CUCL PRESENTED TO THE UNIVERSITY OF TORONTO BY Digitized by the Internet Archive in 2007 with funding from Microsoft Corporation http://www.archive.org/details/biologicalphysic01logauoft ; f. > a > VETERA: ET NOVA OR EXTRACTS FROM THE DIARY OF A MEDICAL PRACTITIONER BIOLOGICAL PHYSICS PHYSIC & METAPHYSICS _ STUDIES AND ESSAYS BY THOMAS LOGAN, M.D. LICENTIATE OF THE ROYAL FACULTY OF PHYSICIANS AND SURGEONS , OF GLASGOW EDITED BY QUINTIN MCLENNAN, M.B., Cu.M. SURGEON, GLASGOW ROYAL INFIRMARY}; FORMERLY EXTRA-HONORARY SURGEON ROYAL HOSPITAL FOR SICK CHILDREN, GLASGOW ; MEDICAL EXAMINER FRENCH, SPANISH, RUSSIAN AND ITALIAN CONSULATES, EXTRA MEDICAL EXAMINER FOR BOARD OF TRADE, ETC. AND P. HENDERSON AITKEN, M.A., B.Sc. D.Lrrr. VOT d BIOLOGICAL PHYSICS Circulatio Circulationum omnia Circulatio 4 AY) LONDON He Ko LEWAS; 236,:GOWER- STREET 1910 GLASGOW: PRINTED AT THE UNIVERSITY PRESS BY ROBERT MACLEHOSE AND CO. LTD. i a Dedicated TO THE MEMBERS OF THE WEST RIDING OF YORKSHIRE ABERDEEN UNIVERSITY GRADUATES ASSOCIATION, OF WHICH DR. LOGAN WAS THE FIRST PRESIDENT AND IN MEMORY OF THE LATE SIR THOMAS GALBRAITH LOGAN, K.C.B., DIRECTOR-GENERAL OF BRITISH ARMY MEDICAL DEPARTMENT, AND THE LATE DES. GCHARLES SMITH (UNCLE AND NEPHEW), NATIVES OF GIRVAN, AYRSHIRE, AND FORMERLY MEDICAL PRACTITIONERS IN NEWTON-STEWART, WIGTONSHIRE 2) LAS TE OCT TT fly NOTE Tue late Dr. Thomas Logan was born at Bargenoch, in the parish of Coylton, Ayrshire, and received his primary education there from the late Mr. John Smith, parochial schoolmaster, who was: also the teacher of that Scottish genius the late George Douglas Brown, author of the ‘House with the Green Shutters. He then passed to: Anderson’s College, Glasgow, and received his Clinical training at the Royal Infirmary. He always retained a high appreciation for all his old Professors; to whom he was indebted.for so much. In due time, after examination, he got his license to practise _ from the Royal Faculty of Physicians and Surgeons of . that city. He then entered the University of Aberdeen, - and after several years of study he graduated M.D. there. Afterwards he was appointed House-Surgeon to Paisley Infirmary, and after spending a short time in that insti- tution went to general practice in the south of Scotland, and then to Yorkshire, where he spent the rest of his life. All through his professional career he was busily -engaged as a general practitioner and public health officer. ' _ He had the true scientific spirit, and was a great student till the end of his days, and was very well in- formed in geology, astronomy, and general literature. He was for many years a regular attender at all meetings -- of the British Medical Association, the International Congresses, and those of the British Association. Vii Vill NOTE He travelled much, having visited nearly all the European capitals, besides travelling a great deal in America, and thus by means of his extensive and acute — observation added greatly to his scientific and general knowledge. He was a man of splendid physique and of profound intellect, and satisfied his own mind on all topics in which he was interested. He was for long engaged in the work now presented, and it was his intention to see it through the press ; but unfortunately he was overtaken by a fatal illness, and in consequence this duty fell into other hands. He died at Harrogate in September, 1907, at the age of sixty-nine years. He was unmarried. His MS. passed into the hands of his trustees, Alex- ander Gemmell, banker, Bradford, and Dr. Quintin M‘Lennan, Glasgow, and but for the prolonged illness of the latter, the work would have been issued long ago. After a great deal of care, work, and anxiety on the part of his trustees it has now been completed. Dr. M‘Lennan, who has had a deep interest in it all along, and knew Dr. Logan’s views with regard to it, had the great satisfaction and good fortune of having his friend, Dr. P. Henderson Aitken, of Oxford, as co-editor. They have done their part of the work to the best of their ability, and in accordance with Dr. Logan’s strict wishes and instructions. No alterations or excisions of any of the text were permitted, and his wishes in that respect have been rigidly observed. Here the trustees’ responsi- bility ceases, and the work is now put into the hands of the medical profession by them, in the hope that it will be cordially received. The Editors have to express their indebtedness to Messrs. Longmans, Green & Co., Messrs. Macmillan & Co. Ltd., and the Clarendon Press, Oxford, for assistance by the loan of illustrations which the author had selected for this work. NOTE 1X . Dr. Logan was a very highly esteemed member of the _ profession, and a man of lofty ideals and high personal character, and was beloved wherever he was known. He now lies in the quiet churchyard of Coylton, in the 4 burying-ground of his forefathers, which nestles at the _ foot of the Craigs o’ Kyle, and in the very centre of ; the Burns country. _ Dr. Logan was in active practice Foi well-nigh half a century, and before retiring received a public recognition ; of his professional ability and personal worth at the hands of the merchants and medical gentlemen of Bradford and neighbourhood. PREFACE Vetera et Nova, or ‘Old and New,’ fitly describes the character of the following pages and the materials used in their production, as well as the results arrived at in the way of constructive effort by the re-arrangement _ of them on lines dictated by re-interpretation of their individual and combined meaning when viewed apart and when placed in fresh relationships. The ‘old’ has thus been used to construct the ‘new,’ and whether the result may turn out a success remains to be seen, and whether so much fault-finding has been justified remains to be tested by the application to it of the usual canons of criticism and practical application of it to everyday requirements of those engaged theoretically or practically in working the departments of knowledge involved in the subjects dealt with. No department of knowledge can remain stationary intrinsically, and much less so when regarded as an indis-_ _ pensable part of universal knowledge; it must therefore move forwards or backwards in obedience to forces work- ing from within, and be moved from without according to its specific position in the great commonwealth of knowledge and the general alteration in relationship to its various departments. In the latter respect—the department of biological physics, it seems to us, has not changed its position to the extent that the movements of some of its later offshoots require in order that the x1 Xi PREFACE symmetry should be preserved and that there should be no retardation of the general progress; for example, physiology is shooting ahead of anatomy ; pathology is_ fast overtaking physiology, and some of the later develop- ments, such as bacteriology and hygiene, threaten to overrun and asphyxiate the foundation sciences from which they have sprung, and on which they still rely for support and encouragement. The following pages, regarded as a contribution towards the rectification of this disproportionate progress, will, we hope, not be without some slight value, and, at any rate, that they will justify their submission to the republic of Science as an example of an always needed effort to widen and deepen the foundation of the great struc- ture of knowledge—biological, medical, and metaphysical. These ‘Extracts from the Diary of a Medical Practitioner’ were not originally intended for publication. They consequently bear no impress of effort at continuity of detail or treatment, or of closely reasoned and con- secutive arrangement of subject, but have been grouped or classified and loosely thrown together somewhat in the chronological order of that original production, and as one subject suggested another, in easy and irregular sequence, during the course of many years. Constituting thus but a series of fragments of asym- metrical proportions, and differing much in their degree of elaboration, they nevertheless lend themselves to a ‘mosaic arrangement’ and ‘scientific disposition’ in such a manner that a ‘definite pattern’ may become the ultimate result. The bibliography involved in their production and elaboration, and the assignment of indebtedness for sug- gestions and ideas are now, we regret to say, impossible tasks, inasmuch as the ‘weft and the woof’ of their texture have been the product of daily reading, observa- PREFACE Xiil tion, reflection, and more or, less severe study. Suffice ‘it, therefore, to say that the original teaching which it was our privilege to obtain, the information we derived from the perusal of text-books and works of refereice, as well as the ordinary ‘serial literature of the period,’ and the personal opportunities of gaining knowledge ‘at first hand’ which we have enjoyed, have been the source from which any truths they may contain were elaborated. For our indebtedness to all these ‘non-personal’ sources of knowledge, therefore, we take the opportunity of ex- pressing our warmest thanks, and our sincerest apologies for our inability to mention individual names. _ Moreover, we are well aware and are bound to acknow- ledge that, but for ‘these non-personal’ sources of information and the opportunities they have given of daily ‘piecing together’ the materials they supplied, it would have been altogether impossible for us to have systematised the facts and deduced the views which we have now, however imperfectly, ventured to put before ‘those capable of appraising their scientific value and their practical bearings. THOMAS LOGAN. CONTENTS Introduction = : _ = a : 2 The Primary Division of the Physical, or Organic, Elements of the Living Body into Protoplasm, or Bioplasm, and Lymph - - - - - - The Primary Division of the Constituents of the Living | Body—(Continued) - - : : - : ‘ — On Cerebro-Spinal, or Neural, and Hemal Lymph in comparison with each other, and in their mutual relationships - = = fs z " = a Circulation generally, as it is to be met with in the Human Body and in the Economy of Life - - On the Minutely Particular, or Nutritional, and Metabolic Circulation - — - : ‘ = < - @ Circulation as all-pervading throughout the Human Body - = : 2 s 2 G ss = Choroid Plexuses, and Pia Mater generally, as the Secretive Organs of the Cerebro-Spinal Fluid - - A New Departure in Neurology, or an attempt at the Solution of some Neurological Problems - - - Cerebro-Spinal Lymph Circulation and Excretion - - eb XV PAGE 14 9 25 ep) 42 52 55 61 68 | XVI CONTENTS Nervine, or Neuronic, Secretion, and Intra-Fibral Circula- tion of the White, or Medullary, and the Axis Cylinder Substances, and on the Structure of Systemic Nerve Fibres, with the “ Nodes of Ranvier” - - Circulation in its general Nervine Bearings, and ‘ Circulatio ? circulationum omnia circulatio” - “ z s = On the Organs of Neural Excretion - - - - The Posterior or Coccygeal Glandulature and Exit from the Cerebro-Spinal Lymph Cavity - - - The Circulation and Excretion of the Cerebro-Spinal — Fluid - = . £ = = s = a The Lesser Cerebro-Spinal Lymph Excretory Mechanisms, Otic, Optic, and others - - - 2 - - Enumeration of the Mechanisms concerned in the Elimina- tion of Cerebro-Spinal Lymph - - - - Sensory Disturbances, or Aésthetic Phenomena, occur- ring at, and around, the Points of Exit of the Cerebro-Spinal Lymph, antecedent to, and during, Excretion = - - z = 3 ss = i The Drainage Areas of the Skull and Brain - - . The general Bearings, and Réle, of the Hemal Lymph and the Cerebro-Spinal Fluid - - - - - The Role of the Cerebro-Spinal Fluid and Lymph proper Summary of Studies on Circulation - - - - The Physical Law, or Property, of Matter, known as Inertia - - - a : = . 4 é Nutrition, and Metabolism, of the Systemic Nervous System, or Systemic Nervine Nutrition - - - On Circulation, and Nutrition, of, and by, the Sympathetic Nervous System - - = = = re % PAGE 119 132 170 174 CONTENTS On the occurrence of Vacua in the Organic, or Metabolic, Work of the Human Body, and on “Suction” Evacuation, and Gravitation, in relation thereto, or the Dynamics of Circulation - - - - - Secretion, and Excretion—so called Secretion - - - Excretion - - - = Z - a . z Glandular Structures, or Adenography generally —- - The Phenomena of “Skin Marking” and Skin Exfolia- tion, Epidermic “Shedding,” or Solid Excretion - On the Stages of Evolution of the Human Organism, divided into Uni-cellular, Blasto-dermic, or Multi- cellular, Neur-enteric, and Viscero-Skeletal - - The Developmental Evolution of the Human Organism On the Notochord, as a Skeletal Evolutionary Factor Ossification, and the Skeleton - - 2 2 - Lignification in Plants as compared with Ossification in the Human Organism - - - = ss 2 Embryonic Differentiation, or Division and Reunion, of the Neur-enteric Canal, with some account of the Alimentary Canal and the process of Digestion - The Sigmoid Flexure of the Colon - - = . On the Neuroglia, and how, and when, the Elements of the Ingesta become alive - - = = = On the Cell, in its general bearings on the Evolution of Living Forms - - - - é a . The Cell, in some of its Intrinsic, Individual, and Communal, aspects, and in the Genesis of the Nervous System = - - - - - - - The growth of the Systemic Nerve Cell, and what follows. With Neuro-Psychic Genesis - ie 205 214 229 242 Gee 261 263 278 283 299 395 311 XVIli CONTENTS On the Psychic, or Mental, Brain Cells On the Psychic or Mental Brain Cells - - - i The Neurons, generally - - - . c z The Neuron, or Nerve Unit “ - 3 Z - Neurogenesis, or Neuronogenesis - = ‘ = : Neuronogenesis, or Neural Histogenesis, and Neural Nutrition = - = - = = ss Fs = On what is signified by the expression—“’The Nervous System,” in connection with Life, Nutrition, and Vital Results - - - - - - - The Evolution of the Systemic Nervous System - - On the Evolution of the Common Nervous System— Sympathetic and Systemic —- - _ - : The Distinctness, and Relationships, of the two Nervous Systems in Structure, and Function - - What Distinctness of the Systemic Nervous System implies - u - = = = e fr - What the Distinctness, and Relationships, of the Nervous Systems lead to - - ~ : a 2 a On the division of the “ Neural Work” as exemplified in “The Nervous System” in its respective parts of Sympathetic and Systemic —- - - - - The Combination of Sympathetic and Systemic Muscular Innervation - - - 2 “ = Bs » The Principle of Reciprocity between the Sympathetic and Systemic Nervous Systems - - - - Nervine Secretion and Excretion - = 2 - - On the Development of some of the Organs of Sense, and the manner of Arrangement and Distribution of the Cerebral and Spinal Meninges at the openings of exit of the Cerebro-spinal Cavity - - - - PAGE 322 326 329 334 340 342 351 354 359 363 368 374 376 - 387 390 394 397 CONTENTS On the relative proportions of the Grey and White Matter of the Brain and Cord, and the manner of Union between the Sensory and Motor and _ the Psychic Neurons - - - = : = ZA On some Views of the Structure and Functions of the Sympathetic Nervous System—including Nervine Nutrition and Nerve Force Equilibration - - - The completed Sympathetico-Systemic Nervous System - Structure and Function as observed in the Human Body—far excellence - = 2 . » z Nerve Force, or Energy - = « ~ = a Physiological Phenomenon connected with the Initiation and Transmission of Nerve Impulse through, or by, the Nerve Terminals - - - S = Z Is there such a thing as Neurolysis, and is it akin to Electrolysis? - - - : ‘ : " Physico-Metaphysical—On Life - - z On Life—(continued) - - - . A “ ig Life—What is it? and when does it begin? - - Life. What is it? - - - = ‘ - : Hunger and Thirst — - - - - = “ 2 Food and Drink - X = 2 ss 7 “ : The Physiological Nature and Import of the Actions of Yawning, Stretching, and Sneezing, etc. - - - The Nature of Blushing, Flushing, and Blanching of the Human “Cheek” and Skin - - - = zs On Metamorphism . : e a e _ : X1xX PAGE 402 410 419 421 424 427 457 405 469 a CONTENTS Materio-Dynamic Parallelism, or Organic Co-Evolution and -Involution of Tissue, Organ, and Function, as a Normal Mode of Development, or Growth and Decay - - - - - - - - - The Physiological Process known as “Ageing,” or Involution - - - = = 2 - a Body ‘Temperature - - - B é ; 2 Sleep - - ie - = = 2 ‘ “ Z The Blood—What is it? and what does it do? - - Respiration, Pulmonary and Cephalic - - 2 = Respiration, and Atmospheric Air - - - = “ The Osseous Coverings of the Central Nervous System - - - - ey Ge : * The Meningeal Coverings of the Brain and Spinal Cord - - - - = é Z ‘ Circulation of the Blood within the Head - % a “Pneumatic Spaces” of the Head and Face, and the Olfactory Nerves and Mucosa - - - = : Lachrymal Glands - é Z Bs S = : Roof and Floor of the Mouth, and the Tongue - - The Tongue, and what it indicates to the Clinician On the Perineal Raphé in the Male - - - - On the Phenomenon of Ciliary Movement in the Cir- culation of Cerebro-Spinal Lymph, and of Air and Material Particles in the Lungs = - = - - On some of the Salient Points and Departures from Accepted Teaching involved in the foregoing Views: Circulation - = a = erage . . PAGE 473 481 491 498 505 510 516 521 523 527 530 534 "536 542 547 551 555 CONTENTS. XXi PAGE Some Deductions from the foregoing Studies in their . broad and general bearings: Nutrition, Innervation, tic. - - - - - - - - - 561 Some Thoughts on the general Practical Bearings of the | foregoing Extracts, and on the Unity of Theory and Practice - - - - - - - - 574 n \ FIG. I. 10. Il. LIST OF ILLUSTRATIONS The Lateral Ventricles opened by removal of the middle part of the Corpus Callosum, and the Descending Cornu exposed on the right side - - - = - - View of the Upper Surface of the Velum Interpositum, Choroid Plexuses, and Corpora Striata - - - Transverse Section through the Brain and Skull made whilst frozen = = a te - : > be ” 4. The Cranium opened to show the Falx of the Cerebrum and Tentorium of the Cerebellum, and the Places of Exit of the Cranial Nerves = = = é < Section of the Spinal Cord within its Membranes (Upper Dorsal Region) - - - . = ‘ z . Section of the posterior and lower parts of the Brain within the Skull, to exhibit the Subarachnoid Space and its relation to the Ventricles 4 = 2 : Two portions of Medullated Nerve Fibres, after treatment with Osmic Acid, showing the Axis-Cylinder, and the Medullary and Primitive Sheaths - - - - Part of an Axis-Cylinder, highly magnified, showing the Varicose Fibrils composing it = - = ° : : Pivicsic Medullated Fibres from the Root of a Spinal Nerve - - - - - - - - - B, Diagram to show the parts of a Medullated Fibre - Right half of the Brain divided by a vertical Antero- Posterior Section = 2 =: - = 2 z XXill PAGE 56 57 69 7O 71 72 13 XXIV FIG. a A EA: 15. 16. 17: 18. 19. 20. 21. 22. 23; 24. LIST OF ILLUSTRATIONS View of the Anterior Surface of the Pons Varolii and Medulla Oblongata, with a small particle of Cord attached Section of the upper part of the Brain and Meninges to show the relations of the Arachnoidal Vili - - - Base of the Brain with the origins of the Cerebral Nerves Magnified view of a Sweat Gland, with its Duct - - Developing Sweat Glands from a seven months’ Foetus - Nerve-ending in Muscular Fibre of a Lizard, according to Kiihne - - - - e S ae : Termination of a Nerve in a Muscular Fibre of the Lizard = = 2 = - = Sun 2 Part of a Section of one of the Funiculi of the Sciatic Nerve of Man - z = = = % . E A small Bundle of Nerve Fibres from the Sympathetic Nerve - - - - - - - - - Nerve-Fibres stained with Nitrate of Silver to show From- mann’s Markings in the Axis-Cylinder - - - Ramified Nerve-Cell from Anterior Cornu of Spinal Cord of Man - - - - . : S is x Small Branch of a Muscular Nerve of the Frog, near its termination, showing divisions of the Fibres - - Section through the place of exit of a Spinal Nerve-Root through the Dura Mater - = e Z : - Transverse Vertical Section of the Nasal Fosse seen from behind z “ = a = < . S r: Nerves of the Outer Wall of the Nasal Fossz . . Nerve-Fibres from the Olfactory Mucous Membrane ~ Nerves of the Septum Nasi, seen from the right side : Right half of the Encephalic Peduncle and Cerebellum as seen from the inside of a Median Section - - = Vertical Section of the Head in Early Embryoes of the Rabbit —- - - : : - = = 3 PAGE 78 79 80 81 81 82 83 84 85 87 89 gi 93 95 96 97 98 99 100 FIG. 31. e2. 33+ 34. 35: 36. 37- 38. 39: 40. 41. ae. 43. 44. 45. LIST OF ILLUSTRATIONS Side View of the Head of an Embryo-Chick of the third day - - - - - - - - - - Vertical Section of the Infundibulum and Pituitary Diver- ticulum in the Rabbit’s Embryo, after the opening of the Fauces = 2 - . = = = S Brain and Spinal Cord of -a Foetus of four months, seen from behind - - - - . Z a a Sagittal Section of the Pituitary Body and Infundibulum with the adjoining part of the 3rd Ventricle = - - View from below of the Cartilaginous Base of the Cranium with its Ossific Centres in a Human Feetus of about four months - - - - - - - - The Lower or Cartilaginous part of the Cranium of a Chick of the sixth day - - - = S z Plan of the Skull, etc., of the Embryo Pig, seen from below - - - - - - - ~ - Posterior View of the Medulla Oblongata and of the Spinal Cord with its Coverings and the Roots of the Nerves’ - - - - - - - - - Posterior View of the Lower End of the Spinal Cord with the Cauda Equina and Sheath - = z = 3 A, Two Tactile Cells in the deeper part of the Human Epidermis. B, Ending of Nerves in ‘Tactile Discs in the Pig’s Snout - - - - - - - Superficial Muscles of the Perineum in the Male - = Diagrammatic sketch from behind of the Roots of the Ninth, Tenth, and Eleventh Nerves, with their Ganglia and Communications - - - - - - - Diagrammatic view from before of the parts composing the Organ of Hearing of the Left Side = - - - Plan of the Right Membranous Labyrinth viewed from the Mesial aspect - - - - : . < e Membranous Labyrinth and Nervous Twigs detached - XXV PAGE IOI IOI 102 103 103 104 106 107 108 rg 114 120 122 E22 a0, 52. 62. 62: LIST OF ILLUSTRATIONS Diagram of the Right Adult Human Eye, divided nearly horizontally through the middle ; - - - - Vertical Section of the Left Orbit and its contents - Meibomian Glands of the Left Eyelids as seen from behind Front of the Left Eyelids with the Lachrymal Canals and Nasal Duct exposed - - - “ : fi = Semi-diagrammatic Views of the Inner Surface of the Right Cerebral Hemisphere of the Feetal Brain at various stages of development - - - - - - - - View of the Inner Surface of the right half of the Feetal Brain of about six months 2 “ és » ms Transverse Section through the Brain of a Sheep’s Embryo of 2.7 cm. in length - “ 2 4 ss S Sketch of a Superficial Dissection of the Face, showing the position of the Parotid and Submaxillary Glands - - View of the Right Submaxillary and Sublingual Glands from the inside 2 _ = - e é: be Diagram of the Roots and Anastomosing Branches of the Pneumo-Gastric and neighbouring Nerves - - - Internal Base of the Skull - - : = = zs External Base of the Skull shown in Figure 56 - - Outline of a Longitudinal Section through the Brain of a Chick of ten days - - Z B 5 2 . Sections showing the general relations of the Spinal Cord to the inclosing Theca, and of this to the Vertebral Canal View of the Cerebro-Spinal Axis - = - - - Anterior and Posterior views of the Medulla Oblongata and Spinal Cord with Sections - - - - - - Section of Epidermis from the Human Hand - - A, Two Tactile Cells in the deeper part of the Human Epidermis. B, Ending of Nerves in Tactile Discs in the Pig’s Snout - . - - - - - PAGE 123 124 125 126 126 127 127 128 129 70. 71. 72, 79: 80. 81. FIG. 64. 65. 66. 67. 68. 69. 73- 74. 75: 76. 77: 78. LIST OF ILLUSTRATIONS Part of the Reticulum from the Spinal Cord oe ea Section of the Internal Saphenous Nerve (Human), made after being stained in Osmic Acid and_ subsequently hardened in Alcohol - - - - - - - Two Nerve-Cells from the Cortical Grey Matter of the Cerebellum - - : : : ? 2 Capillary Vessels of Muscle - - ‘ = : 2 Front view of the Right Kidney and Suprarenal Body of a Full-Grown Feetus - - - 2 : . Section of the Suprarenal Body - = = = : Magnified view of four of the Ridges of the Epidermis, with short Furrows or Notches across them : also the Openings of the Sudoriferous Ducts - - - - - - Compound Papille from the Palm of the Hand - - Diagram of an Animal Cell much magnified - - - Striated Epithelium Cell, from the Duct of a Salivary Gland ; highly magnified. Semi-diagrammatic — - - A Cartilage Cell of the Salamander, showing fine Filaments in the Protoplasm — - - - - - - - Diagram of an Animal Cell (with two Nuclei) = - - First stages of Segmentation of a Mammalian Ovum ; semi- diagrammatic - ~~ - : 2 ‘ Z 2 Sections of the Ovum of the Rabbit during the later stages of Segmentation, showing the formation of the Blastodermic Vesicle - - eae : Z 3 a A, Section through part of a Bilaminar Blastoderm of the Cat - Beas - - - - 7 - - Embryonic Area, with outline of the Vascular Area, from a Rabbit’s Ovum of seven days - . 2 2 é Dorsal view of a Blastoderm and Embryo Chick having five Mesoblastic Somites - - - - - 2 Transverse section through the Embryo of the Chick and Blastoderm at the end of the first day - - - XXV11 PAGE 168 216 217 218 220 221 221 ex LIST OF ILLUSTRATIONS FIG. 82. 83. 87. 88. 89. go. gl. 92. 93° 94. oo 96. 97- 98. Transverse section of an Embryo Chick in the latter half of the second day, at the place where the Vertebral Somites cease - = é - ai = . . Transverse section through the Embryo of the Chick and Blastoderm on the second day - - - - - Diagrammatic longitudinal sections of Elasmobranch Embryo and Blastoderm - - “ ES - 3 - Diagrammatic longitudinal section of an Embryo of Lacerta Outlines showing the relation of the Axis of the Embryo to the Ovum in Birds and Mammals - - a ss Outline of the Embryo-Chick at the end of the third day, to show the inflections of the Body and the commence- ment of the Limbs - - - - < = 7" Ovum of the Rabbit from the Fallopian Tube, twelve hours after impregnation - - - - : zh ¥ Front and side views of an early Human Ovum four times the natural size - - Z ‘ 2 = = Human Ovum of 12 to 13 days - - . : Human Ovum and Embryo of about 14 days - - First stages of Segmentation of a Mammalian Ovum ; semi- diagrammatic - - = es 4 3 = ” Sections of the Ovum of the Rabbit during the later stages of Segmentation, showing the formation of the Blastodermic Vesicle - - - - = F = Ps 2 Pyriform transparent area of the Chick’s Blastoderm with the Primitive Groove- - - . - - - Embryonic area from the Ovum of a Rabbit of eight days Surface view of the transparent area of a Blastoderm of 18 hours, somewhat diagrammatic - - - - Brain and Spinal Cord exposed from behind in a Feetus of three months - - “ = e = S . Lateral view of the Brain of an Embryo Calf of 5 cm. - PAGE 222 222 223 223 224 225 229 229 230 230 231 232 % % & Ld ? 107. 108, 109. 110. Ill. 112. 113. 114. 115. 116. 117. LIST OF ILLUSTRATIONS Brain of the Human Embryo of three months, Natural size The Anterior Wall of the Pharynx with its Orifices, seen from behind - = pe 4 ¥ 3s i i Cervical part of the Primitive Vertebral Column and adjacent parts of an Embryo Chick of the sixth day, showing the division of the Vertebral Segments - - Transverse section of early Embryo of Pristiurus (Elasmo- branchs) - - - ~ = é = si . Transverse section of an Embryo Rabbit of g days and 2 hours in the middle Dorsal region - & : - Sections of the Vertebral Column of a Human Feetus of eight weeks — - = - = = - a = Diagram to show the position of the enlargements of the Notochord in passing through the Vertebral Column - White Fibro-Cartilage from an Intervertebral Disk. (Human) - : ‘ - z : 2 = : Ideal plan of the multiplication of Cells of Cartilage - Division of a Cartilage Cell - - - - - Parietal Bone of an Embryo Sheep - - - - Transverse Section of Compact Tissue (of Humerus) - A Bone-Cell isolated and highly magnified - - - Median Section of the Mouth and Pharynx - - Diagram of the Abdominal Part of the Alimentary Canal Portion of Small Intestine laid open to show the Valvule Conniventes = - - - Ae m View of the Ileo-Colic Valve from the Large Intestine - Vertical Section of the Pelvis and its Viscera in the Male - The Cranium opened to show the Falx of the Cerebrum and Tentorium of the Cerebellum, and the places of exit of the Cranial Nerves - < . = - = XX1X PAGE 236 239 243 243 24.4 245 246 247 256 256 257 258 259 266 267 270 271 273 284 XXX FIG. 118. 119g. P20; 121. 122. 123; 124. 125. 126. | Na 128. 129. 130. 131. 132: 1:33; LIST OF ILLUSTRATIONS Two Nerve-Cells from the Cortical Grey Matter of the Cerebellum - . - - : s a Ss Part of the Reticulum from the Spinal Cord - - View of the Cerebro-Spinal Axis - “ ~ 2 Anterior and Posterior Views of the Medulla Oblongata and Spinal Cord with Sections - : ‘ S a B, Diagram to show the parts of a Medullated Fibre - Multinucleated Cells from the Marrow = = é Three Cells from Early Embryo of the Cat - - * Ovum of the Cat - - - a 2 Ps Stages in the Division of the Ovum or Egg-Cell of a Worm - - - - - - - - - Upper Surface of the Brain showing the Convolutions - Section of Epidermis from the Human Hand - - Longitudinal Section through the Head of an Embryo of four weeks - - - - . " : Orbital Surface of the Frontal Lobe, and Island of Reil Different views of a portion of the Spinal Cord from the Cervical Region with the Roots of the Nerves - - Papillary Surface of the Tongue, with the Fauces and Tonsils — - - > t = x : a : Longitudinal Vertical Section of the Tongue, Lip, etc. - PAGE 285 285 292 292 294 300 301 301 302 3°%3 312 398 400 408 538 540 § ‘ : INTRODUCTION. To begin with, the phrase: Circulatio circulationum omnia circulatio, the sub-title of the following extracts, requires a few words of reference or explanation. After many years of observation and experience, and more or less consecutive thinking and study, the truth of the above generalisation has become more firmly and deeply im- pressed on our mind, and, after every attempt to prove its untruth and its non-applicability as an instrument of research, and a physico-biological principle around which can be grouped, or on which can be threaded, the fragments of scientific truth as they have become available, has failed, we have been compelled to admit its adaptability to these purposes, and to take advantage of its services in enabling us to advance from position to position, and to maintain the continuity and cohesion of the course we have pursued. Circulation, as a materio-dynamic principle, is as wide as the universe, and as all-embracing as the laws of evolution and involution—matter, energy, and mind being alike subject to its operation, and conforming to its ‘‘ manners and methods” in all their manifold manifestations, while the working of the entire mechanism of nature, so far as the understanding of a fractional portion of it warrants the assumption, is alone possible on the plan from which this principle derives its title. Thus, every molecule of matter, every unit of energy, and every thought of mind, follow each other in endless procession or circulation onwards and onwards, in undeviating order and succession, one giving place to the other, to the obviation of stasis, retrogression, confusion, friction, or concussion, in the maintenance of A 2 BIOLOGICAL PHYSICS progression and order ; while if, peradventure, there should have arisen seeming contradictions to this mode of pro- gression and order, a subsidiary or tangential mode of progress or Siecn on has been secured by the working of the correlated circulations, whereby the apparently lost order has been ultimately regained or restored ; and so the general progress has gone on, disturbed only by these apparent or seeming obstacles to the all-embracing opera- tion of the law of circulation, proving that there exist in nature after all ‘‘ wheels weiehin wheels” and circles within circles, while there is continuous progress. The law of circulation thus implies the existence of ‘‘ perpetual motion” within the universe, and, therefore, contradicts one half of the physical property or law of inertia, or that half of the law which does not come under the all- embracing necessity of perpetual motion within the confines of the realisable universe of matter and energy, space and time (vide Extract on the Law of Inertia). When applied, as a key, to unlock some of the secrets of organic circulation within the living human and every other body, this principle affords a means whereby it can be discovered that the phenomena of life, and all that that phrase implies, are but illustrations in detail of the uni- versality of its existence and working, and modifications of its ‘“‘manners and methods”; while, as a working theory, it seems possible to apply it as successfully in elucidating the deep problems which lie at the debatable point of the fusion into one entity of matter and energy, and of the ‘‘thousand and one” transcendental problems which ever continue to appear immediately ahead of the pioneers of science and knowledge in all its departments. By its aid anything of value in the following pages has been evolved and, more or less, elaborated in illustration of its practical working ; and to it is due any success which has been accomplished, and any value that may resist the application of criticism, as well as the practical use of any true teaching they may contain. Thus, in its application to the elucidation of the problems of life or vitality in their unicellular and multicellular manifestations, in their textural and visceral developments, as well as in their neuro - musculo - skeletal and physiologico - psychological : sal INTRODUCTION 3 varieties, it throws a clear and informative light on the simple and complex phenomena involved therein, by which their manners of evolution and working can be more exactly appreciated than is possible on any other lines of research with which we are familiar. Molecular, cellular, fibral, vascular, visceral, and neuro- muscular, materio-dynamic methods of working, singly and in combination, become more evident and apparent, and to some extent the complex totality of the human organism stands out in greater relief and better perspective than can be obtained from any other point of view, until, when we arrive at that stage of its evolution where the psychic powers become developed, we have but to add another materio-dynamic circulation of a still higher and more subtle nature than any yet possessed or observed in virtue of mere vitality, and capable of evolution to an. altogether marvellous extent beyond what characterises the merely materio-dynamic powers of the highest forms of non-psychic life. Moreover, we have made use of it in threading the lines of pathological manifestations through- out the tortuosities of tissue and organ where they have insinuated themselves into the regions of physiological purity and health, and have wrought out the problems of disease and death with a feeling of greater certainty than we had hitherto felt when guided by more or less haphazard lights. Furthermore, we have felt, while thus pursuing our self-imposed explorations into the farthest material regions attainable by us, that we were touching the confines of “‘a region beyond” biological physics, into which we could not allow the “‘ human disposition” to take glimpses, and these glimpses have, to some extent, been described in an appendix to what we have dealt with in biological physics and physic, under the title of metaphysics. Biological physics will be found dealt with at consider- able length under the heads of some of the material and dynamic, as well as the materio-dynamic, divisions or aspects of that very large subject, while physic follows, in less detail, and only a series of disjointed efforts have been made to bridge over the debatable area between the physical and the metaphysical, to show some of the lines 4 BIOLOGICAL PHYSICS of continuity, and the bonds of union, which exist in the united realms of natural and “‘ revealed” truth. In recognising the principle of circulation as all-per- vading within the area of organism generally, but more especially, for our purpose, within the human organism, we think it well to begin our application of it by a preliminary physical division of that organism into its two constituent parts of solid and fluid, or into that part which undergoes organisation, and into that other which, when the first has become organised and vascularised, circulates through it, becoming subservient to the great functions of conveying into, and out of it, the materials for its nutrition, and those which have been used up and become effete, respectively, under the titles of protoplasm and lymph. Protoplasm and lymph may be said to represent the two essential and ultimate physical elements or principles through, and by which, life takes into itself organic form and individuality, in accordance with the laws of heredity, and the axiom: omne vivum ex vivo, in contradistinction to the doctrine of abiogenesis. They constitute, alike, the unicell, the multicell, and the most histologically differentiated organisms, requiring but the endowment of transmitted vital energy, without which their continued existence as organic basic units is impossible. Physico- chemically they may be imitated, but developmentally or physiologically they can scarcely be said to evince more than physical change, the great desideratum of life being wanted to initiate and continue the process of biogenesis, and the development of definite organic forms capable of persistence. The two essential physiological elements of living, or vital, organisation, protoplasm and lymph, although abso- lutely distinct physical entities, cannot live apart from each other; hence, in every living body they are indis- solubly joined biological elements, and the protoplasm affording stability to the lymph, and the lymph circulating throughout the protoplasm on terms of such intimacy that the result is a living organism. One universal circulation of the lymph in its various forms prevails throughout the protoplasmically composed organism marked by systemic a INTRODUCTION | ; division into two main groups, dynamically operated by the sympathetic and the systemic nervous systems respec- tively—these two nervous systems in reality constituting the two organic elements of which the living body is composed, not only physically but dy namically : that is to say, the sympathetic nervous system innervates as well as composes the elements structural and visceral of the organic life, while the systemic nervous system, in like manner, innervates, as well as composes, the elements of the volun- tary neuro-muscular life, the two jointly innervating and composing certain of the structural and visceral elements, responsive to their joint, or mutual, control in certain regions of the body. Of this universal circulation the areas principally dealt with are the nutritional, or metabolic, within the sympathetic division, and the general nervine within the systemic division consisting of what remains unaccounted for by the sympathetic, i.e. the neural lymph and nerve substance circulations. In connection with the subjects of nutrition and meta- bolism, the basal structural organism, the cell, is dealt with in its el developments of “sympathetic nerve cell and systemic nerve cell, or neuron, respectively. Why these areas of the Haerel circulation are more particularly dealt with is, that they have not been given the exhaustive attention that the other circulatory areas have received, and that if universal circulation is to attain to the fully understood condition of the circulation of the blood and other less widely distributed circulations, it is necessary that not a single step, or stage, of it should be neglected or left out. The subjects of the neuron and neuronogenesis from their foundation position in systemic nervine nutrition and nerve energy production have also received considerable attention in several somewhat novel directions; as, for example, that every nerve cell or neuron does not receive its nutritive pabulum directly from the blood circulation, but from the matrix of this neuroglia, and, contrary to the usual teaching, that its dendritically imbibed protoplasm is excreted along its axonal process, or processes, into the sensory and motor terminal arborisations respectively, in the form of organisable material which is utilised by the 6 BIOLOGICAL PHYSICS skin and muscle structures respectively, as nutritive plasma in torn. These statements consequently require a modification of our beliefs with respect to the power of circulation of nerve and other fibres and their capability of conveying the elements of nutrition as well as energy. The principle of universal circulation is intimately associated with the processes of secretion and excretion and the functions and structures of glands, consequently these subjects are largely dealt with in detail preparatory to taking up the pathological and clinical bearings of the subject. The glands referred to particularly are the pituitary and coccygeal in their connection with the subject of cerebro- spinal lymph excretion, and the related pineal, lachrymal, nasal and salivary glands, also the parotid glands and carotids. Moreover, this last-mentioned aspect of the subject calls for the statement of the fact that a large number of diseased conditions are found to owe their origin to inter- ference with the principle of local and universal circulation. It is almost unnecessary to say that the data warranting these statements have been collected from all available sources and that in the course of collection thousands of individual and collected facts have been utilised, leaving behind, unutilised, uncountable stores for similar purposes which are now, to a great extent, lying idle and in danger of being buried amid the daily and yearly accumulations being added to them in all civilised countries. Indeed, it seems to us that the greatest need at the present time is the assimilation and assortment of this vast and rapidly increasing body of loosely coherent knowledge, and the deduction of the laws underlying and interpenetrating its vast bulk, ere it becomes unattainable from mere dimen- sions and variety. Here we would enter a plea for the observance of simplicity and continuity in the syntactic advancement of science in order that every analytic fact may be utilised at once as it becomes added to the sum of knowledge, to the end that special knowledge should be at all times available for general use. INTRODUCTION ‘| Science, as known now, has been developed slowly from chaotic notions and first principles, as the empirical gave way before the advancing tide of observation, experiment, and induction, until it has ceased to be a systematic body of knowledge and has become divided and subdivided into a congeries of sciences, more or less separate from each other, and working continuously along more or less rigidly special lines, until the principle of continuity is in danger of being forgotten, and the advantage of concerted move- ment lost, and the great need of simplicity in the handling of large masses of knowledge sacrificed to the requirements of increasing and strengthening specialisation. To meet the requirements thus arising it would seem reasonable that some central means should exist that would at once be in touch with the latest advancements in special science and actuated with a keen desire to bring the whole into conformity for general purposes, whether theoretical or practical. Thus, principles become deducible from a general sur- vey which would remain undiscovered amid the masses of special knowledge. Thus, for example, Harvey, from the mass of pre- existent archaic anatomical knowledge, with his own indefatigable observation and experiment, deduced the principle of the circulation of the blood, and gave to science biological an impetus which is felt at the present day and will continue a force and incentive to men of science throughout all time. On the completion of his discovery, and the arrival of the time at which it could be presented to his contem- poraries with a good hope of its acceptance, he found that there was one link which his limited powers of observation could not supply, but which he, with an inductive acumen and a scientific effort of imagination perhaps not surpassed in the annals of research, felt must be a definite structural provision, which, when the microscope arrived, was proved just as he surmised. This missing link in the otherwise complete chain of blood circulation was the capillary vasculature, which united the arterioles to the venules, gave the ANiehia touch to his great work of discovery, and placed the 8 ~~ BIOLOGICAL PHYSICS principle of circulation as an organic modus vivendi on a platform of absolutely demonstrable truth. A somewhat similar dilemma befell him at an earlier stage of his investigations when brought face to face with the linking of the pulmonary and general blood circulation and their relationship to the phenomena of a unal or undi- vided circulation, under the control and by the divisional operation of the powers resident within the four chambers of the heart. In solving this problem his methods and efforts met with entire success, subsequent discovery in this field having but more firmly established his title to full confi- dence and respect. Since the great principle of circulation has had time to work out under the constantly increasing band of anatomical and physiological discoverers, and practical workers in the domains of related science, it cannot be gainsaid that great advances have been obvious through- out the whole domain of biological science, and that circulation after circulation has been added to the proved realities of the human organism, giving it the appearance of a combined system of circulations, the one hanging on and united to the other with the completeness of a transcendental continuity and oneness. When examining this collection of circulations with a view, so far as we could, to attempt the appreciation of the tout ensemble of the circulatory chain, we have been struck with the existence of missing links, such as this which exists between the circulation of the blood proper and the related hemal lymphatic circulation. Within this area occur a series of circulations culmin- ating in the assimilative, nutritional, or metabolic, which has not by any means been fully explored, and which therefore still calls for effort to place it on the level which has been so long characteristic of the other areas of the great subject. On asking the following questions—How does the blood reach the lymphatic vasculature, and what circu- latory experiences does that portion of it which becomes lymph undergo, previous to its entering that vasculature? we shall attempt an answer to the latter question first, in ~—_ INTRODUCTION 9 order that an answer may more readily and completely be obtainable to the former. What circulatory experiences does that portion of the blood which reaches the lymphatic vasculature pass through in becoming the specific fluid called lymph? is the question to be dealt with. We do not concern ourselves with the present views held on the subject more than that we shall endeavour to take advantage of all their teaching in order to keep ourselves in harmony with the trend and spirit of research. The alimentary circulation having ended in the blood circulation, and the blood circulation having con- veyed to its capillary vasculature the nutrition-laden blood, what next takes place? The red blood corpuscles after undergoing changes, especially of a chemico-physical order, pursue their course back to the heart for pulmonary aération and renewal, while the white pursue a still somewhat debatable course, some, it may be, accompanying the red on their return to the heart, and some escaping through the inter-spaces of the lining endothelial cells, as ‘‘wandering cells” appearing amid the tissue elements as leucocytes, phagocytes, and others of ‘‘ that ilk.” Meantime the proper nutritive elements floated in the liquor sanguinis are taken up by the endothelial cell osmosis, and passed as plasma into the bodies and nuclei of the cells composing the capillary lining, whence they are conveyed by the endothelial cell processes to neigh- bouring deeper cells, and layers of cells, and tissue elements proper, these cell processes being patent to the flow and permeable to the conveyance of physiologically prepared fluids, once more evidencing the principle of circulation as the all-pervading method of organic conveyance. It is impossible to conceive the conveyance from the blood to the tissues of the elements of nutrition, or meta- bolism, on any other lines than those of continuity of lumina of circulatory ways, and thus we are warranted in inferring that the lining capillary cells take up through their walls into their bodies the nutritive plasma designed to meet the metabolic requirements of their individual organisms, and pass on what remains unused by their processes, and what is required for the nourishment of 10 ~ BIOLOGICAL PHYSICS the cells beyond, whose position in relation to immediate contact with the blood is prevented by distance, and therefore whose supplies have to be conveyed to them vicariously—thus every cell, contiguous and related, near and more distant, is supported by blood plasma, making its selection therefrom, and passes out of itself, or excretes, into the surrounding lymph spaces what it is incapable of utilising, when it becomes added to the hemal lymph, and is re-gathered by the vasculature of that fluid to the heart. In the central stage of this circulation, when the meta- bolic phenomena of integration are taking place, and the process of integration is ensuing within the cell and its connecting processes, or filaments, the circulatory process is reduced to atomic proportions throughout these tex- tures, one atom following another in endless procession, the period or stage thus represented constituting the inner- most and final distributive arrangement.of the bioplasm, during which it may be said to have become, and to be absolutely alive, all the preceding stages of its circulation having added more and more vitality to it, while all succeeding stages of its circulation are in inverse manner engaged in taking vitality from it. In this we perceive the principle of circulation to be still equally effective, and in this most cryptic central region joining the circulation of the blood to the lymphatic Poniion and effecting the whole phenomena of nutrition, metabolism, and katabolism, those processes requiring the existence oF histological patency and porosity, sufficiently minute and effective to allow of circulation in the atom as the great circulatory channels allow of circulation in the mass. This manner of circulation, as we elsewhere contend, is . absolutely prohibitive of stasis, regurgitation, and sepsis, and secures the existence of physiological hygiene in which the condition known as health can be effectively and continuously maintained devoid of auto-toxis. Needless to say, all this is necessarily incapable of demonstration by any device yet known to research, and that its acceptance requires the use of a scientific faith at least as strong as was possessed by Harvey, in regard to ~ INTRODUCTION ici existence of a series of channels uniting the arterioles and venules into one united whole. It, moreover, may yet be possible to show experimentally the truth of the induction and its applicability to the pathological and therapeutical bearings of the subject. Again, circulation within the metabolic area on these lines lays the protoplasmic elements open to the chemico- physiological torces of organic analysis and synthesis, so that waste and unemployed materials are being continually moved on, or removed, to secure the existence of an De cricuinbered seracraeal condition in which physiological health can be maintained amid the fluctuations in food supply and the altering conditions of the body as to the exercise of everyday life and existence. Another great missing link in the chain of human (and higher animal) circulations is the cerebro-spinal fluid circulation, which is co-extensive and conterminous with the systemic nervous system, afferent and efferent, and which performs a function in the organism of innervation of an importance only comparable to that of the circulation of the blood in the general economy and of an absolutely specific character. With this circulation, moreover, is associated a series of what for the want of a better term we must describe as neuronal circulations due to absorption or secretion by the nerve cells from the matrix of the neuroglia of neural pabulum, and its excretion, or growth, along the afferent and efferent nervatures respectively, into the substance of the skin, on the one hand, and the substance of the voluntary muscles, on the other. These missing ake in the chain of the general, or pan- circulation will Te found elsewhere in these extracts dealt with in detail, and recognised on the afferent, or sensory, side of the nervous system as terminal or outfall, and on the efferent, or motor, side as linked up again to the circulation iS the Blood: We have proved to our own satisfaction the truth of these views from both the theoretical and practical sides, and are now firmly convinced that their practical appli- cation to the subjects of diagnosis and treatment of disease it would be difficult to exaggerate, or unduly appraise. = BIOLOGICAL PHYSICS It will be observed that the neural and feuronal circulations are only indirectly continuous with the blood circulation, inasmuch as they are separated from the blood circulation by an intervening matrix of neuroglial sub- stance in which the nerve cells are originally laid down, from which they grow and interpenetrate the related so-called non-nervous structures, and from which they continue to maintain themselves and to exist as a great nervous system, both materially and dynamically, circu- lating alike and simultaneously the material and energy necessary to nourish and innervate the neuro-musculo- skeletal parts of the entire organism. The original disposition of the blastodermic layers lays the embryonic foundation for the growth and differenti- ation of the future systemic, or central, nervous system and the growth of one system within anpthee, with all that is implied in such transcendental structural arrangements of individual and united material and functional results and high evolutionary developments. We are well aware that if these views be found tenable an alteration of our foundation neurological doctrine will become necessary, but, at the same time, hopeful that this may be effected without, to any serious extent, involving the disposition of the doctrinal substructure and super- structure which have been so admirably reared on it; moreover, we are confident that the whole fabric must be soundly c constricted if it is meant to stand the increasing strain of fresh accumulations of knowledge and yield the practical results which it is entitled to afford to the pure scientist, the physician, and the surgeon. The simplicity of working of the principle of circulation throughout the entire confines of the body becomes more and more obvious the further it is followed, until, becom- ing dimly cognisant of its universality as an instrument in development and evolution, we are compelled to give it a place second to none in the economy of vital operations and life. The continuity of its working and the union of its various parts in the great chain of circulatory movements give it an ideal place in the economy of development, growth, and repair of organic structure, whether viewed * INTRODUCTION 13 in regard to particular tissues, or organs, or the entire organism. Thus we are convinced that the cause of the advance- ment of science generally and the great human desider- atum, the application of that advancement to the needs of the suffering, will be stimulated and made subservient to the wants of mankind. As the discovery of the circulation of the blood was the Open Sesame of the scientific anatomist, so it still provides a key whereby can be opened gateways into the byepaths of anatomical and physiological research, which have but to be entered to reveal the great fact that our knowledge, however advanced, 1s still very finite, and that there still lies ahead much that is unexplored, but which may be made more approachable and accessible along the lines of simplicity and continuity. Every new, or fresh, discovery, moreover, reveals the fact that nature’s ways and methods are universally simple and direct, and that they are absolutely continuous in their operation and consistent in their results. EXTRACT Ta: ON THE PRIMARY DIVISION OF THE PHYSICAL, OR ORGANIC, ELEMENTS OF THE LIVING BODY INTO PROTOPLASM, OR BIOPLASM, AND LYMPH. Protoplasm, or Bioplasm, Lymph, and Blood. ProTopLasM, or bioplasm, is the physiological constituent or element through, and by which, all vital or organic material formative phenomena are effected, but the ele- ments of which it is composed, although mechanically mixed in even definite physiological and chemical propor- tions, are incapable of producing life, hence a vital process of ‘‘admixture” or “‘union,” under materio-dynamic conditions determined by pre-existent ‘‘ biological pos- session,” is essential to their manifestation of “living” phenomena, or life. Protoplasm thus determined, and insured by descent, the exercise of its distinctive, powers on properly prepared raw material, can convert that material into what it requires for its comunued existence as a living unit or part of an organised body. Protoplasm is the plastic or solid material out of which all living organisms, vegetable and animal, are made or evolved, and from which all the parts, organs, and viscera are constructed: It is, therefore, a substance sharply separable from the find or lymph, hemal and neural, as well as the liquor sanguinis, and the many other more local and definite fluids to be met with throughout the body generally. It is the material, in fact, of which the living body, as a moving independent organism, is made ORGANIC ELEMENTS 1g up, and in the interstices of which lodge the contained lymph and lymphoid fluids, or it is the decidedly solid material which imparts to the human and other bodies that character of enduringness and individuality which gives them their living generic features. Its chemical and physiological characteristics are to some extent absolutely definite, while its power to assume what- ever degree of consistence is necessary for specific purposes is unbounded, or limited only by the organic requirements of the particular organism. Every feature, organ, and histological development marks its power of adaptation, and the universality of its use in every local variety of circumstance, temporary and permanent, which arises during developmental and evolutional progress; while the process of nutrition but marks the everyday work which it is accomplishing in the economy of growth and decay, of substitution of new for old, and of the main- tenance of tissue integrity and systemic health. All the tissue elements are thus the result of the disposition of protoplasm on definite formative lines, during the long developmental progress of embryonal, fcetal, infantile, adolescent, and senile life, and each stage of that life is marked by a departure from the other, in obedience to the effects of environment on the details of its incidence, and the intensity of its local and general involvement of these tissue elements. While these departures are deter- mined by unfailing law, when the conditions of life are absolutely perfect, and manifest themselves in regular and unfailing order in consequence, it is equally certain that any departure from these conditions must be followed by a departure from that order, in proportion to the amount of the disturbing causes and the directions in which they operate. The protoplasmic elements of all tissues are surrounded and inter-penetrated by a fluid medium, different in chemical composition from them, and wanting in the property of life, but nevertheless essential for the mani- festation of vital properties on the part of the protoplasmic elements contained therein, and necessary for the passage of dynamic influence from cell to cell, from tissue to tissue, and from the external world to the sentient structures and ‘6 ~ BIOLOGICAL PHYSICS vehicular agencies of the central nervous system, or sen- sorium, and sympathetic nervous system alike. This fluid begins to be apparent on the formation of the chyle, and continues to be elaborated, taken from, and added to, as the elements of nutrition are elaborated, metabolised katabolised, and removed from the system as altogether effete, noxious, and beyond the reach of further nutritive service. Throughout all the modifications undergone by this fluid, or lymph, a sequence of changes takes place, deteamined by the exigencies of nutrition, with the associ- ated and necessitated processes of secretion and excretion, and carried out in normal health with unerring chemico- physiological precision, complete systemic hygiene, and non-morbid results. This fluid, therefore, circulates within and without the permanent organised protoplasmic elements and structures by virtue of inter-spaces, canals, and vessels, sometimes cystic chambers, for passive collection, being provided besides, and ations a solid medium in which many of the ehemiess -physiological reactions of nutrition take place. Moreover, it is not only a solvent medium, but 4 mechani- cal washing agency, in which the katabolic residuum of tissue waste is detached and removed and finally floated out of the system, and a great antiseptic fluid, in which the spores and developed organisms of microbic agencies are effectually dealt with by natural hygiene under the control of the vis medicatrix nature, and disease thereby averted. We thus see in the constant and comparatively large proportion of chloride of sedium universally present in lymph and lymphoid fluids that more than accident deter- mines the circumstance, and that it is, in fact, none other than a great natural provision for the maintenance of structural sweetness and systemic non-autotoxis, whereby the thousand and one noxious agencies entering it are dissolved, neutralised, or fixed, in non-katodynamic order, suitable for safe lodgment in, or conveyance out of, the system. The elements of protoplasm are selected from the raw materials of the food, licked into organic shape by the formative vital energies of the various structural elements “ORGANIC, ELEMENTS ety of the body, in obedience to the developmental require- ments of its various tissues, organs, and members, and maintained in life by the play of vital energy along various lines, mechanical, chemical, physiological, and what, for lack of a better term, we must still denominate specific, sui generis, or purely vital. Each histological element of the body has for its foun- dation constituent protoplasm, and selects for its specific formative necessities whatever else it requires from the lymph, the liquor sanguinis, or other lymphoid fluid with which it is surrounded and inter-penetrated, its nutrition being thus effected from the fluids circulating throughout its substance, and carried there by the omnipresent circu- lation, alimentary, sanguineous, and lymphoid. The blood, as known to physiologists, may be roughly divided into two distinct elements, viz. the liquor sanguinis and the corpuscles, the latter being divisible into red and white, the former, the liquor sanguinis, being composed, to a large extent, of the amorphous organic constituents of protoplasm, and is principally the result of immediate gastro-enteric absorption and direct transmission into the blood vasculature of the stomach and intestines, while the corpuscular elements, being mainly the products of glandular arrangement and organisation, are the result of intestinal digestive activity on the chyme, prepared in the stomach and passed in ordered array through its pyloric orifice, to be admixed with the intestinal juices and the secretions of the great abdominal viscera, and thereby rendered capable of absorption by the villi of the intestinal mucosa, and circulation through the chyliferous vessels and glands into the blood currents. No doubt the physiological operations of the corpus- cular organisation and vitalisation of the chyle lay the sanguineous foundation on which are ultimately reared the whole anatomical structure of life, and there is little doubt that the inverse process of devitalisation begins at the high-water mark of absolutely complete or perfect tissue incorporation, or metabolism, or at the acme of trophic change, where the last atomic act of integration yields to the first atomic act of disintegration, the process of integra- tion representing the dynamic reign of vital phenomena, B 18 BIOLOGICAL PHYSICS and the process of disintegration the adynamic reign of vital phenomena, the two balancing each other in exact. proportion so long as the condition of perfect health is maintained. The meso- and hypo-blastic areas may be regarded as altogether actuated or innervated by sympathetic nerve influence, and consequently the protoplasmic formative and nutritive phenomena displayed in those areas may be said to be altogether effected by sympathetic agency, while the epiblastic area may be regarded as dynamically actuated or innervated by the conjoined influence of both the sym- pathetic and the systemic nervous systems, the metabolism of the tissues of each being effected entirely by nerve agency, material as well as dynamic. Apart from this compound, or materio-dynamic nerve agency, no life worth the name can be displayed. y i EXTRACT 1s. ON THE PRIMARY DIVISION OF THE CONSTITUENTS OF THE LIVING BODY—(Continued). Lymph and Lymphoid Fluids. Tuat the term lymph is of very frequent occurrence in the literature of the sciences, constituting the foundation on which practical medicine, surgery, and obstetrics rest, is at once apparent to the most elementary reader, and that it is in continual use by the initiated in the practice of one and all departments of the medical profession is a matter of everyday knowledge and experience. Lymph may, therefore, be regarded as a fluid of constant occurrence in the ecentinc and practical experience of all in any way concerned with the study and application of such subjects to the daily wants of men and animals, and as a subject many-sided in the range of its practical bearings on the application of preventive, curative, and ameliorative means and principles. Its earliest appearance as a formed, organic fluid, we may take it, is in the form of chyle. After, or when it has been thus far elaborated, and, we may. assume, partially vitalised, by the gastric, and subse- quently, as chyle, by the iprestinal mucosa, and the mesenteric glands, it is prepared for physical admixture and chemico- -phy siological union with the blood proper for further organisation and vitalisation. At this stage it becomes, from that admixture and union and its subse- quent subjection to pulmonary aération, the vehicle as well as the material of the nutritive plasma of the arterial blood either as its liquor sanguinis, which is the typical lymphoid fluid, co-extensive with the blood circulation, or 56 ~ BIOLOGICAL PHYSICS as a fluid constituent part of its corpuscular element. After osmotic departure from the blood vasculature, it enters the matrix of the disintegrating and vacuolated tissues to become assimilated by these tissue elements so far as their wants require, its unselected or unused residuum passing on in rear of, or blending with, the released or worn-out chemico- _physiological constituents of those tissues, to find localised re-admission into the blood with the constituents of the thoracic duct, as the lymph proper. The lymph proper, or hemal lymph, after occupying every tissue space and inter-space of the extra-vascular regions of the structures and organs of the body generally, apart from those of the systemic nervous system, is collected from these spaces and inter-spaces by the lymphatic vascu- lature proper, passed through lymphatic glands, where it is re-elaborated and, ultimately, returned into the blood for further use in the economy, or for elimination as effete and noxious excretion. Besides the hemal lymph, which is entirely concerned in processes connected with the economy and phenomena of hemogenesis and sympathetic nutrition, or metabolism, another form of lymph is elabor- ated from the blood circulation, where and when it deposits the glial elements of the neuroglia amid the fibro-cellular basis, or matrix, of that structure, and where and when, in depositing that neuro-basal substance, it releases a greater or lesser proportion of its liquor sanguinis to become the neural lymph or cerebro-spinal fluid. The functional réle of this lymph, or fluid, being elsewhere treated in some detail, we content ouncalves here with merely bespeaking a conned remembrance of its clinical bearings in all diseased conditions involving the systemic nervous system and those organs and structures related in any way to it by continuity of histological development and evolution as well as innervation. Lymph thus, from its ubiquity, becomes the fluid in which and through which all the vital and organic activities of the body are conducted—in which respect it may be compared with oxygen in the universal chemical processes of metabolism, or with the sympathetic nervature in its relation to the continuous or never-endin propagation and maintenance of life and life forms in all their phases and varieties. ORGANIC ELEMENTS I Lymph being thus a general term for the fluid basis of all the organic fluids, primary and secondary, original and derived, circulating within the body, from the elaborated chyme, and chyle, succeeding the digestive processes of the alimentary canal, to the excretionary fluids proper, and the effete products of organic waste, as they are floated out of the body, is applicable, as a descriptive appellation, with truth to all forms of hemal, as well as neural, fluids, and, therefore, that it constitutes a bond of union or continuity between all the circulatory disposals and organic processes involved in development, growth and decay, integration, disintegration, life and death of tissue, organ, and organ- ism. The aqueous or fluid portion of the ingesta thus becomes the basis of the lymph and lymphoid fluids, and the medium in which the solid portion of them is dissolved and held in solution and suspension preparatory to circu- latory disposal to the various tissues requiring nutrition. Thus loaded, it may be said to carry the nutritive elements to the tissues and to deliver them piecemeal as the nutritive necessities of these tissues require, in atomic, molecular, or larger proportions to meet their various wants, leaving them where required ; and then, taking up the used-up and effete materials which functional activity has discharged, and whose removal is essential to maintain the condition of physiological purity and health, it delivers them into the lymphatic vasculature, to be further dealt with by it before being returned into the blood stream. Thus alone is it possible for the hygienic circulation of nutritive pabulum to be effected, and the work of material change and exchange to be accomplished within the matrix of the various textures of which the human and higher animal bodies are composed, and thus alone is it possible for the vis medicatrix nature to be an effective agency in each such economy. Lymph thus becomes the fluid by whose circulatory movements the nutritive materials of the ingesta are conveyed to the tissues, and the retuse materials of the egesta are conveyed from the tissues, the one process of conveyance balancing the other, and both constituting a circulatory process of conveyance of un- broken continuity throughout the thoroughfares of the body ; the intricacies of the trophic changes constituting 22 BIOLOGICAL PHYSICS the central stage, or acme, of the metabolism of nutrition, where the currency of new pabulum is given in exchange © for the currency of effete, effaced, or damaged tissue elements, in the proportion of atom for atom, and mole- cule for molecule, with rigorous exactitude, and to the entire satisfaction of mutual needs. All the fluids met with in the body are consequently but derivatives from this fluid, serving some special purpose, and returning to the parent source, or being excreted as no longer neces- sary, or, it may be, hurtful to the economy of circulation and nutrition; thus, serum in all its varieties, synovia, sweat, sensible and insensible, glandular excretions, and the great systemic evacuations, represent the purposive utilisation and disposal of this universally disposed fluid for systemic necessities, local and general, and for the accomplishment of the ‘“‘thousand and one” vital pro- cesses occurring and recurring within the vital areas. The circulation of this fluid is effected on lines beginning with, and flowing from, ingestion, and terminating with egestion, or shedding through vascular systems proper, or by quasi-solid fibres composed of fibrils, with connecting spaces and inter-spaces, from the considerable to the atomic, where the passage of the mass and the molecule are alike provided for, the whole constituting a system of graduated and onwardly progressive circulation through inter-material, sponge-like space and inter-space areas, from the interior of which the tissues proper extract or receive their needed pabulum, and convert it into their proper substance by their inherent vital powers, returning it by an inverse order of procedure. This universal system of circulation requires for its per- formance an uninterrupted succession of circulatory ways, from its inception to its close, hence solidarity, as it is to be met with in the matrix of organic substances, can only be relative, and we must be prepared to find that nutrition is only possible so long as these circulatory ways remain patent and pervious, to the ever onward passage of the lymph streams, in which are held in solution, or sus- pension, the prospective tissue elements in the cis-nutritive lymph, and the retrospective tissue elements in the trans- nutritive lymph. The existence, therefore, of impervious ORGANIC ELEMENTS 23 fibres of absolutely solid walls of hardened tissue, as con- taining envelopes of secreted fluids, must be understood as expressing only halfway, tentative, or temporary truths, applicable merely as convenient expressions in a transition state of scientific belief, but lacking in present adaptability, and requiring Tnotineaon to meet the use of altered and altering views and beliefs. The maintenance of this circulation, it will at once be seen, is necessary for the accomplishment of the meta- bolism of every texture, and for the existence of the condition of physiological health of the organism of which they form a part. Should it, therefore, fail in any part in developed vasculature, or in atomic space, from any cause, material or dynamic, then the first step in pathogenesis will be taken, and, if followed up by continued steps in the same direction, a fully developed pathological condition, or disease, will be the inevitable result, recovery from which may occur by renewal or eee or death from progression or persistence of the circulatory fault. Lymph, or lymphoid fluids, are divisible into hamal and neural, the former in turn is composed of two varieties, viz. he pre- or cis-nutritive, and the post- or trans- nutritive, while, for all practical purposes we may regard the neural lymph as one and indivisible under the title of cerebro-spinal. Roughly speaking, the kidneys effect the elimination of the hemal lymph, together with the neural lymph of the systemic motor nervature, while the skin, and special neural emanations, effect the elimination, mith that excep- tion, of the neural lymph. Lymph, in short, is the fluid hich occupies the inter-molecular and_inter- -granular spaces of organised protoplasm ; therefore, its influence is essential in all developmental processes, so that from the period of unicellular life of the fecundated ovum, it never ceases to perform the offices of passively occupying vacua, small and great, amid the stroma of living structure, anal of actively « conveying the elements of nutrition to, and of carrying out of, the organism all that is no longer useful, or beneficial, in the currency of its everyday changes ane exchanges. Moreover, in all the stages of embryonic life, its presence, in proportionately greater quantity, renders 24 ~ BIOLOGICAL PHYSICS the work of development, amid a matrix of nutritive or organic material, which is little more than colloidal in consistence, a work of comparative ease and precision, so- to speak, as, by the quasi-mechanical ballooning of cell wall, of intercceliuiat space, and of organised canal, it a fronds a basis of physical support, on which even the most delicate histological elements can be developmentally dealt with with the least degree of confusion, and with the greatest exactitude and safety ; while, after the conclusion of embryonic development of the various textures and organs constituting that stage of growth, it yields itself still to the growing requirements of the post- embryonic and foetal organism, by allowing the expansion and exten- sion due to constant organic additions to take place by its. gradual and measured withdrawal or retirement, and by the shrinkage and folding of its containing textures, until its proportions are reduced to a “‘vestige of themselves,” and relegated to the nooks and corners and hidden recesses. of the central cerebro-spinal, or neural and hemogenetic organs. Amid all the vicissitudes through which this great fluid element of the body passes it retains, in its physiological condition, the characteristics of asepticity, and the power of chemical and physiological preservativeness, on which the condition of health is so inevitably and essentially dependent. oa el pw T0-¢ EXTRACT ice: ON CEREBRO-SPINAL, OR NEURAL, AND HAMAL LYMPH IN COMPARISON WITH EACH OTHER, AND IN THEIR MUTUAL RELATIONSHIPS. Wuite_ lymph is regarded as a generic term, embracing all the varieties of that fluid found in the lymphatic vessels, the cerebro-spinal cavity, and the various “‘ shut sacs,” as they are commonly called, which are to be found throughout the body, as well as in the inter- and intra- textural spaces of the connective and more organised tissues and organs, the liquor sanguinis being truly lymph, may be looked upon as the source from which all lymph is originally drawn, and the great storage depot, so to speak, into which it primarily and secondarily finds its way, because into it comes the chyle, fresh from the digestive organisms, with the lymphatic fluid proper, collected by the lymphatic vascular system throughout the body, to be emptied into the great blood stream. A great exception to his rule, or manner of lymph disposal, however, must be claimed, according to our views on the subject, for the distribution and direct final elimination of a great proportion of the cerebro-spinal lymph, inasmuch as it is walled off, and kept regionally separate from the lymphatic circulation proper by its own containing spaces and vessels, with the exception of its distribution to the muscular structures, where it secondarily or finally becomes continuous with the systemic or hemal lymphatic fluid and the lymphatic circulation proper, and where, consequently, its sometimes pathological or pathogenic condition is liable to disturb the physiological lymphatic equipoise, and to 26 "BIOLOGICAL PHYSICS engender disease, most especially of the muscles and all the structures in which they end, and with which they are ~ functionally connected. To distinguish between the lymph proper and the fluid contents of the cerebro-spinal cavity and related nerve channels, it might tend to a clearer and more exact appre- hension of the physiological situation involved in the foregoing remarks, were we to adopt permanently the terms hemal and neural, the former term applying to the lymph within the lymphatics proper, and the latter to the cerebro-spinal fluid. Naturally, these two fluids differ somewhat in chemical composition and physiological character, in consequence of their difference in genesis, and the very different offices they subserve in the economy of nutrition and elimination ——the hemal lymph being mainly, if not entirely, engaged in the work of sanguification, nutrition, and the removal of disintegrated material from the extra- or non-systemic nervine structures, while the neural lymph has its func- tional rdle confined within the precincts of the cerebro- spinal nerve structures proper, with the exception of their neuro-muscular aspect. The former, or hemal lymph, is rich in nutritive and corpuscular, or organic, materials because of its nutritional position, while the latter, or neural, is destitute of such elements, being mostly concerned in chemico-mechanical work, or, at any rate, work of that character, together with the most important function of removing from within the inter-spaces of the systemic nervous system the disin- tegrated and effete materials resulting from the functional activity of that system, or, as we may express it, the ‘doubly distilled” residuum of the vital ‘‘ tear-and-wear” of both the hemal and the neural systems, so to speak. These things being so, we would expect to find, and are warranted in anticipating, that the neural lymph, in virtue of the dual concentration of its effete constituents, should be circumscribed, in the extent of its intra-systemic circulation, as far as is possible, and should be walled off from the hemal streams of lymph, and conveyed out of, or from within, the precincts of the systemic nervous system directly, and without allowing a possibility of the occur- NEURAL AND HAEMAL LYMPH 27 rence of autotoxis, which would otherwise be constantly liable to take place, as is sometimes, notwithstanding, the case at the motor terminations of the systemic nerves, and beyond. This physiological necessity we find pro- vided for by the many inter-communicating channels and excretory organs along and through which the cerebro-spinal fluid finds its exit from the cerebro-spinal cavity. The hzemal lymph, being largely nutritive, and, con- sequently, prospective in systemic value, and the sete lymph largely excretory, and, consequently, retrospective in systemic value, the eae requires husbanding, the latter eliminating. Regarded from a physiological stand- point these facts must, consequently, be borne in mind, so that when the pathological and therapeutical bearings of them come up for practical consideration, they, we fondly hope, will not be found barren in affording indi- cations for the scientific use and application of both our medical and surgical skill in the suggestion, it may be, of fresh lines of attack, in the capture of the enemy’s positions, in our hand-to-hand conflicts with the powers of disease and death. I thus behoves us at all times, whether we are regarding the cerebro-spinal lymph from a physiological or a patho- logical point of view, to look upon it as a fluid, the vital role of which is largely played out, and that, therefore, it is not designed to be re-admitted into the ifead stream for redistribution throughout the system, a process to which some of it—the motor—may possibly have been already subjected; besides that, its re-admission into the hzmal vascular system constitutes an outstanding danger to be constantly guarded against, lest the lethal processes of autotoxis be initiated. While the nutritive value of the cerebro-spinal fluid may be regarded as a negligible quantity or nil, if re-admitted into the blood stream, and while it may be regarded as a fluid destined fag elimination from the economy of nutrition, as an agent which makes for autotoxis, we must, nevertheless, regard it as still playing an important part in the functional activities of the nervous system proper, cerebral, spinal, and neural, in its mechanical action as a buffer, asian 28 BIOLOGICAL PHYSICS automatic regulator of intra-cerebro-spinal tension and pressure, as well as a caloric regulator, and as an insulating » agency, but more especially as affording a medium by, and through which the nerve stimuli operate both in their initiation and transmission of nervine molecular changes, -or currents, its chemical composition, physiological char- acter, and intra-spatial ubiquity, insuring an ever-available environment of the nervous system, in its entire extent, of the required conditions in, or for, the most elementary, as well as in, or for, the most complex, states, or processes, of nervine and are ltectud activity. To accomplish these varied and important offices it will be at once apparent that a certain physical consistence, as well as a certain chemical and physiological composition of nervine structure and psychological balance, described in classic phrase as mens sana in corpore sano, is to be maintained, and, therefore, that there is here displayed a wide field for the exercise of the constantly needful potency of mental, moral, and material hygiene. In short, into this great debatable region and peripheral “‘lone land” surrounding the empire and citadel of our inner life and being it is of the most vital importance that we should allow nothing wrong to enter, and that we should permit nothing wrong to remain. The analytical tables compiled by the exponents of organic chemistry will afford a means of comparing the chemical composition of the various forms of lymph and some other fluids, which may be said to be largely, if not entirely, derived from lymph, and will show that a common chemical basis insures and determines a more or less common physiological character of composition, the generic differences of the various fluids being due to the addition of a specific or particular chemico-physiological agent, or substance, the product of a particular secretory structure, agency, or gland. We Ae a casual glance at, and comparison of, the analyses of lymphoid fluids by qinereut analysts will afford the most ample justification for the advancement of the opinions that all the fluids of the body, being of common origin, have a comparatively similar chemical composition, and that the chemico-physiological activities of the various NEURAL AND HAMAL LYMPH 29° organs and textures of the body are but engaged in elaborating the distinctive varieties of a common fluid for special or specific purposes. This common fluid may be said to be typified by the liquor sanguinis, which is the ‘‘finished article,” resulting from the processes of ingestion, digestion, sanguification, and regestion, and the vehicle for the conveyance of all nourishment to all structures, while all the other fluids found within the body are bar derivatives and specialised fluids, destined for specific functional purposes, or for direct and indirect elimination. The analysis of the cerebro-spinal fluid reveals a com- position of considerable chemical complexity, as well as a destitution of organised particles, and a preponderance of what may be denominated preservative saline ingredients, with a seemingly strange and apparently out of place substance known as peptone. We emphasise “‘ strange” and ‘‘apparently,” but have we not here a survival of neurenteric function due to the existence of a common embryonic origin, structure, and function, dating from a period antecedent to the separation of the neurenteric canal into its two divisions, and their subsequent almost, but not complete, differentiation? The largely saline char- acter, mainly from chloride of sodium, and composition of the fluid seem to point to a necessary condition of asepsis of the medium which is responsible for the hygienic irriga- tion of the extra-, inter-, and intra-neural and peri-vascular spaces of the brain and cord, and to the retention of a chemical and molecular sweetness on the part of the some- what faintly vital and amorphous material of the neuroglial matrix ; moreover, we find, as already claimed, that a Bedium i is thus peck in A through which nerve im- pulse moves readily and spontaneously along the designed molecular channels and nerve tracts, and that its continuity and ubiquity are essential for the uninterrupted and full working of the vast materio-dynamic machinery embraced within the confines of the nervous system, central and peripheral. The cerebro-spinal fluid, being constantly secreted or exuded by the pia mater and associated choroid plexuses, is distributed along the spaces and inter-spaces of the entire 30 BIOLOGICAL PHYSICS nervous system, or structures, and finally exudes or is exuded from the special exits, or from the free surfaces of the skin and membranes, mucous and serous, and into the sarco-lemmar sheaths of the muscle fibres to which it is conveyed, and thence into the systemic lymphatic circulation. A large quantity, therefore, but difficult of measurement, must be constantly escaping through the sensory and motor nerve terminals respectively, the abnormal increase or diminution of which may initiate pathological conditions of the greatest importance, the removal and disposal of which must be sought for to a large extent in a clear knowledge of the problems under discussion. The nervous system in its entirety is inter-penetrated by and bathed in this fluid initiated by and resulting from the setting free of aqueous and organisable materials from the blood in the process of developmental integration and growth, or evolution of the embryo and feetus from the substance of the impregnated ovum, the accumulation, or increase, of which keeps pace with the increase in size of these organisms, but fluctuates—increasing and diminish- ing within certain limits—according to the necessities arising from its altering and evolutionary conditions and surroundings. The presence of this fluid, which in post- natal life is recognised as the cerebro-spinal fluid or lymph, throughout the spaces and inter-spaces of the nervine structures is a vital necessity in the economy of the struc- tures for supporting and protective purposes, as well as a chemico-physiological agent in maintaining the vital- ity and hygiene of the neuroglial amorphous elements. Moreover, we would once more emphasise that its presence thus throughout the universal systemic nerve elements is necessary as an indispensable accessory in all functional activity of the nervous system, whether central or peri- pheral. In other words, nerve impulse can only be permitted to travel within or through it in the normal and physiological condition, and nerve stimuli can only reach the stimulatable molecular nerve elements and textures through it, and, therefore, that it performs something like the function or work of the fluid in the economy of the ‘‘wet cell” electric battery. Hence are explained the NEURAL ‘AND HAMAL LYMPH qr positive results and negative results, respectively, in experiments on the sensory effects of the application of odoriferous or olfactory stimuli to the Schneiderian mem- brane, through or in the various media of odoriferous, neutral, and saline solutions, in which experiments it is most remarkable and suggestive to find that odoriferous particles can only be well appreciated by the sense of smell when suspended in a solution of chloride of sodium, or some equivalent saline medium or substance. We are, therefore, we think, warranted in claiming for the cerebro- spinal fluid a very wide range of influence, active and passive, in the economy of the sensory, as well as motor, phenomena of the nervous system, besides those of per- forming the vitally important functions of mechanical protector and supporter, chemico-physiological preserver, and general hygienic agent, with, it is conceivable, a multi- tude of other allied and kindred offices of greater or less importance throughout the length and breadth both of the nervous and the so-called non-nervous systems and structures. Cerebro-spinal lymph, being a compound of the original and the residual lymph resulting from the various organic or physiological changes through which the neural plasma has passed in its preparation for, and survival from, neuronal nutrition, is therefore, as claimed, largely or wholly effete, and requiring excretion, but while largely or wholly effete, and requiring excretion, it still performs numerous vitally important functions before and during excretion, so that it never ceases to be a most important factor in the accomplishment of physiological ends and purposes ; so much so, that, without it, cerebration and nervine activity generally would be impossible, and not only paralysis, but death, be the consequence. Systemic or hemal lymph, with which we may compare it, performs somewhat kindred functions in the economy of sympathetically determined nutrition through its being the residual material resulting from the extra-vascular dis- posal of the liquor sanguinis and waste tissue elements within the domain of that system’s physiological influence, and, therefore, composed of material much of which is still to be made available for further nutritive, and, it may 32 - BIOLOGICAL PHYSICS be, special hemogenetic, purposes ere it be eliminated as altogether or wholly effete. Systemic or hemal lymph is - more or less apparent and physiologically current in the earliest stages of embryonic development, even from the unicellular primary stage, and, in fact, represents the fluid medium in which is conveyed the fist metabolic or living atom to the nascent and fecundated or vitalised germ organism, as well as the continually increasing stores of nutritive plasma, which the succeeding stages Ne embryonic development, growth, and repair more and more call for and necessitate, until the arrival of that stage of develop- ment at which appear the earliest systemic nerve elements, when an additional or the neural lymph makes itself manifest. This latter, when fully evolved by successive stages of physiological evolution, becomes recognised throughout the completely developed systemic nervous system as the cerebro-spinal lymph or fluid. During that stage of embryonic development when the rudiments of the future systemic nervous system are bein evolved and differentiated by and from the sympathetically innervated organism, the outgrowing and infolding central nerve structures emit and finally enclose this lymph or fluid, which becomes responsible for the maintaining of the patency of the central neural canal, around which are developed the manifold nerve structures to be known as the central nervous system, consisting of brain, cord, and nerves. The developmental reason for this beconies strongly apparent when we consider that the textural consistence of the early systemic nerve elements is of the most unresisting character, and that, consequently, the pro- vision of an internal fuid support or “‘cushion of rest” becomes a constructive or working necessity, and, hence, we find that a column of this fluid becomes enclosed which reaches from one end to the other of the rudi- mentary neural tube and vesicles after differentiation of the neurenteric canal. Besides affording a mechanical support to the growing nerve textures this fluid penetrates every vesicular protuberance, as well as nerve trunk, as they are projected or developed into the neighbouring sympathetically innervated organic structures, continuing that mechanical support and bufferage so necessary even CEREBRO-SPINAL LYMPH 33 to the terminal expansions of the individual nerve fibres, thus securing their uninterrupted development and subse- quent untrammelled functional rdle. As this fluid secures an entrance into every extra-, intra-, and inter-nervine space, so it maintains throughout life a more or less complete possession of these spaces, and only retires in obedience to anatomical requirements and hydrostatic necessities, thus continuing to perform the original func- tions for which it was elaborated and stored and is still so well adapted to perform, as well as that of affording a means of excretion by its many guarded exits of the effete materials shed into it by the katabolic results of nervine waste. Moreover, we see in this “‘ maintenance of pos- session” of these inter-, extra-, and intra-neural spaces, that a great provision is secured for the regular supply of “‘ ready-made” lymph to such organs as the eyes and ears, which constantly utilise a somewhat large amount, and many of the glandular structures, oral and gastric, which are constantly, or periodically, active in the economy of alimentation and other functions. We thus perceive that the functions of the cerebro- spinal lymph range themselves into active and passive, accordingly as they are physiological or mechanical, and realise that the uninterrupted performance of these func- tions becomes of the greatest moment in the maintenance of a physiologically perfect state of health and the preser- vation of the classic condition, mens sana in corpore sano. Surgical technique must, therefore, include the preserva- tion of the natural channels of exit of this fluid in the many procedures implicating the nervous system, and be ready to supply substitutes, if necessary, for the discharge of physiological function when that has been placed in abeyance either by disease or accident. The distribution of the cerebro-spinal fluid at the different stages of embryonic and early foetal growth, and the different periods of adult life, undergoes a more or less continuous change and fluctuation, both in regard to relative quantity and. quality ; thus, on the accomplishment of the neurenteric differentiation in the earliest embryonic stages of life it is relatively large—the central nervous system then only existing as a thin, elongated vesicle, filled 0; . 34 ~ BIOLOGICAL PHYSICS by it, until the accomplishment of the neurenteric differen- tiation and the subsequent development of the rudimentary cranio-spinal canal, with which it is at first conterminous, the succeeding stages being characterised by a gradual shortening of the canal, as its walls undergo a thickening as the neural structures increase, during which it recedes. from the tip of the rudimentary coccyx to the first or second lumbar vertebra, where it afterwards remains, leav- ing behind it a thecal continuation, known as the filum terminale, to maintain a modified structural and functional connection with the posterior orifice of the enteric canal, with which it was formerly continuous, to provide a posterior exit for this neural lymph or fluid. Great but decreasing patency continues to characterise the spaces con- taining the cerebro-spinal fluid, and the utmost regulated freedom is provided for its excretion at the various points of exit, until, by increasing age, consequent stiffening of textures and blockage of spaces, as well as exits, a condi- tion of comparative stasis ensues as life advances to its close, and death follows. EXTRACI ila; ON CIRCULATION GENERALLY, AS IT IS TO BE MET WITH IN THE HUMAN BODY AND IN THE ECONOMY OF LIFE. CircuLaTion, regarded from an anatomical point of view, is commonly applied to the movements of the blood within its containing vessels, and is accomplished—as is described by its immortal discoverer, Harvey—by muscular agency, resident within the walls of the heart and arteries. Circulation, however, in its widest, minutest, and physio- logical sense, can be seen in all parts of the body, originating from, and terminating in, the blood circulation, as well as in the glands and viscera, and on the free surfaces of the body, internal and external. Thus, the alimentary circulation may be described as the primary or central preparatory circulation, or that by which the food, solid and liquid, is made available for the main- tenance of the body, the alimentary canal being at once the disintegrating, dissolving, circulating, and absorbing medium by which the chyme and chyle reach the blood stream, where they are transmuted and transformed into blood proper. This primary circulation is supplemented by the aérial circulation, which is effected through the breathing apparatus. The next circulation to be mentioned in this connection is the lymphatic, a circulation concerned mainly in the process of collecting the products of tissue waste and of escaped liquor sanguinis, or blood plasma. These modes of circulation are concerned in the maintaining of the life 36 BIOLOGICAL PHYSICS and health of the body generally, with its contained viscera and attached limbs, except the brain and systemic nervous system, whose circulation is absolutely sui generis. Passing to this latter, the brain and nervous system proper, we find that another series of circulations originates here, by which the life and integrity of that system are maintained, and the waste products arising from its exer- cise and activity removed. Thus, the substance known as the neuroglia, to which the Blood circulation conveys a matrix of neuronal nutritive material fitted for the growth and maintenance of the true nervine textures, as well as for their mechanical support, becomes the scene of the origin and formation of the various neurons composing the systemic nervous system. Surrounding and accompanying these neurons in their axonal extensions and distribution are their neurilemmar coverings, which are meningeal continuations, separated from the nerve fibres by inter-neurilemmar lymph spaces continuous with the inter-meningeal spaces, and which establish and carry on circulation of the cerebro-spinal lymph, conterminously with the nerve-fibre economy, thus constituting a circulation which is at once protective, insu- lating, and excretory. This circulation constitutes the peri-neural lymph circulation, which everywhere surrounds and accompanies the nerve cells, fibres, and fibrils of the brain, cord, great nerve trunks, ond cemiad nerve exten- sions, and hich iS actively eoneatned | in the production of the cutaneous excretion, or sweat, and the maintenance of a proper supply of intra- anil and intra-spinal fluid, besides assisting to form such fluids as the olfactory, oph- thalmic, otic, oroglossal, gastric, pericardial, pleural, peri- toneal, and synovial. The residual products, so to speak, of ee spinal and neural nutrition and activity are thus utilised for the upkeep of physiological and anatomical fluids, so far as is consistent with the maintenance of health, but in this they unfortunately also may become factors in the production of pathological processes and substances. Osmosis and capillary attraction, together with mechani- cal displacement and gravitation, are mainly concerned in this form of Grealauon: and the proper balance of its physiological and chemi conditions must consequently ON CIRCULATION GENERALLY ae be sought for as a means of preserving health along these lines. Circulation, as here outlined, in its neural lymph aspect will be seen to be ultimately all-pervading so far as the systemic nervous system is concerned, and its sustain- ment, consequently, is all-important as a factor in systemic hygiene, while its re-establishment, when in abeyance, becomes a sine quo non in the treatment of disease. Besides what we have said of these great anatomical and physiological forms of circulation, we may regard it-— circulation—in a still wider and more comprehensive sense, as it can be seen and studied in detail in all parts of the human body and the higher orders of the animal world, in order to possess a firmer grasp and a fuller appreciation of the great problems wrapt up in the simple hydrostatics and hydrodynamics of organised textures. Thus, we recognise that the three principal circulations, or systems of circulation, in the human subject are con- nected with each other by means of what may conveniently be called subsidiary or connecting circulations, or sets of connecting inter-spaces or cells. The first, the gastro- intestinal, is connected with the second, the blood circu- lation, by means of the lacteals and the thoracic duct, while the second is connected with the third, or cerebro-spinal, through the vasculature of the pia maser, the third, or cerebro-spinal, again uniting itself respectively with the blood circulation through the motor, or efferent, nervature and the gastro-intestinal circulation through the sympa- thetic “‘ nervi communicantes.” The cerebro-spinal lymph circulation, besides again allying itself with the other two great circulations, elimi- nates from the body a large quantity of effete materials resulting from neural waste, by certain excretory mechan- isms, these effete materials being gathered from the whole extra-, inter-, and intra-cerebro-spinal spaces, consisting of the sub-dural and sub-arachnoid spaces, the ventricles of the brain, and central canal of the cord, with the related peri-vascular and peri-saccular spaces of the neuroglial matrix, and the whole inter-neurilemmar spaces of the systemic and related sympathetic nervatures. Sucha large vascular area, if we may use the phrase, circulating a fluid 38 BIOLOGICAL PHYSICS capable of floating the disengaged materials from the entire central and peripheral nervous system, necessitates the existence of free and ample excretory facilities for the maintenance of neural hygiene, and these we find mainly provided as follows, viz.: The olfactory tracts, bulbs, nerves, and nasal mucosa, the pituitary gland, and tonsillo- glosso-pharyngeal mucosa, the filum terminale of the cord, with coccygeal gland, and related extra- and intra-anal exits, ‘‘ modified sweat glands,” ductiform exits, and rectal mucosa, together with the entire system of cutaneous sweat glands and related sympathetic neuro-lymph exits wherever existent in texture and viscus. These great circulations, with their relating subsidiary circulations, and the many visceral and organismal circula- tions, are engaged in conveying plastic and fluid materials along well-defined vascular channels or inter-spaces, and comprise the circulatory procedure, supplemented by the aérial circulation, which distributes to the various textural elements of the body the plasmic materials on which they live, and which they metabolise by another series of circu- lations extending to the final one of atomic, or molecular, dimensions, in which the vital act of tissue integration takes place, after which, by an inverse circulatory pro- cedure, the process of disintegration is begun, and con- tinues until the tissue elements are again devitalised and restored to the outer world of inorganic matter by the hemal lymph circulation and its attached excretory mechanisms, the bowel, the kidneys, the skin, and the lungs. There are thus two series of excretory organisms at work in the economy of elimination, respectively belonging to the cerebro-spinal and blood circulations, with exit orifices and mechanisms of a more or less com- plex and specific character, to enable them to perform their individual functions. We are thus warranted in claiming the truth of the expression: circulatio circulationum omnia circulatio! Speaking generally, circulation of one kind or another must be regarded as originally all-pervading, and as the means by which the great processes of digestion, absorp- tion, sanguification, assimilation, nutrition, disintegration, secretion, and excretion are rendered possible, in con- ON CIRCULATION GENERALLY 39 junction with the play of vital force along well-defined lines, or those of least resistance, throughout all the structures. These lines or channels are composed, in many cases, of highly organised hollow structures, in the form of canals such as the alimentary, of vessels such as the arteries, veins, and capillaries, of organised tubes such as the lymphatics proper, of interstitial lymph spaces, where lymph, or fluid material, first collects through cell and fibral osmosis, and of the apparently homogeneous walls of cells, ee and nucleoli, which are nevertheless permeable to or by fluids hder the influence of vital impulse, and in obedience to the chemico-physiological laws regulating the processes of growth and decay. Circulation, as we have said, takes place along what may be called the lines of least resistance, and must be looked for along those lines only; thus, along the alimentary canal, secured by its valves and sphincters, circulation, under peristaltic compression and compulsion, is easily accomplished by the highly organised and com- plex machinery provided in its walls, where a series of escape tubes is laid down, by which the fluid or less consistent parts of the contents are run or drawn off, leaving only a residuum of unutilisable material to be excreted. Following these escape tubes, we notice that they converge to form a single large tube, the thoracic duct, which empties itself into the current of the blood, where its contents are whirled on through miallieudinous “turnings and twistings” until they reach the structures for whose growth and t repair these elaborate processes are but preparatory, and where they are disposed of according to the necessities and by the laws of the process of nutrition. Once disposed of thus, a reverse, or inverse, process, viz., that of disintegration, or waste, sets in, necessitating the provision of a set of collecting spaces and vessels, whereby the waste products, suspended in the hemal lymph, may be collected and conveyed to the appropriate cardiac and pulmonary areas for re-oxygenation, and to the excretory organs and surfaces for elimination, in order to prevent the re-introduction into the healthy textures of materials which have now become effete, and therefore toxic. The lymphatic system of vessels here 40 BIOLOGICAL PHYSICS takes its origin in the tiny lymph spaces and lacune (like the primal springs, trickling streams, and head-waters of the river systems of the globe) inter-penetrating the organic units of the various textures—apart from the brain and systemic nervous systems, these having a ‘“‘lymphatic” system of their own. Originating in these comparatively structureless spaces and inter-spaces, the lymph streams converge and pursue their course through a system of at length highly organised vessels, in whose course is interspersed a series of valves and glands whose offices seem to consist of maintaining the flow of, and turning into the current of the blood, an “‘ innocuous and healthy effluent” stream. These, in short, constitute the ‘“‘circulations” or ‘systems of circulation” distributed to the head, body, and limbs, but they do not include the “circulations” still to be found within the various viscera, or within the brain and systemic nervous system. The brain and systemic nervous system are fed with blood from the general blood stream in a manner, to some extent, we have said, sui generis. Thus, the arteries. are said to enter the central nervous system “‘ naked,” sur- rounded by lymph-filled peri-vascular spaces, and generally unaccompanied by veins. These peri-vascular spaces are filled with lymph, or fluid, from the cerebro-spinal inter- meningeal spaces—and, consequently, by the cerebro-spinal fluid—which covers and inter-penetrates the whole cerebro- spinal structures, and which (contrary to our general teaching on the subject) we contend flows along, and between, the neurilemmar sheaths of every nerve which leaves the cranial and spinal cavities to the peripheral terminations of the sensory nerve fibrils on the one hand, and the ultimate terminations of the motor nerve fibrils. in the muscles on the other. We therefore contend that the cerebro-spinal cavity is. not by any means a “‘shut sac,” but, on the contrary, that it is permeated by at least two openings, continuous with the sub-arachnoid and sub-dural spaces, and continuous: from their exit from the cerebro-spinal cavity to their ultimate termination. In the circulation of the blood in the brain it seems to oe ON CIRCULATION GENERALLY 41° us that the pabulum required for the support of the various textures composing that organ is laid down from the pial capillaries within the neuroglia, and comprises a large portion of the amorphous material, or stroma, of the neuroglia; that the organic matrix oF the neuroglia and the neuronal cells and fibres are sympathetic in origin, the former being mainly protecting and supporting and neuronogenetic; that they together afford the soil and seed from which the systemic nerve elements proper, or neurons, originate, grow, and prolong their axonal pro- cesses, and that the nerve cells proper grow by imbibition through their dendritic processes with attached gemmules. (like a plant by its rootlets from the soil) from the sur- rounding neuroglial amorphous materials. What takes. place in this process resembles, and may, in a sense, be described as a sort of secondary digestion, the gemmules. of the dendritic processes selecting and preparing the required nutritive materials for their respective nerve cells, the latter doing the same for their nuclei, and these in turn for their nucleoli. The individual cell, with its processes, dendritic and axonal, its contained nucleus and nucleolus, may, as thus. described, be taken as representative of a typical neuron or a nerve unit, the multiplication and totality of which constitute the systemic nervous system. Here, therefore, comes in the necessity for the provision of an efferent system of lymph circulation which will carry the results. of nerve waste and disintegration safely out of that system, and out of the system generally, and will so prevent the toxic effects likely to follow from the retention of the “‘doubly distilled” results of hemoneural ‘‘ wear and tear.” The system of cerebro-spinal lymph circula- tion may, therefore, literally be said to run off “‘brain sweat” from and through the peri-vascular and connected peri-neural spaces into the cerebro-spinal intra- and inter- spaces, or the ventricular spaces, the central canal of the cord, and elaborated sub-arachnoid and sub-dural spaces, with the related and continued peri-neural inter-spaces. which, in continuity, accompany the various cephalic and spinal nerves in their entirety to their outer extremities, cutaneous and muscular. EXT RACE ile. ON THE MINUTELY PARTICULAR, OR NUTRITIONAL, AND METABOLIC CIRCULATION. SuccEEpING the great blood circulation proper, in the centre of which is situated the great dynamic circulatory organ, the heart, the neuro-muscular walls of which propel its life-supporting materials into every ‘hole and corner,” ‘‘nook and cranny” of the entire body, and commencing at the great organic ‘‘watershed” is the metabolic circulation. The term ‘‘ watershed,” as used here, is to signify that all the preparatory or preceding stages of circulation, and all the consequent or succeeding stages of eraleon are subsidiary, and only subservient to the process of nutritive circulation and metabolic selection, where the incorporation and detention of the nutritive protoplasm is relatively, but not really, an exception to the existence, even in this seemingly solid and immobile region, of the presence of circulation. Thus a ‘‘watershed” signifies the dividing line which determines what direction moisture deposited on it must take in order to reach a level, or the level of the nearest sheet of water, and ultimately the level of the sea. What here is not licked up by the wind, or vapourised by the rays of the sun, after lingering te a brief period in balanced and pellucid liquidity, or gelid plasticity, like the arrested molecules of the nutritive pabulum in the interstices of the tissue matrix, resumes, by the inexorable influence of gravitation, its onward circulation or progress, resting not until it has reached its temporary or more permanent destination, which must be determined by its ON NUTRITIONAL CIRCULATION 43. environment along the lines of least resistance. A further resemblance between these natural occurrences, thus brought together, is that the matter affected and circu- lating in both instances at this supreme juncture has been reduced to a molecular or atomic condition, in which state it is deposited by metabolic selection and a cool atmosphere respectively on the respective ‘‘ watersheds” of living tissue, and arresting earthen elevation or moun- tain ridge, so to speak. In the case of the organised textures of the body generally the elements of the extravasated capillary blood plasma are taken up by the process of nutrition embodied in and appropriated by these textures, for a time remaining constituent portions of them, and again, by katabolic change, being released from organic union and permitted to resume or to pursue another but still onward course or circulation, when they are taken up by the incipient lymphatic vessels and returned again into the blood circulation. This first stage of what we may call the katabolic return or inverse circulation is thus preceded by what we would denominate the central or innermost circulation of all, or what is equivalent to a molecular, or incorporative, (if we may use the term) circulation, the rate of which must be slow or quick according to the intensity and volume of integra- tive or disintegrative tissue changes and vital tissue tone ; this tissue, or incorporative, circulation being succeeded by the lymph circulation, which commences on the distal side of the organic watershed. Contemporary with the latter ensue quite a number of more limited or circum- scribed subsidiary circulations, which have been interpo- lated by or projected from the central circulation, and which are connected with the nutritive conditions and the organic preparation of the blood material, as well as with the separation and elimination of effete materials. Each of these subsidiary, or interpolated, circulations is usually developed in and around a definite glandular organ of greater or lesser dimensions, sometimes called ductless, and hence we must infer that the functions of such organs are related to the work of sanguification, or a process of modification of the blood constituents of a specifically vital character, to suit the nutritive exigencies and neces- 44 BIOLOGICAL PHYSICS sities of the various textures of the body. Included im the number of these circulations are the hepatic proper, » apart from the portal, the pancreatic, the splenic, the renal,, the testicular, and uterine, which modify the blood stream by the excretion from it of certain vitally active and certain residual materials, some of which are made avail- able for certain digestive purposes and _perpetuative functions, while the greater part is absolutely eliminated: from the system. The splenic, the adrenal, the thymus, the thyroid, with other such but less prominent ductless. glands, being merely modifying organisms developed: within the blood circulatory apparatus, pass through the blood itself, modifying while not apparently extracting anything from it. All these circulations are only concerned in the func- tions of organic life and the economy of nutrition, and are entirely dependent on the existence and circulation of sympathetic nervine energy through cell and fibre agency. Above and beyond these circulations the higher functions. of systemic nervine circulation are provided for in the elaborate machinery of the central and peripheral systemic nervous system ; here the first circulation with which we are met is the cerebro-spinal lymph circulation, a circula- tion conterminous with the structural area of that system, plus the prolongation into the sympathetic area of the motor lymph residuum; while the second or innermost discoverable is the great compound nervine circulation proper, which, commencing with the neuro-cellulo-fibral or neuronal developments, centrally extends to the musculo- cutaneous textures of the whole body where the circulated materials terminate in textural incorporation, and final shedding respectively, as muscle pabulum, on their motor aspect, and as epidermal exuvie, or debris, on their sensory aspect. In this brief survey of circulation, as it is observed in the human organism, we observe that two distinct systems. of circulation are evolved, or become apparent, namely, the hemal and the neural, and that each of these circula- tions displays a central portion in which the phenomena of nutrition, or of structural integration and disintegration, take place, the preceding and succeeding circulations, or ON NUTRITIONAL CIRCULATION 45- », circulative stages being merely vehicular, and subservient to the great function of nutrition, with its implied meta- bolism. The processes or phenomena of nutrition being universally dependent on the economy of circulation, we perceive that the necessity for the existence of trophic centres within the systemic nervous system is lessened or ne gatived, and, at the most, is based on the regulation of the vaso-motor neuro-muscular agencies by the sympa- thetic nervature, a system of nutritive, or trophic, inner- vation, which is all-powerful, and sufficient in all living organisms not possessed of a systemic nervous system, with the exception of muscular structures and the textural elements of the skin, which are dependent for their nutritive pabulum on the systemic motor and sensory nervatures respectively. Broadly, it may be stated that the meso- and hypo- dermal structural elements are dependent for nutritional pabulum on circulatory media innervated by the sympa- thetic nervature, and that the endodermal structural elements are dependent for nutritional pabulum on the circulatory media resident in the central or systemic nervous system, which, in addition to the possession of its own nervine energy, is structurally and vitally inner- vated by the underlying and inter-penetrating sympathetic nervature. The sympathetic nervature thus continues to be the great, if not the sole trophic nervature, leaving the systemic nervature to innervate and control those parts of the organism to which it is histologically distributed, and whose nervature is purely systemic, or only secondarily responsive to sympathetic influence or stimulation. The media responsible for the circulation of nutritive materials thus also become the media for the circulation of vital energy, more especially in the cryptic structural regions in which the phenomena of metabolism take place, and where the nutritive processes are wrought out amid the molecular interstices of the more or less homogeneous tissues. Metabolism and nutritive circulation in their terminal stages may, therefore, be regarded as processes of physiologico-chemical circulation where the circulation is reduced in dimensions to the proportions of an atomic procession into and out of the vitally coherent mass of 46 BIOLOGICAL PHYSICS pe organised protoplasm known as, in this case, a human body. In like manner we may pursue the ubiquitous process of circulation materio-dynamically into the highest regions of functional activity, or cerebration, where the process begins and ends, it may be, in a single cell, or a group of cells, or Bocoenice neurons, according to fhe amount of earanal machinery at work, when, it may be, a thought or idea is produced in the rough, or perhaps elaborated and polished, and added to the mental turniture, or circu- lated into the outer world and made available for future currency. Man may, therefore, be said to be really as well as. metaphorically made up of circulations, of ‘*‘ wheels within wheels,” physically and metaphysically, of matter and energy in endless motion, the exactitude of the material working, and the perfection and extent of the functional output of which place him infinitely above his nearest relations on a plattorm entirely sui generis, and where it is impossible to conceive that he has yet exhausted the series of circulations involved in his materio-dynamic ‘“ genesis” and ‘‘exodus.” Yea, rather that he is, by the positive law of inertia, carried vitally on by circulation when his material and immaterial parts separate into, on the one hand, inorganic earth, and, on the other, into potential energy, when the ponderable, or sideral, is left behind, and when the imponderable and immaterial by ex- pansion and growth is compelled to circulate ad infinitum. Thus is illustrated once more the truth of our contention : circulatio circulationum omnia circulatio. Thus also is illustrated the fact that matter and force, or energy, are alike, if not in nature, at least in their subjectivity to the law a: circulation, aia that the two entities are mutually responsible for the phenomena of organic life as it is met with ‘‘on the face of the earth.” Moreover, the inorganic and organic elements of the earth’s crust are so intimately related that the line of demarcation between the two is sometimes difficult to discover, and both are in their distinctive manners and degrees amenable and alike sub- ject to that law, and individually illustrate, so far as we can perceive, its universality. Thus, astronomically, from ON NUTRITIONAL CIRCULATION 47> the far distant sideral regions we are made aware by ethereal circulation of the existence of apparently similar bodies to that which we now inhabit, circulating in endless. order amid the realms of space, ade geologically, we discover that from the earliest periods of vital activity, or at any rate since that vital activity left its traces behind in the earthy leaves of our mother earth’s history, that cease- less circulation has characterised the matter and energy of which that earth is composed, and, geographically, we still observe its continuance, for do we not see it in the endless process of the denudation of the ‘‘ everlasting hills,” and the filling up and repletion of the hungry seas, the reciprocal activities of inorganic and organic matter, the endless activities of vegetable and animal life, and the world-wide conveyance by the great human family in its. manifold commercial activities both of the energy and the matter which lies around it, and which they make sub- servient to their purposes? Above and beyond all these types and forms of circulation, however, rise the vital circulations observed in plants and animals, and away beyond these lies a vista of transcendental circulation into which the most daring imagination can only peer, but where even scientific faith bids it follow with that trust in its ultimate realisation and satisfaction which should ever characterise the earnest enquirer and searcher after truth, whether in the material and visible world, or in the immaterial and invisible ; or, in other words, the temporal and eternal. To return from this metaphysical digression to a farther consideration of the manner and method of physical circulation, as observed in plant and animal life, or organic forms, we are struck with the universality of distribution of certain natural elements, such as the omni- present ether, which we possess in common with all nature, and air and water, which we possess as an individual planet. The first, or ether, does not at present concern us, so we shall direct our attention to the latter two, air and water, and more especially to the last named. Water, so far as observation has reached, or analysis has revealed, is universally present in all organic matter, and may be regarded as a sine quad non in the accomplishment of organic change, and the production of all physical vital 48 BIOLOGICAL PHYSICS phenomena, such as nutrition, growth, and decay. Water thus is the great vehicle in and by which the necessary pabulum is conveyed to the expectant textures, the medium in which they are dissolved, or with which they are mechanically mixed and prepared for assimilation, and the agency of exchange in the metabolic arrangements con- cerned in interstitial or textural nutrition. We have already written of an incorporative circulation, as being the central circulation in the great series of circulations, or circulatory acts, displayed in the human and allied o oe isms, as well as in all organic forms, and have claimed for it that it is no exception to the rule that all is circulation, but that it is, in particular, the circulation consisting of the molecular, or atomic, movements of the constituent physio- logical and chemical elements of which the living tissues are composed. Water, therefore, must be regarded as the vehicle by which these physiological and chemical elements are conveyed for integrative purposes to the tissues under- going disintegration, or waste, and the medium through whose agency the phenomena As metabolism are effected, and that it acts in some such way as the following, viz. : After solution in, or admixture with, water, the elements of the nutritive plasma are conveyed by the circulatory machinery to the various tissues of the organism, where, by metabolic selection, the necessary nutritive ingredients are taken from the water, detained to repair the disinte- grated and cast-off, or effete, ingredients, which must necessarily have been already, or are now being, swept away by the preceding column of aqueous solvent, one molecule, or atom, replacing another in continuous suc- ‘cession, as the exigencies of tissue waste determine ; hence is secured what we have already insisted on and endeavoured to make clear, that the incoming and fresh are not mixed with the outgoing and effete elements of metabclic change and exchange, and that the phenomenon of autotoxis is thereby averted and made impossible in health. The water, having thus yielded up to the needy tissues its consignment of nutritive or physiologico- chemical plasma, is now at liberty to take or ally itself with and carry away into the lymph spaces and channels the results of tissue waste, and to convey them to where ON NUTRITIONAL CIRCULATION 49 the process of excretion can finally deal with them, or to where the process of hemogenesis can make them avail- able for farther organic purposes. As we have said, water is everywhere present, in greater or lesser proportion, throughout every tissue and organ in the body, and consequently can penetrate, with more or less ease, into the molecular interstices of every texture, however impervious or homogeneous ; we must, therefore, regard it as absolutely proved, and as a physical necessity, that circulatory facilities are everywhere afforded and _ that circulation does actually take place universally within the limits of the individual organism. As water is ‘‘to the thirsty ground,” so it may be said to be to the living tissue, but in increased proportion, in accordance with the intensity of the vital metabolic changes taking place within the individual tissues. Vessels, channels, or inter-spaces there must, therefore, be throughout the entire structure of a living organism, whereby the nutritive materials can be conveyed to every empty atomic space of every texture of the organism, in metabolic exchange for the worn-out, or effete, atom which, on its displacement, or release, enters what for distinction may be denominated an efferent inter-space, channel, or vessel, for final disposal, so as to obviate obstruction to the afferent atomic circulation and the occurrence of plasmic stasis, admixture, and consequent autotoxis, pathological occurrences known to proceed from certain disease factors observed in mal-assimilation and perturbed metabolism. Circulation of vitally prepared protoplasm is thus seen to characterise all physiological organic processes, and, therefore, all pathological organic processes, and to make up, in a sense, all the vital processes concerned in organic life—a realisation, therefore, of the dynamic factors operating the vast circulatory machinery involved becomes a scientific work of great proportions as well as utility. Roughly estimated in their degrees of importance in the dynamics of organic circulation, as seen in man and the higher animal kingdom, we would place foremost in importance the great central engine, the heart, the influence of which is mainly felt throughout the blood- vessels proper, but necessarily in decreasing degree to the remotest circulatory areas embraced within the organism. D 50 "BIOLOGICAL PHYSICS Perhaps next in importance we should be entitled to place the creation of molecular and atomic vacua, or voids, by metabolic or katabolic displacement, due to organic work and tissue exercise, and their refillment, by the selective tissue attraction, with fresh molecules and atoms; while, following in dynamic importance as promoters of ‘creo tion, we are entitled to include pure chemical affinity, or attraction, and the not inconsiderable influence due to capillary attractive force amid the nerve-ending intricacies of fine vessels, tissue porosities, and molecular vacua. These dynamic agents and others, directed and maintained by vital energy, constitute the active agencies employed in the organic circulatory work of every human and high animal form in the maintenance of its life during its “allotted span ’’—their lapse coinciding with its death and dissolution, their balanced operation constituting health, their unbalanced, disease. We might sum up our observations on the subject of circulation, as thus viewed, by saying that there is but one circulation within our bodies, and that it consists of alimentation in all its stages, sanguification, blood circula- tion proper, nutrition, and excretion, with the almost countless correlated subsidiary circulations involved in the phenomena of life. In thus summing up we have omitted, for the sake of physiological continuity, to include the aérial, or gaseous, circulation, which is equally responsible, with this compound fluid Grainne for the maintenance of life, but more especially for the more chemical activities engaged within this circulation, and in the process of metabolic change and exchange of tissue elements. In the process of sanguifica- tion the pulmonary aérial circulation plays a most important part, passing in that most important and essential element of the whole array of metabolic agencies, viz. oxygen, and carrying out the redundant carbon, thus maintaining an uninterrupted process of metabolic change, and an organic atmosphere, so to speak, of a pure and non-toxic character, amid which the manifold materio-dynamic activities consti- tuting life can be carried on in untrammelled order with the utmost physiological precision and success, and with a vitally adjusted physical and mental balance. Circulation, ON NUTRITIONAL CIRCULATION sr _we thus again see, even invades the domain of physiological or organic chemistry and determines the manner of its ‘operations and the character of its working—once more “proving the truth of the contention: circulatio circulationum omnia circulato. BXTRAGEL Ute: ON CIRCULATION AS ALL-PERVADING THROUGHOUT THE HUMAN BODY. We have attempted, somewhat irregularly, in these ‘‘ ex- tracts” to trace and describe circulation as the all-pervading manner of nature’s procedure in the disposition of living as well as dead matter. We have endeavoured to trace the various circulatory acts and series of vascular and inter- spatial or interstitial arrangements by which it is carried out in the animal, and more especially human, economy, and have satisfied ourselves of the truth of our introductory contention that all is circulation within the human micro- cosm. Matter, from its entrance into the body, is in perpetual motion until its restoration to the outer world in the form of exhalation, transpiration, exudation, excretion, and exfoliation, as gaseous, liquid, and solid effete elements, or residua, its period of re/ative rest within it being repre- sented by the temporary individual molecular rest amid its various tissues and visceral developments, where the dis- placement of one molecule is followed by the replacement of another in continuous succession, procession, or circula- tion, along the lines of least resistance and in obedience to the operation of the physical law of impenetrability—no two substances being able to occupy the same space at the same instant of time. A succession of circulatory acts, or disposals, of a gradually increasing complexity of detail, lead up, or forward, to the final act of the molecular incorpora- tion, or nutritive supply to the various structures of the body, of the pabulum which they respectively require, and which they respectively assimilate, and afterwards release by CIRCULATION AS ALL-PERVADING — 53° an inverse process of disintegration and excretory disposal. To this series of circulatory acts, or disposals of the tissue pabulum, there comes an exception of a most remarkable and astounding character, an exception which, in’ fact, constitutes a new, but dependent, and higher series of circulatory acts, or disposals, and which lifts the systemic nervous system possessed animals into a higher, and distinct, class of beings, entirely removed from the vegetable, and lower animal forms, which exist solely in consequence of their possession of a sympathetic nervous system. This exceptional system of systemic nerve circulatory acts, and disposals of nervine tissue pabulum, begins in that enormous storehouse, or emporium, of the raw material of nerve protoplasm, provided by the great sanguineous circu- lation within the matrix of the neuroglia, of brain, cord, and ganglia, by a process of neuronal absorption, and onward, and outward, growth of the neuronal fibres, until their final disposal within, or as, the structural elements of the skin and voluntary muscles, where the final, or terminal, acts of excretory disposal ensue. _The acceptance of these views implies, or entails, a belief in the transmissibility of nerve protoplasm, in fact, all protoplasm, along fibrillary channels, or fibro-intra-spaces, wherever situated, and hence the further belief that all fibres are not solid, but patent, porous, or pervious, some to the passage of nutritive plasma inwards, and some to the passage of effete and residual products of the processes of nutrition and tissue waste outwards, according to their _ position in the economy of the great or universal system of circulation which exists in every organised body. Moreover, the systemic nervous system of circulation is surrounded by an insulating and protective circulation of fluid, or lymph, which is the means, besides, of enabling it to maintain a process of continuous “ ventilation,” so to speak, irrigation, and scavenging, by which the great neuroglial magazine, Or nervine storehouse, and neuronal textures are kept sweet and clean. This lymph, the cerebro- -spinal, has been described as “a negligible quantity ” ; but nothing could be further from the truth, for does it i provide a buffer- age against the concussions and frictions of everyday life, a means, while physiological conditions exist, of maintaining 54 BIOLOGICAL PHYSICS an external and internal medium of asepticity and a way of escape for injured and unfit storage materials, as well as the results of neuronal tear and wear, for the greatest of all the viscera, the viscus for which all other viscera exist and work, the central nervous system in all its parts. It may, therefore, be inferred from this enumeration of a few of its more important functions and aspects that this circulation can alone be maintained and effected by the provision of a lymph-producing, as well as a circulatory, series of mechan- isms of a most complete and elaborate description, and that, therefore, any accident to, or pathological interference with, it must be attended by the most disastrous conse- quences. Thus we see, very imperfectly, but sufficiently clearly for us to recognise, the necessity for regarding the great principle of circulation, as seen especially in the human economy, as operative ‘and essential in every vital process. EXTRACT IM, ON THE CHOROID PLEXUSES, AND PIA MATER GENE- RALLY, AS THE SECRETIVE ORGANS OF THE CEREBRO-SPINAL FLUID. Our attention having been for a long time given to tracing and describing the neural lymph and its circulation in, and throughout, the central and peripheral nervous system, and working out the role played by that circulation, in ordinary physiological conditions as well as in the genesis, progress, and results of the diseases to which that system is liable, we have often been struck with the thought that such a circulation, embracing as it does the whole neural lymph production and disposal throughout the entire areas embraced by that system, must necessarily—to use a bull— be derived from somewhere specifically, or from a propor- tionately large extent, or number, of secreting agencies or structures. Of these agencies we are satisfied that the principal is the general vascular mechanism of. the pia mater, which virtually surrounds the whole central nervous textures of brain and cord, and secretes, or excretes, into the surrounding and overlying inter-spaces of that system the proper amount of fluid, when and where required. This may, speaking generally, be regarded as fully meeting the requirements of the external aspects and inter-spaces of the structures filling the cerebro-spinal cavity, and only very indirectly, and with difficulty, the central intra-spaces and cavities of these structures ; there- fore, it would seem to us to require supplementing by other and internal, or intra-cerebral means, to meet directly the requirements of the intra-cerebral and intra-spinal 56 BIOLOGICAL PHYSICS cavities, or spaces. For this purpose, it appears to us that the only mechanisms, or organisms, existing within the » central nervous system, available for the purpose, are the choroid plexuses of the two lateral, third, and fourth ventricles, which, in fact, are the only non-nervine structures within the great central cavities of the brain, 4s x? yy le / Yt yy” MW wit Ui [iti % Af Ih mh @ MT Vo) 4 a. % Wy 1, uff Fic. 1.—THE LATERAL VENTRICLES OPENED BY REMOVAL OF THE MIDDLE PART OF THE CORPUS CALLOSUM, AND THE DESCENDING CORNU EXPOSED ON THE RIGHT SIDE. 3. a, 6, anterior and posterior parts of the great longitudinal fissure ; c, section of the anterior part of the corpus callosum ; @, posterior part of the same; @é, the left choroid plexus; 4 the fornix; g, the anterior; , the posterior, and g, the descending cornu of the lateral ventricle ; k, k, corpora striata ; Z, 2, optic thalami; 2, 2, right and left hippocampus minor ; 9, posterior pillar of the fornix ; v, the fimbria into which it passes ; g, on the’ cornu ammonis or hippocampus. major ; hk, on the medullary substance of the cerebral hemisphere ; 7, part of the grey cortical substance showing the white stria of Vicq-d’Azyr}3 s, tenia semicircularis; y, eminentia collateralis. and which represent, or rather, are inflections of the pia mater with its vascular and connective tissues (Figs. and 2). We therefore claim that the function, or at any rate the main function, of these organs or structures is that of secretion, or excretion as it might be called, into the central cavities of the brain, in which they spread out, of an internal modicum of cerebro-spinal fluid, and that a constant and physiologically suitable and graduated ON THE CHOROID PLEXUSES va supply of that fluid is thus obtained, which finds its way throughout the entire intra-spaces of the central nervous system, after which it commingles with the inter-meningeal nn r f ‘ | x I I warty, ' | Ny | e y : FIG. 2,—VIEW OF THE UPPER SURFACE OF THE VELUM INTERPOSITUM, CHOROID PLEXUSES, AND CORPORA STRIATA. (From Sappey after Vicq-d'Azyr.) 3. 1, fore part of the tela choroidea or veluin interpositum ; 2, choroid plexus; 3, left vein of Galen partly covered Ly the right; 4, small veins from the front of the corpus callosum and the septum lucidum; 5, veins from the corpus striatum ; 6, convoluted marginal vein of the choroid plexus; 7, vein rising from the thalamus opticus and corpus striatum; 8, vein proceeding from the inferior cornu and hippocampus major; 9, one from the posterior cornu; ro, anterior pillars of the fornix divided in front of the foramen of Monro; 11, fornix divided near its middle and turned backwards; 12, lyra; 13, the posterior pillar of the fornix ; 14, the splenium of the corpus callosum. lymph, or fluid, to form the material of the neuro-lymphatic circulation. In the performance of this function of lymphogenesis these organs become secondarily a system of elimination for securing the removal from the intra- spaces of the brain and cord whatever of neuroglial waste has found its way thither, besides affording the means 58 BIOLOGICAL PHYSICS of such mechanical support and hydraulic force as are required for maintaining the patency and continuity of these intra-spaces. Structurally the choroid plexuses are made up of inflections, as we have said, or continuations of the pia mater, or more exactly of the pia-arachnoid meninges, supported by their framework of fibro-elastic connective tissue, and surrounded by inflections of the ventricular endothelial linings—thus formed, they traverse those central intra-spaces of the brain known as the two lateral, the third, and the fourth ventricles. As regards the functions of these structures, their study may be said to have hitherto been comparatively neglected, their non- nervous textures apparently debarring them from that special attention which their situation otherwise entitles them to. The facts that they are highly organised bodies, or textures, that they occupy a most important central position amid the most highly organised structures of the most vital organ of the body, and that they spring from, and terminate in, the blood circulating media of the brain, suggest that they must perform some still almost unknown functions of a vitally important nature in the economy of the great central nervous system, the discovery of which must be regarded as of consequently nothing less than the very greatest scientific interest, and physiological, patho- logical, and chemical importance. The choroid plexuses being inflections of the pia- arachnoid textures into the central cavities of: the brain where no lining pia mater is distributed, secrete or excrete, into these cavities fluid sufficient to maintain the requisite amount of moisture therein; in other words, they distil, into the intra-spaces of the central nervous system, fluid sufficient to maintain, in conjunction with the inter- meningeal fluid, or lymph, the equilibrium of the fluid pressure within and without that system. A “give and take.” distribution, or disposal, of the combined fluids, we take it, existing between the central cavities and the sub-arachnoid and sub-dural spaces surrounding the brain and cord, and the connected peripheral nervous system ; the foramina of Majendie, and the pineal gland, among ON THE CHOROID PLEXUSES 59 other openings of communication, lending themselves to its accomplishment. Secretion, or excretion, being thus effected within the brain by structures organically, or histologically, continuous with its arachno- pial meninges, would more than suggest that a like function is performed by these latter, at any rate by the pial structures, and that therefore the pia mater, throughout its extra- and intra- cerebral and entire extent, performs the great function of keeping fully replenished the extra-, inter-, and intra- “spaces of brain, cord, and nerves, as well as of supplying, in ordinary physiological conditions, the necessities of the lymph spaces of eyes, ears, and other continuous spaces. If this be so, the pia mater performs the double function of conveying nourishment into, and through, the neuroglial matrix to the central nervous system, and of maintaining a fluid medium of protection and support, both within and without that system, besides maintaining mechanically the patency of its circulatory lymph paths. These neural lymph paths, or spaces, consisting of the ventricles of the brain, the central canal of the cord, the inter-meningeal spaces surrounding both brain and cord, and the inter-neurilemmar spaces of the nerves, being, as we contend, continuous the one with the other, from the centre to the periphery of the nervous system, and being supplied from within and from without that system by a regularly formed and graduated secretion, or excretion, afford a means of escape to effete anc disintegrated material, unequalled in completeness, extent, and adapt- ability throughout the entire extent of the excretory economy of the body, as well as a mechanical support and bufferage unique in its completeness and efficiency. On continuing our study of the histology of the choroid plexuses we have been much struck with their adaptability to the requirements of glandular structures, and with the structural arrangement of their true glandular elements, these being situated mainly on their external aspects, the excreting cells acting in the manner of, and somewhat on the same principle as, those of the Malpighian corpuscles, or bodies, of the kidneys, the lymph, or fluid, distilling through their respective terminal textures. No doubt a like function belongs to, and is performed by, the 60 BIOLOGICAL PHYSICS pia mater proper generally, more in the manner of the pleurz, pericardium, and peritoneum. The formation of the cerebro-spinal lymph being thus effected, and its renewal and regular supply being thus secured, by the functional activity of the pia mater proper and its attached choroid plexuses, let us pursue the study of it, in its course of circulatory disposal, in its important functional work within, and without, the nervous system, and in its final elimination as an excretionary fluid, and bearer, of effete nervine matter and neuroglial debris. Before doing so, and departing from the subject of the pia mater as a secretory medium, we should remark that its secretory réle lies at the foundation of the genesis, growth, and entire organic integrity of the brain and nervous system. Thus, from its blood-vessels it distils the cerebro- spinal lymph from the /iguor sanguints of their contained blood into the lymph areas, and inter-spaces, of the entire nerve organism, while at the same time it deposits, in the matrix of the neuroglia, the nutritive pabulum for the support of that organism with its imbedded, and outgrowing, neurons, thus unburdening itself simultaneously of a double set of materials destined to perform very different functional roles in the economy of cerebration and innervation, and nervine work generally. EXTRACT: iV. A NEW DEPARTURE IN NEUROLOGY, OR AN ATTEMPT AT THE SOLUTION OF SOME NEUROLOGICAL PRO- BLEMS. Cerebro-spinal, or neural, lymph secretion, circulation, and excretion. Tue cerebro-spinal, or neural, lymph is a most important element in the economy of cerebral, spinal, and neural structure and function, serving the purposes of intra- cranial pressure regulator, preventer of mechanical friction and concussion, and carrier out of the nervous system of the waste and effete materials resulting from nervine “tear and wear.” In these, and many other functions, it is continually engaged, so that it is necessarily continually being secreted by the pia mater on the external surface of the brain and cord, and by the choroid plexuses, which are inflections of that membrane into the two lateral, the third, and the fourth ventricles of the brain, circulated through the inter-meningeal spaces, the ventricles of the brain, the central canal of the cord, and the inter-neurilemmar spaces of the whole systemic nervature, with the related sympathetic nervous system, and excreted through the olfactory nerves, the nasal mucosa, the pituitary gland, and united pharyngeo-glossal mucosa, the f/amentum terminale of the cord, the coccygeal glomerulus, and related lymph channels particularly, and by the cutaneous sweat glands generally. It enters into every space and inter-space of brain, cord, 62 ~ BIOLOGICAL PHYSICS and nerves, separating and supporting every unit of structure, nervine and non-nervine, and keeping aseptic their histological elements, while removing every material obstruction to functional activity and every detached particle of waste texture. While thus occupying every otherwise unoccupied space without and within the whole nervous system, it is capable of yielding to every special requirement of every part of that system, like water in a sponge, and hence on the slightest increase or decrease of local, or general, pressure it escapes, or returns, along the lines of feast resistance, leaving the true nervine structures free to functionate and maintain the continuity of sensory and motor innervation; thus, if ‘‘a determination of blood to the head” takes place a corresponding determina- tion of this lymph takes place to the skin, and it may be, to one or other of the particular excretory agencies, and so equal intra-cranio-spinal pressure is maintained. Its circulation may therefore be described as fitful rather than regular, so as to be at all times available for emergencies, however sudden or sustained ; moreover, when the incidence of disease leads to an altered condition physical, chemical, or bacterial, the vis medicatrix nature uses every effort, by trying one and then another of the exits mentioned until either success, or failure, is the result. It is necessary, however, to call attention here to the great physiological and histological fact, that another exit exists from the cerebro-spinal cavity, namely, the efferent or motor nervature, through which the lymph may escape into the proper texture of the muscles, and that when it —the lymph—is septic the occurrence must be followed by a greater or lesser degree of muscular disablement, such, for instance, as takes place in many cases oF Pee anacens. When cerebro-spinal lymph excretion keeps pace with physiological requirements, and when the quality of the lymph is physiologically pure, it will follow as a physio- logical result that neuro-psychic health will be maintained at its highest standard, and that, other physiological conditions being equal, it will equally follow that a condition of perfect health will be the result throughout the whole organism. A NEW DEPARTURE IN: NEUROLOGY 63° The subject embraced in the above heading is a very large one, but has not hitherto been given that attention which its importance and extent entitle it to; neither has it yet emerged from the subsidiary position of unimpor- tance assigned to it, or permitted it, by the earlier, and even modern, observers. The intention, therefore, of the fol- lowing remarks is to excite, if possible, a greater interest in the matter for its own sake, and to obtain from it the practical advantages derivable from a fuller understanding of its true meaning and import in the maintenance of innervation, and as an etiological vehicle in the incidence and spread of disease. The cerebro-spinal fluid may be said to occupy every space and inter-space throughout the cerebro-spinal cavity not occupied by proper nervine structures or the non- nervine elements related to, or connected with, these. It, therefore, occupies a position of ubiquity co-extensive with the distribution of the systemic nervature and its related sympathetic nervous system, through the interstices of which it circulates from end to end, sometimes in cisterns, slowly, and sometimes in thinly attenuated streams, rapidly, according to the exigencies of biological hydrostatics and dynamics. Its secretion may be regarded as the result of capillary escape of the Aiguor sanguinis, with which its chemical composition is almost identical, as the blood circulation traverses the meshes of the pia mater on the external surfaces of the brain and cord, or pushes its way through the cavities of the lateral third and fourth ventricles in the form of the choroid plexuses. These latter fulfil for the central spaces of the brain and cord what the general pia mater fulfils for the sub-arachnoid and sub-dural spaces, while the fluids respectively secreted by them unite and form one common fluid, which circu- lates to and fro through certain communicating channels, or openings, namely, the foramen of Munro, the pineal gland, the aqueduct of Sylvius, the foramina of Majendie, and several lesser openings situated in the descending cornua of the lateral and the fourth ventricles respectively. While these openings of communication afford the means by which the regulation of pressure can be effected 64 BIOLOGICAL PHYSICS within, and without, the brain and cord, it follows of neces- sity that unless a means of escape for the fluid is also provided, a stasis and over-pressure must ensue, and this provision we find to exist in the means of peripheral circu- lation of the fluid and its release when, and where, required by a continuous system of enclosed, yet open, spaces, or a lymph vasculature, conterminous with the systemic nervous system in all its parts, afferent and efferent, or sensory, and motor, and sympathetic. This circulatory and excretional provision, by which every exigency of intra-cranial and intra-spinal pressure is met by immediate re-disposal or absolute displacement of the cerebro-spinal fluid, necessitates a belief in the complete non-existence of a histological and anatomical cerebro- spinal meningeal “shut sac,” inasmuch as a doubly pervious space in unbroken continuation from the sub- arachnoid and sub-dural spaces respectively accompanies every nerve, from its exit from the cerebro-spinal cavity until it finally terminates in the skin, the muscles, or the sympathetic system. Thus, a system of continuous circulation, forwards, or mene according to the prevailing bel and general structural Meee cibicd of intracrano-spinal pressure, can be maintained by an ordered flow, due to the operation of vital hydrostatics and dynamics along the lines of least resistance, and not against immovable obstacles, and so the safety and integrity of the great central nervous system can be maintained by a definite histological and physiological means, and not by accident. The truth of these assertions is based on such facts as that the inter-neurilemmar spaces can be penetrated to some extent by the injection of fluid from within the arachnoid membrane, but more especially, according to my clinical and pathological observations and experience, that materies morbi, or viri, chemical and material, are allowed to traverse these inter-spaces and are deposited, at their terminations in the nerve terminals, causing, it may be, a pathological manifestation there, in accordance with the nature of the virus and the character of the nerve terminal distribution in the skin or muscles involved ; thus alcohol, arsenic, and certain bacteria leave a trail from the centre to the periphery of the nervous a NEW DEPARTURE IN NEUROLOGY 65- system, along the lines of least resistance, which are here those in continuity with the inter-meningeal spaces, along the nerve trunks, fibres, and terminals. In this way we attain a clearer view of the etiology and pathology of many diseases and morbid phenomena, such as that of metastasis, which no other means with which I am familiar will enable us to do. I, therefore, in all seriousness claim for the practical outcome of the manner and method of cerebro-spinal fluid circulation and excretion, as an aid to diagnosis and treatment, a position of great importance. This claim would be incomplete, however, without a brief consideration of the subject of cerebro-spinal fluid excretion and the nature of the excretory mechanisms. Secreted and circulated in the manner shortly described above, the cerebro-spinal fluid is brought into contact, more or less intimate, with every structure of the nervous system, central and peripheral, and is constantly liable to move- ment and displacement during its progress from its source in the pia mater proper and its choroid inflexions, therefore it must necessarily carry in solution, or suspension, whatever nervine material is shed into it during its intra-neural flow, and thus requires the provision of outfall facilities to enable it to dispose of these effete materials, and thereby, also, to be the means of mechanically relieving, when necessary, over intra-cranial and intra-spinal pressure. The great central organ, the brain, must, from this point of view, be the structure discharging the greatest propor- tion of disintegrated and effete material into the cerebro- spinal fluid, and hence must be safeguarded to a proportionately great extent; and this is found to be the case, for here we find means of escape provided to secure drainage under all possible combinations of circulatory circumstances. Thus, at the anterior aspect of the forebrain we have two great channels of drainage laid down from the lateral ventricles through the olfactory tracts, bulbs, nerves, and Schneiderian mucosa, with subsidiary connections with the sub-arachnoid and sub-dural spaces, and always more or less engaged in the work of physiological evacuation. From the central, or mid-brain, a most elaborate system of drainage is effected from the third ventricle, through the E 66 * BIOLOGICAL. PHYSKS infundibulum, the pituitary gland, with which it is encap- suled, and the mucosa of the buccal cavity, which was embryonically projected upwards to, and _ indissolubly united with, the cerebral downward projection of the floor of the third ventricle. A free posterior drainage is effected through the foramen magnum into the cerebro-spinal cavity externally, and the central canal of the cord internally, through which the residuary products of the cerebral waste and overplus fluid are allowed to gravitate, or be driven along the lines of least resistance. The whole spaces and inter-spaces of the brain and its overlying meninges, being continuous with each other, allow the passage of cerebro-spinal fluid to circulate in every direction within, and without, the brain, and to obtain, whenever necessary, a free but guarded exit— the Pacchionian bodies providing a series of safety valves, especially along the roof of the skull, where drainage is not otherwise provided for. The posterior extremity of the cerebro-spinal canal is, in our opinion, provided with a somewhat elaborate, but intrinsically most ideally perfect, system of drainage, effected by embryonic metamorphosis during the develop- mental division and differentiation of the neurenteric canal, the lumen of the canal being reduced to the dimensions of the fi/um terminale of the cord, which remains porous to the passage of cerebro-spinal fluid, and the coccygeal gland, which acts as a cystic receptacle, or lymph heart, provided with a series of ‘“‘ modified sweat glands” encircling more especially the postero-lateral aspect of the anus, and of ductiform outlets within the anus. Besides these particular exits for superabundant and effete cerebro-spinal fluid, a great general system of excretion, or drainage, is provided through the sweat glands Lr more or less plentifully over the entire’ surface of the skin, and acting individually and collectively accordingly as the necessity for the action is local, or general, the fluid reaching these glands along the inter- neurilemmar spaces of the nerve trunks, fibres, and fibrils, where the “terminal” fibrils which reach the glands pour ae di A NEW DEPARTURE IN NEUROLOGY 67 their surrounding cerebro-spinal fluid into their substance, to be finally excreted through their ducts on the outer surface of the skin. When all these particular and general exits from any cause, pathological or otherwise, become unavailable, and when the cerebro-spinal fluid is driven along the remain- ing lines of least resistance, it is, of histological necessity, compelled to find its way along the motor nervature, local or general, according to excretional necessity, into the substance of the muscle, or muscles, there to set up, it may be, a pathological process which may lead to the production of a definite disease, such, for example, as rheumatism. These arrangements, in short, constitute the cerebro- spinal fluid drainage system, except where it escapes into the neighbouring sympathetic nervous system, and where, if it be septic, pathogenic processes of a far-reaching character may be initiated and evolved, more especially in the way of structural and visceral ee It will thus, if these observations be true, be seen by those who are bold enough to take up the subject with a view to test it worth, that our estimate of it is warranted on anatomical, histological, and physiological grounds, and if so, that it is fraught with practical bearings on the pro- gress of medicine and surgery, and is bound to become an instrument by which the incidence and evolution of many very obscure neural pathological problems may be rendered much clearer, and indications for their treatment, curative and ameliorative, be more scientifically secured. _ Moreover, such traumatic, or morbid, incidents as ‘‘ the spontaneous escape of cerebro-spinal fluid from the nasal” and other ‘‘ passages,” and the incidence of herpetic vesi- culation of the skin, and eruptive cutaneous phenomena generally, find a physiological, and therefore natural and true explanation, on lines determined by anatomical and histological continuity of structure, and, what we may legitimately call, a circulatory vasculature. EXTRACT AV: ON CEREBRO-SPINAL LYMPH CIRCULATION AND EXCRETION. A system of circulation having been traced throughout the whole extent of the nervous system, both central and peripheral, and the means indicated whereby the cerebro- spinal fluid, or lymph, is distributed to the most remote terminations of the individual fibrils, its secretory appa- ratus, or ‘fountain of supply,” also having been pointed out, whereby it is kept constantly renewed, the reasonable- ness of, and the necessity for, these arrangements become more and more apparent and convincing ; the study of its physiological uses, its pathological bearings and clinical applications, in our opinion, therefore, call for a share in the work of research now so active throughout the “world of medicine and surgery.” The various systems of circulation shortly alluded to, or described, in certain earlier studies are all finally sub- servient to this the nervine system of circulation. The circulation of the food, solid as well as liquid, of the chyle, of the blood, and of the lymph, besides the respiratory aération, and many other minor circulatory acts performed throughout the various viscera and organs included in the human body, lead up to the final neuro-systemic circulatory acts of the supply of pabulum to the nervine structures, and the laying down of a medium of mechanical support and protection to these structures. For from the blood, we contend, are deposited in the matrix of the neuroglia, and not transferred directly to the neuronal structures, the materials on which the growth and nutrition of the ON CEREBRO-SPINAL LYMPH 69° cells and fibres of the systemic nervous system are dependent, and in which they “take root’’ and grow— grow as plants grow from the soil in which they have been sown, or planted, and—to follow out the comparison —much in the same manner as we observe in such plants as those of the strawberry family, the primary cerebral cell representing the original unit, seed, or plant, and the HIG: 3. TRANSVERSE SECTION THROUGH THE BRAIN AND SKULL MADE WHILST FROZEN, (Key and Retzius.) 4. » corpus callosum; below its middle part the septum lucidum, and below that again the fornix ; BY lateral ventricle; #4, thalamus ; between the two thalami the third ventricle is seen; below the thalamus is the substantia innominata ; str, lenticular nucleus of the corpus striatum ; ¢, caudate nucleus of the same ; between 7% and sév is the internal capsule ; outside s¢r is the thin grey band of the claustrum, and outside this again the island of Reil at the bottom of the Sylvian fissure; 2, @, nucleus amygdalae; immediately within this is the optic tract seen in section; 4, pituitary body; 4, body of the sphenoid bone; sa, subarachnoid space; 7, villi of the arachnoid. various ganglionic cells, developed throughout the spinal and other ganglionic centres, the secondary and semi- independent group of plants related to the parent unit. (iies.9,.8,°0, (1O; 11), Moreover, in the development and evolution of the nervous system within the embryo, a process of neuronal growth, somewhat akin, in its various stages, to the progress of a creeping plant, may be said to take place, which terminates only when the whole embryonic areas 70 BIOLOGICAL PHYSICS have been over-spread, inter-penetrated, and organically, or texturally, arranged from centre to periphery. The component parts of the systemic nervous system, cellular and fibrous, wherever distributed, are united into one organism under the control of the highest and higher Fic. 4.—THE CRANIUM OPENED TO SHOW THE FALX OF THE CEREBRUM AND ‘TENTORIUM OF THE CEREBELLUM, AND THE PLACES OF EXIT OF THE CRANIAL NERVES. 3. 1, falx; 2, superior longitudinal sinus; 3, concave border of the falx; 4, inferior longitudinal sinus; 5, base of the falx ; 6, straight sinus; 7, anterior part of the falx; 8, right side of the tentorium cerebelli, seen from below ; 9, lateral sinus ; 10, superior petrosal sinus; 11, inferior petrosal sinus; 12, posterior occipital sinus; 13, falx cerebelli; 14, 15, 16, 17, 18, second, third, fourth, fifth, and sixth cranial nerves; 19, seventh and eighth nerves; 20, ninth, tenth, and eleventh nerves ; 21, twelfth nerve ; 22, 23, first and second cervical nerves; 24, upper end of the ligamentum denticulatum. centres—representing the peculiar, or central, haunt of the neuro-vital principle, or life—but are capable of exercising functions determined and directed by the lower centres for local, as distinguished from general and communal, purposes. Studied in detail, each of these parts is found to be composed of a multitudinous series of cells united to each other by processes, either of continuity, or in ON CEREBRO-SPINAL LYMPH 7 contiguity, and with the different parts of the body, through axonal fibres (Fig. 4) and interpolated ganglia and ganglionic celis, the entire parts being divisible into the systemic and connected sympathetic areas—these two areas being intimately related by histological continuity, although to a great extent independent of each other in their respective functional rdles. The two systems, however, constitute a united congeries of structures of unbroken histological continuity, or intimate contiguity, FIG. 5.—SECTION OF THE SPINAL CORD WITHIN ITS MEMBRANES (UPPER DORSAL REGION. (Key and Retzius.) Magnified. a, dura mater; 4, arachnoid ; c, septum posticum ; d, e, 7, subarachnoid trabeculae, those at hf, supporting bundles of a posterior nerve-root ; g, ligamentum denti- culatum; /, sections of bundles of an anterior nerve- root ; k, l, subarachnoid space. arranged within a definite series of protective and insulating media, known according to the various parts of the nervous system involved, as the meninges of the brain and cord, and the neurilemmar coverings of the nerve trunks and fibres, separated by a series of inter- spaces, continuous and conterminous with them, which are in turn filled by a fluid, commonly described as the cerebro-spinal (Fig. 5). This fluid, the cerebro-spinal, has hitherto been mainly regarded as confined to the inter-meningeal spaces of the brain and cord and the intra-cerebro-spinal spaces (the ventricles and central canal), and has had a very limited 72 ' BIOLOGICAL PHYSICS functional réle assigned to it. These views we now more and more consider altogether inadequate for the following amongst other reasons, viz. because the quantity of the fluid formed is much larger than is usually supposed, being constantly produced by the entire secreting surfaces and vasculature of the pia mater covering the brain and F1G. 6,—SECTION OF THE POSTERIOR AND LOWER PARTS OF THE BRAIN WITHIN THE SKULL, TO EXHIBIT THE SUBARACHNOID SPACE AND ITS RELATION TO THE VENTRICLES, (After Key and Retzius.) The section was made in the frozen state, the cavities having been previously filled with injection. 1, 1’, atlas vertebra ; 2, odontoid process of the axis, 2’; 3, third ventricle ; 4, fourth ventricle ; G; C corpus callosum? C’, gyrus fornicatus; C, cerebellum ; ¢, ten- torium ; Ji pituitary body; c, c, central canal of the cord ; +s f{M, in the cerebello- medullary part of the subarachnoid space, is close to the foramen of Majendie by which that space communicates with the fourth ventricle. cord, besides the appendages known as the choroid plexuses (of the two lateral, the third, and the fourth ventricles), and because it fills the entire series of extra- and intra-spaces of the various structural divisions of the central (Figs. 6 and 7) and peripheral nervous system, the which, therefore, zecessitate the formation and continual presence within the body of a very great quantity of cerebro-spinal fluid, and the provision of a series of safety ON CEREBRO-SPINAL LYMPH 73> valves, excretory organs, or eliminatory mechanisms, which are found more or less abundantly distributed in the skin, the mucous and serous membranes, and the muscular structures, as well as viscera. Moreover, in the structures known as the olfactory nerve mechanisms, the pituitary and pineal glands, and the coccygeal glomerulus, with their associated outfall tubular arrangements and organisms, we discover structures whose conjoined functions, besides FIG. 7. Fic, 8. (a bth | | FIG. 7.—TWO PORTIONS OF MEDULLATED NERVE FIBRES, AFTER TREAT- MENT WITH OSMIC ACID, SHOWING THE AXIS-CYLINDER, AND THE MEDULLARY AND PRIMITIVE SHEATHS, (Key and Retzius.) A, Node of Ranvier. B, Middle of an internode with nucleus. ¢, axis-cylinder, projecting at the broken end ; 4, primitive sheath within which the medullary sheath, which is stained dark by the osmic acid, is somewhat retracted. FIG. 8.--PART OF AN AXIS-CYLINDER, HIGHLY MAGNIFIED, SHOWING THE VARICOSE FIBRILS COMPOSING IT, (Max Schultze.) the disposal of the more solid nerve debris, largely consist in regulating the incidence of intra-cranial and intra-spinal pressure, by affording a ready, albeit manifoldly guarded and regulated means of exit to the cerebro-spinal fluid. By these means and a vaso-motor controlled blood- circulation, sensitive to inward and outward circumstances and necessities, an atmosphere, so to speak, of cerebro- nervine calm and repose is maintained amid the most changing conditions of an ever-fluctuating environment. Besides the somewhat mechanical rdle here described as 740 BIOLOGICAL PHYSICS belonging to the cerebro-spinal fluid, we must not forget that we shall justly attribute to it besides a most important excretory function, in that it bathes and washes the individual nerve units, or neurons, as well as the collective nervous system, collecting the worn and escaped, or disintegrating, material, and floating it out through the numerous exits provided. FIG. 9. y y f | i Pd ie / ff /f f ¢ LSA WV / f Mi | Ld I /! /'/ / / FIG. 9. —VARICOSE MEDULLATED FIBRES FROM THE ROOT OF A SPINAL NERVE. (From Valentin.) Fi1G, 10.—B, DIAGRAM TO SHOW THE PARTS OF A MEDULLATED FIBRE, 1, 1, outer or primitive sheath enclosing the doubly contoured white substance or medullary sheath; 2, a part where the white substance is interrupted, the outer sheath remaining; 3, ax/s cylinder projecting beyond the broken end of the tube; 4, part of the contents of the tube escaped. In the performance of these excretory functions within the economy of the nervous system, we think we perceive at work a double, or composite, set of organisms, viz. a pituitary set for the removal of the more solid, and a serous set for the removal of the more fluid materials, finding an entrance into the cerebro-spinal lymph spaces. To the first of these belong the olfactory, besides the pituitary body, and it may be the coccygeal body ; and to the second the pineal body, and the various sweat glands ON CEREBRO-SPINAL LYMPH a5 of the skin, while to a third, we may infer, belong the sebaceous glands of the skin, as well as some of the glandular structures distributed throughout the intestinal canal and elsewhere. In the last mentioned may some- times be included the pituitary gland and nasal mucosa, because their functions are regulated and determined by the consistency of the materials supplied to them for the a | 7 (Gn ees aa BN ae ili) hi * be Lu “ i i 7 FIG. 11.—RIGHT HALF OF THE BRAIN DIVIDED BY A VERTICAL ANTERO- POSTERIOR SECTION (from various sources and from nature). (Allen Thomson.) 4. I, 2, 3, 3@, 3, are placed on convolutions of the cerebrum ; 4, the fifth ventricle, and above it the divided corpus callosum; 5, the third ventricle; 5’, pituitary body ; 6, corpora quadrigemina and pineal gland; +, the fourth ventricle; 7, pons Varolii; 8, medulla oblongata ; 9, cerebellum ; 1, the olfactory bulb ; 11, the right optic nerve; 111, right third nerve. time being. Thus we see that the olfactory mucosa during the prevalence and progress of a catarrh, some- times discharges a fluid, sometimes a viscid material, and sometimes a compound of both. Therefore should the physiological balance in con- sistency and means of exit of this fluid—the cerebro-spinal —be to any considerable extent, or for any lengthened period disturbed, it becomes self-evident that the end must be a pathological condition, characterised as to incidence, and nature, according as the disturbance. 76 ' BIOLOGICAL PHYSICS involves the liquid or more solid elements of the fluid, under either, or both, of which conditions the indications are, in a word, to obtain and maintain the “freedom of exit, As types of the pathological conditions resulting respectively from a disturbed condition of the pituitary and serous elements of the cerebro-spinal fluid respectively, we would mention acromegaly and acute rheumatism. EXTRACT Vi. ON NERVINE, OR NEURONIC, SECRETION, AND INTRA- FIBRAL CIRCULATION OF THE WHITE, OR MEDUL- LARY, AND THE AXIS CYLINDER SUBSTANCES, AND ON THE STRUCTURE OF SYSTEMIC NERVE FIBRES, WITH THE “NODES OF RANVIER.” As bearing on, and dovetailing with, the subject of maintaining a proper circulation and “pressure equi- librium” within and without the nervous system in its widest aspects, a few of the ways in which excretion is secured from that system may be shortly described, in supplement of what has already been incidentally said when alluding to the details of cerebro-spinal circulation and excretion. The first in prominence, and to some extent in importance, is the nasal excretion or discharge, which is more or less constant, and abundant under ordinary circumstances, but which may, in response to the stimuli of sneezing, blowing, and rubbing of the nose, be supplemented as occasion requires (Fig. 12). The second consists of the tonsillo-glosso-pharyngeal mucosa, and represents the local outfall, or outflow, of the pituitary gland (Fig. 15). The third may be described as the anal, or perineal, and may be said to be due to gravitation and capillary force, aided and increased by the movements of the lower extremities when in activity, and regulated by the action of the muscular texture of the coccygeal body and overlying anal musculature. While the fourth, and greatest in extent, may be denominated the general one, that is, through the peripheral endings of the nerve fibrils throughout the body, as illustrated 78 ' BIOLOGICAL PHYSICS by ordinary transpiration and perspiration, both general and local. In other words, the process of excretion of nerve debris would seem to us, on continuing the study of its mechanisms, to be affected through several channels in particular, and through the nerve endings, motor and sensory, in general, the particular channels being the olfactory tracts and nerves, the glosso-pharyngeal, or Fic. 12.—VIEW OF THE ANTERIOR SURFACE OF THE PONS VAROLU AND MEDULLA OBLONGATA, WITH A SMALL PARTICLE OF CORD ATTACHED. a, a, pyramids; 4, their decussation ; ¢, c, olives; @, d, restiform bodies; ¢, external arciform fibres, curving round the lower end of the olive; / fibres described by Solly as passing from the anterior column of the cord to the cerebellum; g, anterior column of the spinal cord; 4, lateral column; g, pons Varolii; 7, its upper fibres ; v, v, roots of the fifth pair of nerves. pituitary, excretory mechanism, and the coccygeal gland and associated structures, with, it may be, the axillary glands, so far as they are related to the systemic nervous system and certain cutaneous surfaces, particularly between the toes and fingers; the odoriferous qualities of the excre- tion in these latter regions, howsoever produced, whether from hemal, or neural, sources, or both, pointing to high toxicity, and the consequent necessity for its immediate elimination from the system, or before it has had an opportunity of rejoining and contaminating the returning hzmal lymph streams. t é i; 7 ON NERVINE SECRETION 79 The general cutaneous surface (Figs. 16, 17, 18) may be said to afford the largest area for the requirements of the economy of systemic nervine excretion. It will be observed, however, in this enumeration of eliminatory means, that apparently no provision is thereby provided for the excretory necessities of the sympathetic nervous system. This, however, we think can only be apparent, not real, because its trophic functions demand the fullest eecretonal facilities which can be afforded, and on the free Fig, 13.—SECTION OF THE UPPER PART OF THE BRAIN AND MENINGES TO SHOW THE RELATIONS OF THE ARACHNOIDAL VILLI. (Key and Retzius.) Magnified. ¢, €, corpus callosum ; /, falx cerebri; s.@, subarachnoid space, pervaded by a net- work of fine trabeculae ; from it the fungiform villi are seen Erviccune into the dura mater. Some are projecting into the superior longitudinal sinus, s surfaces of the skin, and of the mucous and serous mem- branes lining the various cavities of the body, as well as on the various synovial surfaces of the joints and burse, and through the great excretory organs, the kidneys. It will thus be seen that the sensory side of the nervous system proper, and the sympathetic system, are provided with an abundant and ready means of relieving themselves of their waste products, but that the motor side of the nervous system proper is not correspondingly provided for. When, however, we consider the matter in its details we cine we will be able to see that excretion even here is effected by and through the terminal nerve fibrils, 80 BIOLOGICAL PHYSICS within the substance of the muscular structures to which they are distributed (Figs. 19, 20). The neurilemme surrounding the motor nerve-terminal fibrils become continuous with the sarcolemme of the FIG. 14.—BASE OF THE BRAIN WITH THE ORIGINS OF THE CEREBRAL NERVES. (Allen Thomson.) 4. This figure is taken from an adult male brain which had been hardened in alcohol. 1, superior longitudinal fissure; 2, the olfactory tract and sulcus; 2’, orbital con- volutions; 2”, inferior frontal convolution; 3, 3, 3, fissure of Sylvius; 4, 4, 4, temporo-sphenoidal lobe; 5, 5’, occipital lobe ; 6, on the right anterior pyramid of the medulla oblongata above the decussation ; 7, amygdaloid lobe of the cere- bellum; 8, biventral lobe; 9, slender lobe; 10, posterior inferior lobe; +, the inferior vermiform process ; I, olfactory bulb; I’, the tract divided on the left side ; II, in the anterior perforated spot, marks the right optic nerve ; the left has been cut short; III, on the right crus cerebri, denotes the third nerve; IV, the fourth nerve; V, the fifth; VI, on the pons Varolii, the sixth; VII, also on the pons Varolii, the facial with the auditory nerve on its outer side; XI, on the cerebellum below the flocculus, indicates the spinal accessory nerve ; between it and the auditory are seen the glosso-pharyngeal and the vagus; XII, on the upper part of the left amygdaloid lobe, denotes the hypoglossal nerve; C1, on the same, the suboccipital nerve. various muscular fibres on which they are spread, or with which they are connected, the terminal organs, or ‘‘ muscle plates”’ excreting into the substance of these structures their entire contents, and, consequently, their effete ON NERVINE SECRETION 81 materials, or such as find their way along that side of the systemic nervous system. Here the general lymphatic circulatory system, as distinguished from the cerebro- spinal lymph circulatory system, takes up the function of removal or scavenging, of the materials so excreted, as well as of those resulting from muscular action and tear and wear, and, combining them, removes them to the great blood stream for final disposal—the lymph spaces, Fic, 16. FIG, 15.—MAGNIFIED VIEW OF A SWEAT GLAND, WITH ITS DUCT. (Wagner.) a, the gland surrounded by fat-cells; 4, the duct passing through the corium; ¢, its continuation through the lower, and d, through the upper part of the epidermis. Fic. 16.—DEVELOPING SWEAT GLANDS FROM A SEVEN MONTHS’ FOETUS. Magnified 50 diameters, (KGlliker.) a, horny layer of the epidermis; 4, Malpighian layer; @, rudimentary gland; e, lumen of the duct, opening at upon the surface of the skin. channels, vessels, and glands of the lymphatic circulation proper, each contributing their ‘“‘ quota” of conveying and sorting of the refuse material. The distribution of the systemic motor nerve fibres and fibrils, as well as the sympathetic motor filaments, 1s virtually to every muscular fibre and fibril in the body, whether striped, or unstriped, and suggests, as elsewhere stated, the thought that these motor nerve fibrils might convey to the sarcous elements of the muscular system universally, nutritious material, as well as force, or impulse, F 80 "BIOLOGICAL PHYSICS which thought further suggests that toxicity of that supply of material would result in pathological disturbance of the — muscular structures to which the nerves affected were communicated. Thus, it might be inferred that such a disease as rheumatism might, and most likely does, arise from a contaminated, or toxic, supply of neural excretion; or, as we contend, nutritive plasma, and that the pain and stiffness characterising that disease are due to the convey- ance, or circulation, of a certain materies morbi from the nerve endings into the muscular structures involved. i eer ae eae cet aac = : SR our at UL | | | | me SS NL LL ERERIT eS F1G. 17.—NERVE-ENDING IN MUSCULAR FIBRE OF A LIZARD (Lacerta viridis), ACCORDING TO KUHNE. (Highly magnified.) a, end-plate seen edgeways ; 4, from the surface. 5, s, sarcolemma ; 4, Z, expansion of axis-cylinder. In 4 the expansion of the axis-cylinder appears as a clear network branching from the divisions of the medullated fibre. Rheumatism will, therefore, most likely be found to be, and we think is, a disease primarily of the nervous system, and not of the blood, the blood becoming secondarily affected through, or by the removal into it of, this toxic matter, through the agency of the lymphatics returning from the affected muscles, or by direct imbibition of the tainted material, or materies morbi, by the blood-vessels supplying them. But this is a digression into the patho- logical aspect of the subject of circulation which can be more consistently dealt with when we reach the clinico- pathological stage; we shall, therefore, resume the study of neural circulation, extra- and intra-. But the extra-neural circulation having already been considered in some detail ON NERVINE SECRETION i a in this and previous studies, we shall first proceed to discuss the nature of what we, by a use of ‘scientific licence,” may call the intra-neural circulation. The intra-neural circulation, if circulation it can truth- fully be claimed to be, is, like the extra-neural circulation, of a duplex character, and it consists of the necessarily limited movements within more or less completely closed FiG. 18.—TERMINATION OF A NERVE IN A MUSCULAR FIBRE OF THE LIZARD (Lacerta viridis). (Ranvier.) Very highly magnified. A, outer sheath of the nerve-fibre (sheath of Henle, according to Ranvier); 4, bifur- cation of the fibre; ¢, node; 2, short segment beyond the node; », terminal ramifications of the axis-cylinder ; 7, nuclei on the branches of the axis-cylinder ; nm’, nuclei in the granular substance of the end-plate. The granular substance lies in the intervals between the branches of the axis-cylinder ; it is not seen in this figure. vessels of plastic, or semi-fluid, substances as represented by, in the first place, the “white substance of Schwann,” and, in the second place, by the substance of the “axis cylinder” (Figs. 8, 9). The intra-neural, or axonal, circulation is necessarily, therefore, entirely different from the extra-neural circulation, inasmuch as it consists of the movement of that substance, or those substances, which may be described as truly nervine within the walls of the nerve cells and the lumina of the nerve fibrils, which latter are bi-tubular and may be 84 ' BIOLOGICAL PHYSICS slow, or rapid, according to the condition of the body in relation to rest and movement, and according to the activity of the sanguineous circulation and the mental organism (Figs. 18, 19). This circulation is molecular and capillary, and is effected by the usual forces operative under such circum- stances, plus the influences due to vitality, in each of which respects it may be compared to the ‘ascent of the sap” and kindred movements in plant life. The substance composing the axis cylinder of nerve fibril (Figs. 8, 11), or what we may call the true nervine substance, is of consistency sufficient to prevent En FIG. 19.—PART OF A SECTION OF ONE OF THE FUNICULI OF THE SCIATIC NERVE OF MAN. Magnified (after Key and Retzius). P, Perineurium, consisting of a number of closely arranged lamellae. £2, processes from the perineurium, passing into the interior of the funiculus, and becoming continuous with the endoneurium, or delicate connective tissue between the nerve- fibres. The connective tissue fibrils of the endoneurium are seen cut across as fine points, often appearing to ensheath the nerve-fibres with a circle of minute dots (fibril-sheath of Key and Retzius). Numerous nuclei of connective-tissue cells are imbedded in the endoneurium ; z, section of a blood-vessel. rapid movement, but is yet sufficient to allow of considerable molecular and mechanical displacement, and hence circulation ; as, for example, when a nerve trunk is pressed upon for some time its nerve fluids, or its intra- fibrillar contents, become discontinuous to such an extent as to prevent the passage of the usual nerve force currents until their continuity is again restored, which usually requires an appreciable time. The axis cylinder, or true nervine substance, is surrounded bya coating, or con- taining wall, of neurokeratine, which, in turn, is overlaid by a continuous covering of the ‘‘ white substance of Schwann” enclosed by its containing, or primitive, sheath, also composed of neurokeratine (see figure 8, page 73). The continuity of this insulating and protective covering, or tube, of ‘“‘the white substance of Schwann,” or medullary sub- ON NERVINE SECRETION oo- LA stance, is said to be interrupted by the “‘ nodes of Ranvier’ (Figs. 8, 20), but we contend that this is only apparent and not real, and that the apparent interruption is due to she compression, but not to the complete interruption, of its continuity exercised by those nodes, and thus, moreover, is secured the apparent raison d’étre of this insulating protecting medium. ‘The axis cylinder being necessarily for func- tional purposes, continuous from source to termination in its fully formed or normal condition within each neuron, and depending for its integrity on the completeness of its surroundings and insulating structures, we feel ourselves warranted in inferring that the “white substance of Schwann,” with its containing sheath or neurilemma, is also FiG, 20.—A SMALL BUNDLE OF NERVE FIBRES FROM THE SYMPATHETIC NERVE. (Key and Retzius.) The bundle is composed of pale nerve-fibres, with the exception of the fibre 72, 2, which is enclosed here and there by a thin medullary sheath; x, , nuclei of pale fibres. continuous,’ although the apparent interruptions in its course caused- by the occurrence of the ‘nodes of Ranvier” seem to militate against that view. Thus, circulation of a somewhat limited extent is possible here, and, we think, required to maintain the continuity, and hence the vitality, of this viscous, but yet fluid, substance, and we, therefore, regard it as adding one more to the far from exhausted series of human corporeal circulations. Our reference to the ‘‘nodes of Ranvier”? and our expression of dissent from the received opinion regarding their complete interruption of the continuity of the medullary or ‘“‘ white substance of Schwann,” necessitate we think a further reference and, if possible, a fuller explanation of the questions involved. The “nodes of Ranvier” are histologically well-defined structures, occurring at certain, but varying, intervals, along the 86 _ BIOLOGICAL PHYSICS course of a large portion of the peripheral nerve fibres, comprising the nerve trunks of a great proportion of the systemic nervous system, and it may be certain com- municating filaments of the sympathetic system, and being thus so well defined and so widely distributed, we must suppose that they possess functions and perform a duty, or duties, static or dynamic, in the complicated economy of the nervous system. We must, consequently, proceed to assign a use, or function, to the ‘“‘nodes of Ranvier,” and in doing so we must observe that a tube like the containing sheath of the ‘‘ white substance of Schwann,” and of the axis cylinder substance, must be subjected to great strains from external pressure, as well as from the disrupting influence of bulging from within due to disturbances of the continuity of their contents, which, we may take it, are usually in a semi-fluid state. We therefore consider ourselves warranted in regarding these structures, these “nodes of Ranvier,” as circular supports developed in, and around, the substance of the primitive membrane, or containing wall, of the “‘ white substance of Schwann,” in the manner of strap and buckle arrangements of their constituent material; and that it is further possible to recognise, as the agents in their production, growth, and continuation, the “nerve corpuscles” or ‘cells ’’ distributed along the course of the same mem- brane. If this strengthening or supporting function of these “nodes” be granted it is no longer a matter of surprise or wonder that a peripheral- or systemic-nerve- or trunk- is such a resisting structure, and that the continuity of the axis cylinders of its component fibres is so admirably maintained and ensured. The ‘‘ nodes of Ranvier” must therefore rank as adaptations of texture to meet special emergencies of the greatest importance. But it seems to us that besides the function of support performed by the ‘nodes of Ranvier” to the sheath of Schwann, they also may be regarded as va/ves (Fig. 20) in the circulation of the “‘white substance of Schwann,” and axis cylinder substance within their sheaths, allowing of the passage of these substances towards the periphery of the nervous system, but opposing a barrier to their regurgitation or ON NERVINE SECRETION S73 backward flow (Fig. 21), thus securing the integrity of the nerve cells, cerebral and ganglionic, against mechanical pressure and violence, besides aiding in procuring the outlet, or the excretion, of the materials secreted by, and produced in, the nerve als with their waste products. The ‘‘white substance of Schwann” and its sheath, with the associated “‘ nodes of Ranvier,” thus act in the triple capacities of insulating, supporting, and protecting agencies. The occurrence of pain, it might here be~ remarked, as a nerve phenomenon as well as a symptom of digs. is bound up with the maintenance of the integrity of these structures, and consequently pain may thus be expected to be felt where they are naturally thin, FIG, 21.—NERVE-FIBRES STAINED WITH NITRATE OF SILVER TO SHOW FROMMANN’S. MARKINGS IN THE AXIS-CYLINDER. (Ranvier.) A, Fibre showing a node, a, with the constricting ring. The axis- cylinder has become shifted, and the part which was opposite the node and which is stained by the silver, is now below it; 7, conical enlargement of the axis-cylinder. B, Isolated axis-cylinder. as at the distal terminations of the peripheral nerve fibrils in the cutaneous envelope of the body, where the ‘“ white substance of Schwann”’ is said to be usually absent or sparsely distributed, and in the substance of tissues and organs, where sensory nerve fibrils more or less likewise terminate. It may also be expected to be felt wherever the continuity of these protective tissues is interfered with by pressure, or injured by traumatic influences: pain, moreover, in itself may be regarded as a molecular disturbance of the material of the axis cylinders of the nerve fibrils involved, initiated, and realised, or felt, at the spot, or conveyed outwards to the distal terminations of the involved fibrils from the initiating central, or proximal, nerve fibre indirectly or reflexly, so to speak, from the lower centre with which it is related. EXTRACY VII, ON CIRCULATION IN ITS GENERAL NERVINE BEAR- INGS, AND “CIRCULATIO CIRCULATIONUM OMNIA CIRCULATIO.” In describing the bond of union, or connection, between the circulation of the blood proper, and, what we have called the cerebro-spinal, or nervine, circulation, let us begin with the cerebral capillaries by which the brain pabulum is laid down amid the neuroglial matrix or stroma, where the true nerve elements, as neurons, take their origin and grow. These vessels, by a process of osmosis through their walls, exude this nutritive material into the neuroglial matrix in the more or less amorphous form in which the neurons, it seems to us, take it up, by their dendritic processes and attached gemmules (Fig. 22),as distinguished from their axonal processes and cell walls, these latter being mainly insulating and protective, and surrounded by peri-saccular and peri-axonal lymph spaces. Within the matrix of the neuroglial tissue it seems to us that the terminating peri-vascular spaces, and incipient or nascent peri-saccular and peri-neural spaces, merge or unite and ‘‘ give and take,” thus joining the peri-vascular and the peri-neural lymph circulation into one “‘ system of circula- tion.”” In other words, we see here a circulation which secures that the brain and cord and nerves are floated in lymph, or fluid, that they are supported by a column of fluid internally, and that the entire substance of the neuroglia wherever existent, in brain, or cord, or ganglionic enlargement, is inter-penetrated by the same. Thus are provided support and protection, with facilities for nutri- eT ae ee CIRCULATION IN ITS NERVINE BEARINGS 89 tion and elimination, all of which are of the most vital importance to these the most important organs of the body. FIG. 22..-RAMIFIED NERVE-CELL FROM ANTERIOR CORNU OF SPINAL CORD OF MAN. (From Gerlach.) a@, axis-cylinder process. 4, clump of pigment granules. Above the cell is seen part of the network of fibrils mentioned in the text. On the Mechanisms of Cerebro-Spinal Lymph Excretion. The cerebro-spinal lymph, when formed, passes into the cerebro-spinal intra-spaces and inter-spaces along the peri- vascular and peri-neural spaces or canals, and thus conveyed, fills or occupies the ventricles of the brain, the central canal of the cord, and the sub-arachnoid and sub-dural spaces ; and being a locally fluctuating and varying quantity, we 90 - BIOLOGICAL PHYSICS must look to this circumstance for a means of obviating the dangers arising to the functional powers of the impor- tant structures composing the nervous system. Therefore, notwithstanding that we have been saught to consider the cerebro-spinal cavity a ‘‘ shut sac,” we have satisfied our- selves it is not so, because we have discovered in a continuation of our enquiry into the subject of cerebro- spinal lymph circulation, so far as it is applicable to the elucidation of the problem, and in so far as it is required to complete our survey of the nervine circulation, that it is, on the contrary, abundantly perforated and physiologically pervious and porous. Moreover, in pursuing these enquiries, we have asked ourselves again and again, is it possible after a// that the cerebro-spinal cavity 7s a‘“‘shut sac” ? and have answered ourselves by asking, 7s it possible after all that the most important organs in the body are suspended in, and inter- penetrated by, a fluid largely composed of their own debris and noxiously impregnated with the toxins resulting from the exercise of their own structures and functions and for which there are no possible outlets available? To the latter questions we have, therefore, felt constrained to return a negative answer, and, in justification of our unbelief we venture to suggest the following alternative views: It was once said that ‘‘ Nature abhors a vacuum,” the saying being elicited from its author under pressure. We would now say, in all spontaneity, that nature also abhors a stasis and toxicity, and delights in the perpetual movement of matter, whether in large or small masses, or whether in molecular, or stellar, manner and proportions, and in an atoxic condition. Applying these aphorisms to our consideration of the problem of the disposal of the cerebro-spinal fluid, they enable us to satisfy ourselves that here we are dealing with no exception to the rule of perpetual movement, or circu- lation, in matter, and that we have only to follow it up to find that nature does not interpose blank walls against which that fluid may contend in hopeless imprisonment, but, on the contrary, that she provides a loopholed, yet carefully guarded circulatory receptacle into which it can vow Ee: a ee ee —@® Oe oe ey ¢ CIRCULATION IN ITS NERVINE BEARINGS g1 ~ _ run, or trickle, and out of which it can gravitate spon- taneously, or be liberated, by ordered function and mechanism, in non-autotoxic manner and safe degree. We grant that the cerebro-spinal cavity is occasionally a “* shut sac,” but the occasion is only when the quantity of fluid within it coincides with its available space, or when a pathological condition arises in which the natural outlets FIG. 23.—SMALL BRANCH OF A MUSCULAR NERVE OF THE FROG, NEAR ITS TERMINATION, SHOWING DIVISIONS OF THE FIBRES, Magnified 350 diameters. (KoOlliker.) a, into two; 4, into three. are closed. From this it will be perceived that circulation here is essentially necessary to meet nature’s wants in the performance of healthy function and the obviation of disease. To make plain the nature of this circulation, we shall first consider in some detail the nature of the mechanisms by which it is accomplished, and, in doing so, it may be well to refer shortly to the condition and relations of some of the parts concerned in its embryonic state. 92 - BIOLOGICAL PHYSICS At the stage of embryonic development, when the neuro- enteric canal has just been formed, we may infer that its structural continuity warrants the assumption that there is also functional continuity, and that there are, therefore, common inlets and common outlets to and from the common canal. That being so, we are warranted further in inferring that with the developmental differentiation which afterwards takes place at the posterior inferior aspect of the canal, the common structural and functional attri- butes are, to some extent, maintained, or, at least, that the separation of the canal into two parts is not structurally absolute, and therefore that there still continues a sympathy between the two and a physical union sufficient to maintain a modified circulation : in fact, just such a connection as can keep open a channel, or Seance. of escape for the super- abundant fluid contents of the cerebro-spinal cavity at its posterior extremity. In the process of developmental separation of the neurenteric canal into two divisions and their reunion anteriorly, the differentiating and uniting or metamorphic structures laid down between them are left perforated and patent—patent, that is to say, on the prin- ciple of the safety-valve. These perforated areas, or sections, of the cerebro-spinal, meningeal, and ventral structures must, therefore, be looked for where the neural and ventral canals were origi- nally united, and where they were likewise originally separated, and there we find them—anteriorly in the nasal fosse, the pharynx, and the hypophysial mechanism, with its connected glosso-pharyngeal excretory structures, the tonsils, lateral and pharyngeal, the uvula, and the tongue ; and posteriorly in the peri- and endo-anal textures. Besides these three special outlets, we must here express it as our deliberate opinion that every nerve, cephalic and spinal, which leaves the cerebro-spinal cavity—and of course they all do—takes with it at least two surrounding open spaces, the continuations of the sub-arachnoid and sub-dural spaces (Fig. 24), which afford an additional and, in fact, continuous chain of openings by which, as occasion requires, the cerebro-spinal fluid can be run off. We wish it, thus, to be understood that we believe in the continuity oe the cerebro-spinal meninges and the inner layers of the neuri- o, deere ete e- > NRE em tee may 4 CIRCULATION IN ITS NERVINE BEARINGS 93> lemme. In other words, that the meningeal coverings of the various nerves are mot reflected back into the cerebro- spinal cavity, but that they continue or progress with their dividing interspaces to the ultimate extremities of each terminal fibre, both sensory, motor, and sympathetic FIG, 24.—SECTION THROUGH THE PLACE OF EXIT OF A SPINAL NERVE- ROOT THROUGH THE DURA MATER. (Key and Retzius.) a, bundles of the nerve-root becoming collected into a single bundle as they emerge ; 4, dura mater; c, arachnoid; d, a reticular lamella of the arachnoid reflected along the nerve-root ; s, subdural space ; s’, s’, subarachnoid space. “‘nervi communicantes,’ and that they end with the nerve endings. ‘Thus we find, as we strongly suspected we would, that a great series of excretory tubes with safety-valve outlets have been introduced into the mechanism of this cerebro-spinal ‘‘shut sac,’’ subserving, no doubt, impor- tant, yea, absolutely essential functions, in the regulation of intra-cranial and intra-spinal pressure and the provision of excretory facilities. EXTRACT. Virb x: ON THE ORGANS OF NEURAL EXCRETION. The Pituitary and Pineal Glands in their Relationship with Cerebro-Spinal Lymph Circulation and Excretion. In this connection it appears possible and proper to assign functions of great eliminative, or excretory, importance to the curious and much debated structures known as the pituitary (Fig. 29) and pineal glands. Thus the pituitary gland, situated in the se//a tursica, and surrounded by an extension of the venous circulation of the brain called the circular sinus, consisting of a series of blood spaces or ‘“‘ back-water pools,” so to speak, into which we think the more fluid and less effete contents of the contained glandular organ can well and filter, and be carried away in the blood streams issuing therefrom. The pituitary body is suspended from the infundi- bulum, into which the third ventricle may be said to drain through a narrow “pit” situated in a hollow in its floor, the less fluid as well as the more solid residual matter of the ventricular cavity, that matter being guided hither by the ciliary activity of its endothelium and the passive influence of gravitation. Situated thus it, the pituitary body, must become the receptacle of a mixture of materials, consisting of cerebro-spinal lymph, endo- thelial cell debris, neuroglial oozings, and whatever else obtains an entrance into it, which it must of anatomical necessity dispose of, and ‘his, we claim, must be its func- tion ; and surely no mean function, yea, a function second to none in the whole category of glandular functions in ORGANS OF NEURAL EXCRETION — 95° its direct bearings on the great problem of life and health. In disposing of this great mass of excretory material, its anciently believed, but now denied glandular texture and character must simply be ‘‘ what is required” to enable it to deal effectually with it. Hence, we may be prepared to find that the serous or fluid part of it can effect an easy exit through its wall into the surrounding blood channels, leaving the residual or true pituitary portion to be dealt with by its proper gland textures. FIG. 25.— TRANSVERSE VERTICAL SECTION OF THE NASAL FOSSA SEEN FROM BEHIND, . (Arnold.) 3. 1, part of the frontal bone; 2, crista galli; 3, perpendicular plate of the ethmoid; between 4 and 4, the ethmoidal cells; 5, right middle spongy bone; 6, left lower spongy bone; 7, vomer; 8, malar bone; 9, maxillary sinus; 10, its opening into the middle meatus. This process of excretion may, therefore, be regarded as a sifting and cleansing process, and the central part of the scavenging economy of the cerebro-spinal lymph highways and byeways. We feel constrained likewise to claim for the pineal gland that it has been properly named by the early exponents of anatomical learning, and that its later nondescript character has been wrongly assigned to it, and we claim further that it plays a part in the excretory work of the third or central ventricle. The pineal gland occupies anatomically a very different position from that of the pituitary, viz. the roof, instead of the floor of the ventricular cavity, and so of necessity 96 - BIOLOGICAL PHYSICS it must act in a much more intermittent manner, the one (the pineal) only acting when the ventricular space is full and ‘running over,” so to speak, while the other (the pituitary) must always be more or less active. Hence we may assume that it disposes of only the more fluid con- tents of the overflowing space, the more solid gravitating and being swept away into the more dependent gland, and, consequently, we may be prepared to find that any solid materials found in it will represent the crystalline or FIG. 26.—NERVES OF THE OUTER WALL OF THE NASAL Foss, (From Sappey, after Hirschfeld and Leveillé.) 3, 1, network of the branches of the olfactory nerve, descending upon the region of the superior and middle turbinated bones ; 2, external twig of the ethmoidal branch of the nasal nerve; 3, sphenopalatine ganglion ; 4, ramification of the anterior palatine nerves; 5, posterior, and 6, middle divisions of the palatine nerves ; 7, branch to the region of the inferior turbinated bone; 8, branch to the region of the superior and middle turbinated bones ; 9, naso-palatine branch to the septum cut short. earthy matter held in solution or suspension by the comparatively clean supernatant fluid passing through it, and this is really what we find, the substances usually observed being crystals or accretions of carbonate of lime and phosphate of magnesia, in, or around, a matrix, or nucleus, of organic material. It is, therefore, obvious that the conclusions come to by the earliest observers regarding the structural charac- teristics of these bodies are really true, in the sense that their structures are true glands, and, consequently, if ORGANS OF NEURAL EXCRETION | 97 that we are warranted in claiming that their true functions are not really cerebral, or nervine, but, as their title implies, secretory, or excretory, or what may be called vehicular. These views seem to us to open wide fields of investi- gation and research for the physiologist, pathologist, and clinician of a most promising character, the following up of which we think is bound to repay, both in additions to our exact and scientific knowledge, and our practical resources. Moreover, the embryological study of the nervous system affords the means, not only of tracing the evolution of its component parts, but of perceiving the hidden meaning of the existence of these textures known as the pituitary and pineal glands, which are now regarded as FIG, 27.—NERVE-FIBRES FROM THE OLFACTORY MUCOUS MEMBRANE. (Max Schultze.) Magnified between 4oo and 500 diameters, From a branch of the olfactory nerve of the sheep; at a, a, two dark bordered or medullated fibres, from the fifth pair, associated with the pale olfactory fibres. the anatomical ‘survivals’? of once important organs in the everyday active life of some of our remote ancestors, or progenitors. This latter view, however originated and sanctioned, may be highly convenient as a means of saving further trouble, and of satisfying the amour propre of some enquirers after truth, but is highly objectionable, inas- much as it shelves the needed investigation of the problems involved and deprives mankind of the practical benefits to be derived therefrom. Survivals forsooth ! Tis nothing less than an insult to ature, and an impeachment of her working and administration of the law of “evolution,” to manufacture and propagate this story of her prodigality in the use of most valuable cephalic, or brain, space as a museum for the storage of obsolete organisms, and her persistent exhibition of a juvenile affection for the display of some of the works of her “prentice” hand in this, the G 98 BIOLOGICAL PHYSICS gallery of her latest, best, and finest productions! These structures, called pituitary and pineal glands respectively, are illustrations of the truth of this exclamation and con- tention, and, it seems to us, that their more exhaustive study will reveal many facts indicating that they are structures of the greatest functional importance in the regulation of the cerebro-spinal lymph circulation, a circu- lation of equal importance with the great blood circulation, and a circulation, in fact, emanating from the blood circulation, and the last of the great series of circulations FIG. 28.—NERVES OF THE SEPTUM NASI, SEEN FROM THE RIGHT SIDE. (From Sappey, after Hirschfeld and Leveillé.) 3. I, the olfactory bulb; 1, the olfactory nerves passing through the foramina of the cribriform plate, and descending to be distributed on the septum}; 2, the internal or septal twig of the nasal branch of the ophthalmic nerve; 3, naso-palatine nerves. involved in the chain of vital processes called by the names deglutition, digestion, absorption, circulation proper, nu- trition, assimilation, secretion, and excretion. Thus, in the earliest stages of embryonic development and the evolution of the nervous system, we observe facilities produced and maintained for the free circulation of intra- and extra-nervine fluids: we perceive, also, that the func- tional role of these fluids is twofold, namely, to be a means whereby the results of nerve structure waste are floated out of the intra- and extra-nervine spaces, and the enclosed structures kept ‘“‘sweet and clean,” in order that their vitally important functions may be performed free from friction and auto-interference, in order that the mental oa fe ree *. ORGANS OF NEURAL EXCRETION 99 and physical output, so to speak, may reach its highest level of production, as well as to afford a means of mechanical support, protection, and inhibition to the whole component parts of the systemic nervous system. FIG, 29.—RIGHT HAI.F OF THE ENCEPHALIC PEDUNCLE AND CEREBELLUM AS SEEN FROM THE INSIDE OF A MEDIAN SECTION. (Allen Thomson after Reichert. ) II, right optic nerve ; behind it the optic commissure divided ; III, right third nerve; I, sixth nerve; V3, third ventricle; 7%, back part of the thalamus opticus ; H, section of the pituitary body ; Z, pineal ‘gland ; below its stalk is the posterior commissure; ¢ @, anterior commissure divided, and behind it the divided anterior pillar of the fornix ; Zc, lamina cinerea; 2, infundibulum (cavity); ¢c, tuber cinereum ; behind it the corpus albicans ;_/, mark of the anterior pillar of the fornix descending in the wall of the third ventricle: cz, commissura mollis ; sp, stria pinealis or peduncle of pineal gland; Q, lamina quadrigemina; as, aqueduct of Sylvius near the fourth ventricle; cr, crus cerebri; P V, pons Varolii; 47, medulla oblongata; and behind these the cerebellum. In what may be called the “vesicular” stage of develop- ment of the central nervous system, we find that its more solid nerve elements or neurons group or arrange themselves in tubular fashion around a central cavity, which is afterwards to be known as the cerebro-spinal ventricular spaces and central canal respectively, in the lumina of which is secreted by the choroid plexuses the 100 '. BIOLOGICAL PHYSICS cerebro-spinal fluid. This fluid, as are all fluids within an organised body, is not allowed to flow at large, but is confined within well-defined limits, secured here by the growth of certain containing membranes, which ulti- mately become the meninges of the brain and spinal cord, and the neurilemmar coverings of the nerves respectively. The growth of these containing membranes, and the circulation and retention of their contained fluid, necessi- FIG. 30.--VERTICAL SECTION OF THE HEAD IN EARLY EMBRYOES OF THE RABBIT. Magnified. (From Mihalkovics.) A. From an embryo of five millimetres long. B. From an embryo of six millimetres long. In A, the faucial opening is still closed; in B, it is formed; c, anterior cerebral vesicle; ; mc, meso-cerebrum ; 70, medulla oblongata ; me, medullary layer; 7% infundibulum ; az, amnion; sZe, spheno-ethmoidal, dc, central (dorsum sellae), and sfo, spheno- occipital parts of the basis cranii; 4, ‘heart ; ; J, anterior extremity of primitive alimentary canal and opening (later) of the fauces; 7, cephalic portion of primitive intestine ; ch, notochord ; gy, buccal and pituitary involution. tates the provision of a series of excretory mechanisms, or organisms, whereby its quantity can be maintained in ‘‘balanced ratio,’ and the ceaselessly recurring dis- turbances and vicissitudes of the central nervous system neutralised. Here, then, in this connection, we may see in the very early appearance of the pituitary and pineal mechanisms, or organisms, examples of that provision, as well as a vindication of the views of the earliest anatomists regarding their truly glandular structure. The embryonic evolution of the pituitary gland (Figs. 28, 30, 32) in structure and function is marvellously completed and ORGANS OF NEURAL EXCRETION to1 maintained in post-natal growth and life, and the rdle of that body, in its association with the production of FIG, 31.—SIDE VIEW OF THE HEAD OF AN EMBRYO-CHICK OF THE THIRD DAY. (From Balfour.) CH, cerebral hemispheres ; /B, thalamencephalon ; 472, midbrain ; C4, cerebellum ; HTB, medulla oblongatae; JV, nasal pit; of, auditory vesicle not yet closed externally ; of, optic vesicle, with 2, the lens, and c4f, the choroidal fissure (in mesoblast) ; 7/, the first visceral fold or plate, the supertor maxillary fold slightly indicated above it; 2, 3, ¢/, the second, third and fourth visceral plates with the visceral clefts between them. certain diseased conditions, becomes highly suggestive when we continue to enquire more deeply into its bear- FIG. 32.— VERTICAL SECTION OF THE INFUNDIBULUM AND PITUITARY DIVERTICULUM IN THE RABBIT’S EMBRYO, AFTER THE OPENING OF THE FAUCES. (From Mihalkovics.) For the earlier stages see Fig. 30, p. roo, Aand B. dc, dorsum sellae; z/, infundi- bulum ; ¢ha, floor ot thalamencephalon; Zy, pituitary diverticulum, now closed ; # stalk of original communication with the mouth; Af, pharynx ; c#, notochord in the spheno-occipital part of the cranial basis. ings. The earliest stage at which the human embryo shows that evolution of the pituitary gland has begun is when a superior and posterior diverticulation of the 102 BIOLOGICAL PHYSICS buccal cavity takes place, and when a downward pitting and eversion of the floor of the middle cerebral vesicle shows itself; this stage is followed by the extension and approach towards each other of these diverticulations or expansions, and by their final enclosure in a common cyst wall, within which they afterwards maintain a separate anatomical and histological existence, but co-operate in the performance of a common function—their textures, the anterior and posterior lobes respectively, being in- dividually discernible, while their functional work may be regarded as common. The sella tursica, or cen- tral basi-sphenoid floor, moreover, is the earliest consolidated and _ ossified texture of the human skull, and, assuch, may be regarded as of primary importance in the support and accommo- dation of the growing, as well as the mature central nervous system, so far at least as concerns the brain Fie, spc Bears any spivar evox o with its dependent pituitary FROM BEHIND. (From Kélliker.) outlet. In association with h, hemispheres of the cerebrum; 7, corpora the formation ot this solid quadrigemina or mesencephalon; c, cere- bellum ; se, medulla oblongata, the fourth floor asa foundation on ventricle being overlapped by the cerebellum ; Ae ss, the spinal cord with its brachial and which the central great crural enlargements. z ~ nerve organisms comprised within the cranial vault can be laid down, developed, or built up in due order, we find that a series of at least three, foramina, or openings, one central and two lateral, is provided whereby the residual materials, resulting from the progress of the great developmental processes then being wrought out, can be removed, to prevent the occurrence of encumbrances and contaminations. These foraminal exits (Figs. 33, 34, 35, 36) coincide in number and position with the subjacent spongy, and, in ORGANS OF NEURAL EXCRETION 103 our opinion, excretory bodies known as the tonsils and uvula respectively, hence the frequency with which ail- FIG. 34.—SAGITTAL SECTION OF THE PITUITARY BODY AND INFUNDI- BULUM WITH THE ADJOINING PART OF THE 3RD VENTRICLE. (Schwalbe. ) a, anterior lobe; a’, a projection from it towards the front of the infundibulum, 7; 5, posterior lobe connected by a solid stalk with the infundibulum ; Z.c., lamina cinerea ; 9, right optic nerve ; cf, section of chiasma}; ~.o0.. recess of ‘the ventricle above the chiasma ; ¢.#., corpus mammillare. ments, involving the basal aspect of the cranial contents, synchronise with those attacking the throat textures, and the grounds for inferring that this is due to structural as Fic. 35.-— VIEW FROM BELOW OF THE CARTILAGINOUS BASE OF THE CRANIUM WITH ITS OSSIFIC CENTRES IN A HUMAN FOETUS OF ABOUT FOUR MONTHS. (From Huxley, slightly altered.) The bone is dotted to distinguish it from the cartilage, which is shaded with lines. 1, the basilar part; 2, the condyloid or lateral parts; and 3, 4, the tabular or superior part of the occipital surrounding the foramen magnum; 5, centres of the presphenoid on the inside of the optic foramen; 6, centres of the post-sphenoid ; 7, centres of the lesser wings or orbito-sphenoid ; 8, septal cartilage of the nose ; g and 10, parts of the labyrinth. well as functional continuity and inter-dependence. There- fore, a meaning is thus given to the hitherto apparently accidental coincidence of head and throat, as well as face affections, and a key supplied whereby the most effective 104 ‘BIOLOGICAL PHYSICS treatment may be applied to them, on somewhat definite and scientific lines, instead of on the rather empirical and haphazard principles which have hitherto been relied upon in the absence of definite anatomical and physiological bases; for instance, we may perceive common, or kindred, causes at work along definite lines, anatomical and histological, in the production of a common cold, a coryza, or an influenza, the running at the eyes and nose, the headache, the nasal and pharyngeal catarrh, with the early associated local and general symptoms, following each FIG. 36.—THE LOWER OR CARTILAGINOUS PART OF THE CRANIUM OF A CHICK OF THE SIXTH DAY, (From Huxley.) 1, 1, chorda dorsalis; 2, the shaded portion here and forwards is the cartilage of the base of the skull; at 2, the occipital part; at 3, the prolongations of cartilage into the anterior part of the skull called ¢vabecule cranii; 4, the pituitary space ; 5, parts of the labyrinth. other, or occurring simultaneously, according to which part of the involved mucosa, Schneiderian, or pharyngeal, is first invaded by the mazeries morbi, thus pointing the way to secure the amelioration, or cure, of these oft-recurring and sometimes dangerous affections. A common cold is, of course, most frequently due to mere mechanical disturbance of the process of the distribution, or circulation, of the cerebro-spinal fluid, and disappears spontaneously and without the necessity for medical intervention by the unassisted operation of the regulative influences inherent in, and the automatic health-preserving forces possessed by, all living organisms. EXTRACT. VII..s. ON THE POSTERIOR OR COCCYGEAL GLANDULATURE AND EXIT FROM THE CEREBRO-SPINAL LYMPH CAVITY. Tue third great outlet from the cerebro-spinal cavity referred to, viz. the posterior, or peri-anal,and most probably recto-anal as well, can be traced from an early stage of the development of the embryo as the neurenteric canal, which at a subsequent state of development becomes separated into two distinct canals which in time become respectively the cerebro-spinal and intestinal canals. In the inter-space formed by the process of separation of these two canals the body called the coccygeal gland or glomerulus is evolved or developed from the metamorphic structures, and continues to secure and maintain a connection between the separated cavities, by virtue of its union with what may be described as other metamorphic remains or transition structures. In our opinion the posterior outlet from the cerebro- spinal cavity contended for is secured in the following way and by the following means, viz.: In the matrix of the texture of the dividing material, or wall of division, are laid down, or rather more exactly, left, the following structures which seem to represent, not survivals only, but an organised system of vessels and organs whose office is one of excretion from the posterior end of the cerebro- spinal cavity, and whose continuity and integrity are therefore of great importance, not only in regulating intra-spinal pressure, but in providing a means by their functional attributes of maintaining the moisture and 106 ' BIOLOGICAL PHYSICS consequent flexibility of the recto-anal and peri-anal tex- tures, while acting as excretory organisms. The first of these structures is the “‘fi/um terminale”’ (Figs. 37, 38), a structure which is usually regarded as merely ligamentous, but which, to us, represents the continuation of the thecal investments of the spinal cord, and which, if not hollow, is FIG. 37.—PLAN OF THE SKULL, ETC,, OF THE EMBRYO PIG, SEEN FROM BELOW. Magnified ten diameters. (From Parker.) tr, cartilage of the trabeculae; c¢x, cornua trabecularum; /z, prenasal cartilage; pig, pterygo-palatine cartilage ; #2, the mandibular arch with Meckel’s cartilage ; au, the auditory vesicle; Ay, the cerato-hyoid arch; ¢hh, the thyro-hyoid; Zy, the pituitary fossa; ch, the notochord in the cranial basis, surrounded by the parachordals (zv); vii, facial nerve; 1x, glosso-pharyngeal; x, pneumogastric; xu, hypoglossal nerve. porous, and therefore still able by capillary circulation and gravitation, to transmit fluid sufficient to accomplish the objects hinted at above; this structure, we think, will find its natural termination in the coccygeal gland or glomerulus, which will receive its contents and functionate accordingly, but zot as a mere ligamentous attachment to the coccyx as ordinarily taught ; or, in other words, the filum terminale will “excrete” or distil its contents into the coccygeal gland or into what seems to be a ductless On THE’ POSTERIOR GLANDULATURE 107 secretory glandular organism; but the gland (coccygeal) is not necessarily closed, and we are satisfied that on close scrutiny it will uniformly be found to empty itself by means of a series of what are anatomically called “modified FIG. 38.—POSTERIOR VIEW OF THE MEDULLA OBLONGATA AND OF THE SPINAL CORD WITH ITS COVERINGS AND THE ROOTS OF THE NERVES, (Sappey.) 4. The theca or dura-matral sheath has been opened by a median incision along the whole length, and is stretched out to each side. On the left side, in the upper and middle parts (A and B), the posterior roots of the nerves have been removed so as to expose the ligamentum denticulatum, 9g, and the anterior roots, 13; and along the right side the. posterior roots, 10, are shown arising from the postero- lateral groove, and passing out through the dura mater. The roman numbers indicate the different nerves in the cervical, dorsal, lumbar, and sacral regions respectively ; 11, posterior median fissure; 12, ganglia on the posterior roots ; 14, the united nerve beyond the ganglion; 15, tapering lower end of the spinal cord ; 16, filum terminale; 17, cauda equina. sweat glands,”’ as described by some anatomists, on the margin of the anus, and we think by a series of lymph exits into the interior of the anal ending of the rectum. The coccygeal glomerulus, or gland, may thus be regarded to some extent as bearing a resemblance in structure and 108 ' BIOLOGICAL PHYSICS function to the Batrachian “lymph hearts,” and from its being traversed by muscular fibres and supplied with ganglionic nerve cells, therefore possessed of the power of emptying itsel/f, or, in other words, it possesses the power of acting as a “‘ bladder ” for the caudal extremity of the cerebro-spinal cavity. The pathological and clinical aspects of these views will, we think, be seen to have most impor- tant bearings on both the scientific and practical application of medical and surgical principles and practice. In still further pursuing our enquiries into the rdle of the cerebro-spinal circulation, we would allude in more detail to the more purely nervine aspect of the subject, and its associations on the basis of continuity with the cerebro-spinal part or aspect of the subject. Anatomically the brain, spinal cord, and nervous system proper are suspended, so to speak, within a fluid medium or covering con- tinuous from the cerebro-spinal cavity to the ultimate termination FIG. 39.—POSTERIOR VIEW OF THE LOWER END OF THE SPINAL CORD WITH THE CAUDA EQUINA AND SHEATH. (Allen Thomson.) 4. The sheath has been opened from behind and stretched towards the sides; on the left side all the roots of the nerves are entire; on the right side both roots of the first and second lumbar nerves are entire, while the rest have ‘been divided close to the place of their passage through the sheath. The bones of the coccyx are sketched in their natural relative position to show the place of the filum terminale and the lowest nerves. a, placed on the posterior median fissure at the middle of the lumbar enlargement of the cord; 4, 4, the ter- minal filament, drawn slightly aside by a hook at its middle, and descending within the dura-matral sheath ; &’, 5, its prolongation beyond the sheath and upon the back of the coccygeal bones ; c, the dura-matral sheath ; d, double foramina in this for the separate passage of . the anterior and posterior roots of each of the nerves $ e, ligamentum denticulatum ; Dx, and Dxu, the tenth and twelfth dorsal nerves; Li, and Lv, the first and fifth lumbar nerves ; S1, and Sv, the first and fifth sacral nerves ; C1, the coccygeal nerve. i ON THE POSTERIOR GLANDULATURE tog of each individual nerve fibril. The physical necessity for this provision at once becomes apparent when we consider the delicate nature of the structures enclosed, compre- hending, as they do, the insulated producers, storers and conductors of nerve force, and the machinery of intelligence, motion, and will structures, therefore indicating the vital importance of preventing the injurious influence and con- sequences of external disturbances reaching them. Histologically the continuity of the structures within which the cerebro-spinal fluid is enclosed can be traced from the cranial cavity, the bony wall of which is lined by a series of membranes, each of which accompanies the spinal cord into the spinal canal (or cavity), and thereafter spreads itself around or ensheaths every nerve trunk as it leaves that canal (or cavity), thereafter still travelling with it until it finally loses itself in the terminal extremities of the peripheral nerve fibrils, sensory and motor. These coverings (or sheaths) being thus omnipresent throughout the whole nervous system, it follows that the fluid enclosed within them must also be continuous with its environ- ments and likewise omnipresent, and therefore that it can, and must, exercise the mechanical offices of buffer and protector throughout its whole extent. We therefore again express our disbelief in the doctrine of the “shut sac,” as applied to the lining of the cerebro-spinal cavity, and reaffirm our conviction of ‘the truth” of what we have attempted to make clear, summing up our contentions in the expression once more of our belief: circulatio circulationum omnia circulatio, Thus we see that the neural lymph circulation, while it belongs to a different order from the hemal lymph circulation, may still be described as a part of she great lymph circulation. It is carried on centrally through the ventricles and central canal, the sub-arachnoid and sub-dural spaces, and peripherally mainly along or between the encircling neural coats—epi, peri, and endo—beginning in the cerebro-spinal cavity and terminating respectively in the skin, the muscles, and the sympathetic nerves—the first through the sensory nerve terminals, and the second through the motor, the latter becoming ultimately directly united with the great sympathetic or hemal lymph circulation. EXTRACT VIIl.c. ON THE CIRCULATION AND EXCRETION OF THE CEREBRO-SPINAL FLUID. Acarn the cerebro-spinal fluid, being that fluid which surrounds and interpenetrates the whole systemic nervous system, separating the layers of its encircling membranes or meninges and neurilemme, thereby preventing friction and concussion amongst its component parts and floating them, so to speak, within a fluid medium which, during neuro-muscular activity, secures their individual freedom and liberty of action, and the certainty and precision of their united employment. In the condition of bodily rest the extent of movements or circulation is reduced to a minimum ; in the condition of bodily activity, however, the extent and range of these movements must be great, according to the violence and duration of that activity; but under the combined influences of bodily activity and mental excite- ment a pitch of cyclonic, or tornado, violence of movement may be reached to which there is scarcely a limit. This therefore necessitates the provision of a system of circula~ tory vessels equal to the strain, whose function will be primarily that of circulation, and secondarily that of protecting the central and enclosed nervous system in all its parts from the effects of that violence. “Excretion” from the cerebro-spinal cavity of the effete materials collected hither from the neuroglial and nerve structures, consisting of nerve debris or “brain sweat,” and the eehoneande upon thousands” of outcast atoms from cell and tube and fibre which constitute the THE CEREBRO-SPINAL FLUID III daily currency of brain and nerve exchange, is of the greatest importance to health, and although the subject, as localised here, has to some extent been referred to, we think it has not yet been exhausted, and therefore that it is calling for further discussion. Physiologically the necessity for a solution of the many problems hinging on this most important, but com- paratively little known subject, becomes more and more clamant as the morphological and clinical facts, the bacteriological data, and the generalisations deducible from them accumulate, and because the practical bearings ot that solution on the clinical work of the physician and surgeon, both diagnostic, therapeutical, and prophylactic, must be estimated as of the first importance ; besides, it opens up avenues of possible progress for the sanitarian, and aids in clearing “the field of vision” of the exponents of preventive medicine. In continuation of the discussion, we would reiterate that the role of the cerebro-spinal fluid seems to us to be to a large extent excrefory, and that one of the main functions of the channels, already described as pervading the entire nervous system, would seem to us to be to afford a means of direct exit for the effete and worn- out material resulting from the disintegration of nerve structure due to tear and wear. The circulation of the blood generally, through the capillaries of the vascular system proper, affords the means by which nutritive materials are conveyed to where they are required, and whereby osmosis or molecular circula- tion, into the tissue matrix and enclosed tissue spaces, through the walls of these vessels they finally reach, by physiological selection, the various textures and organs composing the body, and become appropriated and in- corporated by them. This process (the nutritive) having been accomplished, and a variable period of sextural incorporation enjoyed by these materials, what remains of their intra-corporeal journeyings and wanderings is resumed. In other words, after their brief period of incorporation and settled (?) tenancy of the bodily fabric, and their brief span of communal existence is, so to speak, ended, when in turn they become worn by atomic, or 112 ' BIOLOGICAL PHYSICS molecular, circulation, and disintegrated by use, their journey into the blood stream is accomplished through the lymph spaces, channels, and vessels: and here comes into view a great and hitherto unanswered question, a question underlying all theories of nutrition and excretion —the question of whether these effete and outgoing materials become mixed with the incoming and nutritive materials, and whether a serious seeming error in the “‘plans of nature”’ has not been perpetrated. In framing an answer to this question as to the possible contact and admixture of effete, and outgoing, with nutritive, and incoming, materials, within the most vitally important structures of the body, we would regard it as almost a necessary duty to invite the attention of those interested in such problems to the matter, as of greater importance than anything that meantime we could advance at this stage of our enquiry. Here, nevertheless, we would in a qualified and tentative way conclude that the removal of the effete materials from the nervous system, as distinguished from the rest of the system, is effected by the peri-, epi-, and endo-neural channels, and that therefore the nervine excretory mechanism is almost, though not quite (the exception being musculo-nervine or neuro-muscular), isolated. In other words, and to make the various steps of the problems involved clearer and more comprehensible, we would recapitulate shortly what we have already advanced, thus—the blood circulation carries directly to nearly every structure of the body what nourishment it requires, the great exception being the brain and systemic nervous system, where the blood circulation, instead of delivering the nutritive materials directly to the neuronal structures, lays them down and stores them, so to speak, in the stroma of the neuroglia, where they are taken up as required by the gemmules and dendrons of the nerve cells, and conveyed to the various intra-cellular structures and distally attached nerve fibrils or axons, where, after forming for a time constituent parts of the nervous structures mentioned, they move on to the terminal extremities of these axons, and are detached there as epidermis or as sarcous substance, the latter joining the hemal lymph and returning into the blood. THE CEREBRO-SPINAL FLUID 113 Continuing, we would recall that the processes of cerebro-spinal circulation and excretion are accomplished through the complicated series of spaces, inter-spaces, channels, and terminal outfalls found in, and surrounding, the entire nervous system, comprising brain, spinal cord, and nerves, systemic and sympathetic, by the agency of capillary force, mechanical displacement, gravitation, not to mention the occult operation of what might be called vital hydraulics and hydro-dynamics. The vessels, as we may call them, through which all this cerebro-spinal fluid passes, consist of the meninges with Fic, 40.—A, Two TACTILE CELLS IN THE DEEPER PART OF THE HUMAN EPIDERMIS. (Merkel.) B, ENDING OF NERVES IN TACTILE DISCS IN THE PIG’S SNOUT. (Ranvier.) 2, nerve-fibre ; 7, terminal menisci or tactile disks; e, ordinary epithelium-cell ; a, altered epithelium-cell, to which the meniscus is applied. their inter-spaces, the peri-neural extensions of these meninges with the neurilemmar inter-spaces surrounding the nerve fibres, fibrils, and terminal arborisations. True, a good deal of what has been advanced here and elsewhere in this diary requires more complete anatomical decipherment and exact histological proof before its accep- tance can be absolutely claimed, but also true, we, so far as our own observation enabled us, and so far as we could procure materials from other sources published, and other- wise to assist us, we have confined ourselves in pronouncing our disbeliefs in accepted doctrines and in formulating our own views respecting many of them, to the use of strict methods of induction. H I14 *« BIOLOGICAL ‘PHYSICS Connected with the economy of nervine excretion we ought, perhaps, to have shortly related or recalled how and by what means it is intrinsically accomplished. The various openings, or rather series of openings, by which the effete materials floated into the great body of the cerebro-spinal fluid find an exit may be named as follows :—the nasal, the pituitary, the coccygeal, the cutaneous, and the muscular, and, connected with the latter, the general lymphatic. FIG. ° 41.—SUPERFICIAL MUSCLES OF THE PERINEUM IN THE MALE. (Modified from Bourgery.) (A.T.) 4. @, spine of the pubis; 4, coccyx: c, placed on the tuberosity of the ischium, points by a line to the great sacro-sciatic ligament; X, anus; 1, placed on the corpus spongiosum urethrae in front of the bulbo-cavernosi muscles ; 2, central point of the perineum ; 3, ischio-cavernosus; 4, transversus perinei; 5, levator ani; from 2 to 4, external sphincter of the anus; surrounding x, is the internal sphincter ; 6, coccygeus: 7, adductor longus; 8, gracilis; 9, adductor magnus; 10, semi- tendinosus and biceps; 11, on the left side, the gluteus maximus entire; 11’, the same cut on the right side, so as to expose a part of the coccygeus muscle. The first and second, or combined naso-pharyngeal, is afforded through the naso-pharyngeal mucosa, along the olfactory apparatus and associated terminal textures, with the uvula and tonsillo-lingual mucosa. The second (Figs. 39, 41), or coccygeal, is obtained through the filum terminale of the spinal cord, the coccygeal gland, and the peri-anal ‘‘ modified sweat glands’’ and endo-anal lymph exits. These two outlets being situated at the anterior and posterior, or upper and lower, ends of the cerebro- THE CEREBRO-SPINAL FLUID Lig 3 spinal cavity respectively, may be looked upon as the main drains and residual excretory channels from the two great structures, the brain and spinal cord. The third, or cutaneous, may be regarded as affording a great peripheral drainage system to the whole of the sensory nerves, as a safety valve for the escape of super- abundant cerebro-spinal fluid when the two first are impeded from any cause and unavailable, hence the impor- tance of recognising their relationship with each other, or interdependence, as one of reciprocity. The fourth, the muscular, with the attached general lymphatic system, acts as a drainage system to the motor side of the cephalic, cervical, thoracic, lumbar, and sacro- coccygeal nerves, as to their anterior roots, and hence drains into the substance of the various muscular struc- tures to which they are distributed, ze. to the whole voluntary muscles of the body. The union of the nervous and muscular systems being one of the greatest intimacy, in fact, of continuity, the drainage from the whole motor area of the systemic nervous system is ejected, or rather injected, into the sarcolemmar and sarcous elements of the muscular textures, to be taken up by the systemic lymph circulation, or driven by continuity from texture to texture until they become finally eliminated from the system, or become pathological entities, or ‘“ materies morbi” amid the structures in which they may be finally retained. It will thus, we think, be seen that the maintenance of the patency and integrity of these various drainage systems becomes a physiological work of the greatest importance in its application to the individual, and a hygienic task, to help which is not to be despised by the practices of the healing art, the fourth, or muscular, calling for even special attention. A subsidiary system of this drainage, we think, may also be found into and along the sympathetic nervous system (Fig. 42) through its abundant filamentous con- nections with the systemic nervous system. The consideration of the subject of excretion from the cerebro-spinal lymph cavities may be carried a step farther by regarding the orbits with their contained accessory parts as conducive to that function. Thus the eyes are said to “stare,” or to stand out of, to “ sink,” or to be drawn into, 116 ~ BIOLOGICAL PHYSICS their sockets, the reason of which must be sought for in the distribution of the more liquid and plastic contents of the orbits. These contents are continuous with the con- tents of the cerebro-spinal cavity, and hence must be affected more or less by the influences affecting that cavity in relation to intra-cranial and intra-spinal pressure. For example, a paroxysm of whooping cough may result in profuse lachrymation, injection of the conjunctival vessels, with other intra-ocular changes, to which may be added more or less swelling of the whole palpebral regions. Again, an attack of choleraic diarrhoea is usually quickly followed or accompanied bya “ sinking ” of the eyes, which in this light we may regard as a withdrawal of the fluid usually present within the orbits, through the foramina communicating with the cranial cavity, as a consequence of the strength of the currents, serous or lymph, towards the excreting intestinal mucous surfaces. These may be regarded as typical examples of the rdle played in the economy of excretion from the nervous system by the “ ebbs and flows” of the cerebro-spinal fluid, in its functions of floating that system and providing a means of disposal for its effete materials. The horizontal position in some individuals, a prolonged act of stooping, or the suspension of the body head down- wards, will induce swelling or puffing of the eyelids by, on this theory, allowing the fluid cerebro-spinal contents to gravitate into the orbital cavities through the before- mentioned foramina, the sub-dural and sub-arachnoid spaces being continuous with these cavities. The condition of the eyes and orbits, so regarded, may, therefore, be looked upon as very “tell tale” by the observant physician and surgeon, and as affording valuable information in the work of diagnosis. Moreover, such questions arise out of the foregoing as whether, or not, tapping might be desirable and practicable periorbitally, or lumbar puncture resorted to as a curative agency, as a means of relief, or for diagnostic purposes. In the light of these views some obscure problems relating to the origin and progress of such diseases as rheumatism, gout, influenza, ague, etc., seem to have a THE CEREBRO-SPINAL FLUID ir means of explanation not hitherto available, or possible, and a possible application of therapeutic principles to their prevention, alleviation, and cure not before in our posses- sion: For instance, to take an example, influenza seems to pass, so far as its ‘‘materies morbi” is concerned, through the nervous system without zecessarily extending outside of it, or into adjacent structures ; thus, the microbe (or its spore) of the disease reaches the cerebro-spinal fluid through the olfactory and other neural channels, and finds the needful medium in the cerebro-spinal lymph in which to develop when the phenomena characterising the attack begin. These ‘‘ wax and wane,” it may be, spontaneously, or it may be by medical help, and convalescence ensues, it may be, without the temperature, pulse, or general health suffering to even a small extent, all this being effected by the excretion of the foreign organisms and their results, or toxins, through the various points of exit afforded in the nasal, pharyngeal, coccygeal, and cutaneous excretory organisms, directly or otherwise by overflowing into the motor or sympathetic areas. In further connection with the subject of nervine excre- tion, we might mention some well-marked excretory areas into which the systemic nervine and general lymphatics may have a common point of exit, such as the axillary regions, where the tufts of hair usually grow, the peri- umbilical region, and the inter-digital regions of the hands and feet. From this enumeration, and from the description of the naso-pharyngeal and coccygeal points of exit, it will be observed that the excretory organisms connected with the nervous system are usually located in sheltered but abundantly mobile spots, generally at junctures or bifur- cations, with the great exception of the cutaneous sweat glands, in order seemingly to afford the most ready exits as well as the most guarded, the most yielding, and the most elastic. Moreover, the local sensations or sensory disturbances, preceding and accompanying the various acts of excretion from these exits seem to be more or less akin in incidence and character, consisting mainly of a disturbance of one or more histologically related sensory nerve fibres of a 118 BIOLOGICAL PHYSICS more, or less, profound degree, which results in producing such responsive involuntary acts as sneezing, with more, or less, involuntary friction, and more, or less, powerful voluntary agitation of the regions involved, proving that the importance of cerebro-spinal relief is great and must be accomplished. EXTRACT 1IX.a. THE LESSER CEREBRO-SPINAL LYMPH EXCRETORY MECHANISMS, OTIC, OPTIC, AND OTHERS. Tue question here presents itself—Do we see, in the reputed secretory structures of the dual auditory apparatus, productive machinery and raw material enough, so to speak, to meet their large requirements? and in answer to it we think we are warranted, in the presence of the suggested deficiency, in saying, at the least, that we ought to look for means whereby, in case of necessity, they can, or may, be supplemented. In looking for such means we think we have found them in the passage of “ready formed” cerebro-spinal fluid or lymph through the internal auditory meatus (Fig. 43), along the inter-meningeal spaces and coverings of the auditory nerves, which coverings become continuous with the periosteum and membranous textures of the inner ears—their inter-spaces likewise becoming continuous with the peri- and endo-lymph spaces, their respective fluid contents commingling and forming common reservoirs. Thus, we think, is provided a supplementary or, more truly, a wa lymph supply sufficient for all the requirements of the auditory apparatus, and which, as long as a physio- logical condition of the structures and fluids concerned is maintained, can be relied upon. The cerebro-spinal lymph enters the hollow structures of the inner ears in the manner mentioned, and leaves them by certain lymph channels, described in text-books on the subject, as well as, we think, by the reputedly blind endolymph ducts, which leave the skull and exude, or ae "BIOLOGICAL PHYSICS exosmose, their superabundant fluid into the inter-spaces of the dura mater behind and below the petrous processes of the temporal bones where it finds a means of circulatory disposal into the extra-dural lymph spaces of the spinal cavity. We take it, also, that a portion of -the intra- auditory lymph finds its way by osmosis into the cavity of the middle ear, where it moistens and lubricates the FIG. 42.—DIAGRAMMATIC SKETCH FROM BEHIND OF THE ROOTS OF THE NINTH, TENTH, AND ELEVENTH NERVES, WITH THEIR GANGLIA AND COMMUNICATIONS. (From Bendz.) A, part of the cerebellum above the fourth ventricle ; B, medulla oblongata ; C, spinal cord; 1, glosso-pharyngeal nerve; 2, pneumo-gastric; 3, 3, 3, spinal accessory ; 4, jugular ganglion of the glosso-pharyngeal ; 5, petrous ganglion; 6, tympanic branch; 7, ganglion of the root of the pneumo-gastric; 8, auricular branch; 9, ganglion of the trunk of the pneumo-gastric; 10, branch from the upper ganglion to the petrous ganglion of the glosso-pharyngeal; 11, inner portion of the spinal accessory ; 12, outer portion; 13, pharyngeal branch of the pneumo- gastric ; 14, 14, superior laryngeal branch; 15, twigs connected with the sympa- thetic; 16, internal part of the spinal accessory prolonged with the pneumo-gastric. structures therein and finds a means of exit along the Eustachian tubes into the pharynx, the fenestra rotunda, and what remains of the fenestra ovalis uncovered, or unoccupied by its attachment to the stapes, constituting the main routes by which the two main lymph reservoirs, or cisterns, of the cochlea and semicircular canals respectively relieve themselves, according to the exigencies of intra-otic pressure. A singular and suggestive pheno- menon, somewhat, akin to that observed in the pineal LESSER CEREBRO-SPINAL LYMPH 121 gland, takes place here in connection with the foramen ovale (Figs. 43, 44) and saccule, where there is frequently found a collection of otoliths or crystals, pointing to the operation of similar producing factors on similar fluids, or crystal-containing media. Before concluding, we perhaps ought to call attention to the fact that analysis of the fluids here mentioned, viz. the — SS FIG, 43.—DIAGRAMMATIC VIEW FROM BEFORE OF THE PARTS COMPOSING THE ORGAN OF HEARING OF THE LEFT SIDE. (After Arnold.) The temporal bone of the left side, with the accompanying soft parts, has been detached from the head, and a section has been carried obliquely through it so as to remove the front of the meatus externus, half the tympanic membrane, and the upper and anterior wall of the tympanum and Eustachian tube. The meatus internus has also been opened, and the bony labyrinth exposed by the removal of the surrounding parts of the petrous bone. 1, the pinna and lobe; 2 to 2’, meatus externus; 2’, membrana tympani; 3, cavity of the tympanum; above 3, the chain of small bones; 3’, opening into the mastoid cells; 4, Fustachian tube ; 5, meatus internus, containing the facial (uppermost) and auditory nerves; 6, placed on the vestibule of the labyrinth above the fenestra ovalis; a@, apex of the petrous bone; 4, internal carotid artery; c, styloid process; @, facial nerve peuine from the stylo-mastoid foramen ; e, mastoid process ; 4, squamous part of the bone. cerebro-spinal fluid, and the otic, peri-, and endo-lymph, so far as we have been able to discover, yield substantially the same chemical results, or, at any rate, attest that these results do not differ more from each other than the results obtained by different analysts do from each other when examining the same fluid,—and to claim that we are justified in hazarding the opinion that a common chemical 122 BIOLOGICAL PHYSICS composition, a continuity of circulatory media, and the common function which they respectively subserve in the FIG. 44.—PLAN OF THE RIGHT MEMBRANOUS LABYRINTH VIEWED FROM THE MESIAL ASPECT, (E.A.S.) 24. w, utricle, with its macula and the three semicircular canals with their ampullae ; s, saccule; ag.v., aqueductus vestibuli ; s.e., saccus endolymphaticus ; ¢.7., canalis reuniens}; c¢.c., canal of the cochlea. economy of the cerebro-spinal lymph circulation, they are identical in origin, and that the cerebro-spinal lymph FIG, 45.—MEMBRANOUS I.ABYRINTH AND NERVOUS TWIGS DETACHED. Magnified. (Breschet.) Rk’ facial nerve in the meatus auditorius internus ; /, anterior division of the auditory nerve giving branches, 0, #, m, to the utricle and the ampullae of the superior and external canals; 7’, vestibular division of the auditory nerve, giving a branch, g, to the saccule, another to the posterior ampulla, g, and a third (7) to the cochlea, 73; a, 6,c, ampullae of the superior, external, and posterior semi- circular canals respectively , @, the united part of the superior and posterior canals; e, the macula of the utricle ;_% the saccule. producing and distributing machinery is called upon in the physiological or healthy condition of the parts involved to meet a// demands. It must be regarded, however, as LESSER CEREBRO-SPINAL LYMPH 123 \ ' EPITHELIUM CONJUNCTIVE?> _CANALIS “A SCHLEMM: _ MUSCULUS iC 1 _ CILIARIS._ “-27--TENS “= Se ee, eee Set a LIGAMENTUM SUSPENSORIUN LENTIS CILIARIS RETINAL t 1 1 weeRETINA i i \ -CHOROIDEA \ i FOVZEA CENTRALIS ARTERIA CENTRALIS —— RETIN® tf-OURAL SHEATH FiG. 46.—DIAGRAM OF THE RIGHT ADULT HUMAN EYE, DIVIDED NEARLY HORIZONTALLY THROUGH THE MIDDLE, (KE. A. Schafer.) Magnified five times. The line a4 passes through the equator, xy through the visual axis of the eye. likely that in case of obstruction of the channels of supply of this fluid a means exists and can be drawn from 124 BIOLOGICAL PHYSICS whereby these lymph cisterns can be replenished, and the integrity of the apparatus of audition maintained, and this means, we think, is to be found in the endothelial linings of the inner ears generally, with their surroundings and supporting blood supply. A dual mechanism, therefore, we think, exists in this cryptic region for securing the continuity of auditory sense-impressions and supplying the higher cerebral centres with a highly specialised FIG. 47.—VERTICAL SECTION OF THE LEFT ORBIT AND ITS CONTENTS, (Allen Thomson.) The section has been carried first obliquely through the middle of the optic foramen and optic nerve as far as the back of the eyeball, and thence forward through the eyeball, eyelids, etc. a, frontal bone; 4, superior maxillary; c, eyebrow ; d, the upper, and @, the lower eyelid, partially open, showing the section of the tarsi, the ey elashes, etc.; é, é€, the reflection of the conjunctiva from the upper and lower eyelids to the surface of the eyeball; 4, the levator palpebrae superioris muscle; g, the upper, g’, the lower rectus muscle ; ; A, the inferior oblique muscle divided ; 1, 1, the optic nerve divided in its sheath ; 2, the cornea; 2’, the sclerotic 3 3, aqueous chamber ; 4, crystalline lens ; 5, vitreous chamber. tributary to the continually needed stream of information from the outer world. Another region ‘‘ watered” by the cerebro-spinal fluid, and which affords a means of exit to that fluid when required, is the ophthalmic (Figs. 46, 47), which, divided into two and situated at the anterior aspect of the head where the head and face join, constitutes the most prominent and tell-tale feature of the physical and intellectual microcosm within the organisms of both man and animal. -, LESSER -CEREBRO-SPINAL, LYMPH 125 Here, as in the auditory organisms, the cerebro-spinal fluid seems to perform many very important offices during its passage through, and presence in, the optic organs, ingress to which it obtains along the subdural and subarach- noid spaces (Fig. 47), where they leave the cranial cavity to enter the orbits along the neurilemmar inter-spaces surrounding the optic nerve as well as along the sheaths of the blood-vessels which pass from within the skull to these organs, and which are also accompanied by meningeal sheaths. Here, moreover, is afforded by the plentiful presence of the cerebro-spinal fluid and accumulations A f of Ch Zz e vii hee LK ea iif ire © lit < ar S eit ml Ny MWg, Lose sas- whe ~ se =. FIG. 48.—MEIBOMIAN GLANDS OF THE LEFT EYELIDS AS SEEN FROM BEHIND, a, a, palpebral conjunctiva; 1, lachrymal gland; 2, openings of seven or eight of its ducts ; 3, upper and lower puncta lachrymalia ; 6, 6, ends of the upper and lower Meibomian glands, of which the openings are indicated along the margins of the eyelids. of fatty post-orbital material, two padded, or cushioned, chambers in which shock is deadened and freedom of movement secured, so that the two most delicate sense organs can perform their functions without ‘let or hindrance.” Here also, if we patiently follow the windings of the cerebro-spinal lymph circulation of the eyes, we find a succession of spaces and channels leading into the very interior of these organs, and perceive that the vitreous and aqueous humours are but two great pools, or cisterns, (Fig. 46) of that fluid, continuous with and physically— apart from specialised organic matters—indistinguishable from it; and, therefore, to “all intents and purposes” drawn from and mostly dependent upon it ; moreover, we 126 * BIOLOGICAL PHYSICS are disposed to think that the lachrymal glands (Figs. 48, 49), and other aquiferous textures within the orbits are. FIG. 49.—FRONT OF THE LEFT EYELIDS WITH THE LACHRYMAL CANALS AND NASAL DUCT EXPOSED. I, 1, upper and lower lachrymal canals, showing towards the eyelids the narrow bent portions and the puncta lachrymalia; 2, lachrymal sac; 3, the lower part of the nasal duct; 4, plica semilunaris; 5, caruncula lachrymalis. likely to derive their supplies of fluid from the same source, and along the neurilemmar inter-spaces surrounding their nerve supplies. FiG. 50.—SEMIDIAGRAMMATIC VIEWS OF THE INNER SURFACE OF THE RIGHT CEREBRAL HEMISPHERE OF THE FQ@:TAL BRAIN AT VARIOUS STAGES OF DEVELOPMENT. (From Schmidt.) 1, 2, and 3, are from foetuses of the respective ages of eight, ten, and sixteen weeks ; 4, from a foetus of six months. a, lamina terminalis or part of the first primary vesicle which adheres to the sella turcica; 4, section of the cerebral peduncle as it passes into the thalamus and corpus striatum; the arched line which surrounds this bounds the great cerebral fissure ; c, anterior part of the fornix and the septum lucidum; d, inner part of the arch of the cerebrum, afterwards the hippocampus major and posterior part of the fornix ; e, corpus callosum very short in 3, elongated backwards in 4; in 4, 4 the marginal convolution; //”, calloso- marginal fissure; g, gyrus fornicatus ; #’, the parieto-occipital fissure descending to meet the calcarine fissure; I, olfactory bulb; F, P, O, T, frontal, parietal, occipital and temporal lobes. If all this be true—and we see nothing anatomically, histologically, or physiologically, in the organisation and LESSER CEREBRO-SPINAL LYMPH 127 Fic, 51.—VIEW OF THE INNER SURFACE OF THE RIGHT HALF OF THE FOETAL BRAIN OF ABOUT SIX MONTHS. (From Reichert.) : F, frontal lobe; P, parietal ; O, occipital; T, temporal; I, olfactory bulb; II, right optic nerve ; YD, calloso- marginal fissure ; a external : ?, internal parts ‘of the parieto- occipital fissure; #, calcarine fissure ; gy gyrus fornicatus; ¢, c, corpus callosum; s, septum lucidum ; ; 4, placed between the middle commissure and the foramen of Monro; 2, in the upper ce of the third ventricle immediately below the velum interposituin and fornix: v’,in the back part of the third ventricle below the pineal gland, and pointing by a line to the aqueduct of Sylvius; w”, in the lower part of the third ventricle above the infundibulum ; 7, recessus pinealis passing backwards from the tela choroidea; Av, pons Varolii; ; Ce, cerebellum. sa Sh FIG. 52.—TRANSVERSE SECTION THROUGH THE BRAIN OF A SHEEP'S EMBRYO OF 2.7 CM. IN LENGTH. (From Balfour, after Kolliker.) The section passes through the hemispheres and third ventricle. s¢, corpus striatum ; th, optic thalamus; ¢, third ventricle; c’, their divergence into the walls of the hemispheres ; Saks lateral ventricle with choroid plexus 47; 4, hippocampus major ; J; primitive falx ; a, orbito-sphenoid ; sa, presphenoid ; 4, pharynx ; c/, chiasma ; 0, optic nerve ; zz, foramen of Monro; s, covering of lateral ventricles. 128 ' BIOLOGICAL PHYSICS structure of the parts to contradict it, but, on the contrary, and by embryological enquiry, we can clearly satisfy — ourselves of its claims to belief—then we think we have established another reason calling for a continuation of this enquiry, with a view to the obtainment of ever required utilitarian results, such as a clearer knowledge of as Rw 4 ‘a | / al FIG, 53.—SKETCH OF A SUPERFICIAL DISSECTION OF THE FACE, SHOWING THE POSITION OF THE PAROTID AND SUBMAXILLARY GLANDS. (Allen Thomson.) 2. /, parotid gland; #’, socia parotidis; d, the duct of Stenson before it perforates the buccinator muscle ; a, transverse facial artery ; 7, 2, branches of the facial nerve emerging from below the gland; / the facial artery passing out of a groove in the sub-maxillary gland and ascending on the face 3 s 7, superficial portion of the submaxillary gland. the etiology of the diseases of these organs, and their relationships to their structural elements as affected by these views, as, for instance, where discontinuity of usually firmly adherent and coherent textures becomes effected along lines previously open in embryonic conditions, such as occur in the condition known as detached retina. The enumeration of the special otic and ophthalmic cerebro-spinal lymph excretory agencies, as well as the LESSER: CEREBRO-SPINAL LYMPH ‘129° more detailed and wholesale olfactory and pituitary outlets, suggest that a kindred excretory phenomenon occurs at the outlets of the salivary glands (Figs. 53, 54), where the more aqueous elements of that fluid, conveyed hither neurilemmically, may be said to afford a basis for the production and discharge of the specific salivary fluids, where their utilisation in the process of digestion is so intimately associated with the glosso-pharyngeal mucosa. It would therefore appear, if these observations are grounded on truth, that a large field for physiological and Fic. 54.—VIEW OF THE RIGHT SUBMAXILLARY AND SUBLINGUAL GLANDS FROM THE INSIDE, (Allen Thomson.) Part of the right side of the jaw, divided from the left at the symphysis, remains ; the tongue and its muscles have been removed; and the mucous membrane of the right side has been dissected off and hooked upwards so as to expose the sub- lingual glands; sz, the larger superficial part of the submaxillary gland; /% the facial artery passing through it; s 2’, deep p rtion prolonged on the inner side of the mylo-hyoid muscle #3; sZ, is placed below the anterior large part of the sublingual gland, with the duct of Bartholin partly shown; s2’, placed above the hinder small end of the gland, indicates one or two of the ducts perforating the mucous membrane; d, the papilla, at which the duct of Wharton opens in front behind the incisor teeth; a’, the commencement of the duct; 4, the hyoid bone; , the gustatory nerve ; close to it is the submaxillary ganglion. pathological research lies open, the active occupation and exploitation of which may result in positive additions to human comfort and happiness. In this connection we would also draw special attention to the cerebro-spinal lymph excretory régime of the pneumo-gastrics (Fig. 55) in their multitudinous relation- ships with the thoracic and abdominal viscera, where, besides their specific function of systemic innervation of these organs, they also afford great facilities for the functionally useful outflow of that lymph into their textures, and so passively afford channels by which the progress of morbid agencies can find a free passage from the intracranio-spinal areas to the thoracic and abdominal I 130 ~~ BIOLOGICAL PHYSICS visceral areas, and vice versa—a. doctrine which affords a ready and eae explanation of many puzzling bacterio- logical and chemico- -phy siological problems i in the etiology FiG. 55.—DIAGRAM OF THE ROOTS AND ANASTOMOSING BRANCHES OF THE PNEUMO-GASTRIC ANI) NEIGHBOURING NERVES. (From Sappey, after Hirschfeld and Leveillé.) 1, facial nerve; 2, glosso-pharyngeal with the petrous ganglion ; 2’, connection of the digastric branch of the facial nerve with the glosso pharyngeal nerve ; 3, pneumo- gastric, with its two ganglia’; 4, spinal acctssory; 5. hy poglossal; 6, superior cervical ganglion: of the sympathetic y 7, 7; loop of union ‘between the first two cervical nerves; 7, carotid branch of the sy mpathetic ; 9g, nerve of Jacobson (tympanic), given off from the petrous ganglion ; 10. its filaments to the sy mpa- thetic ; 11, twig to the Eustachian tube; 12, twig to the fenestra ovalis; 13, twig to the fenestra rotunda ; 14, small superficial petrosal nerve; 15, large superficial petrosal nerve; 16, otic ganglion; 17, auricular branch of the pneumo-gastric ; 18, connection of the spinal accessory with the pneumo-gastric ;_ 19, union of the hypoglossal with the first cervical nerve; 20, union between the sterno-mastoid branch of the spinal accessory and that of the second cervical nerve; 21, pharyn- geal plexus; 22, superior laryngeal nerve; 23, external laryngeal; 24, middle cervical ganglion of the sympathetic. and pathological sequence of morbid events, and a means of linking up the morbid elements of many apparently disunited and incongruous pathological states of both head and trunk. Thus the simultaneous, or immediately con- secutive, presence of similar bacterial organisms, such as LESSER CEREBRO-SPINAL LYMPH 131° the pneumococcus in the cerebro-spinal cavity, the cardial, and other thoracic and abdominal structural elements, must be recognised as one of continuity, due to unalterable histological and anatomical relationships, and the same may be said of many allied conditions where disease is spread by the gradual involvement of structurally and vascularly connected structures and organs throughout the whole body. BX TRACE [Xue ENUMERATION OF THE MECHANISMS CONCERNED IN THE ELIMINATION OF CEREBRO-SPINAL LYMPH. THE excretory mechanisms already described pertain to the nervous system proper and its containing textures. The addendum here dealt with belongs to the extra-nervine aspect of that system, and flows out of what seems to be a possible or probable leakage along the great arterial vessels supplying the brain, viz. the external and internal carotids, as well as the jugular veins. These vessels at their entrance to, and exit, respectively, from the skull, and their distribution within it, are bathed with cerebro-spinal fluid, and supported by it, much in the same way as the cephalic nerves proper are, hence the possibility and probability of leakage along their adventitial coverings, and the subsequent invasion in detail of the cervical and thoracic regions of the body related to these vessels by the residual products of brain waste, and hence the physiological and hygienic necessity for preventing such an occurrence. The required preventive provision seems to us to be supplied by two so-called ductless glandular bodies, or more probably lymph hearts, called the carotid glands, situated respectively on each side of the neck, at the bifurcation of the common into the external, and internat carotids, where they form the continuations of the common carotid artery. Here the leaking cerebro-spinal fluid is received by the carotid glands in gravitating currents, as they percolate through the arterial and venous adventitial cellular textures, and is prevented from descending into the vital organs below, and rendered CEREBRO-SPINAL LYMPH MECHANISMS 133. innocuous by the glandular agency of these organs, ere it is permitted to re-enter the blood streams. All this is, no doubt, and may rightly be called highly speculative, but still we hold it to be so strongly reasonable that we have felt constrained to add it to what we have already advanced with regard to the economy of cerebro-spinal fluid excretion, as well as for the purpose of enabling us to assign a living “everyday” working function to two organisms for which anatomists have hitherto failed to find a probable use. These cystiform organs are possessed of the requisite anatomical structure—glandular and neuro- muscular—to enable them to perform the work of collection, chemico-physiological treatment, and excretion of whatever fluid can reach them along the adventitial envelopes of the two carotids and jugulars, which are necessarily, anatomically, and histologically, continuous through their envelopes with the dura-arachnoid textures ; hence, we are strongly of opinion that they perform this function, a function, moreover, very much akin to that which we have assigned to the coccygeal gland ; another organism, furthermore, with which anatomists are accus- tomed to classify them, preparatory to shelving them amongst the quantities ‘negligible,’ where in a single sentence they are usually /ade/led and consigned to rest in oblivion until next ‘ stock-taking.” We would here reiterate the assertion in this connection, that no ‘“‘ unnecessary structure” can be allowed evolutionarily, so to speak, fo be repeated in every generation of the human, or other race, with the attributes of a highly organised texture, without its being called upon to perform a work in consonance with its anatomical character and position to justify its retention and prevent its involution and disappearance. We may thus rest assured that it is altogether unjustifiable to describe any organ, or texture, now surviving in the human body whose function we are ignorant of as a “survival ”’ only, and, therefore, as an encumbrance, which, in these advanced days of evolutionarily determined human destiny, we are warranted, or called upon, voluntarily to neglect, or to sacrifice. | Therefore, we take it that, if the law of evolution is to be believed, and if it is to have a practical bearing 134 ~ BIOLOGICAL PHYSICS on human progress and happiness, we must disabuse our minds of, and guard against, the great fallacies capable of being perpetrated by the careless or unscientific use of such terms as survival, but not of the fittest, and reversion to earlier, and, it may be, long since extinct sypes; all which represent oz/y the continuous, contemporary, and balanced working of the laws of involution and evolution as the one great determining and operative /aw of progress, in the world, inorganic, organic, and human. Human progress generally, as well as particularly, although the outcome, to some extent, of what seems to be free and independent individual, or communal, human effort, is no exception to the universal incidence of this law, a fact which all human history attests; it, therefore, behoves the votaries of whatever science, or cult, which can in any way affect the rate of that human progress, to put the methods and manners of that science, or cult, so clearly and intelligibly into the possession of their successors, as that it can be afterwards said, in all truth, by these successors, “he that runneth may read.” Since the above was written regarding the carotid glands, or bodies, it has been found that an affection of the neck called the “ potato-like tumour” takes its origin from the carotid glands, one, or other, or both, and that it has a course quite distinct from any other known growth in these regions, and is possessed of a structure endothelial in character, and just such as could be evolved from occlusion of the excretory outlets of the gland, or glands, with pathological accumulation and formative arrangement of their resultant secretion and tissue elements. We, therefore, feel warranted in claim- ing this pathological discovery as a proof of the truth of our physiological finding with regard to these much over- looked bodies. EXTRACT X, ON THE SENSORY DISTURBANCES, OR AESTHETIC PHENOMENA, OCCURRING AT, AND AROUND, THE POINTS OF EXIT OF THE CEREBRO-SPINAL LYMPH, ANTECEDENT TO, AND DURING, EXCRETION. Tuart the character of the disturbances, or feelings, or sensations, is determined by their /ocale we have long observed, and, accordingly, have now become satisfied that the painful feelings and itching sensations experienced at times more or less over the whole sensory surfaces of the body, are most largely situated at the points of exit of the cerebro-spinal lymph from its containing vasculature, viz. from the individual sweat glands of the skin generally, the axillary sweat glands and inter- digital surfaces in particular, along with the coccygeal gland duct vasculature, the Schneiderian mucosa, and the tonsillo-glossal mucosa. Obstructed exit of the cerebro-spinal lymph, loaded with, it may be, toxic, and, it must certainly be with effete, matter, gives rise to sensory disturbance at the points of obstructed exit, in degree proportionate, we may conceive, indeed, believe, to the amount of stasis and intensity of toxicity of the lymph in process of excretion, and hence may vary, from the slightest feeling of itching, to the most intense feeling of smarting, or acute pain. Thus local, or general, disturbance may be felt as prurigo at the cutaneous exits, annoying itching in one or both axillz, and slight or exasperating irritation at, and around, the anus, while slight, or severe, sneezing may characterise involvement of the olfactory exits, and more or less severe pain may be the 136 * BIOLOGICAL PHYSICS outcome of the implication of the pituitary excretional mechanism. We may further conceive, and, when obser- — vation and experiment have tested the value of the conception, we are persuaded it will be found true, that many of the other sensory disturbances originating in, and disposed throughout, the sympathetically innervated areas | of the body will be found to depend on the existence of similar obstructive phenomena in the final distribution, or elimination, of the sympathetico-systemic lymph within the texture and parenchyma of the parts and organs involved. Thus pneumonia, endocarditis, gastro-enteric catarrh, some hepatic, splenic, and renal troubles, may stand as types of the diseased conditions and sensory disturbances directly traceable to excretion of effete and tainted cerebro-spinal lymph along the pneumogastric and connected sympathetic nervature, when an exit has been denied it through the usual systemic exits, and when, in consequence, it has followed the lines of least resistance, until it has finally been disposed of, as here indicated, freely, or interruptedly. Contemporary with, or subsequent to, the occurrence of these cerebro-spinal lymph exit sensory phenomena, a local, or general, hyperemia, or sometimes inflammation, may show itself at, or around, the points of exit, and become the diseased condition for which relief is at last sought. When such is the case it will behove us to note particularly the order and manner of etiological sequence and morbid development of the disorder, so as the more scientifically to obtain the “key to the situation,’ and thereby to obtain proper indications for treatment. We are convinced that we are warranted in stating that it would not be too great an estimate of the frequency of the relationship of disturbed cerebro-spinal lymph excretion to modified, or morbid, sensory phenomena, were we to put it at fifty per cent., and it may well be much more, of the whole negative and positive departures from the standard of normal physiological zsthesia; therefore, we are strongly of opinion that great practical results are likely to follow from a recognition of the intrinsic value of this estimate in the work of diagnosis, prognosis, and treatment of disease, and that, moreover, by it a clearer light will be shed on the character and nature of some of the most ~ ON £HE SENSORY DISTURBANCES °137- recondite subjects in the whole category of nervine disease, as it is met with, especially in the peripheral aspect of the nervous system. Itching and pain, perverted, or abnormal, esthesia, primary and secondary, original and resultant, become the symptomatic finger-posts guiding us along _ the Aesculapian way, so to speak, and which, when utilised with a due appreciation of, and dependence on, their intrinsic value in the detection of cause and effect, will illuminate and render more traceable the direction of some of its obscure windings and less explored byeways, amid the uncertainty surrounding the genesis and progress of many of the diseases of the peripheral aspect of the systemic, as well as the sympathetic, nervous systems individually and conjointly. Abolished, disturbed, and perverted sensation may often begin and end as simple sensory phenomena, indicating only the most ephemeral interference with the prevalence of normal sensory function, and nothing but a temporary, and generally mechanical, impediment to the operation of the normal sensory physiological conditions and factors at work in the causa- tion of afferent, or sensory, nervine genesis and conduction —the condition disappearing on the removal of the impediment and the restoration of the neural patency of the implicated nervature. When, however, as it no doubt many times is, the impediment to normal sensory innervation is more or less permanent, we may regard the discovery of what the impediment is as affording the necessary indicator of the line, or lines, of treatment to be adopted in the removal of the diseased condition, and the restoration of both healthy structure and function. Thus pain, and in fact every disturbed sensory pheno- menon, becomes of the greatest value to the clinician, in safely guiding him along correct pathological lines, until it becomes possible for him to read, and determine, in altered and disturbed anatomical, histological, and physio- logical conditions, or characters, the history and progress of the diseased state regarding which his advice has been sought, and consequently the discovery of the most scientific indications for the treatment to be pursued. No doubt in estimating the practical value of pain and disturbed sensation, in the work of diagnosis, prognosis, 138 ~ BIOLOGICAL PHYSICS and treatment, it becomes imperatively necessary to differentiate, in the first place, between the systemic and sympathetic nervous systems, as to the part they respec- tively play in their genesis and persistence, and whether they are singly, or unitedly, concerned, because on this will depend, to a great extent, the exactitude of our appreciation of the diseased condition before us, as well as the success of our remedial and ameliorative procedure. Roughly speaking, almost all external pain and sensory disturbance emanate from the systemic nervous system, while in the same way, almost all internal pain and sensory disturbance emanate from the sympathetic nervous system, the exceptions being where the affected parts happen to be innervated, to some extent, by both systems. It may, however, be taken for granted that sympathetically initiated pain can only be realised through the systemic nervous system in virtue of the existence of the nervi communicantes, and consequent intimate union subsisting between the two nervatures. As types respectively of the two orders of pain, we might cite those proceeding from dermatitis and ‘‘ bilious colic,” so called; the former representing a visible peripheral sensory phenomenon, the latter, a hidden sympathetico-systemic sensory phenomenon —each affording a strong contrast to the other in point of character and intensity, and requiring for its relief, or removal, the use of a different method of procedure. Our survey of the genesis and character of pain, or perverted zsthesia, applies also to the motor aspect of the systemic nervous system, and there we find the phenomena displayed in all degrees of intensity, and over small, or large, areas, according to the nature, and extent, of its etiological factors: thus, in acute rheumatism, we have it displayed generally, and less or more locally, when it may involve muscle substance pure and simple, periosteum, ligaments, tendons, joints, and bone, in all varieties and combinations; in fact, this series of pains and painful affections constitutes one of the largest that the medical profession is called upon to deal with. EXTRACT > Xi ON THE DRAINAGE ._ AREAS OF THE SKULL AND BRAIN. Tue drainage areas of the skull (Figs. 56, 57) may be divided into three, in accordance with the fossal divisions of its base, thus :—the first, or anterior, draining the area extending from the internal surface of the frontal bone to the smaller wings of the sphenoid, and containing the frontal lobes of the brain with their contained lateral ventricles ; the second, or middle, extending from the smaller wings of the sphenoid bone to the insertion, or attachment, of the ‘entorium cerebelli to the petrous processes of the temporal bones and the internal trans- verse ridges of the occipital bone, and draining the middle and occipital lobes of the brain, with the contained third ventricle, its appended hypophysis, and its superimposed epiphysis, and the third, or posterior, extending from the line of attachment ok the sentorium cerebelli into the petrous processes of the temporal bones in front to the torcular Herophifi behind, and draining the cerebellum, or small brain, with the pons Varolit, medulla oblongata, and fourth ventricle. Each of these areas possesses in its floor drainage facilities for the discharge of surplus cerebro- spinal fluid in the shape of openings, or foramina, which, along the outgoing and incoming nerve and biesdveee| structures, allow its free, but guarded, circulation, or outflow. These areas represent three well-defined basal skull terraces, (Fig. 56) or fossal plateaus, so to speak, on which, as a foundation, the great cerebral textural divisions rest, 140 ' BIOLOGICAL PHYSICS shelving downwards from front to back, and each possessing, at its lowest floor level, a system of exits, into which gravitate all the residual materials fromithe NNN \' Fic. 56.—INTERNAL BASE OF THE SKULL, (A. T.) 3. 1, anterior fossa and roof of the orbit, as formed by the frontal bone; between 2 and 3, the foramen caecum, crista galli and cribriform plate of ethmoid ; 3, ethmoidal spine of the sphenoid ; 4, lesser wing of sphenoid terminating posteriorly in the anterior clinoid process, inside which is the optic foramen; 5, placed in the pituitary fossa, behind the olivary eminence and transverse groove of the optic commissure ; 6, dorsum sellae, terminating in the posterior clinoid processes; 7, foramen rotundum, in front of which, but not seen in the figure, is the sphenoidal fissure ; 8, foramen ovale; 9, foramen spinosum; ro, on the petrous bone, near its apex, and to the inside of the hollow occupied by the Gasserian ganglion ; in front of this is the foramen lacerum; 11, in front of the eminence of the superior semicircular canal, and behind the hiatus Fallopii; 12, upper border of the petrous, marked by the superior petrosal groove; 13, the posterior surface of the petrous—to the inside, the internal auditory meatus, behind, the scale of bone covering the aqueduct of the vestibule; 14, basilar groove; 15, anterior condylar foramen; 16, jugular foramen; 17, groove of the lateral sinus; 18, internal occipital protuberance, and running down from it the internal occipital crest; between 17 and 18, the upper part of the groove of the lateral sinus, between 17 and 16, the lower part ; 19, cerebellar fossa. ventricular cavities and inter-meningeal spaces, through which they percolate, or are driven into, textures without the skull, directly continuous with them, for ultimate disposal. The cribriform foramina of the ethmoid bone, the early DRAINAGE AREAS OF THE SKULL 141 central and lateral foramina of the basi-sphenoid bone, with the foramen magnum of the occipital bone, constitute | | a 21; \; p22 | f 4 | r. Al FAY" s\ F1G, 57.—EXTERNAL BASE OF THE SKULL SHOWN IN FIGURE 56. (A.T.) 5. 1, palate plate of the superior maxillary bone; 2, palate plate of the palate bone; 3, anterior palatine canal; 4, is placed outside the posterior palatine canal, inside the tuberosity of the superior maxilla, and in front of the smaller posterior pala- tine canals; 5, inner surface of the external pterygoid plate; 6, is placed within the posterior opening of the right nasal fossa on the internal pterygoid plate; 7, vomer; X, posterior opening of the pterygo-palatine canal in front of the fora- men lacerum; 8, spheno-maxillary fissure leading into the orbit: 9, foramen spinosum ; 10, foramen ovale; 11, placed on the apex of the petrous bone, between the foramen lacerum and the inferior opening of the carotid canal; 12, jugular foramen; 13, articular eminence of the temporal bone; 14. external auditory meatus; 15, glenoid fossa in tront of the fissure of Glaser; 16, tympanic plate or posterior part of the glenoid fossa, close to the styloid process, behind which is seen the stylo-mastoid foramen 3 17, mastoid process, and to its inside the digastric and occipital grooves; 18, basilar process of the occipital bone, and in front the mark of the still incomplete union with the body of the sphenoid bone; 19, condyle of the occipital bene; 20, is placed in the foramen magnum, and points to the inner opening of the anterior condylar foramen ; 21, posterior condylar foramen ; 22, jugular process of the occipital bone; 23, external occipital crest running down from the protuberance; 24, superior curved line of the occipital bone; 25, 26, inferior curved line. : the main sewers, so to speak, through which the cerebral lymph circulation obtains a regulated and safeguarded 142 ~ BIOLOGICAL PHYSICS outflow, and one or all of which are simultaneously, or con- secutively, available during the continuance, or existence, — of the normal physiological conditions, for the maintenance, | or preservation, of the normal intra-cranial pressure, and the obviation of its undue increase, or diminution. Supplementary to these we may include, or claim, the Pacchionian bodies, or extensions of the arachnoid, which traverse, or run through, the inner table of the calvarium, more especially in certain regions of its upper aspect, as completing the tutelary provisions of the great brain drainage structures and mechanisms. Fic. 58.—OUTLINE OF A LONGITUDINAL SECTION THROUGH THE BRAIN OF A CHICK OF TEN DAyYs. (After Mihalkovics.) h, cerebral hemisphere ; 0//, olfactory lobe and nerve ; s¢, corpus striatum ; Zz, lateral ventricle ; ac, anterior commissure ; /¢, lamina terminalis ; opc, optic commissure ; pit, pituitary gland; 7n/, infundibulum ; 3 cai, internal carotid artery; 2°, third ventricle; ch, choroid plexus of third ventricle; Azz, pineal gland; 4g, corpora bigemina } } «mv, anterior medullary velum ; below which two last references are the aqueduct of Sylvius and crura cerebri 5 ‘cb, cerebellum ; v4, fourth ventricle ; éa, basilar artery, Zs, pons Varolii; c+, choroid plexus of the fourth ventricle ; obi, medulla oblongata ; 7, roof of fourth "ventricle. The central cavities or ventricles of the brain drain into and through the olfactory tracts, (Figs. 50, 51), bulbs, and nerve extensions, anteriorly, into and through the in- fundibulum, mich its attached pituitary gland, and the pineal gland centrally, and into and through the foramen magnum posteriorly ; while the inter-meningeal or peri- pheral brain spaces empty themselves through the con- tinuous inter-meningeal spaces, which pass out through the various openings in the skull wall along with extensions of the meninges. In studying this system of drainage of the skull and brain we have been much struck with what seems also to have impressed other observers, without, however, their apparently guessing the developmental necessities under- DRAINAGE AREAS OF THE SKULL 143 lying it, viz. the similarity existing between the anterior and posterior, or upper and lower central lymph exit arrangements of the central systemic nervous system, .é. between the infundibulum, pituitary gland, and attached FIG. 59. SECTIONS SHOWING THE GENERAL RELATIONS OF THE SPINAL CORD TO THE INCLOSING THECA, AND OF THIS TO THE VERTEBRAL CANAL. (Key and Retzius.) A, through the fifth cervical vertebra; B, through the tenth dorsal vertebra; C, through the first lumbar vertebra and the foramen of exit of the twelfth dorsal nerve-roots ; D, through the disk between the second and third lumnbar vertebre ; E, through the’ first sacral vertebra. In A, B, and C, the cord, covered by pia mater, is seen in the centre, with the ligamentum denticulatum attached to it on either side; the nerve-roots on either side form small groups which, since they pass obliquely downwards to their foramina of exit, are cut across; the dura matral sheath is separated by a considerable space from the cord, and by a quantity of loose areolar and fatty tissue from the wall of the vertebral canal. This tissue is in smaller amount in C. D and E are below the termination of the cord, and show sections of the nerve-bundles of the cauda equina within the theca, which is very large in D, but comparatively small in E, the vertebral canal in the latter being largely occupied by adipose tissue. In this are seen the sections ot two large veins. The arachnoid is not represented in any of these sections. excretory mechanisms, anteriorly or centrally, and the jilum terminale, the coccygeal gland, and related excretory mechanisms posteriorly—the infundibulum having, in fact, been even called the anterior filum terminale by. some of these observers. DRAINAGE AREAS OF THE SKDLL 145 This similarity, in our opinion, is not only founded upon, but is the outcome of, the operation of similar, or related, developmental factors in the quasi-obliteration of the continuity of the lumen of the neuro-enteric canal, and in the laying down, in the interpolated metamorphic structures, of a drainage system, by which the separated and differentiated portions of that canal are maintained in modified histological continuity, but altered functional rdle. In our observations and studies bearing on this system of drainage we have been much impressed by the histological and physiological sameness involved in the processes of the early embryonic development, separation, and differen- tiation of the two divisions of the neuro-enteric canal, as well as by the continuance in after life, on somewhat corresponding lines, of some of their common character- istics, structural and functional. Thus the “lymphoid” element is largely in evidence in the textural arrangements of the nasal, pharyngeal, and anal, metamorphic, or Fic. 60.—VIEW OF THE CEREBRO-SPINAL AXIS. (After Bourgery.) 14, The right half of the cranium and trunk of the body has been removed by a vertical section ; the membranes of the right side of the brain and spinal cord have been cleared away, and the roots and first part of the fifth and ninth cranial nerves, and of all the spinal nerves of the right side, have been dissected out and laid sepa- rately on the wall of the skull and on the several vertebrae opposite to the place of their natural exit from the cranio-spinal cavity. F, T, O, cerebrum; C, cerebellum ; P, pons Varolii; 70, medulla oblongata ; Mt S, MUS, point to the. upper and lower extremities of the spinal marrow; cé, on the last lumbar vertebral spine, marks the cauda equina ; Vv, the three principal branches of the nervus trigeminus; C1, the sub-occipital or ‘first cervical nerve; Cvuu, the eighth or lowes t cervical nerve; D1, the first dorsal nerve; D x11, the last dorsal; L1, the first lumbar nerve; Lv, the last lumbar; S1, the first sacral nerve ; Sv, the fifth ; Co1, the coccygeal nerve; s, the left sacral plexus.1 1 The relation between the bodies and spines of the vertebrae and the places of attachment of the nerve-roots to the cord is also illustrated by this figure. For more detailed information on this point the reader may consult Gowers, 7he Diagnosis of Diseases of the Spinal Cord, 1880. FIG. 61.—ANTERIOR AND POSTERIOR VIEWS OF THE MEDULLA OBLON- GATA AND SPINAL CORD WITH SECTIONS. (Allen Thomson.) 4. The cord has been divested of its membranes and of the roots of the nerves. A is an anterior, B a posterior view. In these figures the filiform prolongation, repre- sented separately in B’, has been removed; C shows a transverse section through the middle of the medulla oblongata ; D, a section through the middle of the cervical enlargement of the cord ; E, through the upper dorsal region; F, through the lower; G, through the middle of the lumbar enlargement; and H, near the lower end of the conus medullaris. 1 to 6 refer to parts of the medulla oblongata; the remaining numbers to parts of the spinal cord. 1, pyramids ; 1’, their decussation ; 2, olive ary bodies; 3, lateral columns; 4, posterior surface of the medulla oblongata ; 4’, calamus scriptorius ; 5, funiculus gracilis; 6, posterior lateral columns passing to the side; 7, 7, anterior median fissure of the spinal cord; 8, 8, antero-lateral impression corresponding to the attachments of the anterior nerve roots; 9, 9, posterior median fissure; 10, 10, postero-lateral groove; X, tapering extremity of the cord; xX, X, in B’, filum terminale. K 146 ' BIOLOGICAL PHYSICS interpolated tissues, as shown by the common presence of “excretory” material and function, which determines consequent likeness in such pathological conditions as adenoids of the nasal passages, enlargements of the pharyngeal mucosa, and hemorrhoidal developments of the post-rectal and anal parts. All which seems to us to rove, what we may regard as axiomatic, that the operation of like developmental factors on like, or intimately related, organic materials results in the evolvement of like, or very similar, developmental products, or structures, and hence the great sameness which characterises the early condition of the anteriorly united, and posteriorly separated, parts of the neuro-enteric canal as to their textural conditions and functional réle ; hence, also the occurrence of such a thing as the retention of a once common embryonic function, as a still operative survival, in after life, such as is seen in the secretion, or excretion, of peptone by the pio-meningeal textures of the cerebrum and cord. These drainage areas are determined by anatomical and histological necessities, due to the topographical disposition and relative position of the textural divisions of the central nervous system, and the system of drainage is determined by the prevailing nature—as to consistence—of the drainage material, and the outlet conditions best available and most favourable to the operation of the existent local physio- logical hydrostatics and dynamics ; the principal illustration of which we might adduce as, what may be called, the “cloaca major’’ of the central drainage system of the cerebrum, or the infundibulo-pituitary apparatus, which receives the residual and waste products of the great body of cerebral material emanating from the mid- and hind- brain, and excretes it on the surface of that continually open, generally moist, and constantly swept, glosso- pharyngeal cavity, or highway, situated at the commence- ment of the gastro-intestinal or alimentary canal, where it becomes, no doubt, a factor in the process of the functional work of that canal of no mean importance, as becomes, at once, apparent when any local pharyngeo-oral obstruction to its physiological fulfilment takes place. The great cranial outlet, the foramen magnum, allows of the free outflow of surplus cerebro-cerebellar lymph DRAINAGE AREAS OF THE SKULL 147 into the great inter-meningeal cavities, or channels, sur- rounding the spinal cord (Figs. 59, 60), as well as of what escapes from the fourth ventricle by way of the central canal, a truly considerable, or even large, quantity, but ideally adapted, through inter-meningeal distribution and attachments, to provide a fluid encasement and yielding surrounding medium, in which the spinal cord is floated without the possibility of contact with its skeletal framework—the /igamentum dentatum acting as a dual valve against sudden, or large, lateral displacement, while maintaining free longitudinal movement or circulation. Under these circumstances over-pressure is relieved, when necessary, both in brain and cord, through the cephalic and spinal nerve continuations of the sub- arachnoid and sub-dural spaces, by calls being made on both the afferent and efferent systemic nervatures, whereby the skin and muscles are made to provide the required outlet facilities, or excretory agencies. BXTRAGCE XIL«x ON THE GENERAL BEARINGS, AND ROLE, OF THE H/AEMAL LYMPH AND THE CEREBRO-SPINAL FLUID. Tuat the hemal lymph, or fluid, is the earliest differen- tiated fluid in the economy of the fecundated ovum, or in the pre-existent germ and sperm cell elements, as well as in the resultant, or sequential, embryo, is abundantly obvious as a fundamental embryonic truth, and that it continues, in conjunction with the more lately elaborated cerebro-spinal lymph, to play a most important part in the economy of the growing organism, is equally obvious to the anatomist and physiologist, while, as the life of that organ- ism lengthens out into even ihe senile stage, it continues to be observed by the clinician to exercise a profound influence on its progress in relation to its functional work, its freedom from the attacks, and its power of resistance, of pathogenic influences and agencies. Thus, in the embryo, we see the early, or nascent, struc- tures and organs evolve themselves within and inter-pene- trated by this hemal lymph fluid, and that it is gradually displaced by the accumulating neural lymph, as the various structures increase in consistence and volume, and become differentiated into anatomical and physiological systems and entities, until the arrival of the period of post-natal, or independent, existence finds the neural lymph, in turn, rele- gated to the central spaces of the brain and cord and to the peripheral, or inter-meningeal, and the inter-neurilemmar spaces of brain, cord, and nerves respectively, and to the dually innervated structures generally, where it, the neural lymph, continues its gradually restricted réle of mechanical HAMAL LYMPH 149 and physiological work as an indispensable fluid in the economy of life. The alteration in its disposal, within, and without, the systemic nervous system, as that system is affected by age, shows its adaptability, in functional purpose, to every phase, temporary and permanent, of the life history, as well as to the “thousand and one”’ minute changes, which charac- terise the daily experience of every human organism. In its first production and disposal the lymph generally may be likened to a culture medium, in which the growth of the ovum, with the succeeding embryonal structural evolutions, take place in a region of secured developmental calm and freedom from external disturbance, and to a great “maternal im- pressions ”’ notwithstanding—while, in its later embryonic disposal, the neural lymph becomes “ gathered up,” so to speak, within the neuro-enteric canal, and projected, or diverted, along the many nervine channels, as they become developed from the ectodermal into the meso- and hypo- dermal areas. During these developmental phases, what is a mere, but great, cerebro-spinal fluid cistern, or canal system, becomes encroached upon by a gradual process of neuro-mural thickening, and consequent general narrowing, of its central lumen, until an organised series of spaces and tubes alone is left to carry on the cerebro-spinal lymph circulation in post-natal conditions. It will, consequently, be easily evident that the immedi- ately post-natal cerebro-spinal circulatory facilities must mark their maximum, and that a process of solid material encroachment from neuro-mural thickening and passive accumulation of structural debris, or detritus, and interfere- ment with excretional mechanisms, must ensue, in propor- tion to the advancement of life generally, and with the existence of environments inimical to health particularly. It will, therefore, likewise become evident that these natural occurrences, as they develop themselves physio- logically, may become pathogenic, and that rational medicine must busy itself in the discovery of means to obviate them, or to neutralise their incidence. The functional rdle of the cerebro-spinal fluid, as here and elsewhere outlined, is a largely passive and mechanical 150 BIOLOGICAL PHYSICS one, but also, as we elsewhere contend, an excretionary one. We want, therefore, to be consistent in our estimate of its — true place in the economy of neural physiology, ¢o disclaim for it the nutritive function which it has been sometimes credited with serving, inasmuch as we contend that the nutritive material which it is supposed to convey to the nervous textures is, during its formation, deposited from the blood, as gla, in the neuroglial feltage, where it is taken up by the dendritic processes of the nerve cells, and con- verted into nerve plasma within each cell, according to its individual and systemic requirements. The yielding of an elastic support and bufferage to the structures which it encloses may, therefore, be described as its main mechanical office, together with the maintenance of the proper propor- tion of moisture in the inter-spaces of the brain, cord, and nerves to secure the requisite plasticity of the true nervine elements and the needful excretional circulation from within these elements. Along with its excretional disposal of effete nervine material, we would also include the ‘‘excretional” disposal, or radiation, of surplus central caloric and the maintenance of the normal body tempera- ture, a function which the universality of its presence, circulation throughout, and exits from the body render possible and functionally easy of accomplishment. As illustrative of the truth of the last-mentioned func- tional work of the cerebro-spinal fluid, we would only call attention to its almost constant disturbance in all diseased conditions in which rise and fall of body temperature take place, the main reason for such rise and fall being the disturbance of cerebro-spinal lymph circulation and excre- tion and consequent interference with heat radiation. The cerebro-spinal fluid, as a culture medium, and viewed in relationship to the infective invasion, incubation, and distribution of bacterial organisms and disease germs, may be regarded as the most ideally perfect to be found within the whole body, on account of its intrinsic qualities, histological environment, comparative isolation and means of graduated escape available for shedding or emigration ; it will, therefore, we think, be found, as research progresses, that a very much larger number of pathogenic bacterial organisms owe their existence and propagation to this fact HAMAL LYMPH ISI than etiologists have hitherto believed, and that clinicians will have, consequently, to alter their diagnosis and adapt their treatment accordingly. Zymosis, or bacterial proliferation, may be confined to the cerebro- spinal fluid, and may begin and end there, but often it is attended by bacterial attack of its containing vasculature and organic environment, when meningeo- neurilemmar complications arise, or by neuronal implication, when diseases of the proper nerve elements develop the symptoms proper to disordered nerve substance and func- tion, as may be witnessed in such diseases as tetanus, hydrophobia, trypanosomiasis, ‘‘ rheumatism of the brain,” “general paralysis of the insane,” and many other familiar central nervine affections. In such of these diseases, where the neurons are attacked by the individual, or specific bacteria belonging to a particular disease, the characteristic symptoms of the particular disease then become manifest, as its bacterial organisms grow and propagate themselves according to their individual manner, whether they be benign or malign—and in such cases they are generally the latter—through the textures attacked being of such a highly essential character, both in material and function, in the economy of life and cerebration. In the neurono- phagic processes indulged in by the individual bacterial genus a manner of procedure and histological effect are developed whereby, in many cases, the microscope can distinguish the culprit and indicate the disease for the pro- duction of which it is, by its specific action, pathologically responsible. Thus, it becomes abundantly evident that a wide field for the bacteriologist and clinician is here coming into view, the exploration of which must yield abundant information, both of a scientific, and practical, kind, for the guidance of the future practitioner of medicine and the satisfaction of the amour propre of pure science. The cerebro-spinal fluid thus becomes an _ incubative medium and organic vehicular element of the greatest moment to the scientist and clinician alike, inasmuch as it possesses attributes the appraisement of which will require the exercise both of their intelligence and the therapeutic use of their united deductive and practical efforts. More- over, according to that appraisement and practical use must 152 ' BIOLOGICAL PHYSICS follow the success of future medical and surgical procedure in a domain of remedial and ameliorative effort peculiarly required in, and applicable to, the abounding neural wants of present-day civilisation, with its almost unique material and dynamic needs, which almost daily increase with its quickening advancement and the increased competitive strain, national and individual. PAT RAC Lox ihe: THE ROLE OF THE CEREBRO-SPINAL FLUID AND LYMPH PROPER. Tue réle of the cerebro-spinal fluid, or lymph, may, in conclusion, be summarised, or regarded, as that of a mechanical support and buffer, a medium for the floating of the intra-cerebro-spinal systemic blood vasculature and the proper systemic neural elements, as well as a vehicle for the reception and removal of nireeneural disjecta, or debris, and the provider of an aseptic interpenetrating and surrounding fluid material for the maintenance of intra- neural hygiene, an afforder of an insulating element for the production, reception, and storage of nervine energy by the means of a stratum of peripheral non-conducting, but neuro-pervious, liquid throughout the entire nervous system, permeable from without by sensory nervine stimuli, and communicative, from within, of motor nervine impulses throughout the confines of the muscle areas, voluntary and involuntary, systemic and sympathetic. Such a bald recapitulation of some of the salient functions of the cerebro-spinal fluid reveals the truth that we have in it a neurally omnipresent element second in importance to none of the non-nervous constituents of, or connected with, the nervous system, and an element whose physiological importance, in many other respects as well, should ensure a whole-hearted study of it, in order that its importance in a practical respect should be made fully available to the practisers of the healing art, and for its intrinsic value to the exponents of pure science, and the lovers of truth for its own sake. 154. BIOLOGICAL PHYSICS Moreover, this fluid represents the primordial fluid in which the whole developmental events, constituting the “life history”’ of organic nature in all its phases, is wrought out, and the medium which gives or affords currency to the whole chemico-physiological elements and processes engaged in the great work of evolution of living forms, and the peopling of our earth from its dead matter; it is, therefore, a fluid whose imitation, or reproduction, by scientific technique may enable us, when a human, or other, life is suffering from its exhaustion or over-abundance, to lengthen out its otherwise unexhausted vital resources, and to round off in full proportion the story of its “completed life,” as we see, for example, in the use of ‘normal saline” in hemorrhagic crises, and syncopal attacks, or of lumbar puncture in cerebro-spinal meningitis. Further, it forms the basis of all the actively organic, or fener, fluids throughout the body, and passes from one form of Sienna and visceral physiological fluid com- bination, or condition, to another, as the local and general exigencies of inter- and intra-organic circulation necessitate and determine; hence it is the circulatory medium for all material interchange, chemical and_ physiological, and therefore, pathological, and requires to be studied locally and in all its continuity of circulatory disposal and functional sequence, ere we can hope to discover its full significance and importance, and obtain its full practical advantages. Therefore, to follow it thus is to follow the organic disposal of the entire ingesta, from their imbibition to their excretion as effete materials, or until they become egesta, and thus to traverse the whole field of biological integration and disintegration, or, in other words, the entire area of physiological activity and organic evolution. We, consequently, would advise that this aspect of the subject should be viewed whenever we attempt to take a broad or even a “bird’s eye” view of the bearing of physiological knowledge on the progress of clinical medicine and surgery. In another respect it can be followed with great advan- tage along the paths by which the cavities and inter-spaces of the body, structural, visceral, and histological, are kept occupied, and the physiological balance of circulation and CEREBRO-SPINAL FLUID ios” nutrition maintained, as, for example, along the paths of the great systemic circulations into the cavities, great and small, where the serous and lymphoid fluids repose, or are stored ; and, out of these, into the organs and channels of excretion, where the final processes of chemical and physiological change are undergone, and the vitally exhausted residual products finally evacuated as absolutely effete and adynamic. The inter- and intra-structural cavities and channels thus occupied render great mechanical services in the obviation of structural and inter-structural voids, the bolstering of actively functional textures, and the ballooning of collapsible tissue elements, while at the same time affording nutri- tional facilities for the circulation and interchange of chemico-physiological elements in the processes of repair and decay. The spaces and inter-spaces thus occupied vary in size from the atomic and the cellular to that of the largest anatomical cavity, and represent the great and small fluid areas surrounding the histological elements of the entire body ; and, therefore, it becomes necessary to recognise the great physiological fact, that there is no essential material difference in the chemical and physical character of the occupying fluids, save in the added or subtracted amounts of integrative and disintegrative materials respectively, and that thus there is, and can be, but one foundation fluid, the lymph, occupying the entire system and effecting all the changes concerned in the phenomena of its organic, or vegetative, life. In thus viewing the subject of the omnipresence of a fundamentally identical fluid element throughout the body from which the nutritional elements are extracted, and into which are returned in a physiologically secured manner, for final disposal, the waste products of functional activity, we must regard its chemical and physiological varieties as due to the textural and visceral contributions, for special physiological purposes and chemical desiderata within the great vital laboratory constituting the living and acting body, and subserving the purposes of its vital chemistry. Consequently, the acts of alimentary absorption, sanguineous circulation, nutrition, lymph circulation and excretion, but illustrate the existence of varieties of this 156 ' BIOLOGICAL PHYSICS fluid, and show, while chemically dissimilar in composition, that they are identical in physiological operation or manner of working, and that they make up among them a great cycle of chemico- -physiological activities through a material or physical continuity of physiological fluidities or secre- tions—these latter ranging from, or consisting of, the chyle, the blood, the lymph, and the special organic Aids: such as are poured into the alimentary canal, concluding with the exhausted and adynamic residual materials eliminated from the various excretionary organs as alvine, renal, and cutaneous evacuations. It is needless to point out that water necessarily constitutes the fluid basis of every variety of physiological liquid, and forms the vehicle of conveyance and the medium in which all the chemico- physiological phenomena of tissue integration and disinte- gration take place ; it is, therefore, the sine gua non of nutrition in all its phases, and the element most essential in all varieties of alimentation and dietetic formularies. EXTRACT Xi, SUMMARY OF STUDIES ON CIRCULATION. “‘ All things flow, and nothing is at rest.” “All things are ina state: of flux.” Tue author of these words was the Greek philosopher Heraclitus, who lived about 500 B.c. The /ew enun- ciated, and the generalisation accomplished, in them necessarily presuppose the possession, by their author, of a knowledge of “first principles,” derived from a wide range of observation of natural phenomena, and a grasp of their significance which can scarcely be surpassed, or paralleled in the whole history of, at any rate, ancient natural science. In the terseness of their expression, and arrangement, and in the depth of their meaning, we see one of the most successful attempts to reach the bed-rock of natural truth, as we may call it, and to lay for ever on it a foundation which could bear the weight of the most gigantic superstructure, and which could yield security for the exercise of the best efforts of the votaries of science, and make a worthy repository for their contribu- tions to the sum of human knowledge. The principal truth conveyed by them is, that matter, in its widest, as well as, most restricted sense, in mass, and in molecule, is ever moving, that a state of flux and re-flux characterises the behaviour of the material universe, and that no possible exception is to be perceived within the sphere, sidereal, or terrestrial, of its application. EATRAC ELE ALY. ON THE PHYSICAL LAW, OR PROPERTY, OF MATTER, KNOWN AS INERTIA. Tue law, or property, of inertia, as applied in physics, has long been accepted as axiomatic, and as universally operative, throughout the world of matter, and that it is relatively so we are not prepared to dispute, more than that it should be applied only to matter in motion, because matter at rest must be regarded as a physical impossibility, even in the most perfectly-conducted vacuum experiment, where its apparent rest, is owing merely to a temporary arrest or rather slowing, of the rate of its continual and universal movement. The temporary arrest, or slowing, of the rate of motion by such experi- ments as above mentioned can only be regarded as a ‘toy stoppage,” which is annulled by the frictional influence of “passing events,” and the disintegrating effects of the ‘‘ hands of time,” as they reduce to dust the most durable material that can be converted into a vacuum vessel, as it passes through space at planet speed. Verily it may, and must, be said, that there is no “ abiding place” in nature, and that there is no exception to the truth of that part of the law of inertia which is alone operative in the physics of the material universe, that matter in motion will continue for ever in motion, and that there can be no possibility of its absolute arrest. The apparent exceptions to this aspect of the law of inertia of matter are oz/y apparent and make the necessity of accepting the truth of the law, as thus modified, absolute, and undeniable. Moreover, all the sciences, so far as we have been able to appreciate their demands, recognise, and THE PHYSICAL LAW OF MATTER 159 call for, but the one reading of this great law, in their attempts to reach the truth as it is to be found impressed in legible characters on the ‘book of nature”; their appreciation of the affirmative aspect of the law—if we may be allowed the expression—is universal, their regard for the negative side of the law—in like manner—places in bold relief, that they tacitly regard it as a negligible quantity, a scientific curiosity, or a “survival ” of the zor fiitest. We, therefore, once more see, even here, where scientific beliefs, like coal, have been crystallised into diamonds, that negative, or neutral, elements, have become attached to them which call for removal, that their full lustre may be revealed, and their true value appraised, before they become the prized and permanent possessions, of earnest searchers after truth. We, moreover, claim that the law of inertia, as thus understood, should be regarded as the most far reaching of the physical examples of circulation, and that by it matter is affected, and directed, in its movements in molecule and in mass, in both its organic and inorganic, regions; in its forms visible to the naked eye, as well as _irf those which can only be revealed by the aid of micro- scope, and telescope; and by inference, those others, lying beyond our ken, which appeal to our intelligence only as articles of scientific faith. Again, therefore, we feel ourselves constrained to repeat: circulatio circula- tionum omnia circulatio, and that—instead of banishing “‘ perpetual motion” to the limbo of the unknowable—we must regard it as the very pivot on which the phenomena of the universe revolve, and the foundation on which they may be said to rest, to use a word which is strangely contrary in meaning, anda complete contrast to the entire problem under discussion, but nevertheless embodying a fragment of the truth on which alone belief itself, when sifted from all untruth, may find a resting-place, and a calm repose after its vicissitudes of ‘‘change and decay,” of strength, and weakness, of age, and rejuvenescence, of rejection, and acceptance, negation, and affirmation. The teaching of modern physics is, but a continuation, and illustration, of this great truth in its wider, more elaborated, finished, and cultured, aspects. 160 * BIOLOGICAL PHYSICS One of these aspects is concerned with its bearings on the subject of “circulation”’ generally, but more especially of “circulation,” as it is to be met with, and illustrated, in the economy of animal, and vegetable, life. This subject is now well worn, and has done great and good work in clearing up many of the secrets of animated nature, and, we think, it has still much to do in the same field, ere we can afford to lay it aside as an instrument which has ceased to be of use to the exponents of modern biological science. Personally, we think that a wider and fuller use, may still be made of it, in the study of animal and vegetable, or biological, statics, and dynamics, with a sure prospect of its being able to advance the conquest of research into some of the mysterious regions of this field, and others, that lie immediately ahead of the pioneers of natural science. As proving our confidence in this sanguine forecast, we are tempted to permit ourselves, at the outset of our supplementary remarks, rather than at their close, to crystallise our belief in the truth of what we say, as we have done before, by using a form of words after the manner of the illustrious Greek philosopher whom we have quoted, to the following effect, and in | the following order, viz.: circulatio circulationum omnia circulatio. The truth of these words, and of this thesis of varieties, we shall now endeavour to make manifest, and, in doing so, we shall confine ourselves, more especially, to that aspect of the subject which finds its illustration in the animal, and more especially, in the human economy. Here we find that the principle of circulation is universally operative, in all the processes which we denominate vital, and that by, and through, it, the manifold operations of building up, and taking down, of taking down, and building up, of ministering to the wants of conscious being, and, finally, of effecting the resolution of the component corporeal parts into their inorganic elements. In attempting to accomplish this large, and self-imposed, task, we must confess our inability adequately to compass it, or in any appreciable degree to exhaust it; but we flatter ourselves that we may, in our restricted efforts, be at least, “aiding, and abetting,” others in carrying 21E “PHYSICAL LAW. OF MATTER 161 on the work of investigation of the large collection of already recorded observations and experiméntal data, lying ready to hand and capable of affording what is required for absolute proof, and general acceptance, in the deduction, and formulation, of its theoretical “manners and methods,”’ while, to some extent, assisting the elabora- tion of its practical benefits, in their application to the wants of everyday medicine, and surgery. The recording of the order and sequence of the various parts of this attempt at somewhat widening the boundaries of knowledge must, to a great extent, be left in the mean- time irregular and arbitrary inasmuch as the materials of the record represent the everyday mental collections of a lifetime, together with roughly assorted scientific data which have not been arranged, or elaborated, primarily, with a view to publication, but rather with the view of affording a means, whereby we could from time to time take stock of the “ manner, and matter,” of our daily thoughts, and beliefs, amid the work, and worry, of our everyday life. Friends having advised the publication of these efforts at scientific work, recurring and therefore, necessarily scattered, and, for the most part, the carelessly written records of broken studies, their advice has at last been taken, in the hope that some parts, or fragments, of these studies, at least, might resist the crucial tests of criticism. We, moreover, feel constrained to submit ourselves to the tests dictated by the requirements of special knowledge, even in this specially unprepared fashion, believing that it is better to know what is true in them, and wishing what is untrue to be sifted out of them, so that, if there be any grains of truth left, they can be made available for what they are worth, both, as additions to abstract science, “pure and simple,” and as, not unneeded, additions to the beneficent agencies of applied science. Chronological sequence of production will, therefore, tosome extent, interfere with that strict continuity of treatment and detail of subject which is so essential for the obtaining of a complete “grasp” of the meaning and purport of what we want to convey; and this may lead to faults, both of omission and commission, and to the occurrence both of gaps, and repetitions. 2 162 ' BIOLOGICAL PHYSICS With these introductory observations, we now proceed to summarise, and to place the results of our observations, - and reflections, with all their original and acquired im- perfections, before our contemporaries, apologising for the omission of mention of our sources of knowledge, a work which we have found impossible, inasmuch as, they, the subjects of our remarks, consist of material first gathered from the lips of revered teachers, and of colleagues in the work of life, from information derived from text-books, and wesc works of authority, from articles scat- tered up and down the serial literature, and publications, of the time, and from independent, and personal sources, presenting themselves during the course of professional life and work. Returning from this introductory digression, we shall resume the discussion of the subject of “circulation.” We had, to some extent, pursued the subject with a view to obtaining a firmer grasp of it in that department which relates to the movement, or circulation, of plastic, or more or less fluid, materials, within more or less well-defined vessels and inter-spaces, such as are met with both in animal and vegetable structures. We shall now, there- fore, again take up in its deeper, and so to speak, underlying aspects, more especially as related to such subjects as nutrition, assimilation, disintegration, and excretion, processes which largely make up the problems of life and “organic activity,” the cessation of which constitutes death. Circulation, in its more usual biological aspects, is charac- terised by forward movement of material, or matter, in contrast to backward movement, and is due to the opera- tion of forces acting both from before and from behind, as well as, it may be, to latent, or intrinsic, forces acting from within. That being so, we perceive that zuérition is made possible only through that forward, or onward, movement, of the nutritive plasma propelled and regu- lated, by these modes of force, in virtue of the continued, and, in normal vital conditions, the regular replacement of used up, disintegrated, or effete, matter, by fresh, or nutritive matter; which process necessitates the continuous onward, as distinguished from the backward, movement THE PHYSICAL LAW OF MATTER 163- of the matter in question. In this process we see con- currently in operation modes of force which we may designate, mechanical, chemical, and physiological, or vital, the result being the maintenance of the materio-dynamic equipoise whereby the continuance of life is secured. This process, moreover, is one and the same, in its mode of operation, from that instant when the life of the organism takes its origin, in the primary vital spermo-germ arrange- ment of its primordial atoms, until the conditions of life no longer permit of its continuance. In this process, or, we had almost said, procession, one atom, or molecule, of matter, follows another in regular order; so that when the first has become “worn” out in the process, the next in the succession takes its place, with the ordered continuity of unending circulation, or so long as the required vital conditions continue in existence. All this necessitates the constant onward movement of the circulated matter, and does ot permit of its return, hence we must regard the processes alluded to as being conducted on these lines, and we must be prepared to see in our experimental investigation and study of them, that ‘“‘sequence of events” which must inevitably flow from the practical working, or operation, of such physio- logical factors. We must, therefore, from this circulatory sequence and onward movement, also recognise the fact that no se/fpollution, or autotoxis, can be permitted, zf the operations involved are effected perfectly and that physio- logical health, if they be so effected, must follow with unerring certainty. In other words, we see, in the operation of these pro- cesses on the lines which we have attempted to explain, that nature does not permit, in her untrammelled condition, the pollution of the nutritive material which she is con- veying to the living and working structures of the body, by the effete materials resulting from the living and -working condition, of that body; but, on the contrary, that she provides that these latter, the effete, must be “moved on,” or onwards, by her vital police, or safeguards, before she gives up the former, or nutritive. In this way only is it possible for the dire results of autotoxis to be averted, and the condition of health to be maintained. 164 * BIOLOGICAL PHYSICS Hence we find that the processes of integration and disintegration balance each other, in the highest and best . states of health; the body weight being thus regularly and steadily maintained amid all the disturbances of everyday life. In any and all departures from the normal level of good health we may expect to find an interruption in the regularity of the processes, and a corresponding inter- ference with the continuity of the conditions on which that health depends. It will, therefore, under such circum- stances, be of the greatest value to us as the conservers and restorers of health, if we bear this in mind, and do our best to discover where, in the circulatory chain, the first indication of strain is observable, in order to be able scientifically to begin and continue our treatment, pre- ventive, palliative, and curative. For example, if we analyse the ‘‘ sequence of events to be observed in the course of some well-defined disease, or morbid entity, we shall perceive the relevancy of, and the necessity for, the use of this advice. Diseases, there- fore, such as a “common cold,” or influenza, will afford good examples for consideration on these lines, and they will be found “dealt with” in the accompanying pages. Hemal circulation carried on through elaborately constructed vessels and by the operation of well-defined forces is operative up to that point in the human body, where tissue metabolism begins, and where the cerebro- spinal blood circulation ends by depositing its nutritive materials in the neuroglial matrix. At the latter point begins another circulation, or system of circulations purely nervine, or neural, and for the most part confined within the precincts of the systemic nervous system, and its containing membranes. This circulation, the systemic nervine, is sui generis, or, at any rate, very different from the circulations which precede it, inasmuch as the textures composing its circulatory apparatus are quite different, as well as the fluids circulated. The pabulum on which the nervous system is supported, and from which it extracts its nourishment, is represented by the amorphous and faintly organised material depo- sited amid the fibro-cellular meshes of the neuroglial, ” cre PHYSICAL LAW OF MATTER 165 basal, organised texture, and is extracted from that situation by the dendrons of the nerve cells, or neurons, and conveyed to the substance of the nerve structures proper of these neurons, viz. to the cell body with its proper plasmic contents, the nucleus with its special contents, and the innermost neuronal structure, and the nucleolus with its most special contents. The nerve cell contents and the nuclear substance being continuous, respectively, with the white substance of Schwann, and the axis cylinder substance of the nerve fibre, initiate and continue other two circulations, represented by these two substances, along each axonal process, or axon; the two substances being fluid, or plastic, enough, to allow of more or less freedom of onward movement, or circulation. These two central circulations are carried on through, or along, continuous sheaths, or cases, enclosed in a neurilemma composed of layer after layer of dense fibrous tissue containing, within well-defined limits, inter-spaces occupied by cerebro-spinal, or neural, lymph, as distinguished from hemal lymph. hese inter- neurilemmar spaces, with their neural lymph contents, represent at least other two circulations, continuous with, and from, the sub-arachnoid and sub-dural spaces, respec- tively. Thus, along every afferent, and efferent, nerve fibre, from its origin to its terminal distribution, we have a series of at least four separate and individual circu- lations simultaneously in operation and requiring for their maintenance an unbroken continuity of tubes and an unfailing supply of fluids, and colloid materials, of appropriate consistence, and physiological quality. An axonal nerve fibre 1s, thus, a compound of at least four tubes circulating fluids ad substances of different consistence, and qualities, along its intra-spaces, each circulation differing from the other according to the consistence of its material and the freedom from obstacles to its onward progress, the two inner being necessarily slow, but the two outer necessarily relatively quick. The circulations here outlined are carried on mainly towards a free terminal surface, with the exception of 166 BIOLOGICAL PHYSICS that of the motor nerves, and it must necessarily follow that the substances circulated have to find a means of distal outlet, as backward progress, at least of the two inner, is safeguarded, by appropriate means elsewhere described. M < FIG, 62,—SECTION OF EPIDERMIS FROM THE HUMAN HAND, Highly magnified, (Ranvier.) H, horny layer, consisting of s, superficial horny scales : sw, swollen-out horny cells ; s.é, stratum lucidum ; M, rete mucosum or Malpighian layer, consisting of Dp; prickle- cells, several rows deep ; and c, elongated cells forming a single stratum near the corium. he granular cells of Langerhans, which lie just below the stratum lucidum, are not shown, #, part of a plexus of nerve- -fibres in the superficial layer of the cutis vera. From this plexus, fine varicose nerve-fibrils may be traced passing up between the cells of the Malpighian layer. Where then are we to look for the means of their final disposal when they have become effete, and no longer capable of retention within the body, without the danger of pathogenesis? The disposal of the neural lymph, or the fluid, circulated by the two outer tubes has been traced in some detail to the sweat glands (Fig. 15), and to excretion through the skin, and into the sarcolemmar sheaths of the muscle fibres. Where then THE PHYSICAL LAW OF MATTER 167 can the medullary, or white, substance of Schwann, be traced to? and where can the substance of the axis cylinder be evacuated? An answer to these last two questions seems to us to be almost impossible, but never- theless, we think that the importance of the subject demands that we should do our utmost to trace its progress, until either failure, or success, follows. It is said that the white substance of Schwann ceases to exist at a point some little distance from the nerve terminals, and, if this be so, we must be prepared to look for its elimination somewhere Jdefore the final Fic, 63.—A, Two TACTILE CELLS IN THE DEEPER PART OF THE HUMAN EPIDERMIS. (Merkel.) B, ENDING OF NERVES IN TACTILE DISCS IN THE PIG’S SNOUT. (Ranvier.) uw, nerve-fibre ; 7, terminal menisci or tactile disks; e, ordinary epithelium-cell ; a, altered epithelium-cell, to which the meniscus is applied. distribution of these terminals. In doing so, however, we fail to find any solution of continuity of its con- taining’ membrane and, consequently, we must believe that it finds its way out of its containing membrane at the extremities of the nerve terminals, and so empties them, that accounting for the above statement: this, we think, it does amid, and as, the epidermal cells, and keratinous debris, forming the cuticular layers overlying the true skin; indeed, it might be said, without over- stretching the “scientific imagination,’ to /end itself to the formation of these layers, and to be finally shed as epidermal scales (Fig. 62), with the overlying and inter- penetrating horny matrix of keratinous, and connecting, or cementing, material. To this goa/ also may be traced 168 “BIOLOGICAL PHYSICS its containing membrane, and perhaps to the sebaceous glands, we may trace some of these materials, as well as, it may be, the final disposal of the substance composing the axis cylinder of the nerve fibrils with the broken- down constituents of its containing tube, or wall. The ubiquitous structures represented by the epidermal covering: of the cutaneous envelope, the epithelial and endothelial linings of the hollow spaces of the body, constitute the “scene,” and afford the “‘ theatre,” wherein the ultimate disposal of the materials used up by nervine activity is effected, and where the separation and excretion of the effete and toxic residuum of these materials are carried out. The process of separation, and excretion, may be accomplished through the circulatory agencies belonging to the nervous system itself, and, it may be, also by the aid of other agencies, emanating Dee eee. Pe d belonging to, the hemal CULUM FROM THE SPINAL rom, an ging to, Sd Seu Mag- system. Thus, there may be a dual security provided for the maintenance of cutaneous perspiration, and transpiration, resulting from the co-existence of a nervine, and hemal, sudoriferous feeding mechanism, connected with the sweat glands, in virtue of which a state of cutaneous circulatory equilibrium is made possible, and temperature evenly sustained ; sweating may, therefore, be due to one, or both, of these sources of supply acting alone, or simultaneously, and, accordingly, the sweat may somewhat alter in character and composition according to which of the sources is the more active for the time being. The profuse perspiration produced by active physical exercise is somewhat different from that pro- duced under states of mental excitement, the former arising in hyperemic conditions of the skin, and the latter, it may be, in anemic conditions of that texture ;. the opposite conditions of active physical exertion, and extreme physical collapse, being thus characterised by profuse action of the sudoriferous apparatus. Sweat is, therefore, a product of nervine, or hemal, THE PHYSICAL LAW OF MATTER 169 excretory activity, or both, and is, alike at all times, the result of circulatory agency. Moreover, sweat represents one of the fiza/ results of the manifold changes to which the nutritive materials supplied to the body are subjected, Fic. 65.—SECTION OF THE INTERNAL SAPHENOUS NERVE (HUMAN), MADE AFTER BEING STAINED IN OSMIC ACID AND SUBSEQUENTLY HARDENED IN ALCOHOL. Drawn as seen under a very low magnifying power. (Eo ASS.) Ef, epineurium, or general sheath of the nerve, consisting of connective tissue bundles of variable size separated by cleft-like areola, which appear as a network of clear lines. with here and there fat-cells 77% and blood-vessels vw; fer, funiculus enclosed in its lamellated connective tissue sheath (perineurium); ed, interior of funiculus, showing the cut ends of the medullated nerve-fibres, which are imbedded in the connective tissue within the funiculus (endoneurium). The fat- cells and the nerve-fibres are darkly stained by the osmic acid, but the connective tissue of the nerve is only slightly stained. in their passage from the outer world, to the outer world, and affords one of the best examples of the adaptability of the principles of circulation to the production and elucidation of physiological phenomena, as they are displayed in the life and working of the human body and of all living, or organic, bodies. . EXTRACT “XV; ON THE NUTRITION, AND METABOLISM, OF THE SYSTEMIC NERVOUS SYSTEM, OR SYSTEMIC NER- VINE NUTRITION. Tue theory of nutrition generally, but, more specially, the theory of systemic nerve and muscle nutrition, must, we feel, require revision on our part, in consequence of our entertainment of the foregoing views. We, therefore, are now impelled to attempt the task, and to put on record some of the views on the subject, as related to the process of nutrition that have presented themselves to us, from time to time, as the progress of these studies allowed, or suggested, and as the varied aspects of the particular subject, pursued at the time, have presented themselves, and novel views have consequently been obtained, as we have been “carried along the streams” of exploration, observation, and deduction, while holding aloft the “ rush- light” of our already acquired and immediately available knowledge, to enable us to ‘‘ determine our whereabouts ” amid our unfamiliar surroundings. | We have somewhere else expressed, if not fully stated, our belief in the existence of a secondary digestion, as repre- senting, constituting, or lying, at the foundation of neuronal nutrition and development, and have stated that the neuroglial matrix of amorphous, and more, or less, developed, substance, deposited amid a feltage of fibro- cellular foundation texture (Fig. 66), supplies the pabulum which is, or has been, carried hither by the hemal circulation, and which is osmotically imbibed and con- verted, into neural protoplasm by the dendritic rootlet SYSTEMIC NERVINE NUTRITION 171 economy of the neuronal organisms composing the great neuronal commonwealth, or nerve cell union, which goes to make up the systemic nervous system, as displayed in man, and his more highly organised neighbours in ‘“ the scale of being.” The pabulum thus supplied to the neuronal dendritic, or secretory, processes, is absorbed and passed into the cell body cavities with which they are related, where it 1s converted into medullary substance, or enters the nuclear body cavities to form the axis cylinder substance of the various axons, or as a final contribution to the economy of nervine nutrition, it supplies the molecular and Fic, 66.—TW0O NERVE-CELLS FROM THE CORTICAL GREY MATTER OF THE CEREBELLUM, Magnified 260 diameters. (KGlliker.) atomic wants, of the nucleolar bodies, which latter disposition of the plasma in question, thus constitutes the central and final act of nutritional and formative material organisation, and represents the final, or con- cluding, material contribution to the evolution of that cryptic union of “mind, and matter,” which has hitherto defied “the best laid schemes” of the acutest intellects of biologists, physicists, and metaphysicians, alike, to unravel, or fully appreciate. The nutritive systemic nervine plasma thus obtained and disposed of is circulated in, or grows along jealously insulated, and continuous, intra-spaces, to the confines of the afferent, and efferent, nervatures, alike, or respectively, where it terminates within, and in continuity with, the structural elements of the skin, and muscles, as a £72 BIOLOGICAL PHYSICS constituent part of the epidermic and sarcous tissues. Reaching these neuronal limits, the erstwhile proper nerve substance is finally disposed of, by a process of organic shedding, determined by the respective, histo- terminal agencies of the voluntary muscular, and cutaneous, textures—the former eventuating, or spending itself, in sarcous disc formation, and the latter in epidermic cell formation, both of which in turn are still further utilised, or disposed of, in a way specifically their own. Accepting, as we do, she theory of the neuron, as being most in accordance with our particular views of the systemic nervous system, we would claim that, each neuron feeds on, or is nourished by, the more or less amorphous, or non-developed, elements of the neuroglial matrix (see Fig. 66), in which it is rooted by its den- dritic processes, by a process of osmotic selection, or absorption, that the totality of these neurons is bound up, systematised, organised, and co-ordinated, so as to control the nerve traffic through the afferent and efferent channels, of functional nervine molecular, charge, and discharge, and the passage of nerve energy along the axonal processes within their individual myeline sheaths, and neurilemmar coverings; and that a process of circu- lation characterises the nutritive economy and nerve force distribution throughout the entire systemic nervous system. Therefore, throughout the whole process of systemic nerve nutrition, circulation is operative, and omnipresent, from its inception in the dendritic absorp- tion of the neurogliai plasma, until that plasma is finally disposed of by the nerve terminals, in skin, and muscle development—the former manner of termination resulting in contributing to the formation of the ‘‘ outer skeleton,” or skin, the latter, after supplying the fibral formative material wants of muscle, exhausting itself in the pro- duction of the synovial fluids, of tendon sheaths, and joint cavities, and contributing to- the growth, and maintenance, of the inner, or ‘‘true skeleton,” and render- ing up its residual material to the bone marrow, and the systemic lymph circulation, for final disposal. The nutrient course of the systemic nerve plasma, as thus outlined, is a very long and complex one, but yet SYSTEMIC NERVINE NUTRITION 173 no exception to the universal rule that all nutritive pheno- mena are due to circulation, and, therefore, conducted along definite lines of circulatory spaces, by the operation of definite circulatory forces, for definite nutritive pur- poses, and definite eliminatory necessities. In short, nutrition, neuro-sympathetic, and systemic, conjointly constitutes the central, and terminal, or really integrative, act, of the long series of circulatory disposals and preparatory physical changes which characterise the preparation of tissue pabulum for the operation of the metabolic forces which control the chemico-physiological phenomena of the nutritive process, and which has no sooner been accomplished, than the inverse, or disinte- grative, circulatory disposal, of that pabulum begins, and pursues its course until its removal from the economy is effected, and room made for fresh material—the round of the changes thus outlined constituting that universal system of organic circulation, of which the “circulation of the blood ”’ constitutes the dynamic centre. The process of nutrition is, therefore, as continuous and uninterrupted as that of circulation, and consists in the maintaining of the continuity of organic structure, by the substitutive replacement of the displaced particles, in perpetual and unbroken succession, by, or in obedi- ence to the operation of the metabolic laws of change, and exchange and the physical laws of organic circulation. As thus effected, the onward movement of the circu- lated organic pabulum is uninterrupted by regurgitation, or the possible admixture of the pure and impure or the nutrient and effete elements, and hence, so long as the physiological balance is maintained, a rendition of perfect, or physiologically-sound, health, must obtain, but sO soon as it ceases to be so mained a pathological state of health becomes the result. EXTRACT XVI. ON CIRCULATION, AND NUTRITION, OF, AND BY, THE SYMPATHETIC NERVOUS SYSTEM. Towarps obtaining a wider and clearer view, of the applicability of the principle of circulation to the explana- tion of vital phenomena, as they are to be observed thoughout the whole extent of the animal and vegetable world, we would formulate the comprehensive generalisa- tion, that all “fe, Aving action, or vital activity, including nutrition, consists of the movements, or circulation, of vital- ised matter, along definite lines determined by, and due to, the definite movement, or circulation, of tissue proto- plasm and vital energy. Thus, from the gross movements and circulation of the raw alimentary material, to its final atomic incorporative disposal in the process of tissue nutrition, a continuous chain of circulatory acts obtains which is not even broken when the last vital atomic inte- grative act continues into, and terminates as, the first atomic act of devitalisation and disintegration except that the circulation of vital energy ceases to be able, or becomes insufficient to maintain, living atomic cohesion, and so allows to begin the disintegrative circulation, and resolution of the devitalised matter into its elementary constituents. Circulation, therefore, according to this view, in its first half, or its nutritive course, in the higher animal world, and, for that part of it, in the vegetable world also, is carried out under the active integrative, and “uphill,” influence of vital energy, while in the second half of its course, or after the organic “watershed” of vital eminence has been passed, so to speak, and the play £ ’ ON CIRCULATION AND NUTRITION 175 of vital integrative and cohesive force, has been ex- hausted, in its long struggle against the powers of inorganic activities, and the natural analytic disposition inherent in metamorphic matter, it is conducted, certainly along paths still actively alive, but in accordance with the disinte- grative, “‘downhill,” or adynamic, condition, of dying, or dead, matter, and shed through the external surface exits of the organism in question, into the outer world, in quantity exactly according with that of the original raw material ingested. This general process of nutritive circulation requires, for the accomplishment of its purpose, the provision of a “system” of circulatory facilities, or passages, amid the, for the time being, existing matrix elements of the various structures undergoing nutrition, along which the nutritive pabulum can be conveyed, and from which it can be selected, by anabolic attraction for incorporation with, and integration by, the worn, and exhausted, tissues ; and we claim that such a system is afforded by the endothelial lining cells, with their connecting and continuing, fibrous processes—of the capillary network of the blood-vessels, from which the materials for nutrition are extravasated, and from which they circulate into the remotest interstitial spaces of the tissue matrix, and proper structural elements, throughout the organism. The process of extravasation, or exudation, or extraction, here referred to, may be said to resemble what takes place through the intestinal mucosa, and its overspreading, or lining villi, the latter performing, in the process of ali- mentary absorption, the same function as do the endothelial cells lining the capillary blood vasculature, which pass their absorbed plasma on to their process related cells, for meta- bolic, or nutritive, use, much in the same way as the villi of the intestinal wall pass on their absorbed chyle, to the lacteals, and related mesenteric glands. Moreover, both these examples of distributive circulation illustrate the adaptation, of the same principles of circulation, to meet very different organic ends, and to accomplish very different physiological purposes, in the economy of sympathetically controlled nutrition. This view of the subject has already been referred to 176 ' BIOLOGICAL PHYSICS when discussing the subject of systemic nervine nutrition, but it seems still necessary further to elucidate it, in refer-. ence to the nutrition of the so-called non-nervous, or sympathetically innervated textures generally. In studying the economy of general, or sympathetic nervine nutrition, as distinguished from particular, or systemic nervine nutri- tion, we are impressed with the conviction that the pure, or incoming nutritive material, must be circulated, or con- veyed, to the textures to be nourished, along routes, or by vessels, or inter-spaces separate and distinct from those conveying away, or removing, the disintegrated, and effete, or waste, products, of tissue tear and wear. Our convic- tion, of the consistency and necessity, of such provision, is based, mainly, on the non-existence, in the physiologically healthy condition, of a state of toxicity throughout the whole field of nutritive activity, and on the, consequently, necessary patency of a complete system of eliminatory agencies and organisms by which the escape of effete, and toxic, materials, can be effected in one unbroken succession along fie dines oe leas aeiornice by efferent vasculatures, so to speak ; moreover, it can only be thus, we think, that such a vitally important function, as that of nutrition, is possible, and that pathological conditions must accrue when any departure from it ensues. The lymph circulation, therefore, may be regarded as a compound circulation, somewhat in the way we regard the circulation of the blood, as being devisable into a systemic and pulmonary circulation, or perhaps, more aptly, as we regard these two circulations as being devisable, respectively, into arterial and venous circulations joined, respectively, by a capillary circulation. The afferent /iquor sanguinis, or nutritive lymph, circulation, may be compared with the arterial circulation, the efferent, or effete, circulation, with the venous circulation, and the uniting, or integrative, textural circulation, with the uniting, and anastomosing, capillary circulation. Thus, we see, by a continuation of the application of the principle of circulation, along a proper vasculature and system of inter-spaces, the method, and manner, of the complex function of nutrition become clearer, and more definite. Our contention being that the solid structure of the body is made up of two kinds of ON CIRCULATION AND NUTRITION 177 cells, according to the manner of innervation of its various textures, called, respectively, neuro-sympathetic, and neuro- systemic, according to which division of the nérvous system they belong. We therefore, further, feel warranted in venturing the opinion, that these two systems of innerva- tion being the producers, and circulators, of nerve force, along definite lines, and through definite structural channels, are /ikewise the distributing and circulating media of the tissue protoplasm, or pabulum, along, and through, the same channels, in virtue of their absolutely ubiquitous inter-cellular and intra-cellular distribution, and continuity of lumens, and’ texture. Thus, we are enabled to perceive that each endothelial cell of the total capillary vasculature becomes a means whereby the nutritive pabulum 1 is removed from the blood circulation and conveyed by its processes of attachment and inter-communication to distant cells, and groups of cells, and fibrous textures, and organs, by direct continuity of histological development, and_ vital oneness of organic structure, and function. We take it, therefore, that the principle of circulation is still in opera- tion, in effecting the conveyance of the nutritive plasma from the blood, to the tissues, and that we must grant to the cell and fibre elements involved, the possession of miniature capillary channels, and: energy, enough, albeit nervine, to effect the required circulatory movements, under fhe selecting and distributing supervision of the sympathetic nerve economy, until the final act of tissue nutritive assimilation is accomplished, and the integrity of the tissue elements made good—all which is effected, on lines calculated to secure purity of nutritive material, and to obviate effete admixture, or auto-intoxication, in the all-important process of nutrition. Nutrition having been thus effected by cell, and fibre, selection, circulation, and distribution, and the final meta- bolic changes in the integrative disposal of the tissue plasma having taken place, we may be prepared to find that the integrated material, after a longer, or shorter, period of textural detention, or, until tear, and wear, have done their work, resumes, or continues, its course of circu- latory movement, by being disintegrated, and shed, into the rudimentary “effete lymph”’ inter-spaces af the M 178 BIOLOGICAL PHYSICS disintegrating tissues, where, uniting with that from kindred, and neighbouring, inter-spaces, it finds its course facilitated — by the ultimate provision of a lymphatic vasculature, which ultimately conducts it back to the blood stream to be finally disposed of. Thus regarded, the processes of integration, and disintegration, involved in the great process of nutri- tion, are accomplished on lines altogether conducive to atoxicity of nutritive material, and to unmixed removal of effete residuum. Living cell and fibre, or process, thus manipulate, and finally dispose of, the nutritive pabulum, or plasma, while a series of inter-spaces and a developed vasculature suffice for the conveyance of the effete material, resulting from the disintegration of tissue, albeit, this vasculature is also possessed of a series of intercalated glandular organisms » whereby its effete contents can be returned into the blood, with their composition so altered that their toxic qualities are no longer dangerous, or at least that they can be toler- ated until removed by the provided excretory organs, all which accentuates once more the truth of our thesis: circulatio circulationum omnia circulatio. Nutrition, therefore, thus viewed, becomes a process of chemico-mechanical preparation of alimentary materials, of their circulation, along definite vessels, spaces, and inter- spaces, to the tissues to be nourished, of their incorporation, and assimilation, by these tissues, and of their subsequent disintegration, and removal, through a series of succeeding inter-spaces and spaces, into a specially provided vascula- ture, for atoxic disposal in the blood circulation, from which they came, or by direct excretion. It thus becomes apparent that nutrition, as well as innervation, within a dually innervated body, must be regarded as a dually performed operation inasmuch as the nutritive plasma is taken up and distributed, by the sympathetic, and systemic, nervous systems, respectively, to their several “spheres of influence,” or innervation. It must, therefore, further be recognised that nutrition is effected entirely through the instrumentality of nervine dynamic agency, whether in the sphere of sympathetic, or systemic, nerve influence, and that the nutritive plasma is selected, either by sympathetic, or systemic, nerve cells, located, respectively, in the endo- Jd ON CIRCULATION AND NUTRITION 179. thelial linings of the blood vasculature, and sympathetic ganglia, and the nerve cells proper of the systemic nervous system, and conveyed by nutritive circulation, alon successive histological processes, or lines, and linked cells, to every texture requiring nutritional supplies. From this it follows, that every cell must belong to one, or other, of the nervous systems, and that, consequently, all nutritive processes are the work of, one, or the other, system, hence nutrition is a dually performed function, according to the dual division of all cells, into, sympathetic, and systemic, respectively. Thus, the sympathetic, nourishes, directly from the blood, every texture of the body, save those dependent on the systemic nervous system, besides laying down in the matrix of the neuroglial substance of the systemic nervous system, the “‘ prepared raw material,” or pabulum for the nutrition of that system, while the systemic nervous system nourishes, in like manner, every texture directly continuous with itself, on both its afferent, and efferent aspects. The process of nutrition being, thus, effected through cell agency, along communicating histological processes, or connective fibres, porous enough to permit of plasmic circulation within them, and surrounded by a, protective, and insulating, fluid, or lymph, containing “normal saline,” or its equivalent, in both its sympathetic, and systemic, varieties, a continually forward, and unmixed, distribution, of nutritive material is obtained which obviates the oc- currence of regurgitation and consequent autotoxis, and eventuates in the metabolic phenomena constituting the act of nutrition, and including both integration, and dis- integration. The act of nutrition varies in extent, with the needs of the tissue, or unit of texture, undergoing nutrition, and is essentially one of supplying tissue molecular, or atomic, wants, due to impaired material continuity, from the effects of functional, or materio-dynamic, tear and wear, and the natural katabolic denudation ever present in all organised, as well as unorganised, substances. Nutrition, thus, constitutes the central, and ultimate, vital distribution, and incorporation, of the alimentary materials supplied for the body’s upkeep—waste, and 180 | BIOLOGICAL PHYSICS decay, following, and completing, the cycle of changes under- gone by every particle of those materials, in their passage from the inorganic, fo the inorganic world, through the organic intricacies of that body. All the chemico-physio- logical processes leading up to, and all the chemico-physio- logical processes following on, this act, but consist of a material preparation for, and a ‘removal of material results from, the scene of that transcendental metabolic vital chemistry, whose purpose is, the maintenance of life, and health, with all that is included therein ; and comprise, the whole physiological phenomena displayed, in the transit of dietetic articles through the body, their resolution into its organic elements, and their final restitution, as inorganic elements, to mother earth. The vital chemistry involved in the process of nutrition represents the progress, and culmination, of all the vital preparatory processes, preceding, and constituting it, and the advent and progress of the processes of devitalisation, and decay, succeeding it, during which are displayed, phenomena not less marvellous and wonderful than those involved in the origin of individual life forms, or the working out of organic perfection, throughout the universe. As the “means to the end”’—the accomplishment of nutrition—it must not be forgotten that the process is only possible, when a complete means of conveyance, as well as, preparation, of nutritive materials, is provided, by a continuous canalling of the whole organism, or body, in virtue of which, and vital dynamics, a circulation, is main- tained, of such a complete character, that a way is found to every atomic vacant space, and a fresh atom supplied, by which the atomic continuity of every texture is sustained, and residual materials moved on. From this it becomes obvious that, any departure from a strictly physiological state, in either material, or working, must be followed inevitably by a pathological result, in proportion to the extent, and continuance, of the pathological factors, the removal of which, when it does occur, must, therefore, be sought at the earliest possible moment, by a scientific appreciation of the conditions involved, and the most immediate use of scientifically indicated means. ne ON CIRCULATION AND NUTRITION 181 In conclusion, nutrition may, strictly speaking, and in a word, be described as, the central circulatory act of disposal, in the cycle of circulatory acts of disposal of the elaborated organic plasma, or protoplasm, i in its atomic units, to suit the atomic needs of the tissues, and to maintain their functional powers at a normal level, while, simultaneously, clearing them from the presence of their effete, and hence toxic, residual materials : if therefore, nutrition be properly effected, it must follow, that every other vital process must be performed in accordance with the claims of physiological health. EXTRAC®: XVIT. ON THE OCCURRENCE OF VACUA IN THE ORGANIC, OR METABOLIC, WORK OF THE HUMAN BODY, AND ON “SUCTION” EVACUATION, AND GRAVI- TATION, IN RELATION THERETO, OR THE DYNA- MICS OF CIRCULATION. THE existence of an absolute vacuum is an impossibility, in the everyday working of the human, and every other organic, body, and is only thinkable as a eeicaeae curiosity, the existence, however, of comparative vacua throughout nature, is not only thinkable, but constantly observable in that portion of it within our reach. Thus, the earliest indications in the human infant of its power of self-existence are the creation, by reflex neuro- muscular effort, of an uncountable multitude of vacua, in its hitherto unopened, or pseudo-impervious, pulmonary parenchyma, in virtue of which an inrush of atmospheric air commences the life-long process of breathing, with all that is dependent thereon of functional and material change and organic work—next to death, this is one of the most marvellous, and important, changes, effected in the history of fceto-infantile evolution, marking, as it does, the beginning of separate and independent existence, the commencement of individual life, and the perpetuation of the species. The vacua created here, in embryonically prepared structures, are effective, till the termination of the indi- vidual existence, and by rhythmic repetitions of the original respiratory movement, in maintaining the union between the body, and what constitutes the hitherto inexplicable THE DYNAMICS OF CIRCULATION 133 entity called the individual life, or the vital principle, the coming and going of which are so absolutely, and visibly, real, but at the same time intangible, and impressing the human intellect with a faith in the existence of a necessary, though hidden, communion, and continuity, between the seen and tangible and the unseen and intangible; and begetting a belief in the reality of the existence of “ things not seen.” Another vacuum formed by the uneducated and but instinctively informed infant consists in the shaping of its oral organs into the form of a “‘ sucker,” the working of whose vacual principle is so perfect as to secure the means of its material sustenance and growth and the maintenance of that community of existence and feeling between it and the maternal organism so essential in its then helpless manner of life. Who is there, it may here be asked, who cannot see in this co-existence and inter- dependence, the greatest factor, not only in securing a proper receptacle for the indwelling of the vital principle, but the greatest educative power and so-called hereditary influence which can be brought to bear in the formation of future character, and the shaping of destiny, in the gener- ations which have lived, and those which are to live ? The oral vacuum with which independent existence begins, continues to be formed, in obedience to the law of organic demand, dictated by sensations of hunger and thirst, and has to be occupied, or filled, as long as life continues by its proclaiming the material needs of the body, and doing its best to satisfy them so long, as these are supplied by the outer world in quantity and of quality, suitable for its purpose. Suction literal, or modi- fied is the prime moving factor in all such processes of vacuum formation, and is accomplished by appropriate structural disposition of nerves, muscles, and subsidiary tissue elements. Thus, the infantile oral vacuum into which the maternal mammary apex is inserted secures by suction, or the creation of repeated vacua, the passage of the mammary fluid into the mouth, and alimentary canal, and the nutritive economy of the infantile organism—a process which, of course, necessitates the existence of a previously prepared series of open spaces, or a vasculature, affording the required vacual facilities. 184 ‘BIOLOGICAL PHYSICS A pre-natal histological arrangement of the embryonic, and foetal, structures, has been effected which only requires the advent of independent existence to be turned to account to secure the subsequent continuance of life, on the altered post-natal plan, and this consists—like the launching of a ship into its future watery element—of the opening of hitherto closed sluices and the letting in of the gases, fluids, and solids, of self-sustainment. After this process of sluice opening and the inaugura- tion of independent existence, a connected, and continual, series of circulations is evolved, or established and per- petuated which disposes of the alimentary materials, on the principle of continuous evacuation and renewal, or replacement, by the formation of vacua, and vacuoles, and the refilment of them by fresh materials—these vacua, and vacuoles, acting as so many suckers, in the economy of the nutritional disposal of tissue pabulum, on the oft-quoted, and conveniently available, principle, that ‘‘ nature abhors a vacuum.” The modes of force in use in the accomplishment of these circulatory phenomena are neuro-muscular, or dynamic, action, capillary attraction, and chemical affinity, initiated, and sustained, by vitality, or life ; the circulatory ways, or textural inter-spaces along which the fresh organic plasma, and the effete, or waste tissue products, are conveyed, being organised vessels, tissue porosities and molecular vacuoles, or atomic voids. Activity of the organism and the exercise of the nutritional machinery, cause molecular displacement, or waste of organised texture, or evacuation of the molecular spaces of these, with the consequent creation of molecular vacuoles which, thereafter, “‘cry out for,” and attract, or “suck in,” the required molecules of fresh plasma—which process keeps repeating itself, as long as the conditions of life are effectively sustained. From these statements we are warranted in concluding that all vital processes consist of an unbroken graduated series of circulatory movements along definite organic ‘xhannels varying in available circulatory capacity from the “imary alimentary canal, to the ultimate atomic, or mole- _jlar, vacuole, and from the ultimate atomic, or molecular, THE* DYNAMICS. OF CIRCULATION . 1857 vacuole, to the primary alimentary canal and the various other excretionary orifices of the body generally. All these vital circulatory phenomena are thus, to a great extent, antagonistic to the great Jaw of gravitation, and it is only when pathological conditions are evolved, that that law is able to reassert, or manifest, its powers, in opposition to those of vitality, and health ; therefore it is only on the complete arrest of vitality, or at death, that that law resumes a complete sway over organised matter. In this connection, however, it may be pointed out, as an indispensable condition of life and health, that the complete and effective removal of effete, or worn-out, organic material, is absolutely essential, and that that condition is provided by the law of gravitation, in that it immediately removes organic debris as it is detached from, or ejected by, the evacuant machinery of the body. Moreover, we are further warranted in concluding that thus, the law of gravitation is providing a vis a fronte, which is effective in securing the necessary external void, or voids, for persistent forward suction and evacuation and the maintenance of a continuous intra-corporeal circulation, masticatory, digestive, sanguineous, nutritive, and excretional, with the many connecting and subsidiary circulations, making up the great organic circulatory whole. Organic opposition and antagonism to the law of gravitation ultimately end, in entire inorganic acquies- cence in the inexorable requirements of that law, and what has, for a shorter, or longer, period, been in active organisation and functional use becomes reduced to its original inorganic elements, in which it may again assume, under the influence of other organic forces, another term of organic existence; and so the great problems of life and death are continually being solved in the experiences of, at any rate, the surface layers of the earth’s crust—a conclusion which witnesses once more to the truth of our expression and contention: circulatio circulationum omnia circulatio, and that the whole universe is in a state of flux, and that nothing is a¢ rest, really, whatever it may be, relatively. Making a somewhat larger generalisation, on these lines, we feel, in conclusion, warranted in stating, that life 186 ' BIOLOGICAL PHYSICS consists in the semporary arrest of the complete reign of gravitation and inorganic laws by the whilom erection of — an organic barrier, by, or in, virtue of vital energy, operating through formative impulse, along definite lines of organic accretion, to living organisms—such living organisms being ultimately overtaken and subdued by the ‘all-prevailing” inorganic laws, but not, as a rule, before they have secured their survival, and the perpetua- tion of life, by transferring that life, in sufficient proportion, to maintain an effective resistance, in the perpetual strife of organic, and inorganic forces, and to secure the con- tinuous existence of life, active intelligence, moral energy and purpose, and future destiny. . The principle of the accelerative influence of the vacuum, and vacuole, in the economy of circulation throughout the body, seems to us to find employment in the phenomena of muscular action. Thus, muscular contraction, as displayed by individual muscle fibres, is rhythmic, z.e. rest, and contraction, alternate with each other, the rest allowing the muscle fibre to recover itself, both as regards substance and energy, and the contraction displacing both substance and energy along the lines of least resistance, each contraction, and period of rest, constituting the two halves of a whole operation, which, repeated, and repeated, make up the life experience of every muscle fibre, striped, and unstriped. To use a familiar simile, we might compare the contraction of a striped muscle fibre to the reduction of a fully extended accordion, or concertina, to its ordinary proportions, or what it is in a state of rest, by the withdrawal of impedi- ments to its resumption ap that position, or by the application, it may be, of a compressing force. During this change the interior of the instrument is emptied of contained air, and collapse of it is the consequence. In the case of contraction of a muscle fibre due to the effect of nerve energy on the contractile substance of the fibre, the intra-fibril contents are, or must be, more or less, displaced, according to the intensity of the determining influence, with the result, that the fibre, on the re-attain- ment of its normal proportions, must give rise within itself to the formation of a series of discal vacuoles THE DYNAMICS OF CIRCULATION 187 > proportioned to the extent of the contraction. What then must occur to rectify the disturbed balance of fibral material occupancy which must here be regarded as a nutritive requirement, and the satisfaction of which is essential, if the phenomenon of contraction, or muscle work, is to continue? Clearly the filling of the discal vacuoles by suitable material for the influence of nerve energy to be felt, and the phenomena of muscular con- traction to be renewed. Where then can that suitable material be derived from? In our opinion it is derived from the nerve terminal plates, or fibrils, which are communicated to every sarcous disc, and through which are conveyed from the central nervous system, the material necessary for muscle nutrition and regeneration. Thus, the neuro-musculature is, one, and indivisible, self- supporting, and only inter-penetrated, and held in proper histological position, by the sympathetically innervated interstitial elements. No doubt it is impossible to eliminate the many important inter-dependencies, material, and functional, of the two nervous systems, in their great conjoint work, of running the organic machinery of the body, but it is obvious, that while there is reciprocity in every possible manner, there is a distinct, as distinguished from a conjoint, adaptation, to perform certain specific work, organic, and functional; the recognition of which is absolutely necessary, if we are to be possessed of what is entitled to the name ‘a scientific knowledge of the subject ””——muscle disc plasma is thus derived from nerve plasma which, in turn, is derived from nerve cell selection from the matrix of the neuroglia which, in turn, is derived from the blood plasma, the product of the primary alimentary materials, the zmgestion of which con- stitutes the great necessity of life. Belief in these statements, entails belief in the existence of powers of circulation, by structures which have hitherto been tacitly regarded as solid, or homogeneous, and incapable of allowing the passage of material along their constituent fibral elements. Circulation of material and energy alike, as we have elsewhere endeavoured to prove, is a root property, or foundation, condition, of all matter, whether inorganic, or organic, and must be accepted as 188 ‘BIOLOGICAL PHYSICS axiomatic. It, therefore, follows, that the phenomena here referred to are no exception to the rule, and that — circulation takes place, along the lines of least resistance, which, here, are clearly what we have imperfectly stated. Circulation of matter, in its organised form, we, there- fore, regard as the result, primarily, of gravitation, inasmuch as the first void space, or vacuole, is created by the exit, or detachment, from the substance, or texture, in which circulation becomes established, by the attractive influence of gravitation after which the void, or vacuole, becomes re-occupied, in virtue of the operation of this vis a fronte, as well as, by the help of whatever vis a sergo may be available, or inherent, in the particular structural circum- stances. Gravitation plus the operation of vital energy, which we claim to be equal to nerve, allied with physical, chemical, energy, or life, and other modes of physiolo- gical force, or attraction, constitute the causes of circu- lation in a living organism ; this circulation being effected along the lines of least resistance within that organism, it follows that the life of that organism will be maintained, as long as these forces are capable of propelling the required organic pabulum along these lines. From this likewise follows that the great desiderata, scientific, and practical, are the securing of the effective operation of these forces, and the maintaining of a free passage along these lines, for the distribution of nutritive pabulum, and the elimination of effete matter. Nutrition, as considered in the light of these views, becomes the central act of the circulatory work of the organic body, or the central link of the great chain of vital intra-organic distribution and structural integration of tissue plasma on the one hand, and the disintegra- tion and re-collection of the effete tissue material, or waste, on the other. It must, therefore, be effected where the tissue plasma has reached the atomic, or molecular, stage, of distributive division, where the final units of that plasma fit into the atomic voids, or vacuoles, of the tissue fabric, and when, if there is any rest for the circulating material, it might be conceived that it is here attained. This conception, however, would be found to be a miscon- ception, inasmuch, as this is, only, the longest, or the shortest, 3 2.