4. A small hair from the scalp, with its oil-glands. The glands (A) form a cluster around the shaft of the hair-tube, (C.) These ducts open into the sheath of the hair, (B.) All the figures, from 1 to 4, are magnified thirty-eight diameters. 631. What is said of these tubes in the eyelids ? scalp ? What are these glands sometimes called ? 25 In the ear? In the S90 ANATOMr, PHYSIOLOGY, AND HYGIEWE. Observation. Among the inhabitants of cities, and espe- cially in persons who have a torpid state of the skin, the con- tents of the oil-tubes become too dense and dry to escape iu the usual manner. Thus it collects, distends the tube, and remains until removed by art. When this impacted matter reaches the surface, dust and smoke mix with it, then it is recognized by small, round, dark spots.* These are seen on the forehead, nose, and other parts of the face. When this matter is pressed out, the tube gives it a cylindrical form. The parts around the distended tubes sometimes inflame. This constitutes the disease called, " ac'ne punc-ta'ta." 632. The perspieatory apparatus consists of minute cylindrical tubes, which pass inward through the cuticle, and terminate in the deeper meshes of the cutis vera. In their course, each little tube forms a beautiful spiral coil ; and, on arriving at its destination, coils upon itself in such a way as to constitute an oval-shaped, or globular ball, called the perspiratory gland. 633. The opening of the perspiratory tube on the surface of the cuticle, namely, " the pores," is also deserving of atten- tion. ■ In consequence of its extremity being a section of a spirally-twisted tube, the aperture is oblique in direction, and possesses all the advantages of a valvular opening, preventing the ingress of foreign injurious substances to the interior of the tube and gland. 634. " To arrive at something like an estimate of the value of the perspiratory system, in relation to the rest of the organ- ism, I counted the perspiratory pores on the palm of the hand, and found 3528 in a square inch. Now each of these pores being the aperture of a little tube about a quarter of an inch What is said of the retention of the unctions mutter in the oil-tubes ? 632. Of what does the perspiratory apparatus consist? 633. What is peculiar in the opening of the perspiratory tubes on the surface of the cuti- cle ? 634. How many perspiratory pores did Dr. Wilson count upon a square Inch of skin on the palm of the hand? ANATOMY OF\THE SKIN. 291 Fly 116. A perspiratory gland from the palm of tbe hand, magnified forty dlam^ tere. 1, I, A twisted tube composing the gland. 2, 2, The two exeretory ducta from the gland. These unite to form one spiral tube, that perforates the cuticle, (3,) and opens obliquely on its surface at 4. The gland is imbedded in cells filled witli fat, which are seen at 5, 5. What does fig. 116 represent? 292 ANATOMY, PHYSIOLOGY, AND HYGIENE. long, it follows, that in a square inch of skin on the palm of the hand there exists a length of tube equal to 882 inches, or 73^ feet. Surely such an amount of drainage as seventy- three feet in every square inch of skin — assuming this to be the average for the whole body — is something wonderful ; and the thought naturally intrudes itself. What if this drainage be obstructed ? 635. " Could we need a stronger argument for enforcing the necessity of attention to the skin .' On the pulps of the fingers, where the ridges of the sensitive layer of the true skin are somewhat finer than in the palm of the hand, the number of pores on a square inch a little exceeded that of the palm ; and on the heels, where the ridges are coarser, the number of pores on the square inch was 2268, and the length of the tube 567 inches, 47J feet. 636. " To obtain an estimate of the length of tube of the perspiratory system of the whole surface of the body, I think that 2800 might be taken as a fair average of the number of pores in the square inch ; and consequently, 700, the number of inches in length. Now, the number of square inches of surface- in a man of ordinary height and bulk is 2500 ; the number of pores, therefore, 7,000,000 ; and the number of inches of perspiratory tube is 1,750,000 ; that is, 145,833 /ce<, or 48,611 yards, or nearly twenty-eight miles P'' — Wilson. QWe other oomputations in this paragraph. 635. What is said of the number of these pores on the pulp of the fingers ? On the heels? 636. What is an average number of pores and length of tube of the whole sur- face of the body ? Give the summary of the number of pores, and number of inches of perspiratory tube. PHYSIOLOBY OF THE SKIN. 293 CHAPTER XXXII. PHYSIOLOGY or THE SKIN. 637. The skin invests the whole of the external surface of the body, following all its prominences and curves, and gives protection to all the organs it encloses, while each of its sev- eral parts has a distinct use. 638. The cuticle is insensible, and serves as a sheath of protection to the highly sensitive skin {cutis vera) situated beneath it. The latter feels ; but the former blunts the im- pression which occasions feeling. In some situations, the cuticle is so dense and thick, as wholly to exclude ordinary impressions. Of this we see an example in the ends of the fingers, where the hard and dense nail is the cuticle modified for the purpose referred to. Were the nervous tissue of the true skin not thus protected, every sensation would be so acute as to be unpleasant, and contact with external bodies Would cause pain. 639. The cuticle, also, prevents disease, by impeding the evaporation of the fluids of the true skin, and the absorption of the poisonous vapors, which necessarily attend various employ- ments. It, however, affords protection to the system only when unbroken, and then, to the greatest degree, when covered with a proper amount of oily secretion from the oil- glands. 640. The cuticle is, originally, a transparent fluid, exuded 637 — 656. Give the physiology of the skin. 637. What is said of the skin? 638. Give a function of the cuticle. Does it vary in thickness on ilifferent parts of the body ? Give examples. 639. Mention another uae of the cuticle. 640. What is the cuticle originally ? 25 * 294 ANATOMY, PHYSIOLOGY, AND HYGIENE. by the blood-vessRls, and distributed as a thin layer on the sur- face of the true skin. While successive layers are formed on the exterior of the true skin, the external cuticular layers are converted into dry, flattened scales, by the evaporation of their fluid contents. The thickness of the cuticle is formed mainly from these scales. 641. The cuticle is, therefore, undergoing a constant pro- cess of formation and growth at its under part, to compensate for the wear that is taking place continually on its surface. A proper thickness of the cuticle is in this manner preserved ; the faculty of sensation and that of touch are properly regu- lated ; the places of the little scales, which are continually falling off under the united influence of friction and ablu- tion, are supplied ; and an action necessary, not merely to the health of the skin, but to that of the entire body, is established. 642. Whenever the cuticle is exposed to moderate and repeated friction, it becomes thicker and tougher, as may be seen in the cuticle of the lady's finger that plies the needle, and in the hard or callous appearance of the hands of farmers, masons, and other mechanics. This enables them to handle the utensils and materials used in their vocations without pain or inconvenience. Observatioiis. 1st. When the joints of the feet are sub- jected to moderate and continued prtesure or friction, fre- quently one or more of the papillse enlarge. This is accompanied with a thickening of the layers of the cuticle, which is termed a " callosity," or " corn." These thickened layers of the cuticle are broad at the top and narrow at the bottom, and the enlarged mass is conical, with the point Ildwls the thickness of the cuticle mainly formed ? 641. Describe the olinngcs of this membrane. Show tlip necessity of this constant growth. ti4li. How dues mnderiUo and repeated friction affect the cuticle ? Give exsniples. What is the benefit derived from having the cuticle thus changed i What is the result if the joints of the feet are subjected to moderate and continued pressure } What la the form of a " com" } PHYSIOLOGY OF THE SKIN. 895 innermost. When pressed upon by a tight shoe, these sensitive papillae cause pain. 2d. To remove these painful excrescences, take a thick piece of soft leather, somewhat larger than the corn ; in the centre punch a hole of the size of the summit of the com, spread the leather with adhesive plaster, and apply it around the corn. The hole in the leather may be filled with a •paste made of soda and soap, on going to bed. In the morning, remove it, and wash with warm water. Repeat this for several successive nights, and the corn will be removed. The only precaution is, not to repeat the application so as to cause pain. 643. Let a person unaccustomed to manual labor, trundle the hand-cart, or row a boat, for several successive hours, and the cuticle upon the palms of the hands, instead of becom- ing thicker by use, is frequently separated from the subjacent tissues, by an effusion of serum, (water,) thrown out by the vessels of the true skin. Had the friction been moderate, and applied at regular intervals, instead of blisters being formed upon the inside of the hands, material would have been thrown out to form new layers upon the lower surface of the cuticle. 644. The cuticle is interesting to us in another point of view, as being the seat of the color of the skin. The differ- ence of color between the blonde and the brunette, the Euro- pean and the African, lies in the cuticle ; — in the deeper, and softer, and newly-formed layers of that structure. In the whitest skin, the cells of the cuticle always contain more or less of a peculiar pigment, incorporated with the elementary granules which enter into their composition. In the white How can they be removed ? What precaution is given ? 643. Explain why those persons unaccustomed to labor, blister their hands in rowing a boat or performing ordinary manual employment for several successive hours. 644. In what other point of view is the cuticle interesting ? In what part of it do we find the coloring matter > 296 ANATOMY, PHYSIOXOGY, AND HYGIENE. races, the pigmentary tint is extremely slight, and less in winter than in the summer season. In the darker races, on the contrary, it is deep and strongly marked. 645. The various tints of color exhibited by mankind, are, therefore, referable to the amount of coloring principle con- tained within the elementary granules of the cuticle, and their, consequent depth of hue. In the negro, the granules are more or less black ; in the European of the south, they are amber-colored ; and in the inhabitants of the north, they are pale and almost colorless. 646. Color of the skin has relation to energy in its action ;« thus, in the equatorial region, where light and heat are most powerful, the skin is stimulated by these agents to vigorous action, and color is very deep ; while in the temperate regions, where light and heat are not so intense, the lungs, liver, and kidneys relieve the skin of part of its duties. The colored layer of the cuticle has been called the rdte mu-co'sum, (mucous coat of the skin,) and described as a distinct layer by many physiologists. Observation. " The various coloring of the inner layer of the cuticle gives to some animals their varied hues ; the ser- pent, the frog, the lizard, and some fishes have a splendor of hue almost equal to polished metal. The gold-fish and the dolphin owe their difference of color and the brilliancy of their hues to the color of this layer of the skin." 647. The nerves of the skin are the organs of the sense of touch and feeling. Through them we receive many im- pressions that enhance our pleasures, as the grateful sensa- tions imparted by the cooling breeze in a warm day. In In what season of the year is the coloring matter less in the white race ? 645. To what ia the color of the skin referable } 646. Why have the races of the torrid zone darker complexions than those of the temperate or frigid zones i What Is this colored layer called by many physiologists i To what is the different hues in animals owing i 647. Of what use are the nerves of thc^skin ) PHYSIOLOGY OF THE SKIN. 297 consequence of their sensitiveness, we are individually pro- tected, by being admonished of the proximity of destructive agents. Illustration. A man who had been afflicted some years with a severe disease of a portion of ihe brain and spinal cord, was deprived of feeling in the lower extremities. He was directed by his attending physician to use a warm foot- bath. Intending to follow the directions given him, he immersed his feet in boiling water, which he supposed of a proper temperature. While his feet were immersed in the water, he experienced no sensation of an unpleasant nature. On withdrawing them, he was astonished to find the cuticle separated from the other tissues, by the effusion of serum, and thus producing a blister over the whole surface. 648. Portions of the skin would suffer every day, were it not for the sentinel-like care exercised by the nerves, by which all impressions are transmitted to the brain. As the skin is continually exposed to the influence of destructive agents, it is important that the nerves, provided for its pro- tection, should be kept in a healthy state. 649. A large proportion of the waste of the body passes through the outlets of the skin ; some portions in the form of oil, others in the form of water and carbonic acid. 650. The oil-glands secrete an oil, partly free and diffused, and partly mixed with albumen. When the cells are fully formed, that is, fully distended, they yield their contents, and the fluid matter they contain is set free, and passes along the tubes to the surface ; this fluid matter constitutes the oily element of the economy of the skin. 651. The uses of the unctuous product of the oil-glands are twofold : 1st. The protection ; 2d. The removal of waste Give the illustration. 648. "Why ia it necessary that the cutaneous nerves be kept in a healthy state ? 649. Through what membrane does a large proportion of the waste material of the system pass ? 650. "What is the function of the oil-glands ? 651. "What are the uses of the oily product of those glands ? 298 ANATOMY, PHYSIOLOGY, AND HYGIENE. mailer from the system. In the exercise of these offices the oily substance is diffused over those parts of the skin which are naturally exposed to vicissitudes of temperature and moisture, — as the nose, face, and head; — to the injurious attrition of contiguous surfaces, — as the flexures of joints ; — or the contact of acrid fluids, — as in the excoriations to which infants are liable. 652. The oil of the unctuous substance is the principal agent in effecting these purposes : 1st. It prevents the evap- oration or congelation of the water of the cuticle, which would cause it to become parched and peel off, thus leaving the sensitive skin exposed. 2d. It affords a soft medium to the contact of moving substances. 3d. It repels moisture and fluids. 4th. The action of these glands removes the waste atoms and purifies the blood. 653. In considering the purpose of the oily matter of the skin, there are two situations in which it deserves especial remark. 1st. Along the edges of the eyelids, where it is poured out in considerable quantity. Here, it is the means of confining the tears and moisture of the eyes within the lids, defending the skin from the irritation of that fluid, and preventing the adhesion of the lids, which is liable to occur upon slight inflammation. 2d. In the ears, where the unctuous wax not only preserves the membrane of the drum and the passage of the ear moist, but also, by its bitterness, prevents the intrusion of small insects. 654. The use of the perspiratoiy glands is to separate from the blood that portion of the waste matter which is carried off through the skin in the form of vapor. Sanctorius, a celebrated medical writer, daily, for thirty years, weighed 652, What prevent^ the evaporation of the water of the cuticle ? Give its 2d use. Its 3d. Its 4th. 653, What is said in reference to the dis- tribution of the oily matter along the edges of the eyelids } In the ears ? 654. Of what use arc the perspiratory glands? How long did Sanctorius daily weigh his food, to ascertain the amount of secretion that passed through the t^ltiu '/ . PHYSIOLOGY OF THE SKIN. 299 himself, his food, and excretions. He estimated that five of every eight pounds of food and drink passed from the system through the many outlets upon the skin. Many place the estimate much lower. All physiologists agree that from twenty to forty ounces of matter pass off from the skin of an adult every twenty-four hours. 655. The average amount of perspiration is about thirty ounces ; and it passes off in such minute portions, and mixes so rapidly with the surrounding air, that it is not perceived. For this reason, it is called inserisible perspiration. When this excretion is increased, it forms into drops, and is called sensi&Ze perspiration. The following experiments prove the existence of this excretion from the skin. Experiments. 1st. Take a cold bell-glass, or any glass vessel large enough to admit the hand, and introduce it per- fectly dry ; at the same time close the mouth by winding a napkin about the wrist ; in a short time, the insensible per- spiration from the hand, will be seen deposited on the inside of the glass. At first, the deposit is in the form of mist ; but, if the experiment be continued a sufficient time, it will collect in drops. 2d. Hold the apparently dry hand near a looking-glass, and the invisible vapor will soon be condensed, and cover the glass with a slight dew. 656. It is important that this excretion be maintained with steadiness and regularity. When the action of the perspira- tory glands is suppressed, all the vessels of the different organs will suffer materially, and become diseased, by the redundant waste matter that should be carried from the system. If a person is vigorous, the action of the organs, whose What were his conclusions ? 655. What is the average amount of per- spiration every twenty- four hours? What is insensible perspiration? What is sensible perspiration ? How can the existence of the excretion of the skin be shown ? Give the 2d e.xperiment. 656. Why is it important that thc.«o excretions be maintained regularly? 300 ANATOMY, PHYSIOLOGY, AND HYGIENE. fungtions are similar to those of the skin, as channels for tlie exit of waste matter, will be increased, and thus relieve the diseased state of the body. But the over-taxing of these organs, to relieve the system, often produces a diseased action in themselves. o^^^2^^^. ^-t^i^-^^ Fig. 117. 1, 1, Tbe lines, or ridges of the cuticle, cut perpendicularly. 9, 3, 9, 9, fi Tlie furrowa, or wrinkles of the same. 3, The cuticle. 4, 4, 4, The colored layer of the cuticle. 5, 5, The cutis vera. 6, 6, 6, 6, 6, The papillfB. 7, 7, Small furrows between the papillfB. 8, 8, 8, 8, The deeper furrown between each couple of the papille. 9, 9, Cells filled with fat. 10, 10, 10, The adipose layer, with numerous fat vesicles. 11, 11, 11, Cellular fibres of the adipose tissue. 13, Two hairs. 13, A perspiratory gland, with its spiral duct. 14, Another perspiratory gland, with a duct leas spiral. 15, 15, Oil-gianda with ducts opening into the sheath of the hair, (19.) NoU. — Let the pupil review the anatomy and phj^iology of the skin ironi fig. 117 or from anatomical outline plate No. 9 HYGIENE OF THE SKIN. 301 CHAPTER XXXIII. HYGIENE OF THE SKIN. 657. The sensibility of the skin, and the activity of the oil and perspiratory glands, are modified by the condition of the cuticle, the temperature of the skin and body, the purity and warmth of the air, and the character" of the light to which the body is exposed. Thus, to maintain a healthy action of eveiy.part of this membrane, attention should be given to Clothing, Bathing, Light, and Air. 658. Clothing, in itself, does not bestow heat, but is chiefly useful in preventing the escape of heat from the body, and in defending it from the temperature of the atmosphere. In selecting and applying clothing to our persons, the follow- ing suggestions should be observed. 659. The material for clothing sliould he a had conductor of heat ; that is, it should have little tendency to conduct or remove heat from the body. This depends mainly on the property possessed by the material in retaining atmospheric air in its meshes. 660. The material for clothing should not possess the property of ahsorling and retaining moisture. Dampness, or moisture, renders apparel a good conductor of heat; beside, if the perspired fluid, and the saline material it holds in solu- tion, are readily absorbed by the clothing, they become 657 — 716- Give the hygiene of the skin. 657. What influences modif; the action of the oil and perspiratory glands ? To what must atten- tion be given to maintain a healthy action of the skin ? 658. What is said in regard to the clothing ? 659. Mention a property that the material for clothing should possess. 660. What property in the selection of cloth- ing should we avoid ? Why ? 26 302 ANATOMY, PHYSIOLOGY, AND HYGIENE. sources of irritation to the skin with which the apparel comes in contact. 661. Furs contain a greater amount of air in their meshes, than any otlier article, and they absorb no moisture ; conse- quently , as an article of dress, they are best adapted to those who are exposed to great vicissitudes of heat and cold. 662. Woollen cloth retains more air in its meshes than any other article except furs and eider down, and it absorbs but very little moisture. These properties, together with its comparative cheapness, render it a good article of apparel for all classes of persons. The only objection to its general use is, the disturbance of the electricity of the system, and the irritation to delicate skins from the roughness of its fibres. Observation. Flannels are not only beneficial, during the cold season, in preventing colds and rheumatism, but they are of great utility in the warm season, in shielding the system from the chills at evening, that induce disease of the alimen- tary canal. Tlieir general use among children and delicate females, would be a preventive of the "season complaints" prevalent in the months of August and September. 663. Cotton contains less air in its meshes than woollen, but much more than linen. In texture, it is smoother than wool, and less liable to irritate the skin. This fabric absorbs moisture in a small degree. In all respects, it is well adapted for garments worn next the skin. When woollen flannels irritate the skin, they may be lined with cotton. 664. Silk is not as good a conductor of heat as cotton, nor does it absorb moisture to any considerable degree ; its texture is smooth, and does not irritate tlie skin ; consequently, when I ho garment of this fabric has sufficient body or thickness, it 661. Give the properties of far. As an artiole of dress, to whom are they best adapted ? 662. Give the properties of woollen oloth. Is this a good artiole for clothing? What objection ? What are the advantages of wear- ing flannels 7 66S. What are the qualities of ootton .as an artiole of dress t 6U. Of silk ? HYGIENE OF THE SKIN. 303 is a good article for clothing. The greatest objection to its use, is the disturbance of the electricity of the system, and its high price. 665. Linen is not only a good conductor of heat, and consequently a poor article of apparel, but it likewise absorbs the fluids carried from the system by the agency of the oil and perspiratory glands. When garments are made of this material, the body is not surrounded by a layer of air, but by one of moisture. This still further increases its power to conduct heat from the system, rendering it a very objectiona- ble article of apparel, even in warm weather and in hot climates, where the dress is usually thin. 666. Clothing differs in its power of radiating heat. This is influenced by the color ; those articles that radiate heat freely also absorb it readily. A black surface is a good radiator, while a white surface is not, because it reflects the calorific rays. It is obvious that those colors which render the transmission of external heat difficult, must impede the transmission of caloric from the body. Thus it is manifest, that light-colored apparel is best adapted for every season and every climate. Observation. Coach-drivers are practically aware, that in cold weather, light-colored over-coats are warmest, except when they are exposed to the direct rays of the sun, or when seated before a warm fire. On the other hand, when the temperature is elevated, light-colored apparel is coolest, be- cause the sun's rays are then reflected. 667. The clothing should he of a porous character. The skin is not only an important agent in separating fiom the blood those impurities that otherwise would oppress the system and occasion death, but it exercises great influence upon the system, by receiving oxygen through its tissues, and giving 665. What is said of linen as an article of apparel? 666. Why is light- colored apparel best adapted for every season ? What is said of the ap- parel of coach-drivers ? 667. Why should we wear jiorous clothing? 304 ANATOMY, PHYSIOLOGY, AND HYGIENE. back carbonic acid in return. Consequently, the apparel should be made of a material that will permit free trans- piration from the skin, and likewise convey the excreted fluids from the surface. ..- 668. The necessity for this is illustrated in wearing India rubber over-shoes. If they are worn over boots ten or twelve hours, not only the hose, but the boots will be moist from retained perspiration, and the residual matter left in contact with the skin may be reconveyed into the system by absorp- tion, causing headache and other diseases. Cotton and wool- len fabrics are not only bad conductors of heat, but are also porous ; for these reasons, they are well adapted to transmit the excretions of the skin. 669. The clothing should he not only porous, hut fitted loosely. The garments should retain a layer of air between them and the body. Every one is practically aware that a loose dress is much warmer than one which fits closely ; that a loose glove is warmer than a tight one ; and that a loose boot or shoe affords greater warmth than one of smaller dimen- sions. The explanation is obvious ; the loose dress encloses a thin layer of air, which the tight dress is incapable of doing ; and what is required, is, that the dress should be closed at the upper part, to prevent the dispersion of the warm air, by the ventilating current which would be estab- lished from below. Observation. As the purpose of additional garments is to maintain a series of strata of warm air within our clothing, we" should, in going from a warm room into the cold air, put on our defensive coverings some little time previous, in order that the layers of air which we carry with us may be suffi- ciently warmed by the heat of the room, and not borrowed from the body on exposure to the cold. 66S. How is fho nooossity of poroua clothing illustrated? 669. Why uhuatd wo wear loose gnrments? What is the use of additional garments when going from a warm to a cold air? What should they be put on ? HYGIENE or THE SKIN. 305 670. IVie clothing should be suited to the temperature of the atmosphere and the condition of the individual. The invari- able rule should be, to wear enough to maintain an equal and healthy action of the skin. Care should be taken, however, that the action of the cutaneous vessels is not inordinately increased, as this would, debilitate, not only the skin, but the internal organs of the system, as the stomach and lungs. 671. No rule as to the quantity of clothing can be given, as the demand will vary with different individuals. The fol- lowing are among the most prominent causes of this variation : Those persons who have large, active brains, full chests, well developed lungs, breathe an adequate amount of pure air, and take sufficient food to supply the wants of the system, require -less clothing than those of an opposite character, because more heat is generated in the system. 672. The child and the aged person require more clothing than the vigorous adult. Should we judge from observation, the inference would be, that children require less clothing than adults. This is an error, for the temperature in infancy is not only lower than in manhood, but the power of creating heat is feebler. The same remarks are applicable to those persons who have outlived the energies of adult life. Observation. The system of " hardening " children, by an inadequate supply of clothing, and keeping them uncomfort- ably cold throughout the whole day, is inhuman, as well as unprofitable. It operates upon the child somewhat like the long-continued chill upon a certain portion of the farmer's herd, that are kept shivering under the thatched shed, retard- ing thfe growth of their systems, which require more food to satisfy the keen cravings of hunger than when they are com- 670. What should be the invariable rule in reference to the amount of clothing that should be worn ? What precaution should be observed ? 671. What are some of the causes of the vaJ-iation of the demand for clothing ? 673. Why do the child and aged person require more clothing than the vigorous adult ? What is said of the system of hardening children ? 26* 306 ANATOMY, PHYSIOLOGY, AND HYGIENE. fortably sheltered. To make the boy robust and active, he must have nutritious food at stated houre, and free exercise in the open air, and his system must be guarded from chills by a due amount of apparel, 673. More clothing is needed when a vital organ is dis- eased. It may be observed that in, consumption, dyspepsia, and even in headache, the skin is pale and the extremities cold, because less heat is generated. Thus persons affected with these complaints, when exposed to cold air, need more clothing than those individuals whose organs are not diseased, and the functions of which are properly performed. 674. More clothing is required in the evening, than during the day. In the evening we have less vital energy, and therefore less heat is generated in the system, than in the early part of the day; beside, the atmosphere is damp, the skin has become moist from free perspiration, and heat, in consequence, is rapidly removed from the system. For this reason, when returning from crowded eissemblies, we should be provided with an extra garment. Observations. 1st. If there is a chill upon the system after having arrived home, warmth should be restored as speedily as possible. This can be done by friction witli warm flannels, and by using the warm or vapor bath. By this procedure, the pernicious effects of the chill will be prevented before any disease is fixed upon the system. Is it not the duty of the parent and the guardian to learn these facts, and to see tliat they are not only learned, but reduced to practice ? 2d. The farmer and industrious mechanic would be freed from many a rheumatic pain, if, while resting from" their labors at evening, or taking the ordinary meal after hard toil, they would put on an extra garment. The coat might not 673. Why do dyspeptic nnd consumptive persons require more clothing than those who have healthy vital organs? 674. Wliy do we need more clothing in the evening thiin during the day ? How can the pernicious effects of a chill be prevented 1 Qivo the 2d observation. HYGIENE OF THE SKIN. 307 SO agreeable for the first few minutes, but it would Tiatoly conduce to health and longevity. 75. The person of active habits requires less clothing than of sedentary employments. Exercise increases the circu- )n of the blood, which 'is always attended by the disen- ement of a greater quantity of heat ; consequently, an •ease of warmth is felt throughout the system. We like- 3 need more clothing while- riding, than when we are king ; because the exercise of the former is less than that the latter. The same is true when resting in the field or p, after laborious exercise. Ihservalion. We need a greater amount of clothing while !ep, than during the day ; as not only the action of the y, but that of the brain, during sleep, is suspended. 176. hess clothing is required when the cutaneous surface dean. A film of impurities obstructs the perspiratory ts, and diminishes the action of their glands ; conse- ntly, less 'heat is generated. For this reason, the hands 'eet when clean are less liable to become chilled or frozen. 177. The sensitiveness of the skin to the injluence of cold, inch modified by habit. A person who has been habituated he temperature of a warm room, or warm climate, suffers re when exposed to cold, than an individual who has been ustomed to colder air. Thus a person who labors or lies in a warm room, should wear more clothing when osed to the air, while walking or riding, than an individual ) labors in a cooler atmosphere. Not only is the sensi- ty of the skin increased by a warm atmosphere, but the vity"-of the digestive, respiratory, and nervous systems, in lerating heat, is much diminished. This is an additional son why an increased amount of clothing is demanded lb. Why does the person of active habits require less clothing than one edentary employments? 676. Why do we need less clothing when skin is clean ? 677. Show the effect of habit on the sensitiveness of skin. 308 ANATOMY, PHYSIOLOGY, AND HYGIENE. during exposure to cold air. In all cases where practicable, the heat of the system should be maintained by exercise, in preference to the use of fur or flannel. 678. Those parts of the skin usually covered, uniformly need that protection. The power of generating heat is diminished, and the impressibility to cold is increased, on those portions of the skin usually clothed. If a person wears the dress high and close about the neck, he suffers from exposure to a cold atmosphere if a dress is worn that is not as high or more open. As a general rule, it is preferable that those parts of the system, as the larynx, be exposed that are not uniformly protected by clothing. 679. The clothing should be kept clean. No article of apparel is entirely free from absorption ; even wool and cotton possess it in a small degree. They take up a portion of the transpired fluids which contain saline and animal matter, and thus the fibres of the garments become covered with the cutaneous excretions. We are practically aware of the reten- tion of these secretions from the soiled appearance of those garments worn next the skin, which are so covered as to pre- clude the particles of dust from lodging upon them. 680. The porosity of the clothing is lessened when soiled, and its power of conducting heat from the system in conse- quence, is increased. The residual matter with which the clothing is coated is brought in contact with the skin, which causes irritation, and not unfrequently re-absorption of the elements, thrown off" from the S3rstem through this avenue. Hence warmth, cleanliness, and health require that the clothing, particularly the garments worn next to the skin, should be frequently and thoroughly washed. This should not be forgotten in regard to ch dren, for their blood circu- 678. Why do those parts of the skin usually clothed need protection? 679. Why should the apparel bo kept olean f 680. What effect has un- oleanliness upon the porosity of clothing? What is said in reference to the clothing of children ? HYOIENB OF THE SKIN. 309 !8 with greater rapidity than that of adults, and a propor- lably greater amount of waste matter is thrown off from ir systems. )81. The under-garments worn during the day should not worn at night, or the reverse. When under-garments are rn several successive days or nights, they should not be put Irawers, or hung up in a close closet, as soon as taken from body, but should be exposed to a current of air. 582. Occupied beds should be thoroughly aired in the rning. The excretions from the skin are most abundant ing the hours of sleep ; and if the sheets and blankets, ether with the bed, are not aired every morning, by being arranged that both surfaces may be exposed to the air, the terials- eliminated from the skin will be retained in the shes of the bed-clothing, and may be conveyed into the tem of the next occupant, by absorption. Oftentimes 3ases of a disagreeable nature are contracted in this way. is fact should be instilled into every inother's and daugh- s mind. Observation. Bed-linen should not be put on a bed when i not sufficiently dried, or contains moisture from the excre- is of the skin, rior should beds or bedding be slept in, that e remained in a damp room that has not been occupied for ay weeks, unless: the dampness is removed from the bed- in by a warming-pan, or in some other way. 183. Changes of dress, from thick to thin, should always nade in the morning. At this time the vital powers are ally in full play. Many a young lady has laid the founda? 1 of a fatal disease, by disregarding this rule, in exchan- g the thick dress, with woollen stockings, for the flimsy ss and hose of silk or cotton, which are considered suitable ■ » >1. Should the gannents worn during the day be worn at night ? What is said respecting the cleanliness of beds and bedding ? J should not bed-linen that is damp be slept in ? 683. When should ige of dress from thick to thin be made ? Why ? 310 ANATOMY, PHYSIOLO&Y, AND HYGIENE. for the ball-room or party. Sudden changes in wearing- apparel, as well as in food and general habits, are attended with hazard ; and this is proportionate to the weakness or exhaustion of the system when the change is made. 684. W/ien the clothing has become wet, it is best to change it immediately. The skin should then be rubbed with a dry crash towel, until reaction, indicated by redness, is produced. If the garments are not changed, the person should exercise moderately, so that sufficient heat may continue to be gener- ated in the system to dry the clothing and skin without a chUl. Sitting in a cool shade, or current of air, should, by all means, be avoided ; as colds are not contracted by free and excessive exercise, but by injudicious management after such exercise. Observation. When an individual has been thrown into a profuse perspiration by violent exercise, though the skin and clothing may become wet, he feels no inconvenience from the dampness, as long • as he continues that amount of exercise ; for the reason that tlie circulation of the blood being increased, heat is generated in sufficient quantity to replace the amount abstracted from the system in evaporating the free perspira- tion ; but as soon as the exercise is discontinued, the increased circulation subsides, and with it the extra' amount of gener- ated heat. This accounts for the chill we experience, when the damp clothing is permitted to dry on the body, after the cessation of exercise, 684. What suggestion when the clothing has become wet? What should be done if the garments are not changed? What causes the chill that is experienced when damp clothing is permitted to dry on the body ? HYOMNIS Off TUE ?KIN. 311 CHAPTER XXXIV. HYGIENE OF THE SKIN, CONTINUED. 685. Bathing, its necessity and expediency, is obvious from the structure and the functions of the skin. The cuticle is cast off in minute, powdery scales, many of which are retained upon the surface by the pressure of clothihg. These mingle with the oily and saline products of the skin, and form a thin "crust. This crust, on account of its adhesiveness, collects particles of dust and soot from the atmosphere, and particles of foreign matter from our dress ; so that in the course of the day the whole body becomes coated vifith im- purities. If this coating remains, becomes thick and estab- lished upon the skin, it will produce the following effects : — 686. 1st. The pores will he obstructed, consequently trans- piration impeded, and the injluence of the skin as an excre- tory entirely prevented. When the pores are obstructed, and transpiration is checked, the elements of the transpired fluids^ will necessarily be retained in the system ; and, as they are injurious and poisonous if retained, they must be removed by those organs whose functions in the animal economy are sim- ilar, as the lungs, kidneys, liver, intestines, &c. 687. When these organs are called upon to perforin their ofRces, and in addition that of another, the healthy equilibrium is destroyed, and the oppressed organ, will suffer from exhaus- tion, and become the prey of disease. Thus, obviously, habits of uncleanliness are a cause of consumption and other seri- 685. Show the necessity for bathing. 686. What effect upon the body if the pores of the sliin are obstructed ? 687. What is the effect when an organ not only performs its own specific function, but that of another? 312 ANATOMY, PHYSIOLOGY, AND HYGIENE. ous diseases of the vital organs. Again, obstruction of the pores will prevent respiration through the skin, thus depriving the blood of one source of its oxygen, and one outlet of its carbonic acid, which will diminish the temperature of the system, and the same results follow as when the clothing is inadequate. 688. 2d. The retained perspirable matter will irritate the skin, loth mechanically and chemically ; and this membrane will be kept damp and cold, from attraction and detention of moisture ; and foreigrl material, as before adverted to, once removed from the system, may be reconveyed into it by ab- sorption. As a consequence, cutaneous eruptions and diseases will be produced, and the. re-absorption of matter once sepa- rated from the system, will be the exciting cause of other injurious disorders. 689. 3d. A film of foreign substance on the skin will inevitably become the seat of detention of miasmata and infectious vapors. These will remain until absorbed, and engender the diseases of which they are the peculiar cause. This is one reason why filthy persons contract infectious diseases more frequently than individuals of cleanly habits. 6D0. Bathing is useful to promote cleanliness. In this capacity, it enables us to remove the coating of impurities from the exterior of our persons. It effects this purpose by dissolving saline matters, and holding in temporary suspen- sion those substances which are insoluble. 691. The cuticle is composed of a substance resembling the dried white of egg, or, in a word, albumen. This is solu- ble in alkalies, and these are the agents which are commonly employed for purifying the skin. Soap is a compound of the alkali soda with oil, tlie former being in excess. When used 888. How are cutaneous eruptions frequently produced? 689. How are infectious vapors transmitted to the system ? 690, How does bath- ing promote cleanliness ? 691. Why is it necessary to use soap in bathing? HYGIENE OF THE SKIN. 313 • washing, the excess of alkali combining with the oily fluid, th which the skin is naturally bedewed, removes it, in the •m of an emulsion, and with it a portion of any adhering itter. Another portion of the alkali softens and dissolves ! superficial layer of the cuticle ; and when this is removed, ! cuticle is free from impurities. 692. Every washing of the skin with soap removes tho 1 face of the cuticle, and leaves a new one ; and were i process repeated to excess, the latter would become so n as to render the body sensible to impressions too slight be felt through its ordinary thickness. On the other hand, len the cuticle and its accumulated impurities, are rarely iturbed, the sensitiveness of the skin is impaired. The aper inference to be drawn from the preceding remarks, is favor of the moderate use of soap to cleanse the skin. Observation. If any unpleasant sensations are felt after the 3 of soap, they may be immediately removed by washing the rface with water slightly acidulated with lemon-juice or legar, which neutralizes the alkali that may remain on s skin. This is effective treatment for " chapped hands." 693. Bathing may he partial or general, and- the water ',d may be cold, temperate, tepid, warm, or hot. A person ly apply it to his system with a sponge, it may be poured on him, or he may immerse himself in it. The simplest )de of bathing is to apply water to a small extent of sur- ;e, ^y means of a wet sponge, arid after being wiped dry, ain cover with the dress. In this way the whole body may speedily subjected to the influence of water, and to no less eful friction. The water used may be warm or cold. . This scies of bathing may be praeticed by any invalid, and i92. Why should only a moderate amount of soap be used in bathing ? unpleasant sensations are felt from too free use of soap, how can they counteracted ? 693. Give the different forms of bathing. What is the iplest mode' of batiiing ? Can this mode be adopted by invalids with ety? 27 -' • 314 ANATOMY, PHYSIOLOGY, AND HYGIENB. always with benefit, if the bathing is succeeded by a glow of warmth over the surface ; and this is the test by which the benefit of all forms of bathing is to be estimated 694. When the heat of the system is adequate, the bather may stand or sit in a shallow tub, while he receives the water from a sponge squeezed over the shoulders or against the body. In this form of bathing, the person is more exposed to the cold air, and on this account it is less suitable for very feeble individuals than the first-mentioned method. In the early use of this form of the sponge-bath, the bather should content himself with a single affusion from the sponge ; the body should be quickly wiped with a soft towel, and friction applied with a crash towel or a brush. 695. The third kind of bathing is that of the shower-bath, which provides a greater amount of affusion than the former, combined with a greater shock to the nervous system. The concussion of the skin by the fall of water, particularly dis- tinguishes this from the previous modes of bathing. The degree of concussion is modified by the size of the openings through which the water issues, and the height of the reser- voir. The shower-bath admits of modification, adapting it to the most delicate as well as the robust. The extent of fall, the size of the apertures, the quantity and temperature of the water, may be regulated at pleasure. Ohservation. In using the shower-bath, it would be judi- cious to commence with warm or tepid water, for which, by a gradual process, cold water may be substituted. In this" way the system may be inured to cold water. After bathing, the skin Bbould be wiped dry and rubbed briskly. 696. The fourth form of bathing is that in which, the body, or a portion of it, is immersed in water. The temperature What ia the test by which to estimote the benefit of oil modes of bath- ing ? 694. Give another inolhod of sponge-bathing. 695. What is said of the Bhowei-bath ? What caution is given .' 696. Giva the fourth form of bathing. HYGIENE OF THE SKIN. 815 the water in this form of bathing may be modified accord- to the sensations and purposes of the bather. This form bathing is designated according to the heat of the water, len the temperature is below 75°, it is termed a cold bath ; en from 75° to '85°, a temperate bath ; from 85° to 95°, a id bath; from 95° to 98°, a warm bath; from 98° to 105°, lot bath. In using this form of bathing, the skin should wiped perfectly dry, and briskly rubbed. Observation. The length of time a person may remain in ;old bath with benefit varies from two to ten minutes ; ile a person may remain in a temperate, tepid, or warm h, from ten to thirty minutes, or until special indications : exhibited. 397. In the vapor-bath, the vapor is not only applied to the erior of the system, but it is inhaled and brought in con- t with every part of the interior of the lungs. The bather seated upon a chair, and the vapor gradually turned on lund him, until the proper temperature (90° to 110°) is lined. The bath may be continued from ten to thirty (lutes. After leaving the bath, attention should be given to skin, as in other forms of bathing. 598. In order to increase and promote reaction of the skin, •ious measures and processes are used, some of which : practised in, and others after, quitting the bath.* Of tho mer, the rubbing and brushing the skin are the most com- n and important. The brisk and efficient friction of the n with a coarse towel and flesh-brush, after quitting the h, should never be omitted. This short catalogue embraces the appliances requisite for the purpose. 399. BatMng promotes health hy 4ts immediate and remote That degree of temperature of water is termed a ooM bath ? A tem- a,te? A tepid? A warm? A hot bath? State the length of time t a person should remain in the different baths? 697. What is said of vapor bath? 698. Mention the different methods for promoting reac- 1 of the skin ? 316 ANATOMY, PHYSIOLOGY, AND HYGIENE. physiological effects on the system. When the body is moist- ened with a sponge wet with cold water, or when an affusion by the sponge or shower-bath is used, the skin instantly shrinks, and the whole of its tissue contracts. This con- traction diminishes the capacity of the cutaneous system of blood-vessels, and a portion of the blood circulating through them is suddenly thrown upon the more internal parts of the body. The nervous system, among others, participates in it, and is stimulated by the afflux, and communicates its stimulus to the whole system. This causes a more energetic eiction of the heart and blood-vessels, and a consequent rush of blood back to the skin. This is the state termed reaction, the first object and purpose of every form of bathing. 700. This condition of the skin is known by the redness of the surface, the glow, comfort, and warmth which follow the bath. The bather should direct all his care to insure this effect. By it the internal organs are relieved, respiration is lightened, the heart is made to beat calm and free, the mind is clear and strong, the tone of the muscular system is in- creased, the appetite is sharpened, and the whole system feels invigorated. This is the end and aim of the bather, and to this all his training tends. The error is, to expect the result without the preparation. 701. In order to promote reaction, and to be efficient in preserving health, bathmg should be regular, should be com- menced by degrees, and increased by a process of training, and should not be permitted to intrude upon hours devoted to some important function, as digestion. It must not precede or follow too closely a meal, or severe mental or muscular exercise, as reaction is less certain and vigorous when im- 699. What is the effect upon the skin when cold water is applied? ^Vhati8 the first object and purpose of every form of bathing? 700. How is this condition of the skin known f Mention the salutary effects that this condition has on the body. 701. How should bathing be performed, in order to be efficient in preserving health ? HYGIENE OF THE SKIN. S] 7 portant interaal organs are employed, than when they are ai rest. When the vital powers are greatest, and the system most free from exhaustion, bathing is most beneficial ; hence the morning is preferable to the evening, and the middle of the forenoon to the middle of the afternoon, for this healthful and agreeable duty ; as the vital action of the system is most energetic in the early part of the day. 702. In regard to the frequency of bathing, the face and neck, from their necessary exposure to the atmosphere, and the impiM'ities which the latter contains, should receive at least two washings in twenty-four hours, one of which should be with soap ; the feet, from the confined nature of the cover- ings which are worn over them, require at least one ; the armpits, from the detention, as well as from the peculiar properties of the secretions, at least one ; and the hands and arms, as many as seem proper. The whole person should be bathed at least every second day, but the most perfect health of every part of the body would be maintained, if the excre- tions from the skin were removed daily. 703. In diseases of the skin and internal organs, bathing is a remedial measure of great power. It should never be neglected or omitted. It is not only pleasant and safe, but is really more effective than any medicine administered inter- nally. This, like other curative means, should be applied by the direction and under the eye of the medical adviser, that it may be adapted to the condition of the patient. 704. " From the first hour of man's existence to his latest breath, in health and in sickness, rich or poor, water is always requisite. Baths were dedicated by the ancients to the divini- ties of medicine, strength, and wisdom, namely, jEsculapius, Hercules, and Minerva, to whom might properly be added the goddess of health, Hygeia. The use of water has been When should bathing be performed ? 702. How often should we bathe i 70.". What is sail of bathing in disease ? Who should direct the kind of bitk proper in different diseases ? 704 Were baths dedicated by tho ancients i „~ , 318 ANATOMV, PHYSIOLOGY, AND HYGIENE. enforced as a religious observance, and water has been adopted as one of the symbols of Christianity." 705. The air is an agent of importance in the functions of the skin. It impaftf to this membrane oxygen, and receives from it carbonic acid. It likewise removes from it a large portion of the perspiration and the more fluid portions of the oily secretion. In order that the air may accomplish these ends, it is necessary that it come in contact with the body. This is one of the many reasons why we should wear loose and porous clothing. • 706. Again, the air should be pure, and free from redun- dant moisture. In the warm mornitigs of July and August, the air is loaded with moisture and impurities, and the perepi- rable matter is not removed from the system as it is when the air is, pure and dry. This is the cause of the general lassitude that is experienced during such mornings. As soon as the fog is dispelled, these unpleasant sensations are removed. To sustain the functions of the skin in a healthy state, the parlor, kitchen, sleeping-room, school-house, and work-shop, should be well ventilated. The blood of the system will be purer, and its color of a brighter scarlet, if the skin is surrounded by fresh and pure air, than when it is foul or moist. 707. The LIGHT permeating the skin, not only exercises a salutary influence upon this membrane, but upon the blood, and, through this fluid, upon the whole system. For this reason, the kitchen and the sitting-room, which are the apart- ments most used by ladies, should be selected from the most pleasant and well-lighted rooms in the house. On the other hand, dark rooms and damp cellar-kitchens should be avoided, as exercising an injurious influence upon both body and mind. 708. The dark, damp rooms, so much used in cities and "0.5. Give the reasons why pure air should be supplied to the skin. 706. Whai is the cause of the general lassitude in a damp, warm morn- ing ? 707 Show tne salutary effects of light on the skin. 708. What ie one cause of disease and sulfering in large villages i HYGIENE OF THE SKIN. 3U large villages, by indigent families and domestics, are fruitfu causes of disease, as well as of vice, poverty, and suffering Common observation shows that solar light also exercises mucl influence upon the vigor and color of vegetables. Plant! that are kept in well-lighted rooms, have darker and more brilliant colors than those that grow in darkened apartments 709. Burns and scalds are terms applied to those condi tions of the skin which are produced by the application ol an undue amount of heat, which changes the action of it vessels. 710. A small degree of heat will irritate the nerves, am cause an increased action of the blood-vessels. This ii attended with severe smarting pain, and will be followed b] the deposition of serum under the cuticle, unless application! are made immediately, to prevent vesication, or blistering To prevent or suppress this state of arterial action, wet some folds of cotton or woollen cloth with cold water, and applj them to the parts scalded ; continue to apply cold water, so a: to steadily maintain the low temperature of the applications as long as the smarting pain is experienced. The steadi application of cold dressing also tends to prevent an increase! action of the blood-vessels, and will suppress it, if it alreadi exist 711. When blisters are formed, the cuticle is separate! from the other tissues of the skin by the effusion of serum [n all cases, if this layer of the skin is not remo\»d, a smal opening should be made in the raised cuticle, by whicl the serum deposited may be removed. Under such circum stances, never remove the cuticle, as it makes the best possi ble covering for the blood-vessels and nerves of the true skin The cold water dressing, recommended in the precedinj 709. To what condition of tlie sT?in are the terms burns and scalds applied 710. What is the effect when only a small degree of heat is applied to th skin B How can vesication be prevented ? 711. What should be the treal ment when blisters are formed ? 330 ANATOMV, PHYSIOLOGY, AND HYGIENE. paragraph, may then be applied as long as the smarting sensa- tion continues. After the pain has subsided, the blistered part may be covered by a patch of cotton or linen cloth, upon which an ointment, made of lard and bees-wax, has been spread. 712. If the cuticle has been removed, there will be much suffering, because the nerves are unduly stimulated by the air. The cuticle is the sheath or covering of the vessels and nerves of the skin, and when it is removed, a substitute should be applied. This substitute should be soothing, and cover the denuded surface. Linseed-meal or ground slippery- elm bark poultice, fresh cream, or lard and bees-wax, spread upon linen or cotton cloth, would make a good dressing. AVhen dressings are applied, they should not be removed until they become dry and irritating. 713. If there is much suffering, administer to an adult from twenty-five to sixty drops of laudanum, according to the severity of the pain. If the patient is a child, from fifteen drops to a tea-spoonful of paregoric may be administered. When there is much prostration, some hot peppermint tea or other stimulant may be found necessary to bring on reaction. 714. The hands, feet, ears, die., are subject, in cold lati- tudes, to be frozen, or frost-bitten. This may occur when the patient, at the moment, is not aware of it. The part affected at first assumes a dull red color, which gradually gives place to a pale, waxy appearance, and becomes quite insensible. The first thing to be done in such cases, is to reestablish cir- culation. This should be effected very gradually. If a large quantity of blood is thrown suddenly into the chilled and debilitated vessels of the frozen part, inflammation may be produced that will destroy the vitality of the limb. 712. What should bo the treatment if the cuticle has been removed i How often should the dressing of burns be removed ? 713. What may be necessary when there is much suffering f 714. What is the appearance of limbs while freezing f How should the circulation be at first reestablished ? What should be avoided i HYGIENE OF THE SKIN. 321 715. The circulation and sensibility may be restored by t)bing the frozen limb, with snow, or, when this is not to be tained, cold water ; but snow is always to be preferred, le fire should be avoided ; and it would be better for the- tient to be kept in a cold room, for a time, where there is fire, or where the temperature is moderate. 716. When a person is found benumbed with cold, and Tiost or quite insensible, he should be taken into a cold room, 3 clothing removed, and friction commenced and continued r some time, with snow. When warmth begins to be stored, the individual should be rubbed with dry flannel, and 3 friction continued until reaction takes place. Observation. When the toes and heels have been repeat- ily chilled, there may be produced a disease called chil- lins. This affection is attended with tenderness of the parts, :companied with a peculiar and troublesome itching. The evention of this disease is in wearing warm hose and thick oes of ample size. Bathing the feet morning and evening also a prevention of this disagreeable affection. When lilblains exist, apply cold water, warm camphorated spirits, turpentine linament. 715. How may the circulation and sensibility be restored ? 716. AVTiat latment should be adopted when a person is benumbed with cold ? What ■atment should be adopted when warmth begins to be restored f What said of chilblains ? 222 ANATOMY, PHYSIOLOGY, AND HYOIENE. CHAPTER XXXV. APPENDAGES OF THE SKIN. 717. The hairs are appendages of the skin, and, like the cuticle, they are a product of secretion. They have no blood-vessels or nerves, and, consequently, no vitality. The hairs take their origin from the cellular membrane, in the form of bulbs. Each hair is enclosed beneath the surface by a vascular secretory follicle, which regulates its form dur- ing growth. In texture, it is dense, and homogeneous toward the circumference, and porous and cellular in the centre, like the pith of a plant. Every hair has on its surface pointed barbs, arranged in a spiral manner, and directed toward the root of the hair ; so that, if a hair be rolled between the fin- gers, it moves only in one direction. Tig. 118. Fig 118. The hair follicle (1) Is represented ns imbedded In the ceUnlar membrane, (9,) which is Bitunted beneath the skin. 3, », Tl.c menibranou. sac, which has a narrow neck, opening externally by a contracted oriflce, through which the halt (1) pnsspi. . It. Internal surface is smooth, and not adherent to tbe hair, but separated from It by a reddish fluid. From the bottom of the sac (5) the pulp of the hair arises, and passes through the akin at 6. 717—723. Describe the appendages of the skin. 717. Why have not haira vitality? Where do they tako their nrigin? Give their Btnictiire. What Is rcpreaoiitofl by flg. 118 ? APPENDAGES OF THE SKIN. 323 718. The color of the hair varies in different individuals, i is generally supposed to depend on the fluids contained the pith. There are two causes which act in changing ! hair gray. The first is, defective secretion of the color- ; fluid. The second is, the canals, which~ convey the fluid o the hair, become obliterated. In the first instance, the ir will remain ; in the second, it dies, and drops out ; the tide of the scalp grows over the canal, which is soon oblit- ited, and the head becomes bald. Oiservation. It is related that the hair of Marie Antoinette, leen of Prance, and others, from excessive mental agita- n, changed ' from black to gray in a single night. This is t strictly true ; the secretion rffay be arrested, but that eady deposited in the pith will require days or weeks to be noved. 719. Upon the upper part of the head, the oil-tubes open the hair-sacs ; consequently, the secretion of the oil- mds is spread over the surface of the hair, and not upon ', cuticle. This is the cause of the dry, white, branny des, called " scurf," or " dandruff," upon the head. This natural, and cannot be prevented. When scurf exists, the ly necessary application to remove it, is the frequent use the hair-brush, and washing with pure water. Oiservation. The secretion of the oil-glands may become pacted around the hairs as they issue from the skin, and IS prevent their outward movement in growing. The 3ssure of the matter deposited at their bulbs will then cause hing. The comb and the brush may be used to remove the pacted matter, and relieve the disagreeable sensation. 720. The oil is most abundant near the roots of the hair. 18. Upon what does the color of the hair depend ? What are the causes ihe hair becoming gray f What is the cause of the hair dropping out ? lat is related of Marie Antoinette? 719. How is "dandruff" on the Ip produced ? What is the only necessary application to remove it ? rp observation. 720. Where is the oil of the hair most abundant ? 824 ANATOMY PHYSIOLOGY, AMD HYUiENE. A free use of the brush spreads it along the hairs, and gives them a smooth, glossy appearance. Soap should rarely be used in washing the head, as it will remove the oU which is essential to the health and appearance of the hair. 721. The uses of the hair vary in different regions of the body. Upon the head, it aids in shielding the brain from injury by blows, and it likewise serves to protect this part of the system from heat and cold, thus maintaining equal temperature of the cerebral organ. About the flections of the joints, as in the axilla, (armpit,) they prevent irritation of the skin from friction ; in the passages to the ears and nostrils, they present an obstacle to the ingress of insects and foreign bodies ; while in the eyebrows and eyelids, they serve to protect the organ of vision. Kg. 119. Fig. 119. A fsection of the end of the finger and nail. 4, Section of the last bono at the finger. 5, Fat, forming the cushion at the end of the finger. S, The nail 1) 1, The cuticle continued under and around the root of the noil, at 3, 3, 3. 722. The nails are hard, elastic, flexible, semi-transparent scales, and present the appearance of a layer of horn. The nail is divided into the root, the body, and the Jrpe portion. The root is that part which is c^overed on both surfaces ; the body is that portion which has one surface free ; the free por- tion projects beyond the end of the finger. 723. The nail is formed of several laminse, or plates, that are fitted the one to the other ; the deepest is that which is last formed. The nails, as well as the hoofs of animals and How can it bo spread along the hairs t Why should soap not be used in washing the hair ? 721. Of what use is the hair upon the head ? About the flexions of the Joints ? In the nasal and ear passages ? Upon the eye- brows and eyelids? 722. Describe the nails ? 723. How are they formed f APPENDAGES OF THE SKIN. 325 ! cuticle, are products of secretion. They receive no blood- isels or nerves. If the cuticle be removed in severe scalds, ly will separate vf ith it, as the hoofs of animals are removed the agency of hot vi^ater. The nails increase in length i thickness, by the deposition of albumen upon their under •face, and at their roots, in a manner similar to the growth the cuticle, of which they constitute a part. Ohservations. 1st. The nail upon its under surface is fash- led into thin vertical plates, which are received between the ds of the sensitive skin. In this manner, the two kinds of ninse reciprocally embrace each other, and the firmness of mection of the nail is maintained. If we look on the sur- e of the nail, we see an indication of this structure in the jrnate red and white lines which are "there observed. The mer of these correspond with the sensitive laminae ; the lat- with the horny plates. The ribbed appearance of the nail iue to the same circumstance. These sensitive laminae are )vided with an unusual number of capillary vessels for the mation of the nail, and hence they give a red tint to the rtion under which they lie. M. Near the root of the nail there is a part that is not linated, and it is less abundantly supplied with blood-vessels. is portion consequently looks pale compared with the lam- ted portion, and from its half-moon shape is technically med lunula. 'Beyond the lunula, the root of the nail is Dedded in the fold of the sensitive skin, and has the same ition to that structure that* any single one of the thin horny tes of its under surface has to its corresponding pair of sen- ve laminae. 724. The nails, from their position, are continually receiv- ; knocks, which produce a momentary disturbance of their 1 formation, followed by a white spot. The care of the lis should be strictly limited to the knife or scissors, to live observation 1st. Observation 2d. 724. How should the nails be ited to prevent irregularities and disease ? 28 326 ANATOMY, PHYSIOLOGY, AND HYGIENE. their free border, and an ivory presser, to prevent adhesion of the free margin of the scarf-skin to the surface of the nail. Tiiis edge of the cuticle should never be pared, the surface of the nail never scraped, nor the nails cleaned with any instrument whatever, except the nail-brush, aided by water and soap. An observance of these suggestions, will prevent irregularities and disorders of the nails. Observations. 1st. When we wear a shoe that is too short for the foot, the edge of the nail is brought against the leather. This interrupts the forward growth of the nail, and it spreads out on the sides, and becomes unusually thick. It then presses upon the soft parts, and is said to " grow into the flesh." The prevention is, to wear shoes of ample size. 2d. Instances are by no means unfrequent in which the power of production of the nail at the root becomes entirely destroyed, and it then grows in thickness only. When this affection occurs, it is often remarkable what a mass the nail presents. Instances are on record, where the nail is regularly shed ; and, whenever the old nail falls off, a new one is found beneath it, perfectly formed. Sometimes the growth in length is not entirely checked, although growth in thickness is in- duced ; the nail then presents a peculiar appearance. What causes the edge of the nail "to grow into the flesh" of the toe? How prevented ? ANATOMY OF THE NERVOUS SYSTEM. 327 CHAPTBE XXXYI. THE NERVOUS SYSTEM. 725. In the preceding chapters we have seen how various and complex are many of the motions necessary to maintain the life of an animal whose organization is superior to all others. We have noted the wonderful mechanism of the mupcular system, in producing the varied movements of the hody, the different processes by which the food is converted into chyle and mixed with the blood, and the circulation of this fluid to every organ and tissue of the system, that each may select from it the very principles which it requires for its growth. 726. Lymphatic absorption commences as soon as nutri- tion is completed, and conveys the useless, worn-out particles of different tissues back into the circulating fluid ; while the respiratory organs and secretory glands perform the work of preparing the waste products to be eliminated from the body. Each of these processes effects a single object, and is performed in a regular manner. 727. " They must succeed each other in proper order in propelling every particle to' its proper destination, or life would be sacrificed almost at the moment of its commence- ment. There is, therefore, a mutual dependence of all portions of the machinery of organic life upon each other, and a neces- sity for some medium of communication from one organ to another, by which they may convey mutual information of 725. What has been noted In the preceding chapters ? 726. Show the manner in which the several processes are performed. 727. How must they succeed each other ? 328 ANATOMY PHYSIOLOGY, AND HYGIENE. their several conditions, if we may be permitted to employ a tigurative expression. Were there no such medium, how would the stomach notify the heart that additional exertion on its part is required, because the stomach is busy in digesting food .? 728. " When we are exerting the muscular system for a long time in some laborious employment, how else are our members to inform the stomach that they are too much occu- pied with their duties to spare the blood necessary in diges- tion ; that it is requisite that the appetite should decline ; and that digestion should cease for the time, even if the stomach should be oppressed with its contents .' When we are think- ing, how else are the blood-vessels to be told that an unusual supply of their contents is wanting in the head ? or when the whole frame is weary with exertion, how, without some regular line of intelligence between all the organs, is the brain to be instructed that circumstances require that it should go to sleep ? To supply the necessary medium of communica- tion. Providence has furnished all the animals that possess distinct organs, with a peculiar apparatus called the Nervous System." ANATOMY OF THE NERVOUS SYSTEM. 729. The nervous system consists of the Cer'e-bro-spi'nal Cen'tre, and of numerous rounded and flattened white cords, called nerves, which are connected at one extremity with the cerebro-spinal centre, and at the other, distributed to all the textures of the body. The sympathetic nerve is an exception to this description ; for, instead of one, it has many small centres, which are called gan'gli-a, and which communicate very freely with the cerebro-spinal centre, and with its 728. What ia the medium of nommunioation from one organ to another? 729 — 764. Oive the anatomy of the brain and cranial nervea. 729. Of what docs the nervous system consist? What constitutes an exception to this? ANATOMY OF THE NEHVOUS SYSTEM. 329 730. The oEREBRO-sPtNAL CENTRE coDsists of two portions : The brain, and the spinal cord. For conyenience of de- scription, tlie nervous system may be divided into the Brain, Cranial Nerves, Spinal Cord, Spinal Nerves, and the Sym- •pathetic Nerve. 731. The term brain designates those parts of the nervous system, exclusive of the nerves themselves, which are con- tained within the cranium, or skull-bones ; they are the Cer'e- hrum, Cer-e-hel'lum, and Me-dul'la Ol-lon-ga'ta. These are invested and protected by the membranes of the brain, which ate called the Bu'ra Ma!ter, A-rach'noid, and Piia Ma'ter. Kg. 120. Pig. 120. 1, 1, The scalp turned down. 2, 2, 2, The cut edge of the bones of the BkuU. 3, The external strong membrane of the brain (dura mater), suspended by a hook. 4, The left hemisphere of the brain, showing its convolutions. ISO. Of what does the eerebro-spinal centre consist ? How is the nervous system divided ? 1S1. What does the term brain designate ? Xame them. How are they protected ? Describe fig. 120. 28* SP,0 ANATOMY, PHYSIOLOGY, AND HYGIENE. 152. The CEnEBTiTJM is divided into two hemispheres, by a cleft, or fissure. Into this cleft dips a portion of the dura mater, called the /aZa; cer'e-W, from its resembling a sickle. The apparent design of this membrane is to relieve the one side fft)m the pressure of the other, when the head is reclin- ing to either side. Upon the superior surface of the cere- brum are seen undulating windings, called con-vo-lu'tions. Upon its inferior, oi- lower surface, each hemisphere admits of a division into three' lobes — the anterior, middle,"~and posterior. (Fig. 122, 123.) Fig. 121. Pig. 121. A BocUon of the Bknll-bonae and oerobrnm. 1, 1, The sknll. 2, 2, The dura mater, a, 8, The olnorltlous portion of the cerebrum. 4, 4, The medullary portion. The dark points indicate the position of divided blood-vessels. 6, 6, The lateral ventricles. 732. How is the oerobrum divided ? What is the use of the falx cerebri? What is soon upon the superior surface of the brain? Its inferior? ANATOMY OF THE NEEVOUS SYSTEM. 381 733. When the upper part of the hemispheres is removed horizontally with a sharp knife, a centre of white substance ia brocight to view. This is surrounded by a border of gray, which follows the depressions of the convolutions, and pre- sents a zigzag outline. The divided surface will be seen studded with numerous small red points, which are produced by the escape of blood from the division of the minute arte- ries and veins. The gray border is called the cortical, or cin- eritious portion, while the white central portion is called the medullary. The two hemispheres are connected by a dense layer of transverse fibres, called cor'pus cal-lo'sum. 734. In the interior of the brain there are several cavities, two of which are of considerable size, and are called the lateral ventricles. They extend from the anterior to the pos- terior part of the brain, and wind their way into other parts of the cerebral organ. Observation. In the disease called " dropsy of the brain," (hydrocephalus internus,) the serum, or water, is usually de- posited in these- ventricles. This is effused from the many small blood-vessels of the membrane in these cavities. 735. The brain is of a pulpy character, quite soft in infancy and childhood ; but it gradually becomes more and more consistent, and in middle age it assumes the form of determinate structure and arrangement. It is more abun- dantly supplied with blood than any organ of the system. No lymphatics have bee* detected, but it is to be presumed that they exist in this organ. 736. The cerebellum is about seven times smaller than the cerebrum. Like that organ, it is composed of white and 733 Desciibe the appearance of the hrain when a horizontal section has been made. What is the gray border often called ? What connects the hemispheres ? 734. Describe the ventricles of the brain. In the disease called "dropsy of the brain," where is the water deposited? 735. Wbat is the character of the brain in childhood ? In adults ? 736. How does the cerebellum compare in size with the cerebrum ? 332 ANATOMY, PHYSIOLOGY, AND HYOIHNB. gray matter, but the gray constitutes the larger portion. Ila surface is formed of parallel plates separated by fissures. The white matter is so arranged, that when cut vertically, the appearance of the trunk and branches of a tree {ar'bor vi'ta) is presented. It is situated under the posterior lobe of the cerebrum, from which it is separated by a process of the dura mater, called the ten-to'ri-um. Fig. 122. Fig. 193. The undei surfiice, or base, of the brain and origin of the cranial nerves. 1, 1, The anterior lobes of the cerebrum, a, a, The middle lobes. 3, 3, The posle. rior lobes, almost concealed by the cerebellum. 4 i. The cerebellum. 7, 7, The longitudinal fissure that divides the lirain into two hemispheres. 8, The first pair of nerves. 9. 9, The second pair of nerves, 10, The decussation, or crossing, of its fibres. 13, 13, The third pair of nerves. 14, The pons varolii. IS, IS, The fourth pair of nerves. 16, 16, The fitih pair of nerves. 17, The sixth pair of nerves. IR, 18, The seventh and eighth pair of nerves. 19, The medulla oblongata, with the crossing of some of its fibres exhibited. 30, The ninth pairof nervea 31, The tenth pair of nerves. 39, The eleventli pair of nerves. S3, The twelfth pair of nerves. Describe this portioix of the brain. Explain fig. 122. ANATOMY OF THE NERVOUS SYSTEM. 333 737. The medulla oblongata, or that portion of the spinal cord which is within the skull, consists of three pairs of bodies, {cor'pus py-ram'i'da'le, res-ti-for'me, and ol-i'va're,) united in a single bulb. Pig. 123. Fig. 1S3. The base of the skull and the openings through which the cranial nerveB ]>Bsa. 1, 1, The first pair of nerves. 3; S, The cribriform plate of the ethmoid bone, through which this nerve passes. 3, 3, The second pair of nerves. 4, 4, The optio foramen In the sphenoid bone; through which passes the second pair of nerves. 5, 5, The sphenoidal fissure. 6, 6, The third pair of nerves. 7, 7, The fifth pair of nerves 8,8, The ophthalmic branch of the fifth nerve. The third, the ophthalmic branch of the fifth and the sixth nerve pass from the brain through the sphenoidal Assure to the eye: 9, 9, The superior maxillary branch of the fifth nerve. 10, 10, The foramen rotundum, (round opening,) through which the nerve 9, 9, passes to the upper JaW. 11, 11, The Inferior maxillary branch of the fifth pair. 12, 12, The foraraeu ovale, (oval opening,) through which the nerve 11, 11, passes to the lower jaw 13, 13, The sixth pair of nerves. 14, 14, The seventh and eighth pair of nerves, 15, 15, The opening in the temporal bone, through which the seventh and eighth nerves pass to the face and ear. 16, 16, The ninth pair of nerves. 17, The tenth pair of nerves. 18, 18, The eleventh pair of nerves. 19, 19, The foramen lacerum (rough opening.) The ninth, tenth, and eleventh nerver pass from the brain through this opening. 20, The spinal cord. 21, The foramer. spinalis, through which the spinal eord passes. 22,22, The position of the anterior lube of the brain. 23,23, The middle I8l)e. 24, 24, The posterior lobe. 25, 25, A section of the skull-bones. 737. Describe the medulla oblongata. Explain fig. 123. 334 ANATOMY, PHYSIOLOGY, AND HYGIENE. 738. The duka matek is a firm, fibrous membrane, which is exposed on the removal of a section of the skull-bones. This lines the interior of the skull and spinal column, and likewise sends processes inward, for the support and protec- tion of the different parts of the brain. It also sends pro- cesses externally, which form the sheaths for the nerves, as they quit the skull and spinal column. The dura mater is supplied with arteries and nerves. Fig. 124. •' - J- **••-. '^ f Fig. 124. A vertical section of the cerebrum, cerebellum, and medulla oblongata, Bhowlng the relation of the cranial nerves at their origin. 1, The cerebrum. 2, The cerebellum, with its arbor vitce represented. S, The medulla oblongata. 4, The spinal cord. 6, The corpus cullosum. 0, The fli'st pair of m.-rves. 7, The second pair. 8, The eye. 9, The third pair of nerves. 10, The fourth pair. 11, The fifth pair. 12, The sixth pair. 13, The soventli pair. 14, The eighth pair. 15, The ninth pair. 16, The tenth pair. 19, The eleventh pair. 18, llio twelfth pair. 20, Spinal nerves. 21, The tentorium. 738. Describo the dura mator. What is its use? Explain fig. 124. ANATOMY OF THE NERVOUS SYSTEM. 335 739. The arachnoid, so called from its extreme tenuity, is the serous membrane of the brain and spinal cord, and is, like other serous membranes, a closed sac. It envelops these organs, and is reflected upon the inner surface of the dura mater, giving to that membrane its serous investment. 740. The pia mater is a vascular membrane, composed of innumerable vessels, held together by cellular membrane. It invests the whole surface of the brain, and dips into its convolutions. The pia mater is the nutrient membrane of the brain, and receives its blood from the carotid and vertebral arteries. Its nerves are minute branches of the sympathetic, which accompany the branches of the arteries. 741. The cranial nerves, that connect with the brain, are arranged in twelve pairs. They are called : 1st. The 01- facl'o-ry. 2d. The Op'tic. 3d. The Mo-to'res Oc-u-lo'rum. 4th. The Pa-thet'i-cus. 5th. The Tri-fa'cial. 6th. The Ah-du-cen'tes. 7th. The Por'ti-o Du'ra. 8th. The Por'ti-o Mol lis. 9th. The Glos'so-pha-ryn'gi-al. 10th. The Pneu- mo-gas'tric. 11th. The Spi'nal Ac'ces-so-ry. 12th. The Ily'po-glos'sal. 742. The olfactory nerve (first pair) passes from the cavity of the skull through many small openings in a plale of the eth'moid bone. (This plate is called crib'ri-form, from its resemblance to a sieve.) This nerve ramifies upon the membrane that lines the nasal passages. It is the softest nerve of the body. 743. The optic nerve (second pair) passes from the inte- rior of the cranium, through an opening in the base of the skull, {fo-ra!men op'ti-cum,) to the cavity for the eye. It pierces the coats of the eye, and expands m the retina. 744. The motores oculorum (third pair) pass from the 739. Describe the arachnoid membrane. 740. What is said respecting the pia mater ? 741. How many pairs of cranial nerres ? Name them. 742. Describe the olfactory nerve. 743. The optic nerve. 744. Describe the motores oculorum. 336 ANATOMY, PHYSIOLOGY, AND HYGIENE. brain, through an opening of the sphe'noid bone, {sphe-nold'&l Jis'sure,) to the muscles of the eye. 745. The patheticus (fourth pair) passes from the brain, through the sphenoidal fissure, to the superior oblique rriuscle of the eye. Fig. 126. Fig. ISSr The distribution of the third, fourth, and sixth pairs of nerves, to the musdes of the eye. 1, The ball of the eye and rectus externus muscle. Q, The uiv per jaiv. 3, The third pair, distributed to all the muscles of the eye, except the superior oblique, and external rectus. 4, The fourth pair passes to the superior oblique muscle. 6, The sixth pair, is distributed to the external rectus muscle. 746. The trifacial nerve (fifth pair) is analogous to the spinal nerves in its origin by two roots, from the anterioi: and posterior columns of the spinal cord. It has a ganglion, like the spinal nerves upon its posterior root. For these reasons, it ranges with the spinal nerves, and is considered the cranial spinal nerve. This nerve divides into three branches : — The oph-thal'mic, superior mas/il-la-ry, and in- ferior max'il-la-ry. Jib. The pathetious. What does fig. 125 represent ? 746. What ia the . trifacial nerve sometimes called ? Why is it classed with the cranial spinal nerves? 01vo the names of its branches. ANATOMY OF THE NERVOUS SYSTEM. 337 747. The ophthalmic nerve passes from the cranial cavitv tlirough the sphenoidal fissure. It sends branches to the fore- head, eye, and nose. The superior maxillary nerve passes through an opening in the. base of the skull, [foramen ro-tun'- dum,) and sends branches to the eye, the teeth of the upper law, and the muscles of the face. The inferior maxillary nerve escapes from the cranial cavity through an opening called foramen o-va'le. It sends branches to the muscles of the lower jaw, the ear, the tongue, and the teeth of the lower jaw. Fig. 126. Fig. 126. T e distribution of the fifth pair of nerves 1, The orbit for the eye. i. The upper jaw. 3, The tongue. 4. The lower jaw. 5, The fifth pair of nerves. 6. The first branch of this nerve, that passes to the eye. 9, 10, 11, 12, 13, H, Divisions of this hranch. 7, The second branch of the fifth pair of nerves is dis- tributed to the teeth of the upper jaw. 15, 16, 17, 18, 19, 20, Divisions of tbia branch. 8, The third branch of the fifth pair, that passes to the tongue and teeth ot the lower jaw. 23, The division of tills branch that passes to the tongue, called the giist'a-to-ry. 24. The division that Is distributed to the teeth of the lower jaw. 747. Where do the filaments of the ophthalmic branch ramify? The superior maxillary ? The inferior maxillary ? E-tplain fig. 126. 29 33S ANATOMY, PIiySIOLOGY, AND HYGIENE. 748. The abduoentes (sixth pair) passes through the open- ing by which the carotid artery enters the cranial cavity. It is the smallest of the cerebral nerves, and is appropriated to the external straight muscle of the eye. 749. The PORTio mollis (seventh pair) enters the hard portion of the iem'po-ral bone at the internal auditory open- ing, and is distributed upon the internal ear. (Fig. 147, 148.) Pig. 127. / rig, 127. A representation of the distribution of the eighth pair of iie/ves with Bome branches of tlie fifth. 1, 2, 3, 5, 7, 9, Are branches of the eijlith puii. Thej are distributed over llie face in a radiated manner, which constitutes the pes aa- eerinus, (foot of a goose.) The nerves 4, 6, 8, are branches of the fifth pair. 10, 11. 19, 13, 14, 15, 16, Aro branches of nerves ftom Uie upper port of the spinal cord, (cervical.) 750. The facial nerve (eighth pair) passes from the skull through an opening situated below the ear, {mas'toid ford- men.) It is distributed over the face, supplying the muscles with nervous filaments. 748. What is said of the abduoentes, or Bi.\th pair of nerves? 749. Of the portio mollis? Explain fig. 127. 760. Of the facial nerve? ANATOMY OF THE NERVOUS SYSTEM. 339 I 751. The GLOsso-PHARYNGEAj, NERVE (ninth pair) passes from the brain, through an opening with the jugular vein, {fo- ramen lac'e-rum.) It is distributed to the mucous membrane of the tongue and throat, and also to the mucous glands of the mouth. 752. The pneumogastric nerve (tenth pair) escapes from the brain through the foramen lacerum. It sends branches to the larynx, pharynx, ossophagus, lungs, spleen, pancreas, liver, stomach, and intestines. (Fig. 132.) 753. The spinal accessory nerve (eleventh pair) has its origin in the respiratory tract of the spinal cord. It connects with the ninth and tenth pairs of nerves, and is distributed to the muscles about the neck. 754. The hypo-glossal nerve (twelfth pair) passes from the brain, through a small opening, (con' dy -hid foramen.) It ramifies upon the muscles of the tongue, and is its motor nerve. Observation. The cranial nerves, with the exception of the olfactory, optic, and auditory, connect "with each other by means of filaments. They also send connecting nervous fila- ments to the upper spinal nerves, (cervical,) and the sympa- thetic nerve. 751, Describe the gloBSO-pharyngeal nerve. 752. ThtTpnoumogastrio nerve. 758. The spinal accessory nerve. 754. The hypo-glossal nerve. ' 3<10 ANATOMY, PHYSIOLOGY, AND HYGIENE. CHAPTER XXXVII. AJMATOjry or the nervous system, continued. 755. The spinal column contains the spinal cord, the roots of the spinal nerves, and the membranes of the cord. 756. The spinal coed extends from the medulla oblongata to the second lumbar vertebra, where it terminates in a round- ed point. It presents a difference of diameter in different parts of its extent, and exhibits three enlargements. The uppermost of these is the medulla oblongata. There is no distinct demarkation between this enlargement and the spinal cord. The next corresponds with the origin of the nerves distributed to the upper extremities ; the third enlargement is situated near the termination of the cord, and corresponds with the attachment of the nerves which are mtended for the supply of the lower extremities. 757. An anterior and posterior fissure divides the spinal cord into two lateral cords. These are united by a thin layer of white substance. The lateral cords are each divided by furrows into three distinct sets"of fibres, or columns ; namely, the anterior, lateral, and posterior columns. The anterior are the motor columns ; the posterior are the columns of sen- sation ; the lateral columns are divided in their function be- tween motion and sensation. They contain the fasciculus described, by Sir Charles Bell, as the respiratory tract. 765 — 767. Give the anatomy of the spinal cord, spinal nerves, and the sym- pathetic} nerve. 7fl5. What does the spinal column contain ? 756. Give the extent of the spinal cord. How many enlargements has this cord ? What Is said of each enlargement? 757. Into how many parts is the spinal cord divided ? Give the function of these columns. ANATOMY 01 THE NEEVOTTS SYSTEM. 541 768. The spinal nerves, that connect with the spinal cord, are arranged in thirty-one pairs, each arising hy two Fig. 128. Pig. 129. Pig. 128. A section of the brain and spinal column. 1, The cerebrum. 2, The cerebellum. 3, The medulla oblongata. 4, 4, The spinal cord in its canal. Pig. 129. Anterior view of the brain and spinal cord 1, 1, The two hemispheres of the cerebrum. 3, 3, The cerebfllum. 4, The olfactory nerve. 5, The optic nerve. 7, The third pair of nerves. 8, The pons varolii. 9, The fourtn pair of nerves. 10, The lower portion of the medulla oblongata. 11, 11, Tlie spinal cord. 19, 12, Spinal nerves. 13, 13, The brachial plexus. 14, 14, Tlie lumbar and sacral plexus. 758. How many pairs of nerves issue from the spinal cord ? E.Kplain ftg. 128 Fig. 129. 29* 342 ANATOMY, PHYSIOLOGY, AND HYGIENE. roots ; an anterior, or motor root, and a posterior, or sensitive root. Each nerve, when minutely examined, is found to con- sist of an aggregate of very delicate filaments, enclosed in a common cellular envelope. 759. The anterior roots arise from a narrow white line upon the anterior columns of the spinal cord. The posterior roots arise from a narrow gray band formed by the internal gray substance of the cord. They are larger, and the fila- ments of origin more numerous than those of the anterior roots. A ganglion "is found upon each of the posterior roots in the openings between the bones of the spinal column through which the nerve passes. Fig. 130. •1 ^ Fig. 130. A section of the spinal cord, surrounded by its sheath. B, A spinal nerve, fnrmed by tlie union of the motor root (C) and the sensitive root (D.) At D. tiio ganglion upon this root is seen. 760. After the formation of the ganglion, the two roots unite, and constitute a spinal nerve, which passes through the opening between the veriebrffi on the sides of the spinal column. The nerves divide and subdivide, until their minute filiimenis ramify on the tissues of the ditferent organs. 7oO. Give the origin of tho anterior roots. Of the posterior roots. In wlmt respect do the posterior roots difler from the anterior ? 760. When ^ do tho two roots unite, and where do they pass } ANATOMY OF THE NERVOUS SYSTEM. 348 761 The spinal nerves are divided into — Cervical, 8 pairs, Dorsal, 12 " Lumbar, 5 " Sacral, 6 " 762. The four lower cervical and upper dorsal pass into each other, and then separate to reunite. This is called the brach'i-al phx'us. From this plexus six nerves proceed, which ramify upon the muscles and skin of the upper ex- tremities. I 763. The last dorsal and the five lumbar nerves form a plexus called the lumbar, similar to that of the cervical. Six nerves pass from this plexus, which ramify upon the muscles and skin of the lower extremities. 764. The last lumbar and the four upper sacral unite to form the sacral plexus. From this plexus five nerves pro- ceed, that are distributed to the muscles and skin of the hip and lower extremities. 7G5. The sympathetic nerve* consists of a series of Gan'gli-a, or knots, extending each side of the spinal column, forming a chain its whole length. It communicates with both the cranial and spinal nerves. With the exception of the neck, there is a ganglion for each intervertebral space. These ganglia are composed of a mixture of cineritious and medul- lary matter, and are supposed to be productive of peculiar nervous power. • The structure of this nerve is veiy complicated, and diiferent physiologists ascribe to it various functions. The character of its dis- eases are not ■well understood. 7G1. Give the division of the spinal nerves. 762. Wliat nerves consti- tute the brachial plexus ? How many nerves pass from this plexus ? 763. How many r erves from the lumbar plexus, and where do they ram- ify ? 764. How is the sacral plexus formed ? 765. Of what does the sympathetia^nerve consit t ? How is the sympathetic nerve distributed ? WLat exception? Of what are the ganglia composed? 34-1. ANATOMr, I-HVSIOLOGY, AND HYGIE^K. Fig. 131. i* .?fisir*] I, a- ,' >. i -• „ — v» ^ - ■ . ANATOMY OF THE NERVOUS SYSTEM. 315 766. The ganglia may be considered as distinct centres, giving off branches in four directions ; namely, the superior, or ascending, to communicate with the ganglion above ; the inferior, or descending, to communicate with the ganglion below ; the external, to communicate with the spinal nerves ; and the internal, to communicate with the sympathetic fila- ments. It is generally admitted that the nerves that pass from the ganglia are larger than those that entered them ; as if they imparted to the nerve some additional power. 767. The branches of distribution accompany the arteries which supply the different organs, and form communications around them, which are called plexuses, and take the name of the artery with which they are associated. Thus we have the mesenteric plexus, hepatic plexus, splenic plexus, &c. All the internal organs of the head, neck, and trunk, are supplied with branches from the sympathetic, and some of them exclu- sively ; for this reason, it is considered a nerve of organic life. Fig. 131. A beautiful representation of tlie sympatlietic ganglia and their connec-. lion witli other nerves. It is from the grand engraving uf Mnnec, reduced in size A, A, A, The semilunar ganglion and solar plexus, situated below the diaphragm and behind the stomach. This ganglion is situated in the region (pit of the stom- ach) where a blow gives severe suffering. D, D, D, The thoracic ganglia, ten or eleven in number. E, E, The external and internal branches of the thoracic gan- glia. G, H, The right and left coronary plexus, situated upon the heart. 1", *N, Q, The inferior, middle, and superior cervical ganglia. 1, The rpnal plexus of nerves that surrounds the kidneys. 3, The lumbar ganglion. 3, Their internal branches. 4, Their external branches. 5, The aortic plexus of nerves that lies upon the aorta. The other letters^ and (igures represent nerves that connect important organs and nerves with' the sympatlietic ganglia. What is the design of fig. 131 ? 766. How may the gariglia he eonsid- erert ? 767 What is said of the branches if the sympathetic nerve? iilo ANATOMY, FHYSIOLOUY, AND HVGIENE. CHAPTER XXXVIII. PHYSIOLOGY OF THE NERVOUS SYSTEM. 768. The brain is regarded by physiologists and philoso- phers as the organ of the mind. Most writers consider it as an aggregate of parts, each charged with specific functions, and that these functions are the highest and most important in the animal economy. To the large brain, or cerebral lobes, they ascribe the seat of the faculties of thinking, memory, and the will. In man, this lobe extends so far backward as to cover the whole of the cerebellum. To the cerebellum, or little brain, is ascribed tlie seat of the animal, or lower pro- pensities. 769. " The constant relation between mental power and development of brain, explains why capacities and dispositions are so different. In infancy, for example, the intellectual powers are feeble and inactive. This arises partly from the inaptitude of a still imperfect brain ; but in proportion as the latter advances toward its mature state, the mental faculties also become vigorous and active." 770. We are able, in most instances, at least, to trace a correspondence between the development of the cerebral lobes and the amount of intelligence possessed by the person. The weight of the brain in man to that of the whole body varies 76S — 772. Gire the physiology of the ticrrmis system. T'lS. How is the l)rain rcgmdod by ph) siologists and philosophers } What do tliey ascribe tu the rorebrum ? To the coiebellum ? 769. AVhat does the relation be- tween mental powers and development of brain expUin ? 770. What is eaid respecting the correspondence between the development of the brain luid the amount of intelligence possessed by the person f What is said ol llir weight of the bruin ? .ijjLn,ywuo BxaiJliM. in diflferent individuals. The heaviest brain on record was that of Cuvier, which weighed 4 pounds and 13^ ounces. 771. The brain likewise holds an important relation to all the other organs of the system. To the muscular system it imparts an influence which induces contraction of the fibres, liy this relation they are brought under the control of the will. To the skin, eye, and ear, it imparts an influence that gives sensibility, or the power of feeling, seeing, hearing, &c. 772. Again, the involuntary functions of the different por- lions of the system are more or less influenced by the brain. If the action of this central organ of the nervous system is destroyed, the functions of the digestive, respiratory, and cir- culatory apparatuses will be much disturbed or entirely sup. pressed. 773. The brain is the seat of sensation. It receives •the impressions made on all parts of the body, through the mediimi of the sensitive nerves. That the impressions of e.xteriiaJ objects, made on these nenyes, be communicated to the brain, where sensation is perceived, it is necessary that they be not diseased or injured. Observation. There is a plain distinction between sensa- tions and impressions ; the latter are the changes produced in the extremities of the nerve ; the former, the changes pro- duced in the brain and communicated to the mmd. 774. What part of the brain receives the impressions or has the most intiimate relation with the intellectual faculties is unknown. Some portions, however, are of less importance tlian others. " Large portions of the cortical, or outer part, are frequently removed without affecting the functions of this 771. What is said of the relation of the brain to all of the organs'of the body ? 772. Are the iiivoluntary functions of different parts of the system influenced by *he brain? 773. Where is sensation perceived? By what agency are the impressions of external objects conveyed to the brain i What is the difference between sensations and impressions ? 774. Is it known what part of the hrain has the most intimate relation with the intol- lei-tiial fjicultios? 84S ANATOMY, PHYSIOLOOY, AND HYGIEiJE. organ. Pieces of the medullary, or central parts, have been removed by injuries without impairing the intellect or destroy- ing life. This organ, although it takes cognizance of every sensation, is, of itself, but slightly sensible. It may be cut, or parts may be removed without pain, and the individual, at the same time, retain his consciousness. 775. The brain is the seat of the will. It superintends tlie physical as well as the mental movements, and the medium of communication from this organ to the muscles, or the parts to be moved, is the motor nerves. If the brain is in a quies- cent state, the muscles are at rest ; if, by an act of the will, the brain sends a portion of nervous influence to a voluntary muscle, it immediately contracts, and those parts to which the muscle is attached move. There is no perceptible interval bet*een the act of the will and the motion of the part. 776. Some physiologists assert, that the medulla oblongata IS the point at which excitement to motion commences, and sensation terminates ; and also, that it possesses the power of originating motion in itself. Observation. The medulla oblongata, unlike the brain, is highly sensitive ; if slightly punctured, convulsions follow ; if much injured, respiration, or breathing, immediately ceases. 777. It is remarkable that the nerves which arise from the right side of the spinal cord communicate with the left hemisphere of the cerebrum, and vice versa ; this results from the crossing of the fibres in the medulla oblongata. It follows from this, that if the right side of the brain receives an injury, the parts of the opposite side of the body lose their sensibility and motion. Observations. 1st. If the cranial nerves which are connected What portions have been removed without impairing the intellect? What is remarkable of the brain ? 775. What is the Influence of the brain upon the muscles ? 776. What do some physiologists assert of the medul- la oblongata ? 777. What is remarkable oi the nerves ? Give the ls( obBorvfttion relative to the rranial nerves. PHYSIOLOGY OF THE NERVOUS BYfaTEM. 849 by a single root are divided, only the sensation of the part to which they are distributed is lost. Thus, if the optic nerve is divided, the sense of visisn disappears, but the fflotions of the eye are performed as readily as before. But, if the spinal nerves are divided, both sensation and motion of the part to which tJiey lead are destroyed. 2d*. When the spinal cord is divided or compressed, as in fractures of the spinal column, all parts below the fracture are paralyzed, though the nerves leading to these parts may be uninjured. 3d. Again, one side of the body or one limb may become insensible, and the power to move it, be perfectly retained ; or the reverse of this may happen — the power of motion will be lost while sensation remains. In the former instance, the function of the posterior, or sensitive column of the spinal cord on one side is destroyed ; in the latter, the anterior, or motor column is affected. 4th. In some cases, both sensation and motion of one side of the body or one limb are destroyed. In such instances, both, the anterior and the posterior columns of one side of the spinal cord are diseased. 778. Vigorous and controllable muscular contraction re- quires a sound and well-developed brain, if this organ is defective in these particulars, the movements will be ineffi- cient, and may be irregular. The central organ of the ner- vous system must, likewise, be in an active condhion, to induce regular, steady, and controllable muscular movements. Observations. 1st. Persons who have suffered from apo- plexy and other severe diseases of the brain, have an involun- tary trembling of the limbs, which results from a weakenei state of the nervous system. To the spinal nerves. What is said of the compression of the spina] cord ? Give the 3d observation relative to the spinal nerves. The 4th observation. 778. Upon what does vigorous controllable muscular con- traetion depend ? What causes the inroluntavy tvemhling of the limbs in persons who have suffered from apoplexy? 30 350 ANATOMY, PHYSIOLOGY, AND HYGIENE. 2d. The tremor of the hand, that lessens the usefulness or incapacitates the fine artist or skilful mechanic, in the prime of life, from pursuing their vodhtions, may be, and is often, induced by the influence of intoxicating drink, which debili- tates and disorganizes the brain. 3d. The tottering step, trembling hand, and shaking head of the aged invalid, are the results of diminished nervous energy, so that steady muscular contraction, so essential to regular movements, cannot be maintained. 779. No difference can be discovered in the structure of the several kinds of nerves in any part of their course, and the functions they are designed to perform can only be known by ascertaining the place of their origin. The nerves may be functionally divided into five groups. 780. 1st. Nerves of special sensation. These are the first, second, eighth, and it may be one of the branches of the fifth pair of cranial nerves. The function of these nerves is par- ticularly described in the chapters upon the senses of smell, vision, hearing, and taste. 781. 2d. Nerves of general sensation. These embrace the fifth pair of cranial nerves, and the thirty-one pairs of spinal nerves. In those parts that require sensation for their s;ifety and the performance of their functions, there is an abundant supply of sensitive nervous filaments. The nerves of sensa- tion are mostly distributed upjn the skin. Few filaments ramify upon the mucous membranes and muscles. Observations. 1st. The painful sensations experienced in the face, and in the teeth or jaws, (tic douloureu.x and tooth- ache,) are induced by irritation and disease of a portion of tlie filaments of the fifth pair of cranial nerves. The tremor of the hand among some mechanics in the prime of life! The tottaring step of the aged invalid ? 779. What is said relative to the fllructure of the nerves ? How may they be divided f 780. Give the nerves nf special sense. 781. Those of general sensation. Where iire the nerv**s of sensation distributed ? What causes tie douloureu.v ? PHYSIOLOGY OF THE NERVOUS SYSTEM. 351 2d. The unpleasant sensation sometimes experienced when we hoar the grating of a file or saw, is produced by the con- nection of the nerve that passes across the drum of the ear with the fifth cranial nerve. 3d. When pressure is made on the trunk of a nerve, the sensibility of the part where the nerve ramifies is modified. This is illustrated, when pressure is made upon the large nerve of the lower extremity (sciatic) in sitting upon a hard bench. The foot is then said to be " asleep," 4th. When the trunk of a nerve is diseased or injured, the pain is experienced in the outer extremity of the nerve. A blow upon the elbow, which causes a peculiar sensation in the little finger and one side of the ring finger, affords a familiar illustration. This sensation is produced by injuring the ulnar nerve, which is distributed to the little finger. 782. 3d. Nerves of motion. These are the third, sixth, and twelfth pairs of cranial nerves, and the thirty-one pairs of spinal nerves. These nerves are distributed to the fibres of the five hundred muscles of the body. The functions of the muscular are different from those of .the sensitive nerves. The former are provided for the purpose of motion, and not of feeling. Hence, muscles may be cut, and the pain will be slight, compared with, the cutting of the skin. This may be called muscular pain. Weariness is a sensation recognized by one set of muscular nerves. 783. So uniformly is a separate instrument provided foi every additional function, that there is strong reason to regard the muscular nerves, although running in one sheath, as in reality double, and performing distinct functions. Sir Charles Bell, in his work on the Nervous System, endeavors to show, How is the peculiar sensation accounted for wlien we hear the grating of a file or saw ? What produces the sensation when the foot is said to be " asleep ? " \vhat is the effect when the ulnar nerve is injured by a blow ? 782. Give the nerves of motion. What is said of the functions of tha muscular nerves ? 783, What does Sir Charles BcU endeavor to show J 352 ANATOMY, PHYSIOI.OSy, AND HYGIENE that one set of nervous fibres conveys the mandate from the brain to the muscle, and excites the contraction ; and that another set conveys, from the muscle to the brain, a peculiar sense of the state or degree of contraction of the muscle, by which we are enabled to judge of the amount of stimulus necessary to accomplish the end desired. This is obviously an indispensable piece of information to the mind in regu- lating the movements of the body. 784. 4th. Nerves of respiration. These are the fourth, seventh, ninth, tenth, and eleventh pair of cranial nerves, also the phrenic and the external respiratory nerve. All of these nerves have their origin in a distinct tract or column, called the lateral, in the upper part of the spinal cord. Hence it is sometimes named the respiratory column. These nerves are distributed to one of the muscles of the eye ; to the mus- cles of the face ; to the tongue, pharynx, oBsophagus, stomach, heart, lungs, diaphragm, and some of the muscles of the neck and chest. 785. It is through the instrumentality of the accessory, phrenic, and external respiratory nerves, (10, 11, 12, 13, fig. 132,) that the muscles employed in respiration are brought Fig. isa The distribution of the respiratory nerves.^ a, Section of the brain and medulla oblongata, b, The lateral columns of the spinal cord, e, c. The respiratory tract of the spinal cord, rf, The tongue, e, Tlie larynx. /, The bronchia, g, The ffisophagus. h, The stouiach. i, The diaphragm. 1, The pneumogastric nerve. S, The superior laryngeal nerve. 3, The recurrent laryngeal nerve. (These two ramify on the larynx.) 4, The pulmonary plexus of the tenth nerve. 5, The cardiac plexus of the tenth nerve. These two plexuses supply the heart and lungs with ner- vous filnmenU. 7, The origin of the fourth pair of nerves, that passes to the superior oblique muscle of the eye. 8, The origin of llw l';irial nerve, that is spread out on the side of the dice and nose. 9, The origin of the piossu-phnryngcal nerve, that passes to the tongue and pharynx. 10, The origin of the spinal accessory nerve. 11, This nerve peneiniting the slorno-mastoideus muscle. 12, The origin of the internal res- piratory or phrenic nerve, that Is seen to ramiiy on the diaphragm. 13, The origin of the external respiratory nerve, that rainitles on the pectoral and scaleni muscles. 781. Give the respiratory nerves. What is said in reference to the respiiJi- tory nerves P 785. Tlirough.the agency of what nerves are the respiratory muscles brought into action f Explain fig. 182. PHYSIOLOGY, OF THE NKRVODS SYSTEM. Fig. 132. 35J 354 ANATOMY, PHYSIOLOGY, AND HYGIENE. into aclioti without the necessity of the interference of the mind. Though to a certain extent they may be under the influence of the will, yet it is only in a secondary degree. No one can long suspend tlie movements of respiration ; * for in a short time, instinctive feeling issues its irresistible mandate, which neither requires the aid of erring wisdom, nor brooks the capricious interference of the will. 786. The fourth, seventh, and tenth pairs of nerves, (7, 8, 9, fig. 132,) with the spinal accessory, phrenic, and external respiratory, are not only connected with the function of respi- ration, but contribute to the expression of the passions and emotions of the mind. 787. The influence of this order of nerves in the expres- sion of the passions, is strikingly depicted in Sir Charles Bell's Treatise on the Nervous System. " In terror," he remarks, " we can readily conceive why a man stands with his eyes intently fixed on the object of his fears — the eyebrows ele- vated, and the eyeballs largely uncovered ; or why, with hesitating and bewildered steps, his eyes are rapidly and wildly in search of something. In this way, we only perceive the intense application of his mind to the objects of his appre- hension, and its direct influence on the outward organs." 788. " But when we observe him further, there is a spasm in his breast ; he cannot breathe freely ; the chest remains elevated, and his respiration i» short and rapid. There is a * Dr. Elliotson, and some other writers on physiology, have detajled eases of death from voluntary suspension of respiration. But these cases are not conclusive, as examinations were not made,- ao as to determine positively, that death did not result from disease of the heart, brain, or some other vital organ. Can respiration be suspendnd for any considerable length of time? 780. What nerves contribute to the expression of the passions and emo- tions of the mind ? 787, 788: What does Sir Charles IBell say of the influ- ence of this order of nerves in'thc expression of the passions ? FHYSIOLO&Y OF THE NERVOUS SYSTEM. 355 gasping and convulsive motion of his ]ips, a tremor on his hollovf cheeks, a gasping and catching of his throat ; his heart knocks at his ribs, while yet there is no force in the circulation — the lips and cheeks being ashy pale." 789. " These nerves are the instruments of expression, from the smile upon the infant's cheek, to the last agony of life. It is when the strong man is subdued by this mysterious influence of soul on body, and when the passions may be truly said to tear the heart, that we have the most afflicting picture of human frailty, and the most unequivocal proof that it is the order of functions we have been considering, that is thus affected. In the first struggle of the infant to draw breath, in the man recovering from a state of suffoca- tion, and in the agony of passion, when the breast labors from the influence at the heart, the same system of parts is affected, the same nerves, the same muscles, and the symptoms or character have a strict resemblance." 790. The seventh pair of nerves not only communicates the purposes of the will to the muscles of the face, but at the same time it calls them into action, under the influence of instinct and sympathy. On this subject a late writer remarks, " How expressive is the face of man ! How clearly it an- nounces the thoughts and sentiments of the mind ! How well depicted are the passions on his countenance ! tumultuous rage, abject fear, devoted love, envy, hatred, grief, and every other emotion, in all their shades and diversities, are imprinted there, in characters so clear that he that runs may read! How difficult, nay, how impossible, is it to hide or falsify the expressions which indicate the internal feelings ! Thus conscious guilt shrinks from detection, innocence declares its confidence, and hope anticipates with bright expectation." Observation. The fifth pair of nerves (fig. 126) is dis- 789. Are. they also the instruments of expression, either of joy or grief? 790. What is said in reference to the seventh pair of nerves ? Where is the fifth pair of nerves distributed ? 358 ANATOMY, PHYSIOLOGY, AND HYGIENE. tributed to the parts of the face on which the seventli pair ramifies. The former serves for sensation, the latter for motion. Thus, when the seventh pair of nerves is divided, or its functions destroyed by disease, the side affected loses all power of expression, though sensation remains unaffected. On the contrary, if we divide the fifth pair, sensation is entirely destroyed, while expression remains. 791. 5th. TAe sywipai/jeiic nerue. This nerve confers vitality on all the important portions of the system. It exerts a con- trolling influence over the involuntai-y functions of digestion, absorption, secretion, circulation, and nutrition. Every por- tion of the body is, to a certain extent, under its influence, as filaments from this system of nerves accompany the blood- vessels throughout their course. 792. An important use of the sympathetic nerve is to form a communication of one part of the system with another, so that one organ can take cognizance of the condition of every other, and act accordingly. If, for example, disease seizes the brain, the stomach, by its sympathetic connection. Knows it ; and as nourishment would add to the disease, it refuses to receive food, and perhaps throws off what has already been taken. Loss of appetite in sickness is thus a kind provision of nature, to prevent our taking food when it would be injurious ; and following this intimation, we, as a general rule, should abstain from food until the appetite returns. Fig. 133. A back view of tlio brain and spinal cord. 1, The cerebrum. 2, The cerebellum. 3, The spinal cord. 4, Nerves of the face. 5, The brachial plexus of nerves. 6, 7, 8, 9, Nerves of the arm. 10, Nervrs that pass under the ribs. 11, The lumbar plexus of nerves. 12, The sacral plexus of nerves. 13, 14, IS, 16, Nerves of the lou'er limbs. What is the function of this nerve } What is the effect if the seventh pair is divided, or its function destroyed by disease ? 791. What is said of the sympathetic nerve ? 792. What is the use of the sympathetic system ? Explain fig. 133. Note. Let the anatomy and physiology of the nervous system be reviewed from figs. 131, 132, 133, or from anatomical outline plate, No. 8. PHISIOLOGY OF THE NERVOUS SYSTEM. Fig. 133. 357 358 ANATOMY, PHYSIOLOal, AND HYGIENB. CHAPTER XXXIX. HYGIENE OF THE NERVOUS SYSTEM. 793. As the different organs of the system are dependent on the brain and spinal cord for efficient functional action, and as the mind and brain are closely associated during life, the former acting in strict obedience to the laws which regulate the latter, it becomes an object of primary impor- tance in education, to discover what these laws are, that we may escape the numerous evils consequent on their violation. 794. For healthy and efficient action, the hrain shmdd he primarily sound ; as this organ is subject to the same gen- eral law:s as other parts of the body. If the brain of the child is free from defects at birth, and acquires no improper impressions in infancy, it will not easily become diseased In after life. But, if the brain has inherited defects, or has ac- quired a proneness to disease by mismanagement in early life, it will more easily yield to influences that cause diseased action. The hereditary tendency to disease is one of the most powerful causes that produce nervous and mental affec- tions. Consequently, children have a strong tendency to the diseases from which the parents suffered. ' 795. When both parents have similar defects, or have descended from tainted families, the children are usually more deeply impressed with their imperfections than when only one 793 — 850. Give the hygiene of the nervma systetn. 793. Why is it im- portant to know the laws which regulate the action of the hrain ? 794. What is necessary that the action of the brain be healthy and effi- cient ? What follows if the brain of the child has inherited defects ( 796. What is the effect when both parents possess similar defects } HYGIENiS OF THE NEKVOUS SYSTEM. 359 possesses the defect, fliis is the reason of the frequency of nervous disease and imbecility among the opulent, as inter- marriages among near relations are more frequent with this class than among the poor. JDbservation. Among some of the reigning families of Europe, particularly the Spanish, the folly of intermarriage among themselves is strongly illustrated. The high and noble talents that characterized their progenitor are not seen, but there is now exhibited, among fheir descendants, imbecility and the most revolting forms of nervous disease. 796. " Unhappily, it is not merely as a cause of disease, that hereditary predisposition is to be dreaded. The obstacles which it throws in the way of permanent recovery are even more formidable, and can never be entirely removed. Safety is to be found only in avoiding the perpetuation of the mischief."" 797. " Therefore, if two persons, each naturally of excitable and delicate nervous temperament, choose to unite for life, they have themselves to blame for the concentrated influence of similar tendencies in destroying the health of their off- spring, and subjecting them to all the miseries of nervous disease, madness, or melancholy." The command of God not to marry within certain degrees of consanguinity, is in accordance with the organic laws of the brain, and the wisdom of the prohibition is confirmed by observation. Observation. The inhabitants, females particularly, of the sea-girt islands of America, are more affected with nervous diseases, than those who reside upon the mainland. The prevalence of these alffections is ascribed to the frequent intermarriage of persons closely related by blood. What is one cause of nervous disease among the higher classes ? What Is true of some of the reigning families of Europe ? 796. Why is heiedi- tary predisposition to be dreaded ? 797- Is the prohibition of God respect- ing intermarriage ^^ accordance with the organic laws of the bralu ? What is said of the inhabitants of the sea-girt islands of America ? 360 ANATOMY, PHYSIOLOGY, AND HYGIENE. 798. The brain requires a due supply of pure blood. This organ receives an unusually large supply of blood, in com- parison with the rest of the body. . It is estimated that one tenth of all the blood sent from the heart goes to this organ. If the arterial blood be altogether withdrawn, or a person breathes air that is filled with carbonic gas, the brain ceases its proper action, and sensibility with consciousness becomes extinct. niuslrations. 1st. If a person lose a considerable quantity of blood, dizziness and loss of consciousness follow. This results from the brain not receiving a sufficient amount of blood to sustain its functions. 2d. When an individual descends into a well or pit that con- tains carbonic acid, the blood is not changed or purified in the lungs, and loss of consciousness and death soon follow. 799. The slighter variations in the state of the blood have equally sure, though less pstlpable effects. If its vitality is impaired by breathing an atmosphere so much vitiated eis to be insufficient to produce the proper degree of oxygenation, . the blood then aifords an imperfect stimulus to the brain. As a necessary consequence, languor and inactivity of the men- tal and nervous functions ensue, and a tendency to headache, fainting, or hysteria, makes its appearance. Observations. 1st. Let a person remain, for a time, in a crowded, ill-ventilated, hall or church, and headache or faint- ness is generally produced. This is caused by tlie action of impure blood upon the brain. 2d. If a school-teacher wishes to have his pupils, on tlie day of examination, appear creditably, he will be careful to have the room well ventilated. Ventilating churches might 708. Why does the brain require a due supply of pure blood ? "What is the effect when a person loses a considerable quantity of blood ? What causes the loss of consciousness when carbonic acid is breathed? 799. What effects are produced by slight variations in the quality of the blood f From the following observations, give some of the effects * impure blood ou the brain. HYGIENE OF THE NERVOUS SYSTEM. 361 prevent the inattention and sleepiness that are observed during the afternoon service. 3d. In many instances, the transmission of imperfectly oxygenated blood to the brain, is an influential cause in the production of nervous disease and delicacy of constitution. The only efficient remedy for these conditions is a supply of pure blood to the brain. 800. The brain should be called into action. This organ, like the muscles, should be used, and then allowed to rest, or cease from vigorous thought. When the brain is properly called into action by moderate study, it increases in size and strength ; while, on tne other hand, if it is not used, the action of this organ is enfeebled, thereby diminishing the function of all parts of the body. 801. The brain, being an organized part, is subject, so far as regards exercise, to the same laws as the other organs of the body. If it is doomed to inactivity, its size diminishes, its health decays, and the mental operations and feelings, as a necessary consequence, become dull, feeble, and slow. If it is duly exercised after regular intervals of repose, the mind acquires readiness and strength. Lastly, if it is overtasked, either in the force or duration of its activity, its functions become impaired, and irritability and disease take the place of health and vigor. 802. The consequences of inadequate exercise will first be explained. We have seen that by disuse the muscles become emaciated, the bones soften, and the blood-vessels are oblit- erated. The brain is no exception to this general rule. It is impaired by permanent inactivity, and becomes less fit to manifest the mental powers with readiness and energy. Nor will this surprise any reflecting person, who considers that the 800. Why should the brain be called into action ? 801. What is the effect if the brain is doomed to inactivity ? 802. Show the consequences of disuse of the organs mentioned in preceding chapters. Does the same principle apply to the brain ? 31 36!i ANATOMY, PHYSIOLOGY, AND HYGIEWB. brain, as a part of the same animal system, is nourished by ihe same blood and regulated by the same vital laws as the muscles, bones, and arteries. 803. It is the weakening and depressing effect which is induced by the absence of the stimulus necessary for the healthy exercise of the brain, that renders solitary confine- ment so severe a punishment, even to the most daring minds. Keeping the above principle in view, we shall not be surprised to find that non-exercise of the brain and nervous system, or, in other words, inactivity of intellect and feeling, is a veiy frequent predisposing cause of every form of nervous disease. 804. For demonstrative evidence of this position, we have only to look at the numerous victims to be found among females of the middle and higher ranks, who have no calls to exertion in gaining the means of subsistence, and no objects of interest on which to exercise their mental faculties, and who, consequently, sink into a state of mental sloth and nervousness, which not only deprives them of much enjoy- ment, but subjects them to suflering, both of body and mind, from the slightest causes. 805. But let the situation of such persons be changed; bring them, for instance, from the listlessness of retirement to the business and bustle of the city ; give them a variety of imperative employments, and so place them in society as to supply to their cerebral organs that extent of exercise which gives health and vivacity of action, and in a few months the change produced will be surprising. Health, animation, and energy, will take the place of former insipidity and dulness. 806. An additional illustration, invoU ing an important prin- ciple in the production of many distressing forms of disease 803. What renders solitary confinement so severe a punishment to the most daring minds ? What is a predisposing cause of nervous disease t Wi. In what classes do mental and nervous debility prevail ? 80d. How can thif be counteracted ? 806. Give another illustration, showinir how dlMHE* of the brain is induoed. HYGIENE OF THE NEKVOTTS SYSTEM. 368 will be found in the case of a man of mature age, and of axjtive habits, who has devoted his life to the toils of business, and whose hours of leisure have been few and short. Sup- pose such a person to retire to the country in search of repose, and to have no moral, religious, or philosophical pursuits to occupy his attention and keep up the active exercise of his brain ; this organ will lose its health, and the inevitable result will be, weariness of life, despondency, or some other variety of nervous disease. 807. One great evil attending the absence of some imper- ative employment or object of interest, to exercise the mind and brain, is the tendency which it generates to waste the mental energies on every trifling occurrence which presents itself, and to seek relief in the momentary excitement of any sensation, however unworthy. The best remedy for these evils is to. create occupation to interest the mind, and give that wholesome exercise to the brain, which its constitution requires. 808. Tlie evils arising from excessive or ill-timed exercise of the brain, or any of its parts, are numerous. When we use the eye too long, or in too bright a light, it becomes blood- shot. The increased action of its vessels and nerves gives rise to a sensation of fatigue and pain, requiring us to desist. If we relieve the eye, the irritation gradually subsides and the healthy state returns. But, if we continue to look intently, or resume our employment before the eye has regained its natural state by repose, the irritation at last becomes perma- nent, and disease, followed by weakness of vision, or even blindness, may ensue. 809. Phenomena precisely analogous occur, when, from 807. What is one great evil attending the absence of some imperative employment to exercise the mind and brain ? What is the true remedy for these evils ? 808. From what other cause do evils arise to the brain ? Explain the evil of it by the excessive use of the eye. 809. What is the only difference in the analogy of the phenomena of the eye and brain ? Has the analogy been verified ? 361 ANATOMY, PHYSIOLOGY, AND HYGIENE. intense mental excitement, the brain is kept long in a state of excessive activity. The only difference is, that we can always see what happens in the eye, but rarely what takes place in the brain ; occasionally, however, cases of fracture of the skull occur, in which, part of the bone being removed, we can see the quickened circulation in the vessels of the brain, as easily as those of the eye. 810. Sir Astley Cooper had a young man brought to him, who had lost a portion of his skull, just above the eyebrow. " On examining the head," says Sir Astley, " I distinctly saw that the pulsation of the brain was regular and slow ; but at this time he was agitated by some opposition to his wishes, and directly the blood was sent with increased force to the brain, and the pulsation became frequent and violent." 811. Indeed, in many instances, the increased circulation in the brain, attendant on mental excitement, reveals itself when least expected, and leaves traces after death, which are very perceptible. When tasked beyond its strength, the eye becomes insensible to light, and no longer conveys any im- pressions to the mind. In like manner, the biain, when much exhausted, becomes incapable of thought, and consciousness is almost lost in a feeling of utter confusion. 812. At any time of life, excessive and continued mental exertion is hurtful ; but in infancy and early youth, when the structure of the brain is still immature and delicate, perma- nent mischief is more easily produced by injudicious treat- ment than at any subsequent period. In this respect, the analogy is as complete between the brain and the otlier parts of the body, as that exemplified in the injurious effects of pre- mature exercise of the bones and muscles. 813. Scrofulous and rickety children are the most usual 810. Relate the case detailed by Sir Astley Cooper. 8U. May the IncreaBod functional action of the brain change its structure ? 812. At what age particularly is excessive and continued mental exertion hurtful ? 813 Wliat is said uf scmfulous and rickety children ? HYGIENE OF THE NERVOUS SYSTEM. 365 sufferers in this way. They are generally remarkable for large heads, great precocity of understanding, and small, deli- cate bodies. But in such instances, the great size of the brain, and the acuteness of the mind, are the results of morbid growth. Even with the best of management, the child passes the first years of its life constantly on the brink of active disease. 814. Instead, however, of trying to repress its menlul activity, the fond parents, misled by the early promise of genius, too often excite it still further, by unceasing culti\a- tion, and the never-failing stimulus of praise. Finding its progress for a time. equal to their warmest wishes, they look forward with ecstasy to the day when its talents will break forth and shed lustre on its name. 815. But in exact proportion as the picture becomes brighter to their fancy, the probability of its being realized becomes less; for the brain, worn out by premature exertion, either becomes diseased, or loses its tone, leaving the mental powers imbecile and depressed for the remainder of life. The expected prodigy is thus easily outstripped in the social race by many whose dull outset promised him an easy victory. 816. Taking for our guide the necessities of the constitu- tion, it will be obvious that the modes of treatment commonly resorted to ought to be reversed. Instead of straining to the utmost the already irritable powers of the precocious child, and leaving his dull competitor to ripen at leisure, a systematic attempt ought to be made, from early infancy, to rouse to actfon the languid faculties of the latter, while no pains ought to be spared to moderate and give tone to the activity of the former. 817. Instead of this, however, the prematurely intelligent child is sent to school and tasked with lessons at an unusually 814. How are such children usually managed ? 815. What is the cause of their early promise and subsequent disappointment ? 816. What mode of treatment should be adopted in educating precocious children ? 817. How should the dull or less active child be treated ? What is the usual course ? 31* 36fS ANATOMY, PHYSIOLOGY, AND HYGIENE. early age, while the healthy but more backward boy, who requires to be stimulated, is kept at home in idleness, per- haps for two or three years longer, merely on account of his backwardness. A double error is here committed. The consequences to the intelligent boy are, frequently, the per- manent loss both of health and of his envied superiority of intellect. 818. In youth, too, much mischief is done by the long dally period of attendance at school, and the continued appli- cation of the mind which the ordinary system of education requires. The law of exercise — that long-sustained action exhausts the vital powers of the organ — applies as well to the brain as to the muscles. Hence the necessity of varying the occupations of the young, and allowing frequent intervals of exercise in the open air, instead of " enforcing the continued confinement now so common." Observation. It is no unusual occurrence, that on examina- tion day, the best scholars appear indifferently. This may be the result of nervous exhaustion, produced by extra mental effort in preparing for the final examination. It b advisable for such pupils to divert their minds from close study for a few days previous to examination. During tliis time, the student may indulge in physical recreation, social intercourse, and a moderate amount of reading. 819. " In early and middle life, fever, an unusual degree of cerebral disorder, is a common consequence of the exces- sive and continued excitement of the brain. This unhappy result is brought on by severe study, unremitted mental exer- tion, anxiety, and watching. Nervous disease, from excessive mental labor and high mental excitement, sometimes shows itself in another form. What are the consequences of the error ? 818. What error prevails in the present system of education ? Why should youths be allowed fiequent intervals to exercise in the open air ? Give observation. 819. What is a frequent consequence of continued and excessive excitement of the brain 1 820. " From the want of proper intervals of rest, the vascu- lar excitement of the brain has not time to subside. A restless irritability of temper and disposition comes on, attended with sleeplessness and anxiety, for which no external cause can be assigned. The symptoms gradually become aggravated, the digestive functions give way, nutrition is impaired, and a sense of wretchedness is constantly present, which often leads to attempts at suicide." Observations. 1st. Moderation in mental exertion is more necessary in old age than in early or mature years. In youth and manhood, the exhaustion of the brain from over-excite- ment may be repaired, but no such result follows over-exer- tion in the decline of life. " What is lost then, is lost forever." At that period, the brain becomes excited, and is soon exhausted when forced to protracted and vigorous thought. Sir Walter Scott and President Harrison afford sad examples of prema- ture death from overtasked brains at an advanced period of their lives. 2d. If the mind is incessantly engaged in the contemplation of the same object, there is danger from over-exertion of the brain at any period of life, but more particularly in old age. The more limited the sphere of mental action, the greater the danger of the brain being over-exercised. Hence the fre- ■ quency of nervous diseases in poets, mathematicians, and musicians. 820. What often manifests itself from the want of proper intervals of rest ? Why is moderation in mental action necessary in old age ? Whal is the effect if the mind is incessantly engaged.in the contemplation of the same object ? S6b ANATOMY, PHYSIOLOGY, AND HYGIENE. CHAPTER XL. HYGIENE OF THE NERVOUS SYSTEM, CONTiNUEl). 821. Having pointed out the evils arismg both from inade- quate and from excessive mental exertion, it remains to direct the attention to some of the rules which should guide us in the exercise of the brain. 822. We should not enter upon continued mental exertion, or arouse deep feeling, immediately before or after a full meal. Such is the connection between the mind and body, that even in a perfectly healthy person, unwelcome news, sudden anxiety, or mental excitement, occurring soon after eating, will impede digestion, and cause the stomach to loathe the masticated food. 823. The worst forms of indigestion and nervous depres- sion are those which arise from excessive mental application, or depressed feeling, conjoined with unrestrained indulgence in the pleasures of the table. In such circumstances, the stom- ach and brain react upon and disturb each other, till all the horrors of nervous disease make their unwelcome appearance, and render life miserable. Too many literary men and students know this from sad experience. 824. We should engage in intense study tn the early part of the day. Nature has allotted the darkness of the night for repose, and for restoration by sleep of the exhausted energies of mind and body. In the early part of the evening, if study or composition be ardently engaged in, the increased action 822. "Why should we not arouse deep feeling immediately before or after eating a full meal ? 823. How are the worst forms of indigestion and ner- Tous depression produced ? What class of men know this from sad ezperi- tuce ? 824. What eYils arise from studious application at night ? UyclENE OF THE NERVOUS SYSTEM. 369 of tlie brain, which always accompanies activity of mind, requires a long time to subside. If the individual possesses a nervous temperament, he will be sleepless for hours after he has retired, or perhaps be tormented by unpleasant dreams. 825. It is, therefore, of great advantage to enter upon intense mental application early in the day, and to devote several of the hours which precede bedtime to entertaining conversation, music, and lighter reading. The vascular excite- ment previously induced in the brain by study, has then tiitie to subside, and sound, refreshing sleep is much more cer- tainly obtamed. This rule is of great consequence to those who are obliged to undergo much mental labor. Ohservalion. The idea of gathering wisdom by burning the " midnight oil," is more poetical than profitable. The best time to use the brain is during the day. 826. The close student and the growing child need more sleep than the idler or the adult. As sleep is the natural repose of all organs, it follows that the more the brain and other organs of the system are employed, the more repose they require. The organs of the child, beside sustaining their propei func- tions, are busy in promoting its growth. This nutritive process is attended with a certain degree of exhaustion. The impaired health of children often results from a disregard of this prin- ciple. But, on the other hand, an excess of sleep produces feebleness, by preventing the proper exercise of the mind as well as the body. 827. The length of time the brain may ie advantageously used, is modified by many circumstances. The power of the brain in different persons to endure action, is various. This is modified by its primary character ; by development and age; by habits of action; by the health of the cerebral organ 825. Why should we engage in intense study in the early part of the day ? 826. What persons require the most sleep ? Why ? 827. What is said relative to the length of time that the brain can be advantageously used? Give a condition that modifies the amount of mental labor. S70 ANATOMY, FHYSIOLOGY, AND HYGIENE. and. general system; by the moral feelings and other con- ditions, 828. The primary physical organization of some indi- viduals is sucli, that they are enabled to endure with impunity an amount of mental labor that would disorder, if not de- stroy functionally, the cerebral organ of others differently constituted. Napoleon Bonaparte was of this number. There can be no fixed period for mental labor, that may be adopted as a rule for all persons whose systems are maturely developed. Much less is there a proper definite period for study, that is applicable to all children. Observation. The practice of retaining pupils of all ages, from five to twenty years, in the school-room the same period of time, for the purpose of study, is not predicated upon any law of physiology. An exercise of three hours, with one or two recesses of ten minutes each, may profit the eldest class ; two hours with a recess of ten niinutes, the middle class ; while one hour, or one hour and a half, with one recess, would be as long a period as the youngest pupils should be retained in the study-room at one session. 829. A person who is accustomed to muscular exertion- will endure a longer period of physical toil than one who is not inured to it. So it is with mental labor. If the brain has been habituated to mental action and profound study, it will not be so soon fatigued as when not accustomed to such exertions ; consequently, an amount of mental labor may be performed with impunity at one time, that would exhaust and cause serious disease of the cerebral organ at another. Observation. Persons that commence a course of study at a late period in lite, frequently evince their zeal at- the 828. Why can there be no fixed period for mentid labor f What is said of the practice of retaining pupils of all ages the same period of time in the school-room P 829. Show that the action of the brain is influenced by habit, ae well as the muscular system. What suggestion to those persons that commence a course of study at .i late period in life ? HYGIENE OF THE NERVOUS SYSTEM. iJ71 commencement by poring over their books twelve or more hours each day. The progress of such students is soon arrested by physical and mental depression. In such instances, it would be more judicious to commence with only three or four hours' vigorous application each day, and gradually pro- tract the period of study five or more minutes every succes- sive day, until the brain may be called into vigorous action six or eight hours with impunity. 830. The amount of mental power is greatly influenced by the general health. Such is the intimate connection of the different parts of the system, particularly the digestive appara- tus, with the cerebral organs, that except there be vigojf of constitution, and freedom from disease, mental efforts will be feeble and of little avail. Observation. The prevalent opinion, that individuals who are feeble or diseased may acquire a collegiate education, and thus become useful to themselves and the community, is very generally erroneous. Such persons should enter upon a daily and systematic course of physical training,- and their labor should be in the open air, in order that the system may be invigorated and freed from disease. 831. The moral feelings exert a controlling influence over the functions of the muscular, digestive, and respiratory organs. They also exert an influence, perhaps, more pow- erful upon the nervous system. While fear and anxiety depress, hope and the enlivening emotio'ns, facilitate the func- tional activity of the brain, and increase its power for mental exertion. By a proper and systematic education of the moral feelings, they are not only a source of happiness, and productive of right conduct, but aid in the culture of the 830. Show that the amount of mental power is modified by the general health. What is said of feeble per.sons acquiring a collegiate education ? 831. 1)0 the moral feelings exert a controlling influence over the principal fubctions of the system ? What is the effect of a proper and systematic cuitiive of the moral feelings ? 372 ANATOMY, PHYSIOLOGY, AND HYGIENE. intellect. Consequently, we should cultivate a feeling of hope- ful trust in the future, and a firm reliance upon the laws which the Creator has given us for our guidance. 832. Regularity is very important in exercising the moral and intellectual powers. Periodicity, or a tendency to resume the same mode of action at stated times, is peculiarly the characteristic of the nervous system. If we repeat ajiy kind of mental effort every day at the same hour, we at last find ourselves entering upon it without premeditation when the time approaches. In like manner, if we arrange our studies in accordance with this law, and take up each in the same order, a natural aptitude is soon produced, which renders application more easy than by resuming the subjects as acci- dent may direct. Oiservation. When engaged in abstruse studies, it may be found advantageous to pursue others that are less difficult. The intense application of the brain, which is requisite in the one instance, is relieved by directing the attention to a study that requires less thought. By this change, there is mental relaxation attended with invigoration of the cerebral organ. Or, it may be explained by assuming, that the brain is com- posed of an aggregate of distinct organs, each of which is called into action in pursuing different studies. 833. Effective study is impossible if the powers of the brain are depressed. When the cerebral organ has been temporarily debilitated by protracted intellectual efforts, it is Ineffectual to attempt any concentrated mental exercise. This condition of the nervous system is indicated by confusion of thought and inability to attain results that usually follow simi- lar efforts. Mental rest in these cases is required. Observation. Students frequently fail in solving mathe- 832. Why is regularity of great importance in exercising the moral and intellectual powers i What suggestion when pursuing abstruse studies 1 How explained ? 833. When is effectiTe study impossible ? How is this condition of the nervous system indicated ? HYGIE^E OF THK NERVOUS SYSTEM. S73 niatical problems when the mind is prostrated by continued and excessive effort to obtain a solution. Not unfrequently after a night's rest the problem is quickly solved, and the pupil thinks he " dreamed it out." The true explanation is, rest invigorated the exhausted brain, which fitted it for vigor- ous ana successful thought. 834. The intellect should not be cultivated to the neglect of the moral and physical powers. All the faculties require for their development regular exercise, alternated with inter- vals of rest. This is as necessary to the due development of the moral feelings of a child as in physical training and mental culture. Consequently, those schools are to be pre- ferred in the education of youth, where the physical, intellec- tual, and moral faculties receive each day a due share of attention and culture. 835. The continuance of healthy and vigorous action in the matured physical, mental, and moral powers, requires frequent artd regular action, alternated with rest, as much as in their development. Consequently, those who cultivate one or two of those faculties, to the neglect of the others, exhibit a marked deficiency of acuteness and vigor in those not exercised. This defect reacts on the powers that are vigor- ous, diminishing the energy and deteriorating all the other faculties of man. Observations. 1st. If the principles before mentioned are true, the adult, as well as the child, should spend a part of each day in some proper physical employment ; another por- tion should be appropriated to intellectual pursuits ; while another should be sedulously devoted to the cultivation of the moral feelings. -. 2d. Disease of the corporeal system more frequently occurs How is the " dreaming out " of problems explained ? 834. What is said of the culture of the intellect? What schools are preferable in the edu- cation of youth ? Why ? 835. What is the effect of cultivating only one faculty of the mind ? Give observation 1st. Observation 2d. 32 S74 ANATOsnr, physiology, and hygienk. when only one set of faculties is used than when all are equally employed. This is particularly true of nervous and mental disease, which follows and is caused by either high intellectual action, or intense moral emotions, without a due amount of physical exercise. 836. The brain can exercise its full force upon only one object at a time. If its energies are directed to two or more operations, neither will receive that full power of exertion that it would if only one object had engaged the mind. Although the brain will direct several operations at the same time when only slight mental effort is required, yet when one operation becomes difficult, or demands special attention "of the mind, the other will be suspended. This is illustrated in social conversation while walking. Let it become necessary to con- centrate the nervous power upon the motor organs, and the conversation declines or ceases. 837. In acquiring an education, or in pursuing any profes- sion or trade, none of those influences that promote the proper functions of the body, and tend to increase physical ease, should be neglected. For, if the brain is occupied with dis- agreeable sensations, it cannot concentrate its power as effec- tively in the various employments of man. Observations. 1st. The situation, ventilation, light, and warmth of a school-room, together with the arrangement of the benches, do much to influence tlie concentration or dis- traction of the operations of the mind. Let there be attached to the school-house a spacious yard planted with trees ; let its architecture be attractive ; let the windows be arranged with regularity, and not with the elevation of a convict's cell, and the benches, in every respect, be adapted to the different scholars, so that the position of each may be comfortable, and 836. What is tho offoot if the bruin ooncentratos its energies on more than one object at a time? How illustraled? 837. What should be re- garded in pursuing any employment? Why? What is said in reference to tha arrangement of sohool-rooois ? HYGIENE OF THE NERVOUS SYSTEM. 375 we mistake if there is not a greater improvement, in a given time, in suoh a school, than where there is an apparent dis- regard to tlie pleasure or comfort of the'scholars. 8d. Mechanics' shops should receive as much attention, relative to their situation, light, warmth, &c., as school-rooms. If these are duly observed, the nervous influence transmitted from the brain to the muscles will be more stimulating, as well as more abundant ; consequently, labor will be performed with less exhaustion. 838. Repetition. is necessary to make a duraile impression on the mind. " The necessity of judicious repetition in men- tal and moral education, is, in fact, too little adverted to, because the principle which renders it efficacious hag not been understood. To induce facility of action in the organs of the mind, practice is as essential as it is in the organs of motion. 839. " In physical education we are aware of the advantages of repetition. We know that if practice in dancing, fencing, skating, and riding, is persevered in for a length of time sutRcient to give the muscles the requisite promptitude and harmon)' of action, the power will be ever afterward retained, although little called into use ; whereas, if the muscles have not been duly trained, we may reiterate practice at different intervals, without proportionate advancement. The same prin- ciple applies equally to the moral and intellectual powers, because these operate by means of material organs. 840. " According to this principle, it follows, that in learn- ing a language or science, six successive months of applica- tion will be more effectual in fixing it in the mind and mak- ing it a part of its furniture, than double or treble the time, if the lessons are interrupted by long intervals. Hence it is a great error to begin and study, and then break off, to finish Of mechanics' shops ? 838. Is repetition necessary to make a durable impression on the mind .' Why ? 839. How is it with physitml educa- tion ? 8*0. What follows, according to this principle ? 376 ANATOMY, PHYSIOLOGy, AND HVGIENE. at a later period. The fatigue is thus doubled, and the suc- cess greatly diminished. 841. "The best way is to begin at the proper age, and to persevere till the end is attained. This accustoms the mind to sound exertion, and not to fits of attention. Hence the evil arising from long vacations ; and also the evil of beginning studies before the age at which they can be understood, as in teaching children the abstract rules of grammar, to succeed in which, implies in them a power of thinking, and an amount of general knowledge, which they do not possess." 842. The skull is susceptible of fractures from slight blows. This occurs most frequently when the blow is given on the side of the head above and anterior to the ear. Here the bone is very thin, and often quite brittle. For these reasons, no instructor, or any person, should punish a child by striking upon any portion of the head. Observation. A few years since, a teacher in one of the Middle States gave a pupil a slight blow upon the head. It fractured the skull and ruptured a blood-vessel of the brain, causing a loss of consciousness, and finally death. 843. Concussion of the brain may be produced by blows, or by violently shaking a person. As the brain is of pulpy con- sistence, the atoms of which it is composed, and the circula- tion of blood in its minute vessels, may be disturbed by the vibration from a blow on the exterior of the skull-bones. This disturbance of the cerebral organ is attended with unpleasant sensations, dizziness, loss of memory and consciousness. These may be followed by headache and inflammation of the brain. Concussion of the brain, and the results above men- tioned, may be produced by the sudden motion attendant on the violent shaking of a scholar. Consequently, a child should 841. What is the best way of leaining the sciences ? 842. Why should not a child be struck upon any portion of the head f What observation in this connection ? 843. How may concussion of the brain be produced ? What is the effect of each upon the brain of the child ? HYQlliNE or THE NERVOUS SYSTEM. 377 never be seized by the arm and shaken violently as a method of chastisement. Observation. Most persons have experienced a disagree- able sensation and dizziness, caused by falling from a slight elevation, or by jumping from a carriage. This is the result of a moderate concussion of the brain, 844. In injuries of the brain, from blows and falls, the symptoms are usually alarming, and all should possess some information for such contingencies. In general, such acci- dents are attended by insensibility ; the skin and extremities are pale and cold, the pulse is very weak and feeble, and the circulation is less vigorous ; the respiration, also, is less fre- quent and full. 845. When these symptoms exist, the individual, in the first instance, should be placed in pure air, and friction and dry warmth should be applied to the pallid and cold skin. This should be assiduously persevered in until heat and color are restored to the skin and limbs, and due action of the heart and arteries has been established. Mild stimulants may also be used internally, with much advantage. The sympathizing friends should not be permitted to stand about the patient, as they vitiate the air. There should be no bleeding until the skin and extremities become warm. Send for a surgeon with- out delay. Give an instance where moderate concussion of the hrain is produced. 844. What are the symptoms when the brain is injured from blows :ind falls ? 845. What treatment should be adopted i 32* 378 ANATOMY, PHYSIOLOBY, AND HYGIENE. CHAPTER XLI. THE SENSE OF T.OtJCH. 846 Sensation is the perception of external objects by means of the senses. There are five senses, namely, Touch, Taste, Smell, Hearing, and Vision. 8 17. Touch is the sense by which the mind becomes ac- quainted with some of the properties of bodies, and enables us to determine whether their surfaces are smooth or rough, their relative temperature, and, to a certain degree, their form and weight. 848. Some physiologists make a distinction between the sense of touch, and tact. Tact, or feeling, is more general, extending over the whole surface of the skin and mucous membranes, while touch exists chiefly in the fingers of man and in the noses of certain quadrupeds. 849. " In the exercise of these functions, tact is considered passive ; as, when any part of the system comes into contact with another body, a sensation of its presence is given, with- out the exercise of vohtion. On the contrary, touch is active, and is exercised voluntarily, for the purpose of conveying to the mind a knowledge of the qualities or properties of the surfaces of bodies ; as wnen we feel of a piece of cloth to ascertain its qualities, or a polished surface, to prove its smoothness." 850. In man, the hand is admirably adapted to the exercise 816. Define sensation. How many senses have we ? 847 — 851. WViat is mid of the sense of tomht 847. Define touch. 848. What is the difierencc between touch and tact ? 849. In the exercise of these functions, which is active, and which passive? 850. Why is the hand so admirably adapted to the exercise of the sense of touch i HYGIENE OF THE SENSE OF TOUCH. 379 of touch. " The fineness of the skin, its great sensibility, the species of cushion formed by the sub-cutaneous fat at the extremities of the fingers, the length and flexibility of these organs, and the capability of opposing the thumb to the fingers, like a pair of forceps, are so many conditions essentially favor- able to^the delicacy of this sense, and enable us to appreciate with exactitude the qualities of the bodies we may feel." 851. The nerves that supply the sense of touch, proceed from the anterior half of the spinal cord. Where this sense is most acute and delicate, we find the greatest number of sensitive nervous filaments, and those of the largest size. Observation. In amputating limbs, and other surgical oper- ations, the division of the skin causes more pain than all the subsequent steps of the .operation, however protracted. The muscles, cellular membrane, and fat have- but little sensibility ; while the bones, tendons, and ligaments are insensible when not diseased, and may be cut without causing pain. HYGIENE OF THE SENSE OF TOUCH. 852 The sense of touch varies in difl^erent persons, and also in individuals of different ages. Thus the sensibilities of the child are more acute than those of the aged. Although there is an original difl^erence of sensibility from organization, still, the function of the nerves of sensation is modified by certain influences. 853. The healthy or unhealthy, active or inactive state of the brain, influences the action of the sensitive nerves. In sound and- perfect sleep, the brain is inactive. In this state, ordinary impressions made upon the skin are not observed by the sleeping person. Thus the arm may be blistered while 851. From what do the nerves proceed that siipply this sense ? 852 — 864. Give the hygiene of the sense of toiieh. 852. Does this sense vary in different persons ? 853. Mention a condition of the hrain that influences the nerres of sensation. 380 ANATOMY, PHYSIOLOGY, AND HYGIENE. sleeping, when exposed to the warm rays of the sun, and the individual will not be aware of it at the time. 854. If there is compression of the brain, as when the skull-bones are depressed, or disease of this organ exists, as in severe typhus fever, impressions made upon the nerves of the skin will not be noticed. The same is true when the mind is engaged in intense thought or study ; heat or cold may be so intense as to disorganize the skin, and not to be noticed. 855. The varying health or condition of the brain usually depresses or increases the sensitiveness of the skin. This is seen in grief and fear, which diminish, while hope and joy increase the impressibility of this tissue. It is not uncommon to see the unfortunate insane endure exposure to heat and cold with seeming impunity ; whereas it would induce almost insupportable suffeting to the sane man. Diseeises of the heart, stomach, and lungs, alter the condition of the brain, and modify, to a greater or less degree, the sensitiveness of the skin. 856. The state of the conducting nervous trunks injluences the nerves of sensation. If a nervous trunk is compressed or divided, the parts supplied by nervous filaments from this branch, will be insensible to the impressions made ujiou them, and consequently such impressions are not transmitted to the brain. Observation. When the inside of the arm or lower extrem- ities rests upon a hard surface, the nerves may be compressed so as to deprive the parts of sensibility. This condition is called " numbness." 857. TJie quantity of blood supplied to the skin modifies 854. Mention other conditions that affect these nerves. 855. What is the effect of the varying health or condition of the brain upon the sensi- tiveness of the skin ? Give instances of this effect. 856. What is the result if a nervous trunk is divided or compressed ? How may " numb- ness " in the limbs be produced ? 857. Does the quantity of blood supplied to the skin affect its sensibility ? HYGIENE rf)F THE SENSE OF TOTTCH. 381 its sensitiveness. If the quantity of blood is diminished, the sensibility of the skin will be impaired. This is demonstrated by noting the effects of dold upon the cutaneous tissue, the application of which contracts the blood-vessels, and drives the circulating fluid from this membrane, which is shown by the paleness, as well as by the shrivelled appearance of the skin. And, if this tissue is wounded while under the influence of cold, but little pain will be felt, and this chilling influence may be carried so far as not only to deprive the part of sensation, but of vitality. 858. The influence of the blood upon the sensibility of the skin, is further demonstrated by the pain experienced when chilled extremities are suddenly exposed to heat. The nerves, by the sudden dilatation of the contracted blood-vessels, are pul in vivid and rapid motion, which causes the painful and tingling sensation that we experience. In every part of the system, sudden changes produce unpleasant sensations, and frequently a diseased condition of the organs. ' Observation. When ' the hands, or other portions of the body, are frozen, or severely chilled, safety and comfort de- mand that circulation be restored to the parts by moderate exercise in a cool room. Not unfrequently, the vitality of the limb is destroyed by immersing it in hot water or holding it near the fire. 859. The quality of the blood also influences sensation. If the brain and other parts of the nervous system receive impure blood, their energy is depressed, and the sensibility of the skin rendered more or less obtuse. 860. The condition of the cuticle modifies the impression made upon the cutaneous nerves. 1st. When the cuticle has How is it demonstrated ? 858. How is the influence of the Wood upon the skin further demonstrated? How should circulation be restored to limbs frozen or severely chilled ? What should be avoided ? 859. Show how the quality of the blood influences sensation. 860. Give the 1st condi- -lion of the cuticle that influences the impressions made on the cutaneous nerves. 382 ANATOMY, PHYSIOLOGY AN!) HYGIENE. become thick and hard, like horn, as on the inside of the mason's hand, it enables him. to ply his tools without' much suffering, because the thickened cuticle diminishes the impres- sions made upon the nerves. 861. 2d. When the cuticle is very thin and delicate, as on the hand of the lady who is unaccustomed to manual labor. Let her" pursue some manual employment for several, hours, and the extreme tenuity, or thinness of the cuticle, will not protect the nerves and parts below from becoming irritated and inflamed. 862. 3d. When the cuticle is removed by blistering or abrasion, the pain indicates that the naked nerves are too powerfully stimulated by the contact of external bodies. 4lh. When the outicle is coated with impurities, blended with the secretion from the oil-glands, the sensibiUty of the skin is lessened. 863. The sensibility of the cutaneous nerves is modified by being habituated to impressions. If, for example, an indi- vidual should immerse his feet in moderately warm water, as first it might induce a smarting sensation ; in a short time, the nerves would not only become habituated to the warm water, but its warmth might be considerably increased. The same results follow, if an individual is exposed to a cold element. The impressions at first are highly disagreeable ; but as soon as the nerves become accustomed to the surrounding atmos- phere, it may impart the most agreeable sensations. Illustration. 1st. Let a person from the tropical regions go to a colder climate, and the cool mornings of the latter will at first affect him unpleasantly; but, after a few daysV exposure to the cooler air, the sensation will be far from disagreeable. 2d. Let a person enter a room moderately heated ; grad- ually increase the temperature, until it attains extreme sura- 861. The 2d condition. 862. The 3d and 4th condition. 863. Show how habit influences the sensibiUty of the cutaneous nerves Giye illustration Ist. Illustration 2d. HYGIEIiE or THE SENSE OF TOtTCH. 383 mer heat ; not only the cutaneous nerves, but the whole system, become habituated to the high temperature. Fiom these facts we learn that the sensations, are not always a correct index of the real temperature. A well-adjusted thermometer will indicate it with unerring certainty. 864. Touch is modified, in a Mgh degree, by education. Thus the blind, whose " windows of the soul " are closed to the beauties of the external world, cultivate this sense to such a degree that they can distinguish objects with great accuracy. And the rapidity with which they read books prepared for their use, is a convincing proof of the niceness and extent to which the cultivation of this sense can be carried. Illustrations. 1st. The cloth-dresser, by the aid of this sense, distinguishes the quality, as well as the slightest differ- ence of texture, in the different pieces of cloth. 2d. The miller, from a similar education, quickly detects the quality of flour or meal, by permitting it to pass between his fingers. The difference in the texture of cloths, or the quality of the flour, would not be distinguished by an individual whose tactile sense had not been trained to make nice comparisons. I 864. Is this sense susceptible of improvement ? What persons cultivate it to a high degree ? Give illustration 1st. Illustration 2d. S84 ANATOMY, PHYSIOLOGY. AND HYGIENE. CHAPTER XLII. SENSE OF TASTE. 865. The chief organ of taste is the upper surface of the tongue ; though the lips, the palate, the internal surface of the cheeks, and the upper part of the oesophagus, participate in this function. ANATOMY OF THE ORGANS OF TASTE. 866. The tongue is a double organ, composed chiefly of . muscular fibres, which run in almost every direction. The two sides are so perfectly distinct, that sometimes, in paralysis, one side is affected, while the function of the other remains perfect. It possesses great versatility of motion, and can be moulded into a great variety of shapes. In articulation, mastication, and deglutition, the tongue is an auxiliary to other organs. 867. This organ is abundantly supplied with blood-vessels, having a large artery sent to each side of it. It is also very . largely furnished with nerves ; it receives nervous filaments from the fifth, ninth, and twelfth pairs of nerves. The branch of the fifth, called the gustatory, is the nerve of taste and 865. What is the chief organ of taste } What other parts participate in the function i 866 — 870. Give tha anatomy of the organs of taste. 866. Give the structure of the tongue. 867. Is this organ abundantly supplied with blood ? From what source does the tongue derive its nervoa f ANATOMY OF THE ORGAN OF TASTE. 385 sensibility ; * the twelfth, called the hypo-glossal, of voluntary motion. By means of the ninth, called the glosso-pharyngeal, the tongue is brought into association with the fauces, oesoph- agus, and larynx. It is of obvious importance that these parts should act in concert ; and this is effected by the distri- bution of this nerve. Fig. 131. Fig. 134. A view of one ^ide of tlie necis, showing the nerves of the tongne. I, A fragment of the temporal bone. 3, 3, 4, 6, 7, 8, 9, 10, 11, 19, Mnaeles of the tongue, fauces, and neclc. 5, The tongue. 13, The common carotid artery. 14, The Jugular vein. IS, The external carotid. 16, The internal carotid. 17, The gustatory branch of the fi^h pair of nerves. SO, The glosso-pharyngeai nerve. 21, The hypo- glossal, or the muscular nerve of the tongue. 94, The pneumogastrie nerve. S5, The facial nerve. 868. The surface of the tongue is thickly studded with * Some physiologists impute the sense of taste to the ninth pair of nerves ; others, to the twelfth pair ; •while others, again, contend that taste is the result of a concurrent action of the fifth, ninth, and twelfth pairs of nerves. 868. What is the appearance of the surface of the tongue } Explain fig. 134 33 S86 AWATOMV, PHYSIOLOGY, AND HYGIENE. fine papillae, or viVli, which give the organ a velvety appear- ance. These papillse are of three varieties. The first is situated near the base of the tongue. They belong to the class of mucous follicles. They are larger than the others, and are called len-tidu-lar, from being shaped like a lens. These, together with the tonsils, (sometimes called the almonds of the ears,) secrete mucus, to lubricate the food in the act of deglutition. 869. The instruments of taste are the two other sets of papillae. One set consists of small, oval-shaped bodies, which are scattered over the whole surface of the tongue. They give it a rough appearance, and are called the fl'i-form papillsB. 870. The other set of papillae is called the jvn'gi-form. They are larger than the former, and consist of small, rounded heads, supported on short stalks, something in the shape of mushrooms, from which they derive their name. In the last two described sets of sensitive papillse, the gustatory branch of the fifth pair of nerves ramifies. Observation. By applying strong acids, as vinegar, to the tongue, with a hai¥ pencil, these points will become curiously lengthened. PHYSIOLOGY OF THE ORGANS OF TASTB. 871. Taste is the sense which makes us acquainted with the savor of substances. When fluids are taken into the mouth, the papillse dilate and erect themselves, and the par- ticular impression excited is transmitted to the brain through How many varieties of papillae ? Describe the first variety. What la the function ot the lenticular papillse ? 869. Describe the filiforai papilla 870. The fungiform papillte ? What nerve ramifies in the tun- giform papillse ? Ho'v can these papilla, or points, be seen ? 871—875 (Jjeo the phf/mology of tht organt of tasta. 871. Define taste. PHYSIOLOGY OF THE OEGANS OF TASTE. 887 filaments of the gustatory nerve. This sense is closely connected with that of smell. The pleasures derived from it are strictly sensual and corporeal, and contribute in no way to the expansion of the mind, like those of hearing and seeing. 872. If dry, solid food is taken, the tongue carries it to the back side of the mouth, where it receives secretions from the salivary glands ; the saliva, becoming impregnated wth its flavor, flows over the sides of the tongue, and gives to the papillae a perception of the savory juice ; this impression is then communicated to the brain. Ohservation. It is supposed that the salts which enter into the composition of the saliva, are very efficient agents ii5 reducing substances to a proper state for making impressions on the nerves of taste. The fact that metals impart a peculiar taste, is owing to a galvanic shock, and not properly to what we understMid by taste. 873. The primary use of taste is to guide animals in the selection of food, and to warn them against the introduction of noxious articles into the stomach. In all the inferior ani- mals, we see that the original design of taste is still answered. But in man, this sense heis been so abused and perverted, by the introduction of stimulants and condiments, and the end- less admixture of different articles of food, that the simple action of this part seems to have been superseded almost entirely by acquired taste. 874. In children, this sense is usually acute, and their preference is for food of the mildest character. And it is also true, that every person has some peculiarities of taste, With what sense is this closely connected? What is said of this sense ? 872. Give the process by which we taste substances. How can we account for the taste of metals when applied to the tongue? 873. What is the primary use of taste ? Where do we see it perrerted? 871 How ts this sense in children ? What is true of every person iu reference to taste? 388 ANATOMY, PHYSIOLOOV, AND HYGIENE. or dislikes to particular articles of food. This may be either constitutional or from the influence of association. Observation. This sense has been made to vary more than any other by the refinements of social life. Thus, the Indian's like or dislike to particular kinds of food, generally extends to every person of the same tribe ; but among civilized men, no two individuals can be found alike in all their tastes. 875. This sense is modified by habit, and not unfrequently those articles, which at first were disgusting, become highly agreeable by persevering in the use of them. By cultiva- tion, this sense may be made very acute. Those persons whose business leads them to judge of the quality of an article by their taste, can discriminate shades of flavor not perceivable by ordinary persons. Epicures, and tasters of wines and teas, afford examples. Observation. Many persons impair their taste by bad nabits, as chewing and smoking tobacco, and using stimu- lating drinlcs, and pungent condiments with the food. These indulgences lessen the sensibility of the nerve, and destroy the natural relish for food. What is true of the Indian ? 875. Is this sense modified by habit ? Give instances. How is this sense sometimes impaired t ANATOMY OF THE ORGANS OF SJLELL. 389 CHAPTER XLIII. SENSE OP SMELL. 876. This sense is located in the air-passages of the Nose. To understand the function of smell, the structure of the nose and nasal cavities, with the distribution of the olfactory nerves, must be first examined. ANATOMY OF THE OBGANS OF SMELL. 8T7. The nose is composed of the Bones, Fi'hro-car'ti- lages, and Mu'cous Mem'hrane, together with its integuments. 878. The bones of the nose are the nasal, and the nasal processes of the upper jaw. 879. The fibrp-cartilages give form and stability to the framework of the nose, providing at the same time, byJheir elasticity, against injuries. They are five in number. 880. The mucous membrane, which lines the interior of the nose, is continuous with the skin externally, and with the lining membrane of the parts of the throat. The entrance of. the nostrils is provided with numerous hairs, which serve as guardians to the delicate membrane of the nose. 881. The NASAL FossiE, or nostrils, are two irregular, com- pressed cavities, extending from the nose to the pharynx. These cavities are bounded superiorly by the sphenoid and 876. Where is the sense of smell located ? 877 — 884. Give the anatomy of the organs of smell. 877. Name the parts that enter into the structure of the nose ? 878. What bones form the framework of the nose ? 879. What is the use of the cartilages? 880. What relation has the mucous membrane with other membranes of the nose ? 881. Describe the nasal cavities. 33* '3^0 ANATOMY, PHYSIOLOGY, AND HYGIENE. ethmoid bones ; inferiorly, by the hard palate. In the middle line they are separated from each other by a bony and fibro- cartilaginous septum ; upon the outer wall of each fossa, in the dried skull, are three projecting processes, termed spongy bones. In the fresh fossa, these are covered by a mucous membrane. 882. The space that intervenes between the superior and middle spongy bone, is called the superior me-a'tus, or chan- nel ; the space between the middle and inferior bone, is the middle meatus ; and that between the inferior bone and the floor of the fossa, is the inferior meatus. Fig. 135. Fig. 136. A vertical seclion of the middle part of the nilBal cavities. 7, The middle epougy bones. 8, The superior part of the Dasal cavities. 10, The inferior spongy bones. 11, The vomer. 12, The upper jaw. 13, The middle channel of tlie nose. 14, The lower channel of the nose. 17, The palatine pi-oce^s of the upper jaw- bone. 18, The roof of the mouth covered by mucous membrane. 19, A section of this membrane. 883. The MEATUSES are passages that extend backward from the nostrils, into which are several openings. They are lined by a mucous membrane, called the pi-tuH-ta-ri/, or schneiderian, from 882. What terms are applied to the spaces between these processes? What does fig. 135 represent ? 883, DeSne the meatuses. By what are they lined? PHYSIOLOOY OF TUB ORGANS OF SMELL.. 891 Schneider, wlio first showed that the secretion of the nasal fossae proceeded from the mucous membrane, and not from the brain. 884. Upon the mucous meAibrane of the nasal passages^ the olfactory nerve ramifies, and also a branch of the fifth pair of nerves. This membrane is of considerable extent in man ; and in those animals whose sense of smell is very acute, it is still more extensive. Fig. 136. A side view of the passage of tbe nostrils, and the distribution of the Otfaciory nerve. 4, The olfactoiy nerve. 5, The fine and curious divisions of tlila nerve on the membrane of the nose. 6, A branch of the fifth pair of nerves. PHYSIOLOGY OF THE ORGANS OF SMELL. 885. The sense of smell enables us to discern the odor or scent of any thing. When substances are presented to the nose, the air that is passing through the nostrils brings the odoriferous particles of matter in contact with the filaments of the olfactory nerves, that are spread upon the membrane 884. What tierves ramify upon this membrane ? What is represented by 6g. 136 ? 885—899. Give the physiology of the organs of smell. 885. How does the mind become sensible of odorifprous particles i 392 ANATOMIf, PnySIOLOGY, ANE HYGIENE. that lines the air-passages, and the impression is then trans- mitted to the brain. 886. This sense, with that of taste, aids man as well as the inferior animals, in selecting proper food, and it also gives us pleasure by the inhalation of agreeable odors. The sense of smell, like that of taste and touch, may be improved by cul- tivation. It likewise varies in different persons. Observation. Sometimes this sense seems to possess a morbid degree of acuteness in respect to odors, which is highly inconvenient and even dangerous. With some individuals, the smell of certain fruits, flowers, cheese, &c., produce nausea and even convulsions. 887. In the inferior animals generally, the sense of smell is more acute than in man. Thus the bloodhound will track the hare over the ground for miles, guided only by the odor that it leaves in its flight. He also traces the progress of his master through thickly-crowded streets, distinguishing his footsteps from those of a thousand others, and amidst the odorous particles emanating from a thousand sourc^. Observation. In some of the higher orders of the inferior anirhals, there is an astonishing acuteness of smell in regard to effluvia that come from living animals. To these animals, it possesses an importance in them far beyond what it has in man, by making them acquainted with the presence of their enemies or their prey, when the eye and ear are incapable of acting. It is related by travellers in Africa, that they were always apprised of lions in their vicinity during the night, by the moans and tremblings of their horses. 888. Smell is somewhat under the control of the will. That 886. What is the use of the sense of smell? Can this sense be im- proved by cultivation ? What is said respecting this sense in some individuals ? 887. What is said of this sense in the bloodhound i Men- tion an instance of astonishing acuteness of smell in some of the higher orders of animals. 888, Show that smell is somewhat under the control of the will. PHYSIOLOGY OF THE OKGANS OF SMELL. 393 is, we have the power of receiving or rejecting odors that are presented ; thus, if odors are agreeable, we inspire forcibly, to enjoy them ; but, if they are offensive, our inspirations are more cautious, or we close our nostrils. This sense is like- wise modified by habit ; odors which, in the first instance, were very offensive, may not only become endurable, but even agreeable. 889. Acuteness of smell requires that the brain and nervo of smell be healthy, and that the membrane that lines the nose be thin and moist. Any influence that diminishes the sensi- bility of the nerves, thickens the membrane, or renders it dry, impairs this sense. Observations. 1st. Snuff, when introduced into the nose, not only diminishes the sensibility of the nervous filaments, but thickens the lining membrane. This thickening of the membrane obstructs the passage of air through the nostrils, and thus obliges " snuff-takers " to open their mouths when they breathe. 2d. The mucous membrane of the nasal passages is the seat of chronic catarrh. This affection is difficult of removal, as remedial agents cannot easily be introduced into the wind- ings of these passages. Snuff and many other articles used for catarrh, produce more disease than they remove. 889 On what does acuteness of smell depend ? What effect has snuff when introduced into the nose ? What is said of chronic catanh ? S94 ANATOMY, PHYSIOLOGY, AND HYGIENE. CHAPTER -XL IV. SENSE OF VISION. 890. This sense contributes more to the enjoyment axid happiness of man than any other of the senses. By it we perceive the form, color, volume, and position of objects that snrround us. The eye is the organ of sight, or vision, and its mechanism is so wonderful, that it not only proves the exist- ence of a great First Cause, but perhaps, more than other organs, the design of the Greater to mingle pleasure with our existence. ^ ANATOMY OF THE ORGANS OF VISION. 891. The apparatus of vision consists of the Op'tie Nerve, the Globe and Muscles of the eye, and its Protecting Organs. 892. The optic nerve arises by two roots from the cen- tral portion of the base of the brain. The two nerves approach each other, as they proceed forward, and some of the fibres of each cross to the nerve of the opposite side. They (hen diverge, and enter the globe of the eyes at their back part, where they expand, and form a soft, whitish membrane. 893. The globe, or ball of the eye, is an optical instru- ment of the most perfect construction. The sides of the globes are composed of Coats, or membranes. . The interior of the globe is filled with refracting Humors, or me'di-ums. 830. Which sense contributes most to the enjoyment of man ? What do we perceive by this sense ? What is said of the mechanism of the eyg ? 891 — 916. Give the anatomy of the organs of vision. 891. Of what does the apparatuscf vision consist? 892. Describe the optic nerve. 893. Besoribs the globe of the eye. ANATOMY OF THE ORQANS OF VISION. 395 894. The coats are three in number : 1st. The Scle- rot'ic and Com'e-a. 2d. The Cho'roid, Iris, and Cil'ia-ry processes. 3d. The Ret'i-na. 895 The humoes are also three in number: 1st. The A'que-ous, or watery. 2d. The Crys'tal-line, (lens.) 3d. The VU're-owa, or glassy. Fig. 137; Fig. 137. Tbe eeconil pair of nerves. 1, 1, Globe of tlie eye : tlie one nn the lell ie perfect, but that on the right has the sclerotic and choroid coats removed, to show the retina. S, The crossing of the optic nerve. S, The pons varolii. 6, The me- dulla oblongata. 7, 6, 9, 10, 11, 12, 13, The origin of several pairs of cranial nerves 896. The sclkkotic coat is a dense, fibrous membrane, and invests about four fifths of the globe of the eye. It gives form to this organ, and serves for the attachment of the mus- cles that move the eye in various directions. This coat, from the brilliancy of its whiteness, is known by the name of " the 894. Name the coats of the eye. 895. Name the humprs of the eye. Rxulain fig IST- 896. Describe the Hclerotic ooat. 396 ANATOMY, PHYSIOLOGY, AND HYGIENE. white of the eye." Anteriorly, the sclerotic coat presents a bevelled edge, which receives the cornea in the same way that a watch-glass is received by the groove in its case. 897. The coiinea is the- transparent projecting layer, that forms the anterior fifth of the globe of the eye. In form, it is circular, convexo-concave, and resembles a watch-glass. It is received by its edge, which is sharp and thin, within the bevelled border of the sclerotic, to which it is firmly attached. The cornea is composed of several different layers; its blood-vessels are so small that they exclude the red particles altogether, and admit nothing but serum. 898. The choeoid coat is a vascular membrane, of a rich chocolate-brown color upon its external surface, and of a deep black color within. It is connected, externally, with the scle- rotic, by an extremely fine cellular tissue, and by the passage of nerves and vessels ; internally, it is in contact with the retina. The choroid membrane is composed of three layers. It secretes upon its internal surface a dark substance, called pig-ment'um ni'grum, which is of great importance in the function of vision. 899. The ikis is so called from its variety of color in dif- ferent persons. It forms a partition between the anterior and posterior chambers of the eye, and is pierced by a circular opening, which is called the pu'pil. It is composed of two layers. The radiating fibres of the anterior layer converge from the circumference to the centre. Through the action of these radiating fibres the pupil is dilated. The circular fibres surround the pupil, and by their action produce contraction of its area. The posterior layer is of a deep purple tint, and is called u-ve'a, from its resemblance in color to a ripe grape. How are this coat and tlie cornea united f 897. Describe the cornea. 898. '\^hat is the color of the external surface of the choroid coat ? Of the internal? How is it connected externally ? How internally ? What does this membrane secrete upon its internal surface ? 899. Describe the iris. Of how many layers of fibres is the iris composed ? What is the function of the radiating iibros ? Of the circular ? ANATOMY OF THE ORGANS OF VISION. 397 900. The CILIARY processes consist of a number of trian- gular folds, formed, apparently, by the plaiting of the internal layer of the choroid coat. They are about sixty in number. Their external border is continuous with the internal layer of the choroid coat. The central border is free, and rests against the circumference of the crystalline lens. These processes are covered by a layer of the pigmentum nigrum. Fig." 138. Fig. 138. A view of the anterior segment of a transveree section of tlie globe oi the eye, seen troja within I, The divided edge of the three coats — sclerotic, cbo- raid, and retina. 9, The pupil. 3, The iris : the surface presented to view in this section being the uvea. 4, The ciliary processes. 5, The scalloped anterior border of the retina. 901. The RETINA is composed of three layers : The ex- ternal ; middle, or nervous ; and internal, or vascular. The external membrane is extremely thin, and is seen as a floccu- lent film, when the eye is suspended in water. The nervous membrane is the expansion of the optic nerve, and forms a thin, semi-transparent, Wuish-white layer. The vascular 900. How are the ciliary processes formed ? What does fig. 138 exhibit ? 901. 01 how many layers is the retina composed f Describe the external liyer. The nervous layer. 34 896 ANATOMY, I'HYSIOLOGY, AND HYGIENE. membrane consists of the ramifications of a minute artery and . its accompanying vein. This vascular layer forms distinct sheaths for the nervous papillaa vfhich constitute the inner surface of the retina. 902. The aqueous humor is situated in the anterior and posterior chambers of the eye. It is an albuminous fluid, having an alkaline reaction. Its specific gravity is a very little greater tlian distilled water. The anterior chamber is the space intervening between the cornea, in front, and the iris and pupil, behind. The posterior chamber is the narrow space, less than half a line in depth, bounded by the posterior surface of the iris and pupil, in front, and by the ciliary pro- cesses and crystalline lens, behind. The two chambers are lined by a thin layer, the secreting membrane of the aqueous humor. 903. The crystalline humor, or lens, is situated imme- diately behind the pupil, and is surrounded by the ciliary processes. This humor is more convex on the posterior than on the anterior surface, and, in different portions of the sur- face of each, the convexity varies from their oval character. It is imbedded in the anterior part of the vitreous humor, from which it is separated by a thin membrane, and is invested by a transparent elastic membrane, called the capsule of the lens. The lens consists of concentric layers, disposed like the coata of an onion. The external layer is soft, and each successive one increases in firmness until the central layer forms a hard- ened nucleus. These layers are best demonstrated by boiling, or by immersion in alcohol, when they separate easily from each other. Ohservations. Ist. The lens in the eye of a fish is round, The vascular layer. 902. Where is the aqueous humor situated ? What part of the eye is called the anterior chamber ? The posterior chamber ? With what are the chambers lined f 908. Where is the crj'stalline humur situated ? With what is it surrounded ? Of what does the lens consist ? How are these layers best demonstrated ? What is produced when the lens, or its investing membrane, is changed in sftuoturc i ANATOMY OF THB ORGANS OF VISION. 399 lika a globe, and has the same appearance, when boiled, as the lens of the human eye. 2d. When the crystalline lens, or its investing membrane, is changed in structure, so as to prevent the rays of light pass- ing to the retina, the afEyCtion is called a cataract. Fig. 139. Fig. 139. A section of the globe of the eye. 1, The sclerotic coat. 2, The coinco. (This connects with the sclerotic coat by a bevelled edge.) 3, The choroid coat 6, 6, The iris. 7, The pupil. 8, The retina. 10, 11, 11, Chambers of the eye thai contain the aqueous humor. 12, The crystalline lens. 13, The vitreous humor. 15, The optic nerve. 16, The central artery of the eye. 904. The VITREOUS httmor forms the principal bulk of the globe of the eye. It is an albuminous fluid, resembling the aqueous humor, but is mor^e dense, and differs from the aque- ous in this important particular, that it has not the power of re-producing itself. If by accident it is discharged, the eye is irrecoverably lost ; while the aqueous humor may be let out, and will be again restored. It is enclosed in a delicate mem- brane, called the hy'a-loid, which sends processes into the interior of the globe of the eye, forming the cells in which the humor is retained. 904. Describe the vitreous humor. How-does this humor differ from the aqueous ? What membrane encloses the vitreous humor ? 400 ANATOMY, PHYSIOLOGY, AND HYGIESfE. Observation. The structure of this organ can be seen by first freezing the eye of a sheep or an ox ; it then can be cut in various directions, and each part separately examined. 905. The muscles of the eye are six in number. They are attached, at one extremity, to the bones of the orbit behind the eye ; at the other extremity, they are inserted by broad, thin tendons, near the junction of the cornea with the sclerotic coat. The white, pearly appearance of the eye is caused by these tendons. Fig. 140. Fig. 140. A view of ttie eye and its muscles, tt, ft, c, (i, e, Five of these muscintt, /, Tile optic nerve. 6, The trochlea, or pulley over which one of the muscles passes The bone Is seen above and below*the eye. Observation. If the external muscle is too short, the eye is turned out, producing the " wall eye." If the internal 906. How many muscles has the eye i Give their attachments. What causes the pearly appearance of the eye f What does fig. 140 represent i What is the effect if the external muscle is contracted i The internal muscle } ANATOMY OF THE ORGANS OF VISION, 401 muscle is contracted, the eye is turned inward toward the nose It is then called a " cross eye." 906. The protecting organs are the Or'Mts, Eyebrows., Eyelids, and Lach'ry-mal Apparatus. 907. The orbits are deep, bony sockets, in which the globes of the eyes are situated. They have the form of a cone, the base of which is open and directed forward. The bottom of the orbits is pierced by a large hole, which gives passage to the optic nerve. These cavities are lined with a thick cushion of fat, in order that the eyes may move in all directions, with perfect freedom and without friction. 908. The eyebrows are two projecting arches of integu- ment, covered with short, thick hairs, which form the upper boundary of the orbits. The eyebrows are so arranged that they prevent the moisture that accumulates on the forehead, in free perspiration, from flowing into the eye, and also shade these organs from too vivid light. 909. The eyelids are two movable curtains placed in front of the eye. They have a delicate skin on the outside, muscular fibres beneath, and a narrow cartilage on their edges, which tends to preserve the shape of the lid. Internally, they are lined by a smooth membrane, which is reflected over the front of the eye upon the sclerotica. This membrane is called the con-junc-ti'va. It secretes the fluid that moistens and lubri- cates the eye, and which causes the eyelids to open and shut without friction. Observation. When the portion of this membrane that is reflected over the globe of the eye, is inflamed, there is frequently a deposition of whitish material, called lymph. This accounts for the films, opacities, and white spots seen upon the eye after the inflammation has subsided. 906. Name the protecting organs of the eye. 907. Describe the orbits. How are the movements of the eye facilitated ? 908. Describe the eye- brows. What does this arrangement prevent ? 909. Describe the eyelids. What is the use of the conjunctiva ? How are the white spots frequently seen upon the eye accounted for ? 34 • 402 ANATOMY, PHYSIOLOGY, AND HYGIENE. 910. There are found several small glands on the in- • ternal surface of the cartilage, which have the appearance of parallel strings of pearls. They open by minute apertures upon the edges of the lids. The secretion from these glands prevents the edges of the eyelids from being united during sleep. 911. The edges of the eyelids are furnished with a triple TOW of long, thick hairs, called eyelashes, which curve upward from the upper lid, and downward from the lower, so that they may not interlace with each other in the closure of the eyelids. These appendages of the eye, by closing, not only protect it from moisture, but from dust, particularly during sleep. They likewise, by their movements in open- ing and shutting, spread the lubricating fluid equally over the eye. 912. The LACHKYMAL APPARATtrs, which secretes the tears, consists of the Lachrymal Gland with its ducts. Lachrymal Canals, and the Nasal Duct. 913. The LACHRYMAL GLAND IS situated at the upper and outer angle of the orbit. It is about three quarters of an inch in length, flattened and oval in shape, and occupies a depres- sion in the orbital plate of the frontal bone. Ten or twelve small ducts pass from this gland, and open upon the upper eyelid, where they pour upon the conjunctiva the lachrymal fluid, or tears. This secretion is maintained while we are asleep, as well as wheij we are awake. The eye from this cause is kept constantly moist. 914. The LACHRYMAL CANALS Commence at minute open- ings upon the free borders of each eyelid, near the internal 910. What are found on the internal surface of the cartilage of the eye- lids ? Where do they open, and what is their use ? 911. With what are the edges of the eyelids furnished ? What are their uses ? 912. Of what does the lachrymal apparatus consist? 913. Describe the lachrymal gland. How many ducts pass from this gland, and what do they convey to the eye ? Why is the eye constantly moist ? 914. Where do the lachrymal canals commence ? ANATOMY OF THE ORGANS OF VISION. 403 angle of the eye, by two small orifices, called punc'ta laeh-ry- ma'H-a, (tear points.) Each of these points communicate with the sac at the upper part of the nasal duct. 915. The NASAL duct is a short canal, about three quarters of an inch in length, directed downward and backward to the inferior channel of the nose, where it terminates by an ex- panded orifice. Fig. 141. 1 Fig. 141. 1, Tile lachrymal gland. S, Ducts leading from the lachrymal gland to the upper eyelid. 3, 3, The puncta lachrymalia. 4, The nasal sac. 5, The termi- nation of the nasal duct. 916. The fluid (tears) secreted by the lachrymal gland, is conveyed to the eye by the small ducts before described, it is then imbibed by the puncta lachrymalia, and carried by the lachrymal canals into the lachrymal sac, from which it is passed to the nasal cavities by the nasal ducts. "What are they called ? With what do they communicate ? 915. De- Bcribe the nasal duct. 916. How are the tears conTeyed from the lachrymal gland to the nose ? 401 ANATOMY, PHYSIOLOGY, AND HYGIENE. CHAPTER XLT. PHYSIOLOGY OF THE ORGANS OP VISION. 917. To comprehend the theory of vision, it is not suffi- cient to know the structure of the eye. We must be familiar with some of the properties of a subtile fluid, which is con- stantly emanating from all luminous bodies, called light. 918. It is the province of natural philosophy, rather than physiology, to enter minutely upon the properties of light. It may be observed, however, that, when light passes through any medium of the same density, the rays are in straight lines ; but, when it passes from one medium into another of different density, it is refracted, or turned from a straight course, unless it strikes the medium in a perpendicular direction — then light passes through without a change of direction. 919. When a ray of light meets with a body, it either passes through it, or is reflected by it, or it may be absorbed. Again, in proportion as the rays of light become distant from the body from which they emanate, they diverge one from the other. In accordance with the laws of optics, the raya of light, in passing through an optical instrument like the eye, must cross each other, and thus produce an inverted image of the object from which the rays proceed. With the general 917 — 933. Give the physiology of the organs of vision. 917. "What is neces- sary in order to understand the theory of vision ? 918. When light passes through a medium of the same density, in what direction will be its rays ? Of a different density ? What exception ? 919. Wlien light meets with a body, what takes place ? What is said in reference to rays cf light in passing through the eye ? PHYSIOLOSY OF THE ORGANS OF VISION. 405 view of the structure of the eye, we will now examine the use of each part in the function of vision. 920. The sclerotic coat not only gives form to the body of the eye, but protection to the interior and more d(;licate parts. The choroid coat seems to be chiefly composed of a tissue of nerves and minute blood-vessels ; the latter give nourishment to the different parts of the eye. One of the uses of this coat is, to absorb the rays of light immediately after "they have passed through the retina. This is effected by the black pigment that lines its inner surface. Were it not for this provision, light would be too intense, and vision indistinct. Observation. In albinos, where there is an absence of the black pigment, the rays of light traverse the iris, and even the choroid coat, and so overwhelm the eye with light, that their vision is quite imperfect, except in the dimness of evening, or. at night. In the manufacture of optical instru- ments, care is taken to color their interior black, for the same object, namely, the absorption of scattered rays. 921. The iris, by means of its powers of expansion and contraction, regulates the quantity of light admitted through the pupil. If the iris is thin, and the rays of light pass through its substance, they are immediately absorbed by the uvea, and, if that layer be insufficient, they are taken up by the black pigment of the choroid coat. Observation. When we look toward the bottom of the eye, the pupil appears like a black spot, instead of an opening. This is caused by seeing the black pigment through the retina and humors of the eye. 920. Wliat is the use of the sclerotic coat ? Of what is the choroid coat chiefly composed i What is the use of this coat ? How is it effected } What is said of albinos? What care is taken in the manufacture of optical instruments ? 921. What is the use of the iris ? When we look toward the bottom of the eye, why does the pupil look like a black spot, instead of an opening } 406 ANATOMVj PHYSIOLOOT, AND HYGIENE. 922. The cornea, and the aqueous, crystalline, and vitreous humors, are transparent ; so that rays of light traverse these parts of the eye, and fall upon the retina. Tho office of these humors and the cornea is to refract the rays of light in such proportion as to direct the image in the most favorable manner upon the retina. 923. The office of the retina is to receive the impression of the rays of light which leave an object at which we look, and it is upon it that a small but very clear image of that object is formed. The impression thus produced by the re- flected light is transmitted by the optic nerve to the brain, which receives the sensation. This constitutes vision. 924. The optic nerve has but one function, that of sight. Sensibility is conferred on this organ by a large branch from the fifth pair of nerves, which ramifies upon the different parts of the eye and its appendages. These parts, however, leceive some nervous filaments from the seventh pair. Observations. 1st. The large number of sensitive ner- vous filaments renders the visual organ very impressible to bodies that cause irritation, as dust, or intense light This compels us to use due care to shield the eye from the influ- ence of eigents that would impair or destroy vision. 2d. Although particles of dust, when in contact with the delicate parts of the eye, induce severe pain, yet these parts may be cut in surgical operations, and the patient's sufferings are not as great as when an incision is made in the skin to remove a small tumor. 925. Different degrees of density, as already mentioned, modify the refractory power of any transparent medium. It is found, on examination, that the cornea, the vitreous, the 922. 'WTiat is the use of the cornea, aqueoua, crystalline, and vitreous humoM? 923. What is the office of the retina? 924. What la the function of the optic ucive ? How is sensibility conferred on this organ ? GKvc the 1st observation in this connection. The 2d observation. PHYSIOLOGY OF THE ORGANS OF VISION. 407 ciystalline, and the aqueous humors, have each, severallyi, various degrees of density ; and that the crystalline lens, at its circumference, is less dense than at its centre. These circumstances modify the direction of the refraction of th« rays of light, in their passage from the cornea to the retina. 926. The refracting powers of the plane, convex, concave, plano-convex, plano-concave, and concavo-convex lenses,* are different. The cornea and aqueous humors are convexo- concave, the vitreous humor is concavo-convex, while the crystalline humor is a convexo-convex medium. (Fig. 139.) Fig. 142. Fig. 143. The fonns of the different lenseg. 1, A plane lens. 3, A globe lens. 3, A convexo-convex lens. 4, A plano-convex lens. ' 5, A concavo-concave lens. 6, A plano-concave lens. 7, Meniscus. 8, A concavo-convex lens. 927. The different degrees of convexity oi concavity also modify the refracting character of transparent mediums. The crystalline lens is of different degrees of convexity on its two sides. The convex surfaces of the aqueous and vitreous humors are segments of circles, of different diame- ters from their concave surfaces. (Fig. 139.) All these * The refracting character of differently-formed lenses is illustrated in the works on Natural Philosophy, to which the pupil is referred. 925. Have the cornea and the humors of the eye different degiees of density ? What is said of the crystalline lens ? What effect uas the different density of the parts of the eye upon the light admitted to this organ ? 926. What kind of lenses do the humors exhibit ? 927. What modiiies the refracting powers of transparent mediums? How does lb ia principle apply to Uie humors of the eye ? 408 ANATOMY, PHyslOLOGT, AND HT&IENE, circumstances still further influence the refracting charac- ter of the visual organ. The achromatic arrangement of the transparent refracting mediums of the eye, remedies tfie aberration of refraction in the different portions of the eye. 928. Again, the refracting power of lenses is modified by their convexity or concavity. The more convex a lens is, the shorter the distance from the refracting medium, where the different refracted rays converge to a focus. To adapt the eye to view objects at different distances, requires a change in the refracting power of some of the transparent mediums of the eye. 929. Both surfaces of the crystalline lens are oval, not spherical, and the refraction of the rays of light is mainly effected in this portion of the eye. Change the inclination of this lens, so that difierent portions of its anterior surface shall be directly behind the pupil, and its refrsicting power ia increased or diminished, jis the surface presented is more or less convex. 930. To view objects at a distance, a less convex lens is needed than in examining articles very near the eye ; and this organ, from its structure, has the power of adaptation to different distances. It is supposed that the muscular sub- stance of the ciliary body and processes changes, by its contraction, the inclination of the crystalline lens. Without this, or some other adapting power, a picture of objects at different distances would not be formed upon the retina, and the vision of every person would be defective, except in reference to objects at certain definite distances from the eye. 928. What modifies the refracting power of lensea ? What is necessary to adapt the eye to view objects at different distances? 929. Where is the refraction of the rays of light mainly effected? 930. When we view objects at a distance, what kind of lens ia required i Has the eye the power of adapting itself to different distances ? How is it effected i PHYSIOLOGY OF THE ORGANS OF VISION. 409 Ohservation. It is well known that a separate image is formed on each eye, and, if they are not in the same direc- tion, the objects wQl appear double. This is proved by pressing one eye, so that the rays of light cannot enter it in the same direction as they do in the other ; consequently, the vision is double. 931. By the action of the muscles of the eye, it is turned in different directions, so that objects can be examined upon each side, as well as in front, without turning the body. By the slight or intense action of the straight muscles, the eye is more or less compressed, and the form of the globe is changed, together with the relative positions of the different humors. This modification also adapts the eye to view ob- jects at different distances. Fig. 143. lig. 143. 1, A pen, an inverted image of which ia painted on the retina of the eye, at S. The image of all objects upon the expansion of the optic nerve, is inverted by the crossing of the rays of light from objects as they traverse the pupil. Observation. If the eye is fixed for a time on some object which is distinguished with difficulty, .there is a painful sensa- tion, similar to that experienced by other muscles of the body when used too long. This is called " straining the eye." 932. When the refraction of the rays of light is too gre^t, as in over-convexity of the cornea, or the crystalline lens, or the vitreous humor, or all of them, the image is formed a AVhat does fig. 143 represent? 931. Why can we see objects at the side as well as In front of the eye, without turning the body f What is ttiu effect when the eye is fixed on an object that is indistinctly seen ? 35 410 ANATOMY, FHySIOLOGY, AND HYGIENE. little in front of the retina. PersoQs thus affected cannot see distinctly, except at a very short distance. This infirmity is called near, or short-sightedness. This defect is in a great measure obviated by the use of concave glasses, which scatter the luminous rays, and thus counterbalance the too strong refracting force of the eye. 933. When the different parts of the eye are not sufficient- ly convex, the image is formed beyond the retina, and thus only distant objects are distinctly seen. This defect is called long-sightedness. The feebleness in the refracting power of the eye may be caused by disease ; but usually it is a conse- quence of old age, and is remedied by wearing spectacles with convex glasses. HYGIENE OF THE ORGANS OF VISION. 934. The eye, like other organs of the body, should be used, and then rested. If we look intently at an object for a long time, the eye becomes wearied, and the power of vision diminished. The observance of this rule is particular- ly needful to those whose eyes are weak, and predisposed to inflammation. On the contrary, if the eye is not called into action, its functions are enfeebled. 935. Sudden transitions of light should be avoided. The iris enlarges or contracts, as the light that, falls upon the eye is faint or strong ; but the change is not instantaneous. 932. What is short-sightedness ? How is the defect remedied ? 933. What is long-sightedness ? How is the defect remedied ? 934 — 942. Give the hygiene of the (yrgans of vision. 934. Do the same principles apply to the use of the eye as to other organs ? What is the effect if the eye is fixed intently on an object for a long time f What results if the eye is not called into action ? 935. Why should sudden transitions of light be avoided ? Note. Let the anatomy and physiology of the eye be reviewed from tigs. 139 and 143, or from anatomical ontline plate No. 10. HTGIfiNE OF THB OEGAJJS OF VISION. 411 Hence the imperfect vision in passing from a strong to a dim light, and the overwhelming sensation experienced on emerg. ing from a dimly-lighted apartment to one brilliantlj' illu- minated. A common cause of am-aur-o'sis, or paralysis of the retina, is, using the eye for a long time in a very intense light. 936. Long- continued oblique positions of the eye should le avoided, when viewing objects. If the eye is turned obliquely for a long time in viewing objects, it may produce an unnat- ural contraction of the muscle called into action. This con- traction of the muscle is termed stra-bis'mus, or cross-eye. The practice of imitating the appearance of a person thus affected, is injudicious, as the imitation, designed to be tem- porary, may become permanent. Observation. Tlie vision of a " cross-eye " is always defective. In general, only one eye is called into action, in viewing the object to which the mind is directed. This defect can be remedied by a surgical operation, which also corrects the position of the eye. 937. Children should be trained to use the eye upon objects at different distances. This is necessary, in order that the vision may be correct when objects at various distances are viewed. Any action unnatural to the muscles, if frequently repeated, may and will modify the character and action of the parts- so operated upon. If a limb, as the arm, be kept flexed for a long time, one set of muscles will be relaxed and elongated, and another will be shortened, and its contractile power will be increased. The same principle is true of the eye. What causes palsy of the retina ? 936. Why should we avoid oblique positions of the eye in viewing objects ? What is said of the practice of imitating persons thus affected ? What is said in reference to the vision of a " cross-eye " ? 937. Why should children be trained to use the eye upon objects at different distances ? What is the effect if an unnatural action of the muscles is frciiuenlly repeated ? Docs the same principle apply to the eye ? 412 ANATOMY, PHYSIOLOGY, AND HYGIENE. 938. In viewing objects very near the eye, the ciliary processes are called into action to produce a proper inclina/- tion of the crystalline lens, so that the rays of light may be properly refracted to form a perfect image on the retina. In looking at objects at a great distance, the ciliary processes are called into a different action, to produce a different in- clination of the lens. Let either of these actions be repeated, again and again, for weeks and months, and they will become natural, and the acquired inclination will be permanent. 939. From the preceding principle, a person becomes short or long sighted, as the objects to which the eye is usually directed are near or remote. This is-one reason why scholars, watchmakers, and artisans, who bring minute objects near the eye to examine them, are short-sighted, and why hunters and sailors, who are habituated to view objects at a distance, are long-sighted. Observation. In the management of children, whether in the nursery or school-room, it is very important that theii books, or articles upon which they may labor, should be held at an appropriate distance from tlie eye. Were this attended to by the parent or instructor, we should not see so many persons with defective vision. 940. Cleanliness, as well as the health of the eye, require that it be bathed every morning with pure water, either cold or tepid, accompanied with as little rubbing or friction as possible. In all instances, the secretion from the lachrymal glands, that sometimes collects at the angle of the eye, should be removed, as it contains saline matter. 941. When small particles, or dust, get upon the eye, they produce much inconvenience, which is often increased by 938. What is th^ effect of repeatedly using the eye in one direction i 939. Why are artisans and scholars generally short-sighted ? Why are sailors and hunters long-sighted i How can defective vision in a great degree be prevented ? 94(1. What reasons are there for bathing the eye ? 941. How can dust and other small particles be removed from the eye? HYGIENE OF THE ORGANS OF VISION. 413 harsh attempts to remove them. The individual should be placed before a strong light, the lids held open with one hand, or by another person, and the particles removed with the corner of a fine linen or silk handkerchief. 942. Sometimes the substance is concealed under the upper eyelid, and it may then be exposed by turning back the lid in the following manner : Take a knitting-needle, or small, slender piece of. sticic, which is perfectly smooth, and place it over the upper lid, in contact with, and just under the edge of the orbit ; then, holding it firmly, seize the eye- lashes with the fingers of the disengaged hand, and gently turn the lid back over the stick or needle. The inner side of the lid can llien be examined, aa^ any substance removed that" may have been there concealed. Too many trials ought not to be made, if unsuccessful, as much inflammation may be induced ; but a surgeon should be consulted as soon aa possible. Observation. Eyestones ought never to be placed in the eye, as they often cause more pain and irritation than the evD which they are intended to remedy. 942. How removed from the upper eyelid ? Why should not e^eatonea be used? 35* 414 4NAT0MY, PHYSIOLOGY, AND HYGIENE. CHAPTER XLVI. THE SENSE OF HEAKING. 943. The sense of hearing is next in importance to that of vision. Through this sense we are enabled to perceive sounds, that not only subserve to our comfort and pleasure, but are instrumental in promoting our intellectual enjoyments. The organ of hearing, or the ear, is one of the most compli- cated in the human body. ANATOMY OF THE ORGANS OF HEARING. 944. The ear is composed of three parts : 1st. The Ex- ternal Ear. 2d. The Tym'pan-um, or middle ear. 3d. The La'by-rinth, or internal ear. 945. The external ear is composed of two parts : The Pin'na, (pavilion of the ear,) and the Me-a'tus Aud-it-o'ri-na Ex-ter'nvs, (auditory canal.) 946. The pinna is a cartilaginous plate which surrounds the entrance of the auditory canal. It presents many ridges and furrows, arising from the folds of the cartilage that form it. Observation. The pinna, in many animals, is movable ; in those that pursue their prey, it is generally directed for- waid ; in timid animals, as the hare and rabbit, it is directed 943. WTittt is said of the importance of hearing ? Is the ear complicated in its structure ? 944 — 962. Give the anatomy of the organs of hearing. 044. Of how many parts is the ear composed f Name them. 945. Give the parts of the external ear. 946. Describe the pinna. What is said in refer- ence to the pinna of many animals ? ANATOMY OF THE ORGANS OF HEAEING. 415 backward. In man, this part is but slightly under the control of the will. 947. The meatus additoritjs is a canal partly cartilagi- nous, and partly bony, about an inch in length, which extends inward from the pinna to the Mem'bra-na Tym'pan-i, (drum of the ear.) It is narrower in the middle than at the extremities. It is lined by an extremely thin pouch of cuticle, which, when withdrawn, after maceration, preserves the form of the canal. Some stiff, short hairs are also found in the interior of the channel, which stretch across the tube, and prevent the ingress of insects. Beneath the cuticle are a number of small folli- cles, which secrete the wax of the ear. Fig. 144. Fig 144. A representattou of the four bones of the ear. The smallest is highly magnified. This bone is early matured^ and in the adult it becomes united with the Incus. These bones are retained in their places and moved by three ligaments and four muscles. 948. The membrana tympani is a thin, semi-transparent membrane, of an oval shape. It is about three eighths of an inch in diameter, and is inserted into a groove around the circumference of the meatus, near its termination. This membrane is placed obliquely across the area of that tube. It is concave toward the meatus, and convex toward the tympanum. 949. The tympanum consists of an irregular bony cavity, situated within the temporal bone. It is bounded externally by the membrana tympani ; internally by its inner wall ; and in its circumference by the petrous portion of the temporal 947. What is the ;neatus auditorius ? What is found in this canal ? What 19 their use ? Where is the wax of the ear secreted. 948. Describe the membrana tympani. 949. Where is the tympanum situated ? 416 ANATOMY, PHYSIOLOGY, AND HYGIENE. bone and mastoid cells. The tympanum contains four small bones, called the os-sic'u-la au-di'ta. These are named sepa- rately, the mal'le-us, in'cus, sta'pes, and or-Udu-lar. 950. There are ten openings in the middle ear ; five large and five sniall. The larger openings are, the Me-a'tus Aud- it-o'ri-us Ex-ter'nus, Fe-nes'tra 0-va'lis, (oval window,) Fe- nes'tra Ro-tun'da, (round window,) Mas'toid Cells, and Eu-sta'chi-an Tube. Fig. 145. Fig. 145. A representation of the pinna, meatus, merobrana tympani, bones of tlie ear, and semicircular canals, a, Tlie pinna, e, The meatus auditorius externus. f , The membrana tympani. &, The tympanum. «, The bones of the ear. b. The semicircular canals. /, The cochlea. A, The vestibule, i, The Eustachian tube. d, The auditory nerve. , 951. The FENESTRA ovALis is the opening of communica- tion between the tympanum and the vestibule. It is closed by the foot of the stapes, or bone of the ear, and by the lining membrane of both cavities. 952. The fenestra rotunda serves to establish a com- What does this cavity contain i 950. How many openings in the tym- panum ? Explain iig. 146. 951. Describe the fenestra ovalis. 952. The fenestra totunda. ANATOMY OF THE ORGANS OF HEARING. 4n munication between the tympanum and the cochlea. It is closed by a proper- membrane, as well as by the lining of both cavities. 953. The mastoid cells are very numerous, and occupy the whole of the interior of the mastoid process of the tem- poral bone, and part of the petrous bone. They communicate, by a large, irreg^ilar opening, with the upper and posterior circumference of the tympanum. Fig. 146. A view of the labyrinth laid open. This figure is highly magnified. 1, 1, The cochlea. S, 3, Two channels, that wind two and a half turns around a central point, (5.) 7, The central portion of the labyrinth, (vestibule.) 8, The fora- men rottindum. 9, The fenestra ovalis. II, 13, 13, 14, 15, 16, 17, 18, The semicircu- lar canals. The cochlea and semicircular canals open into the vestibule. 954. The eustachian tube is a canal of communication, extending obliquely between the pharynx and the anterior circumference of the tympanum. In structure it is partly 953. Where are the mastoid cells ? Explain fig. 146. 954. Describe tho Eustachian tube. 418 ANATOMY, PHYSIOLOGY, AND HYGIENE. fibro-cartilaginous and partly bony. It is broad and expanded at its pharyngeal extremity, and narrow and compressed ai the tympanum. 955. Tlie small openings of the middle ear are for the entrance and exit of the chorda tympani, (a small nerve that crosses the tympanum,) and for the exit of the muscles that act upon the membrana tympani and bones of the ear. 956. The labyrinth consists of a membranous and a bony portion. The bony labyrinth presents a series of cavities which are channelled through the substance of the petrous bone. It is situated between the cavity of the tympanum and the Aud'it-o-ry Nerve. The labyrinth is divided into the Ves'ti-bule, Sem-i-cir'cu-lar Canals, and Coch'le-a. 957. The vestibule is a small, three-cornered cavity, situated immediately within the inner wall of the tympanum. 958. The semicikcular canals are three bony passages which communicate with the vestibule, into which two of them open at both extremities, and the third at one extremity. 959. The cochlea forms the anterior portion of the laby- rinth. It consists'- of a \)ony and gradually tapering canal, about one and a half inches in length, which makes two turns and a half, spirally, around a central axis, called the tno-di'o-lus. The modiolus is large near its base, where it corresponds with the first turn of the cochlea, and diminishes in diameter toward its extremity. 960. The interior of the canal of the coclilea is partially divided into two passages, by means of a bony and membra- nous plate. At the extremity of the modiolus, the two pas- sages communicate with each other. At the other extremity, one opens into the vestibule ; the other into tlie tympanum, by 955. What passes through the small openings of the middle ear? 956. Of what does the labyrinth consist ? Give the parts of the internal ear. 957. Describe the vestibule. 958. What is said of the semicircular canals ? 959. Why is the cochlea so called ? Of what does it consist ? 980. How is the interior of the canal of the cochlea divided ? Where do they rommunioato with each other ? ANATOMY OF THE ORGANS OP HEARING. 419 the foramen rotundum. The internal surface of the bony labyrinth is lined by a fibro-serous membrane. 961. The membranous labyrinth is smaller in size, but a perfect counterpart, with respect to form, of the bony,vestibule, cochlea, and semicircular canals. Within this labyrinth are two small, elongated sacs, which are filled with a fluid. Fig. 147. 1 Fig. 147. A view of the auditory nerve. 1, The Rpinal cord. 2, The mediUla oblongata. 3, The lower part of the brain. 4, The auditory nerve. 5, A branch to the semicircular canals. 6, A branch to the cochlea. 962. The auditory nerve enters the temporal bone upon its internal surface, and divides into two branches, at the bot- tom of the cavity of the internal ear. . These branches enter the structure of the elongated sacs and membranous labyrinth, radiating in all directions, and finally, they terminate upon the inner surface of the membrane, in minute papillae, resem- bling those of the retina. By what is the internal labyrinth lined ? 961. Describe the membranous labyrinth. What does flg. 147 represent ? 862. Where does the auditory nerve enter and divide i Where .do the branches of the auditory nerve enter and terminate i 420 ANATO'VIT, PHYSIOLOGY, AND HYGIENE. CHAPTER XLVII. PHYSIOLOGY OP THE ORGANS OF HEABINa. 963. Hearing is that function by which we obtain a knowl- edge of the vibratory motions of bodies, which constitute sounds. The precise function of all the different parts of the ear is not known. 964. The function of that part of the external ear which projects from the head is to collect sounds and reflect them into the meatus. 965. The membrana tympani serves to facilitate the trans- mission of sounds, and also to moderate their intensity. It is so arranged that it can be relaxed or tightened. Observation. This membrane, when healthy, has no open- ing ; and it must be apparent that the apprehension which is often expressed, that insects will penetrate further, is ground- less. The pain is owing to the extreme sensibility of the membrana tympani. 9^6. The supposed office of the tympanum is to transmit the vibrations made on the membrana tympani to the internal ear. This is effected by the air which it contains, and by the chain of small bones that are enclosed in this cavity. 967. The use of the Eustachian tube is to admit air into the tympanum, which renders the pressure on both sides equal, and thus its membrane is kept in a proper state of tension. 963 — 971. Give the physiology of the orffant of hearing. 963 What is hearing F Are the precise functions of the different parts of the ear known ? 964. What is the fanction of the external ear ? 965. Of the inembrana tympani? What observation in reference to this membrane? 966. What is the supposed office of the middle ear? 967. What is the use of the Eu- stachian tube ? PHYSIOLOGY OF THE ORGANS OF HEARING. 421 Observation. When near a cannon, or a field-piece, about being discharged, by opening the mouth the impression upon the auditory nerve will, be diminished, and the unpleasant sen- sation lessened. This is the result of the air in the middle ear escaping through the Eustuchian tube, when the vibrations of the membrana tympani are violent. Fig. 148. Fig. 148. A view of all the parts of the ear. I, The tube that leads to the internal ear. a, The membranatympanL 3/4,5, The bones of the ear. 7, The central part of the labyrinth, (vestibule.) 8, 9, 10, The semicircular canals. 11, 19, The chan- nels of the cochlea. 13, The auditory nerve. 14, The channel from the middle eai to the throat, (Eustachian tube.) 968. But little is known of the functions of the internal ear ; its parts are filled with a watery fluid, in which the fila- ments of the auditory nerve terminate. What observation in this connection ? 968. What Is the function of the internal ear? 36 422 ANATOM\, PHYSIOLOGY. AND HYGIENE. 969. Many of the parts just enumerated aid in hearing, but are not absolutely essential to this sense. But if the vestibule and auditory nerve are diseased or destroyed, no sound is then perceived. If this sense is destroyed in early life, the person also loses the power of articulating words. Hence a man born deaf is always dumb. 970. The transmission of sound through the different parts of the ear will now be explained by aid of fig. 148. The vibrations of air are collected by the external ear, and con- ducted through the tube (1) to the membrana tympani, (2.) From the membrane vibrations pass along the chain of bones, (3, 4, 5.) The bone 5 communicates with the internal ear, (7, 8, 9, 10, 11, 11, 11, 12, 12, 12.) From the internal eai the impression is transmitted to the brain by the nerve, (13.) 971. The auditory nerve, like the optic, has but one func- tion, that of special sensibility. The nerves which furnish the ear with ordinary sensibility, proceed from the fifth pair. HYGIENE OF THE ORGANS OF HEARING. 972. Hearing, like the other senses, is capable of very great improvement. By cultivation, the blind, are enabled to judge with ^reat accuracy the distance of bodies in motion, and even the height of buildings. It is also capable of im- provement when all the othfer senses are perfect. Thus the Indian will distinguish sounds that are inaudible to the white 969. What parts of the ear are essential in order to hear sounds? What follows loss of hearing? 971. What is the office of the auditory nerve ? What nerves convey ordinary sensibility to the ear f 97^— 97S. Give the hygiene of the orgatis of hearing. 972. Is this sense capable of improvement ? How does this sense aid the blind ? Is it also capable of improvement when all the other senses ore perfect ? In whom ib this illustrated ? Note. Let the anatomy nnd physiology of the organs of hearing be roviewefl; from fig. l^.S, or from nnatnminal r»ntline piflte No. 10. HYGIENE OF THE ORGANS OF HEARING. 423 973. Acute hearing requires perfection in the structure and functions of the different parts of the ear, and that portion of the brain from which th^ auditory nerve proceeds. Deafness is by no means unfrequent. We will now advert to some of the common causes of imperfect hearing. 974. The structure or functional action of the brain may be deranged by inflammation, by compression, or by debility, and produce deafness. The first is seen during inflammatory affections of the brain, and in fevers ; the second is seen in accidental injuries of the head ; the third is seen in old age, and after severe diseases of the head, and fevers. In these cases, applications to, and operations upon, the ear do no good. The only remedy is to remove, if possible, the diseased con- dition of the brain. 975. Imperfect hearing may be produced by the destruction of the membrana tympani, or removal of the bones of the ear, or the parts within the labyrinth. In these instances, medical treatment is of no avail, as the destroyed parts can- not be restored. 976. Hearing may be rendered defective by a diminution of the vibratory character of the membrane tympani. This may result from a thickening of this membrane, or from an ac- cumulation of wax upon its outer surface. The increased thickness is usually the result of inflammation, either acuie or chronic. The proper treatment is such as is efficient to remove inflammatory action. Observations. 1st. The introduction of heads of pins into the ear is a frequent cause of chronic inflammation of the membrana tympani. Hence this practice should never be adopted, and if acquired, should be abandoned. 973. On what does acute hearing depend? 974. State effects on the hearing in some conditions of the brain. How relieved? 975. Of the effect 3n hearing when the bones of the ear or the labyrinth are destroyed ? Is medical treatment of any avail ? 976. What conditions of the drum of the ear may impair hearing ? How relieved ^ What is said nf the intio duftioii of pins to cleanse the ear F 424 - ANATOMY, PHYSIOLOGY, AND HYGIENE. 2cl. The accumulations of viscid wax may be softened by dropping some animal oil into the ear, and then removing it by ejecting warm soap suds a few hours subsequent to the use of the oil. This may be repeated for several successive days. 977. Hearing may be impaired by obstruction of the Eu- stachian tube. The closure of this canal diminishes the vibra- tory character of the air within the tympanum, in the same manner as closing the opening in the side of a drum. For the same reason, enlarged tonsils, inflammation and ulceration of the fauces and nasal passages during and subsequent to an attack of scarlet fever, and the inflammation attending the " sore throat " in colds, are common causes of this obstruc- tion. 978. The treatment of such cases of defective hearing, is to have the tonsils, if enlarged, removed by a surgeon ; for the inflammation and thickening of the parts remedial means should be applied, directed by a skilful physician. The nos- trums for the cure of deafness are generally of an oleaginous character, and may be beneficial in cases of defective hearing caused by an accumulation of wax upon the drum of the ear, but in this respect they are no better than the ordinary animal oils. What is the remedy where there is an accumulation of wax ? 977. What is the effect on hearing if the Eustachian tube is obstructed ? 978. What is the treatment when deafness' is caused by inflammation or ulceration of the fauces } What is said of the nostrums used for deafness ? ME4NS OF PKESERVING THE HEALTH. 425 CHAPTER XLVIII. MEANS OF PKESERVING THE HEAITH.* 979. Our bodies are constituted in harmony with certain laws, and every person should learn these, in order to regu- late his actions and the performance of his duties, so that health may be unimpaired, and the power of enjoyment, activity, and usefulness continue while life lasts. 980. It is a law of the bones and the muscles, that they should either be used in some vocation, or called into action ■ by some social play and active sport. 981. All admit that food is necessary to sustain life ; and unless it be of a proper quality, taken in proper quantities, and at proper times, the functions of the digestive organs will be deranged, and disease produced. 982. Pure air is essential to the full enjoyment of health. The impure air of unventilated rooms may be breathed, and the effect be so gradual as not to arrest attention ; yet it is a violation of the physical laws, and, sooner or later, we pay the penalty in disease and suffering. 983. The body also requires sleep ; and if it is not taken at the right time, or with regularity, we do not feel full refresh- • It is advised, that a thorough review of the hygiene of the pre- ceding chapters be given from the suggestions contained in this. 979 Why is it incumbent on every person to learn the laws of health ? 980. Give a law of the muscles. 981. In preserving the health, is it neces- sary to give attention to the food which is eaten ? Why ? 982. What beside food is essential to the full enjoyment of health ? What is said of the impure air of unventilated rooms ? 983. Whafsnould Be observed in regard to sleep ? 36 • 436 ANATOMY, PHVSIOLOGY, AND HYGIENE. ment from "tired nature's sweet restorer." Let youth be taught that " early to bed and early to rise " gives him health and its attendant blessings. The brain, like other organs of the body, should be called into action at proper times. 984. From the extent of the surface of the skin, and the close sympathy that exists between it and those organs whose office is, to remove the waste particles of matter from the body, it therefore becomes very important in the preservation of the health, that the functions of this membrane be properly maintained. 985. The function of the circulatory and secretory organs, together with the operations of absorption and nutrition, should be steadily maintained, as vitality and the generation of ani- mal heat are intimately connected with these processes. In the proper performance of these functions, very much depends on the observance of the laws of the muscular, digestive, respiratory, dermoid, and nervous apparatuses. REMOVAL OF DISEASE. 986. It is seldom that a physician is called in the first stages of disease. At this important period, the treatment adopted should be proper and judicious, or the sufferings of the patient are increased, and life, to a greater or less degree, is jeopardized. Hence the utility of knowing what should be done, and what should not be done in order that the health may be rapidly regained. 987. In all instances of acute disease, it is proper to rest, not only the body, but the mind. To effect this, the patient should cease from physical exertion, and also withdraw his 984. Why should the functions of the skin be properly maintained ? 985. Show the necessity of maintaining properly other functions of the system. 986. What is important in the first stages of disease? 987. What Is proper in all instances uf acute disease } How can it be effected } REMOVAL OP DISEASE 4^7 thoughts from study and business operations. This should be done, even if the person is but slightly indisposed. 988. Select a room for a sick person that is exposed to as little external noise as possible, as impressions made on the organ of hearing greatly influence the nervous system. Like- wise select a spacious, well-ventilated apartment, that has no superfluous furniture. The practice of placing a sick person in a small, ill-arranged sleeping-room, when a more spacious room can be used, is poor economy, not to say unkind. 989. Care is necessary in regulating the light of a sick- room. While a strong light would produce an increased action of the vessels of the brain, a moderate light would be an appropriate stimulus to this organ. It is seldom or never necessary to exclude all light from the sick-chamber. 990. A sick person, whether a child or an adult, should not be disturbed by visitors, even if their calls are short. The excitement of meeting them is followed by a depression of the nervous system. The more dangerous and apparently nearer death the sick person is, the more rigorous should be the observance of this suggestion. Nor should the sick-room be opened to privileged classes ; for the excitement caused by a visit from relations and the virtuous, will do as much injury to the sick, as that produced by strangers and the vicious. 991. The custom of visiting and conversing with sick friends during the intervals of daily labor, and particularly on Sunday, is a great evil. No person will thus intrude herself in the sick- chamber who cares more for the welfare of the suffering friend than for the gratification of a sympathetic curiosity. Inquiries can be made of the family respecting the sick, and compli- mentary or necessary messages can be communicated through the nurse. 988. What rooms should be selected for the sick ? "WTiy ? 989. What is said in reference to the quantity of light admitted into a sick-room ? 991). What effect have calls on the sick ? 991. What is said of the custom of calling and conversing with the sick during the intervals of daily labor ? 428 ANATOMY, PHYSIOLOGY, AND HYGIENE. niuslration. While attending a Miss B., of N. H., sick of fever, I pronounced her better, withdrew medicine, directed a simple, low diet, and the exclusion of all visitors. In the evening I was sent for to attend her. There was a violent relapse into the disease, which continued to increase in sever- ity until the fourth day, when death terminated her sufferings. I learned that, soon after I gave directions that no visitors be admitted into her room, several particular friends were per- mitted to enter the chamber and talk with the sick girl. Their conversation produced a severe headache ; and, to use the language of the patient, " it seemed as if their talk would kilt me ; " and it did kill her. 992. No solid food should be taken in the first stages of disease, even if the affection is slight. The thirst can be allayed by drinking cold water, barley-water, and other prep- arations of an unstimulating character. It is wrong to tempt the appetite of.a person who is indisposed. The cessaticHi of a desire for food, is the warning of nature, that the system is in such a state that it cannot be digested. 993. When a patient is recovering from illness, the food should be simple, and in quantities not so great as to oppress the stomach. It should also be given with regularity. " Eat little and often," with no regard to regularity, is a pernicious practice. 994. When a physician attends a sick person, he should have the special management of the food, particularly after the medicine has been withdrawn and the patient is convales- cent. The prevailing idea that every person may safely advise relative to food, or that the appetite of the convalescing per- Give an illustration. 992. What suggestion relative to food in the first stages of disease ? How can the thirst he allayed } 993. When the patient is convalescent,' how should the food be given ? What is said of the practice of eating " little and often " ? 994. Who should have the special management of food when medicine is withdrawn ? What idea prevails in the community i REMOVAL OF DISEASE. » 429 son is a comp tent guide, is dangerous, and cannot be too much censured. Illustration. In 1832, 1 attended a Miss M., sick of fever. After an illness of a few days, the fever abated, and I direct- ed a simple, unstimulating diet. Business called me from the town two days. During my absence, a sympathizing, officious matron called ; found her weak, but improving ; and told her she needed food to strengthen her ; and that " it would now do her good." Accordingly, eggs and a piece of beefsteak were prepared, and given to the convalescent girl. She ate heartily, and the result was a relapse into a fever more violent than the first attack. 995. It is very important in disease that tlie skin he kept clean. A free action of the vessels of this part of the body exerts a great influence in removing disease from the internal organs, as well as keeping them in health. If the twenty or thirty ounces of waste, hurtful matter, that passes through the " pores " of the skin in twenty-four hours, are not removed by frequent bathing and dry rubbing, it deranges the action of the vessels that separate this waste matter from the blood, and thus increases the disease of the internal organs. Illustration. Mrs. M. R., of N., Meiss., was afflicted with disease of the lungs and cough. This was accompanied with a dry, inactive condition of the skin. As medicine had no salutary effect in relieving her cough, she was induced by the advice of the clergyman of the parish to enter upon a system- atic course of bathing twice every day. Soon the skin became soft, . its proper functions were restored, the disease of the lungs yielded, and the cough disappeared. 996, Every sick person should breathe pure air. The purer the blood that courses through the body, the greater the Give an illustration of the evil effects attending snch an idea. 995. Does the skin exert a great influence in removing disease from the internal organs, as well as in keeping them in health ? Give an illustration 996. Why should every sick person, particularly, breathe pure aii ? 430 AlATOMY, PHYS10L08Y, AND HYGIENE. energy of the system to remove disease. The confined, vitiated air of the sick-chamber not unfrequently prolongs disease; and in many instances the affection is not only aggravated, but even rendered fatal, by its injurious influences. Illustrations. 1st. In 1833, I was called, in consultation with another physician, to Mr. H., who was much debilitated, and delirious. For several successive days he had not slept. His room was kept very warm and close, for fear he would " take Cold." The only change that I made in the treatment, was to open the door and window, at a distance from the bed. In a short time, the delirium ceased, and he fell into a quiet ■slumber. From this time he rapidly recovered, and the de- lirium was probably the result of breathing impure air. 2d. Formerly, every precaution was used to prevent per- sons sick of the small-pox from breathing fresh air. When Mrs. Ramsay had this disease in Charleston, S. C.,her friends, supposing that life was extinct, caused her body to be removed from the house to an open shed. The pure air revived the vital spark. The result probably would have been different, had she been kept a few hours longer in the vitiated air. 997. The influence of habit should not be disregarded in the removal of disease. If food or drink is to be administered, however small in quantity or simple its quality, it should be given at or about the time when the ordinary meals were taken in health. 998. Again, the usual time when the patient was in the habit of retiring for sleep should be observed, and all prepa- ration necessary for the sick-room during the night should be made previous to this hour. Efforts should also be made to evacuate the waste matter of the digestive and urinary organs at the period which habit has formed in health. This is not Are not disenscs prolonged, and even rendered fatiil^ from breathing the iiiipuro, vitiated air of the siokchnuiber ? Give illustration ^^t. Give illustration 2d. 997. Whnt is said respecting the influenie of habit in rouiovins di,iea?o ? hemovAl of disease. 431 only a remedial agent in disease, but often precludes the necessity of laxative or drastic cathartics. 999. Medicine is sometimes necessary to assist the natu- ral powers of the system to remove disease ; but it is only an assistant. While emetics are occasionally useful in remov- ing food and other articles from the stomach that would cause disease if suffered to remain, and cathartics are valuable, in some instances, to relieve the alimentary canal of irritating residuum, yet the frequent administration of either will cause serious disease. 1000. Although medicine is useful in some instances, yet, in a great proportion of the cases of disease, including fevers and inflammations of all kinds, attention to the laws of health will tend to relieve the system from disease, more certainly and speedily, and with less danger, than when medicines are administered. 1001. Thomas Jefferson, in writing to Dr. Wistar, of Phil- adelphia, said, " I would have th^ physician learn the limit of his art." I would say. Have the matrons, and those who are continually advising " herb teas," and other " cure-alls," for any complaint, labelled with some popular name, learn the limits of their duty, namely, attention to the laws of health. The rule of every family, and each individual, should be, to touch not, taste not of medicine of any kind, except when directed by a well-educated and honest physician, (sud- den disease from accidents excepted.) 999. What is said of the use of medicine ? 1000. Of its use in fevers and many other cases of disease ? 1001. What remark by Thomas Jeffer- son to Dr. Wistar ! What should matrons learn ? What should be the rule of every person in regard to tailing medicine ? What exception I 432 ANATOMY, PHYSIOLOGY, AND HYGIENE. CHAPTER XLIX. DIRECTIONS FOR NURSES. 1002. The nurse requires knowledge and practice to enable her to discharge aright her duty to the patient, as much as the physician and surgeon do to perform what is incumbent on them. Woman, from her constitution and habits, is the natural nurse of the sick ; and, in general, no small portion of her time is spent in ministering at the couch of disease and suffering. 1003. As the young and vigorous, as well as the aged and the infirm, are liable to be laid upon the bed of sickness, by an epidemic, or imprudent exposure, or by some accident, it is therefore necessary that the girl, as well as the matron, may know how she can render services in an. efficient and proper manner. No girl should consider her education complete who is not acquainted with the principles of the duties of a general nurse and a temporary watcher. 1004. It is to be regretted, that while we have medical schools and colleges to educate physicians, there is no institu- tion to educate nurses in their equally responsible station. In the absence of such institutions, the defect can be remedied, to some extent, by teaching every girl hygiene, or the laws of health. To make such knowledge more available and com- plete, attention is invited to the following suggestions relative to the practical duties of a nurse. 1002, Does the nurse require knowledge and practice in her employment, as well IIS the physician ? Who is tho natural nurse of the sick ? 1003. What, then, is incumbent on every girl? 1004. Should there be schools to educate nurses, as well as physicians and surgeons ? DIRECTIONS FOR NURSES 433 1005. Bathing. The nurse, before commencing to bathe the patient, should provide herself with water, two towels, a sponge, a piece of soft flannel, and a sheet. The temperature of the room should also be observed. 1006. When the patient is feeble, use tepid or warm water. Cold water should only be used when the system has vigor enough to produce reaction upon the skin. This is shown by the increased redness of the skin, and a feeling of warmth and comfott, after a proper amount of friction. Before using the sponge to bathe, a sheet, or fold of cloth, should be spread smoothly over the bed, and under the patient, to prevent the bed-linen on which the patient lies from becom- ing damp or wet. 1007. Apply the wet sponge to one part of the body at h time ; as the arm, for instance. By doing so, the liability of contracting chills is diminished. Take a dry, soft towel, wipe the bathed part, and follow this by vigorous rubbing with a crash towel, or, what is better, a mitten made of this material ; then use briskly a piece of soft flannel, to remove all moisture that may exist on the skin, and particularly between the fingers and the flections of the joints. In this manner bathe the entiie body. 1008. The sick should be thoroughly bathed, at least twice in twenty-four hours. Particular attention should be given to the parts between the fingers and toes, arid about the flections of the joints, as the accumulation of the excretions is most abundant on these parts. In bathing, these poitions of the system are very generally neglected. The best time for bathing, is when the patient feels most vigorous, and freest from exhaustion. The practice of daubing the face and hands with a towel dipped in hot rum, camphor, and vinegar, 1005. Wliat should a nurse provide herself with, before bathing a patient ? 1006. When should cold water be used ? 1007- How should the bathing thei be performed, so that the patient may not contract a cold ? 1008. How often should a sick person be bathed ? What is said of daubing the face ajxA hands merely with a wet cloth ? 37 434 ANATOMY, PHYSIOLOGY, AND HYGIENE. does not remove the impurities, but causes the skin soon to feel dry, hard, and uncomfortable. 1009. Food. It is the duty of every woman to know how to make the simple preparations adapted to a low diet, in the most wholesome and the most palatable way. Water-gruel,* which is the simplest of all preparations, is frequently so ill- made as to cause the patient to loathe it. Always prepare the food for the sick, in the neatest and most careful manner. 1010. When the physician enjoins abstinence from food, the nurse should strictly obey the injunction. She should be as particular to know the physician's directions about diet, as in knowing how and when to give the prescribed medicines, and obey them as implicitly. 1011. When a patient is convalescent, the desire for food is generally strong, and it often requires firmness and patience, together with great care, on the part of the nurse, that the food is prepared suitably, and given at proper times. The physician should direct how frequently it should be taken. 1012. Pure Air. It is the duty of the nurse to see that not only the room is well ventilated in the morning, but that fresh air is constantly admitted during the day. Great care must be taken, however, that the patient does not feel the current. 1013. Bed-linen, as well as that of the body, should be aired every day, and oftener changed in sickness than in health. All clothing, when changed, should be well dried, and warmed by a fire previous to its being put on the patient or the bed. * Directions for making the simple preparations for the siok are found in almost every cook-book. 1000. Should every woman know how to maJie the simple ii'ro{)arations adapted to a low diet? 1010. Should the nurse striotly obey the injunc- tions of the physioian relativo to food? 1011. What period of a person's illness requires the most oare in regard to the food? 1012. Give another duty of the nurse. 1013. What directions respecting the bed-linen or^ho patient? What is necoRsary when there is a change of clothing ? DIRECTIONS FOE NtTESEr. 435 1014. Temi'erature. The warmth of the chamber should be carefully watched by the nurse. The feelings of the patient or nurse are not to be relied on as an index of the temperature of the room. There should be a well-adjusted thermometer in every sick-room. This should be frequently consulted by the nurse. 1015. The temperature of the sick-chamber should be moderate. If it is so cold as to cause a chill, the disease will be aggravated. If, on the other hand, it is too warm, the patient is enfeebled and- rendered more susceptible to cold on leaving the sick-chamber. The Latin msixim, " In medio tutissimus ibis" (in medium there is most safety,) should be regarded in the rooms of the sick. 1016. Quiet. The room of the patient should be kept free from noise. The community should be guided by this rule, that no more persons remain in the room of the sick, than the welfare of the patient demands. It is the duty of the physi- cian to direct when visitors can be admitted or excluded from the sick-room, and the nurse should see that these directions are enforced. 1017. The movements of the attendants should be gentle and noiseless. Shutting doors violently, creaking hinges, and all unnecessary noise, should be avoided. Most persons refrain from loud talking in the sick chamber, but are not equally careful to abstain from whispering, which is often more trying than a common tone. 1018. It is the duty of the nurse to ascertain the habits of the patient as respects the period for eating and sleep, when in health, that she may prepare the food and arrange the sick-room in accordance with the practice of the patient. 1014. Why should there be a well-adjusted thermometer in every sick- chamber ? 1016. What is said of the temperature of the sick-chamber ? ini6. Why should the sick-room be kept quiet? 1017. What is said of toiee in the sick-chambcc ? Of whispering ? 1018. Should the habits of tbp potient be regarded in reference to the period for eating and sleep ? 436 ANATOMy, PHYSIOLOGY, AND HYGIENE. If ihe person who is sick is ignorant of the necessity of the removal of the waste products from the system, the nurse should invite attention to these functions at such periods as are in accordance with the previous habits of the patient. 1019. The deportment and remarks of the nurse to the patient should be tranquil and encouraging. The illness of a friend, or persons who have recently died, should not be alluded to in the sick-room. No doubts or fears of the patient's recovery, either by a look or by a word, should be communi- cated by the nurse in the chamber of the sick. When such information is necessary to be communicated, it is the duty of the physician to impart it to the sick person. 1020. The nurse should not confine herself to the sick- room more than six hours at a time. She should eat her food regularly, sleep at regular periods, and take exercise daily in the open air. To do this, let her quietly leave the room when the patient is sleeping. A watcher, or temporary nurse, may supply her place. There is but little danger of contracting disease, if the nurse attends to the simple laws of health, and remains not more than six hours at a time in the sick-room. riRECTIONS FOR WATCHERS. 1021. These necessary assistants, like the nurse, should have knowledge and practice. They should ever be cheerful, kind, firm, and attentive in the presence of the patient. 1022. A simple, nutritious supper should be eaten before entering the sick-room; and it is well, during the night, to take some plain food. 1019. What should be the deportment of the nurse toward the patient } Should doubts and fears of the patient's recovery be communicated in the sick-room ? When necessary to impart such intelligence, on whom does it depend ? 1020. How long should a nurse remain in the sick-chamber at a time ? 1021. What qualifications are necessary in a watcher ? 1022. What directions in regard to the food of the watcher f DIRECIIONS FOE WATCHERS. 437 1023. When watching in cold weather, a person should be warmly dressed, and furnished with an extra garment, as a cloak or shawl, because the system becomes exhausted toward morning, and less heat is generated in the body. 1024. Light-colored clothing should be worn by those who have care of the sick, in preference to dark-colored apparel ; particularly if the disease is of a contagious character. Ex- periments have shown, that black and other dark colors will absorb more readily the subtile effluvia that emanate fiom sick persons, than white or light colors. 1025. Whatever may be wanted during the night, should be brought into the sick-chamber, or the adjoining room, be- fore the family retires for sleep, in order that the slumbers of the patient be not disturbed by haste, or searching for needed articles. 1026. The same general directions should be observed by watchers, as are given to the nurse ; nor should the watcher deem it necessary to make herself accepta.ble to the patient by exhausting conversation. 1027. It can hardly be expected that the farmer, who has been laboring hard in the field, or the mechanic, who has toiled during the day, is qualified to render all those little attentions that a sick person requires. Hence, would it not be more benevolent and economical to employ and pay watch- ers, who are qualified by knowledge and training, to perform this duty, in a faithful manner, while the kindness and sympa- thy of friends may be practically manifested by assisting to defray the expenses of these qualified and useful assistants i 1023. When watching in cold weather, what precaution is necessary ? 1024. What is said relative to the color of the clothing worn in the sick-room ? 1025. What suggestions to watchers relative to the arrange- ment of the sick-chamber ? 1026. What should watchers ohserve ? 1027. What is said of employing those persons to watch who labor hard during the day ? 37* APPENDIX POISONS' AND THEIR ANTIDOTES. ? 1028. FoiEONiNO, either from accident or design, is of snch frequency and danger, that it is of the greatest importance that every person should know the proper mode of procedure in such cases, in order to render imme- diate assistance when within his power 1029. Poisons are divided into two classes — mineral (which include the acids) and vegetable, 1030. The first thing, usually, to be done, when it is ascertained that a poison has been swallowed, is to evacuate the stomach, unless vomiting takes place spontaneously. Emetics of the sulphate of zinc, (white vitriol,) or ipecacuanha, (ipecac,) or ground mustard seed, should be given. 1031. When vomiting has commenced, it should be aided by large and frequent draughts of the following drinks : flaxseed tea, gum-water, slip- pery-elm tea, barley water, sugar and water, or any thing of a mucilaginous or diluent character. MINERAL POISONS. 1032. Ammonia. — The ieater of ammonia, if taken in an over-dose, and in an undiluted state, acts as a violent corrosive poison. 1033. The best and most effectual antidote is vinegar. It should be administered in water, without delay. It neutralizes the ammonia, and renders it inactive. Emetics should not be given. 1034. Antimoitt. — The vriTie of antimony and tartar emetic, if taken In over-doses, cause distressing vomiting. In addition to the diluent, muci- laginous drinks, give a tea-spoonful of the sirup of poppies, paregcric, or 10S8. Is it uaeful to know the antidotes or remedies for poison ? 1039. Into how many classes are poisons divided ? ' 1030. What is the first thing to be done when it is aecerlained that poison has been swallowed ? 1031. What should be taken after the vomiting has commenced? 1033. What effect has an over-dose if ammonia.* 1033. The antidote ? Should an emetic be given for this poison ? 1034. What efl'eet hns an orei-dose of the wine of antimony or tartar emetic i* 440 APPENDIX. twenty drops of laudanum, every twenty minutes, until five or six doses have been taken, or the vomiting ceases. 1035. The antidotes are mttgalla and oak bark, which may be adminis- tered in infusion, or by steeping in water. 1036. Arsenic. — "When this has been taken, administer an emetic of ipecac, speedily, in mucilaginous teas, and use the stomach-pump as soon as possible. 1037. The antidote is the hydirated peroxide of iron. It should be kept constantly on hand at the apothecaries' shops. It may be given in any quantity, without injurious results. 1038. Copper. — The most common cause of poisoning from this metal, is through the careless use of cooking uten«ls made of it, on which the acetate ofqxgper (verdigris) has been allowed to form. When this has been taken, immediately induce vomiting, give mucilaginous drinks, or the white of eggs, diffused in water. . 1U39. The antidote is the carbmucle of soda, which should be administered without delay. 1040. Lead. — The acetate (sugar) of lead is the preparation of this metal, which is liable to be taken accidentally, in poisonous doses. Induce imme- diate vomiting, by emetics and diluent drinks. 1011. The antidote is diluted sulphuric acid. When this aeid is not to be obtained, either the sulphate of magnesia, (epsom salts,) or the sulphate of soda, (glauber's salts,) will answer every purpose. 1042. Mercitry. — The preparation of this mineral by which poisoning is commonly produced, is corrosive sublimate. The mode of treatment to be pursued when this poison has been swallowed, is as follows : The whites of a dozen eggs should be beaten in two quarts of cold water, and a tumbler- full given every two minutes, to induce vomiting. When the whites of eggtf are not to be obtained, soap and water should be mixed with wheat flour, and given in copious draughts, and the stomach-pump introduced as soon as possible. Emetics or irritating substances should not be given. 1043. Nitre — Saltpetre. — This, in over-doses, produces violent poison- ous symptoms. Vomiting should be immediately induced by large doses 1035. What IB tho ontidoto? 1036. What should iminediRtely be done whon aisenie is swallowed? 1037. What is Ihe antidote .^ Can any quantity of this preparation of Iron be givun without injurious results ? 1038. What should be given when verdigris has boon taken into the stomach F t039. What is (ho antidote*.^ 10-10. What should in)modia.tely be given whea sugar or lead is taken.* 1041. What is the antidolo.' 104^. Give the treatment wh.en corrosive sulilimato has bcon swallowed. 1043. What efl'ect has an ovor-doso of saltpetre ? What treatment should ue adopted f APPENDIX. 441 of nmoUaginous, diluent drinks ; but emetics Trhich irritate the stomach, should not be given. 1044. Zinc. — Poisoning is sometimes caused by the m^hate of zinc, (white yitriol.) When this takes place, vomiting should be induced, and aided by large draughts of mucilaginous and diluent drinks. Use the stomach-pump as soon as possible. 1045. The antidote is the carbonate, or super-carbonate ofaoda. 1046. NiTBio, (aqua fortis,) MtrwATio, (marine acid,) or sttlphttbio (oil of vitriol,) ACIDS, may be taken by accident, and produce poisonous effects. 1047. The antidote is calcined magnesia, which should be freely admin- istered, to neutralize the acid and induce vomiting. When magnesia can- not be obtained, the carbonate of potash (saleeratus) may be given. Chalk. powdered and given in solution, or strong soap suds, will answer a good purpose, when the other articles are not at hand. It is of very great im- portance that something be given speedily, to neutralize the acid. One of the substances before mentioned should be taken freely, in diluent and mucilaginous drinks, as gum-water, milk, flaxseed, or slippery-elm tea. Emetics ought to be avoided. 1048. Oxalic Acid. — This acid resembles the sulphate of magnesia, (epsom salts,) which renders it liable to be taken, by mistake, in poisonous doses. Many accidents have occurred from this circumstance. They can ^asily be distinguished by tasting a small quantity. Epsom salts, when applied to the tongue, have a very bitter taste, while oxalic acid is in- tensely sour. 1049. The antidote is magnesia, between which and the acid a chemical action takes place, producing the oxalate of magnesia, which is inert. When magnesia is not at hand, fhallc, lime, or carbonate of potash, (saleera- tus,) will answer as a substitute. Give the antidote in some of the muci- laginous drinks before mentioned. No time should be lost in introducing the stomach-pump as soon as a surgeon can be obtained. 1050. Let. — The ley obtained by the leaching of ashes may be taken by a child accidentally. The antidote is vinegar, or oil of any kind. The vinegar neutralizes the alkali by uniting with it, forming the acetate of potash. The oil unites with the alkali, and forms soap, which is less caus- tic than the ley. Give, at the same time, large draughts of mucilaginous drinks, as flaxseed tea, &c. 1044. What is the antidote for white vitriol .' 1047. What is the antidote for aqua fortia and oil of vitriol.' Should emetica be avoided-' 1048. How can oxalic acid be distinguished from epaom salts .' 1049. What is the antidote for an over-doae of OK- alic acid? Whon magnesia cannot be obtained, what will answer as a suhscitiitti 1050 What is the antidote when ley is swallowed? 442 APPENDIX. VEGBTABLB POISONS. 1061. The vegetable poisons are quite as numerous, and many of tbem equally as virulent, as any in the mineral kingdom. We shall describe the most common, and which, therefore, are most liable to be taken. 1052. Opitjm. — This is the article most frequently resorted to by those wishing to commit suicide, and, being used as a common medicine, is easily obtained. From this cause, also, mistakes are very liable to be made, and' accidents result from it. Two of its preparations, laudanum and paregoriCf are frequently mistaken for each other ; the former being given when the latter is intended. 1053. Morphia, in solution, or morphine, as it is more commonly called by the public, is a preparation of the drug under consideration, with which many cases of poisoning are produced. It is the active narcotic principle of the opium ; and one grain is equal to six of this drug in its usual form. 1054. "When an over-dose of opium, or any of its preparations, has been swallowed, the stomach should be evacuated as speedily as possible. Tc eRect tills, a tcaspount'ul of ground mustard seed, or as much tartar emeuc a& can be held on a five cent piece, or as much ipeeacitanha as can be held on a twenty-five cent piece, should be mixed in a tumbler of warm water, and one hair given at once, and the remainder in twenty minutes, if the iirslhaa not, in the mean time, operated. In' the interval, copious draughts of warm water, or warm sugar and water, should he drank. 1055. The use of the stomach-pump, in these cases, is of the greatest importance, and should be resorted to without delay. After most of the poison has been evacuated from the stomach, a strong infusion of coffee ought to be given ; or some one of the vegetable acids, such as vinegar or lemon-Juice, should be administered. 1056. The patient should be kept in motion, and salutary effects will often be produced by dashing a bucket of cold water on the head. Arii- Jieial respiration ought to be established, and kept up for some time. If the extremities are cold, apply warmth and friction to them. After the poison has been evacuated from the stomach, stimulants, as warm wine and water, or warm brandy and water, should be given, to keep up and sustain vital action. 1067. Stramonium — Thorn -Apple. — This is one of the most active narcotic poisons, and, when taken in over-doses, has, in numerous instances, caused death. 1051. Aro vogetublo poiaous a» Humorous and as virulent in tlioir eflfocts fts mineral ? 1062. What Is said of opium and its propnnitlons f 1054, 1066, 1066. What treatment should be adopted when an over-doso of opium or any of its preparatious is taken ? 1067. What Is Baid of stramonium f APPENDIX. 443 10/58 Eyosoiamus — Henbane. — This article, whkh is used as a medi- cine, if taken in improper doses, acts as <& virulent irritating and nar- cotic poison. 1059. Tile treatment for the two above-mentioned articles is similar to that of poisoning from over-doses of opium. 1060. CoNiUM — Hemlock. — Hemlock, improperly called, by many, dcuta, when taken in an over-dose, acts as a narcotic poison. It was by this narcotic that the Athenians used to destroy the lives of individuals con- -demned to death by their laws. Socrates is said to have been put to death by this poison. When swallowed in over-doses, the treatment is similar to that of opium, stramonium, and henbane, when over-doses are taken. 1061. Belladonna — Deadly NightsJiade. — Camphor. Aconite — Monkshood, Wolfsbane. Bryonia — Bryony. Digitalis — Foxglove. Dulcamara — Bittersweet. Gamboge. Lobelia — Indian Tobacco. Sanouinaria — Bhodroot. Oil of Savin. Spigelia — Pinkroot. Strychnine — Nux vomica. Tobacco. — All of these, when taken in over-doses, are poisons of greater or less activity. The treatment of poisoning, by the use of any of these articles, is similar to that pursued in over-doses of opium. (See Opium, page 441.) 1062. In all cases of poisoning, call a physician as soon as possible. 1058. Of henbane? 1059. Whal ahoulil be the treatment when an over-dose of stiamoniaiu oi henbane is taken? 1060. What name is sometimes improperly given to contum, or hemlock ? How was this narcotic poison used by the Athenians ? How are the elFects of an over-dose counteracted ? 1061. What is the treatment when an ovor- doiie of deadly nightshade, monkshood, foxglove, bittersweet, gamboge, lobelia, blooJroot, tobacco, &c., is taken? 1062. Should a physician be called in all cases when poison Is swallowed '' 444 APPENDI^. llie essential parts of every secretory apparatus are a simple membriuie. apparently textureless, named the fvimary, or bcuenient meinbrane, certain ct^lls and blood-vessels. The serous and mucous membrane are exampJes. B. The division and description of the different membranes and tissues are not well defined and settled by anatomical writers. This is not a material defect, as a clear description of the different parts of the system can be given by adopting the arrangement of almost any writer. G. Fat is one of the non-nitrogenous suDstances. It forms the essenlini part of the adipose tissue. Chemical analysis shows that all fatty sub- stances are compounds of carbon, hydrogen, and oxygen. They are lighter than water, generally fluid at the natural temperature of the body, and burn with a bright flame, forming water and carbonic acid, Caseine is abundantly found in milk. Wbef dried, it constitutes cheese. Alcohol, acids, and the stomach of any of the mammalia coagulate it ; and it is also soluble in water. It is found in the blood, bile, saliv^ and the lens of the eye. Choitdrine is a variety of gelatin. It is obtained from cartilage. It IS soluble in warm water, but solidifies on cooling. Lactic acid is common to all the solids and fluids of the system- It is found united with potash, soda, lime, or magnesia. D. The word duodenum is derived from the Latin, signifying " twelve,'' since the intestine, of which this is the name, is usually about twelve fingers' breadth in length. The Jejunum is also from the Latin Jejunus, empty, since it is usually fwnd in that condition after death, as the food seems to pass rapidly through this part of the intestine. The term iteum is from the Greek, signi- fying " to twist/' since it always appears in a contorted cc ndition. The name ececum is derived from the fact of its being a blind or short sack, perforated by the extremiiv of the ileum. The name of the next division of the intes- tine — colon — IS from the Greek, " to prohibit," as the contents of the ali- mentary canal pass slowly through this portion. The rectum is named from Ijie straight direction that it assumes in the latter part of its course APPENDIX. 445 E. The food is forced through the aKmentary canal by contractions of its tniiscular coat, produced by the nervous filaments of the sympathetic sys- tem, not being at all dependent on the cerebro-spinal centre. This is called Ine peristaltic, or vermicular motion. The great length o' intestine in as animals, and especially in the herbivorous ones, is owing to the necessity of exposing the food to a large number of the lacteals, that the nourishment may all be taken from it. F. The different processes through which the food passes before assimilation are of considerable interest. The mastication and mixture of the saliva with the food are purely of a mechanical nature. When any solid or fluid substance is placed upon the tongue, or in contact with the inner surface of the cheeks, by an involuntary act, the salivary glands are stimulated to activity, and commence pouring the saliva into the mouth through the sali- vary ducts. As soon as mastication commences, the contraction of the masseter and other muscles employed in mastication stimulates the salivary glands to increased action, and a still greater quantity of saliva is secreted and forced upon the food, which is constantly being ground to a finer con- dition, until it is sufficiently reduced for deglutition. Whether the salivary fluid acts any other part than simply that of a de- mulcent to assist the gastric juice in still further dissolving the food, is yet a matter of some doubt, although it is found that no other liquid will equally well subserve the process of digestion and promote health. After the food is in the condition ready to be swallowed, by an apparently involuntary motion, it is placed upon the back of the tongue, which carries it backwards to the top of the pharynx, where the constrictions of the pharynx, aided by the muscles of the tongue and floor of the mouth, with a sudden and 'violent movement thrust it beyond the epiglottis, in order to allow the least necessary time to the closure of the glottis, afler which, by the compression of the oesophagus, it is forced into the stomach. Here it is that the true business of digestion commences. For as soon aa any substance except water enters the stomach, this organ, with involuntary tnovemehts, that seem almost like instinct, commences the secretion of the gastric juice, and by long-continued contractions of its muscular coat, suc- ceeds in effecting a most perfect mixture of the food with this juice, by which the contents of the stomach are reduced to the softest pulp. The gastric juice, in its pure state, is a colorless, transparent fluid ; "ino- dorous, a little saltish, and perceptibly acid. It possesses the property of coagulating albumen, and separating the whey of milk from its ourd, and afterwards completely dissolving the curd. Its taste, when applied to the 38 146 APPENDIX. tongne, is similar to that of mucila^nous water, slightly acidulated with muriatic acid." 'I'he organs of its secretion are an immense number of lubes or glands, of a diameter varying from one five hundredth to one three liuudredth of an inch, situated in the mucous coat of the stomach, and receiv- nig tlieir blood from the gastric arteries. A chemical analysis shows it to consist of water, mucilage, and the several free acids — muriatic, acetic, lactic, and butyric, together with a peculiar organic matter called pepsin, winch acts after the manner of ferments between the temperature of SO'' and 104° F. The true process of digestion is probably owing to the action of pepsin and the acids, especially if the presence of the chloro-hydric or muriatic be admitted ; since we know, by experiments out of the body, that chlorine, one of its elements, is a powerful solvent of all organic substances. The antiseptic properties of the gastric juice, as discovered by experi- ments made on Alexis St. JUartin, doubtless have much influence on digestion, although their true uses are probably not yet known. As soon as the food is reduced to a state of fluidity, the pyloric orifice of the stomach is unclosed; and it is thrust onwards through the ahmentary canal, receiving in the duodenum the secretions of the liver and pancreas^ after which it yields to the lacteeils its nutrient portion, and the residuum is expelled from the oody. There have been many hypotheses iit regard to the nature of the digestive process. Some have supposed that digestion is a mere mechanical process produced by the motion of the walls of the stomach ; while. others, in later times, have considered it as under the influence of a spirit separate from the individual, who took up his residence in the stomach and regulated the whole afiair ; while others still would make it out to be a chemical operation, and thus constitute the stomach a sort of laboratory. But to all these ridicu- lous hypotheses Sir John Hunter has applied the following playful lan- giidge : " Some will have it that the stomach is a mill 3 others that it is a fermenting vat ; and others that it is a stewpan ; but in my view 01 the ■natter, it is neither a mill, a fermenting vat, nor a stewpan, but u stomach, a itomach ! " At the present day this process is regarded as a complex, and not a simple operation. It seems to be a process in which the mechanical, cnemical, and vital agencies must all act in harmony and order ; for if one af these be withdrawn, the function cannot be sustained for any considerable length of. time J and of the chemical and mechanical parts of the process, since the former is much more important, and, as a matter of course, the vital powers are indispensable, therefore digestion may be considered as a chemical operation, directly dependent on the laws of vitality, or of hfe ; since the proper consistency of the food depends, in a great measure, upon the char- acter of the solvents, while the secretion of these fluids, their proper amount. APPENDIX. 447 logelher wilh the peculiar instinct — as it almost seems to be — necessarv to direct the stomach in its many functions, are exclusively and entirely Je prudent on the laws and conditions of life. G. As food is necessary to supply the waste and promote the growth of tiie body^ it follows that that will be the best adapted to the system which con- tains the same chemical elements of which the body is composed ; viz., oxygen, hydrogen, carbon, and nitrogen. These elements are found in greater or less quantity in all animal food, and in many vegetable products. Hence, that article of food which contains all these elements in a proper proportion will tend much more to the growth and strength of the body than those kinds which are deficient in one or more of them. Much experience on this point, and scientific research, seem to shuw that a reasonable amount of animal food in health tends to give greater strength of muscle, and a more general sense of fulness, than in ordinary cases a vegetable diet is able to do, owing to the presence of nitrogen in animal tissues. Yet there are ex&mples of the healthiest and strongest men, who live years without a morsel of animal food ; and the fact can only be accounted for, by supposing that the system has the power to make the most economical use of the little nitrogen offered to it in the food 3 or else that it has by some means the power to abstract it from the atmosphere, and transform it to the living ani- mal substance. H. The proximate principles, which are the most important in nourishing the body, are albumen and fibrin. These constitute the greater part of all the softer animal tissues, and are also found in certain classes of vegetables, such as peas, beans, lentils, and mauy seeds. Hence, in many cases, a vegetable diet, especially if embracing any of these artiojes, would be sufficient to sustain life, even if no animal food should be eaten. But no animal can exist for a long time if permitted only to eat substances destitute of nitrogen, as in the case of a dog fed entirely on sugar, which lived but thirty days. And owing -to this fact, Baron Liebig proposes to call substances used for food containing nitrogen, " elements of nutrition," and those containing an ex- eoss of carbon, " elements of respiration ; " since, according to his view, the food is necessary to support the growth of the body by replacing the effete and worn-out particles with new matter, and also to keep up the supply of fuel, in order to promote a sufficient degree of heat in the system. Accord- ingly under the first division would be included all lean meats and (regetables such as peas, &c. ; while the fat of anmials, vegetable oils, sugars, tubers '■A3 me potato,) and all other substances containing starch, would be included ondrr the latter division. 448 4PPIND1X. 1. This definition of cxhalants is from the theory of Hallei and others II is now believed that the fluids exude through the thin coats of the blood- vesse's. This process is called exotmose, and is the exhalation of old physiolcgists, J. It is a well-established fact, in animal and vegetable physiology, that mem- branes possess the property of allowing fluids and gases to pass through tbem in either direction, and also to permit two fluids to pass in opposite directions at the same time. This property is designated endotmoit when a fluid passes from without a body inward ; and exotmott when the reverse takes place. The first is called imhihiiion. One of the most strikmg instances of this, in the human system, is shown in the lungs, where carbonic acid and water pass out through the mucous membrane of the bronchial tubes and air-cells ; and the oxygen of the air enters the blood through the same mem- brane. By this process of imbibition, the oxygenation of the blood is much more readily and faithfully accomplished ; inasmuch, as by the immense number of bronchial tubes and air-cells a larger quantity of blood is ex- posed to a greater portion of air, than if the blood were directly laid open to the atmosphere in a mass, or the air were immediately transmitted through it. Since the function of respiration is to free the system of superfluous carbon and hydrogen, by union with the oxygen of the air, it follows that the greater the amount of the products to be expelled, the larger the quan- tity of oxygen will be required to efiect this purpose, as we find to be the case with those who consume large quantities of food. The quantity of oxygen daily consumed through the lungs by an adult is about Z%.b oz., and the carbon in the food 13.9 oz. But in order to con- vert this whole amount of carbon into carbonic acid, which passes off through the lungs and skin, 37 oz. of oxygen are required ; the remaining 4.5 oz. being absorbed by the skin. If the supply of food remain the same, while the amount of oxygen in the inspired air is diminished, the superfluous car- bon will induce disease in the system, as is the case of those persons who are limited in their supply of air of a proper quality or quantity, and, con- sequently, have l«ss appetite for food than those who are abundantly sup- plied with air of the proper standard of health ; and in children, who pro- portionally consume more food than adults, and who are more active, thereby causing a more rapid circulation of blood, and, cmisequrntly, the remo\al of more superfluous particles of mailer. In children we notice the need of air, by their disposition to be much in the open air, and often inspiring more deeply than is common in older persons APPENDIX. 44y Also, if the carbon of the food does not have a requisite supply of oxygen Irom the air, or other sources, the body becomes emaciated, although nourish- lug food may be used. And on the other band, if there be a diminished sup- ply of food, but an ^abundance of atmospheri? air, leanness and emaciation are sure to follow ; owing to the fact that if the oxygen has no waste carbon from the body to unite with, it combines with the fat, and some other soft portions of the body, which the Author of nature seems to have provided for this very purpose j as is seen in the case pf hibernating ajiimals, who enter their places of winter abode sleek and fat, but crawl out in the spring not merely deprived of their fatty matter, but also with great diminution of all the softer parts, which have given up their share of carbon to supply animal heat. One important cause of emaciation in febrile diseases is tlie greater rapidity of the pulse and respiration, which consume more carbon than is afforded by the scanty supply of food that is taken, although profiise perspiration, which almost always occurs in some stages of fevers, greatly diminishes the full state of the body. K. The theory of Barbn Liebi^ concerning the change which the blood experience^ m color, in its passage through the lungs, meets with the appro- bation of many physiologists, although there are some important difficulties in the way of fully receiving i^ A chemical analysis of the bloorl shows it to be composed of albumen and fibrin, together with some otner substances, m small proportions, and always perceptible tiaces of iron. He attributes the change in color to the iron, as this substance enters into combination with carbon and oxygen. For, as the blood passes through the trunks of the larger vessels and capillaries, it receives the carbon from the tissues which are continually transformed, and taking up the oxygen from the arte- rialized blood, forms carbonic acid, which unites with the iron, forming proto- carbonate of iron. This being of a gray color, he supposes it to be that which, with the other impurities of the blood, gives the venous blood the dark blue color. Then, as the blood comes in contact with the oxygen, as it is returned and exposed to this element in the lungs, the carbonic acid leaves the iron, which has a stronger affinity for oxygen than for carbonic acid, and forms the scarlet red peroxide of iron, that gives the characteristic color to the arterial blood. After this, as the blood is sent out through the smaller arteries and capillaries, it again gathers carbon and other impurities from the system, and becomes the dark, venous blood, thus completing the whole change of color in the circulation. 38* 450 APPENDIX. As a.ready mentioned, different articles of food have been di\'ided into • the azotized and non^azotized, or those which contain nitrogen as one of their constituents, and those which are nearly destitute of it. Of these, accord- ing to Liebig, the azotized portions are simply to supply the waste that is continually going on in the body, and promote its growth in the early stages of existence, or, in other words, the nutrient portion ; while the sugar, starch. lie., are mainly of use in the respiratory organs. The correctness of this view may be understood from the fact, that the inhabitants in the colder regions of the earth consume a much larger quantity of oil and fat than the residents of hotter climates ; and also those dwelling in the temperate zones can eat with greater impunity a larger quantity of fat meats in the winter than in the summer, there being then so much more demand for ani- mal heat than in the summer. M. The suggestion of using the 'bellows in asphyxia^ is from the directions of that distinguished and veteran surgeon, Valentine Mott, of New York city. The directions in the first part of the paragraph are the most prac- tical, and best adapted to the wants of the community. GLOSSARY. Ab- duc'tor. [Ij. ahduco, to lead away.] A muscle which moves certain parts, by separating them from the axis of the body. Ab-do'men. [L. abdo, to liide.] That part of the body which lies between the thorax and the bottom of the ptjlvis. Ak-dom'in-is. Pertaining to the al> dotnen. A-CE-TAB'u-LUM. [L. acetum, vinegar.] The socket for the head of the thigh- lione j an ancient vessel for holding vinegar. A-cE^Tic. [L. acetUTTij vinegar.] Relat- ing to acetic acid. This is always com- posed of oxygen, hydrogen, and carbon, in the same proportion. \-chil'lis. A term applied to the ten- don of two large muscles of the leg. A-CRO'MI-ON. fGr. aKpo^j akros, highest, and ti'cus. [L.] a term applied to cer- tain muscles. A-ort'a. [Gr. aopTijy aortS ; from arjp, aSr, air, and rrjoEro, tSreo, to keep.l The great artery that arises from the left ventricle of the heart. Ap-o-neu-ro'sis. [Gr. otto, apo, from, and vevpovj neuron^ a nerve.] The membranous expansions of muscles and tendons. The ancients called every white tendon neuron, a. nerve. Ap-pa-ra'tus. [L. apparoy to prepare,] An assemblage of organs designed to produce certain results. Ap-pend'ix. [L., an addition.] Some- thing appended or added. A'QUE-ous. [L. aqua, water.] Par- taking of the nature of water. A-bacb'KOID. [Gr. apaxvn-, arachnB., a spider and ciSag, eidos, form.] Re? 452 GLOSSARY. sembling a spider's web- A thin mem- brane that coven the brain. Aa'BOR. [L.] A tree. JJrborvittB. The tree of life. A term applied to a part of the cerebellum. AR'TE-ry. [Gi". aripf aSr, air, find D/pfu, tSreo^ to keep ; because the ancieuta thought that the arteries contained only air.] A tube tJirough which blood flows ftom the heart. A-RYI-E'NOID. [Gr. apvTaiva,arvXaina, a ewer, and £i6os, ^doa, form.] The name of a cartilage of Uie larynx. A9-cEND'EXS. [L.] Ascending; ris- ing. As-PH YX'l-A. [Gr. a, q, Qot, and atpv^ts, spkyxia, pulse.] Originally, want of pulse ; now used for suspended respira- tion, or apparent death. Aa-T&Ae'A-LUS. [Gr.] The name of a bone of the foot. One of the tarsal bones. AuD-i'TiON. [L. mdw, to hear.] Hear- ing. AUD-iT-o'Ri-US. [L.] Pertaining to the organ of hearing. Au'RI-CLE. [L. auricula, the external ear ; from auru, the ear.] A cavity of the heart. Au-Kic'u-LAR. [L. aurieiila.] Pertain- ing to the auricle. Ax-ii^'LA. [L.] The armpit. Ax'n*-LA-RY. Belonging or relating to the armpit. A-20TE'. [Gr. a, a, not, and ^otn, xos, life.] Nitrogen. One nf the constit- uent elements of the Btmosphere, So named because it will not sustain life. Bbn-ZO'IO. Benzoic acid. A peculiar vegetable acid, obrained from bensoin and some other bals»ma. Bi'cEPS. [L. bis, twice, and caput, a head.] A name applied to muscles with two beads at one extremity. Bi-cus'PLDs. [Ij. bi3 and ctupia, a point] Teeth that have two points upon their crown Bile. [L. mis.] A yellrw, viscid fluid cpcreted by the liver. Bl-FEN'NI-FORM. [L. bis and penna, u feather.] Bipenviform muscle. Having fibres on each side of a common tendon. BRACH'l-AZi. [L. braehium.] Beknging to the arm. Bre'vib. [L.] Brans^ short; breoior shorter. Bronch i-a, 'M, [L.] A division erf the trachea that passes to the lungs. Broncb*i-ax<. Relating to the bronchia. Bronch-i Tis. [I4.] An inflammauon of the bronchia. Buc-ci-na'tor. [h. biucmvm, a tram- pet.] The name of u muscle of tho cheefc, so named because used in blow- ing wind instruments. BuR'SiB Mu-CO'sA. [L. buraa, a purse, and mucosa, viscous.] Small sacs. containing a viscid fluid, situated about the joints, under tendons. Cm cum. [li.] Blind ; the name given to the commencement of the colon. Calx, Gal'cis. [L.J The heel-bone. CAXi'ci-yjjt. [L.] The metallic basis of lime. Cap'IL-LA-RT. [L. capiUuSf » hair.] Resembling a hair; smaU. Cap'su-x.ar. Pertaining to a capsule. Cap'sule. [L. eapsula, a little chesLJ A membranous bag, enclosing a part Ca'put. [L.] The head. Caput eoS. The head of the colon. Car'bon. [L. carbo, a coal.] Pure char- coal. An elementary combustible sub- stance. Car-bon'ic. Pertaining to carbon. Car'di-ac. [Qr. xapSta, kardia, hearty Relating to the heart, or upper orifice of the stomach. Car'ne-a,-*. [L. cori, camw, flesh.) Fleshy. Ca-ROT'id. [Gr. Kapost karoa, lethargy.] The great arteries of the neck that con- vey blood to the heart. The ancients supposod drowsinras Co be seated Id these arteries. Car'PAL. [L. carpua, the wriatj Re- lating to the wribU ULOSSARY. 453 Cak'pus, -I. [L.J The wrist. Gar'ti-laoe. [Im. earttlagd.] Gristle. A smooth, elastic sub-jtance, softer than bone. CAR-Ti-LAa'iN-ovs. Pertaining to car- tilage. Cau-ca'sian. One of tbe racea of men. Ca'va. [Ij.] Hollow, f^ena cava. A name given to the two great veins of the body. Gel'lu-lar. [L. cellulaf a little cell.] Composed of cells. CeRt-e-bel'lum. [L.] The hinder and lower part of the brain, or the little brain. Cer'e-BRAJL. Pertaining to the brain. Cer'e-brum. [L.] The front and large part of the brain. The term is some- times applied to the whole contents of the cranium. Cer'e-bro-Spi'nal. Relating to the brain and spine. Cer'vix. [L.] The neck. Cer'vi-cal. Relating to the neck- Chest. [Sax.] The thorax ; the trunk of the body from the neck to the abdomen. CHiiO'RiNE. [Gr. xXwp-'iff, ehlordsj green.] Chlorine gas, so named from its color. Ohor'UA,-^. [L.] a cord. An assem- blage of fibres. Cho'roid. [Gr. x°P'-''^^ choriim.'] A term applied to several parts Of the body that resemble the skin. CuvLE. [Gr. x^^off* chvlos, juice.] A nutritive fluid, of a whitish appearance, which is extracted from food by the action of the digestive organs. Chyl-i-FI-ca'tion. \ehyU and L./acw, to make.] The process by which chyle is formed. Chyme. (_Gr xt)m»«i chwmas, juice.] A kind of grayish pulp formed from tbe food in the stomach. Chym-i-fi-ca'tion. [chyme and L. /ano, to muke.] The process by which chyme is fonned. Ciii'iA-RY. [L. dlia^ eyelashes.] Be- longing to the fcyelids. 38 Ciw-E-Ri'Tious. [I.. ctTiis, ashes.] Hav- ing the color of ai^hes. CLav'1-ci.e. [L. clavicula, from rfauw, a key.] The collar-bone j so called from its resemblance in shape to an ancient key. CliEl'DO. A term applied to some mus- cles that are attached to the clavicle. Co-AG'u-LUM. [L.] A coagulated mass, a clot of blood. Coc'cYX. [Gr.] An assemblage of bones joined to the sacrum COCH'LE-A. [Gr. KtnO^ta, kocldo, to twist ; or L. cocA2ea,a screw.] A cavity of the ear resembling in form a snail shell. Co'LOK. [jGr.J A portion of the laigs intestine. Co-LUM'NA, -M. [L.] A column or pillar. CoM-MU^Nis. [Ii] A name applied tu certain muscles. COM-PliEx'iJs. [L. complector, to em- brace.] The name of a muscle that embraces many attachments. COM-PREss'OR. [L. con, together, and premo, pressus^ to press.] A term ap- plied to some muscles, that compress the parts to which they are attached. Con'dyle. [Gr. kovSvXos, kondulos, a knuckle, a protuberance.] A promi- nence on the end of a bone. CoN-JUNC-Ti'VA. [L. am, together, and jungOj to join.] The membrane that covers the anterior part of the globe of the eye. Cop'FER. A metal of a pale, red color tinged with yellow. COR-A'COID. [Gr. Kopa^f Jiorax, a crow, and eiSog, etdos, form.] A process of the scapula shaped like the beak of a crow. Co'Ri-ON. [G». xopiovs chorion, skin.) The true skin. CORN'E-A. [L. comu, a horn.] The transparent membrane in the fore part of the eye. Cos'TA. [L< costa, a coast, side, or rib.J A rib. CRiB'Ri-EORai. |L. tTT^T-mn, a sieve, and forma, form.] A plate of the ethmoid 454 GLOSSARY. bone, through which the olfactory nerve passes in the nose. Cni'coiD [Gr. KpiKos, ftrt&oa, a ring, and Ei6oif etdos, form.] A name given tea cartilage of the larynx, from its form. Crys'TaL-hne. [L. crystallmus, con- aieting of crystal.] CrygtaUine lens. One of the humors of the eye. It ia convex, white^ firm, aiid transparent Cu'Bi-Tus, -I. [L. cubitua^ the elbow.] One of the bones of the forearm, also called the ultia. Cu'boid. [Gr. Kv/3osj kuhos, a cube, and Bidosj eSfioa, form.] Having nearly the form of a cube. Cu-NE'i-FORM. [L. euneusy a wedge.] The name of bones in the wrist and foot. Cus'piD. [L. cuspisj a. point.] Having one point. Cu-TA'NE-ous. [L. eutia, akin.] Be- longing to the skin. Gu'Ti-cLE. [L. cutis.] The external layer of the skin. Od'tis Ve'ra. [L.cutw, and vera, true.] The internal layer of the skin; the true akin Del'toid. [6r. SeXra, deUa^ the Greek letter A, and n6oi, eidos, form.] The name of a muscle, that resembles in form the Greek letter A. Dens. [L.] A tonth. Dent'al. [L. deoBj tooth.] Pertaining to the teeth. De-fress'or. [L.] The name of a muscle that draws down the part to which it ia attached. Perm'oid. [Gr. Sepiia, derma^ the skin, and si6oi, etdoSf form.] Resembling skin. De-scend'ens. [L. dt and warufo, to climb.] Descending, Ailling. Dl'A-PfiRAOM. [Gr. (Jin^pay/YO, dia- phragma, a partition.] The midriflTi a muscle depurating the cheat fVom the abdomen. Dl-A«-RIIffi'A. [Or. fh-u}pr.(at dmrrfieoy to flow through.] A morbidly (Voquent evacuation of the tnleRtirtea. Dl-AS'TO LE. [Or. (JioffrU/u, diastello. to put asunder.] The dilatation of the heart and arteries when the blood enters them. Di~&es'tion. [L. diffeatio.] The pro- cess of dissolving food in the stomach, and preparing it for circulation and nourishmenL Dio-i-TO'RUM. [L. diffitvs, a finger.J A term applied to certain muscles oi the extremities. DOR'SAL, [L. dorsum^ the back.] Per- taining to the back. Du-O-DE'HUM. [L. duodenus, of twelve fingers' breadth.] The first portion of the small intestine. Du'RA Ma'ter. [L. dwnu, hard, and mater, mofJier.] The outermost mem- brane of the brain. Dys'en-teb^V. [Gr. 6vs, dUs^ bad, and evTcpittt enteria, iytestinea.] A dis- charge of blood and mucus from the intestines attended with tenesmus. Dvs-PEP'si-A. [Gr. dvs, dfisj liad, and iriirToif p^to, to digest.] Indigestion, or difficulty of digestion. En-am'el. [Fr.] The smooth, hard substance which covers the crown or visible part of a tooth. Ep-i-d£rh'i& [Gr. £irt, qn, upon, and iepfta, derma, the akin.] The scarTi skin i the cuticle. Ep-i-GLOT'Tis, [Gr. ciTiy epij upon, and yXutTra, fflStta, the tongue.] Cue of the cartilages of the glottis. £u-STA'ciii'AN Tube. A channel from the fauces to the middle ear, named fVom Eustachius, who first described it. Ex'cRE-MENT. [L. czcer^to, to separate.] Matter excreted and ejected j alvioe diachargea. Ex-cttE-MEN-Tl'TiAL. Pertaining to excremenL £x'cRE-TO-RY. A little duct or vensel, destined to receive secreted fluidsi and to excrete or dischnrge tliem j also, a socretory vessel. Ex-HA'LANT. [I . cxhaUt, to aond forth vapor.] Having the quality of exhaling or evaporating. GLOSSARY, 455 Ex-TENS'OR. [L.] A name applied to B muscle that serves to extend any part of the body ; opposed to Flexor. Fa'ciaIi. [L. faeieSf face.] Pertaining to the face. Falx. [L. /ate, u scythe.] A process of the dura mater shaped like a scythe. Fas'ci-a. [L. fasda^ a band.] A ten- dinous expansion or aponeurosis. Fas-cic'u-lus,-li. [L./asew, a bundle.] A little bundle. Faux, -CES. [L.] The top of the tliroat. Fem'o-ral. Pertaining to the femur. Fem'o-ris. a term applied to muscles that are attached to the femur. Fe'mur. [L.] The thigh-bone. Fe-nes'tra, -UM. [L. fenestraj a win- dow.] A term applied to some open- ing into the internal ear. Fx'BRE. [L. Jibra.] An organic fila- ment, or thread, which enters into the composition of every animal and vege- table texture. Fi'brin. A peculiar organic substance found in animals and vegetables j it is u solid substance, tough, elastic, and composed of thready fibres. Fi^BROus. Composed or consisting of fibres. Fi'bro-Car'ti-lage. An organic tis- sue, partaking of the nature of fibrous tissue and that of cartilage. f iB'u-LA. [L., a clasp.] The outer and lesser bone of the leg. FiB'u-LAR. Belonging to the fibula. Fil'a-ment. [L. JUamenta, threads.] Ik fine thread, of which flesh, nerves, skin, &c., are composed. Flec'tion. [li. Jtectio.'] Theactof bend- ing- FOL'lil-CLE. [L. falUcxduSy a small bag.] A gland; a little bag in animal boditis. FORE'ARM. The part of the upper extremity between the elbow and hand. Fos'SA. [L., a ditch,] A cavity in a bnne, with a large aporture. FRjE'NUM. [L., a bridle.] Fritnum Iwr guiB. The bridle of the tongue. FuNc'TiON. [L frnigor, to perform.] The action of an organ or system of organs. FUN'&I-FORM. [It. fungus and fomuu) Having terminations like the head of a fungus, or a mushroom. Gan'&li-ON, -A. [Gr.] An enlarge- ment in the course of a nerve. Gas'TRIC. [Gr. yaaTTip, gostSr, the stomach.] Belonging to the stomach. GAS-TR0C-NE'MI-U3. [Gr. yaarnpf gas- ter, the stomach, and Ki/nnri, knlmS^ tho leg.] The name of large muscles of the leg. Gel'a-tin. [L. gelo, to congeal.] A concrete animal substance, transparent and soluble in water. Gle'noid. [Gr. y'Xttrri, glSnl^ a cavity.] A term appl led to some articulate cav- ities of bones. Glos'sa. [Gr.] The tongue. Names compounded with this word ar» ap- plied to muscles of the tongue. Glos'so-Pha-ryn'gi-ai. Relatmg to the tongue and pharynx. Glot'tis. [Gr.] The narrow opening at the upper part of the larynx. GliU'TE-us. [Gr.] A name given to muscles of the hip. Hem'OR-RHAGE. [Gr. dt/ia,Aaima, blood, and prjyvvco, rSgnuo, to burst.] A dis- charge of blood from an artery or vein. Hu'MER-us. [L.] The bone of the arm. Hy'a-loid. [Gr.] A transparent mem- brane of the eye. ^ Hy'dro-&en. [Gr. Wwp, water, and ycvvaoij to generate.] A gas which con- stitutes, one of the elements of water. Hy'sI-ene. [Gr. iyiciuovj hagietnon, health. I The part of medicine which treats of the preservation of health. Hy'oid. [Gr. u and siijjs, eSrfos, shape.] A bone of the tongue resembling the Greek letter upsilon in shape. Hy-oiD'E-us. Pertaining to the hyoid bone. 456 GLOSSARY. HY'PO-flLOs'SAL. Under the tongue. The name of a nerve cf the tongue. IL'E-UM. [Gr. si\(Oj eilS, to wind.] A portion of the small intestines. Il'i-ac. [From the above.] The flank ; pertaining to the small intestine. iL'i-UM. The haunch-bone. IN-CI'SOR. [L. incido, to cut.] A front tooth that cuts or divides. Iic'dex. [L. indicot to show.] The fore- finger ; the pointing finger. In-nom-i-na'ta. [L. in, not, and nomen, name.] Farts which have no proper name. In-Os'cu-LATE. [L. in and oscuUauSf f^om oseulorf to kiss.] To unite, as two vessels at their extremities. IN'IER. [L.] Between. In-ter-cost'al. [L. inteTf between, and cosUij a rib.] Between the ribs. In-TER-ko'di-i. [L. inter, between, and nodusj knot.] A term applied to some muscles of the forearm. Ih-ter-sti'tial. [L. inter, between, and sto, to stand.] Pertaining to or con- taining interstices. In-tes'tihes. [h. intits, within.] The canal that extends from the stoniach to the anus. I'Ris. [L., the rainbow.] The colored circle that surrounds the pupil of the eye. I'vo-RY. A hard, solid, fine-grained substance of a fine white color ; tlie tusk of an elephant. Jb^u'num. [L., empty.] A portion of the small intestine. Ju'au-LAR. [L. jvgvJ.umt the neck.] Relating to the throat. The great veins of the neck. La'bi-um, La'bi-i. [UJ The Ilpg. Lab'v-rinth. [Gr.] The internal ear, so named from Its many w^nO- veasel or tube of animal bodies for con- veying chyle from the intestine to the thoracic duct Lam'i-na, -je. [L.] A plate, or thin coat lying over another. Lar'ynx. [Gr. Xapvy^j UirUTix.] The upper part of the windpipe. Lar-yh-qi'tib. Inflammation of the larynx. La-tis'smhus, -mi. [L., superlative of hUuSf broad.] A term applied to some muscles. Le-va'tor. [L. levoy to raise.] A name applied lo a muscle that raises some part. Lig'a-ihent. [L. ligoy to bind.] A strong, compact substance serving to bind one bone to another. LiN'E-A, 'M. [L.] A line. LiN'GUA, -M. [L,] A tongue. Liv'er. The name of one of the ab- dominal organs, the largest gland in the system. It is situated below the diaphragm, and secretes the bile. Lobe. A round projecting part of an organ. Lon'sus, Lon'gi-or. [L., long, longer.] A term applied to several muscles. Lum'bar. [L. lumbus, the loins.] Per. taining to the loins. Lymph. [L. lympha, water.] A color- less fluid in animal bodies, and con- tained in vessels called lymphatics. Lym-phat'ic. a vessel of animal liodiea that contains or conveys lymph. Mag-ne'si-um. The metallic base of magnesia. Maq'nds, -NA, -num. [L., great.] , A term applied to certain muscles. Ma'JOR. [L., greater.] Greater in ex- tent or quantity. Man'ga-nese. a metal of a whitijb gray color. Mar'ROW. [Sax.] A soft, oleaginous substance, contained in the cavities of OLOSSARr. 457 fflA9'TI-CATE, MaS-TT-CA'TION. IL. ■mastico.] To chew ; tbe act of chew- ing. Mas'TOID. [Gr. uatrrof, mastoat breast, and siSos, etdos^ form.] The name of a process of the temporal bone behind tbe ear. EJas-TOId'e-US. a name applied to muscles that are attached to the mas- toid process. Max-il'la. JL.] The jaw-bone: Max'iIj-LA-RT. Pertaining to the jaw. Max'i-mus, -um. [L., superlative of maffTius, great.] A term applied to sev- eral muscles. Me-a'tu3. [L. meo, to go.] A passage or channel. Me-di-as-ti'num. a membrane that separates the chest into two parte. Me'di-uM, -a. [L.] The space or sub- stance through which a body passes to any point. Med'UL-IiA-RT. [L., nudvUaj marrow.] Pertaining to marrow. Me-dul'la OB-IiON-GA'TA. Com- mencement of the spinal cord. Me-dul'la Spi-na'lis. The spinal cord. IVEEM'BRA'irA. A membrane; a thin, white, flexible skin formed by fibres interwoven like net-work- MEM' BR A-N017S. Relating to a, mem- brane. Mes'eh-teRt-t. [Gr. iisoosi maes, the middle, and svrepoVf enteroitj the intes- tine.] The membrane in the middle of the intestines, t^ which they are attached to the spine. Mes-en-ter'ic. Pertaining to the mes- entery. ftlET-A-CAR'PAli. Eclating to the meta- carpus. MET-a-CAR'PUS. [Gr. uETa^ meta^ after, and KaprroSf karpoa, wrist] The part of the hand between the wrist and fingeni Met-a-tar'sal Relating to the meta- tarens. MET-A-TAR'SUS. [Gr /(£ra, meto, after, and rapaos tarsoB, the tarsus.] The 39 Instep. A term applied to seven botiea of the foot MiD'RIFF. [Sax. miff, and krife^ the belly.] See Diaphragu. MiN'i-MUS, -I. [L.] The smallest. A term applied to several muscles. Mi'NOR. [L.] Less, smaller. A term applied to eeveral muscles. Mi'TRAL. [L mitraj a mitre.] The name of the valves in the left side of the heart. MO-DI'0-LUS. [L. modtw, a measure.] A cone in the cochlea around which the membranes wind. Mo'LAR. [L. moZa, a mill.] The name of some of the large teeth. MOL'LIS. [L.] Soft. MO'TOR, -ES. [L. moteoj to move.] 4 mover. A term applied to certain nerves. Mu'cous. Pertaining to mucus. Mu'cus. A viscid fluid secreted by tbe mucous membrane, which it serves to moisten and defend. Mus'cLE. A bundle of fibres enclosed in a sheath. AIus'cu-iiAR. Relating to a muscle My-o'ses. a term applied to certain muscles of the neck. Na'sal. Relating to the nose. Na'sus. [L., the nose.] The nostrils Nerte. An organ of sensation and mo- tion in animals. Nerv'OUS. Relating to the nerves. Neu-RI-lem'a. [Gr. vevpov, neuron^ a nerve, and Xefif^aj lemoj a sheath.] The sheath or covering of a nerve. Ni'eRUM. [L.] Black. Ni'TRO-&EH. That element of the aie which IB called azote. Nu-TRi'TiOPr. The art or process of promoting the growth, or repairing the waste of the system. OC-ciP-i-TA'Lis. Pertaining to theback part of the head. Oc'ci-PUT. [L. oh and caput, the bead 1 The hinder part of the head. Oc-u-LO'RUM. Of the eyes. 458 GLOSSARY. Oc'u-I.US, -I, [L.] The eye. CE-soph'a-gds. [Gr. oiw, oi6j to carry, and 0ayu, -phago^ to eat.] I'he name of the passage throtjgh which the food passes from the mouth to the stomach. 0-LEC'RA-NOW. [Gr. biXtvE, Qlene^ the cubit, and Kpavov^ kranojif the head.] The elbow ; the head of the ulna. Ol-fact'o-ky. [L. aleo, to smell, and facio, to make.] Pertaining to smell- ing. O-ittEN'TUM. [L.] The caul. O'MO. [Gr. oyfiost 5vios, the shoulder.] Names compounded of this word are applied to muscles attached to the shoulder. Oph-THAL'MIC. [Gr. o^QaXfiosy oph^ tkalmos, the eye.] Belonging to the eye. Of-fo'nens. That which acts in oppo- sition to^omething. The name of two muscles of the hand. Op'TI-CUS, Op'TIC. [Gr. orrro/iai, op- tomaiy to see.] Relating to the eye. Or-bic'u-lar. [L. orbUj a circle.] Circular. Or-bic-u-la'ris. a name applied to several muscles. Ob'oan. a part of the system destined to exercise some particular function. Or'I-gin. Commencement ; source. Oa. [L.] A bone; the mouth of any thing. O'RJS. [L. ost oria.] Of the mouth. 03 Hy-oid'es. [Gr. See ^ Hyoid.] The name of the bone at the base of the tongue. Os'MA-zome. [Gr. offixTj, oamSj smell, and ^(Oftog, i5moa^ broth.] A principle obtained from animal fibre which gives the peculiar taste to broth. Os'sa. [L., plural of os, bone.] Bones. Os'3E-ous. Pertaining to bones. Os-si-fi-ca'tion. The formation of hnnes in animals. Os'si-FY. [L, ossat bones, and fiteio, to make.] To convert into bone. Os^fiis. Of a bone. 0-va'le. [L.] The shape of an egg. Ox-AT/io. Pertaining to sorrel. Oxalic aoid in the acid of sorrel. £t Is com- posed of two equivalents of carbon and three of oxygen.' Ox'y-g-en. a permanently elastic fluid, invisible and inodorous. One of the cogjponents of atmospheric air. Pa-LA'tum. [L.] The palate ; the roof of the mouth. Pal-pe-bra'bitm. [L. palpebral the eyelid.] Of the eyelids. Pal'mar. [L. palnuij the paLm.] Be- longing to the hand. Pal-ivla'ris. a term applied to some muscles attached to the palm of the hand. Fan'cre-as. [Gr. irav, pan, all, and Kpeas, kreaSf flesh.] The name of one of the digestive organs. Fan-cbe-at'ic. Belonging to the pan- creas. Fa-pil'i*a, -m. [L.] Small conie&I prominences. Pa-ral'y-si3. Abolition of function, whether of intellect, sensation, or mo- tion. Pa-ren'chY-ma. [Gr. n-apeyxro), pa- Tengckedj to pour through.] The sub- stance contained between the blood- vessels of an organ. Fa-ROT'id. [Gr. Trapa, para, near, and bJTOSj dtosy the gen. of ovs, ous, the ear.] The name of tlie largest salivary gland. Pa-tel'la, ~M. [L.J The knee-pan. PA-THET'l-CUa,-CI. [Gr. irados, patiMS, passion.] The name of the fourth pair of nerves. Pec'tus. [L.] The chest. Pec'to-ral. Pertaining to the chest. Pec-to-ra'LIS. Belonging to the chest Pe'DIS. [L., gen. of pesj the foot.] Of the foot. PEL'i-TONas. A term applied to masses of Ihu Fel'li-cle. [L., dim. of pelliSf the akin.] A thin skin or film. Pei^'vic. Relating to the pelvis. PEL'via. [L.] Th© basin formed by the large bones at the lower part of the abdomen. GLOSSARY* 459 rEN'Kl*PORM. [L. peniia a feather.l Haring the form of a feather, or quill. Per-i-car'di-um. [Gr ff£(3(,peri,around, and KopSiaj kardia^ the heart.] A mem- brane that encloses the lieart. Per-I-chon'dri-um. [Gr. irepi, peri, around, and x("'^pcfjCAonJro5,cartilage.] A membrane that invests cartilage. Per-i-cra'ni-um. [Gr. Tr^pi, and Kpa- vtov-t kraniojiy the crunium.] A mem- brane that invests the slcull. Per'ma-nent. Durable; lasting. P£r-i-stal'tic. [Gr. Trcpio-reXAw, peri- steUo, to involve.] A movement like the crawling of a worm. Per-spi-ra'tion. [L.;?er, through, and spiro, to breathe.] The excretion from the skin. Pual'anx, -ges. fGr. ipaXay^, pluUanXj an army.] Three rows of small bones forming the fingers or toes. Pha-lan'&i-aIj. Belonging to the fin- gers or toes. PHA-RYN'CrE-AL. Relating to the pha- rynx. Phar'ynx. [Gr. tpapvy^^ pharunx.] The upper part of the oesophagus. Phos'puor-us. [Gr. 0wff, phdSj the light, and 0£pcj, pher5, to bear.] A com- bustible substance, of a yellowish col- or, semi-transparent, resembling wax. Phren'ic. [Gr. ^pjjv, pAren,the mind.] Belonging to the diaphragm. PnYS-i-oli'o-GY. [Gr. (pvcisj phusis, nature, and Xoyos, logos., a discourse.] The science of the functions of the organs of animals and plants. Px'A Ma'ter. [L., good mother.] The name of one of the membranes of the brain. Pig-men'tum. [L.] Paint i a prepa- ration of colors. PJN'NA. [L., a wing.] A part of the ex- ternal ear. Pi.A-TYs'MA. [Gr.7rXarvff,pZo£fis, broad.] A muscle of the neck. Pleu'RA, -M. [Gr. TrAfWpa, pleura, the side.] A thin membrane that covctb the inside of the thorax, and also forms tlie exterior coal of the lungs. Pleu'ral Relating to the pleura. Plex'us. [L. plecto, to weave together*] Any unioa of nerves, vessels, or fibres, in the form of net-work. PneU-M0-GA3'TRIC. [Gr. TTven^ttdVjpici*- m3n, the lungs, and yacrTjp, gasfer, the stomach.] Belonging to both the stom- ach and lungs. Pol'IjI-013. [L.] a term applied to muscles attached to the fin^^ers and toes, POHS. - [L.] a bridge. Pons varolii, A part of the brain formed by the union of the crura cerebri and cer^belli. Pop-LiT-E'Al.. [L. poplesj the ham.] Pertaining to the ham or knee-joint. A name given to various parts. Pos'Tl-cus, [L.] Behind ; posterior, A term applied to certain muscles. Por'ti-o Du'ra. [L., hard portion.] The facial nerve j 8th pair. Por'ti-o Moii'Lis. [L., soft portion.] The auditory nerve ; 7th pair. Po-tas'si-um. [L.] The metallic basis of pure potash. Pro-bos'cis. [Gr. irpo, pro, before, and /SoaKOi. baskO, to feed.] The snout or trunk of an elephant or other animal. Proc'ess. A prominence or projection, Pro-na'tor. [L. pronus, turned down- ward.] The muscle of the forearm that moves the palm of ttie band down- ward. Pso'as. [Gr t//oai, psoaij the loins.] Tlie name of two muscles of the leg. PUL-MON'IC, -\ PUL'MO-WA-RY, C [L.jm2nu), the lungs] Pul-mo-na'lis. j Belonging or relating to the lungs. Pu'Plli. A little aperture in the centre of the iris, through which the rays of light pass to the retina. Py-lor'ic. Pertaining to the pylorus. Py-LO'ros. [Gr. TTuXwpoff, pulGroSj a gale keeper.] The lower orifice of the stomach, with which the duodenum connects. Ra'di-us. [L,, a ray, a spoke of a wheel.] The name of one of the bones of the forearm. 460 GLOSSARY. Ra-dt-a'lis Radial j belonging to the radius. Ra'di-ate. Having lines or fibres that diverge from a point, RA'Mua. [L.] A branch. A term ap- plied to the projections of bones. Rec-re-men-ti'tial. [L. re, again, and cemoj to secrete.] Consisting of superfluous matter separated from that which is valuable. Rec'tum. The third and last portion of the intestines Rec'tus, -I, IL.] Straight j erect. A term applied to several muscles. Re-sid'u-al. Pertaining to waste matter. Re-sid'u-UM. [L.] Waste matter. The Res-pi-ra'tion. [L. re, again, and 'apirOf to breathe.] The act of breathing. Inspiring air into the lungs and expel- ling it again. Re-spi'ra-to-ry. Pertaining to respi- ration ; serving for respiration. Ret'i-na. [L., rete, a net.] The essen- tial organ of sight. One of the coats of the eye, formed by the expansion of the optic nerve. Ro-tun'dum, -a. [L.] Round ; circular. Ru'oa, -JE. [L.] a wrinkle j a fold. Sac'CU-LUS. [L., dim. of soeciu, a bag.] A little sac Sa'cral. Pertaining to the sacrum. Sa'crum. [L., sacred.] The bone which forms the posterior part of the pelvis, and is a continuation of the spinal column. Sa-li'va. [L.] The fluid which is secreted by the salivary glands, whicli moistens the food and mouth. Sal'i-va-ry. That which belongs to the saliva. 8an'ouin-e-ous. [L. sanffuiSi the blood.] Bloody ; aboundhig with bloooi ; ple- thoric. Sar-to'ri-us. [Tj. sartor, a tailor.] A term applied to a muscle of the thigh Sca'la,-^. [L., a ladder.] Cavities of the cochlea. SCA-LE'NUS. [Gr. oKaXijvoi, akalSnoa, unequal.] A term applied to some muscles of the neck. SCAPH'oiD. [Gr. ff/capr, skapM, a little boat.] The name applied to one of the wrist-bones. ScAP'u-LA. [L.] The shoulder-blade. SCAP'U-LAE. Relating to the scapula. Scarf-Skin. The outer, thin integu- ment of the body ; the cuticle. Sci-AT'ic. [Gr., pertaining to the loins.] The name of the large nerve of the loins and leg. SCLE-ROT'IC. [Gr. aK\ripos, bMStos, hard.] A membrane of the eye. Se-ba'ceous. [L., sebum, tallow.] Per- taining to fat; unctuous matter. Se-cre'tIoit. The Eict of secerning ; the act of producing from the blood substances different from the blood it- self,- as bile, saliva The matter se- creted, as mucus, bile, &.C. Se-cre'to-RY. Performing the office of secretion. SE-cuN'Dua. Second. A term applied to certain muscles, Sem-i-cir'cu-lar. Having the form of a half circle. The name of a part of the ear. Sem-i-ten-di-no'sus. [L «efni, half, and tendo, a tendon.] The name of a muscle. Sef'tdm. [L.] a membrane that dfc< vides two cavities from each other. Se'rous. Thin; watery. Pertaining to serum. Se'rum. [L.] The thin, transparent part of blood. SER-RA'TUS. [L. serro, to saw.] A term applied to some muscles of the trunk. Sl&'MOiD [Gr.] Resembling the Greek f , Sigma. Si-Li'ci-UM. A term applied to one of the earths. Si'nus, [L., a bay.] A cavity, the in- terior of which is more expanded than the entrance. SitEL'H-TON. [Gr. (tkeWm, skella, to dry.] The aggregate of the hard ports of the body ; the bones. SO'Di'UM. The metallic base of soda. GLOSSARY. 461 SpHINc'TEE. [Gr. w Upper Extremities. 21, The ciaviole, (collar-bone.) 32, The scapula, (shoulder-blade.) 23, The humerus. 24. The ulna. 26, The radius. 26, 27, 28, 29, 30, 31, 32, The bones of the carpus, (wrist.) 83, 33, 33, The bones of the metacarpus, (palm of the hand.) 34 34 34. The first range of finger-bones. 36, 36, The second range of finger-bones. 86, 36, 36, The third range of finger-bones. KEY TO ANAIOMICAL OUTLINE PLATES. Bcms of the Lower Extremities. 37, The femur, (thigh-bone.; 88, The patella, (knee-pan.) 39, The tibia, (shin-bone.) 40, The fibula. 41, 42, ♦3, 44, 45, The bones of the tarsus, (instep.) 46, 46, The bones of the metatarsus, (middle of the toot.) 47, 47, Bones of the toes. Aktioulations. (Left side of the plate.) LiguTnenis of the lYunk. 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, Ligaments of the spinal column. 14, 14, 15, 15, Ligaments that connect the ribs and spinal column. 11, 11, 21, 22, 23, 24, 25, 26, Ligaments that connect the sacrum and innominatum. Ligaments of the Uvr>er Extremities. 27, 28, Ligaments that connect the clavicle and scapula 29, The capsular ligament of the shoulder-joint. 30, 30, Ligaments of the elbow. 31, 32, 33, 34, Ligaments of the carpus, (wrist.) Ligaments of the Lower Extremities. 9, Tendon of the gluteus muscle 35, The capsular ligament of the hip-joint. 36, 36, Ligaments of the knee- toint. 37, The ligament that connects the tibia and fibula 38, The in- ierosseous ligament. 39, 4U, Ligaments of the ankle-joint PLATE m A FKONT VIEW OF THE MUSCLES. Musrles of the Head and Neck. 7,- The sterno-mastoideus muscle 8, The stemo-hyoideus muscle. 9, The omo-hyoideus muscle. 10, The trapezius muscle. _11, The orbicularis oculi muscle. 12, The frontal muscle. 14, The orbicularis oris muscle. 15, The elevator muscle of the nostrils. 16, The zygomatic muscle. 17, The depressor of the lower lip 18, The depressor anguli oris muscle. 19, The triangular muscle of the nose. 20, 21, The aural muscles. 22, The masseter muscle. Muscles of the Trunk. 2, 3, The external oblique muscles. Muscles of the Upper Extremities. 1, The grand pectoral muscle. 3, 4, The serratus muscle. 23, The deltoid muscle. 24, The biceps brachialis muscle. 25, The coraco-brachialis muscle. 26, The anterior Drachial muscle. 27, The triceps brachialis muscle. 28, The long su- pinator muscle. 29, The external radial muscle: 30, The pronator teres muscle. 31, The anterior radial muscle. 32, The palmaris brevis muscle. 33 The anterior ulnar muscle. 35, The palmar muscle. 36, The abductor muscle of the thumb. 37. The adductor muscle of the thumb. 38, 39. Small flexor muscles of the thumb. 40, The abductor muscle of the little finger. 41, 41, The lumbncales muscles. 61, 61, The bifurcation of the tendons of the superficial flexor muscle, in the fingers. Muscles of the Lower Extremities. 42, The fascia lata muscle. 43, The SELTtorius muscle. 44, The rectus femoris muscle. 45, The vastus eztemug muscle. 46, The vastus iniernus muscle. 47, The internal straight muscle ifc The pectineus muscle. 49, The adductor muscle. 50, The psoas KEY TO ANATOMICAL OUTLINE PLATES. miisole. 61, The tibialis anticus muscle. 62, The long extensor muscle of the great toe. 63, The long extensor muscle of the toes. 64, The anterior peroneal muscle. 65, The long lateral peroneal muscle. 66, 67, The gastrocnemii muscles. 68, The long flexor muscle of the great toe 59, The short extensor muscles of the toes; 60, The abductor muscle of the great toe. The figures and letters on the left side of the plate, indicate the position of important fascis, that coyer the muscles and enclose the tendons. PLATE IV. A BACK VIBAV OF THE MUSCLES. Mtacles of the Head and Neck. 4, ITie stemo-mastoideus muscle. 6, The complexus muscle. 6, The mylo-hyoideus muscle. 7, 8, The oo- oipito-fronta Us muscle. 9, The masseter muscle. 10,11,12, The anterior, middle, and posterior aural muscles. 13, The temporal muscle. Muscles 0/ the Tnmk. 1, 1, The trapezius muscle. 2, The latissimus dorsi muscle. 3, The rhomboideus muscle. 4, The external oblique muscle. Muscles of the Upper Extremities. 5, The deltoid muscle. 6, 7, The infra-spinatus muscle. 9, The triceps extensor muscle. 10, The internal brachial muscle. 11, The long supinator muscle. 12, The external radi^ al muscle. 13, The second external radial muscle. 14, The anconeus muscle. 16, 16, The extensor digitorum communis muscle. 17, The ex- tensor carpi ulnaris muscle. 18, The flexor carpi ulnaris. 19, 20, The extensor ossis metacarpi pollicis muscles. 21, An extensor muscle of the thumb. 22, 28, Interossij muscles. Muscles of the Lower Extremities. 29, The gluteus maximus muscle 30, The gluteus medius muscle. 31, The biceps flexor cruris muscle. rS2, The semi-tendinosus muscle. 33, The semi-membranosis muscle 34, The gracilis muscle. 35, The adductor muscle. 36, The vastus ex- ternus muscle. 37, The sartorius muscle. 38, 39, The gastrocnemii muscles. 40, The long peroneal muscle. 41, The external peroneal mus- cle. 42, The long flexor muscle cf the great toe. 43, The long extensor muscle of the toes. 44, The short extensor muscle of the toes. 47, The Bhortr flexor muscle of the toes. The figures and letters on the left side of the plate, indicate the positioD of membranous fasoite which enyelop the muscles and tendons. PI-ATE V. OEGANS OF THE THORAX AND ABDOMEN. Fig. 1. Tfui Mouth and Neck. (A Side view.) 1, The upper lip. 2, The lower lip. 3, The upper jaw. 4, The lower jaw. S, The tongue. 6, The hard palate, froof of the mouth.) 7. The parotid gland. 8. The sub- KEY ro ANATOMICAL (ICTTLIKK PLATES. lingual gland. T, The larynx. 10, The pharynx. 11, The msopliagua. 12, The upper portion of the spinal column. C, The spinal cord. The Chest and its Organs. 9, 9, The trachea. K, The right auricle of the heart. L, The left auricle. , 13, The left ventricle of the heart. M, The right Tentricle. 15, The aorta. 16, The pulmonary artery. 17, The vena cava descendens. 18, The right subclavian vem. 19, The left subclavian vein. 20, The right jugular vein. 21, The left jugular vein. 22, The right carotid artery. 23, The left carotid artery. 24, 2-%, 26, The upper, middle, and lower lobes of the right lung. 27, 28, The upper and lower lobes of the left lung. 29, 29, 29, The diaphragm. P, P, P, P, The pleura, that lines the cavity of the chest. S, S, The clavi- cles. 0,0, 0,0, The ribs. M, M, M, M, Muscles of the chest. 40, The thoracic duct, opening into the left subclavian vein. The Abdomm and its Organs. 30, The stomach. 31, 32, The right and kft lobe of the liver. F, The fissure that separates the two lobes. 33, The gall bladder. 34, 34, The duodenum. 35, The ascending colon. 36, The transverse colon. 37, The descending colon. 38, 38, 38, 38, The small intestine. 39, 39, The walls of the abdominal cavity turned down. 41, The spleen. Fig. 2. The Relation of the Lacteab and Tkoraeic Duet. 1, 1, A section of the small intestine. 2, 2, 2, 2, 2, 2, 2, 2, Mesenteric glands, through which the lacteals from the intestine pass. 3, Several lacteal vessele entering the enlarged portion and commencement of the thoracic duct. 6, 6, 5, The thoracic duct. 6, The thoracic duct opening into the left sub- clavian vein. 7, (See 40, Fig. I.) 8, The right subclavian vein. 9, The vena cava descendens. 10, 11, 11, The aorta. 12, The carotid arteries 13, 13, The jugular veins. 14, The vena azagos. 15, 15, The spinal col- nmn. 16, The diaphragm. Fig. 3. The Relation of the Larynx, Trachea. Bronchia, and Air-cells. 1, 1, 1, An outline of the right lung. 2, 2, 2, An outline of the left lung 3, The larynx. 4, The trachea. 5, The right bronchia. 6, The left bron- chia. 7, 7, 7, 7, Divisions of the right broncliia. 8, 8, 8, 8, Divisions of the left bronchia. 9, 9, 9, 9, 9, 9, Air-cells. Ing. i. An ideal View of a lateral and vertical Section of the Larynx. 1, 1, The superior vocal cords, (ligaments.) 2, 2, The inferior vocal cords. 3, 3, The glottis. 4, 4, The ventricles of the larynx. PLATE VI. HEAKT, ARTERIES, AND VEINS Fig. i. The Heart and la'qe Arteries. 1, The right auricle of the heart 2. The right ventricle of the heart. 3, The left auricle. 4, The left ven- tricle. 5, The pulmonary artery. 6, The aorta. 7, 7, The descending aorta. 8, The arteria innominata. 9, The left carotid artery. 10, Tlie Icfl . ubolavai'n artery. 6«, The right subclavian artery. KEY TO ANATOMICAL OUTLINE PLATES. Artenet of the Neck and Head 15, The right carotid arteiy. 16, The left carotid artery. 17, The right temporal artery. 60, The right facial artery. 64, The left temporal artery. Arteriet of the Upper Extremitiea. 11, 11, The left brachial, artery. 12, The left radial artery. 13, 13, The right brachial artery. 14, The tight radial artery. 61, The right ulnar artery. Arteriea of the Lower ExtremUiet. 18, The left iliac artery. 19, The right Iliac artery. 20, The left femoral artery. 21, The rignt femoral artery. 22, The peroneal artery. 23, The left anterior tibial artery. 24, The mus- oular artery. 25, 25, The right and left arteria profunda. 26, The right anterior tibial artery. 27, The right peroneal artery. Ttie Veiru of the Neck and Head. 28, The vena cava descendens. 29, The left subclavian vein. 30, The right subclavian vein. 31, The right jugular vein. 32, The left jugular vein. 53, The right temporal rein. 65, The left temporal vein. 49, The right facial vein. Veinaofthe Upper Extremities. 33, The left brachial vein. 34, The left radial vein. 35, The right brachial vein. 36, The right radial vein 51, The right ulnar vein^i Veins of the Lower Extremitiea. 37, The vena cava ascendens. 38, The left iliac vein. 39, The right iliac vein. 40, The left femoral vein. 41, The right femoral vein. 42, The left anterior tibial vem. 43, The left per- oneal vein. 44, The right anterior tibial vein. 45, The right peroneal vein. 46, 46, The profunda veins. 47, The muscular veins. 48, 48, 48, 48, 48, 48, Intercostal ajteries and veins. Fig. 2. The Relation of the Cavities of the Heart to the large BlooA^testela 1 , The vena cava descendens. 2, The vena cava ascendens. 3, The right auricle of the heart. 4, The opening between the right auricle and right ventricle. 6, The right ventricle. 6, The tricuspid valves. 7, The pul- monary artery. 8, 8, The branches of the pulmonary artery that pass to the right and left lung. 9, The semilunar valves of the pulmonary artery. 10, The left pulmonary veins. 11, The right pulmonary veins. 12, The left auricle. 13, The opening between the left auricle and left ventricle. 14, The left ventricle. 16, The mitral valves. 16, 16, The aorta. 17, The f emilunar valves of the aorta. 18, The septum between the right and left ventricle. Fig. 3. An ideal View of the Heart, Arteries, and Veins. A, The right auricle. B, The right ventricle. C, The tricuspid valves. D, The open- ing between the right auricle and right ventricle. E 7he left auricle F, The left ventricle. G, The mitral valves. H, The opening between the left auricle and left ventricle. I, The septum between the right and left ventricle. K, The pulmonary artery. L, The semilunar valves of the pulmonary artery. M, M, The right pulmonary artery. N, N, The left pulmonarv artery. 0, 0, O, 0, O, 0, The capillary vessels of the lunge. P, F, P, The right pulmonary vein. Q, Q, The left pulmonary vem. B, R, The aorta. S, The semilunar valves of the aorta. T, T, A branch of the aorta to the upper extremities. U, XJ, U, U , A branch to the lower extremilies. V, V, V, V, V, V, The capillary vessels at the extremity KEY TO ANATOMICAL OUTLINE PLATES. of the branches of the aorta. W, W, The descending vena cava. X, X, X, The ascending vena cava. In Figs. 1, 2, 3, the course of the blood through the circulatory vessels is-indioated b; arrows. PLATE Vn. THE PULMONARY CIRCULATION. Fig. 1. 1, The right aviricle of the heart. 2, The left auricle. 3, The right ventricle of the heart. 4, The left ventricle. 6, The pulmonary artery. 6, The branch of the pulmonary artery to the left lung. 7, The branch of the pulmonary artery to the right lung. 8, 8, 8, 8, 8, 8, 8, 8, 8, 8, Branches of the pulmonary artery in the right and left lung. 9, 9, 9, 9, 9; 9, Air-cells. 10, 10, 10, 10, 10, 10, 10, Small pulmonary veins in the right and left lung. 11, The left pulmonary vein. 12, 12, The right pulmonary vein. Fig. 2. An ideal View of the Pulmonary Circulation. 1, 1, The right lung. 2, 2, The left lung. 3, The trachea. 4,4, 4, 4,4, The right bronchia 6, 6, 5, 5, 6, The left bronchia. 6, 6, 6, 6, 6, 6, Air-cells, with arteries and veins passing around them. 7, The right auricle of the heart. 8, The right ventricle of the heart. 9, The tricuspid valves. 10, The pulmonary artery. 11, H, 11, 11, The right pulmonary artery. 12, 12, 12, 12, 12, The left pulmonary artery. 13, 13, 13, 13, The right pulmonary vein. 14, 14, 14, 14, The left pulmonary vein. 16, The left auricle. 16, The left ventricle. 17, The mitral valves. 18, The septum between the right and left veiitricles. Fig. 3. An ideal View of the Capillaries. 1, 1, A branch of the pul- monary artery. 2, 2, A branch of the pulmonary vein. 3, 3, Capillary vessels between the artery and vein. Fig. 4. An ideal View of the Relationt of the Bronchia, Air-celU, Pul- monary Arteries, arid Veins. 1, A bronchial tube. 2, 2, 2, Air-cells. 3, A branch of the puhnouary artery. 4, A branch of the pulmonary vein. PLATE Vin. THE CEREBRUM, CEREBELLUM, SPINAL CORD, AND NERVES. I The cerebrum. 2, The cerebellum. 3, 3, The spinal cord. 4, The braohial plexus of nerves. 5, The lumbar plexus of nerves. 6, The sa- cral plexus of nerves. 7, The facial nerve. 8, 17, The radial nerve. 9 9 16 The ulnar nerve. 10, The median nerve. G, The circumflex nerve of the shoulder. II 11, The great sciatic nerve. 12, The external popliteal, or peroneal KE'V TO ANATOMICAL OUTLINE PLATE6. nerve. 13, 13, The posterior tibial nerve. 14, The extflrnal tibial nervti 15, The muscular branch of the external peroneal nerve. 18, The musca- lar branch of the sciatic nerve. P, Q, The posterior tibial nerve. The letters and other figures indicate minor nervous filaments dis- tributed to the various muscles and the skin. PLATE IX THE SKIN. Pig. 1. A perspiratory Tnbe and Gland. 1, 1, The contorted portion of the tube that forms the gland. 2, 2, Two branches which unite to form the main duct of the gland. 3, 3, The_per5piratory tube. 4, The cuticJe. 5, Its colored portion. 6, The cutis vera, (true skin.) 7, 7, Fat vesicles, in which the gland is imbedded. Fig. 2. A Papilla of the Skin. 1, 1, Two papillae, formed of an artery vein, and nerve. 2, 2, 2, 2, Nerves forming a loop in the papillae. 3, 3, Ar- teries of the papillae, 4, 4, Veins of the papillae. 5, 6, A net-work of arteries, veins, and nerves. 6, 6, Nerves of the skin. 8, 8, Arteries of the skin. 7> 7, Veins of the skin. Fig. 3. A Hair, and its Oil-Glands. 1, 1, The hair. 2, 2, The sheath of the hair. 3, Oil-glands that surround the bulb of the hair, the ducts of nbich open into the sheath of the hair, (2, 2.) Fig. 4. A Section of the Skin. 1, 1, The cuticle. 2, 2, Its colored por- tion. 3, 3, The papillary layer. 4, 4, A net-work of arteries, veins, and nerves, upon the upper surface of the cutis vera. 5, 6, 5, 5, The cutis vera, (true skin.) 6,6,6, Hairs that originate in the cutis vera. 7, 7, 7, Oil- glands, the ducts of which connect with the sheath of the hair. 8, 8, 8 8, 8, 8, 8, 8, Perspiratory glands and their ducts. 9, 9, 9, 9, 9, Nerves of the skin 10, 10, 10, 10, 10, Arteries of the skin. 11, 11, 11, 11, 11, Veins of the skin. 12, 12, 12, 12, Papillae, or ridges of the skin. PLATE X. AN ANTERO-POSTERIOR SECTION OF THE EYE. Fig. 1. 1, 1, The scleroUc coat. 2, 2, The cornea. 3, 3, The choroid coat. 4, 4, The retina. 6, 6, The iris. 6, 6, The posterior chamber of the eye that contains the aqueous humor. 7, 7, The anterior chamber. B, 8, The pupil. 9, The erystalHne humor. 10, 10, The vitreous humor. 11, The optic nerve. 12, A representation of a pen. 13, An inverted image of the pen (12) on the retina. 14, 14, A. canal surrounding the orystallino humor Ifi, Ifi, The beveUed junction of the cornea and Bolo- KEY TO ANATOMICAL OUTLINE PLATES roUo coats. A, a perpendicular ray of light from the pen. B, B, obliiiue rays, that are re&acted in passing through the humors of the eye. Fig. 2. A Viao of the External, Middle, and Internal Ear. 1, 1, The ex- ternal ear. 2, The meatus auditorius externus, fthe tube that connects with the middle ear.) 3, The membrana tympani, (drum of the ear.) 8, 8, The tympanum, (middle ear.) 4, The malleus 6, The incus. 6, The orbicularis. 7, The stapes, (stirrup-bone,) that connects with the vestibule of the internal ear. 9, 9, (4, 5, 6, 7, The small bones of the mid- dle ear,) 10, 11, 1.2, The semicircular canals. 13, 13, The cochlea. 14, The auditory nerve, Vi, The division of the auditory nerve to tho semicircular canals 16, The division to the cochlea. 17, 17, The Eustachian tube. 18, The chorda tympani nerve. 19, The seventh pair (facial) nerve. 20, The styloid process of the temporal bone. 21, 21 21, 21, 21, The petrous or hard porticu of the temporal bone, in whirb the parts of the middle and intemaj ear are sitimted. TEXT BOOKS UPON Anatomy, Physiology, and Hygiene. Becommended by the Hon. H. W. BD'WABSS, School Sup't, 111. HUMAN AND COMPARATIVE ANATOMY, PHYSIOLOGY, A1U) HYGIENE. For District Schools. With 100 Engravings. 132 pages. By Mrs. Eunice P. Cutter. Price 50 cts. This work cbntains full directions for the aiudy and teaching of Anatomy, Physiology, and Ilygieno. Thj.s is a new feature. Every teaeiier would profit by it. The plan of the work can be gathered from the following facsimile of the table of contents : — Preface, 6 Introduction, £ 3eneral Analysis,.... 10 Teeth, 13 CHAP. I. Salivary Glands, 19 Stomach, 22 DiaESTIYE ^ Small Intestine, 26 Lacteals, 30 Large Intestine 33 Synthetic Review,... 35 "STUDY ME.' CHAP. II. RESPIRATORY SYSTEM. CHAP. III. CIRCULATORY ' SYSTEM. CHAP. IV. VOCAL SYSTEM. CHAP. I. CEKEBBO-SPINAL ' SYSTEM f Thotai 36 j Lungs, 39 < Pulmonary Vessels,.. 43 j Air,. 45 I. Synthetic Review,.... « f Heart, 50 i Pulmonic Circulation, 53 1 Systemic Circulation, 56 l^ Synthetic Review 68 ( Vocal organs, 61 5 Synthetic Review,.... 64 Brain, 67 Spin'l Cord & Pierves, 70 Synthetic Review,.... 72 Feeling, 73 Taste, 74 Smell, 75 Seeing, 76 Hearing, 80 Synthetic Review,... 84 Head, 86 Trunk, 89 Upper Extremities, . . 93 Lower Extremities,. . 97 Joints, 101 Composit'n of Bones, 105 . Synthetic Review,.... 108 Muscles, 110 Muscles, continued,.. 114 Synthetic Review, . 120 ntTAP TIT f Cuticle ...122 OHAr. m. Cutis Vera, 126 CUTANEOUS ^ Animal Heat, 129 QYSTEM. I Synthetic Review,... 130 {_ General Syn. Review. 132 CHAP. II SENTIENT SYSTEM. CHAP. I. OSSBOUI SYSTEM. CHAP. II. MUS CUL AB SYSTEM. I CUTTER'S REVISED ANATOMY, PHYSIOLOGY, AND HYGIENE. 1. Anatomy, PniTsioLocfY, and Hychene, for Colleges, Academies, High Schools, and Families. 458 pages, 150 illuHtrating engravings. By Caltin Cutter M. D. Price $1 SO, b b e j 9. FIR3T Book in Anatomy, Physiology, and Hygiene, for Grammar and Sflloct Schools. 180 pages, 86 illiniUating eiigravinga. By Caltir Cutteb, M D. Price 80 cents. 3. Cutter's I,arse Outline Anatomical Plates, ^10 in a set, three feet ■ by -two,) beautifully colored and mounted, for Colleges, .Academies, and Higb Schuute 4. The Same, colored but not mounted. 5. Cutter's District School Outline Anatomical Plates, (S in a set,) beautifully colored and mounted., lor Grauiiuar and District Schools. 6 Tub Same, colored but not mounted. READ THE FOLLOWING. Mission Sclioola. Cutter's Anatomy, Physiology, and Hygiene has been introduced as a text book into the Mission Schools of OJiina, Bi^nnah, Ceylon, Sandwich lulanda, and the Cherokee Indians It also Hob been translated into the Tamil language by Vit MUsumaries of India. Wormal Schools. These woAe are used in the three StJ'ie Normal Schools of ^lassachusetts, the State Normal School of Michigan, and the State Normal School of New York. " I hereby certify that Cutter's Physiology, the last edition, (1852,) has been adopted us the text book in that science by the Executive Committee of the State Normal School. T. ROiMEYN BECK, Secretary. ''Albany, JV. K, October 19, 1852." Colleges, Academies, and Seminaries. In the report of the Colleges, Academies, and Seminaries of the State of New York, to the Regents of the University of the State, 140 report the study of Physiult'gy ; of these, 127 now use Cutter's Anatomy, Physiology, and Hygiene, with Cutter's Ana- tomical Plates. In every State of the Union Cutter's works are as extensively used in Colleges, Academies, and Seminaries as in tlie State of New York. State Recommendations. Every State Board op Education that has recommended text books upon Anat- omy, Physiology, and Hygiene, has adopted Cutter's. To this there are no exceptions. They have been recommended in Maine, New UAMi>sHiR£, VEEUONT,.MinHiaAii, Indiana, and Illinois. Illinois. The Colleges, Seminaries, Academies, and Public Schools of the following piaces in niinuis have adopted Cutter's works as text books upon Physiology : Chicago, Spring- fieli*, Jacksonville, Alton, Bloomington, Wankegan, Woodstock, Belvidere, Elgin, St. Charles, Rockfurd, Freeporl, Galena, Mt. Morris, Joliet, Morris, Ottawa, Peru, Aurora, Princeton, Rock Island, Henry, Lacon, Peoria, Cateshurg, Monmouth, Macomb, Ru:jh- ville, Lebanon, Hilltiboro*, Greenfield, Chesterfield, Paris, Alwrshall, Uuincy. rr COPIES FOR EXAMINATION. -CO Fur ezamxnatioi. , single copies will be sent by mail, postage paid by me, &t fcUowing rates, patment in post oflice stamps sent in advance .- — Human and Comparative Anatiimyi PliJi